1489 Kings Wood Rd
Use BLUE or BLACK Ink
r
For Office Use '"77 Permit
City of EaRd~-
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: " Site Address: r~ 1`t rv►aS W Vo d P.OC-J, M S-51 2 2
Tenant: Suite M
RESIDENT/OWNER Name: 6i eo , CA S Phone: .c 4 ,7 Q
Address/ City/Zip: H S CI Kl"ga WOCA ype `
Applicant is: ~L Owner Contractor
TYPE OF WORK Description of work: re-y.yye Sidovu7 ' br , a Ica :Vt5 CuI4K,ed 5216 by
Construction Cost: / C~)o Multi-Family Building: (Yes / No y)
CONTRACTOR Name: License M
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
X
Applicant's Printed Name Applicant's Signature
Page 1 of 2
Wnfiffcate oq cccupanc?
This Cenificate issred pursuant to the iequirements of the Uniform Building Code
certifying that at tlu [ime of issaance this structuse was in compliance with rhe various
ordinances of the City regulating building construction or use. For the followirtg:
use ckmafiaaun: SF Dkr/CAR Bwg. vmnit No. 1062
OocuP?Y TyPe ZmmB Dimiu Type Cwst
O? of suddin JC£ PMER FYMES Addn= 18133 CaIAR AVE S, FARIlIC1Cx1
BuiWingAddrcss . !T-- RDAD Laality L2I, ffi, Mu$ WOCD 2ND
QJu/92
BWd-mg oam
POST IN A CONSPICUOUS PLACE
,..
INSPECTION RECORD
CITY OF EAGAN worIVAm Fm DECK 04/13/93 PERMIT TYPE:
3830 Pilot Knob Road ?? SCLilEFFERT 688-7527 Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
Control No. 0 818
of I {a Ff i'
rt/16/9z
SITE ADDRESS: tOr- 1 i
" e tN???, urtt?n 1aI,
k 1 N(". I.J??nO :'Nfa
I PERMIT ?,"BTYPE:
TYPE OF WORK: Nr.w
INSPECTION
f uu t 1141, .. .
i kAM 1 .A
[?p1:5llt_A(luN FINAL
FiRFfiI ACf '? m
{i1MAtt1.'; !tF ('r If'i #
?tncK: ? APPLICANT:
MiI LEk Wq11E`? JOs k.NH
(612) 464•-4663
'40J pt8R - iiEHT•-1?YAN
IL ?
----------------------------
Pormtt No. Permk Holder Data Telephone 6
S/1N
PLUMBING
HVAC
ELECTRIC ?0?9
ELECTRIC
Inapeetbn Date Insp. CommeMs
Foo,ings I 7/ 7l? w
Foundetion
Framing
Rooflng
Rough Plbg.
.v
Rough Htg.
IsuL G- _ • Y-
f
Flreplsce 3?1 l
f
Final Ht9. _7 4 _f
orsat rBSt ?Pf 9 ?
Flnal P(bg. Plbg. Inspector - NdNy Plumber
Const. Meter
EngrJPlan
Bldg. Final -? -
Deck Ftg. ? Z3 _J
oeak Final .L y
wen
Pr. Disp.
?f i-yz l? ,?3
Address: 1489 MUg WppD RpAD I.ot 21 Blk 2 Sec/Sub KEC5 WOOD 2ND
These items were/were not complete at the time of the final inspection.
t: 09/24/92 Yes No
Fina1 grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
.
Trail/curb damage ?
Porch x
Basement finish
Deck
Please verify vith the builder the removal of roof test caps from tha plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potentlal exists. ?
ucvtteo w[w
White - City copy Ye11ow - Resident copy Pink - Contractor copy
,9,2- REQUEST FOR ELECTRICAI INSPECTION E&00001-08
8/o?7/
K09078 , See instmctions br completing Ihis form on Dack ol yellow copy
N
?
X" Below Work Covered by This Request `??n 7 ?
ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired
sioo Home ge Temporary Service
Duplex er Heater Electric Heating
Apt Building er
l Ofher-(Specity)
CommJlndustrial ace
Farm
Condition
Air
er
Other (specily) Contrector's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee
Swimming Pool 1 0 to 200 Amps 1-f 1 Js 0 to 100 Amps y
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeclor5 Use Only: TOTAL
Irrigation Booms I
,
aj ?Sd
Special Inspection -
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby
certify ihat the above inspection has
been made. Rough-in
Finel ?
r Date ?
?te
OFFICE USE ONLV y
Thi3 request voitl 18 months from
K 0 0 78 lo,7c/ av
Requesl Date
Afl l
f16 i 12
1992 ire No. R gh-in InSpeCtion
R quired?
? Feady Now i Notlry Inspector
Wh
R
tl
7
f
., (?gs r. No en
ea
y
ILoecensed contractor ] owner hereby request inspection of above electrical work at
Job Atldress (Street. Box or Route No.)
1489 Kiagwood /2oad Ciry
Eayaa
Section No. Township Name or No.
Range No.
Gounry
I D¢kota
Occupanl(PRINT)
aoe (7i.teelL llomee Phone No.
454-4663
Power Supplier Atltlress / 10
D¢koia E.Le.ct2ic Fu2m.iayion, (7N. 55044
Electricai Contractor ICom any Name1
?l.?cl.?ancl EL?ecta.ic Coniractor's License No.
041610
Mading Address (COnvactor or Owner Makiny In5lallation)
17854-8 auflUizz Glay, LakeL.??eq_, ('1N. 55044
Aut?orizetl isn Iure 1 ntraCtori ner Making InStallatior Ptp?g Nymbgr4 , 4
rf7? ?
MINNESOTA STA7E BOARD Onc?,?.,f:+RICITV 7HIS INSPEGTION REOUEST WILL NOT
Griggs-Midway BIEg. - Room S•173 BE ACCEPTED BY 7HE STATE BOARD
7821 Univeniry Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
c( So 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when pemrits are required for each unit
Date?/?b / 003
i ? ? ? K ? ?
? ?
g
Site Address
? ?1 (q
o Q C Unit #
o Gt
^ ?1 1'?'1 I.J S S 2 2
Property Owner lS E v'i le- C 1? S Telephone # (G 67) ?f SZI
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is X Owner _ Contractor _ Other
Add-on, modification or alteration to eaisting dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner _ New _ Replacement
? other CUn a ?GS I;ne 4r a 445 S-lOve.
-?
State Surcharge $ .50
I -- I ?
Total `' s 3 O.
..,
I hereby apply for a Residential Mechanical Permit and aclnowledge that the information is complete and accwate; 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
pemut, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
aS ? C,...4
Applicant's Printed Name Applicant's Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New construction _Install _ Remove Underground Tank
Interior Improvement Schedule inspection durfng installation or removal of tank
Processed Piping
Nature of Work:
Pertnit Fee $SOSO Minemum Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Permit Fee
• If pernut fee is $1,000 or less, add $.50 => $ State Surchazge
If pernrit fee is over $1,000, add $.50 per
$1,000 Perrnit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernut and aclrnowledge that the infonnation is complete and accurate; tuat tue worx
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 pernut, but only an application for a permit, and work is not to start without a pernut; that the wark will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
RESIDENTIAL BUII.DING
Permit Application ?
City Of Eagan Q O.??
-49 3530 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reauirements RemodeVFteoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies o( plan CeR of Survey Recd
(20qo maximum lot coverage allowed) 1 set of Energy Calculations for heated addiGons Tree Pres Phan Recd
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey (ar additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if onsife sepfic sysfem _ On-site Septlc System
3 copies of 7ree Preservatlon Plan if lot plalted aker 711l93
Rim Joist DetaJ Options selection sheet (bldgs with 3 or less units
Date / lC.
Site Address n)
- onstruction Cost D) [1VU . ?
yAQ5 C171r1?'Jj ? Unit/Ste #
?
Descriptiou of Work
Multi-Family Bldg _ Y_ N
Fireplace(s) _ 0 _ 1 _ 2
Property Owner Plen[J Telephone # (65I ) - ?? -o?d qd
Contractor Ameri-copi V1C tr V' roc..
Address (pay / lt b
State 1 1 I I V• lle f A()O- S("1 City ur V^
Zip ?tZ? Telephone #(q.?j" ??O7'a'I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residenlial Ven6lation Category 1 Worksheet
(q submissiontype) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted . , ?
FLC;Telephone#Z??? 1 1
Telephone # (
Telephone #( ) tVLy
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
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. _
Dia/ta. &?11-teev
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bidg
? 31 Ext. Alt - Muiti
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Dtain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search Copies
Other
Total
Building inspector
INSPECTION RECORD Control No. 0818
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 001062
Eagan, Minnesota 55123 Date Issued: 0 7 J 16 / 42
(612) 681-4675
SITEADDRESS: Lor: 21
1489 KINGS WQOD RD
KINGS WOOD 2ND
PERMIT SUBTYPE:
SF DWG
BLOCK: 2 APPLICANT:
MILLER HOMES JOSEPH
(612) 454-4663
TYPE OF WORK:
NEW
INSPECTION
FOOTING .. .
FRAMING .A
INSULATION FINAL
FIREPLACE
REMARKS: RECEIPT IF
F
L
S&W PLBR - GENZ-RYAN
?
_.: . ?
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1489 KIMGS WOOD RD
LOT: 21. BLOCK: 2
KING3 WOOD 2ND
-buildi;ng Permit 7ype SF DWG
'? Buildin?g-\Work Type NEW
tlBC OaGUpBhc,y R-3 M-1
Canstruction'Type VN
Zoning ?._ R-1
Building leflyth '.. 66
! Building Width .? 42
.. , .-
,. f
:
>
F ".
L; j .!
REMARKS:
RECEIPT #G D 1 C(?q-7
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
3AC
SAC %
SAC Units
Subtotal
S&W PLBR - GENZ-RYAN
VALUATION
$807.50
$524.88
$74.00
$7@0.00
1@0
$2,106.38
$148,000
BUILDING
001062
07/16/92
MISC FEES $1.610.50
Total Fee $3,716.88
CONTRACTOR: - Applicant - sT. LICOWNER:
MILLER HOh1ES JOSEPH 14544663 0002431 MZLLER HOMES JOE
18133 CEDAR AVE S 18133 CEDAR AVE S
FARMINGTON MN 55024 FARMIN6TOM MN 55024
(612) 454-4663 (612)454-4663
I hereby acknowledge that I have read this application and state that the
information is carrect and agree ta comply with all applacable Stete af Mn.
Statutes and City of Eagan Ordinances.
I_ J
?J .
? ?m?
A PLICANT/PERMITEE gtGNATURE ?UE9D BY?: SIGN U
Control No. 0818
10 G?
REQUIREMENTS:
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS,
?-3 -7 / 6.?Yl
OUL 1 0 REco
C4?&b -7/1?_
1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL ---2 SETS OF ARCHITECTURAL &$TRUCTURAL PL4NS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REOUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q,B LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
60
To Be Used For:I ,j `7a. Valuation: Date: 4.j, qq7 !-?,
?Site Address
Lot !?_( Block a I
Parcel/Sub , Occupancy
Zoning Bidg Permit
Surcharge
Actual Const Plan Review
Owner Allowable License Fee
# of stories SAC, Ciry
Address Length SAC, MWCC
Depth Water Conn.
City/Zip S.F. Total Water Meter
Footprint S.F. Acct. Deposit
Phone S/W Permit
On-site sewage S/W Surcharge
ontractor On-site well Treatment Pi.
JOf MltLER NOMES MWCC System Road Unit
Address 18133 CEDAR AvE. S0. City water Park Ded.
• PRV Trail Ded.
City/Zip #0002431 Booster Pump Copies
SUBTOTAL
Phone q5_q-y(4P(P3 Licens APPROVALS Penalty
Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
Ciry/Zip Code
Phone #
FEES
Processingtime
ince with
_.. ?rr------- ---- - ' -
vrrnor. tr or. vm.T
BUILDING PERMIT TYPE
?
01
Foundation
0 05
Apt. Bldg
? 09 .
Basement Finish
E3 02 SF Dwg. 0 06 6arage/Accessory ? 10 Swim Pool
? 03 Two family 11 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. 0 08 Deck ? 12 Comn./Ind..
WORK TYPE
.
? '13 Pubilc Fac.
? 14 Agricultural
O 15 Miscellaneous
LI'31 New ? 34 Repair ? 37 Demolish
? 32 Addition 0 35 Tenant Finish ? 99 Undefined
? 33 Alterations ? 36 Move - .
GENERAL INFORMATION '
Const. (Actual ) I`i10 Basement sq. ft . /09 9, ys MWCC System r?-
(A1Yowable) TA-/ lst Fl. sq. ft. ?o79,yy City Water
r
UBC Occupancy K.3 Nr-l 2nd F1. sq. ft. 2-3 PRV Required
Zoning A-1 Sq. Ft.
total Booster PumP
# of Stories 2 ,
Footprint Sq. ft. Fire Sprinkler
Length .?? On-site well Census Code t
Depth On-site sewage SAC Code ;
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site fa Footing jR Framing ,0 Insul.ation
? Wallboard 13 Final ? Draintile O Fireplace
Permi t Fee v.tuacton: s `/8 Doo .
Surcharge
Plan Review
License
MWCC SAC 3s . _ ? . . 1.t
6O'icc ? e -??,
z "f^?.,-:,,;,.,,..
, ., . .;:
C 1 ty SAC :j,,j
9 5?- Z? b 7 ? z(--Z22 Vtc:G b''4'
't'
Water Conn.
water Meter .
Acct. Deposit , ?? ?g ygX?_ GpY
S/W Permi t
S/W Surcharge 73 yos 32
z?cQ i
?
zz, 3 x 3y 3
=.
Treatment
Road Unit 6 y
Park Ded.
Trails Ded.
Copies
Other
?.3?- b?-
? ya 3S ?y
Total:
//Z3,Skss= f
.
SAC % 595?? ?ia lLl ?D°? ,5 ?
SAC Units
.l nl Hn?!}
? ? .
C.IIIIIGY Coi,E cni ?:u
oii cilni?r(8-`E . .
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(ever 3 storlos)_---_.--
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ExposeJ?;foui?dallon•A u x A.
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Framinsj area
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14.
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above?_____
I 03'_'°r. 1311
,c? r ?
' • n .... ?. ??'7 ?' 1_ ?> X U ?, or Ll?e.. sainc a s ?
Cellln framing area (??) equals 107C of cclling arca ??. rt.2•
`? • • N
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15A. Gross ccllln9.,, • • ' f? jt.Z• '
' 150 ? Jolsl areA celllnu arcu
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77
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y* PIONEER
T --------?- - - -?--...
* @f1gi11@Ef Ir1g
?
xt5 • QV1L ENpNEERS
• UNOSCAPE ARCHi7ECTS
Certificate of Survey for: JOSePI'1 M Miller COf15t1"UCtIOn CO.
House Address: 1489 Kings Wood Road Eagan. MN
Model Name: Vanderbilt `
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pAYE 14?2•30,, e
, 900.0 Denotes
: soo_:o) Denotes
Denotes
- Denotes
-o- Denotes
-Eg- Denotes
Existing Elevation
Proposed Elevation
Drainage & Utility Easement
Drainage Flow Direction
625 Highway 10 Norlheast
Blaine, MN 55434
612) 783-1880•Fax 783-1683
? LV'AENGI-WEERING L3FFT
PROP05ED H_OUSE _ ELEVATI_0_ N
Lowest Floar Elevation:866.0
Top of Block Elevation: S-14.13
Monument Garage Slab Elevation: 8?3•8 ??
Offset Hub Bearings shown ore assumed
LOT 21 , BLOCK 2 KINGS WOOD 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
I herebY certity that this survey, plan or report was 1preparecl by me or ander my direct svperrv..]ision and that I am duiy Regisrered land Surveyor
vnder the lews of the Stefe of Mianesota. Dated this ? Sc day1 o1( p 4k A.D. 19_J-2:-?? ? ? " \ r
VQ.1. 7.R'`?2.'. ro r1. Y- y?nnb I n'oy
?.-...??lr?
JCQI e: ? ?Rch_ 30feet Pa: sP ?n3e I vY-?.a c„•O.,Te C/(7 z / J
ROBENT B. 511t1 H 1.5. nEG. ND. 14891
2422 Enierprise Drive
Mendota Heights, MN 55120
612) 681-1914•Fax 681-9488
01 ?I ? ? 2000 BUILDING PERMIT AWPLICATION (RESIDENTIAL) ? bo ?
? CITY OF EAGAN .
3830 PILOT KNOB RD - 55122
651-681-4675 caIIed 1131 loo
New ConshucHon Reaulremenh C?'i/ ?7 7 Remodel/Reooir ReaWremenh
* 9 reglsfered site surveys ahowing sq. R. 01 IW, sq. H. of house p ?2 copies o( plan
and ? rooted areas (? maximum lot covemae allowed) D???d b "T38taFenergy calculations for heated addttlona
> 2 copies of plans (show beum & window slzes; poured fnd. deslgn; efc.) .^1-sitersarvey for exledor addlflons & decks
> t set W energy caculationa
? 3 copfas of tree preservaNOn plan N Iot platted after 7/1/93
DATE: dv'-) CONSTRUCTION COST: °
DESCRIPTION OF WORK: Ow?r ),eVej F'Wr,; II mu1H-(amity bldg., how many unlls?
STREET ADDRESS: Iq L?s W o ?d Qn a?? A1
LOT: BLOCK: ? SUBD./P.I.D.
?PROPERTY
OWNER
Name: /T "G kS 6 e-- vl e-- Phone #: ??o °iSy -,g 6 cl D
Lpst First
Sheet Address: J y g
j
CONTRACTOR
ARCHITECT/
ENGINEER
ciry F?g" ?ate: j?'1 n9 zip: ???
Company: Phone #:
(area code)
Sheet Address: License # Exp.
City
Company:
Telephone #: ( )
Street Address: Regisiration #:
Clfy
State: Zip:
Name: -
State:
Sewer/water licensed plumber (ff instailirm sewerfwaterl: Phone #:
Zip:
I hereby acknowledge Fhat I have read this appiicaHon, state ihat the infortnation is correcf, and agree to comply wilh aflapplicable State
ot Minnesofa Stalutes and City of Eagan Ordinances. _
Signaiure ot ApplicaM: ,3?- c
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ?
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation 0 07 05-plex O 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 0 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
M 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition 0 37 Demotish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demotish (Interior) ? 45 Fire Repair
0 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0/
No. of Units _L
No. of Buildings -2?
Const. (Actual) 5 -N
(Allowable) ?
UBC Occupancy tP-,3
Zoning s? '(
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
Building Engineering Variance
Permit Fee Valuation: $
Surcharge
vi
Pl
R
ew
an
e AV
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 31 Ext Alt - Multi
? 33 Ext. Alt - SF
0 36 MuRi
27
SAC Units
% SAC
L? BL c9, CITY OF EAGAN
.?i • PLUMBING PERMIT
SUBD.f'S?a,-?., (612) 681-4675
0
RESZDENTIAL
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE ItEQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST X
ADD ON
REPAIR
OWNER NAME; JOE MILLER CONSTRUCTION C0. INC.
SITE ADDRESS: ? `? ??' -?- ? ?? • ,?
.•....; . ?: - ?, .,???;
?
INSTALLER: GEtVZ-RYAN PLUMBING
ADDRESS: 14745 South Robert Trail
CITY: Rosemount Zip; 55068
PHOrrE #: 423-1144
. , . .
SIGNATURE OF PERMITTEE
$25.00 MINIMUM FEE.
COMMERCIAL
PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
liYJ ltil .I.N.K :
ADDRESS:
CITY:
PHONE
--_-
?OR :
CITY OF EAGAN
ZIP:
CONTRACT PRICE x 1% $
STATE SURCAARGE $
TOTAL:
CITY USE ONLY
RECEIPT ? /4) 6J S
DATE
COMPLETE THE FOLLOWING:
N0. . FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 =c'v
? WATER CIASET 3.00 9cf
? BATH T[TB 3.00 G "
? LAVATORY 3.00 277F
? KITCHEN SINK 3.00
L LAUNDRY TRAY 3.00 ?
AOT TUB/SPA 3.00
? WATER HEATER 3.00 ?
? FLJOR DRA„7 3.00
GAS PIPING OUT.
? (MINIMi1M - 1) 3.00 ? ?
.? ROUGH OPENINGS 1.50 7,50
_ OTHER
_ WATER SOFTENER 5,00
_ PRZVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ w. TtJRNAROUND 15.00
STATE SURCHARGE .SO
TOTAL: $ 6'O ?
$
(SIGNATURE)
r
CITY OF EAGAN
L^"
SUB B? MECHANICAL PERMIT RECEIPT #
D. (612) 6514675 DATE 9?-
J
RESIDENTIAL
PLEASE COMPLE!'E UppER ppRTTON ONLY FOR SINGLE FAMII,Y DWELLINGS. AISO, COMPLEI'E FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQ(JIRED FOR EACA DVVELI.ING UNTT.
OWNEP. JOE MILLIIt HOMES FEES
STfE ADDRFSS: ADD ON/REMODEL (EXISTING $ 15.00
• CONSTRUCTION ONLX)
?
INSTALLER: GENZ-RYAN HEATING
HVAC: 0.100 M BTU
24,00
PHONE #: 423-1144 ADDITIONAL So M BTU 6.00
ADDRESS: 14745 South Robert Trail GAS UUTLEI'S • MINIMUM 1@ $3 EA. ?`?
CiTS'. Rosemount ZIP: 55068 SURCHARGE: $ ,Sp
SIGNATURE:: L21
, TOTAL: S o
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAI. BUILDINGS. ALSO COMPLE!'E FOR
APARTMENT BUILDINGS OR OTfER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRID FOR
EACH DWELLING UNTf.
R'ORIi DESCRIPTION: II CONTRACT PWCE: I FEES
l% OF CONTRACf FEE.
STATE SURCHARGE IS $.50 FOR EACH
$19000 OF PERMTT FEE. $
PROCFSSED PIPING - $25.00
1*ffNYA.U"Ivii FEE - $25.00
$
L? Bl a2- CITY OF EAGAN
/-eQ PLUMBING PERMIT
SiJ$D.? f?.ticp fi(/?P,Y (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------- -
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR OWNER NAME: _,
SITE ADDRESSJ
INSTAI.LER: ?
ADDRESS:?
CITY•
PHONE #: ?lw
CITY USE ONLY
RECEIPT # GD 71W?
DATE
AL50, FOR TOWNHOMES AND CONDOS
--------------------------------------
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
_ SHOWER 3.00
_ WATER CIASET 3.00
BATH T[JB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TITB/SPA 3.00
_ WATER REATER 3.00
_.? FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
:T WATER SOFTENER 5.00 ?
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .SO
TOTAL: S ? 6-D
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL GOMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
C"vivTnelCT ?RICE:
1% OF CONTRACT FEE. _
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
?
(SIGNATURE)
SIGNATURE OF PERMITTEE
' EACTIVATE CITY OF EAGJ?tV
? l?
?ERMIT # ., ???????? 1993 BUILDING
681-4675
' APR 0 9 1993
PERMIT APPLICATION
SINGLE & MULT - -- ' 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 kff- / -1 /'T3 Valuation of work ?(oDo
Site Address: 1 S ?1 ??n? C? S W U o? ILA
STREET SUITE 9
Tenant Name: (commercial only)
LOT BIACK a- SUBD. uh6p
t, P.I.D. o
Descri tion of work: k1?tT-ou A ECk
The appl i cant i s: ID Owner ? Contractor ? Other (Deaeribe)
Name ScazFG?Fe-r M -1(.,k k EL Phone
Property LAST FIRST
Owner Address ly R'q ?rV) (9 st2) ?nh YL?
STREET STE f .
City E46 A?J State i'>'1 PJ Zip .SSIx?-
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration N
Address _
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has 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.
?
Signature of Applicant: -?
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 Sf Misc.
WORK TYPE
? 31 New
32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi.. Add'1.
? 33 Alterations
0 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
U$G Occupancy R-3
Zoning
# of Stories
Length ,g5" yN
Depth /y = o-•
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?? Footing
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O 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
F 15 Deck
? 35 Tenant Finish
? 36 Move
? Framing
O Draintile
O 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.
Copies
Other
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0 17 Swim PoolO 18 Co?mn./Ind.
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? 21 Miscellaneous
? 37 Demolish
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City Water
PRV Required
Booster Pump
Fire Sprinkler
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- - Denotes Drainoge Flow Directior,
-o- penotes Monument Garage Slab Elevation: 81"?•8_ +
--a-- Denotes Offset Nub Bearings shown ore assumed
LOT 21 , BLOCK 2 KINGS WOOD 2ND ADDITION
DAKOTA COUNTY. WIINNESOTA - - -
1 htrebY eertily fhet Ihis sarvey, pton Or reporl wet rep0red by Te or under my di.eet tupervision and Ihat 1 em duly RegistereA land Surveyor
r
under the laws o( The Stau of Minnmau. OateA this ° day oi ? ? U? A.D. 19_?2-:•'
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JAMES N. CWNTY' nREC/O7RER
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907011
[IRGS MOOD 2ND ADDITI011
PYESSOR6 REDOC2NG YALY6 JIGRBSMBA?
T8 ACFEEMENT, made and snteced into the ?GaY o=
, 1989, by and batween the CITY OP EAGAN, a
Muniei Ality of the State o! llinnesota, (hereinaftec callea the CITY,
and ti{e owner and the Develope= identifiec herein.
?he tetms 'Developes" and •Ownec• ns uaed herein refer to HORNE
DEVELOPMENT CORPORATIOH whose eddrese is 3850 Coronntion Road, Eagan,
Mtinnesota 55122.
NHEREAS, the Developec nae apglied to ihe City for appcoval of
the plat or subdivSaion known as R2NGS NOOD 2ND ADDITION, located
riLlin the Cityl and
W9EREASr ihe Ownes and Develope[ ag[ee to notify the pcoposed
potentinl buyezs of a,l lota within 1(2NG5 WOOD 2ND ADDITION that Lots
27, 28, 29 and 30, Hlock 1 and Lota 11. 15r 16r 17, 18, 19r 20r 21,
22, 23, nnd 24, Block 2 are in n high vatec pressure zone and a
pressure reducing valve ehall be inetalled in each hane below the
elevation of 875 feet. All costs ahall be the sesponeibility of the
Orrner and Develupec and ahall be installed to prevent camege oue to
high water presaure.
NOWt T9EREFORE, ths City, owner and Developec agree as follows:
l. Rprnc ina, This agreran:nt shall be recorced xlth the Dakota
County Recordes so as to pcovide notice to the ownera of Lote 27, 28,
29p and 30, Block 1 aAa LOts 14, 15, 16* 17p 18, 19r 20, 21# 22r 23#
and 24, Block 2# EINGS w00D 2ND ADDSTION. Tbe owner shall pcov3oe ano
execute any and all documenta necessacy to lmplement the recorbing o=
this ngreanent.
Z, Notte . The recording of tDis document shall conetitute
notice to all ovnere and fuiuce a+ners of psoperty in the RINGS WOOD
2ND ADDITION that Lota 27, 28, 290 ano 30, Block 1 and Lots 14, 15,
16, 17, 18, 19, 20, 21, 22, 23, and 24, Block 2 are in a Aigh rater
pressura sone and t6at a preasusa reducing ralve a6a11 be installeo
Sn each 6ome txl w the e3evaLion oE 875 faet. Al1 coats ahall be the
responsibility of tha Buyer and ehall be inetalled to pcevent damaqe
due to high wnter pressuie.
3, ya idicv, If any pocLion, section, eubeection, aentence,
ciauee, peragraph or pAraee of this agreement Sa fos any reason helc
to be invalld, such decinion ehall not affect the velioity of the
cemainiag portion of thia Contract.
4, sinaina Apreement. The parties mutually recogniza and ng=ee
that all terma and conditlons of this reoordnble agceement ahnll run
with eDe land herein aeectibed and shall be binding upon the heire,
succesaorsr ndministtatoce and aeaigne of the owners and developeca
refecenced Sn thie Contract.
IN NITtiESS WHEREOF, we have hereunto aet ouc hnnae.
CITY OF AGAD1 QVNER AND DEVELOPER
(Date: ) dORNE DEVELOPl1FNT OORPORATIOH
By= L
gy,
Its Mayor I =
Atteets '°"''
Ita C tk ?- ?
6TATE OF !lINNESOTA)
???"?? ) sa.
COUNTY OF vrr?y7li)
On thie KN day o! l?t 19890 betc[e me a Notary Public
within and for sald County, personally nppeated VICTOR L. ELLISON ana
e. J. VanOVERBExe to me personally knovn, rho being eacA by me auly
axocn, each did say thnt they are reapectively the Mayor and Clerk of
t6e City of Eagan, the munlcipality named in the fotegoing
insirumnnt, and that the seal afLixed on behalf of said municipnlity
by authority of ita City Couneil and said Mayoc anu Cleck
acknoviedged said instrument to be the free act and ceed ot saia
municipality. ,
ErJ?10 n ? warncne?uns
.runrc-rnnawr?
dlic KOTA COUNTY
t
?.ssio? br re? a 19lt
-2-
.. •-
STATS OF MINNESOTA)
) 68.
COUNTY OF orh )
On thia j2j:? day of M+y , 1989, befote me a Notacy Public
within and for said County, personally appeaced
.t.rMes e3. ffe,cdF 4mni- to me 210,r'!V ally; _.,
known, who being eeeh byp me duly swozn# eeeh did say that
respeeeireiy? the rRFSiDff ?T errml-
of the Cocporation named in che Sozegotng _
instrumenc,
and that said inetrument was, .-
signeif aad-eeaied on behnlf ot anid cocporation by authority of its
Board of Directora and said 'PRES.e....r -neo- -•
acknowlecgea sala instcument to be thp tree
act and deea of tho corporetion. c
=QEL12ZA181ETm ? :7:]
A COtvWm &-?f? l.l . GJiil;'
Hotarp Public
? . .
r :
f ., .
n ,
? ..,
APFROVED AS TO FORM:
?
C' y Attorney' -f" e
ate:
APPROVED AS TO NTENTi
.'?
Public Wocka nar71:qnQt
Da te e
19I8 ZNSTEiOMENT MAS DRAFTEC BYt
McMENOMY i SEVERSON, P.A.
7300 Mest 147th streei
P.O. Boz 24329
Apple Valley. !!N 55124
?D/1 32-3136
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***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: , 08/14/00 TIME: 07:48:03
ID:
NAME: , GENE A HICKS
3212 9001 1489 KINGSWOOD
2155 9001 1489 KINGSWOOD
?0.00
0.50
Total Receipt Amount: 30.50
CR135704
USER ID: JAN
? CITY USE ONLY
L 9L
SUgo. ? p l?-3 GT,)
-?
RECEIPT #:
RECEIPT DATE:
?)- ?- "c ?
PERMIT # q
2000 PL17NMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, M 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIYTI I Q F C
Ferw rt
T(1TA1_
Alterations tg existing dwellingn - minimum fee
Describe: _(-? qS EVY? Bn? -F r $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC Iic. 75.00 X = $
SeptiC System abandonment 30.00 x = $
RPZ new installationlrepaidrebuiid 30.00 x = $ ?
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construckion 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ---> $ .50
Total --> --> --> ----> $ 30 - .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby ecknowledge that I have read this applicetion, state that the information is correct, and agree to compty with all applicable City of Eagsn ord'inances.
It is the.applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during ds
normal operational and maintenance activities to the facifitles constructed under this permit within City property/right-of-wayfeasement.
SITE ADDRESS:
"r,& s L4J oe d
?e
SS/ 2
OWNERNAME::
INSTALLER NAME: ?eh f' (/? ??` S
STREET ADDRESS:
cirir:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
r
STATE: ,
SIGNATURE OF PERMITTEE
® 11 D I a ffi
ce l~s~ I
Y Permit q c~ ° r I
Clt of ~a p I ,
I Permit Fee. l
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received: t~ 1
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff:
!
2008 ~RESIDENTIIALL~ BUILDING PERMIT APPLICATION
Date: / ' U y Site Address: .D •
Tenant: Suite
RESIDENT / OWNER Name: ,pPhone:(F Address/ City/ Zip: zz~ led • ~Q SS/a
Applicant is: Owner Contractor
TYPE OF WORK Description of world GGrdt Guy G4&Q
4J a
Construction Cost: / Multi-Family Building: (Yes No 11~)
CONTRACTOR Name: License Z
Address:
City: ~1~12A flC~ State: r/ Zip: S 6 T
Phone(6sll1l l~ q-';? a lve Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina ces 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 rmit; that the work will be in
accorddwith the approved lan in the case of work which requires a review and approval of plans.
x x
Applicant's Print d Name Appllca t' Signatu
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA080157
Eagan, MN 55122 . Date Issued: 10/01/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1489 Kings Wood Rd
Lot: 21 Block: 2 Addition: Kings Wood 2nd
PID 10-42001-210-02
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Fireside Hearth & Home Gene A Hicks Tste
20802 Kensington Blvd 1489 Kings Wood Rd
Lakeville MN 55044 Eagan MN 55122
(952) 985-6675
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For Office Use I
1
lion
Permit City of Ea I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 6p2_4__ /r~ctc rC S Phone: to /)_-2-5,D- g a 3
Resident/
Owner Address/ City /Zip: 7/1// y
Applicant is: Owner K Contractor
Type of Work Description of work: A91a Y A e a Q
d-
Construction Cost: ~ 5700 Multi-Family Building: (Yes / No
Company: ®1 /~,Z L-)C rfer/ok 5 Contact: /4,u 5
Contractor Address: 7a ~Cl~//~c h City:
State: zip: 3 Phone:
i
I 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
g 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.om
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 i/11.'_''` luv5 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
yI
For Office Use
Permit #: v
Permit Fee: / --
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r/J lt' Site Address: /gg F` /Al CA -5 L, �% " Unit #:
c
Name: rt= -x.%62 r e Phone:
Address / City / Zip: / i/C6 q kith - O
Applicant is: Owner ): Contractor
Description of work: i epO4.e «&/%J
Construction Cost: (11l S / 7. Multi -Family Building: (Yes / No )
Company: 7 J (() (.! )5, 6-60-61.7-6of Contact:S39LC 9kia 4 Cc s" -"-
Address: 524°/ t2/ ie Mae M City: s ✓
State: ,4 /V Zip: 53—i428 Phone:/5v2" mail:
License #: 1---,� -Zo5-,3 5-15)..)? Lead Certificate #: AI 47--- 7.Z 373--/
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:
��}'�yt��' r ut •t'�tj,® %rot,��6.1�y A•
�y.;y`t-' �IG r.,}1
•. i.0 s a 11{�' :i l 4tiS 1r1'A.�. '- "t +% 'i :71u- it
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.coaherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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 moi:r/� r. L1
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136539
Date Issued:05/18/2016
Permit Category:ePermit
Site Address: 1489 Kings Wood Rd
Lot:21 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-210
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Gene A Hicks
1489 Kings Wood Rd
Eagan MN 55122
New Windows for America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168652
Date Issued:04/28/2021
Permit Category:ePermit
Site Address: 1489 Kings Wood Rd
Lot:21 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Gene A & Jenny L Hicks
1489 Kings Wood Rd
Eagan MN 55122
(612) 250-8283
Mad City Home Improvement
5020 Voges Road
Madison WI 53718
(651) 500-0514
Applicant/Permitee: Signature Issued By: Signature