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1473 Kings Wood Rd Use BLUE or BLACK Ink For Office Use Permit J / Ron I City of Ea Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 JUN 7 2n?j j staff: Fax: (651) 675-5694 r~C 2011 RESIDENTIAL BUILDING PERMIT PPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work:{, Construction Costa A 400 Multi-Family Building: (Yes / No ) Company: 6F N 4 Contact: _ Aku M&_ CONTRACTOR Address: 7&o( :`S ajs AJE~: City: L2 State: Zi : - Phone: 1 License #:Z0&:3& (7 °l Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) N01- D[, I,IZ WL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 the approved plan in the case of work which requires a review and approval of plans. x Ly=:- ' f ju~t~ x Z~~ Applicant's 'Printed Name Applicant's Sign re Page 1 of 3 DO NOT WRITE BELOW THIS LINE c~ 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 Iteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 000 Occupancy MCES System Plan Review yG~j Code Edition 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) ✓'FinaI / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock n Jf Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 .. ?a • . .,w Wertificate of Cccupanc? IKit4 of Cfagan moartomt ? ??? ?noteraft This Cenifrcate issued pursuant to tke requirements of the Uniform Burlding Code certifyirtg that at the time af issuance this srnacture was in compliance with the various ordirtartces of the City regulating building constructian or use. For the following: ey`?"-ifmtjon: SF DX Bldg. Permit No. 1709 '-_ ?aY-TYP? "W/M I_ Zoniog District T_Zi Type Const. VN Owoerof euilding Address 755 BRTIAF. RTlY'F. Rfl, RA('.AN B ng AaMess ? I.ocaiiryL14- E2- KIKaS GLYb hM _ uate: ?,,/ /V POST IN A CONSPICUOUS PLACE I . . INSPECTION RECORD Control No. 125 3 'CITI( OF EAGAN PERMIT TYPE: di 1111411 3830 Pilot Knob Road Permit Number: 001109 Eagan, Minnesota 55123 Date Issued: 1 e/ 3 p/ 92 (612) 681-4675 ? SITE ADDRESS: iO7: 14 tlt. l.?• APPUCANT: ' !A %'t K IMAS WnaO RD (WUNRIOtiE MbMES FMG / )11111 W4nf1 2NQ (612) 688--H746 PERMIT SUBTYPE: •: r r,?.?; TYPE OF WORK: ? INSPECTION Iq?li IN?+ .• . (°FcAMiN(3 .A fNI TAI'lrtfd fIf1AL ` yI '. RENARKS: ;& 4J CONTRACTOR - LAKESIOE WtBQ ! J Penr,e No. Permn Haaer Uete reaopnone • S/W PLUMBING HVAC ELECTRIC t??-?';, _ ;' ':?'? ?p ?? f ELECTRIC Inspectlon Dab Insp. CommeMs Footl"gs 1 Foundation FramWq Rooflng 0 Rouph Plbg. .?' 3:i• y ? ci Si c?. • rioogn Fn9. 4 '"1 o. ? e' u r e ls,l. • 29 3 ?ss z_? G ? j.r ? Frepiace / 3 ?Z6* FinalHtg. CG°S6ry CG/L??1+G OrSat TW Final Plbg. Plbg. Inspecta - Noti(y Plumber Cons[. Meter EnprJPian Bldg. Final 09ck Ftg. "?3 Deck Final °?/s q ?iJ,? OK weu Pc Disp. P ? I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodellReoair Requirements • 3 regislered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies oi plan ? (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior addilions & decks • 1 set of Energy Calculalions . Indicate if home served by septic system (or addilions • 3 copies o( Tree Preservation Plan i( lot platted after 7/1/93 • Rim Joist Delail Options selection sheel (bidgs with 3 or less unils) DATE 2- ! 13101 VALUATION (EXCLUDING LAND) ?6S Q D D -?? JOB SITE ADDRESS ) 1-('7 3 14 lill frs W00 0 (z 6 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER P?1? Y 5 l'??4 (Z l hI-L.t f2LC-`? TYPE OF WORK _OA-5 -F i/J V5 lTi FIREPLACE(S) _0 X1 _2 _3 APPLICANT ?-(J110 VLt • N07Z 4) PHONE# Cos-7`735-gz35-- ADDRESS 22YC G6+2t/6-V-- A(/E' St 0+0-L- vQ'J ZIPCODE .5__S_ ll y PAGER # CELL PHONE # -52-S- 7 g`T D FAX #?s1 - 7.39-? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 ???? (check one) - Residential Ventilation Category 1 Worksheet Submitted n - Energy Envelope Calculations Submitted ?? MINNESOTA RULES 7672 - BY - New Energy Code Worksheet Submitted ---? Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener I:awn Sprinkler I'ee: $90.00 ' Watcr Heater No. of R.I. Baths of Baths Mechanical Contractor: No. Phone # Mechanical SysCem Includes: _? onditioning I'ee: $70.00 Hcat Recovery Systecn Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. , Signature of Applicant ` Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation O 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex /V 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair. ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation A0/)0,. ao Occupancy 12 MC/ES System Census Code Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinkiered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test Final ? Insulation REQUIRED INSPECTIONS FinaUC.O. ?l FinaUNo C.O. ? Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Za , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Address 1473 KINGS WOOD ROAD Zip 5512 z Lo? _ 14Blk 2 Sub xirrc.s woon 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 41 e fc Yes No Inspector: avz_ Final grade (6" rom siding) ?- Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass ? TraiUcurb damage Porch Pz Basement finish ? Deck Please verify with the builder the rcmoval of roof test caps from Ihe plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential 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 0 ,,?IS q? REQUEST FOR ELECTRICAL INSPECTION 10. See inst?clions for cbmpleting Ihis form on 6ack ol yellow copy. T2381 ')C" Be/ow Work Covered by This Request e Add Rep. TypeofBuiiding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer ther-(Specity) Comm./Industrial Furnace l Farm Air Conditioner . /? ,M Other (specily) Comractor5 Remar % ? ? "j2r l- _ ?llr' ?• ?? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circui[s/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trans(ormers Above 200 _ Amps Abo 100 _ Amps Signs Inspector's Use Oniy: TOTAL ? Irrigation Booms ? -? Special Inspection ? Alarm/Communication THIS INSTALLATION MAY E ORMEU'tSISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 S. I, the Electrical Inspector, hereby Rough-in f certify that the above inspection has been made. F;nei Date -31 "Y7 OFFICE USE ONLY This request voitl 18 monihs from K 72381 ' /0s0s9 lvla q , " Req ast Dale ? l Fire No. ugh-in Inspeclion q' Btl? ? Ready Now Will Notify InSpector h R 7 d es ? No en ea y I, icensed contractor ?] owner hereby request inspection of above electrical work at: J b Adtlress (Sireet. Box or I y 1 ? o te No.) ? 00 oi Ciry I--ODJ Section No. Township Name or No. Range No. Cou \ % A 1 \.J? ?? Occu m IPRMT) \ L Phone Na. r Power Supplier Atldress q4 o EI Ir a1 Contredor (Company Namel ?' . L ' CoNrector§ License No. ? I ? Mailing Adtlress (COntractor or Owner Makin Installation) - Y L AuthoriZetl SignaWre IConimc[ori er Making Instaliation) ? Pho?ne +Number 1 1-4 MINNESOTA S7ATE BOArry OF ELEC7RICITY THIS INSPECTION REDUEST WILL NOT Griggs-Midway Bltlg. - Room 5-173 8E ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS PMne (672) 642-0800 ENCLOSED. City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL PLUMBING Date: c? Site Address: ! c Tenant: ? ' _ _ _ _ _ - _ _ _ _ - + i F4SiQffce,UsE ? Permit#: ? ? Permit Fee: ? Date Received: ? Staff: ? L -----------------? APPLICATION Suite #: RESIDENT / OWNER Name: { C.CP- Le Phone: Address 1 Cjty 1 Zip: ? CONTRACTOR Name: I License #: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Re6uiid _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESlDENTIAL Water Heater ? Water Softener Lawn Irrigation Add Plumbing Fixtures L-_ RPZ /_ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment 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, 5eptic System Abandonment, Water Turnaround* (indudes $.50 State Surcharge) *Water Turnaround (add $136.00 if a 5/8" 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 ana coaes or tne city or Eagan; that I understand this is not a permit, but oniy an application for a permit, and work is not to staR without a permit; that the work will be in accordance,,qft the qgproved plan in the case of work which requires a review and approval of plins. 1-- 111, X 4?dU deI2z X Appltcant's Printed Name App anYs ignature C'" (6" &sWWZ? +/zsf o6. '6-p-j 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements 3 registe2d site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured iound design, etc. 1 set of Energy Calculalions 3 copies of Tree Preservation Plan'rf lot platted afler 711193 Rim Jast DetaA Options ?election sheet (buildings with 3 or less units) ? RemodellReoair Reauirements 2 copies ot plan 1 set of Energy Calculations for heated addiGons 1 site survey for additions & decks Add'rfion - indicate if ons'rfe sepfic sysfem * c :?o Ck_vu . n fU4iyl N Office Use OnIv Ced of Survey Recd _ Y_ N Tree Pres Plan Recd _ Y_ N, Tree Pres Required Y _N Onsile SepGc'System _ Y _ N ? Date / 0' ? ?Q. ?i) Construction Cost Site Address ? /??]? (w. 6A?0?(,7! ) Unit/Ste # Description of Work 5/ "7t 5 70 VV? Multi-Family Bldg _ Y N Fireplace(s) _ 0 2 Property Owner 124',Q Aaw elephone # (t0-ik-2) 4(?2 " 7 )W Contractor t Address lV31f A'C City 54L46CJS State /U'?.J• i Zip Telephone # (cW ) 5Z1V-5//Y vJ ? ? COMPLETE THIS AREA ONLY 1,f CbNS Energy Code Category - Minnesota Rules 7670 ? 0 1? . Residential VentiZalculations Category 1 Works (4 submission type) Submitted • Energy Envelope Submitted In the Iast 12 months, has the City of Eagan _ Y _ N If yes, date and ( Licensed Piumber Mechanical Contractor Sewer/Water Contractor a permit for a similpr plan s of master plan: A NEW BUILDING _ Minnesota Rules 7672 . New Energy Code Worksheet Submitted on a master plan? Teleplyone # ( Telepho ( Telephone ( I hereby apply for a Residef4tial Building 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 State of MN Statutes; I understand thVis 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 the approved p in the c s of work which requires a review and approval of plans. ' J0? ? k\_?? ? . Applicant's Printed Name Ap icant's Sign e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of ^ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 5torm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New 0 32 Addition ? 33 Alteration ? 34 Replacement Valuation Plan Review Census Code SAC Units # of Units # of Bldgs 7ype of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ FinaUC.O. _ Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System 100% Of 25% CITY O'F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: Base Fee Plan Review Surcharge SAC SAC go SHC Units Subtotal 'Bua.ld,z'ri.g Permit Type Buildxncj'' .W.ork Type UBC Occupanc.,y ConsCruct3on T,,ype Zoning _-- 8uil,ding LerigGh Bua.I.ding Wa.d Ch: ? f; PERMIT PERMIT TYPE: Permit Number: Date Issued: 1473 KTNG S LQT, 14 BLOCK: K7NGS WOOp ?PID 84 3m ? ?? i REMARKS: c d a 1 y?u 5& W CfIIVTRACTOR -- LRKESSDE PLBG FEE SUMMARY: VALUATTON $874006 $5f8olm $83.50 $700. 00 100 1 $2,225.60 WUOD f20 2 • SF DWG h! E w R-3 M-1 V-N ft-:1 $167,00m E3l1:CLDTNG aF)1709 1mf30/92 MISCELL.ANEC1U5 1,61U.50 Total Fee ? $3,836.10 CONTRACTOR: - App1 i c a n t- 5 T e Lz t:OWNER: SUNRTDGE HOMES INC 16888245 0004962 SUNRZ'DGE HOMES INC 755 BRTDLE RTOGE RD 755 BRTDLE RIDGE FtD F.A6AN MN 55123 EFIGAN MN 55123 (612) 688-8245 (512)688--8245 ? ? I hereby acknowledge that I Ytave r•ead thzs applicatian and staCe that the znformation is correet and agree to comply with all applzcable State of mn; StaCutes and C.i,ty of Eaqan CJrdinartice?s: J ? PLIC T/PERMITEE SIGNATURE IS? B : ?G A?Uf E Control No. 1253 PERMIT # REACT.?YATE _ .; r 1100 CITY OF EAGAN 1992 BUtLDING PERMtT APPLICATfON 681-4675 1?5 'A ?r fPl I ,1•.'r - ;Id O C7 2 6 RECn nna14) i,'1 _ i7I - "de/Ll e u L. l SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIA! 2 sets of arthitectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date _ /O / OS Val uati on of work , f .5ze. OZ70 Si te Address: ?AY 73 ?) N G??«?-?-4 /C rJ STREET ? SU1TE 9 Tenant Name: (commercial only) IAT ? BIACR SUBD. P. 1. D. ?F Descri tion of work: s The applicant is: IA Owner MContractor ? Other (Deseribe) Name vm ? Q tln,,.,w< X t1 c- Phoria, Property LAST F,RST Owner ' " Address _755 op ? gri J-r i STREET STE R City State Zip Company Phone Contractor Address License #__O?t6g Exp.? City State Zip Company t.?r r Phone 4/7-0 1341 .4 Architect! Engineer Name Registration # Address City State 04 v, Zip Sewer & water licensed plumber ?kE5/D E 1"19 -7606 . Processing time for sewer & water permits is two days once area has been approved. . I hereby acknowledge that I have read Lhis application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 11 Apt./Lodging O 02 SF Dwg. ? 07 4-Plex D 12 Multi. Misc. X 03 SF Addition 0 08 8-Plex [3 13 Garage/Accessory ? 04 SF Parch ? 09 12-Plex O 14 Fireplate ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck woRK nrPE N 31 New ? 33 Alterations ? 35 Tenant Flnish ? 32 Addltion ? 34 Repair O 36 Move GENERAL INFORMATION ., ''fl`ItBasem nt Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm.JInd. Misc. ? 20 Public Facility O 21 Miscellaneous 0 37 Oemolish Const. (Actual) V-tV Basement sq. ft. MWCC System ?(ts (Allowable) y-r•t lst F1. sq. ft. City Water YE7s UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRY Required Zoning R_1 Sq. Ft, total Booster Pump ?` of Stories footprint Sq. ft. Fire Sprinkler length g4 On-site well Census Code Io? Depth ? On-site sewage SAC Code ? APPROVALS Planning Building Assessments Engineering Variance REQUtRED tNSPECTIONS ? Site O Mallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? fireplace Permlt Fee h veiunc;on: $ ??? o a0 T Surc arge ? Plan Review A?A?E - 34 x ZZ =`lq1d License 2 x rzZ? MWCC SAC City SAC ?MT `l2y x Ib = I1?9 6% Nater Conn. Water Meter c --? ` - ? - Zx 3x2V2 = 1 b? Acct. Deposit y2X28 = i i'1_ S/W Permit I`? I X+5??, I? g? S/W Surcharge , Treatment P1. ?Sr F?oor?. Road Unit Park Ded. 9x 14= Trails Ded. ?n1T = fi?l Copies Oth er Total : . Q y 3-7 J 3 ?C 5 3 ?- ? SAG % 100 ?NO?LonYz, SAC Units L 42X29 Jat4 4 Y, 53 =??, ra3£? ! dt, 3OC& CONSULTING 8N(i1NEeRS A013E PIANNEIfS ond IAND fUNYiYONS ;? 5326. D/ ?'' GNGINEERING BK, 183 COMPANY, INC. Ph_ 39 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PN 432-3000 CERTIFICATE OF SURVEY Legal Description: ?o; ? " E SCALE : Y• -4p' ??N 00 N 5 (=_,E) DENOTES EXISTING ELEVATION (978•z ) DENOTES PROPOSED ELEVATION .r..---- INDICATES DIRECTION OF SURFACE DRAINAGE 878.58 = FiNISHED GARAGE FLOOR F-LEVATION 8-6. 90 = BASEMENT FLOOR ELEVATION 978,71 = TOP OF FOUNDATION ELEVATION $ , ? . w ?? L,'D?' '•, . „? ? 8o Ab z \ ` .? N? ?a o \ a, Ctbb, r? ?gboi ay. 00 g N y 3oFT ?'Ro?/T B?//!1?/N6 ?o• ?' ?yi? ? -0A'41A146.5 RA/D UT/Z/TY EA.SE'/J7En/T ? w \ ? ; i? \ \ l ?\ o<<?ti?'?? FB?,? J L: '. •---,..__ Y?.?'?'d?J??.a ?..?' r;ur4i" o ($ / ? 0 Aa I hereby certiEy that this is a true and correct representation of a tract o£ land as shown and described hereon. As prepared by me this 8-114 day oE ??Tn?3EXZ , 19 qz . Minn. Reg. No. ItaDbS' ?.:r...,:, . y " ?,? . . ?.,. ? EXTERIOR ENVEIOPE AVERAGE "U" COMPUTATION ouricR: ?Svt`1R1c->,-?-= SITE AODRESS: Lp-r 114, s(.,OC.K ? it,l" DjCa.D z1D Hnb177oN CONTRACTOR: • DATE: PNONE: ? DETERNlNE L10RKING SOUARE FOOTAGE OF EACH: 1. TOTAL EXPOSEO WALL AREA,,,._,.. 39 E)l.i Sy pt x"U" ?'I = 3?•9`( 2. TOTAL ROOF/CEtU NG AREA........ _ 1374- sq fc X???l-I- 3• TOTAL EXPOSED NALL AREA CALCULA710NS: Total exposed wall area abave floor ........ (eQ sq ft t a) Total wall window area: AU? \A.TtuQV\Ar? ??? ??OM> LOW ? `GoJg 1 azed, ..... 4-3ZS sq fc x ??U" t 314.07 glazed...... . sq ft x uU" _ b Total door area sq ft x"U" a_j, 1 c) Total slidtng glass door area: DeAv lazed...... 81,9 (O sq ft x ??U" .730 1 114DrC,t? zed...... _ 31?> t ?G sq ft x "U" . 3l { ? `vaf d) Tota) ftreplace wall area sq ft x"U" Ist e) Total wall framing area (Average 109,).......... ?JL4 tsc?' sq ft x??U" aQq I f) Total net wall area above floor (Insulated)....... ?AH sq pt x,?U" 0 Lf3 t3'?yqp 9) Total rim Joist area...... 32fJ sq ft x"U" o OLf o Total foundation - ? area (Exposed).......... sq ft w/.??,. F? IUCU.? h) Total found.atlon window area.............. sq ft x"U" ? ? a () Total net fouedation area above grade........ 27 Q-- sq ft x"U" • ??7i ZZ?(p s 3. TOTAL a) thru () ' If item N3 Is the same as, or less than Ttem P1, you have met the in[ent of 2 tiCAR 1.16008 A and 0. Page 1 4. TOTAL EXPqSf D ROOF/CEILIHG CALCULATIOuS:- Total exposed L3?y . roof/cetlinc? area........ sq ft Total skyliaht area....... C?/ sq ft x"U" -° k) Totai roof/ceil(nq framing r ,p area (Avera(ie 1(9;)...... 13?'I sq ft x"U" e OZ-0 •• Z,,'"j?J ? 1) Total net:insulated roof/ceT 1 fnq area..... .. W61V-4a sq ft x"U" 9,57? 4• , TOTAL j) thru 1) 21,70 If total of °A is the same as, or less than N2. you have met the lntent of 2 MCA.'i 1.16008 A axd 0. ALTERtIATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items ?3 and 94 shall no[ be greater than the sum of items N1 and 02. 1. + Z, _ 3• + 4. . ? C E R T I F I f. A T I 0 N I hereby certify that 1 have calculated the "U" factors and "R" values herein and that the huildinq here descrihed meets or exceeds the State of Minnesota Enervy Conservation Act. 5iqnature (Date) Page 2 , 3 ._ • ? ? iNSTRUCTIOA! R VALUE AMING SECTION: Intertor air film ?! SHr?f 2oc.? < ?f 5 Tnches soft wood IxY? ?OfNCr ,$I Exterior air film A,17 IVIHL K = . 11 U a 1/R = .0 ? WALL SECTtON (INSULATED) ---(1 Interior air fiim f1 A 4 25 3Z? Sltt?5l?e,.?C? Z.? 5 --IY-95 sin?wfr . A Exterlor air film TOTAL R = 23 , 1'?j u = I/a = . oy3 RIM JOIST SECTIOtI: ? ? ? ? 1 Interior ai r fi 1m t1,68 Z - 9 DAVS , 19 av 3 &:W10 awm I ? 4 zo 3Z St+ttrr Z.aZ S SIPI?(s l'A-b Srl Exterior air film 0,17 TOTAL R = 24.7 5 FOUNDATION INSULATIOPJ REQUIREO: • Min. R-5 on entire wall OR U= 1/R = D. 09 V ?p•;•,4• Min. R-10 down to frost depth p e A. FOUNDATIO;J SECTiON: .` 1 Interior air film '-p . P - 2 Z" ?Ti2.VlSC?A fv? (D O? .ea - =• =' r 3 tZ%" e>Lb4e-, A'a;:°'• G 4 Extr.rior air fiiM n.17 ' • d.• A ' ' (.S ! A; ?? ••`?' y TOTAI R = 12 1 u i?R = a.dBZ SLAB ON GRAOE a. - •' Q •a ?: ; u • '. e . • ? r Q ?,.,?1 A ' u?.?' ? ? ? /i //?'•", Heated Slabs: Minimum R = 8.5 , , <1; -,•-Q? Unheated Slabs: ?•'4 '? . Minimum R = 6.2 ??'?..? 4 ,?-?,. .. '• 4`+?:, ? d . • . ? , .?. ., v ?• -4 t ' :. d a ? .' • ?V ? ''. ..''? ?;? .?:'q: 4.. ?• . ? 4-,•.?,f'' .. ?.. ? • ' . ' . . '. '• ti1 . ?. ;' . 4 , v ,a?.. ., . . . . , ?' 4' • Q?? .' 4 • ? • . ? .? • • -• Page 3 CONSTRl1CT I ON . , i e. i? ? .. _ •? R VALUC - CEILINf, SECTIOtJ (INSULATED): I Interior air film n,(; 1 2 -e> e,-4? aauL O Sfo 3 W" c.?-u.?w sv' . q4 ?? 4 Exterior air film (still) n.FI TOTAL R =Pf57Qj ? ? U= 1/R= 1 InsiAe air film n.A1 2 3 4 S Outsidc air film n.17 TOT/1L R = U= 1/R= U a I/ R = !0Z'5 CEIIINC. FRAMING SECTION: 1 Interior atr film n,61 2 2ocz- o .54. 3 tZ' c.cu.v w56 A4: o0 4 Interior air film still i 5 3'/=, inches sof[ wooci . 5 TOTAL R = E? U = 1/R = 0.0?0 CEILING SEf,TION (IPlSULATECI): 1' Interior air film n.61 2 3 4 Exterior air film still 0.61 TOTAL R = U= 1/R= CEILINr, FRAMItir, SECTION: T• Interior ai r fi Im 0.61 2 3 4 Exterior air film still n. 1 S inches soft 4rood TOTAL R = Page 4 'l. . AIR FILMS Interior /1ir Fiim Exterior Air Film Interior Air Film Exterior Air Film Interior Air Film Exterior Air Film BLOWING WOOLS ApGrox. 3" Approx: 4 1/2" Approx. 6 1 /4" Approx. 7 1/4" llpprox. 14" Approx. 18" GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS (Walls) (Walls) (Vented Ceiling) (Vented Ceiling) (Non Vented) (Non Vented) All other insulation materials must be verified (R Factor) INSULATION Insulation: 2-2 3/4" Fiberglass Insulation: 3 1/2" Fiberglass Insulation: 6" Fiberglass Insulation: 3 5/8" Fiberglass Insulation: 9" Fiberglass Insu7ation: 12" Fiberglass Insulation: 8" Cellulose Insulation: 10" Cellulose Insulation: 12" Cellulose Insulation: 1 1/2" Thermax Insulation: 2" Thermax WOODS Fir, Pine & Similar Soft Woods 1 1/2" 2 1/2" 3 1/2" 5 1/2" CONCRETE BLOCK 8" Concrete Block (S & G Reg. (Filled with Vermiculite) 12" Concrete Block (S & G Reg (Filled with Vermiculite) 8" Light Weight (Filled with Vermiculite) 12" Light Weight .(Filled with Vermiculite) (R) SHEATHING (R) 0.68 3/4" Wood Subfloor or SheaLhing 0.94 0.17 112" Plywood Sheathing 0.62 0.61 112" Particle Board 0.66 0.61 Gypsum or Plaster Board 3/8" 0.32 0.61 Gypsum or Plaster Board 1/2" 0.45 0.17 Gypsum or Plaster Board 5/8" 0.56 Plywood 3/8" 0.47 Plywood 1/2" 0.62 Plywood 3/4" 0.93 9 00 Sheathing, Reg. Density 112" 1.32 . 13 00 Sheathing, Reg, Density 25/32" 2.06 . 19.00 Nail-Base Sheathing 1/2" 1,14 24.00 30.00 ROOFS 40.00 Built-up Roofs 0.33 Asbestos-Cement Shingles 0.21 Asphalt Roll Roofing 0.13 Asphalt Shingles 0.44 7.00 SIDING 11.00 19 00 Aluminum Siding 0.61 . 13 00 Aluminum with Backer 1,82 . 30 00 Aluminum with 6'acker & Foiled 2.96 . 38 00 112 x 8 Lap Siding (Wood) 0.81 . 29 00 7/16 x 12 Hardboard Siding 0.67 . 37 00 Asbestos Sidings 1/4 Lapped 0.21 , 44.00 Stucco (Brown and Finish Coat) "'- 12.00 16.00 OOORS (U) 1 3/4" Solid Core Door .46 w/Storm, Wood ,31 w/Storm, Metal ,26 1,89 Pease Steel Door Insl/N/GL 7 45R 13 3.12 . Sliding Glass Door, Wood . .65 4.35 Metal ,72 6.87 WINDOWS 1.11 All Windows 1.93 (w/Storms 1" to 4" Space) .56 1.28 Removal Double 6lazing (RDG) .SS 3.15 Thermo or Welded 3/16" Air Space .69 2,18 1/4" Air Space .65 5.03 112" Air Space .58 2.48 (Other windows specifically tested 5.82 can use 6etter ratings) Page 5 y: {1? ? 7 M V ? ??'+' i J?_ r ?'-? ? ?`? ?. ???_ \ ? ? ?` t---- ? ? ? \ ?? ? , CITY OE EAGAN FOR CITY USE ONLY 3830 PILOT KNO B ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 4 4 - ? `-` DATE: / /o PLEASE COMPLETE UPPER PORTION . .:.............:........ . . ... . ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED_FOR EACH UNIT. ------------------------ -------------------- WORK DESCRIPTION ------------------------------------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SAOWER 3.00 :3.00 REPAIR WATER CLOSET 3.00 ? BATH TUB 3.00 ? LAVATORY 3.00 OWNER NAME: iI/?{[T6L/f0R.S°E ,(7?C-(JELG?/tlE?T L, KITCHEN SINK 3.00 L LAUNDRY TRAY 3.00 ?, ?/ SITE ADDRESS:Iy77J iY/,(JlnS Z4,)CSCip eD / HOT TUB/SPA 3.00 3,`°'° WATER HEATER 3.00 ? LOT :Iq SLOCK ? SUBD.'?,co FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: 44KES/4C pLf1/?l(.?%/Vl.? iT 4?77n f (MINIMUM - 1) 3.00 S ROUGH OPENINGS ? .50 r s?" 1 ADDRESS:? Z%iV4l9-/U /?l?? o OTHER CITY: ZIP: ?JS37? - WATER SOFTENER PRIVATE DISP. 5.00 15.00 U.G. SPRINKLER 3.00 PHONE #: Q le?? r SUBTOTAL lo? ? ST. SURCHARGE .50 SIGNATURE F PERMITTEE TOTAL: ?.Cy ??MMERGI;AI, iNDtJST?IAL`? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -------------------- CONTRACT PRICE: _______ FEES __ OWNER NAME: 1? QF GONT_RP_GT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMiTM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN L'i sgg? v MEcHANIcAL rERAUr SUBD. ? o / (612) 6814675 RESIDENTTAL CITY USE ONLY xECErrr # /Co DATE a ?? 9 ?- PLFA.SE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII,Y DWELL,IIHGS. AISO, COMPLEfE FOR TOR'NHOMES/CONDOS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWELLLNG UPIIT. OWNER. SLor e jLajtfa= ADD-ON A/C ADD-ON FURNACE ? S1TE ADDRE.SS: r ADD ON/REMODEL (F.JIISTIIVG CONSTRUCITON ONLI) $ 15.00 INSTALLER: HVAC: 0-100 M B1TJ 24.00 PHONE #: '764- ADDI1'IONAL 50 M BTU 6.00 ADDRFSS: P-d . (,c', GAS OUTLEl'S - MINMIUM 1@ $3 EA. zl? CIT'Y: Ay)f)o Pj/- ZIP:S63cDl SURCAARGE: $ .SO SIGNATURE: 6 TOTAL: $ .?O v NO PERMIT REQUIRED FOR DUCTWO?tK ONLY! COMMERCIAL PLEASE COMPLEI'E TIiIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WfEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH DR'ELLING UNIT. WORK DESCRIPTION: CONTRACf PRICE: FEFS 146 OF CONTRACT FEE. STATE SURCIU,RGE IS $.SO FOR EACH $19000 OF PERMTT FEE. $ PROCFSSE12 PII'ING - $25.00 hIINIMUM FEE - $Z5.00 F 220897 OFFWCE OF 7HE RE615TMR OF TIlLEB • MAJOOfA COUNTY. NW. CEIRIFIEO iYNT T1E WITMN NSffUMENT NY?S FLED IN iNIS OfFICE ON AND AT L.t t"W89 cEar?CJaS Na c ,wUEs ?a oouw ' rEasrww oc rmES IW. ? ya.oo WUl c"sN T a+wc CMAF0oe CHAFIGE VVHW REFUND , 3s63 . .SF?e?CSo.v, a,..r?cp0? f SNrcJc?/ oa??s -ro 907011 oFFlCe OF nre couHn qECOROEi-D/U(OTA CWNN, MN. CERTIFIED TMAT THE WITWN WSTRUMENT WAS FILEO FOR RECOFiD 1N TMIS OFFICE ON ANO AT UcT 4 2 31 PH'A9 DOC No so•roii JAMES N. CWNTY RECORDER pEVUTY .I FEE Ja-GQ c,AsN ? CMECI( )( auace u CMMGE WHOAI ?UND DO NOT REMOVE o66 0, . i 'L • ?J ?-? (!JA ?'c - 113 ?.?fb? ? ??3 ?.? 19? 849'I`i r?3 3 ??33? s???r? =. iS ? ?a3?1? b??j% k i ?S 3 3?? g`1q(-•j ?a3?- ?v;( -, I S 3 ,?(938Y'oo 1`33??3:b? (? . 193 we??3?? ?? ? ???i ?? ??H`? ?? ?93vs ya? ?4;, . 22089? . 907p11 RIIIGS NOOD 4RD ADDITI011 PY6S80RR NEDOCIl1G V1?LVR JYGRBBNBA? TH AGREElIENT, made and ente[ed Snto the Y'^ GaY o_ , 1989, by and between the CITY OF EAGAN• a Munici 61ity of the State of liinnesotn, (hereiaafter callec the CITY, and tt?e 0`rner and the Developec icentifiec hecein. The terms •Developer• and •Owne[' ns used hezein refer to HORNE DLVELOPlfENT CORPORATION whoae addrese ie 3850 Coionntlon Road, Eagan, llinneeota 55122. NBEREAS, the Developer has epplied to the City for appcoval of tne plat or eubdivision knovn ae XINGS NOOD 2ND ADDITION, locetec riLlin the Cityl and NHEREAS, the ownec and Developer agree to notify the proposed potential buyers of a.l lots wlthin RINGS WOOD 2ND ADDITION tbae Lots 27r 28i 29 and 30, Slock 1 end LOts 14# 15r 16r lTr 18# 19t 200 210 22, 23, and 24, Block 2 nre in a high vntes pressure zone ana a preasure seducing velve ehall be inetalled in each hane below the elevntion of 875 feet. All costs shall be the =esponeibillty of the Owner and Developei and ehall be installed to pcevent uamage oue Lo hlgA vater presaure. NOWt TBEREFORE# the City, Ownec and Developet agree as follows: 1, gpeocdina, This agreem:nt shall be tecorced with the Dakota County Reeordes eo as to pzovide notice to tbs wneze of Lots 27, 28r 29, nnd 30, B1oCk 1 anc Lote 14, 15, 16r 17r 18, 19, 20, 210 22r 23, and 24, Block 2, EINGS NOOD 2ND ADDITION. T6e wnez shall ptwiae ano ezecute aay and all documents neceesacy to implement the reaor6ing oi this agreemeni. Z. Notice. The reootding of this bocmnent shall conetitute notice to all ovneca and fuiuce wness oi pzopetty in the EINGS wOOD 2ND ADDiTION that Lots 270 28. 29, ano 30, Block 1 and Loia 14, 15, 16, 17r 18, 19, 20, 21, 22, 23, and 24, Block 2 ase ia a dlgh vatec pseasuse sone and tbat a prssance caduciag valve shall be lnaeslico in esch bome lxlor tIIe elevation ot 875 feet. l?11 costs sAall be the cesponeibility of the Bnyer and ehnll be lnetnlled to prevent demage due to high wate[ preesuce. ;, y ti itv. If any portlon, aectioar subaection, sentence, claueer pa=agzeph or phcnee of this ngreement is foc eny reneon held to ba Snvalid, euch decieion ehell not affect the valiaity of tre cemeining poztSon of thie Contsact. 4, gin i a pareement. The pectiea mutually seco9niae and agree that all terms end conditions of thie cecocdable a9reement shnll run with the land herein deecrlbed and shall be binding upon the heite, auccessora, adniniatretors and essigne of the owneca and cevelopeca refezenced in this Contreet. IN WITNESS WBEREOF, we have hereunto set our henae. CITY OF AGAl1 QWNEH AND DEVELOPER (Deia: • ) BORNE DEVELOPMRNT CDRPORATION gy 3 By : ?? ?• Ite Mayor Atteat s X\. - N J. LA -i- Its C [k T T-SA. = -c STAT6 OF MINNESDTA) ) se. COUNTY OP 214f0l' a ) Oa ihie KN day ot k r- t 1989r before me a Notacy Public rithin snd for said County, personally appeared VICTOR L. ELLISON anu E. J. VanOVEReEKE to me pe[sonally knarnr who being each by me duly axocn, each aid say that they ase respectively tbe MaYor ano Cleck of the City of Ea9an# the municipality named Sn tre focegoing inserument, and that the sesl nffixed on behalf of said municipnlity by sutAority of ita City Councll and tald Mayot ano Cleck acknorledged said instzument to be the free act and 6eed of saia municipality. , wrr..?r /??r ?RIl111 L MILII[ ' nx[soiA % _` YD' 1. t? DAKOTACOUNT? ? 'R"0 77??c ? Yp Gowms?A F+? IN l MD -Z? ',_ .. STATS OP MINNESOTA) ) sa. COUNTY OF o+ ) On this =Zff day of M,+ y , 1969, before me a Notary Public rithin and foc said County, personally appeared ,T'Nmes 8. /f<.c .,£ .6nd- to me c nelly,. _., known, who Deing eeeir by me duly 6MOI71# eseh did eny that ?Ma rrepeetiveiy? the PRES/OSJT a"+ of [he Cocporation named Sn the fosegoYng , Snatrument, and that sala instrument ves, . signed and-rce3-ed on behalf oi aeid cocporatlon by authority oi ite Board of Directors and said pRas.?r -ana- •- acknowleaged saia inatrument to be th¢ lrite act and deea of che corposation. ? . ELI2ABETH A. WITT ?W NOTMTNYUO•YWMf?OTA ?????1(l CC U/l? . ?. - oAKorA couwnr GTn+wrn t?w 1? ?L'ri pops APPROVED AS TO FORM: r C y Attocney' t" e ate: APPROVED AS TO NTENTs --- Public ocks De arcme t Datee 7?Q - TBIS INSTAOMENT NAS DRAFTED BYt ?D`t ?32-3136 e McMENOlIY i 8611ERSON, P.A. 7300 Neat 147th 8treei P.O. 8os 24329 Apple Valley, F!N 55124 Notacf Public -3- ; r i ' i. i r . t y • ? ? ? .., i. ? ?.- ? . ? ! PERMIT# RECEIPT DATE: ` l?( n i MIDENTIAL f'LUM$INfi PEU1T APPLICATION crrY oF FAsm S$SO fILOT KAOB RD E4&i41V, MN 5518E 651-6$1-4675 Please complete for: single family dwellings q townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: O'J`JiJER NAIVi 't: : i tLEFNONE i#: (AREA CODE) TELEPHONE #: (AMG DE) ST E: I V1,1 ZIP: t( / f INSTALLER NAME: STREET ADDRESS: CITY: ? e? Place a check mark next to the ermit work t e _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepairlrebuild of RPZ • lawn irrigation system • water turnaround ? Nature of work: ??1 Septic System, nevr/ref;arbished - $ 225.40 • includes County & Consulting Inspector fees • requires MPC license State Surcharge .50 ? $)? Tota I Reminder. Be sure to schedule inspections of alterations, i.e. waterWeawriisif-w-atiosr soffe-ners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and ree to wmply with all applirable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no lia ility for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pertnit within City pr perty/right-of-way/ men?4 SIGNATURE OF PERMITTEE Updated 1101 KP 2006 RESIDENTIAL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 CP New ConsWcfion Reauirements RemodeVReoair Reauirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and ail roofed areas 2 copies of plan showing foodngs, beams, joisis (20°k maximum lot cwerage allowed) 1 setM Energy Calculatians tor heated addi6ons 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additlans 8 decks 1 set of Energy Calculafions Addifion - indicate ifonsife sep6c system ME 3 copies of Tree Preservatlon Plan if lot platted after7/1l93 Rim Joist Detail Opdons selechon sheet (buildings with 3 or less unik) Minnegasco mechanical ventilation form COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResideMial Verrtilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submi[ted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( ) Telephone # ( Date Site Address C) Construction Cost O 5? (? S Z UniUSte # 1 lt? - Description of Work ? .? • Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner, ?C.A JL I' <-LA Telephone # Contractor ?-C.??Q ? OOC ? Address i5-?n -r'?cJi= Ql?{. ?. State m{\n ? C." S'S? i on Zip S544-4 City '? k4'McoUi-V-\ Telephone #(-44p3) 44S?' 14CO I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pe 't; that the work will be in accordance with the approved pl in the case o work which requires a review and ap r val of plans. pplicant's Printed Name Applicant's Signature Wd9E,1 q unp a?il pan1008? Pella Wiudows Sc Doars - Twin Cities> Ina 15300 25TH AVE. N. STE. #100 PLYMOiTTFi, MN 55447 ...?.o . 763C745-1400 WATS 1-800-462-5359 f ' Ft1X763/745-1401 ?.... June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authonized to pull building perznits far Pella Windaws 8e Doors -Tuin Cifies, Inc. Please allow their representative to provide that service for us in Eagan. This authorization sliall be valid until sueh time as the division manager expressly revokes it, in writing to the G`ity. I request ihat this autltorizarion be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can-be contacted at 763-745-1432. Your irrianediate attention to this matter is appreciated. ' cerely, • -?--•.,? d?NEFfE W.SI Bryan . May. ? Replaceuient Sales Manager i cc: Kara - Eldcr 7ones &A"i2 4' 4-L, Denna Krafty - Replacement' Sales Process Coordinator Windows, Doors, & Skylights 7nna C57TTT'1 A7TiIT_'TU.7 filST CL+7 7TQ 'PV.7 /T:CT TS7S Tnloninn ror Office Use Permit / I City of Eapn I ~v 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 staff: j 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4 Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: _-b. ncs w C License Address: L2.G v t ~ ~ Z City: M " )4_1 C~ t State: M Zip: P Phone: Contact Person:- N r TYPE OF WORK _ New _ Replacement _ Repair Rebuild Modify Space -Work in R.O.W. Description of work: K -t Cr c --i L n &,A e S' PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation f Add Plumbing Fixtures tj l- RPZ PVB) l- Main _ Lower Level) Septic System Water Turnaround -New Abandonment 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 Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L p,Y Q_\ , (I- x Applicant's Printed Name Applicant's Signa re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test _Gas Test Final Use BLUE or BLACK Ink For Office Use I /J E Permit J E (1,11ILY of Ealtnan E Permit Fee: 1 J 3830 Pilot Knob Road l ) E Eagan MN 55122 Date Received: I ~ Phone: (651) 675-5675 staff: E Fax: (651) 675-5694 I L----------------- 2009 RESIDENTIAL BUILDING PERMIT APPLICATION / i ' 'Ile ">V td't Date: r Site Address: L-~ Z3 c ~AL Tenant: Suite RESIDENT/ OWNER Name: 1 t A t t s" Phone: p Address / City 1 Zip: 73 Applicant is: Owner Contractor N t ` r i.> e trc. fir' tt d.~€ r _l - c r°l r r, st 4 tiA " 'AW TYPE OF WORK Description of work.- &/j C_KkA J T t~`cfit' a CC ~r'.re a.1 c' ~ iiYt ~e a . ~ C~ _ ~ i✓t ~`t t< s l vL'~ c 4~let? i v"i Cr:1'C e.~,~ ,fir"~ . Construction Cost Multi-F mily Building: (Yes ( No } CONTRACTOR y Name: -.~,License Address: City: State: 'la Zip 1_ - Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Phone: Licensed Plumber: 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 the are trade secrets. 1 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 the approved plan in the case of work which requires a review and approval of plans. / Ana "'N v A00lica 's Printed Name Applic 'st ignature ar4 Page 1 of 3 I f n /4~3 Pyil~s 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) J Exterior Alteration (Multi) _ 01 of Plex _ Lower Level Pool Miscellaneous Accessory Building WORK TYPES Gam. '~r!~s W j ~c ,(-ftiZjU ~~d~l~✓I Cy ~rU~ r't'iv~ r~ ~ New Interior Improvement Siding Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior 'Alteration - Fire Repair Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage - Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%'V Zoning City Water Census Code T - Census Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction _ Width fib- 7_ 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 Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge C-9 L) ~ l~ 0 LA) Plan Review v~ MCES sac City SAC l'1 ~'1 tZ L) Utility Connection Charge ii~~ pry S&W Permit & Surcharge Treatment Plant j Copies F~ (j U TOTAL G 0-Y) L'~ c.- Page 2 of 3 r I For Office Use I Cit of Ea I Permit ,Ilk g1a7 1 d E I I Permit Fee: 07`6D 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 67 L-----------------I 2009 MECHANICAL PERMIT APPLICATION Date: Site Site Address: Tenant: 1 'G Suite M %j V RESIDENT / OWNER Name: NIA Phone: Address / City / Zip: CONTRACTOR Name: Kline Corp. _ License Address. SBA: Practical Systems 43428 Shady Oak Road City: Hopkins, MN 55343 State: Zip: 952-933-1868 Phone: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ve-A i:%10 ~l ✓lQ +0 NOTE: Both roof mounted and ground mount mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement _ Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 the approved plan in th case of work which requires a review and approval of plans. x x [~;ue (tr Applicant's Printed Name Applic 691s Si re FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough In -Air Test -Gas Service Test -In-floor Heat Final Exterior HVAC Screening Inspection 01/11/2013 00:36 FAX 7634775629 �City of Eaaau 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 8754694 1003/004 Use BLUE or BLACK Ink For Office Use Pem,lt #: /06n1 Permit Fee: 60(4> Date Received: 1-11–/.3 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION ukod Data: F ft -13 Slte Address: l e(1,5 kr; Salma kae4,10 S 'Resiidenti caner. Name: Phone: Address / City / Zip: Contractor , .. wwwwwnerfermasmraGrarakerater Name;4,041) (i �/1€(.l1 f% (.v Ucense #: 4s--3 8,/m Address: a E is City: Lte4fo State: 47Al Zip: cr3 57 Phone: t'%7 ? " 43278' Contact: 1j4rif Email: / . , -. - %1P 4 • % _ .. -T ►pe of,Work , New , Replacement Repair Rebuild Modify Space _ Work in R.O.W. y,,_ _ _ Description of work: /a,. #.44(, s! (.I7� ?illuct�,4-5-4_,..c.c‘r.41______� ' ' Permit :Type. , RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / Lower Level) _ _ Septic System Water Turnaround New — _ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic vstem Abandonment, Water EN1 Softener (includes $5.00 State Surcharge) Turnaround' (Includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES S $60.00 Lawn Irrigation $60.00 Add Plumbing 'Water Turnaround $105.00 Septic System (add $200.00 if a 5/8" meter is required) New ($10.00 per as built) (Includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecali.orq I hereby admowiedge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eag t I underatan is is not a permit, but only an application for a permit, and `l@ not to ithout a permit that the work will be in a rda with a royed plan in the case of work which requires a review and app ATM `c /l Applicant's Printed Na x /G(14 Applicant's Sig FOR 'OFFICE USE, Reviewed By:: Required Inspections: Under Ground Rough -Ii _,Air Test Gas Test _Final Date: *) City of Eaaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING JP,ERMIT AP' LICATION 3 Site Address: (4/73 ' 14 O Unit #: Y ' Phone: Address / City / Zip: 7; Applicant is: Owner Contractor Description of work: Multi -Family Building: (Yes / No ) Company: ccs,{; C® ontact: Address: i V a-3'14( �t City: zi r� State: /411/ Zip: -5-! L/7 Phone: / L - 1 - 3 License #: 8c:6 ,237 Lead Certificate #: AMT- �rl za0 ` I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) HOW -St LO�/tA T:14. //7' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Phone: Sewer & Water Contractor: 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Ap x licant's-Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace itt Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% // ) Census Code # of Units Interior Improvement Move Building Fire Repair Repair 3W # of Buildings / Type of Construction 1'173 �� h Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Wci Kr/ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PC'A handout to applicant Occupancy Code Edition 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 Insulation Sheathing Sheetrock Reviewed By: ,20.97 -1 .400.10 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Siding: Windows Retaining Wall: Radon Control Erosion Control Building Inspector Footings Air/Gas Tests Final Stucco Lath Stone Lath Brick Footings Backfill Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 1/6 10 3;2- 2 of 3 *' City of Eagan Dat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 1 Iii ' 9 Permit Fee: t 0 53' Permit #: Date Received: -7 f / 13 Staff: 2013 RESIDENTIAL BUILDING PER IIT PPLICATION Site Address: J �'j) 3 Kcy)s -,J0 do I Unit#: Name: k l Address / City / Zip: Phone: Applicant is: Owner Contractor Description of work: ?A' -Rocs(' Construction Cost: NI Company: j4-01, {' Address g CO— State: NtZip: S S3 s c Multi -Family Building: (Yes / No ) License#: (,}C?Ic3Gn Contact: 1) q / S City: c h (-Lt S h Phone: /2 —2-7o— �`-� Y. ", Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and supporting documents that yoL the information may be classified as non-public Phone: Phone: Phone: ubmit are considered to # publ cinformation. Po; you provide specific rea conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.orq 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 the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State B. de must be completed within 180 days of permit issuance.$1sELz 41? App'licant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA165885 Date Issued:11/25/2020 Permit Category:ePermit Site Address: 1473 Kings Wood Rd Lot:14 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Randolph W Tste Hurley 1473 Kings Wood Rd Eagan MN 55122 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166876 Date Issued:02/10/2021 Permit Category:ePermit Site Address: 1473 Kings Wood Rd Lot:14 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-140 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Randolph W Tste Hurley 1473 Kings Wood Rd Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171174 Date Issued:08/04/2021 Permit Category:ePermit Site Address: 1473 Kings Wood Rd Lot:14 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-140 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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: 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 - Randolph W Tste Hurley 1473 Kings Wood Rd Eagan MN 55122 (651) 324-0552 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature