1485 Kings Wood Rd
Sep. 28. 2010 10,15AM No. 6830 P. 2/4
Use BLUE or BLACK Ink
FPr -1. Opp. '50
Cit of Wan ~ ` I Permit I
Permit Fee: 1 27- `
3830 Pilot Knob Road I I
Eagan MN 551221 ; Date Received: o I
Phone: (651) 6754675 I
Fax: (651) 678-6694 Statf: t i
2010 RESIDENTIAL BUILDING PERMIT APPLICATION /n5
Date: b Site Address:
Tenant: Suite
~c~.' S1 "1
RESIDENT I OWNER Name: Phone:
Address / City/ Zip: 1 rS Icl U ' 5,56
Applicant is: _ Owner Contractor
TYPE= OF WORK Description of work: h) tf-rivIdd - l
Construction Cost: Multi-Family Building: (Yes No,i:~j
CONTRACTOR Name: 0, 12 w .l-I~SC License lk &C.Lt 1 R n I.Q C)
Address: S,La. O (Y) i o, Xot City: !M ~Jn .t]~i1(1I i' -
state: M1j Zip. C) u. Phone: 1 a c ~I 1
Contact:' i 6--Nd if- 1Z Email: m'i c e,l 41, e Ut (Za , Cbil-P
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 R 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 Pf you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities, wvyw.gooherstateonecall.ora
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 epplloation 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 p '
x
x r r h~/~. l toe/ 5-P3
Applicants Printed Name Appil nt's Signatdro~
Page 1 of 2
Sep, 28. 2010 10:15AM No. 6830 P. 3/4
n o s d.
DO HOT WRITE BELOW THIS LINE
Sus TYPES
- Foundation - Fireplace Porch (3-Season) ` Storm Damage
single Family Garage - Porch, (44mon) _ Exterior Alteration (Single Family)
Multi Deck Porch (ScroordGazebo/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
Alteration - Fire Repair _ Windows - Demolish Foundation
- Replace - Repair _ Egress Window - Water Damage
Retaining Wall 'Demolition of entire building - ghre PCA handout to applicant
DESCRIPTION
Valuation 444 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%Z Zoning City Water
Census Code hr 3~ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
'type of Construction- Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.Q. 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: Footings Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEE97
Base Fee 7 3
Surcharge
Plan Review
MCES SAC _
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
II~~
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154043
Date Issued:02/13/2019
Permit Category:ePermit
Site Address: 1485 Kings Wood Rd
Lot:20 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-200
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Garage Heater
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 -
John Simonsen
1485 Kings Wood Rd
Eagan MN 55122
(612) 964-3373
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
} C
For Office Use
I~~ I
LUfIJ ' I Permit#: I
non 6
City of EaRd I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I j
Staff:
Fax: (651) 675-5694 L -----I
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /;5) ite Address: 4-1 ~C i w~S del L
Tenant: ~t~~ t< Suite
RESIDENT /OWNER Name: Phone: e-'-
Address/ City/ Zip: Hu, - ri -~q S We o 4 12 j
CONTRACTOR Name: c! `✓I ~lv i License M s S~
Address: 0 Y7 City:
State: Zip: Sv 0 C Phone:
Email: q l? Y ~~fUt Ca/` ,:~-U
Contact:
TYPE OF WORK _ New Replacementt~ _ Repair _ Rebuild _ M~dify Space _ Wo in R.O.W.
Description of work: e ' 9- ~ - v -ti(C ~p u~ • ~f s o"~ F. 2'x t, r1
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:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.goi)herstateonecall.org
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 lin.~the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test -Final
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. +l a t
Eagan, Minnesota 55122-1897 Date issued t rz J•??.
I (612) 681-4675
I SITE ADDRESS:
I .. i iJ•. . Ili??iir .i?l?
PERMIT SUBTYPE:
t+ ?si u? ?
APPLICANT:
TYPE OF WORK:
!I!?'H11f 1 Y
ra i f I
INSPECTIOtJ D• . DA
, ,
Parmit No. Permk Moltlw Date Telephone R
ELECTRIC
PLUMBING
HVAC
Inspecdon Dete Inep. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
?
DECK FINAL ? Q
INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 14
Eagan, Minnesota 55122-1897 Date Issued: '`•'? ?"'
(612) 681-4675
I SITE ADDRESS: ' APPLICANT:
'i?
I
i'..' I i 1'{Ii', (!{?till litl ; .? ' UK? i I ?11 1 i'!?
I ': rlr? . t3uu1) . tJU il (;I 1 t;f,i,- i t i S)
PERMIT SUBTYPE: TYPE OF WORK:
! , , > . r.t 114
Parmit No. - Permit Holdx Date Telephone k
ELECTRIC
PLUMBING
HVAC
InspecNon Data Insp. Commanta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBO
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
°ZS(
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
• • ,.
?' ? .
i
WCL'tiftCRtC Df cCCIipRtiC4
Wit4 of cpagatt
ZOartraeut oi 15x0ixg 3n4pection
This Certifecate issued pursuant to the requirements of the Uniform Building Code
certifying thnt at the time of issuance this structure was irt comptiance with the various
ordinances of the City regularing building conslruction or use. For the following:
utt cin,if,u;m SF DWG ebg. pe,,,,;, No. 23606
0-wa-r TYx R3/t'? 1 Zming rnuick R i rype ca,st Vn
o? oreuiwbn6 [WIBILT INC wam? Q516 C1MM %h4D. ffiIM
ewkiinB naa? 1485 KINGS WOCD R(aAD Lo.AKy I.20. BZ. KI+1GS WOOD 2rID
?{?-(- c?.L
Dc
Baw6g ??
I
POST IN A CONSPICUdUS PLACE •
?l
CIT'Y OF EAGAN
I • 3830 Pilot Knob Road
Eagan, Minnesota 55123
I (612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
PERM(T TYPE:
Permit Number:
Date Issued:
PERMIT SUBTYPE:
, I:
APPLICANT:
TYPE OF WORK:
ril i,
r;i+tt r?INi;
N.`:ShNt.
cff,/.•7/?iv
INSPECTION ., .
-'IY'lhf'. I .A
i 11?.11 : r.:
. i ? t. " . I' k V
ibl: L.I( '. I t.) NP A {'i !in
Permit No. Permit Holder Date Telepbone fk
S/W
PLUMBING
HVAC q ? /3
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
r
Framing j Q
Roofing
Rough PI6g. ?q
I
N
Rough Htg. ? .
Isul. ?,2 ??1G`- ?
?
Fireplace
.U
Final Htg. `3-cJG
/ ?
Oreat Test ?
Final Plbg. Plbg. tnspector- Notify Plumber
Const. Meter
Engr.lPlan
Bldg. Final j
4 ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
i -. , . t i ri
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
11 1 tutNi;
; 41C.r'h
al?.' a/o7
` "°' APPLICANT:
ss l. i, , ,
hr',
TYPE OF WORK:
Ai rr RAI ifM
INSPECTION ., . .A
'
I !tK`;s ^ati'At2lbCE {'FF?Mlil'• HI?C N1;t11iTitf li filft pIR13 T. I''1_t':1:IRtC Rt. WO F:K
Permlt No. Permit Holder Date Telephona S
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
?s
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
K 1444 a' Y6y 7
?
'
? ? ??
4?
Raquesl O te
f
? Fire ugh-in Inspection
eQu{?7
p Ready Now 6?Will Notity Inspecla
R
?
C
?L
l Yes _ No When
eatly
I [$'licensed contractor rJ owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Boz or Roule No.) Gity
?
sw????o
Seclion No. Township NarnA or No. Range No. Coun\ty i?lLcTr?
OccuOaM (PRWT?
U Phone No. Q_A2
'%.\o:\t 35-245? z3- zo
PowerSupplier Adtlre55 SSQZy
" 3U ) .?c. .-?
cal Conlrador (Company Name) CoNractor§ License No-
c??
Mailing Aedr s fContractor or Owner Making Installation
Authorizetl aWre IContr ctor,0 ner Making allaUOn Phone Number
?3l - 130
MINNESOTA STATE 80ARD OF ELECTRkITY ~ Tt11S INSPECTION REOUEST WILL NOT
Grlggs-Mldwey Bldg. - Room 5-173 8E AGCEPTED BY THE STATE BOARD
1821 University Ave., SI. Peul. MN 55706 UNLESS PROPER INSPECTION FEE IS
Phone (612) 802-0800 ENCLOSED.
to?4/ 40 9 fL
K 4442
- . a. ?.
REQUEST FOR ELECTRICAL INSPECTION
? See instruElions ior cogpleting ihis fonn on back of yellow copy.
"X" Below Work Covered by This Request
ee-ooom-oe
tT ???? ars9?'
ew A&/ Rep. TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service ?-
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./Industrial Fumace
Farm qir Conditioner
Other (speciry) ConVador's Remarks: Compute Inspection Fee Below:
ii Other Fee # ServiceEMranceSize Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps 0 to 100 Amps • ? O
Transformers Above 200 _ Amps Above Jp0 _ Amps
SIgnS Inspector5 Use Only: TOTAL
Irrigation Booms
Special lnspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MgMHS. (
I, the Electrical Inspector, hereby
tif
th
t
h
i Rough-in
? e
lY
cer
y
a
t
e above
nspection has
been made. F
inal oare
d
OFflCE USE DNLV ?
This requesl voitl 18 months 1rom
.ti
440-552
`\ /
, REQUEST FOR ELECTRICAL INSPECTION 7v
? Minnesota State Board of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Du lex Apt. Bldg. Oiher: New Addn
Commercial Industrial Farm ?j Eemod Re air
' Air Cond. Hf . Equip. Water Htr. Load Mgmt
. Other:
D er Range Elec. Heat Temp. Servi
ce
"X" above the work covered by this requesf. Enler remarks in this spoce and on the back of the white copy only. "'i'"
Calwlate Inspection Fee - This Inspecuesl wilf nol be occepte t ihe correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feedere Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
S1reeT Ltg./Traffic Sig. Above 200_Am s 100_Amps
TransFormer/Generafor INSPECTOR'S USE O TOTAL
Sign/Outline Ltg. Xfmr. ?-
Alarm/Remote Control L
Swimming Pool
I hereb cedi Ihot I e-ekctrica 'nstnllation m Ifie dates d
Irrigation Boom RougMn Daf
$pecial Inspection
Invesligafive F
ee
THIS INSTALLATION M
Y BE O fin
Daie
RDERED DISCONN MTED IF NOT COMPLETED WITHI 78 MONTHS.
?-o j/^ 7 OFFlCE USE ONLY This request vaid 18 monihs from validalion d ? aM printed^in th?isb/? x.
7 7 X
? IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII???????-???a?rJv/f ?
0 44 0 5 5 2 8 * PLEASE PRINT OR TYPE
Request Data
RouI+in ins eclion r uired$ Yes
g p eq ? No Co
Inspection Other Than RougMn: ? Ready Now ill ll
3' - _ • (You musf coll the inspecror whe reody) Date Reody:
I, licensed contraclor ? owner hereby request inspection of the above elechical work at:
Jab Address (Skeet, Box, Roure No.) Ciry Zip Code
L1?5 ` Qe, e?
Secfion No. Township Nome or No Range No. Fire No. , County
Occupant
?? ?\ ?-j Phone No
i1A C??? .
Power Supplier Address
--ey-
Elechi Conhactor [Com ame) Conhor.to, License No. Masler Lic. No. (Plont Elect Only)
Mailing Address (Conhottot or ner Performing Insfallation?
- r?
/ (45
q ?
AWharized $ignoNre lConho r or Owner Performing Inskllati n)
i•
Phom No.
EB-0000 LE" /96 _____ _"__ LIS-
1485 KM woCD ROAD Zip 5512_2,
L.ot zo Blk 2 Sub xares wooD 2nID
'THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6".from siding) 1/11
Petmanent steps (garage) LIll'
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
F) 1, 8 0`22"? +
2007RESIDENTIAL BUILDING rEwMIT arPLIcATIoN
City Of Eagan o?-Luvr--
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
rew cmswwan Rern,ffments
3 reg'slPred site surveya shawing sq. ft of lot s4. R of house; and all roofed ares
(20%marnnum lot ooreaage allawed)
1 Sa'Is Repat iF pmposed bw7d'mg is to be placad an disWrW soil
2 aopies af plan shawing 6ewm 8 window saes: Poured famd dcsi9q eh.
1 set of Fsergy Calailatiais
3 copies of Tree Preserva6on Plan i( lot plattad after 7/1193
Rim Joist DefaB Optiats seleGion sheet (buildirVs wMh 3 ar less unils)
Mnnegasoo mechanical ventilation fam
RWiodeuReoac Rewffemeats
2 caqes of plan showin9 boOW, bearns,pisb
1 set of Fnergy Cakulations tor haeted additions
t site survay ta addi6ons &dodcs
Add'?bon -indinate i/on-site septic system
Plaros are consideeed ub9ac ingormatimea unless ou state the are trade secret anc9 the reason.
Date /6/ a / o=-7
Site Address I?I gJr 4el tr$j k('jCI_J en
Constroction Cost 7X ?
?OGtGl Unit/Ste #
Description of Work 7m2 O? fl RL°-S/de ndrl7b lG9i/IC'1MY6
Malti-Family Bldg _ Y? N Ftireplace(s) _ 0 _ 1 _ 2
Property Owner (.,,'71AL £2 Telephoae # ( )
Contrsetor 7?Q?/1 Wlla SAdl`7tU PI jD'7f1sSf?iNaS
Addreac ?p(iq %'l1?YJtS,4k Qxj
State ocqzq,?4 City sx• 14st.?
Zip K%51lq Telephone #((S/ ) o?Jr o'Wq
COMPLETE THIS AREA ONLY IF
Energy Cade Category Min°es°ta Rules 7670 Cateeorv 1 _ Minnesota Ruies 7672
. ResidenHal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+I suhmission type) Submitted S ittll `???? -?
• Energy Ernelope Cakulatlons Submilted I n'
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a mastElaoxj Q g 2007 "
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
A NEW BUILDING
Telephone # (
Telephone # (
Telephone # (
Offioe useo?n
Cert of Survey Reod _ Y _ N
Sals Report _ Y _ N
Tree Pres Plan Rea! _ Y _ N.
Tree Pres Requeed _ Y _ N
On-siEe Septic System _ Y _ N
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 nat to statt 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.
LMc? 9991' ?r
Apglicant' Printed Name ppii nt's Signat e'
?a ---
?(
20(17 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagao
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675 FAX # 651-675-5694
New conswaion Reauuemema
3 registered sihe surveys shqding sQ. ft of bf, sq.1t of house; and aU rooled areas
(20%ma)(mum bt coverage allowed)
1 Sals Repat'rf proposed buiking s to 6e placed on dislurbed sal
2 capies of pian shwdng heam 8 windwr a¢es; Poured famd de.tign, eOc.
1 set of Energy Calculations
3 capies of Tree Presenation Plan'rf bt pial6sd after 711193
Rim ,bist Detail Opfions selection sheet (buikfings rritli 3 ar less unila)
RemodeURmair Rewiremerts
2 copies Of plan showing footirgs. beems, joists
t set of Energy Calculatias for heated addfiom
i site swvqr for edditions & dedcs
AddLi 'on - indicate if a?sile septic system
Telephone # (
Mnnegasco mechanicat ven6laLOn fam
PEaeos are corasidered publ6c anformatBon umless yoen sta4e ghey are trade secretjand the reason.
Date 0? f"? ? s `?? Construction Cost 4goo
Site Address /W5 elzp [' Q C{d Unit/Ste #
DesckpiionofWork /a.l4R-?' %l9SUli 9s`?'O!? - 6v fAe '«C67 Q,Qv lA Chfrd cvv /Jw-e
Multi=Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Owner
Pro
ert T
l
h
#
p
y ep
one
( )
e
cootrecto;-/Q?n
Address ?'?0 L? T/Ci¢?Ud f K /(DaG? 'A?i???' City a(?? •/Y'?? ?
State `''77 /I) Zip SSI / Telep6one # (a I) ?S S • ,*`t1q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Ru1es 7670 Cateaorv i Minnesota Rules 7672
En2tgy COd2 Category 0 Residen6al Ventiladon Category 1 Worksheet • New Energy Code Worksheet
(4 gubmissiOn type) Submitted Submitted
• Energy Ernebpe CalcLdations Submitted
In the last 12 monihs, 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 # (
-t cKn
(??15
! eg)
?V
orfioe use onW
CetofSurveyRecd _Y _N
Sods RWwrt _ Y _ N
Tree Pres Plan Recd _ Y f N.
TraeResRequired _Y _N
on4ha Septic Syslem _ Y_ N
Telephone # ( )
rJ.
1 hereby apply for a Residenrial Building Permit and acknowledge that the information is compiete 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 pemut, 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.
/IL4 (/jVff1 %
Applicant's rinted Name plic 's Signature
DO NOT WRITE BELOW TT.-IIS LINE
Sub Tvaes
? 01 Foundation
10 02 SF Dwelling
13 03 01 of _ plex
0 oa o2-34eX
? 05 03-plex
? 06 04-plex
? W 05-plex
? OS 06-plex
? 09 07-plex
? 10 oaaeX
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Firepiace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Poal ? 30 Aocessory Bidg
? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 23 Porcfi (scxeen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
Work Tvoes
? 31 New
? 32 Addition
? 33 Alteration
7 34 Replacement
? 35 Int Improvemerrt ? 38 Demolish Interior ? 44 Siding
O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
•Demolitbn (Entire Bldg) - Give PCA handout to applicarrt
D28Cf1Dtion: Water Damage _ Yes
Valuation 8 0 d . o O
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
?
Occupancy .?-'(Z C' 1 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Vlfidth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
Framing
Fireplace R.I. Air Test Final
? Insulation
Approved By: -L'I
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
XJ Final/No C.O.
? HVAC
Othes
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco Lath ` Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Perrnit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
LAW OFFICES
STICH, ANGELL, HI2EIDLER & DODGE, P.A.
THE CROSSINGS, SLJITE 120
250 SECOND AVENUE SOIITH
MINNEAPOLIS,MINNESOTA 55401-2190
"PL'LEPHONF, (612) 333-6251 • FACSIMII.F. (612) 333-1940
ROBERT T. STICH
JOHN F. ANGELL
MICHAEL S. KREIDLERI
KENNETH W.DODGEI
JAMES D. KNUDSEN*]
LEO I. BRISBOIS
LOUISE A. BEHREND'I
GARTH J. UNKE*Z
Si'ACEY L. SEVER
JOSHiIA G. HAUBLL
? cERTIFrso cIvn. raw, srecInLIsT
I ALSO ADMITCCD TO
PRACTICC IN WISWNSIN
2 Al,SO ADMITTE.U'I'O
PRACTICE IN Q.LINOIS
City of Eagan
Building Inspection
3830 Pilot Knob Road
Eagan, MN 55122
Writer's E-mail Address:
j h au b I cn s t i c h t aw. c om
Writer's Direct Dial:
(612) 305-4525
January 31, 2007
Re: Joel and Randee Glaser v. Unibilt, Inc.
Our file no.: 22514
Dear Sir/Madam:
We are involved in litigation regarding the above-entitled matter. I would appreciate receiving a
complete copy of the City of Eagan's file regarding the single family residence located at 1485
Kings Wood Road, Eagan, MN 55122. We would appreciate receiving a complete copy of the
permit and inspection files, including but not limited to, building plans, permits, inspection
reports and notes, conespondence, handwritten notes, certificate of occupancy, memoranda, site
maps, and photographs. Please advise us as to the cost of copying these documents.
If you have any questions, please feel free to contact me.
Very truly yours,
? 67i?.- ? ?j-, L?
Joshua G. Hauble
!'J I G, i I,.'/ I?- U
FE8 0 5 2007
06/07/2006 15:27 IFRX fax@murnane.com
06/07/2006 15:24 ERGAN ENG+COM DEU 3 92235199
C ity of Ea a?
?
aat Geagan
LUYCM
F'e99Y Carlson
Lyndee frelds
Mike Maguive
Meg Tilley
Couwt? MoeeRs
Thomas Nedges
Cm AoeaasmAmw
MunxmAL GUMM
3830 Piiot KnoG Road
Eegan, MN 55122-1810
651.675.5000 phone
651.675.5012 (8)c
657.454.8535 TDO
MnatrenaNCe Fncaurv
3501 Coacnman Point
Esgan, MN 55122
651.675.5300 phane
651.675.5380 fax
851.454.8535 Tpp
www.cllyofeegen.com
Tne LoHe Oaa TAu
The Syrtlb0l Of
strength and growih
In our communify.
TO: Chris Angell
30 E. 7`h St. Suite 3240
St. Paul, MN 55101
Fax 651-223-5199
AT"I'EN'TION: Debbie Barton
FROM: City of Eagan
Connie Edwards, Building Inspection Dept.
RE: File information on 1485 Kings Wood Road
Mumane Brandt File # 54411
COST: 43 pages at .50 = $21.50
File will be mailed as soon as payment is received.
? Inbound Fax a 001/001
N0.845 1701
GG''?k
a01
Go? c?
?--?
,;UN 2GOo ?IU'
? I
MN.SALES ANp USET/W{E8
MN 9FATE TAX 6 6.59e
STA7€ VARIABLE Ii/lTE TAX ? 96 $ ?
tOCAL TAX 0 O;S% 5, •' ?
OTMER VARIRBLE RAITE TA'X O?%'S 4
TOTAL TAX TO BE PAtO $ S?
May 31, 2006
CITY OF EAGAN
ATTN: BUILDING INSPECTIONS
3830 PILOT KNOB ROAD
EAGAN, MN 55122
Replv to St. Paul
Re: Residence located at 1485 Kings Wood Road, Eagan, Minnesota
Our File No.: 56411
Dear Sir or Madam:
I am an attorney representing the builder of the above-referenced residence, which is
now the subject of a lawsuit. By this letter, I am respectfuily requesting to be furnished
with photocopies of certain documents from the City of Eagan's file. Specifically, I
would like to be provided with copies of the certificate of occupancy, all building permits,
all applications for building permits, and all inspection records. You may fax these
documents to me at 651-223-5199 if that is most convenient for you. Otherwise, I ask
that you mail the documents to me at your earliest opportunity.
Please let me know if there is anything else you require in order to honor my request.
Be Regar s,
,
Chris Angell
Attorney at Law
canaellCa)mumane.com
CGA/703505
- _ . - - r; '•-',i 1 i p 'i ;,
?; ?- ? ?? •;
- -- , .
t?
. ?t IN !l? ? ?;('?(tG; ? il
i
Minnesote Office 30 East 7th Street, Suite 3200
Wisconsin Offlce 539 South Knowles Avenue
Saint Paul, MN 55101 4919
New Richmond, WI 54017
P 651 227 9411 F 651 223 5199
P 715 246 3910 F 651 223 5199
www,murnane.com Established 1940 A Professional Association
PERMIT
• CaY OF EAGAN
, 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029614
03/20/97
SITE ADDRESS:
1485 KINGS W000 RD
LO7s 20 BLOCK: 2
KIN65 WOOD 2ND
P.I.N.: 16-42001-200-02
DESCRIPTION:
ermit Type
Qrr?? T y p e
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$60.08
$. 5 0
$50.5@
FIREPLACE
NEW
434 ALT. RESIDENTIAL
?'"? ?, ?? ??4% ? ? J'kti????
T r F a um s?. .?? tn? ?ff
CQNTRACTOR: - A p p 1 i c a n t- OWNER:
_qSEASONAL CONTROL INC 18661310 SPRANG BRADLEY
7620 LYNDALE AVE S 1485 KTNGS WOOD RD
ftICHFIELD MN 55423 EAGAN MN 55122
(612) 866-1310 (612)686-5084
,
? tM?? a?a`Ci?on a:nd state thaC the? .
? I hereby, ackno;wledge; that"1 haue read
infa:rmat?i on is, carr pct;a,nd agre;? to.?comp`l.y w?t'h° ?11 apPl`i?abl?e?Cate of,Mn..
J£ y ?° `L3 =L 4 * Y & ° .t .
5tatutesa and City of, Eagran Qrd1;nan?e„s
? . _ _ . .. r .. , o ...., _ . , < _ ... . r . .. . ... e clf?°.?.: .. .,.... 9 .!'??` .. . .. . ?
\
APPLICANT/PEFMITEE SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERNIIT APPLICATION
= 681-4675
DATE: PERMIT FEE: $50.50
DESCRIPTTON OF WORK: _ CONSTRUCT Elv. 'V FIREPLACE _ ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
,,?,INSTALL GAS LINE ONLY
OTHER:
STREET ADDRESS: IZIv ?
LOT C?o BLOCK ?
. 1„)65
Gc?oo,
SUBD./P.I.D. #:
,
APPLICANT: (circle one only) OWNER CONTRACTOR
n?
?
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.
PROPERTY Name: Phone#:
OWNER
Signature:
Street Address: -14 ? 5 k\ i? G s l,Jo o c? ? d•
City: ? q q q State: t'l' (1) Zip: 5 5 I'Z Z.
FII2EPLACE Company: Phone #:
INSTALLER
Signature:
Street Address: License #:
City: State: Zip:
GAS LINE Company: L /nJ< - Phone #:
INSTALLER
?vz'?/ /
Name:
Signature:
StreetAddress:
City: i c- wx/-,?Zid State: , f? J/? Zip: 2
?.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERIVIIT
PERMIT TYPE:
Permit Number: B U I L D I N G
029620
Date Issued: 0 3 /2 q/g 7
1486 KTNGS WOOD Rn
LOT: 20 BLOCK: 2
KTNGS WQQQ 2ND
P.I.N.: 10-42001-206-02
DESCRIPTION:
R
ermit Type
bd,;k T y p e
., "
A
?-
? . ?` h . .. . . .
BASC-MENT FINISH
ALTERATION
434 ALT. RESIDENTIRL
'K^kui ?s',?
S? t ?-i 'T
n??FS
REMAEiKS:
5EPARATE PEF?MTTS flRE REQUIRED FOR PLBG & ELECTRICAL WQRK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $60.50
CONTRACTOR: - Appiicant - s?r. LIc OWNER:
UN?IBTLT INC 17234200 0001163 SPRANG BRAD
4516 DAKOTA RD 1485 KIN6S WOOD RD
BLOOMING70N MN 55438 EAGAN MN 55122
(612) 723-4200 (612)686-5084
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' SO
CITY OF EAGAN ?
. 3830 PILOT KNOB RD - 55122 '?/"????7 ?
681 -4675
New Construdion Reauiremen!s
RemodeVRenair Reauirements
? 3 registered sRe surveys ? 2 copies of plan
• 2 copies ot plans (inGude beam & window sizes; poured fnd. design; etc.) • 2 site aurveys (exterior additions & dedcs)
• 1 energy calculations ? 1 energy calwlations for heated add'Rions
? 3 copiea oi tree preservation plan 'rf lot platted aRer 7/1193
required: _ Yes _ No DATE: f? CONSTRUCTION COST: ? l07 0?00
DESCRIPTION OF WORK:
STREET ADDRESS: l`??? ??? ? S/? b•?' ? r ??L ?
• ?/4JJ y,
LOT aZ 0 BLOCK ? SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER
Street Address: :5?1474( 45? ??>
City: State: Zip:
CONTRACTOR Company: Phone #: -2 Z" 3•-
,?/' l?
Street Address: ?,Q? 754- &.40 License
City: SLIV-P) 1'L-G /A)4L--MAtate: MA)
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed piumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
i hereby acknowledge that I have read this appliqtion and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Appiicant:
_ Yes _ No
_ Yes _ No
?
CITY OF EAGAN
. 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
B,ui].ding?--Permit Type
Building W+a.r_k Type
;"UBC Occupancy?,
/f Construction Type
? Zoning =-?
/ 8uilding Length
? Building Width ?
?`- Building s'Cories
-_ i?f' ?
i.
0
BUZLDING
023606
05/27/94
SITE ADDRESS:
1485 KIN6S WOOD RD
LQT: 20 BLOCK: 2
KIN6S WOOD 2ND
P.I.N.: 10-42001-200-02
DESCRIPTION:
REMARKS:
PRV
FEE SUMMARY:
PERMIT c-R_j4G`f?
PERMIT TYPE:
Permit Number:
Date Issued:
SF OWG
NEW
R-3 M-1
V-N
R-1
67
39
2
}
S& W PLBR - WESTONKA PLBG
VRLUATTON $150,000
Base Fee
Plan Review
3urcharge
SAC
5AC %
SAC Units
Subtotal
$2,218.93
CONTRACTOR: - Applicant - ST`. Lzc. OWNER:
UNIBILT INC 18352453 0001163 UNIBZI.T INC
9516 DAKOTA RD 9516 DAKOTAQ RD
BLOOMINGTON MN 55438 BLOOMINGTON MN 55438
(612) 835-2453 (612)836-2453
T hereby acknowledge that z have read this applicatS.on and stata that the
information is correct and agree to camply with alY applicable State o'F Mn,
? Statutes and Gity of Eagan Ordinances. J
`
e4 ; - ?fioqu tlpilil
APPLICANT/PER ITEE SIGNATURE ISSUED B SI NATUREI
$814.50 h1T5CELLANE0U5 $1p82$.50
$529.43 Total Fee $4,047.43
$75.00
$800.@0
100
1
? ?? 9?(
L,3LOL
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
!'/i! Y,J !'' - I (.
$4. ?4,1 Ij
. ",
????pV??
/ td? A'Y
Q ? 1934
---------------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work !4_4q2;_Fz; CF'V_<?_ /..S?D Dop
Site Address:_?? (< to< 9o ? =71 477" :1-1
STREET { SUITE #
Tenant Name: (commercial only)
LOT OZ? BLOCK Z- ?$?};p
sUS P.I.D. #
?
Descri tion of work: a? <.' 'ir'-
The appl i cant i s: ? Owner ?VContractor ? Other (Describe)
Name ?T,C4/ja ??p?'•"t, PhoneEQY-9??4
Property IAST F1R5T
Owner Address 'f F?4-t-Z,(avp 4_1? ° `r,
STREET STE #
City State ?Vf? Zip_!?-?,33 7
Company (AA.) ( ?G r- Phone &7??z
Contractor Addressq E749? License #lr 6 3 Exp.
City E4?:rPD/?t?-u??? -c1 5tateZipS??
Company GakJtPhane
ArchitectJ
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Q.-l- rocessing time for
sewer & water permits is two days ance area as been approved.
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.
A
Signature of Applicant: "
OFFICE USE ONLY
B UILDING PERMIT TYPE
? 01 Foundation O 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
10 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 Nevr ? 33 Alterations O 35 Tenant Finish O 37 Demolish
32 Addition ? 34 Repair 0 36 Move
GENERAL 1NFORMATION
Const. (Actual) -A? Basement sq. ft. 116 MWCC System k?
(Allowable) lst F1. sq. ft. It&L! City Water
UBC Occupancy ? 2nd F1. sq. ft. PRV Required ?
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq.'ft. Fire Sprinkl er
Length
D
th 4V On-site well
it
O Census Code
SAC C
d
ep e sewage
n-s e
o e) f
Census Bldg ?
APPROVALS
Census Unit i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
C].Site
? Wallboard
P Footing
E3 Final
M Framing
? Draintile
Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Gopies
Other
Total:
vatuation: $ / Sa, U m?
--?
d9K31= /v73
?oa3 16
a;04 6_1? ?s k 3 7= 16 73 ksy ?
3Ux ??-- ?GO
a k av =_ `??
l{ = l/;?DU
/?? V s?
SAC %
5AC Units
LOT BIIRVEY CHECRLI6T FOR REBIDENTIAL
, J N BUILDING PERMIT APPLICATIO
?
m
oor
PROPERTY LEQAL: Q ~
? < ? Date of Survey:
? z X. DQCUMENT STANDARD3
V13 0 • Registered Land Surveyor signature and company
a • Building Permit Applicant
?0 ? • Legal description
0 ? ? • Address
[?a"?7 0 • North arrow and bax-scale
? 0 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
H?0 0 • Directional drainage arrows with slope/gradient t.
?D 0 • Proposed/existing sewer and water services
B' 0 0 • Street name
&`4 0 0 • Driveway
ELEVATIONB
Existinc
0 13 • Sewer service
0"' D 0 • Lot corners
P 13 • Top of curb at the driveway
? • Elevations of any existing adjacent homes
Pronosed
0`*?0 0 • Garage floor
9' Q 0 • First floor
GK"'D 0 •. Lowest escposed elevation (walkout/window)
D--?0
' 0 • Property corne rs
H
D 0 • Front and rear of home at the foundation
PONDSNQ AREAS (if avvliaable)
0 0' ? • Easement line
? 2' ? • NWL
? 80? 0 • HWL
0 P? • Pond # desfgnation
D 0' 0 • Emergency Overflow Elevation
AIMENBIONB
;r'O 0 • Lot lines
0 0 fl'-Right-of-way and street width (to back of curb)
.?"0 0 • Proposed home dimensions including any proposed decks,
oVerhangs greater than 21, porches, etc. (i.e. all
structures requiring perinanent footings)
m-l0 o • Show all easements of record and any City utilities within
those easements
?0 ? ? Setbacks of proposed structure and setback of adjacent
existing homes
o D----o'• Retaining w 11 e' ements, if any -
Reviewed: /?? ,?/??October 1992
26
'\;c
50/o, 14+90
------
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.,..-.,...: ?
?+in?j
?. .
vt.il?dl}7"?1'?.
.
4"??Ii?'{'?'1"i/?'C
. .
.
.....P'li?aLJ ....
?....,...
i_v Pfl?"' ...... ?uC.
(?
. ..
.. . ..........
................... . .
.
.
.
.
.
:.
io
.
. .
. .. ..... . . . . . ...... ..... .
............. .... . ................. :::::::.
. ............
.
................... :::::. :::
:.
........ .........
.
................... ..
..
.
. ... ...... .....
...................
.
..
17 18 19 20
•EX7fRlOR ENVELOPE AVERAGE "U".COHPUTATION
. - . , , •
S1TC ADORESS: lLIG?--'
COIITR.ACTOR: IL.! L "Y fJ G _ DATE: PNOYE:'
Pf7ERH1Nc 1JORKiP7G SOUARE FOOTAGE OF EACN:
? . TOTAL EXPOSED tJALt AREA, , , , , , , . -3 3 Z ? sq f t x "U"
2. TOTAL ROOF/CEiLING AREA.,...._. sq ft x"U"
3• T4TAL EXPOSED IJALL AREA CALCULATIONS- . Total exposed wall
area above `loor.,.,.,,. sa ft
a) Total wall winCCw area:
'3L qlazed......
? ? ?
?
sa
tt
x
??U??
g3zaee,.,,., sa rY x "U" _
b)
'Total deor area
??'
sq
rt
x I, II
U
?
.........
c) Total sliding gtess coor zrea: •
clazec...... ?1 ?O sG rt x "U"
glazed.... .. sa ? t x
d} Total f-ireplace wali arez sq ft x "U" _
e) Total wzll Traming zrea
`
"
"
f
%?
?
?
•,)...........
(Averzae 10-
se
ft
x
U
• -
= x
=
f) Total nei wzil arez above
floor (Insulzted)....... sG ft x ."U" .042-
G) Total riln joisi area...... ? ? rl sa fL x "ll" Ct- 2-
Total foundation
area (Exposed).......... sq ft
h) Total foundation
window area............. sq ft x "U"
1) Total net foundation
area above grade........ ?
sq
ft
x
"U"
. Q 7,6
_
3• • TOTAL a) thru 1)
if tLem ,.°•3 is the sane as, or less than item f1, you have met the ir,tent of
2 MCAR 1.16008 A and 0.
pago 1
• 4..° 'TdTAL EXPOSED ROOF/CEILING CALCULATIONS:
Toial exposed
roof/ceiling area........ / ? ?`? sq ft
J) Totai skyiiaht area....... sq ft x"U"
k) 7ota1 roof/ceiling framing
area (Averaqe I(1.9,) , . : . .. J ? ? sq ft x "U" - ? Z
1) Total net insulated
roof/ceiling area....... sq ft x"U" • o? 9 °-2 ?• ?
4, 70TAL j) 2 3.D
If totai of y?+ is the same as, or less than 92, you have met the intent of
2 PSC2,R 1.16008 A ar.d 0.. '
ALTERIIATE BUILDiNf ENVELOPE DESIfN
To utiiize the total envetope system method, the vaiues esta6lished by She sum
of items 93 and #4 sha1) not be greatet than the sum of items #1 and 92.
1. + 2.
"
3, + 4.
C E R T I F i C A T I 0 N
-------------
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the buildinq here.described meeta or exceeds the State
of Hinnesota Enerqy Conservation Act. • .
f / c-
i
S;Xa n a t u roT- _
A-?1' I
L7'/- -
(Date)
Page 2
.\ CERTIFICATE OF SURVEY U 4- 3-.9 4- for
? UNIBILT 0 N 8? ` i .
• l \
?NI`? ? ; \ 9`?96SA' F ? ? / .
I
.7o / V
. ,
• ? ??
\ TDO
\ Z
.?1?? g?,34? ? ?rn
1 ? ` . Q? ,? Jl4'
-.4
?g12'S%
8,?od- ? g
? ? ? gj ? ovge ?
I?GAN 17 QA B?'i.? ptoP ? e 8b1•2 ; °`` e'??`S $ z ,g72?9 ?
6??, / ,k ? \?gi2? ?$ `, - • ,? .. ? o $1?-
?1I M
3 p4' a?.16 ,
? 8 '??g ?? ? 5? ? ?3.? ??. ? •= ? ;???_ ?
? ? 1, ' ?'I'? g1/• 3 , ?
r1+3b ?,? ..? O?
o °
,
s ?
° oWa
Scale: 1" = 30'
DESCRIPTION q ?
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 20, Block ?
supervision and that I am a duly Registered KINGS WOOD 2ND ADDIT10N
Land Surveyor under the Laws of the State Dakota County, Minnesota
of ' nesota. Plat bearings shown
o Denotes iron monument
----?
Date Reg. No. 8140 ? Existing j Proposed
?---
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsviile, MN 55306
(612) 435-1966
? -_ _ _ 114- .*?-q4
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
V NEW CONSTRUCTION
ADD-OIa' A/C
ADD-ON FURNACE
DA'I'E 6 /'/
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OLTTLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTzuCTION)
STATE SURCHARGE
TOTAL
SITE ADDRES',
OWNER NAME
INSTALLER:
CTI'Y: FEES
ADDRESSAz_
$ 24.00
--6:A0-
?P-0
$ r5:66-
.50
z j, sc?
TELEPHONE #: Y3S` ? 4 s- .'.J
?U
STA
ZIP CODE: S-? ?__3
? O
TELEPHONE #: 13
SIGNATURE OF PERM
1993 MECHANICAL PIItMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
L A gL CITY USE ONLY RECEIPT #: / I% d J
o?
SUBD. RECEIPT DATE: ?
1998 PLUNMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122 '
(612) 681-4675
Piease complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 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 =
Water Softener `for dwellings under construction 5.00 X =
Water Softener ` for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinkler " for existing dwelling
? 20.00
Alterations " to existing residence 20.00
Water Turn Around 20.00 =
Private Disposal System " MPC iic. 75.00
(new and refurbished systems) .
Private Disposal Systems * abandonment 20.00 = I
STATE SURCHARGE .501
!
TOTAL ? ZU, S-0
------------------------------------------------------ --------------------------•-----------•-------------
I hereby adcnowledge that I have read this applicaHon, state thet the information is correct, and egree to compy with all applicable City of Eagan ordinances.
ft is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry propertylright-of-way/easement.
SITE ADDRESS: [ ? I !z e 1 N 56S L-,j
OWNER NAME:
INSTALLER NAME: /4 (,-C Ye- a Q? ? -Y?)2 1) N L TELEPHONE #: 197 Z-b I) 0
STREETADDRESS: / [9S-ZO ?J D 1J ? u, I
CITY: k-v 1 ? STATE: ?h 1J ZIP:
SIGNATURE OF PERMITTEE
JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
? U
?
1994 PLUMBING PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLBASE COMPLETE FOR SINGLE FAMILY DWELLINGS.. ALSO, FOR TOWNHOIVIFS AND
` CO1vDOS WHEN PERMITS ARE REQUIRED FOR EACH iJNIT.
NO. FIXTiJRES EACH TOTAL
. ? SHOWER 3.00 .3.oz0
WATER CLOSET 3.00 Qp
? BATH TUB 3.00 G. ?
? LAVATORY 3.00 z, el-
- KITCHEN SINK 3.00 ,?.
? LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
-L_ WATER HEATER 3.00 ?
FLOOR DRAIN 3.00
?
- GAS PIPING OUTLET • m;aimum - i 3.00 ?.oo
? ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nex.ccy. uG 20.00 `
U.G. SPRINKLER • nome under consi. 3.00
, ALTERATIONS • co ?i;ng 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50 , . _
? TOTAL: 4-le -, ?
SITE A?DRESS: %
?f-I I<eh.Fy,S
OWNER NAME: ?41
,?? Cf Ga.?.s l?
fiNSTALLER• z?'Z'
ADDRESSs
CITY: S1w,4ce- STATE: /?'k . ZIP CODE: '5-S.
PHONE #: 0 <
/ l iI ?
1NSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
. 31330 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
ezsaes
04/18J95
SITE ADDRESS:
LOT: 20 BLOCK:
1485 KINGS WOOD RD
KTNGS WOOD 2ND
PERMIT SUBTYPE:
DECK
2
APPLICANT:
BRADLEY
SPRANG
(612) 686-5084
TYPE OF WORK:
NEW
- . , . - F-
2_
? . . „ ?
.., .. _ ,? ?
? CITY OF EAGAN
3830 Pilot Knob Road
`Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1485
LOT:
KINGS
P.I.N.: 10-42091-209-02
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
KINGS WOOD RD
20 BLOCK: 2
WQOD 2ND
CIUM
Bfl LD/IN6
025401
04/18/95
DESCRIPTION:
B'ui,lding'°~Permit Type
Buildirrg ,War?4c?,.TYpe
.?,
j
REMARKS:
DECK
NEW
r w;
3.t?
? .J i...t ?..I
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: _ p,pplicant -
SPRAN6 BRADLEY
1485 KIN6S WOOD RD
EAGAN MN 55122
(612)686-5084
T hereby? acknowledge tFiat I fiave read this` app.i'ication and state tbat 'the ?
information is cor-rect and _agt^ee to compl? with. all :aPP?_icabl`e. State crf, Mn.
e
. :.
? t . ' ,
?? S?Cat'utes° nd Gx . `
a ty,..afiEargar?°Orda">rV6°rrce9 . .,
•_ he
m
APPLICANT/PERMITEE SIGNATURE ISSQED BY: IG URE
CITY OF EAGAN . ?P ? '?' ? ?;
a
-M401 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681a4675
? 9 registerod site surveYa ? 2 wpies of plan
? 2 copies of plans (indude beam 8 window sizes; poured fid. design; eta) ? 2 site surveys (ezteriw additions 8 dedcs)
? 7 enerpy ealaladona ? 1 energy celwlations for heated addifions
? 3 eopies of Vee praservation plan if bt pleGed after 711J93
required: _ Yea _ No
DATE: Apc' \ 1a ? McI5 CONSTRUCTION COST: .Wj?ft1???0?9
DESCRIPTION OF WORK: A-22X'A1d/\ CP o\. AknclG
STREET ADDRESS: ' 1"6b
LOT P-D BLOCK SUBD./P.I.D. #:
PROPERTY Name:_ Phone #: C,57we:? ? OWNER MT- ?m
StreetAddress. "6'?
City: State: MVJ Zlp: IS 5 t
CONTRACTOR Company: Phone #:
Street Address: License #•
City: State:
ARCHITECT/ Company: IJ 1?
ENGINEER
Name:
Zip:
Phone #•
Registration #•
Street Address•
City: State: Zip:
Sewer S water licensed plumber. . Penatty applies when address change and tot
change are requested once pertnit is issued.
1 hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with ail
applicable State of Minnesota 5tatutes and City of Eagan Ordinanoes.
OFFICE USE ONLY
Cerdficates of Survey Received
Tree Preservation Plan Received
Signature of Appiicant:
Yes _ No
Yes _ No
,
APR 1 Z 1995
OFFICE USE ONLY
BUILDING PERMIT TYPE
a 01 Foundation o 06 Duplex
? 02 SF Dwelling o 07 4-piex
0 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 _ plex
WORK TYPE
zi< 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
0 11 Apt.lLodging ?
0 12 Multi Repair/Rem, o
? 13 Garage/Accessory ?
? 14 Fireplace o
zor- 15 Deck
0 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y
Depth Footprint sq. ft. SAC Code o/
Census Bldg
Census Unit _ v
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNUS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
% SAC
SAC Units
.I
?• `? CERTIFICATE OF SURVEY
. U4-3-94-
for
c ? UNIBILT
?,?o ?? N 8?3 f 1
9,396S?" f ? J
\ ?-
? %? 70 ? 2? ? ? ??B 6 Z???r
ep5 /i r\
Z
Y
(5' ?
ti ? ?.? - ?
o
t.A ? D?
?a, ?? ?Sq2;5i` ?
?7°J
o:
4- 'nous0
Cd? ?^ P CG°r
e\ \ V,\
A
` ? "'? '?'•? o , _ -- S xo.d? . , N$..?' '?
i / . • ,,, :., ... 1? + 0
1?? ?Z? ? ? / ?? ' ''r,•:.: ., : h"? ??? 0
?.
? ?1?'^?II??J ?0 5? ' ' ,.??j'J,`,.r : ? •??(.?/'
v ? p ? ? p.?•p2 ?71• 3 , ??
(
00
,
00
Sc:ale: 1" _ '30'
I hereby certify that this survey, plan, ar
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor iinder the l_aws of the State
of Minnesota.
DESCRIPTION
Lot 20, Block 2,
KINGS WOOD 2ND ADDITION
Dakota County, Minnesota
Pinf hr-nrinn^, shown
? ?-_ ?
220897
oFnM oF n+E REosrww oF
nnes - wKow caWr. W+
CEiRIFIED TMAT TFE WITFW
NSfMAFNT Nh8 FN.EO W ni19
OfiICE ON MD /P
Lr
ooc na
CEMFCJCS an c . 1
JMilE4 PL UOLAM ?
REGISTRAFI OF ,tMES
Ot.
? ? ,00
CASH T
aEac
aunoe
CHAFGE VWKW
REf`UNlD
3 86 3 .
af?,. ?
Otl S ,;,'
SFVr'SaW1 ?CC'O4 f S-/cCJOqJ r
-?-o
l.lm.?A A,-4 I.P-T?,-,t LZ_
907011
.
oFFlCe oF rne couan
REcaweRwrocoTA cau+n, uN.
CERTIFIED iW1T THE MIITHIN
WSTRUMENT WAS FILEO FOR
RECORD IN THIS OFFICE
ON ANO AT
ucT d Z 31 PH 'e?
? 140 90'lOil
JAMIES N. COUNTY RECOHDER
UEPUTYiEE Zl?.CO
CASH 3 CHECK)( CMARGE CI
puRGE 1MIOA1
REfUND
DO NOT REMOVE
ab6 "
e?-
.
a L. .
i? - ? i? ?
?c) 3 ?
?rl, ? .?.
I °r 3 `r 17t/ $`1 9`/ ;.
?9r8r 919 LI;Y
?93 ?.qi9r 84911;
19 3 'ee?) 33 ? '3 `1
r5? ?a3??? vnk?i
?S 3 voo?) 3'?? 9 1-19C- •?
I S.3 ? a 3-/y 5, 4?)c ;
I S 3 ,?(938Voo'
JC)3??310?
, f933`?? 8`I`?F ?
Ig3 eb4G#s** BY
???I V a 1
193,Cdyar ?4,, .
220897
9(17Qi1
RIlIGB NOOD 2ND ADDI?IOII
PR66SOSE REDOCIIIG VN.YE A6A68lIBNT
TB,14 IuGHEEMENTr made and enteted inio the ? asY of
, 1989, by and betweea the CITY OP lAGAN# e
Munici 61ity of the Stete oi Minne6ota, (heteinaftec callea the CITY,
and t?e Oi+ner and the Developec iclentlfiec herein.
The tecros •Developec" end 'Owner• as uaed herein refer to HORNE
DLYFZOPMENT CORPORATIDN rhose add[ese ie 3850 Coronation Road, Eagnn,
Ninneaota 55122.
WgEReAS, the Developes hae apglied to the City for epproval of
the plat or aubdivieion known as RINGS NOOD 2ND ADDITION, located
v1c.11n the Cityt snd
N6EREAS, the Ownec and Developer agree to notify the pcopoead I
potential Cuyecs of a.l loia within EINGS WOOD 2ND ADDITION that Lots
27t 28p 29 and 30, Block 1 and Lota 14, 15r 16p 171 18, 19r 20, 211
22, 23, nnd 24, Block 2 ase in a high vatet pzesaure zone ana a
preasure reducing vnlve shall be installed in each home below the
elevation of 875 feet. All costs shall De the reaponsibility of the
Ownez aad Developer and ahnll be installed io prevent 6amage nue to
high wntez preeause.
NOW, TBEEiEFORE, the City, Ownec and Developer agree as follows:
1. Q.eordina, This ngreem:nt shall be cecocded with the Dakota
County Reeord*s so as to p[ovida notice to the ovnera of Lots 27, 28,
29, and 30, Hlock 1 ano Lota 14, 15p 16t 17* 18t 19r 20* 21, 22r 23,
and 24t Bloek 2, RINCS WOOD 2ND ADOITION. The wner sliall ptw loe ano
ezecute aay and all documente neceesery to implement the recor6ing oi
thio agteanent.
y, Notisp. The reco[ding of thia document strall conatitute
notice to all a+necs and iutute wners of ptopezty in the 1tINGS wooD
2ND 11DDITION that Lots 27, 28t 29r ano 30r Block 1 and Lots 14, 15,
16, 17, 18, 190 20, 21, 22, 23f and 24, Block Y ase in a higd ratet
pceasuse sone and tbat a pressuse ceducing valve ehail be lnstalieo
in eacE Lome belar the elevation o! 875 feei. All coete Mall De the
.? _ . .
. ? _ . .: .
. f
reeponeibiliiy of the Buyes and ahell be installed to prevent demage
due to Aigh rnter preasure.
3, valiaitv, IL nny poctionr eectlont subsection, sentence,
clauae, paragraph oc phcase oi this agreement le for eny seaeon Aeld
to be invalid, such deciaion shall aot sffect the valioity of the
remaining portion of thia Contsact.
+, Hindinq aq em n. The pntties mutually cecognize nna agree
that all terme and conditione of thie recocdable eqreement ehell tun
wlth tAe land herein deaccibed and shall be bindinq upon the heira,
aucceasoze, edminSstrntore and neeigna ot the orrnecs end developers
referenced in thie Contcact.
IN WITNESS WHEREOF, we have hezeuato set our hanue,
CITY OF AGAN QVNER AND DEV ELOPER
(Dates • ) dORNE AEVELOPMFNT CORPORATION
v n? ?
gy= L gY= ?
Ite Mayor I =
AtteaLf I ''
Its C tk ?r'.:??
STATE OP MINNESOTA)
) 88.
COUHTY OP KOf/a)
Oa this N day ot ?k g , 1989, before me a Notnry Public
within and fo= snid County, pesaonally appeared VICTOS L. ELLISON ano
E. J. VanwER8ER8 to me pereonally knoxae rho being eacD by me culy
awocn, eecd 6id eay that they a[e reepectively ehe Aayor ano Cieck of
the City of Eegan, the municipality named in the foregoing
inatrument, and that ths eaal affixed on behalf of said municipality
by autdosity oE its City Council and anld Meyor anu Clerk
acknowledged said instrumeat to be the free act nnd deed oE saia
munlcipality.
OPO ---
wnn L WMntarranc
*l?x IID:M?1VL11C - Yu(NESOt?
!-+t? DAKOTA COUNTY N ta PYb1iC
' y? Cynwssw? fs1 /N & 19$
-2-
STATB OP MINNESOTA)
) ss.
COUNTS OF o*ot )
On this day of M't y , 1989, Defore me a Notasy Public
within and for said County, personally appeaced
.f.rm ez 3. Afe.c.,F 4wd- to me r naliy -_.,
known, vho being eaeh by me duly sworn, eeek aid sny that ?r.?
SS-_- +---++- -- -•+ the PRES.n?,ir afle}
of the Corporation named in the foce9oYng ?
instrument,
and that eaid instzument wns.
signed end-ee0ed on behalf of said corporation by authosity of tte
8oezd of Directota and said PRar•?R.?r
acknowlecged salo lnstrumeni to De CAO fcEe
act end deea of the corporation. ;•?
EL12a13ETM A. WITT
X 1601M A .U?afG ?. / rz `z
YNNJO.YWIWT : - . .
DAAOTA COUNTY Notarp Public
r :
r
APPFOVED AS TD FORM: ?.;
? ..,
.?
C' y Atto[ney' f2 e
ate? ii ?y
APPROYED AS TO NTENTt
Publie ocka Deear7tm
Dates /
REIS INSTRDMENT XAS DRAFTED BYs
MCMENO!!Y i SLN ERSON# P.A.
7300 Meat 147Ch 6treet
P.O. Bo: 24329
Apple Valley# !!N 55124
?1D???32-3136
? ..
t ?
• }
i i
i
?i
?
-3-
2006 RESIDENTIAL MECHANICAL rERMiT ArrLicATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single Family dweflings & townhomes/condos when permits aze required for each unit
43D!?o
Date ? 5 / dn
Site Address 114 U4E 7 'ga- `4CJl-,6_ ? Unit # m
N Z..
Property Owner Telephone # (41 ) 148(0 ".53 (o l
Contractor i
e ,• }
"'v ?
Ci
Str
et Address ty ? ?
State _ Zip ,:?d Telephone # ((06 1 ) 3ZZ'-C,/ / Z ?
Bond Expires:
The Applicant is _ Owner '%>?Contractor _ Other
Add-on or alteration to existing dweliing unit $ 30.00
? furnace _Additional _Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ Cl ?
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to stazt 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.
Applicant's Printed Name -? Applicant's Signature ?
7z? a-q ?7
2006 RESIDENTeAL PLUMBINGPERMIT APPLIGATION
GfTY OF EAGAIV
3830 PILOT KNOB ROAp, EAGAN MN 55122
651-675-5675
Pfease complete for modifications to existing residential dwellings.
/s? ?
Date ?) / H
Site Street Address j r1 ?WQ(? f2U ' Unit #
Property Owner GG
Char
- Telephone #
npte
651-365-1340
Contractor 3670 Dodd Rd #100 Telephone #( )
Address Eagan, MN 55123-1339 City _ State Zip
The Applicant is: _ Owner 2&n4cactor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license Includes Counfy fee
$ 100.00
Per as-built $ 10.40
Atterations to existing dwelling $ 50.00
_ Add plumbing fixkures. This fee inciudes instaliation of a water softener and/or wa#er
heater at the same time. If yod are insta!ling on a water soffener and/or water
heater, do not complefe this section; move to th e next section and check the
appliance(s) you are installing.
_Septic System Abandonment
!Wa#er Tumaround (add $930.00 if a 5I8" meter is required)
n ?
_Other.
t?'
Wat
rSoften
'`W 1 4 200?
G
_
e
er
aterNeater
new
`41ac
m
t $ 15.00
_
,_
a
en
_ Lawn Irrigation _RPZ ^PVB _new _repair _rebuifd $ 30.00
State Surcharge $ .50
Total $ 50
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the
work witl be in conformance with the ordinances and codes of the Ci#y of Eagan and the plumbing codes; that i
understand this is not a permit, but only an application for a permit, work is not to start wifihout a permit and work will be in
accordance with the approved pian in the event a plan is required fo,bg,evigwed and approved.
AppiVanYs Printed EVame I AppliAnYs Signature
77?
.T-/?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110496
Date Issued:05/14/2013
Permit Category:ePermit
Site Address: 1485 Kings Wood Rd
Lot:20 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-200
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:door
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
John Simonsen
1485 Kings Wood Rd
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113173
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 1485 Kings Wood Rd
Lot:20 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Simonsen
1485 Kings Wood Rd
Eagan MN 55122
(612) 964-3373
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
Use�L.U�or BLACK tnk'.
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k�ate:� "LZ '�� 9�te Address. ��,���.�'n�`.� ���.�L�`�, iZ��
Tenant: � `� '��1 t �f" � �,� x auite#:
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Residentli3wr�er Name: �.���Y� T .�'��'�`1 r-�t'`� �;�t,�1��m�",�"�.,_Ph�ne:�,��"� �'��r�'� `��?;�r
a
Address�City/Zip: �" t..: W't . _� � �'.�
iVeme:��� �.�'���..`���:� ���.�.�"'� License#: ��.�.��..�..� `���Z,.
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�` Cc►ntractar ,�daress° � _�`�� ��-� �v�t ��'�# C�ty:
� � State: � t'1 �ip:�, _ PMon�:_ �1��T� '��"� .�'�,�
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� �orttact: �t� Einail. ` ' « '�'► � � ��. �t�
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�,,,New �Replacernent ,_Repai� ,,,�,,,,,,Flebuild ,,,�,Modify Space, _„Work in R.C�.W.
� TYPe af Viiork
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Descriptior�ofwork: „��`�� �,�tf1,�1' `��IGO� �
�� �s��� _
� .��,�� ���..,���,..,..��.�,�.
� � R�Sit3�W"fI;AL �
�� � Wate�Fleater
� s �awtr Irrig�tian(_,�,,,,RPZ!�PVE3} �Wnit�r Soft�ner
�r r
P�1'T11it TypB Adsi Pfumbir�g�i�ctures(;;�t�ain f �c�wf:r Levef)
Septic System —
� �
�ey� Water Tumar�utid
�Abandt�ninent
.�.�..���..�...-� ,�.,� .���.�� �, ��,.. ��._.,
FtESIC?ENT1At��E�S;.
$60.{�b Water Heater,Water�oftener, crr Water He�ter�nd Softener(rnclucies$5.f?0 Sta#e Surcharge)
$6D.OQ Lawn Irrigation(includes$5,00 minimum Sfate Sureharge�
$6�.�0 Add Plumbing Fixtures, Septic Sys#ern Aband�►nment,Wat�r Turnar�ur�d'{'rncludes�5:00 St�t�Surcharge)
"Water Tumaroun�(a�d$2Q0'.Op if a 5i8"meter is required�
$115.00 Septic Svsiem New(�1C1.40 per as built)(includ�s County fee and$S.C�Sf�te SurCharye)
TQ'fAL FEES$
CALL BEFOR�Y{�U DIG. Caii Gapher State�€�e Gail at(651}4�4-00l32 for protectic�n agains#'undergrnund u�tity d�rr�ag�.
Call 48 ttciurs before you intend ta dig ta receive locates of underg�r�un�3 utilities. w�+w. €s h� rs' �an��lE.c�r
I hereby ackrr6v+Aedge that this information is corrrpiete and accura#�;that tl�e wark wiN be in ccmftirm�nt:e with!he ordinsnces and codes nf the City of'
Eagan; fhat I understand this is not a permit, but anty an appiicatir�n for a p�rmif, antl work is not tv st�rt without a permi#;fhat the wnrk wii[be in
acco€dance w�th the approved plan in the ea�e of wark which�equir�s a revie�r and approuai of plans.
x ti.���.t�...t1'V� ��x��"{;��(' x ```��'� f'
Applicant's Printed Name �< Appli rr ign ure .�
FOR OFFlCE USE R�vi�wed By:' Date.
Required lr�spections: Under��ound fiTough-In ,Air T�sf Gas Test �irral
M�fier Ret�ted Items: Meter�ize E�adio R�ad' 11�anorn�ter Staff:;
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131120
Date Issued:06/03/2015
Permit Category:ePermit
Site Address: 1485 Kings Wood Rd
Lot:20 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
John Simonsen
1485 Kings Wood Rd
Eagan MN 55122
(612) 964-3373
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
• Use BLUE or BLACK Ink
For Office Use I
1. fns Permits: !9.62&- .6- /IV]
Permit*: I—7
4[111` City of Eap1! Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: l
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 01/05/2017 Site Address: 1485 Kings Wood Rd. Unit#:
Name: John and Jennifer Simonsen Phone: 612-964-3373
Resident/ 1485 Kings Wood Rd.
Owner Address/City/Zip:
Applicant is: Owner X Contractor
Type of Work
Description of work: Remodel main level, replace window above sink Nt w �r_cp1a(L.2
Construction Cost Multi-Family Building:(Yes /No X )
Company: Black Dog Homes Co. Contact: Dan Vanderheyden
Contractor
Address: 312 Hampton St. S. City: Wayzata
753-228-8555 Email: dan@blackdoghomes.com
State: MN Zip: 55391 Phone:
Lions#. BC594831 L Certificate#:
NAT-106284-2
If the project is exempt from lead certification,please explain why:
Home built in 1994
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:
Fire Suppression 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.org
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 Minn ate Building Code must mpleted within 180
days of permit issuance.
x Daniel J. Vanderheyden x6tAio (")
Applicant's Printed Name Applicant's Signature
Page 1 of 3
. 1 kl.
���/ �'�� ' ""
cod
I DO NOT WRITE BELOW THIS LINE /4/06
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
j Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
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 ?tea Occupancy 2 rbc - / MCES System --
Plan Review Code Edition �ai " SAC Units
(25%_100% ix Zoning n -/ City Water --
Census Code A/3Y Stories — Booster Pump
#of Units / Square Feet -- PRV
#of Buildings / Length -' Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_lce&Water _Final Pool:_Footings Air/Gas Tests _Final
At Framing 30 Minutes_1 Hour Drain Tile
f- Fireplace: .Rough In 91-Air Test Final Siding:_Stucco Lath _Stone Lath ,Brick_EFIS
;e Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In^_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,Building Inspector
RESIDENTIAL FEES
Base Fee M17 30
Surcharge 1 ?a 0 1147/VA&if a pyilt
Plan Review ?
19' A 669
MCES SAC / cv4if, J�
City SAC
Utility Connection Charge _______—__----
tS&W Permit&Surcharge Y fit®
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use
Permit#: 11/0 S0 O
My oaftafi R SV
Permit Fee: (20 ' v "
3830 Pilot Knob Road —/
Eagan MN 55122 JAN Z 2017 Date Received: i`aT t /
Phone: (651) 675-5675
Fax: (651) 675-5694 LStaff:__________1
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
i
Date: ( —2 7-17 Site Address: / F- ..s4-75 ...s- Z-C1, 1
Tenant: --'�
)- 't )11'7c-!2 S;, ..-.A. Suite#:
Resident/Owner
Name: Z44 T i 6-2e' Ai 5 e /--1 Phone:
Ii 4" Address/City/Zip: /4 8"S �r Ii ..S ee---c .i l
ll
9 Name: r- x ,F c'—,-- �1G2.�-,L r License#: �G �( 1 g �( o
Contractor
_,
IAddress:20 3Z ? /17/ .. 1.,�G2/� ,;City: Zee-c-%/h
1
State: A-2 6 Zip: 61.5.- -41 4 Phone: Z 7 - / $c:7 7 Z
i / , �
Contact: ci//e-t— . . e`c-- S' Email: .a xxi--1.1_, ,e/ 1� 4%A.. eer.., „'- 'f (
SI
1 1 New Replacement —Repair 4 Rebuild —Modify Space —Work in R.O.W. -44,i. Type of Work — —
Description of work:RESIDENTIAL G? y �2 /2 /� i-t-/ �� u =----
. ..___.. __. . 1 .,
1 i I
Water Heater
Water Softener
Lawn Irrigation ( RPZ/—PVB)
Permit Type Add Plumbing Fixtures ( Main/—Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
I $60.00 Lawn Irrigation (includes State Surcharge)
I $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes State Surcharge)
"Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $
i
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 1'/A -- ��.G04s x �' .t . -
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164123
Date Issued:09/21/2020
Permit Category:ePermit
Site Address: 1485 Kings Wood Rd
Lot:20 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Matt Wagner
1485 Kings Wood Rd
Eagan MN 55122
(763) 227-6730
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature