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1469 Kings Wood Rd wet*ificate of Cccupancv Ctitij of Cfagan c«t of v3Maing aaoecriox This Cenificare issned pursuant ro rhe requirements of rhe Uniform Building Code cerrifying thar at rhe time of issuance this stracture was rn compliance with the various ordirtances of the City regulating building constntction or use. For the following: Use Classifiaion: SF DW BNg. Pormit No. 765M Oocupaicy Type R3/ U I 7aun District R I Type Const. VN Owier of euilding Q1NR7T1f77. H'?ES TAt : Addtess Q 175 IM7lS7 fj`F N. S19aAM suiiding Aemess 1469 FCII?I?`S iiY7D 1X]An tooairy r13,.$71 N3= ia'lM 2ND ? BiuWingUllficial POST IN A CONSPICUOUS PLACE ?INSPECTION RECORD " CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number. I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? .. ? Ir41,, iJUuti t;la .;i..;1 ui:i 11op41-`. 1.WC -?1 liuillf .'Pa0 i, o, j. ! 1: 11 f.N /!" l PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .• i?i?, ir 114 1, l IN ? t r;i: t.riilt,lt Ihf 4il+? iI irariI ? I{! t9ARk?,: : & W PI Hk 1 AkF.';11l( C'! ttrl Permk No. PermR Holder Date Telephone 11 ELECTRIC iG yU PLUMBING ?iai 9s ?y_ HVAC , g G ? yy'?-??a InspecNOn Date Insp. Commenta FOO7INGS ? (7 FOUND AO Se[ I"i r e , IzIderw ? ?. FRAMING ROOFING ROUGH P UMBIN(3 O PLBG AIR TEST ? ? ROUGH HEATING ? 9a^ QAS sVC TEST INSUL 49P'6 • !?? GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HT(i ORSAT 7EST BLDG FINAL ( BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL L ? fsg ? INSPEC , ON -- ____ _ _ ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS• APPLICANT• • • 1J17411) fYf3 ? ;! : tl;s { i A? ; iiAI 1_E i2Y PERMIT SUBTYPE: TYPE OF WORK: Nf 41 INSPECTION D• • DA F JA-6 ?,'Sl?oU L ? ? Permit Holder Date 7elephone # PLUMBING HVAC Inspaction Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GVPBOARD FlREPLACE • /7_4?p(4) FIREPLACE AIRTEST ? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METEF FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?I,IA11I IIIllill III?II6III IIIII IIIIIIII? Q essity Ave., d Rm. S? AS I P TO0 821 U ni PauI, MN4?? * 0 2 L 4%k Phone (612) 642-0800 /?,S/9.5 , Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm emod Re air Air Cond. Hig. Equip. Water Htr. Load Mgmt. Other: Dryer Ran e Elec. Heat Tem . Service "k' above the work covered 6y this request. Enter remarks in this space and on the back of the white copy only. S Calculate InspecFion Fee - This Inspection Request will nol be accepied without the correct fee: Olfier Fee # Service Enfrance $ize Fee # Circuitr/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sireet Llg./Traffic Sig. Above 200 Amps 1 0 Amps Transformer/Generaior INSPECTOR'S USE ONLY TOT L? Sign/Outline LTg. Xfmr. Alarm/Remote Control • Swimming Pool I hereb ceni thot I ins ecfed the elect' i Mllatio c" ed holnein on the daks Mted Irrig6lion Boom Ra„ h-i„ 7 9 Special Inspedion EEd ' Final Dote Investigative Fee ;12 4 THIS INSTALLATION MAY BE ORDERED DISCONNECT T IN 18 MONTHS. 21 C? /+ C-OO9O OFFI E USE ONLY This request vold 18 months fmm validalion dvle pnnted in this box. ?fa??9s ? . PLEASE PRINT OR TYPE Requat D e .f 1 Rough-in inspeclion required Y l n ? No Inspeclion Olher Than Rough-In: ? Ready Now ?Will Call R d l ?v a (You must col ihe inspecfor whe ready) Dok eo y: I, licensed contrador ? owner hereby request inspedion of ihe above eledrical work at: Jab dr ss (Sireel ax, o)te Na.) ' C - CiN ? ?c Zip Code ? c (QU . Section No. Township Name or No. Ronge No. Fire No. C Oc ant Ph, orrc Nvl ^ A PowerSuppi ? Addmss EI 'col Cantmdor (Compony Nome) ??s ? Conhador Licensa No. MaMer - Uc Na. (PIaM Elect. On ? r ( c C ? Mailing Address (Contmtfor or Owner Pedortning InshllaKon) Aufhorized $i narurc (CoMmclor oredortning Ins Phone No. EB-OOOOlA-10 5/95 N STATEBOAROCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY Address 1469 xrNCS WoCu _Pom Zip 5512 2 Lo't i3 Blk 2 Sub xuscs woon 2rm THESE ITEMS WERE / WERE NOT CaMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) r? Permanent steps (main entry) ? Permanent driveway ,/ Permanent gas ? Sod/Seeded grass Trail/curb damage V/? Porch ? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps fcom the plumbing system and the shut-off of water supply ro the outside (awn faucet before freeze porential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy G) '11c65;)-, , 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?5 .50 Date ! :7_ ! ? Site Street Address ? / 5 D • Unit # Property Owner GZ 5 Telephone #(1,05' ) 5/510-09g'L H.P. PIPEW0^'<S Contractor 3670 DODG Telephone #( ) Address MN 53 123 City State Zip J` The Applicant is: _ Owner -Vcontractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee inciudes putting in a water soften er and/or water heater at the same time. If you are insfallinp oniv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: /?Water Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge , $ .50 r? Total ' $?. 5O I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approve . 4- &n.tan, l ApplicaMt's Printed Name li Signature ? 15 .50 Hn L:ITY OF FAGAN CRSH'i'Ef;> S TERMINAI.. NL7° 6`'?E, Df-t'fE- 08/iCi/3$ TTi'fE; 14.07 dpi IL1o NflMF- STOVC G FTREF•I_.AL'E GALL..Et';Y 3210 9001 1469 Y.iNGS W04D 5[].00 205 9001 14E9 KShlGS WOOU 0.50 To+,a.1 Receipt Amounk a 50.50 CR09F,035 LJSER ICi; NANCY FERMIT CITY OF EAGAN 3830 PAot Knob Road tagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-42001-130-02 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: 1469 KING5 W000 Rl] L07: 13 BLOCK: 2 KINGS WOOD 2Ni] B,w°ildini,.,Permit Type Puilding Wr2rk Type °Ce t7sus C ofpe ? - - ?? - - - .?, E FIREPLACE NEW 434 flLT. RESIDENTTAL ? s.._ _ i _.. .ta..+'. .?: ffi?u ? j?'?„e Sin Y 4J? ?{Ii F 1q{ g,., '? i .rtu .r., b ?e? ttni REMARKS: CHIMNEY/FLUE MUST BE INSPECTED BEFORE CONCEALTNG. BUTLDING 032810 08J07/98 FEE SUMMARY: Base Fee $50.60 5urcharge $.50 Tatal Fee $50.50 CONTRACTOR: - App1 i c a n t- OWNER: SITOVE & FTREPLACE GAILERY 1$981174 pEVIRES HALLSE 1278 COUN7Y ROAD 42 1469 KINGS WOpD F2D BURN5VILLE MN 55337 EAGAN MN 55122 (?612) 898-1174 (651)456-0982 / CITY OF EAGAN • /3830 PILOT KNOB RD - 55122 ' 199T.FIItEPLACE PERMIT APPLICATION ? 681-4675 °? g DATE: PERMIT FEE: 5 0 DESCRIPTTON OF WORK: _ CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: STREET ADDRESS: / iU/' A Vl t,9G?GwC?JvaC LOT 12) BLOCK :,-- SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTR.ACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i I i PROPERTY Name: ?/St1r1,is2, ? Phone #: ?OAbZ OWNER i Signature: ! i Street Address: i City: State: ? Zip: FIREPLACE ComPanY: Phone #: f? INSTALLER ! Signature: GAS LINE INSTALLER Street Address: i City: State: ? i Company: ? Name: ?IC?V? Signature: Street Address: City: License #: 740c?"=?n ziP: Phone u?b\.? I ? ?J State: ? Zip: J? ?v ? i i I I OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. . INSYECTIUN RE( ?UKll I CITY OF EAGAN PE MIT TYPE: e u xLDx r, G 3830 Pilot Knob Road Per it Number: 0 2 6 5 0 2 Eagan, Minnesota 55122-1897 Date Issued: 10/ 06f 95 (612) 681-4675 SITEADDRESS: P'I•N. : 1e-420e1-130-02 APPLICAN : Lor: 13 sLacK: 2 1469 KTNGS WOOD RD SUNRID E HOMES INC KTNGS WOOD 2ND (612) 79-5075 PERMIT SUBTYPE: TYPE OF ORK: SF DWG NEW INSPECTION .. . D• FOCITINGS FOUNDATIOM I Ff2AMING ROOFING INSULATION FIftEPLACE ROUGH IN PLBG ROUGH IN TG FTNAL PLBG FINRL REMflRKS: S & W PL8R - LAKESIDE PLBG ? .. ....,.... ... ? ...rc.. ?. . . _.- . . . .,.. .. s.. . . . .. .^? . ? _.«, . , e . . ? ..i.. >z . 3 . . .? m .?.?? .qW. m ? . ? -U-? ._ x .._ . .. ? . . . _.?s. .. . .? ._ _.. ... ... _ ?.._. ? .... H?' ? CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P,T.N.s 10-42001-130-02 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1469 KTNGS L07e 13 BLOCK: KINGS WOUD 2NU WUOp RD 2 8011dii?6?_,Permit Type SF DWG ?uilcling W'ork T.Ype NEW ?k1BG flccupanc?1;K, R-3 U-1 Z Canst;rtte'Ci?n ;7y?pµe V-N Zwnang ?,..-? R-1 l BwiZdin,g 4.snq.t h 82 E3uik?ding W?d?h 47 ?Ui°???zar?:t?.??torie;? `-._Aq U a r e 'Fe f't s, 18 6 '? t ?. ? ... ? 0< 2 ? ` REMARKS: S& W PLBR - LAKE5IpE PLBG FEE SUMMARY: Base Fee Plan RevS.ew Surcharge SAC SAC % SAC Units Lic. Search Fee 5ubtotal VALUA7ION $1,187.25 $415a54 $80.00 $850,00 100 1 5.00 $2,537.73 $160,000 ? g?i q 4 r'? t 2 .."''.:???l ?m COW0 BUILDTN6 026502 10/06f95 MISCELLANEOUS $1,892.50 Tatal Fee $4,430.29 CONTRACTOR: SUNRIDGE HOMES ZNC 9175 im7rH sr STTLLWATER MN (612) 779-6075 - Applicant - ST, LIC 17796075 0004952 N 55082 OWNER: SUNhSDGE HOMES SNC 9175 1007rH sr N 57TLLWATER h1N 55082 (612)653-0733 ` CITY OF EAGAN ? 41 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 687-4675 ? 3 rogistercd site surveys ? 2 copies of plan ? 2 copies oi plans (indude beam & window s¢es; poured fid. design; etc.) ? 2 aRe surveys (exterior addkfons & dedcs) ? 1 energy ealculations ? ? 1 energy eaiculations for heated adddions ? 3 eopias of tree preservaGon plan if lot platted efter 7H193 raqufred: _ Yes _ No DATE: CONSTRUCTION COST: ? 75; dod DESCRIPTION OF WORK: STREET ADDRESS: ? Y b r? LOT BLOCK Q SUBD./P.I.D. #: fCl.+l(as l?(o?b L L PROPERTY Name: SCc h r,?sA. N-za,, Ps 1 Kc- Phone #: 6S'3 'a 2 3 OWNER '"sT FReT FA K 6s3- 00 3? Street Address• qe"'7i' /07 A 5/. /Vo City: S?711wse7er- State: yy Zip: :5 S? ? CONTRACI'OR Company: !?cc 4..31-- 401 o,bave Phone #: Street Address: License #: 'IcI6 a- City: State: Zip' ARCHITECTI Company: I !l!_ Dzs 0' / ? Phone #- '/ 3 2 " 10 qy ENGINEER / / Name: ma r k Aane 1 Registration #• Street Address- Iq 7S'v City: V 4 1I State: Zip: Sewer & water licensed plumber: za' x-cSidclJ(L4.5., 8'k/i -76OQ Penalty applies when address change and lat change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is oorred and agree to comply •wit' h all appliqble State of Minnesota Statutes and City of Eagan Ordinances. ?- q '? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes o SFP 2 9 1995 Tree Preservation Plan Received Yes V No BUILDING PERMIT TYPE 1910-N Basement sq. ft. 2,o Z-7 MC/WS System ? 0-N Main level sq. ft. Z1 aYS City Water ? 1 2 sq. ft. Fire 5prinklered 0-i sq. ft. PRV 4 ?ssMr sq. ft. Booster Pump / 67 sq. ft. Census Code. 417 Footprint sq. ft. 2,JB? SAC Code _ a/ a ? Census Bldg / n I vI 4? 1Av I Census Unit I ? fU 1tY , ? ? _ Buitding Engineering Variance • .:?-, , . .. 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 6?-02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool a 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch a 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ,W--31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Un'its ? valuation: $ /tooi QpO A' 4LCUt` ?N>. 2 x 9 -- !g 1/ 7 = S!7 /2 x (n/ = 13y I r? y = Go ?, x yb = sD6 .sx?7?c Z.( 7= y z,X zzs : yr ? Z, a Ys'?- s l(?? ?3Q;,? (3s? ? OFFICE USE ONLY / S? o ws .?-- ??L/l-L4 ac? s,,,,ItaR ? S py . isyx ?a = f'?7A ?? ?? 13? ZyX ? r.?? = (af 7 2-x ?g?GZ = 3 9 Z,, o z-7n 15-? oor f 73 X/b ? ? ? 3? ?? i ` ,? . ' W C . ? c W W m ti W ? y S W '.. u ? y u o ? ? • ? ? . ? ? . Q?O O . ? 0 . O O . ?y O . Q? ? • ? I] O • e---*?o o . m?'0 0 . O/O O • B?? O • ?? O • ?13 0 • -d"o ? • GK'0 o • e% O • ? @? O • ? a e ? Q •• or' 0 ? . o [C!? ? . ?? O • Ci?7 ? . ?? 0 O • C? ? O • 0? O p • O Q?O . ?„ . LOT SURVEY CHECKUST FOR RESIDENTIAL BUILOING PERMITAPPUCA]hON PROPERTY LEGAL; DATE OF SURVEY: LATEST REVISION: DOCUMENT STaNnnRnS Registered Land Surveyor sipnature and company Building Permit Appiicant Legaldascriptlon • Address North arrow and scale House typa (rambler, welkout, splitw/o, splR entry, looko4 etc.) Directlonal dralnape arrows wifh slope/yradient % Proposedlebstlng seryer and water services & invert elevatlon . Street name ' Driveway ELEVATIONS 'sn sewer service Property comers Top of curb at the driveway Elevatlons of any aiostlnp adjacent homes Pro s Garage floor Fust floor Lowest exposed elevatlon (walkout/window) Properly comers Front and rear of home atthe toundatlon PONDING AR 0 «Aflf1IIMI1In) Easement line NWL . HWL _ Pond # designaBon Emergenry Overflow Elevagon DIMENSIONS Lot Iines/Bearings 3 dimensions Right-ot-way and street width (to back of curb) • Proposed homa dimensions Including any proposed decks. ovefienps preater than 2, porches, atc, p.e. all structures requirin9 permanent foodngs) Show all easements of record and any City utilities within those easemenb Setbacks.of proposed structure and sideyard setback of adjacent exdstlng sUuctures Retaining wall requiremenr,-if,anv Z Raviewed: ?Z C _-7 \ / Date iwy t9s5 , ? P6'C74.4'4- S61 ? /a ? y is ? ?- 54.0\\? O „ E , 25 % \\ i BSMT. ELEV. 864.5 SEWER SERVICE INV. ELEV. 861.5 14 Sa w !-rso S 38 L. F. W 48L.F. R-3' 44.7? -7 55 /' / ? . I S& w 1-t-42 6"- VI6 BEIVD ? S 36L.F, ? ' W30L.F. ??--- ? l sse.5 24 6X 6?. TE?E `I HYDRQNT 47.4" < ' 61' D. I.P ?. 5 /O 2 ? ?' . . ? .. . . ??t . . . ,.' '?? I . A ?, ? . . . .;; s . 4g1 , - - ? • -' I/16 BEND i? ?.?? ? r`?• f'r S\°::'Z ?? tii[?? i?'?Y..?.o 23 . .,?. ,, . , .._^r ?:, s.?:a•?..._,,v SQ W 2-F92 ............................... ................s.t..-. .......................... ..... .... ...:.::.:::.. .:. ::::.:.::.::::: :::...:::.::.:.::.::::: .:.:::::: : :::::::.: . ::.::: :.....:. S 36 L. F. ............................................................. W 30L.F. ......... ..................... ...... ....... ............. ....... ..................... .............................. ........ . . .. ........... . ... R -9' ............... ..................................... . .. ... ...._............ _ .................. ..... ................... ....... ......... .......... ............ .. .. ... . . ................. . . ...... 87I.4 .... ....... .......... ......._.. .. ... .. BSMT. ELEV. 868.0 SEWER SERVICE BEND INV. ELEV. 864.5 TOP RISER ELEV.866.i S & W 2+50 13 S43t.F, w53L,F R-7' JLn>37 5' BSMT.ELE 84o'gEWER SERV 7 BEND INV. EL? TOP RISER E 32.5' 12 S6 S M. H. 2 R ::::::::::::: :::.:.:`::::::::::::::: ::::::::..:::::::'::::'.:`: :::. :::::::. I , .. , ...... ......... . . ............. :. .. ...,:.::::::: _ :.? :: ...: :. ... .... / ? :.. :: _ .. _ _ _ . _ ..... - : ..: -:: _ - - .. .... ?.: -??n; 7 e05' BSMT. E SEWER SE ? BEND INV. 42 61 TOP RISEF II S a M. H. 3 , ; ;?- ............. ................. ..... ...... : : ,::::::: ......,..?.. . ................ .. ..?.: . C?l ........................... ........ .............. ............... ....................................... ........................_....... .... ...._..._?,..... ............... ............................_......... ....................................... ................. ...?.. . ... ....................................... .................. :::::::::::::::::.:. ....................... ..... ............ ........ .................... 1 .............._ ....................................... i..Y. ..........?.? .......................... ........-....?...?..... . ....?...... ?.?...?.?.........?.......?.......?.. p 879... ?. ? ... BC?0 :........ :::::::::::: :::::::: :::: ::? l:l................ l : : .......... ...................................................................... .................... ..... .. .................... ........ . . ................................. 870 ............... . ...... .. . .... -;. .,.. .:?:? CITY USE ONd.Y LOT ? BL 0?2- ] RECEIPT #: ?DI O 7? SUBD. RECEIPT DATE: ? 19 1998 MECHAN1CAL PEgMIT (R£S1DEN1'IAL) crrY oiF EAsax ? y3 09 S$SO PILOT KNOB RD E4fiAN MN 551EE ?pQ Date: (612) 681-4675 Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied ' • HVAC: 0-104 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install fumace Install air conditioning ? Install air exchanger, i.e. Vanee system, etc. 0thP* Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge Total: 20.50 SITE ADDRESS: --/-'yl /" IFJGCU- - OWNER NAME: ??`? PHONE #: 1NSTALLER NAMEf PHONE #: STREET ADDRESS: ae- !? CITY: && oY.fJQaj,? /"//V ST&TE: /f ZIP: ..?9 ..? /? ISIGNATURE OF JS/FORMS BLD/MECH PERM[T (RES) • 1998 ciTir use oNLY L BL SUBD. APPROVED BY: RECEIPT #: RECEIPT DATE: 1996 MECHANIClFL PEitMIT (COMMERCIAL) CITY OF E46iR1V 3$30 PILOT KNOB ItD EAfiAN. MN 55188 (612) 691-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1 % PROCESSED PIPING ' PERMIT FEE STATE SURCHARGE TOTAi , SITE ADDRESS: OWNER NAME: TENANT NAME (1MPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE #: CITY: STATE; _ ($.50 per $1,000 of permit fee due on all pemlits.) PHONE #: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY L BL ? RECEIPT #: SUBD. *? G(?or?C 26? DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = 3. o 0 Water Closet 3.00 x 6 •OD Bath Tub 3.00 x 3. rn Lavatory 3.00 x q, n Kitchen Sink 3.00 x -3.0--Z Laundry Tray 3.00 x . Hot Tub/Spa 3.00 x - = Water Heater 3.00 x ? - _ &. na Floor Drain 3.00 x T = .v o Gas Piping Outlet * minimum -1 3.00 x _? = 3• fl o Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 Tf3TAL SITE OWNER .36•sa K10 6 -• 6v,.4p-1bC E /4b?n ,F r l INSTALLER NAME: l??g/NG ` I9?-?? • STREET ADDRESS: 1a 4 0 L?? ?? IOQYe-- CITY: J/9'G c STATE: ZIP: PHONE #: ( (a (ot ) ?C/ 4-7!o C0 " 'alf) J- CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUindustrial buildings. ? multi-family buildings when separate permits are no# required for each dwelling unit. uA i C: CVN1 '"VAIiT PRIIiC. WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1 % STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CIIY: STATE: ZIP:. PHONE #: SIGNATURE: APPLICANT CITY OF EAGAN o? 010- CITY USE ONLY L /.? BL RECEIPT #: ff_aL?_ SUBD. DATE: ? lO 9? 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ' c )0 ? State Surcharge .50 TOTAL 7 i S C) SITE AD OWNER INSTALLER STREET ADDRESS ? ? ? ? ? ??71*1- PHONE #: .\ CITY: STATE: ZIP: PHONE #: CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dweliing unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee 2E 1% of contract price, whichever is greater. b Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 2=31d fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPNONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP- SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR B18G?RASSunrLoge1HomBlock 2, RINGS WOOD 2ND ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. 881.1 Er'Bt. H I? ? ?I ? ?---J ? .4 F- l ? ?J PROPOSED ELEVATIONS Top of Foundation Garage Floor Basement Floor Aprox. Sewer Servfce Elev. Proposed Elev. Existing Elev. Dralnage Directions Denotes offset Stake = ast. i = 88D.? a 9b(o ,O L O 0 IAM Plannlnp Englneering Surveying ?Ol Eaet Bloonlnpton Frnenay Blaonln ton. Nlnnasota 55420 i"727 En¢-?2=9 _.__ ._..--.. ...?;;? 146'\ _? FOOTAG = 49, 042t 11? `0 • L SCALE : i Inch - +0 Feet EAGV LL N RE lIB dNED -'.Y ?r;rE BENCHMARK, .rNH @ ?,.???Z Eleu . gb1,13 Front -ao House Side -to Rear -"/A Garage Side -s MIN. SETBACK REQUTAEMENTS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNOARIES OF THE ABOYE DESCAIBED PROPEATY AS SURYEYED BY ME OA UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPAOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. Date ? ?UAN JOB N0: 95R-3te3 BOOK: PAGE: i.ADO F i LE !jOn. CHK ?3 0 (? 2006 RESIDENTIAL BUILDING PExnuT arrLicATiorr City Of Eagan 3830 Pilot Kuob Road, Eagan 1VIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshudion Reauirements 3 registered sfle surveys shaxirg sq, ft, of lot, sq. fl. oi house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & windowsizes; puured found design, etc. 1 set ot Energy Calculations 3 copies of Tree preservation Plan if bt platted a(ter 711193 Rim Joist Detail Options selectlon sheet (buildings with 3 or less uniCs) Minnegasco mechanicalven6laGonform RemodeVReuair Reauiremenls 2 copMs of plan showing foofings, beams, joists tset of Energy Cakuladons for heated additions 1 sHe survey for additions &decks Addltion - Indicafe if onsita septic system ?) 5???f3? ??????4?• Date q / o, Site Address 190 /45 ?, Construction Cost 1S, Ubo UniUSte # Description of Work -71 ??YbGF ? S? 'f eatc?? -e Multi-Family Bldg ? Y_X N Firep(ace(s) _ 0 _ 1 _ 2 PropertyOwner Telephone # ( ) Contractor Address gDt7f ?'?? State i City 41 Zip ,I 5"K;?D Telephone #(?Pl_) SS?f - SS,St^s COMPLETE THIS AREA ONLY IF A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateearv 1 _ Minnesota Rules 7672 • (J submission type) Rasidential Ventilation Category 1 Worksheet EO vq?n?gy?p?g 7sheet Submitted D f?t?1i ?l L? • Energy Envelope CalculaUons Submitted ? APR 2 7 2006 In the last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a master plan8 _ y _ N If yes, dCte c^d .^dd!'e55 of mvster p!an: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wi11 be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. S 1n?vz;? '(ylac?? ?. • Applicant's Printed Name Applicant's Signa e City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F ----------------i i Foi Oifice Use ? I j Perm'rt #: ?` // ? 43 ) I ? Permit Fee: ;2 ?? • D / ? ? Date Received: I ? I stafl: i ? I ? `_________ _J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION MP.ba° 3?l t Date: ? /o /or Site Address: ? 7 6 q Tenant: Suite #: RESIDENT/OWNER Name: 51"Ev6 d ltAt-I-,C v+ZI CS Phone: 65/-45G -09T2- Address / City / Zip: ?Lq & y K i ?vGF w ocr }> Applicant is: _ Owner 'k- Coniractor TYPEOFWORK Descriptionoiwork: 3 vluDo..? ia. u'r?'? Construction Cost: ?l So (7, o o Multi-Family Building: (Yes _ I No CONTRACTOR Name: 4`l F>2ob k' Cm r? ? j-fiu cr-tn .v License #: ?-0 5 Z$ Rfl Address: ??? 14', t ?'7 6'4?s ` ? City: Jivt I? ?5?4 L ?E State: ?l M Zip: SS?i'77 Phone: Contact Person: ?nlf9 b` T""""? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category t Worksheet • New Energy Code Worksheet Cet090fy Submiqed Submitted (4 sUbmission type) • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporfing documents that you submit are considered to 6e pubiic informafion. Portions of the in/ormation may be classified as non-public if you provide specific reasons ihat would permft the City to conclude that fhe are frade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes ol the City o1 Eagao; that I understand thls is not a permit, but only an application for a permit, and work is not to start without a permiT, that the work will be in accordance with t e a proved plan i sa?ot work which requires a review and app;229 x ? X lit's S' " re App icanYs Printed Name 'QpP Page 1 of 3 i.?A? c- `j? / r-? w1 c,. ? Interior Improvement Move Building Fire°Repair Repair 5UB'TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage ?Q Single Family _ Garage _ Porch (4-Season) _ Exterior Alieration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alieration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Addition Zo Aiteration Replace QESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Siding Reroof Windows ' Egress Window Demolish Building' Demolish Interior Demolish Foundation Water Damage `Demolition of en[ire building - give PCA handuut to applicant Occupancy C- 1 Code Edition A oo'Z Zoning ? Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final ? Framing Fireplace: _Rough In _Air Test _Final ?O Insulation Meter Size: Reviewed RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers _ Sheetrock Final / C.O. Required -t"O Final / No C.O. Required HVAC Other: Pool: _Footings _AidGas Tests _Final Siding: _5tucco Lath _Stone Lath _Brick ?O Windows _ Retaining Wall Building Inspector ' ?-C'?' ?.Y ?L°-v? ?U?'? `S F7?? ?j? 8? 'S Mar 20 09 10:38a Mike Schiltz bity 0? ?ap 3830 Pilat Knob Road Eagan IILh{ 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 DaYe: 651 681 8306 651-681-8306 p.1 --- Fa orke use ----f ? I Pertnit j Permit Fee: ??J V I 1 Daie Received: I Siaff: I ? ___ _J 2009 RESIF)ENTIAL PLUMBENG PERMIT RE51DEN7 ! OWNER Name: _14?, ) i Ve C J` Phone-(o S Address 1 City ! T p: .??!n? CONTRACTUR Name: .r e;' 6?i,?w. -r UcertSe Address: Y- U- C ity: ? 4Su h Siaie: ? f rA/ zip : S S l 2? Phnne: s 2Contad Person: I'? ? ?k TYP'E OF WORK _ New -Replacerttent _ Repair 4 Rebvild vModity Space _ W nrJc ln H.p_W. Descrilon ot wprk: PERNltT TYPE RESIDElVTJA! Water F[eater _ Water Softener Lawn Irrfgation Add Plumbing Fbduras RPZ /_ P VB) Main _ Lower Levelj ? septic system Water7.T?urnarour?d ? ? _ N8w `-' I'4' r o e`? ?a - L.. ?-P v• _ Abandonmertt c`} ? ?' n ct 3? ??? t. RESIDEM'L4L F'EES: $50.50 Ninimum Waier Heatsr, Waier Softener, or Water Heater an Soitener (includes g50 Srate 5urcharge} $30.50 Lawn Irrigation (includes $.50 State 5urcharge) $50.50 Add Plumbing Fixtures, SaptiC System Abaridonment. Water Tumaround' (lfICIUA95 $.Sa Stdt6 SLYChalgQ) ' Wafer Turnaround (add $185.80 if a 5/8" meter is required) I$100.50 5eptic System New ($10.00 per as buitt) (includes Courtry fee and $SO State Surchargg) I $90.50 Fr8 Repgir (replace bumed put appliances, ductwark, etc.) (includeg $,50 State Surchargg) TOTAL. FEES $ I r,o,w.,. „*.,,.,.,b.r.,e ,..s. ...?. :..,.......,.:.... :.. ----•--- ----- . _. _ ._ _ . .. . ... . . . ""'_"_'? _""".?_a„ ...... ...., o.?r....aw.? ?a w??ync?a mw ?..wrCle? lfFi[ LfIB WOfF 1YIIl DB Hi Wf1fORf18lICC ?MTiR illB OfOll78[IOBS SfIC COf?BS O? 111B ? Ol Eagan; ihat 1+mderstwbd ihis is not a permit, but ordy an application for a permit, and work is not to start withaut a permd; that the wark wM be in aoco ce with the a roved pian in the case of work which requires a reriew and ap?xoval lan x 1 S ?^ ? /? Z 4_ , ApplicanYs Printed htamo Appt1cam's Signatwe FOR QFFlCE USE Reviewed By: Date• Ftequ9red InqWtions: _Under Ground _ROUgh-In Air Test Gas Test _Final For Office Use 5(7434/ RdPermit#: City of Ea I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION e ed 3/I ) Date: tF ' 1 Site Address: I q 6'3 k--),- 5 i eok ` Tenant: Suite RESIDENT / OWNER Name: 57-C- V6 d If ALL-1 e 'D,5 Vat Phone: 56 9 4? Address / City / Zip: f''f (V y K 1 "6 ~ v,,- a` J> Applicant is: Owner Contractor TYPE OF WORK Description of work: 3 A/ GL yc_ -4 r- i r7 Construction Cost: is Multi-Family Building: (Yes / No ) CONTRACTOR Name: 4, I Z O k 6, co l`n-u License 7 - 0 5 2 $ `13 5 Address: Ccn 3 S~/2 zi G7 G;~ City: P-2,4 17 zs/ 5 ? ~ i L State: V11 Al Zip: c :x `3 7 Phone: 6 tI_ 5" "33 t( Contact Person: I4 0 7- 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with t e a proved plan i e..case_of work which requires a review and approval of plans,. x x Applicant's Printed Name Applicant's S' re !,-A T,> F t r vti i,I Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) - Storm Damage Single Family Garage Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Zo Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy T-JZC- MCES System Plan Review Code Edition /1 Zc 1 SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: Footings Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test Final ) Windows J Insulation Retaining Wall Meter Size: Reviewed , Building Inspector RESIDENTIAL FEES Base Fee ~(L J Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 651 681 8306 Mar 20 09 10:38a Mike Schiltz 651-681-8306 p.1 For Office Use City of Eaall Permit Shy 3830 Pilot Knob Road Permit Fee: C ? Eagan MN 55122 Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 staff: 20009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: r] " ~o! Site Address/] t XWOP-b RESIDENT / OWNER Name: r T r U v R% C 1 Phone: S_ f- l1 C- U j 9 Z Address 1 City I Zip: I c /A.KQ CONTRACTOR Name: 1F- -e-S. rQ'?A Pl r. s i f v i c. -r, License # 0 S 5 s /-5 Address: 2 o- 9Q" a ) '7 City: 11:%,% V n State: Zip: i 2 Phone: ~,-LS / - C8 g I ~1' Z S z Contact Person: TYPE OF WORK _ New Replacement Repair Rebuild -Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) C- Main _ Lower Level) Septic System Water Turnaround _ New Y} 1. _ L. L c~'~ t Abandonment Cy i^, ade - r 14'1 RESIDENTIAL. FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Tumaround* (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $-50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wil be in accord ce with the r oved plan in the case off work which requires a review and approval s. 7" Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date. Required Inspections: Under Ground Rough-In Air Test Gas Test `Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1469 Kings Wood Rd Lot: 13 Block: 2 Addition: Kings Wood 2nd PID:10- 42001 - 130 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Stephen C Devries 1469 Kings Wood Rd Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA087206 10/30/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1469 Kings Wood Rd Lot: 13 Block: 2 Addition: Kings Wood 2nd PID:10- 42001 - 130 -02 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 e- Fireplace Gas Fireplace (new) Improvements to the home may requ concealing. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Stephen C Devries 1469 Kings Wood Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA088532 03/23/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA117151 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1469 Kings Wood Rd Lot:13 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-130 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen C Devries 1469 Kings Wood Rd Eagan MN 55122 Homestyle Builders & Developers Inc 37 Walden St Burnsville MN 55337 (952) 994-3980 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143336 Date Issued:06/13/2017 Permit Category:ePermit Site Address: 1469 Kings Wood Rd Lot:13 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen C Devries 1469 Kings Wood Rd Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155869 Date Issued:06/06/2019 Permit Category:ePermit Site Address: 1469 Kings Wood Rd Lot:13 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen Tste C Devries 1469 Kings Wood Rd Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178802 Date Issued:09/02/2022 Permit Category:ePermit Site Address: 1469 Kings Wood Rd Lot:13 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stephen C Tste Devries 1469 Kingswood Rd Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature