1481 Kings Wood Rd,
Q, • ., q r ?? ? ..,I
?
Wertiticate of Cccupanc?
Witil of Cfagan
Toarbaent of exitbing 3a?Oecriun
This Certificate issued pursuant to the requiremerets of the Uniform Buildrng Code
cenifying that at fhe time of issuance this stnecture was in compliance wirh the various
ordiwnces of the Ciry regulating buelding construction or use. For the following:
UseClassifcatim: 1481 KDM WOM FDAD".Q' M BWg.PemiitNo. 2V)32._
Oc-paricY Type R31II 1 Zoning Disoria ? Type Const VN . ...
Owier of Buildind?lARK AMH.qr1 MW;TR11[M[N Ad&tss P A A[1X ? I377 - E'{?(M
Building Addrcss?? 1 KDM.WOM RnUM I.ocaliry T IQ RIC1^_C U= 2(yID ...
/
% j ? .• .. { - patc:
$uiWing OfGcial .
POST IN A CONSPICUOUS PLACE
' CITY OF EAGAN ?
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
. U ftp ,
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
ftt! I I {1 1 Mti
y", f i Ei!'!t,
INSPECTION .. . .,
i I ?,?.. i t ht 1•? ;,? i
. ... 1?; - ?.. _ ;:?l1.1(,ii !i-? .Ili.
?N.F IqA F?k:•>: i'kV MA!'till IJ hftNlf: L,i
Permit No. Permtt Holder Date Telephone #
ELECTRIC ?
PLUMBI rf? ?' ?3-j'3D
HVAC ¢ /? 95 ?9?-GYJ05
Inspaetlon Date Insp. Comments
FOOTINGS 0 f?` '?r a
FOUND
!7 (ti„/Q
IEJ
FRAMING ??a y 1 L 9 za .S?
ROOFING
ROUGH
PLUMBING
PLBCi
AIR TEST
ROUGH
HEATING
cns svc
TEST ?? /Y"V
INSUL /,3/(fs' ^va 9124 ?.?
?
GYP BOARD
FIREPLACE
? f$
FIREPLACE
AIRTEST d
FINALPLBG
/
FINALHTG
ORSAT
TEST J(J/
( ?,
BLDCo FINAL
WL
BSMT R.I.
BSMT FINAI
DECK FfG
DECK FINAL
%
?
Address 1481 uINGs Wrrm uOnn Zip 5512 Z
Lot .- tA Blk 2 Sub KiNGS wooD ZrID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the 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 tight-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
9/rJ/y's ?7'7?'y
0 0 6 4 0 6 8
Requesl Date Fire No.
?.C
? fi ug6-I irispe i n Required
(YOU u all inspecbr when reatly) Inspec[ion Other Than Rough-In
0 Ready Now E) Will Notify InspectOr
?e yJ Yes ? No Date Ready
IXicensed contractor ?owner hereby request inspection ot above electrical work at:
Job AddreSS (Street Bcz or Roine No.)
ll Ciry
C
o/t/J
/V/ //v6S rJDO G/tAv
Section No. Township Name or No. Range No. Couni
I;L/l O T75t-
Occu ant(PRINT)
'
T Phone No. ?
z6
51I
i0.v
fNJUN .(7/u.1T2l?C7
i3.6K -7
Co
Povuer pplier ?--
- Address
-
"D i
W- i'v ? /
Of /'j
Elecin I Contractor (Company Name) ContraActors License No,
/'?'9f}_Car 7G?? C 1 N C_ -'?Ixd 2
Mailing dress (Con actor or Owner Making Installation)
??2
?2-'
?
1
y
?<«y
/ 4
6 6 % , P???
Author d Signature (COntractodO?vner PAaking Inslallation)
/?.?.?.0 Phone Number
(rl 5 3 -l OARD Phone 1612A 2STATE A800 St oPm SMN 85570a ICI7Y IUN E6S PROPER NSPECTION FOEE DT
1./??. REQUEST FOR ELECTRICAL INSPECTION ?eey-ooooi-^os
??% llll? See insiructions tor completing this form on back of yellow copy. ?„y?y ?:? ?•? ??,?i
0 0 64 068 "X" Below Wo:k Covered by This Request "??•;???
New Add Rep. Type of Building `Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify
Farm Air Conditioner
Ouler (specify) GoMrar,tors Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps -2-0 / D to 100 Amps e)
Transformers Above 200 Amps Above 10Amps
Signs inspecror's Use Only: \ T?TAL
Irrigation Booms
r
Special Inspection Il.
Alarm/Communication THIS INSTALLATION MAY BE O CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NFQNTHS.
I, the Electrical Inspector, hereby
tif
th
t th
i
b
i Rou9n-in e,-'A oaie?',_ Yi
?
cer
y
a
e a
ove
nspect
on has
been made. F'nai ?
/ ? --i - 3 oate
"?
OFFICE USE ONLY ? . ?
This request vaid 18 mon!hs irom
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
eurLnzNe
025632
05J18/95
SITE ADDRESS:
LOT: 19 BLpCKc
14$1 KINGS WOOD RD
KINGS WOOD 2ND
PERMIT SUBTYPE:
SF DWG
APPLICANT:
2
JOHNSON CONST, MARK
(612) 451-1676
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS .. .
FOUNDA7ION .A
FRAMING ROOFTN6
INSULATTON FIREPLACE
OUGH IN PLBG ROU6H IN HTG
FINAL PLBG FINAL
REMARKS: PRV MRTTHEW DANIEL5
? . ? __ .?__. ..?. _..? _. ,. ? . . ,... _
. '- . . . . .. ' ?.
? ? .. .. . N ._ , i d . f
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< .w . 'Po• ,
...xa
. , . - PERMIT 0(?/i93a-
° CITY OF EAGAN 5_a 3-qs
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: g 2 5 6 3 2
(612) 681-4675 Date Issued: 0 5/ 18 / 9 5
SITE ADDRESS:
1461 KIN65 WOOD RD
LOT: 19 BLOCK: 2
KIN65 WOOD 2ND
DESCRIPTION:
> ..
Building'R,ermit Type SF DWG
8`1i17c{ing Wa*k Type NEW
UBC QCGtt.pan,cY R-3 -1
Constructai4n Type VN
Zoning
z R_1
? Biailiiing LengCh
`? 70
q
Building Width..
? 48
,
Bwii d i°6g . stories
4.
?.
\
„
REMARKS:, ,.
PRV MATTNEW DANIELS
ep f F? 1? a '? Ff,{ a$ ???
4+,' e?5 'a, e8 1 4
FEE SUMMARY:
VALUATTON
Base Fee
Plan Review
Surcharge
SAC
SAC &
SAC Units
Lic. Search Fee
Su6total
$849.50
$552.18
$80.@0
$850.00
100
i
$5.00
$2,336.6$
$160,000
MT5CELLRNEOUS $1,892.50
Total Fee $4,229.18
CONTRACTOR: - A p p 1 i c a n t - 5 T. L I C. OWNER:
JOHNSON CONST, MARK 14511676 0003288 MARK JOHNSON CON5T
P 0 BDX 21327 P 0 BOX 21327
EAGAN MN 55121-0327 EAGAN MN
(612) 451-1676 (612)451-1676
I hersby acknQwledge,ssthat I have.re,ad thiEiapp],:Lc,attion and state tha,t,.thea..:. information is corrcct and° agree tn:'cnrtiply` arith alY° aRpliba61.e $tate af Mn. Statutes and
City, ot E&gar?; Ordainan ces___
APPLICANT RMITEE SIGNATURE ISSUE Y: SIGNATURE
• ' ? . CITY OF EAGAN t
?. ,
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements
?C)a91 /8
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? t tree preservation plan if lot`p?l tted after 7/1l93
required: _ Yes X No
7?
DATE: rtav lo. 1995 CONSTRUCTION COST: $171,850.00
DESCRIPTION OF WORK: Construction of SinQle familv home - -3658 STREET ADDRESS: I701 Ie/we't Ie-loo& R oq Is .
?j?nucs 8tA4eacfue 4sAM41 k/oo6 0•9 T Mur fir'QAtKi,
LOT 19 BLOCK 2 SUBD.IP.I.D. #: KinQSwood Second Addition
PROPER7Y NBme: Dennis Mangan Ph0112 #: 507-345-1357
OWNER 115T ""$'
$tr@et Addl'@5S' 125 Fairway Drive
CIty: Mankato St8t2: Minn ZIp: 56001
CONTRACTOR C0111(Jafly: Mark Johnson Construction Inc Phone#: 451-1676
Street Address: P_ n. RoX 21397 License #: 328$
CI eagan 1 0 ? ? ( 1lp
?/:
ARCHITECT/ Company: Jim Carlson DesiQn Phone #: 77n-RQi,R
ENGINEER
Name: Jim Carlson Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber: rtatthew naniels . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coRect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
V Yes No
Yes ? No
M ml 10 1954
OFFICE USE ONLY
BUILDING PERMIT TYPE
. t ,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
cEgf 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 Multi (additional) 0 15 Deck
WORK TYPE
,Er'--31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
? 36 Move
0 37 Demolition
Const. (Actual) gZ?'- A/ Basement sq. ft. fSZB MC/WS System O`
(Allowable) ? Main level sq. ft. 9 71(0 City Water C"Cl
UBC Occupancy 12•3 -I sq. ft. Fire Sprinklered
Zoning 9-i sq. ft. PRV .65-
# of Stories sq. ft. Booster Pump
Length ? sq. ft. Census Code. /oi
Depth y8 Footprint sq. ft. ? SAC Code o?
s s,ro ` Census Bldg r
APPROVALS yo 0 Census Unit
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License ?yj,qG,? ?tv?u
MCNVS SAC
City SAC 1-4?r z??? ` 3 Z
Water Conn. <•?• 8 f vv : v?o 3 Z xz,o >!e Yo
Water Meter zvx y? =?.?sz za x Z . ?o
Acct. Deposit ,13
S/W Permit z? i9 = 3$
S/W Surcharge
F ? p
Treatment PI.
Road unit
Park Ded. L
Trails Ded.
Other
Cpies 1?76? ls? l00 ?
4-3
Tota1: ?
&?z
% SAC
SAC Units
..
F„lSNt,
05i08i55 14:07
002
CERTIFICATE VF SURVLY
ForMARiC JOHNS()N CONST.
/-
PRUPERTY DESCRIPTIcaN: Lot 19, B14Ck.2, KlNCaS WOOD 2ND
ADDITION, Dakota County, Minnesota.
We hereby certify that this is a true and correct survey of the above described properiy and that it was
perFormed by me or under my direct supervisian and that I am a duly Licensed Sur'vayor under the
laws of tha State of Minnesota. This survey does not purport to show a{I improvements, easement8
or encroachments, to the praparty except as shown thereonE A G.AN
R El11EWA
Signed this ????f N?A s?? James . Hill, Inc.,
J /
By, l ?y?- -? w? `._1f1ff v?.?.._..r
Harold Peterson, Minnesota LS. No. 12294
BAGADT IERGMIERWG IDNarr. . .
NQteS; '
1, Building dimensions shown are for
horizonial & vertical location of structure aniy.
See architectu?al plans ;dr building &
faundation dimetisions.
2. No specific soils investigatlon has been
completed on this lo# by James R. Hill, Inc.
The suitability of soils to suppork the speCific
house proposed is nat ihe responsibility of
James R. Hill, Inc, or the surveyor.
3. Proposed grades shown were faken fPOm
the grading &/or development plan prepared by
McCombs Frank Roos Assoc.lnC.
O Denotes set Iron monument
• penotes found {ron monument
x 927.58 Denotes existing etevadon
(930.00) Qenotes propased etevation
.---?. Denotes proposed drainage
Bench Mark: 8y2• 27 - TNf-/GOJP AOT9 00X
Propossd Garage Floor
Proposed Hause Top Block=
Proposed Garage 7op Bloak- ??ST
Proposed Lowest Fioor=
Bearings are on assumed datum
Sca1e: 1"=30'
Page 1 of 2
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o?o m? z PLANNERS / ENGINEERS ISURVEYORS
Z L? OW
2500 W. CTY. RD. 42 6 BURNSVILI-E. MN. 55337 0 612•890-6044
' . 05/08i95 14:O8
WE
CEI?`TIFICA?'TE OF SURV??
Fox MARdC JOHIVSC)IV CONST.
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LOT B?JRVEY CSECRLZBT FOR RESIDENTIAL
BIIZLDING I+ERMIT APPLICATION
pROPERTY LEQAT.=
aate ot 8urvey:
D-1*3 0
Dib 0 •
• Registered Lnnd Surveyor signature and company
Building permit Applicant
Q?0 0 • Legal description
D ?7 0 • Rddress
O?f7 0
12,113 0 •
• North arrow and bar scale '
House type (rambler, walkout, cplit w/o, split entry,
lookout, etc.)
fJ?O 0
C?0 O •
• Directional drainage arrows with elope/qradfent t.
[YD 0
• Proposed/exirtir?g sewer and water cervices
1?0 D
• street name
Drivevay
ZLEVATIONB
L°J"" 0 0
• Existin
Sewer service
0 11 • Lot corners
3-?0 D • Top of curb at the driveway
fYM D • Elevations of any existing adjacent homes
P
d
• roflose
Garage floor
• First floor
?V D 0
D •
• Lowest exposad elevation (walkout/window)
Property corners
D D • Front and renr of home at the foundation
2 O2dnING AREAS tif apnlicabial
• Easement line
O ? ; rtwL
HWL
0 • Pond ?? desiqnation
?
D ?' ? • Emergency overilow Elavation
Di1sEN8I0118
? 0 •
D 0 -
0 13 •
R'D o •
0`113 p •
o
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions includfnq any proposed decks,
overhangs qreater than 21, porches, etc. (i.e. all
stzuctures requiring permanent footings)
Show all easements of reccrd and any City utilities Within
those easements
Setbacks ot proposed structure and setback of adjacent
existfng homes
Ret
Reviewed
Octobsr 1992
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1 1HS PLNI w NAS PPEPNo BY pl UHDOt Y'!
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ah ?? zo
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q; c,uttvt UHIH c?= ia ?-+ vv • =520.01 ?
- - T =85.00.
L =16 8.51' ' '.
'
CURVE DATA 6°x 6" TEE d= 11.0181
55°23t00° 2-6" G.V.a BOX PC=17+41.84 THE C4TY 0e--"L;o-l%2APvDQES =0!'??i"'iHAi.,?..; .
I16.71? 0 p `? . PT=19 +10.35 i€-?E ?s.°,r^!)s°?ACY O
61.25 F fJ LIl LOCFiTIOi'dS .
2Q-6 DIP a ?
, 6-I/16 BEND PLUG ?'??d2?605i?LElfAT10NS. HIS D IS 6=0R r
112.81 PU OSES Wl?a AND
:49.0943°
30 PVC Ur..?,6ftIG SFi0ULD
0+76 ? 13 +02 8 _
MH-3 @ 0.50%,
0a??3 QTHC SiT?.
W
15
r.= i+ss.8i $68.3 ?i?,v-872:s
$55.8 - -^ g-861.2
\8?0 ?,SM7;' ,??'? • -
?
27
6'
6'?-3AQ BEND `?' p? \8. END SERV(CES ///6 5?0 16+00
' PAST R/W q°° '; •„W-$71.6 .
il5 LOT. T,?' yt-- ? = 9 ? ' bb?? S-861.9
12+40
T qp ?? W-866-? M ZH
2'? S- 856.2 cb 17 421
12 445 t0' p, 8 f ,
W$70. 2
1N-866.0 5-860.8
> TEE FsM7 i 36. ?3 'Bo
V.
& BOX ?i 25, `? 1 6 I
/16 B 30' ' tNSTALL C1SP SER CE 41;?'?-? ?33 ? `• _ ., 54.
CLEANOUT AT PR
I+ I 5 32.3e
LI NE (PLATE 3
8A1 w
FOR LOTS 17 1. ? 71.4
S-861.7? 9S2i ?
,-
,12` + 0 A MH -'W-865.4 i , p
F?855^2 92.7' Z 17 ;
,. -
1G
aoNS? 86 w- a?o.3
?,,e.
.(54)
S- $ 60.8 ? 89.7 r? 61'
-t('4 Q SEED a MULCN DlSTURBED
??cH/ M .I! - 865.1 AREA WITHIN I WEEK AFTER
ti
?,•° `oMrn?"?,??s?T't'` N Sv$55.2? INSTA LATION. INSTALL EROS N r-f7 +t5
/v cPu'tl°?-944* • ?? y?, . ?. ?,? CONT OL AS DtRECTED. 870.0
1 S-861.O
? T
MH-1 ??'GtY R6b ?? I
_ - ?? . O C?-Mil/`TlIbt' unovro -1?
` • EXTERIOR ENVELOPE.AVERAfE "
k U" COMPUTAT
IOtI
.. C
? ,
?
0?IFtER: Uev?l?Ls
•
SITE ADQRESS: 3$SO KirSwoo?l (mc,x?=
CONTMCTOR: DATE: 51,019S PHONE*: ?/-7/67L
i DETFIIHINE L 10RKING SQUAAE FOOTAGE OF EACH:
1. TOTAL EXPOSED IJALL AREA, , , , .. . , ?2 37 Z ? sq f t x "U" .11
2. TOTAL ROOF/CEILINC AREA,,:...., 2(-7 1,00 sq ft x"U" •026 45
3• TOTAL EXPOSED UALI AREA CAICULATIQNS:
Tota) exposed Na1i
area above floor,,,,,,,, . Z, 79'7,7 5 s
ft
q
a) Total Wa11 w(ndow area: • :
??? ??•?}
q 1 azed. . . .
?-i
y 7fj/J Fc?-
f
"U" I
. .
---
--- sq
t x I
qlareA...... -?' sq ft x??U"
.
b) Total door area , ,,,,, "? o L
77, U
sq f t
x"U"
c) Total sllding qiass door area:
'Q lazed...... I7 s
f t x nU"
q . ?
qiazed...... --? zq ft x #lull
-
d) Total firepiate wa11 area
. `- ' sq' ft x"U"
--
?-- . ----?
- e) Tota) wa11 framfnq area
(AveFaga 10.f,)..:..
f
"
"
..... sy .
t U
x
f) Total ne,t wail area above '
floor (lnsulated) f "
ll 1(J?3 ??
lj?;
....... sq
t x
U ?
•
q) Total rim )oist area....,. Z2-3-,t2 Q sq ft x"U" pvot
Total faundatlon
area (Exposed)........, Z? ?•d ? sq ft
•
h) Total foundatton
. window area............. - sy ft x$$Ulf --'-' -
1} Total net foundatlon --
area above qrade........ Z( (p0O sq ft x"U„
. ?
? TOTAL a) thru f)
If (tem JF; is the sarne as, or less than item pl, you i?ave met the Intent of
S.R.C. Sectlon 6006 (c) y.
'r._ .?.,.?.., . -.....,_ .__......?.^....._.,...._._.......,?_._ .
. , _ ? .
.? . .
.. . ? ?,
' •4. TOTAL EXPQSED ROOF/CEILINf, CAICUTATIQNS:
Total exposed 21 -?? UU
roof/celifng area........ ? sq ft '
J) 7oul skylloht ares....... --'-" sq ft x"U" ---- ?
k) Total raof/cefllnq framing
area (Averane IOY,)...... 20•10 sq ft x"U"
la Total net Insulated roof/cellinq area....... sq ft x"U" ?0?? •?? `??
1?. TOTAL J) thru 1)
If tota) of 04 Is tfie same as, or less than N2, you have met the Intent of
S.B.C. Settlon 6006 (c) 1. ?
ALTERNATE BUILDItlrs ENVELOPE DESIr,N
To uttifze the total envelope system methocl, the values estabiished,by tht sum
of (tems 13 and R4 shall not be grcater than the sum of Items A'I and 02.
1. + ?.
3. + 4
C E R T I F I f, /1 T I 0 N
i hereby certify that I have calculated the "U" factors and "R"
values hereln and that the hutldlnq here descrtbed meets or exc ds the State
of Minnesota Eneray f.onservat(on Act. -
.Iqnature
11,-7? 1
(Date) ?
CZTY RF EAr,AN
C:A;7H:1:[:F'.o S '1'F:RM'LNAL NOu 'r'E:,Q
11(-1TFn t77/06/`:3.`.? T.T.Fif:::a 15451e32
ILt s
NAhi[e 1 1O>rf-'lI Ci:1NSThUfwTION
3K0 9001 1481 tCNGS MII1 RLi i81.25
2i.55 9001 1481 I•:NG;S ND FiTI `i>00
Tata1 f;eceipt Amaunt° 166n25
CF{112fiti,7
USEI; 7Da NANCY
- • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675 ?
New Consfruetion Reauirements Remodei/Reoair Reaulrements? ?
? 3 regis}ered sNe surveys showing sq. M. of 101, sq. ff. of house 2 copfes of plan
and ait roofed areas (20% maxfmum lot coveraae allowed) 1 oet of energy calcutations for heated additlons
? 2 copies of plans (show beam 3 wlndow sizes; poured Ind. design; etc.) 1 s8e survey tor ente?ior addffions b decks
? 7 set of energy calculations
? 3 copies ot hee prgtervqtion plan If lot plaMed aMer 7/1 /93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: /??? ?
LOT: _19 BLOCK: -'-A_ SUBD./P.I.D. #:
CONSTRUCTION COST: ?? -TV a
O
PROPERTY
OWNER
Name: i "?.v G.4-? 1?L??v'-?/.S
Last flrst
StreetAddress: CCLS(joos
City State:.
zip: -5--$?1z L
Company: Phone #: ? 0 o
(crea code)
CONTRACTOR ?-
Street Address:?-3 a cIR . license #6 0 Exp. O 4
City State: ?x Zip:
ARCHITECT/
ENGINEER Company:
Telephone #: area code (
Street
City
Sewer 8 wafer Iicensed plumber (reauired for new consfruction oniv):
Name:
Regtatration #: _
State: Zip:
. Penalty applies when address change and tot change is requested once permit ts issued.
I hereby acknowledge that I have read this application, state that the informaHo corre t,and agree to co pl w II applicabl
? State of Minnesota Statutes and City ot Eagan Ordinances. ?
Stgnature of Applicant:
OFFiCE USE ONL
Certificates of Survey Received _ Yes _ No
Jl1L
Tree Preservation Plan Received
- Yes No
- Not Requireg1`,'?
- f
. -
Phone #: 6 o ?" ? -5`77 ?
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ,1? 22 " Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
0? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 5 Basement sq. ft. Census Code IfA
(Allowable) S Main level sq. ft. SAC Code p f
UBC Occupancy R- sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs a
# of Stories sq. ft. MC/ES System
Length ? sq. ft. City Water
Width ? 2- Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building EL/14 Engineering Variance
Permit Fee Valuation: $? ? o°?
Surcharge
Plan Review
?&S x 5?-
? R G 7Z
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
.
SAC Units
% SAC
051 QQ'?C 03
w • .
'5q% ?
'i?l
CEKTIFICATE OF SUR.VEY
For MARK JOHNSaN CONST. '
?<
A? I
a ` v
?
O ,
? ?? ? ?? `? --?'?
b ',r ^??
t ! ,
n%` IA ? .? ??„L ! ?? ri ??'rtq9 ,?ti ?
r?,, 1/ ? l ? \ /? / •? ?st. ? ??
v ? ? ? ?? o a• o'?° ??? ? ?.
a
L k.3
?
\Q
0 4?,'? a q ? 3Q
? . ?
I`
`
• a ?
/N, ?4} b, ? ? ,b ?, i,'r? ?c-?, ? o
,t O ? ?\ .? ? ? ?
s. P
0 ?G Iz n?bfi 3 p'' - s
o / S?? •? ?? ? ? 0 ?ti
,?? ?? ? ? ? • ?IL ay?
? J
N
?
? ? BENCH MARK
d V?. n ? TOP OF PIPH
? HLEV..?gTZ.92
v t
, ?: 9 ? ?,? • (? ?
r\ Q^1 ` v` ?
I \- ?
James R. Hill, Inc.
Page 2 of 2
-?06i?00(3
CITY USE ONLY
L ?2 BL RECEIPT #:
SUBD. n DATE:
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
x_ New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: _ ('G- -Q`1 _ GI rEi-)
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)(y) la•UO
? State Surcharge .50
TOTA L C?D
SITE
OWNER NAME: I?G•rI? :?ht1?"? 1 PHONE #: ?H 7(G
INSTALLER NAME:.
C-A
STREET
CITY: STATE:
?
ZIP:
PHONE #: (u V `? l?q_ U? 0
UTIA ,
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 dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION tNTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: , $25.00 minimum fee gs 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgmjt fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTs ONLY)
fNSTALLER:
ADDRESS:
CITY: STATE:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
ZIP:
CITY INSPECTOR
L Iq BL CITY USE ONLY RECEIPT #: ??-/Q?
? ?
SUBD. W4ta ? 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 21•l ?
Water Closet 3.00 x CD 100
Bath Tub 3.00 x _ . o
Lavatory 3.00 x ? =
Kitchen Sink 3.00 x 1 = c?
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet " minimum -1 3.00 x
Rough Openings 1.50 x 1 =?
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
TOZAL 3t? •(DL)
SITE ADDRESS:
OWNER
INSTALLER
STREET ADDRESS: \ 2?
cinr: R&c,'s
r Wse1
STATE: ZIP: 55cwb
PHONE #: (lpl'2 ";VD ,
Ltw.
.
" ed
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
CONTRACT PRICE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? all commercial/industrial buiidings.
? multi-family buildings when separate permits are n,Qt required for each dwelling
unit.
DATE:
WORK TYPE: _ NEW CONSTRUCTION . _ _
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF S0, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE IN5TALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER IS8UANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ermit fee due on ali permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITt ADURt55:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cinr:
PHONE #:
STATE:
ZIP:
SIGNATURE:
APPLICANT
OFFICE USE ONLY
ADD ON REPAIR
DATE•
STE. #
I METER SIZE: " DATE: INSPECTOR:
L BL 2-- CITY USE ONLY
,
SUBD. ?
RECEIPT#: /0?5-73I ??O•?O
RECEIPTDATE: LI'ID "dc)
PERMIT# 403I9
2000 PLUNIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I4NOB RD
EAGAN, DN 55122
651-681-4675
Piease complete for: A single family dweltings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
PIXTURES
TOTAI
Akerations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newirerurbisned ` requlres MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repairlrebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Under round sprinkler Ndweliing is underconstruction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $ d. U
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under constructlon 5.00 x = $
Water softener If ezisting dwelling 30.00 X = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> -> ---> --> $ ?
Reminder, Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------------------------- - ------ -------- ----------------------------------------------------------
I heraby adcnowledge that I have read this application, state thet the infomiation is cortect, and ag2e to compy with ali applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities constructed under this permit wkhin City property/right-of-way/easement.
EACH #
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
V1()1,
G1A TEL PHONE#:?
(AREA CODE)
TELEPHONE#: 6012
? ,`v?_ q, ,., `. J (AREA CODE)
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STREET ADDRESS:
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cllY: ? 4t 10 V i
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SIGNATURE OF PERMITTEE
220897
OFFICE OF TME PEOISiFU11 OF
TIlLE9 • WImfA COIlJfY. MK
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OFflCE OF THE COUNTY
RECORDEF4-DAI(OTA GOUN7Y, MN.
CERTIFlED THAT THE WIMIN
INSTRUMENT WAS FILED FOH
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ON ANO AT
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DOC NO 9moi1
JMAES N. COUNTY f1ECOfiDER
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RIMGS NOOD 2N0 ADDIt2011
PR6SSDRE REDOCIIIG VALnE 71GSBLMBIi?
TH/Zf AGHEEMENT, made and enteced lnto tAe 4-1?# anY o_
, 19890 by nnd between the CITY OF EAGAN# a
ltunici lity o! LAe Stete of Nianesota, (Ae[einafter callea tre CITY,
and tl?e owner and the Developer Sceatifiec hetela.
The tecros 'Developer• and •Ovnec• ea uaed hezein refer to HORNE
DEVELOPMENT CORPORATION xhose address Se 3650 Cozonatlon Road, Ee9an,
MSnnesota 55122.
NBEREAS, the Developes hae epplled to the City for appcoval of
tDe plat o[ aubdivision known ae KSNGS WOOD 2ND ADDITION, loceted
ric>!n the Cityt and
NHEREAS, the Ownec and Developer egree to notify the proposed
potentlel buyeia of aal lots wiihin RINGS WOOD 2ND ADDITION that Lots
27, 28, 29 and 30, Block 1 and Lota 11# 15r 16r 17r 18# 19, 20, 21#
22r 23, and 24, Block 2 are in e hlgh wntec ptessure zone nna a
pressure reducing valve shall be installed in each hane below the
elevation of 875 feet. All costs shall be the reaponelbility of the
Owner and Developes and ahall De inetalled to ptevent camaqe aue to
high water presaure.
NRi, THEREPORE, the City, Ownec and Developec e9ree ae follows:
l, gp or tna, This agreem:nt shall be [ecorded with the Dakota
County Recordec so as to provide notiee to the a+aesa of Lote 27, 28,
29, and 30j B1oCk 1 an6 Lota 14, 15, 16r 17r 18, 19, 20, 21, 22r 23#
and 210 Hlock 2r RINGS NOOD 2ND ADDITION. The owner shall piovice ano
ezecute nny and all doouments necessacy io implement the iecorcin9 ot
thie agreement.
y. Notice. The recordinq of this document shall constitute
notice to all ornecs and Suture wne[e of propesty in the RINGS fiCOD
2ND ADDITION that Lots 27, 28, 29, an3 30, Block 1 and Lota 14. 15,
16, 17, 181 19r 201 21, 220 23, and 240 83ock 2 ace in a higd ratec
preaeure sone and tDst a presaure reducing valve adall be Snstaliea
in eacA Aame belov the elevation o! 875 leet. All coata shall be the
responeibility of the Buye[ and ahall be installed to pteveni damage
due to higA wetet preasure.
3, v?giaicv. If aay portion, section, subsection# aentence,
clauee, peragcaph oc phreee oi this agreement ie for any cenaon held
to be invalid, eueA decision ehall not affect che valioity of the
=emaining portion of this Contract.
4. eindina aqreement. Tha pnrties mutually tecognise and agsee
thai all terme and conditione of thie recocdable egreement ahall run
wleh the land derein deacribed and ehall be binaing upon the hei[s,
suceeasore, adminietsatore and nsaigne of the ownera and developecs
refeseneed in thia Contrac[.
IN NITNESS NHEREOF, we have hereunto aet our han6e.
CITY OF AGAN RiNER ANU DEVELOPEN
(Dates • ) BORNE DEVELOPMRNT CORPORATION
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By= gy; m
Ite Mayot J
AtieBts A-"'' ?-
Its C rk
STATS OP !lINNESOTA)
) e8.
COUNTY OF ?)
On this ?N day ol k P- , 1989, before me a Notacy Public
rithin and foc saic County, personally appeared VICfOR L. ELLISON ana
E. J. VanOVERBExE to me pecaonally knarn, rho being each by me ouly
awocn, ench uid eay that they are reapectively the !layoc and Cleck of
tde City of Eagan$ Lhe municipnlity named in the focegoing
inatcument, and that the ssal affiYed on behalf of said municipality
by autbocity of ita City Council and said Mayor and Clerk
acknwledged said inetrument to be the free nct and ceed of saie
munieipality. ,
OoPr, ...r......M ??/.GGC
wnn L wutntnrFnnc
,xy??l p:MrNriG-Mn/MfOfA Ntac ?
p{i?iC
!-:4 DAKOTA COUNTY
? r? teirnvs 6r !a l NA
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1
i
STATB OF MINNESOTA)
) sa.
COUNT! OF otet )
On this QEL! day of M+y , 1989, before me s Notacy Public
witnin snd for eaid County, personally appeezed
.T.rmes 8. £ 4nd- to me ctenally. _.,
knovn, vho being eaek Dy me duly swocn, reeb did eay that s+
TlsplelfY!}1? th! PRE"e??r !rib of the Corpo[ation nemed in the forego$ng ,..
inatrument,
ii-o and that said instrument wns, .
aigned ard-eeedrtd on behslf of said corporation by authority oi ite
Boacd of Directore and sald 'YRFS.e...?r awe-
acknowlecged iala instcument to be td¢ tce.e
ncC and deea of the co[posation,
C'?
c ,
E62AeETN A. WITT
wWtA
y norenrwouo•ruwY0
DAKOTA COUNTY NOtLly Pub11C
rye.?..+w.•t?ww?K7N ..
APPROVED AS TO FORMt
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C' y Attocney' t" e
te:
APPROVED AS TO NTENTt
•'i
Public W?ocka De rtme t
DetOe ? 7?.. g
R9I8 INSTRtlMENT NAS DRAFTED BYs
MCMENOMY i SEVERSONt P.A.
7300 Naet 147th 6ireei
P.O. Box 24329
Apple Valley, MN 55124
(6G1??1D32-3136
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_ _ _ _ _ _ _ - _ s _ _ _ _ -
For Office Use
Permit#:~t`y.3
City of Eayn oUPermit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
-y 2009 MECHANICAL PERMIT APPLICATION
Date: t L"" 71-4 '1 Site Address: C_f , `2. cI
Tenant: Suite
RESIDENT / OWNER Name: A`' 0tA(1~ Phone: r .1- I- ~ tO
1.~ rl
j o S 5
Address / City / Zip:
CONTRACTOR Name: BURNSVILLE HEATING &A/C, INC License #:Q kaa? Z T) i3
Address: 3451 W. Burnsville Parkway
Suite 120
City: Burnsville, MN 55337 State: Zip:
Phone CA S1_ (C(LL Contact Person: r""`yiflg--
TYPE OF WORK New Replacement Additional Alteration /1 _ Demolition
Description of work: \ 11 ^Q1 P-ma . t f of rl
NOTE: Both roof mounted and ground mounted 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
XAir 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 $ x 1%
$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 the case of work which requires a review and approval of plans.
1
x( \nx I x ~X Y7~]
Applicant's Printed Name Applicant's Signature
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116663
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 1481 Kings Wood Rd
Lot:19 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-190
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Michael Schrader
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 -
Horne Dev Corp
1481 Kings Wood Rd
Eagan MN 55122
(651) 271-0840
All Season Remodeling & Exteriors Llc
17344 Puma Street NW
Anoka MN 55303
(763) 444-1373
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152743
Date Issued:10/30/2018
Permit Category:ePermit
Site Address: 1481 Kings Wood Rd
Lot:19 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Dennis Tste K Mangan
1481 Kings Wood Rd
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature