1486 Kings Wood Rd
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
For Office Use
> I
''yy~ r I Permit
City of EaEdnan p
3830 Pilot Knob Road ~+4 I Permit Fee:
Eagan MN 55122
; Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: 13 0 Site Address: MDcp Y., r
Tenant: Suite
RESIDENT/ OWNER Name: 'f`~(~.Jy Q 1 a~e~~. ~i J~ Phone: ltd
I Address /City /Zip:
V ►C~
CONTRACTOR Name: License
Address: Citat-J,,
Statekw Zip lJ~;- Phon`A9-s 1 GT
Contact AINS&R Email:
TYPE OF WORK New _~eplacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace _ New Construction _ Interior Improvement
Air Conditioner - Install Piping - Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank L Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) L-~
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ '6J UL) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. .goAherstateanecaii.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 application fora permit, and wo t to start without a permit; that the work will be in accordance
with the roved plan in the case of work which requires a review and approval of plan
x x
Ap rcanYs Printed Name Ap is t s Sig a re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
? . s
C?ttfiCQte 0f CCCltpR1tC4
W44 oq ?agan
This Cenificate issued pursuant to the requirements of the Uniform Building Code
certifying tkat at the time of issuance this structure wos in camp(iance with 1he various
ordinances of the Ciry regulating building constructiort or use. For the following:
um cvmie=km 1486 xtH^S tmt p(An sa& v«t rw. 9? ?F
Oo-psncy Type R-4lj1 I Zoninb D'tWict RiType Const. f_?_
Owner d Buildinp?S' PE.'iERqN {TIM _j W. Address ln? IG PARK 1T(FLT I:TR . W 0'wtfc11'T7
Building Addess 14M IMER-M4) R1A1] IualiryT'raA„,__ 1_r K1T7Y+ {OUD 'aND
??S(?
Dme:
Buil&ng Olfidal / ' .
POST IN A CONSPICUOUS PLACE J'
?
A
?+..
??
INSPECTION RECORD ?
CITIf'OF EAGAN PERMIT TYPE: 4.?? ? t ?? F wr?
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: 14'
(612) 681-4675
I SITE ADDRESS: APPLICANT:
1 1„. 1 IW''. . . ?, ? tt i 110 . j
I I fd1, . I.liiulf .'FIli i r. ) ..;; •1 '. 1 q'!
PERMIT SUBTYPE:
TYPE OF WORK: „ LJ
INSPECTION D. . .•
I I ,1l411S1? l.i1i?! ital?
I td {'I Itf, n1lt,fl I W ti
I ! : i ? 1; ?: ?, : ( , tr v
1 E4 1r 6 U w.' I+YAN I•i i?H
.
?w
Permit No. Permit Holdar Dete Telephone •
ELECTRIC ,30a 3/ 9G ?/ ?
PLUMBING os-all/
HVAC
,
Inspectlon Da a Insp. Commente
FOOTINGS ' V?,(/G?
ll
FOUND ?
FRAMING
ROOFING
HOUGH
PLUMBING
_ G
PLBG
AIRTEST
,9
ROUGH
HEATING ??? ?
GAS SVC
TEST
iNSUL
GYPBOARD
FlREPLACE
FIREPLACE AIRTEST y- "j' !y?(
FINAL PLBG
FINAI HTG
7
ORSAT
TEST
BLDG FINAL e
BSMT H.I.
BSMT FINAL
DECK FTG
%6C
DECK FINAL
!
ta
AddTess 1486 KrNGS Woon ?toAD Zip 5512 2
Lot 28 Blk 1 Sub xnvGS WooD 2rm
THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: aff
Final grade (6" from siding)
L,/ ,
Permanent steps (garage) ?
Permanent steps (main entry) Lll
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 right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Residenl Copy Pink - Contractor Copy ?
I F REQUEST FOR ELECTRICAL INSPECTION ?Minnesota State Board oi Electricily ?'1827 University Ave., Rm. S-128, L Paul, MN 55104 3 0 2 7 6* Phone (612) 642-0800 2,0
Home up ex Apt. 81dg. Other: New Addn
Commercial Induskial Farm Remod Re air
Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other.
D er Ran e Elec. Heat Temp. $ervice
"k' above the pwor?k.,c,overeq ?y fhis request. Enieyremarks in this space and on fhe back of the white copy only.
CD/71?1?1 c?. //Cfu/1R' t??7 v?.e?' f
Calculate Inspecfion Fee - 7his (nspection Request will not be accepted without the correct fee:
Olher Fee # Service Enhonce $¢e Fee ;f Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps ? U t'f' to 7 mps .7s';Da
$treet ltg./TraHic Sig. Above 200 Amps Above Amps zs
T¢ansformer/Generator INSVECTOR'SUSEONLY TAL
l
s
$ign/Outline Ltg. Xfmr. Z?. O?
Alarm/Remote Control
$wimming Pool r
b cetfi Ihot I ins ected ihe ei I i hllafio cri ed hek'in on ihe dotes slakd
I har
Irri9d}ion BoOm a
Rough-In
Special Inspedion
Invesfigotive Fee F?nol + I r f
THIS INSTALLATION MAY BE ORDERED DISCONNECTE IF NOT COMPLETED WITHIN 18 MONTHS.
213 _ O L 1 [R FjFl? This request void 18 monihs (rom validafion dote pnnted in ihis 6ox.
57?9 7
goj
L
( ?
>11D
PLEASE PRINT OR TYPE - p
wi! 7
Re st Dak
„
L Rough-in inspectian requi 2 Yes [] Na Inspedion OiherThan Rough-In: [] Ready Naw Will Call
v"
(You must coll the inspecror when ready)
Dok Ready:
I, licensed conhactor ? owner hereby request inspection of ihe above elecfrical work at:
Job Address Streei, Box, or Route No.)
? h'
??n City
? Zip Code
?
.Scv o a c
t ? ?n
eclion No. Township N or No. Range No. Fire No. ' Coun
?'
Ott?nt Phonet?pV
?
V
PowerSapplier Address ?
?
EI pml Conirattor Company NameJ ` ,
` Confraqor Li se Ma br Li<. No. (Planf Eled. Only)
?
SO/) 2G
Z ) O /
MailingAddross (ConfradororOwnerPedortning nsmllafion)
q 0 S 12 D/1 !4/-
?y3 /
AiAhorilpd $ignature (Co or or Own er P ortning Inafallo'n)
?" Phone No.
/07- L9t9i?a01
_?_ b/95
STAI'f BOARDCOPY-SEEINSTR NSONBACKOFYELLOWCOPY
2007 RESIDENTIAL PLUMBING PERnniT APPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
-36r,Y)
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
plumbina on the same aoolication: seoarate annlir.atinns anrl nermits are reauired.
Date ??_ / l l 6 -? 1
Site Street Address ?`
?"t D? t y? WdUd `? Unit #
Property Owner ?jad Telephone #Ifis') l!1 5 1 ???
Contractor ?IAAS I Telephone# &/o))
Address , ? City State_JAN Zip
The Applicant is: _ Owner 8 Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $??
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and work will be in accor ance with the approved plan in the event
a plan is required to be reviewed and approved.
ApplicanPs Printed Name App' nP ignature ?
??
RESlDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KN B RDN 55122 ? r?O, Vo
'
651-681-4675
New Construction Reauirements RemodellReoairRepuirements
• 3 registered site surveys showing sq. ft. of lot, sq. R. of house; anchll roofed areas • 2 copies of plan
(20% maximum lot coverege albwed) . 7 set ot Energy Calculations !or heated additions
. 2 copies of plan showing heam & window sizes; poured iound design, etc.) . 1 site survey Tor exterior additions & decks
• t set oi Energy Calcula6ons . Indicate if home served by sepUc syslem for addkions
• 3 copfes of Tree Preservation Plan it lot plalted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less unils)
DATE
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING,
PROPERTY OWNER?
TYPE OF WORK
APPLICANT ?
ADDRESS
PAGER #
U NITS?
CELL PHONE #
VALUAION' e
FIREPLACE(S)X- (0 _ 1 _ 2
T/fliC?? PHONE#??Z' _4V?51ZZ
V
/,lLL? 6V ZIPCODE
? FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT GOMPLE .-----''
???????
Energy Code Category MINNESOTA RULES 7670 CATE GOR i ?
(check one) - Residential Ventilation Category 1 Worksheet AUG 0 9 20O2
- Energy Envelope Calculations Submitted ?
_ MINNESOTA RULES 7672 gy p?___?._.J
- New Energy Code Worksheet Submitted
Plumbing Contractor. ?;W ?9! Phone
Plumbing System Inclu es: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: P h o n e # ?56?
Mechanical System Includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor.
A!I above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable 5tate of Minnesota Statutes and City of Eagan Orc
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan
#
?n is corr ct, and qgree to comply
Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
D 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-seaJ ? 31 Ext. Alt Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - 5F
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 10 19 Lower Level ? 24 Storm Damage
?,06
?? 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
??? o?- r ww
F nE?
? 31 ew ? 35 Int Improvement ? 38 Demolish (tnterior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitian (Entire Bidg only) - Give PCA handout to applicant
Valuation ?-z, 0.06) Occupancy MC/ES System
Census Code Y 3 y Zoning City Water
SAC Units 5tories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered ^
Type of Const _v hi Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) y0 Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
4 Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new(replacement)
)a Insulation _ Retaining Wall
Approved By , Bvilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & 5urcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT # RECEIPT DATE:
EODE MIDMIAL PLUMBINfi PEU1T ?PPLICATION
cri'Y aF EAem
S$SO PILOT KNOS iiD
EAfi1kN. Mft 5518E
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
s WdC) ? r?o -t. ?
OWNER NAME: : C
--0 c) ?I TELEPHONE #:
(AREA CODE)
INSTALLERNAME: u-2SS ? ar i"Ji^+? SQr,.?'ce.r TELEPHONE#: (fl S)-(9 e/- $ 2S Z
STftEET ADDRE5S: -R o. Qci x (AREA CODE)
CITY:
STA7E: ZIP: SS i Z,2
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100
00
includes $40.00 County fee .
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELL ING UNIT, INCLUDING:
Addin
fixt
t
l
l
l
ddi
i
i t
ft
d ?
g
ures
o
ower
eve
s or room a
t
ons, exclud ng water so
ers.
eners an
water hea 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system AUG 19 7_002 ?
ReplacemenUadditional: water softener water heater $ 15.00
State Surcharge $ .50
rotal $ O • Sv
t hereby acknowledge that I have read this application, state that the information is correct, and agree [o complywith all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to ihe facilities constructed under this permit within City pr (i t-of-wa asement.
?
SlGNATURE OF PERMITTEE 1/02
1N5Y1;(:TiVl\ 1\ECV1\D
CITY OF EAGAN PERMIT TYPE: ? ?ILDrNG
3830 Pilot Knob Road Permit Number: 026616
Eagan, Minnesota 55122-1897 Date Issued: 10 / 2 6/ s 5
(612) 681-4675
SITE ADDRESS: L Q T : ? 28 8 L 0 C K e 1 APPLICANT:
1486 K]:NGS WOQD RC1 PETERSEN CONS7, SVEND
KINGS W00? 2ND (612) 884-5144
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FQOTINGS .. .
i=OiJNCIA 1'ION DA
FRRMING ROOFING
TN5ULATION FTRCF'LACE
ROUGH IN PLBG ROUGH IN HTG
FSNAL PLBG FTNAL
REMARKS: PRV S& W PLBR - GENZ-RYAN PL8G
?
17
r? -;' ? • ? ?a?A
? . .
F CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE QDDRESS:
F'.I.td. - 10_-.42001-280...01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1486 KING5 Wf?OU RfJ
LOT: 2$ t3LOCK: 1
KINGS W0:J0 2NfJ
ct-49412
BurLozNG
026616
10J25/95
DESCRIPTION:
SF DWG
NEIJ
R-3 u-i
v- N
R- 1.
78
zs
z
2,008
? Wq:
g
?
? 0 ,?5,4??? ?2 '
?:??;,m 1?3 ? llh?
REMARKS:
AFiV S S• W F'! t3R -- t3EP!7--RYAN PLf3G
FEE SUMMARY:
VALURTTON
EdS2 FEft
Plan Review
Surcharge
sAr
sac %
5FlC Un5_ts
SubY:ota.1
$2,518.29
$i5e, c?00
mzscELLaNEous $1,892..0
7ota]. Fee $4,410.79
CONTRACTOR: -- ApPliean t- s-r ?Lr c . pWNER:
PETEi2SEN CONST, SVEND 18845144 0001769 S 1='ETERSEN CON5T TNC
10214 PRI3K VTEW CIR 18214 IaAFtit VIEW CIR
MINNEAPLILIS MN 55431 BLOOMINGTON MN 55431
(612) 884-5144 (612)884-5144
$1,177.25
$412.04
$79.0m
$as@.00
100
1
fivia I m.?
-ISSUED BY: SIG TUR !
• ' CITY OF EAGAN
3630 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 ragistered site surveys ? 2 eopies of plan
? 2 copies of plans (endude beam 8 wirWow sizes; poured fid. design; etcJ ? 2 site surveys (exterior additions 8 dedca)
? 1 energY calculations -? ? 1 energy calcula8ons for heated additions
? 3 copies of tree praservatlon pl9?+ ff bt platted after 7H793
required: _ Y V No
??
DATE: _ ? i- 9-f - CONSTRUCTION COST: 1715 cr?
DESCRIPTION OF WORK:
STREET ADDRESS:
4 ?
LOT BLOCK ?
I?
/ v- G
2'e'-s ?? 'D
SUBD.JP.I.D. #: Ae
PROPERTY Name:2e?bNS& 16"c Phone #: O lly ?/q?
owNeR LM, .MBT
Street Address-
City: State: Zip:
CoNrRaCTOR Company:?/??"-7??? Phone #: V'y`,51qL-1
Street Address: f2"Wf/:-- Y/Z?r4/c/wcLicense #: r74L::/)
City: &GQ-a1liyV&Te?? State: /VA''' Zip-45;-6-V3 ?
ARCHITECT! Company: Phone #-
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber. e???y . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the infortna6on is and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. /, ---D /
Signature of Appiicant
OFFICE USE ONLY
Certificates of Survey Received Yes
Tree Preservation Plan Received , Yes
?
j
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
? OZ SF Dwelling o 07 4-piex
0 03 SF Addition ? 08 8-plex
a 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
e:0131 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
?-?
-? 3f(d-?
f--/
z9
0 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
? 13 Garage/Accessory o
0 14 Fireplace o
0 15 Deck
0 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
_?---
YX 3y ? Z7Z
/, z33
/,IZD
2 @ S ?'
? a2
K KS
Engineering
o?
v?
£S
10 /
oi
i
Permit Fee Valuation: $
Suroharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposft
S/W Perrnit
S/W Surcharge
Treatment PI_
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% sac
SAC Units
/ 9 x y8 = 9? z
ZX i2-,? : zy /,z33x 02,)
?
?-
y
y s? 3 ° "?-
l, I z° xsy "
?
Variance
Bs??
?.
fi
?
ZS X ?o =
..i???
1?-/iv
? f
•1: 44
?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
. • ,
Certificate of House Locatian Foro 166/33
Svend Petersell
DELMAR H. SCHWANZ
uNO suaverona. iNC.
hpwaetl unew law of itN 8in* el Minnwdl .
14750 SOUTH R08ENT TRAIL ROSEMOUNT, MINNESOTA 65088 ,012/423-1789
? SURVEYOR'S CERTIFICATE ? = Set wood hub
N XYX = Existing spot elevatlon
(Z) = Proposed elevation
Scale: 1 inch = 30 feet O= Iron pipe monument
a- v
Address: 1486 Kingswood Road kA?sE-?J ?_3
7S' ? 'f?„"? 6 7 •
BM: TNH end of Kingsxood
Court = 867.10 UL7 =? Rf! 5 ??V
?\
\ LDT ZS
, ?A
?X`
?
ED
t? \ .--(-???`f_?
. r h ? (T?
A- - - z o
\ \
Proposed garage floor elev. _ ?
8X 7
Proposed top of-block elev. _
8;76, 4
Proposed lowest level elev_ = v
86?7 ?s
Description:
Lot 28, Hlock 1, KINGS WOOD 2ND ADDITI(
according to the recorded plat thereof,
Dakota County, Minnesota.
?
Also showing the'location of a proposec
F'a
LI Ll J ?a < ? ? i ; "
?
. ? • ? a ?. ?rw ';;? ? ? ?t WsI heroby eertliy Ihet thit suney, plan, or repoA wae
prepared by me or undeT my dlract supervislon and
that 1 am a duly ilegletered Lend Survayor under
the lewe of tM Suts o1 Mlnnsiote.
?. p?
o.? -/a-?3-??
, v .
W •
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Q? ? . LOT SURVEY CHECKUST FaR
BUILOING PERMIT APPU
zi - _ A/ •
PRoPeRrr t.Fr,A.:
QATE OF SUFZVEY: %d s?21-
LATEST RE1/IS10N:
DOCUMENT STANQAR
Registered Land Surveyor signature and campany
Building ParmitAppiicant
laqal descriptlan Address
North amow and scale
Nousa type (rambler, walkout, spllt w/c, $plk antry, tookout, etc.)
Direcrional drainape arrows wilh slcpa/yradtent %
PraposedleAsiing sewer and vrater servicas & invert elevaQon
Street name
Driveway
ELE1/---?OfVS
Eristlna
? ? 0 • Sewerservice -
?Q ? • Property comers
?O 13 • Top of csub at the drivewsy
W? 13 0 • EJevaflons of any e»assting ad]acent homes
er' Q O •
Q-?-D C3 •
9r-'O ? •
C!"C3 ? •
0 a a •
? &?' O •
C3 m' a t
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a p/?" .
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Q,-'? ? •
*?? ? •
Q-?0 ? .
OK'O C3 •
7 ? p .
7 R'---p •
Proos
Garage floor
Firsi floor
Lawest exposad eleystlon (walkoutWndow)
Properly camers
Front and rear of home atthe foundatlon
PONDING ARFa fif aoolicablel
Easement ltne
NWL ,
Hwi. .
Pond # desipnation . i
Emergency Overfiow Elevaiton -
OIMENSIONS
Lot fines/Bearinys & dimensions
Right-of-way and straet width (to hack ot curb)
Proposed home dimensiona indudlnq anry proposed decfcs, ovarhanps proater than 7,
porches, etc. (t.a. all strucdures requiriny parmanent footinps)
Show all easements of record and any Cily utllides wittitn thosa easemenb
Setbacks of proposed structure and sideyard setback of adJacant eidsffna structures
Retaining wal!
Raviewed;
9-s-
uy,s9s
=430 33' 50"
1=168:51-'. .: '
?1= I I .0181 : . R = 572.27'
T 228.6
; . _ °
, _.•
_. . ,
L 43
5.I28
,PT=19+10:35
d 10.0119
PLUG . , :. PC = 20 + 27.16 . ?
.; 26 . . ? PT= 24 +62.28 :
" 30' PVC
f ??3? @ 0.50%, 14+90 '
Oti??N-872
?`
?? - S??v'.'2 ' ? . ? l f ?f. . aa J ?1E a-0J : ?..? . a:'t. _ 1 ?- :...
? . . . , - . . -1r4.. ??..?.-Y Oi UTItJElp? p.d.%?ra{li.?.+'lai3
;._wEVATIONS. T6-ii? -rji? iS F0i-I
?Ar/ PURPOSES QNLY Ai,sD
27 USI?+G SNOiJLL t'? r=;i=i? ? HE
????IQN 0N THE
\ 16+00
9 c' -871.6 40 S-861.9
.
..,? ? , . ,.
S- 856.2 M 28
?b •. 6.90
. ?
'. 48-_ 17 421
?F65 ESM,7: W-870. 2 29
S-860.8 30
3 ° 6 x 6 TEE
UT AT PRR. CE 41.'? ?3`? 6"-I/16 BEND TI-6"DIP
LATE 34 A) 1+15 SYD. (872 ?) 19 +?
TS 17 18, W78 ? 3Z•? ? .-?4? 18?50 W-873.5.
S-861.7 S. 862 3 S-863.8
f - ? MH `•. 6ji.
--,r , t uz8p--q r -?
ZO _ 17?g? 45.3 ? ??• - \ 111.4f/A'?C ,
W' 8/70.3 ?? ? j ,? ` \ /
a MULCH DISTURBED S-.860.8 89.7
.?ITHIN I WEEK AFTER
'
?LATION. INSTALL EROS N , 20
AS DIRECTED. 21 ?+t5- z? 5 ;MN-6
/N/- 870.0
'
S-861.0 / 86 352
1$4?
W7 871.2 8.8 - .
?NT ? S- 862.7 ' 19 +?
93 W? 873.7 1
S-Rae n
Contractor S Petersen Const Inc
Job Lot 28 Block 1 Kings Wood 2nd Eneray calculation
10/21 /95
1 Total exspoaed wa11 area
2 Total roof/Geiling area
A Total window aree 301 0.32
B Total Door area 39 0.128
C Total sliding Glass area 40 0.32
D Total flreplace area 20 0.128
E Totai framing area (av.10%) 258.6 0.119
F Tot. net wall area aboVe floor 1637.4 0.045
G Total rim joist area 218 0.047
H Total foundation Window area 22 0.32
I Tot. net foundation aboVe grade 51 0.14
2586 0.11 284.46
1480 0.426 38.48
322.94
J Total skyligM area 0
f#### Tot. roorlceiltng framing (10%) 148
L Total net insulated rooi/ceiling area 1332
Total #2
96.32
4.86
12.80
2.56
30.77
73.68
10.25
7.04
7.14
245.43
0.32 0.04
0.049 7.25
0.0193 25.71
32.96
Total of 7and 2 278.38
CITY USE ONLY
L aS BL ? RECEIPT
SUBD.?'l.?wc,v 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 6-0
Water Closet 3.00 x 40
Bath Tub 3.00 x 4?1'00
Lavatory 3.00 x -- IAdig
Kitchen Sink 3.00 x / 00
Laundry Tray 3.00 x 3.00
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
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
TOTAL J?? -67)
SITE ADD
OWNER NAME:?/
INSTALLER NAME: GErrz-xYAN PLUMBING & HEATING COMPArIY
STREET ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: MN ZIP: 55068
PHONE #: ( 612 ) 423-1144
?
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi•family buildings when separate permits are pW required for each dweliing
unit.
DATE:
;nrnQLc TvoI=. NF%,%i rpNCTr{i ir-nn,y
CONTRACT PRICE:
npn ON RFP41F2
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
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 r i fee due on all permits.
CONTRACT PRICE x 1°k
STATE SURCHARGE
TOTAL
SIl'E ADDRESS:
TENANT NAME:
STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE #:
SIGNATURE:
APPLICANT
OFFICE USE ONLY
I METER SIZE: " DATE: INSPECTOR:
CITY USE ONLY
L a9 BL / RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Ptease complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace ,
_Acfci-on air condiiioning Firepiace conversion (to exisiing firepiace)
Date:
W_44?
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU ?3(";7
iDO0
Additional 50 M BTU
24.00
6.00
? Gas Outlets (minimum of 1 required @$3.00 each)D &,09
? State Surcharge
TOTAL
.50
SITE
OWN
INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING C0.
STREET ADDRESS: 14745 S. ROBERT TRAIL
CITY: ROSEMOUNT STATE: MN ZIP: FFnFR
PHONE #: ( 612 ) 423-1144
1
NATURE
" OF PERMITTF-F
CITY USE ONLY
L BL RECEIPT #:
SUBD. 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.
Di1ic:
VVI\ I I?V9V 1 1 1\IVI?.
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of gg iit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
ciTE nDDRFSS: _
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
IPFSTALLER:.
ADDRESS: _
CITY:
PHONE #:
SIGNATURE:
STATE: ZIP:
SIGNATURE OF PERMITfEE
CITY INSPECTOR
220897
ocFICE oF rrE r+EoMrRAa oF
TITLEB • OMGOfA COUNn'. KAK
CEHTIFIED TTW 1NE WITFMN
NSff#1W1ENT VWAS FLED W TMIS
OFF'ICE ON MlO AT
L.t t,o'69
ooc Nn
cEnrwc.vE Hn C..,-I-l-?
JALOIEs ra oouw '
nEasrwui oi rmES a ? .
at
o6xrrr
FEI 1?00
CASH T
a+cac
cHAacae
CHAAGE WHOM
REFLNO
3 a6 3 -
GJ OM s A,.
SFVr?CSwv, c?po? r SHecJo1J
-?o
lLV,XA A,.4
90'7011
ovFICE oF tr+e cbuNn
nECawER--aucorA cour+n. Mr+.
CERTIFIED THAT ME WITMIN
INSTRUMENT WAS FILEO fON
RE(bR0 1N TMIS OFflCE
ON AND AT
OcT 4 2 30 PH'A9
? NO 9M011
JAMES N. COUNTY RECORDEfl
pEpVTV?.FEE_ZV- rO
cAsn ? CHEp( g cwwce u
CwWGE WNOM
DO NOT REMOVE
Obd -3- L
' 1 4
u
?
.
?
?3 ?,?
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19 ?3 ?. 3!$? 8`1 ?y?Y
193 ?. ? ?`3? 84TI i
19 3 `??33? 81-1`lF--.
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220897
907011
iI11G8 NOOD 2ND ADDITIOII
PA6SSDS6 REDOCIIIG o71bVE 14GRBBIISNT
TH AGREEMENT, made and ente[ed lnto tne (',?# GaY of
, 1989, by nnd between the CITY OF EAGAN, a
Munici lity of the 5tate of lfinnesota, (hereinafte[ callec ehe CITY,
and tl'e Owner and tre Developez identifiec rerein.
The terme •Developer' and "Oxnet" as ueed hereln sefer to HORNE
DEVELOYlIENT CCRPORATION whose addzese is 3850 Coronatlon Road, Eagan,
Minnesota 55122.
N6EREA5, the Developer hae applied to the City for apprw al of
the plaL or subdivision known as RINGS NOOD 2ND ADDITION, located
wit.lln tne Cityt and
W9EREAS, the Ownet and Developer agree to notify the pcoposed
potential buyeis of a.l lota within RINGS WOOD 2ND ADDITION that Lots
27, 28, 29 and 30, Block 1 nnd Lota 140 15r 16, 17r 18, 19r 20r 21,
22, 23, and 24, Block 2 ace in a hlgh watet pressuse zone ena a
preesuce reducing vnlve ehall be inetnlled in each hame below the
elevation of 875 feet. All costs shall be the sesponeibility of the
Owner and Developer and shall be installed to prevent oamage aue to
nigh water preaeuce.
NON# TBEREPORE, the City, Owne[ ana Developer agree ae follows:
l. Arc. This agreem:nt ehall be cecoroed with the Dakota
County Reeosder se ae to provide notice to the ownere of Lota 27, 28,
29, and 30, BloCk 1 anc Lota 14, 15, 16r 17, 18, 19, 20, 21, 22r 23,
and 24. Block 2p 1CINGS w00D 2ND ADDITION. The a+ner eha11 pcoviae ano
ezecute any end all docuaoents neceasary io implement the recoccing oi
this agseaaent.
y, Notice. The reaocding of this document shall constitute
notice to all ovners and iutuce a+nere of pcopesty in the 1CINGS wCOD
2ND ]1DDITIOti that Lots 27# 28. 29r nnc 30v Block 1 and Lots 14, 15,
16, 17. 18, 190 20, 21, 22, 23, and 24. Block 2 ase in a high rate=
presaure zone and that a presaure seducing valve sball bs inatalleo
in each hame below the elevation of 875 teet. All costs shall be the
reaponaibility of the Buyer and shall be installed to preveni damege
due to nigh watec pressure.
;, v?n iaitv. If am postion, sectlon, subsection, aentence#
clause, paragceph or phraee of this egreement is foc any ceaeon Aelb
to be invnlid, eucd decielon ehall not affect the valioity of the
remeining poztion ot this ConCCect.
4, $jndinq Aoreement. The perties mutunlly recognize and agree
that nll terme and eonditioae of thle tecocdnble agreement shall run
wieh the land hecein deacribed and ehall be binding upon tha Aeice,
suceeasore, adminiattatore and asslgns of the arners and aevelopere
referenced Sn thie Contsact.
IN WITNESS WBEPEOF, we have lsezeunto eet ous Aands.
CITY OF AGAN QVNER AND DEVELOPER
(Datet • ) NORNE DEVELOPMFNT CORPORATION
By= gy; ?
Its Mayor I =
AttOett
It8 C tk
STATE OP !lINNESOTA)
?n,?___ ) sa.
COUNTY OF ?31i)
.? day o! ? i= r 1989, belo[e me a Notary Public
On this ?,
wlthin and foc sala County, personally appeazed VICTOR L. ELLISON ana
E. J. YanOVERBERE io me pecsonelly knarn, wAo being ea [?amClerkyof
exosn, eaah did say thet they are respectively the May
tda City of Engan, the municipality named in the focegoln9
instrument, and that the seal affixed on bebalf of said municipality
by authority of its City Council and eaid Mayoz and Clatk
ackna+ledged said instrument to be the fres act and ceed of saie
municipelity. ,
a?+... ?
rLann L WucntantuK?
DAKOTA C (,?, ?.GGC ?C
?1,xt ?o:wrnmc Ytl1N[f0 N tat , Public ?
S-?:t? OUNTY
y, Ce..ns?s 6p /N L MA
-2-
STATB OF MINNESOTA)
) se.
COUNTY OF or'f )
On thie :ZL? day of e4174- +' , 1989, Defore me a Notery Public
vithin and for said County, personally aypeaced
.?'NMes 8. /-F<,c .,F -&nd- to me,,p? r0? nally.. _.,
kna+n, who being eaeh by me duly sworn, eaek did say that 1i?sa
reepeet#Yriy? the PxFS„?,,f a91-
of the Cocpocation named in the foregotng
inatrument, --? -- --• ? •_--- --- ' - h-
and chat sala instrument ves, -
aigned a?d-xa2ei on behalf of said cosporation by authosity ot tte
Board of Directors and said .o..??r --an? -.
eckn arledgea sala inatcument to be thp fcEe
act and deea of [he corporation. ;i
=@ELIZZABETH A. wirr
A COUNTY
wm rr x ww
??j"z !.1. GJ`
Nota r+ Public
?? r •
r :
i. _
? .
r
APPROVED !4S TO fOAM:
?
C' y Attorney' -f" e
te:
APPROVED AS TO WNTENTs
Public'otke Departme}??
Da te c ?4,-,^ -f
TBIS SNSTROMEHT NAS DRAE'fED BYs
MCMENOMY i BEYERSONO P.A.
7300 Nesi 147cl? 8tceet
P.O. 80: 24329
Apple Valley, MN 55124
!(?6D? 1 Q32-3136
e
-3-
i.
1 ;
' .
? , ...
?
?
Use BLUE or BLACK Ink
I For Office Use I
I
City 1 Enu' Permit#: of ~Q I `j aJ
I Permit Fee:
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received: D (H3 I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-13 Site Address: l /196 /<<x wc04Q r alt, Unit
Name: Phone:
Resident/
Owner Address / City / Zip: lq Al-
Applicant is: Owner SZ Contractor
Type of Work Description of work: ,ear ' o
Construction Cost: Multi-Family Building: (Yes / No _S)
Company: c cJa f er-5 f~vt 2 can . Contact: &-0,07 Ma,
Contractor Address: City: S- AA,, Aea41_'o/:5
State: A Al Zip: Phone: 9!~ef_ 3q-76
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150049
Date Issued:06/19/2018
Permit Category:ePermit
Site Address: 1486 Kings Wood Rd
Lot:28 Block: 1 Addition: Kings Wood 2nd
PID:10-42001-01-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Brian J Bebel
1486 Kings Wood Rd
Eagan MN 55122--186
(651) 687-0276
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature