1493 Kings Wood Rd? M ?
U ?
Wertificate of ccc"anc4
Mtv of Cfagan
Zepartment of Ouiibing 3ndpection
This Certifecate issued pursuant to the requirements of the Uniform BuiCding Code
certifying that at the time of issuance this structure was in compliance with the various
ordinartces of the City regulating building construction or use. For the following:
Use Classification: SF DWG Bldg. Prnnit No. 1385
Occupancy Type Zoning Distria T Cons[.
Owcer af Building ARC'N1W" H3ES - Address l + W UDTILSIlY, ST. PA[1L
BwMinB Add`ess Lacaliry , s KDM WOM 2ND
i
i ?/ . .
12/ 15/Q2
Date:
Building Official
POST IN A CONSPICUOUS PLACE
INSPECTION RECO--------------
RD Control No. 1047
CITY OF EAGAN PERMIT TYPE: "ltil E+lMtr
3830 Pilot Knob Road Permit Number: wA 1 :466
Eagan, Minnesota 55123 Date Issued: 09 ??? ?9?
(612) 681-4675
SITE ADDRESS: t+? r: r ?• ts ?. r.?r ?: ,- APPUCANT:
l-t'. < 1( 1NtiS Wl?Ab RCt BRENTWUOG HQME5
1 INti'? 140013 ?NU (612) 646-ti529
PERMIT S?yBTYPE:
TYPE OF WORK:
MFILIi
INSPECTION
1 u0 riNia ., .
fRAMi.N<1 .A
'
rNC111 A t luro FTNAL
t rs(rVI nI'i.
ki MAI.'K'.; C'kV ^. b N CUM7RAi'TUlt •• VA1 I t'Y PI-Nti
YLL4ae
b v, m
g
a.. _ .
t . :. . . ? . ?. .. .., :r : .
?C?. ? . .. . . .. . . .. ? .
Y°
.
aeffnn eo. aermn Homer Date Talephone t
SNV
PLUMBINO
HVAC f? / f??, 3' ?fL
ELECTRIC
Zq
ELECTRIC _
Inapectlon Dete Insp. Comments
r-oocmgs i ? ? ? 4)e
Foundation
Framing
?rv
Roofing
Rough Ptbp. 7I(i
b
Q
Roug^?s n-
lsw.
Rmple'ce
Fnal Htg. l L
Orset Test
FlnalPlb9. Pibg.lnspecta - NotityPiumber
Const. Meter
Engr.mlen ?t? N.?' Z •?O 1.
Bldp. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? ? ? ? AS
I.Address : 1493
These items were/were not
.e: 12/17/92
Final grade (6" from sidi
Permanent steps - garage
Permanent steps - main en
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damaee
Lot ZZ Blk 2 Sec/Sub KI%g y
ete at the time of the final
Yes No T- ,,«„_.
S
Porch ?
Basement finish ?
DeCk ? Ine Pnc-jrn Rr
Pleasa verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faueet before
freeze potential exists. oa
¦aciEOww?
White - City copy Yellow - Reaident copy Pink - Contractor
I amnrnn-7
/!>X--:, _..
Re uest Date Fre No ugh-in Inspection
uirad?
? Ready Now-P401 Notity Inspector
?'es G No When ReadY?
I? icensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress IStreet. Box or Route o.)
/'-f 3 ? Ciry
SeGion No. Township Name r No. Range No. Counry
?
Occupapl) (PRINT) Phone No.
Power Sup lier Atltlress
Electrical Comrector IGompany Namel Contractor§ ?cense No.
Mailing Atltlress ICoNraclor or pwner Ma Lng Installati n)
G?-f?G f !J!'?- ?
6 75-
w
-
i
.-
-
Author¢etl1 Sig ture ICon[ractor/Owner Making Installation)
/ I ?? - Phone Num r
V V - Y/' ?
MINNESOTA STA7E BOARD OF ELECTRICITY
Griggs-Miaway Bldg. - Room 5173
1821 Universily Ave., St. Paul. MN 55104
Phone (612) 642-0800
7HIS INSPECTION PEQUEST WILL NOT
BE ACGEPTED BYTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
F?' i ELECTRICAL INSPECTION eaooom-oe
t`?-
K ^?22 ?q ? See insir?ctionsleling this brm on back of yellow copy. e?8 fq /D (l ????
ll I
.., 'X" Below Work Covered by This Request ??•,?'?
Nip Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service "
Duplex Water Heater Electric Heating
Apt. Building Dryer Otheo_(Specify)
CommJlndustrial Fumace
Farm Air Conditioner
Other (speciry) Contracror's Remark5:
Compute Inspection Fee Below:
# Olher Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps
Transtormers Above 200 _ Amps Ahova 100 _ Amps
Sigf1S Inspector's Use Only: TOTAL
Js
Irrigation Booms
•? O
Special Inspection `?
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby
certify that the above inspection has
been made. Rough•in i oece
F;nai a?
OFFICE USE ONLY ?
This request witl 18 monMS irom
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Lo r: 22 B L 0 C K: 2
1493 KINGS WOQp RD BRENTWOOD HDMES
KINGS WOOD 2NO (612) 646-6524
PERMIT SUBTYPE:
5F DWG
TYPE OF WORK:
Control No. 104 7
BUILDTNG
0013$5
09/11f92
NEW
INSPECTION
FOOTING .A .
FRAMING .A
INSULATTON FINflL
FIREPLACE
REMARKS: PRV S& W CONTRACTOR - VALI.EY PLBG
?
7
` .9
a CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1493 KING5 WOqD RD
LOT: 22 BLOCK: 2
KINGS WOQD 2ND
BUILDING
001885
09f11/92
DESCRIPTION:
.. M °
!Build3n.g Permit Type SF DWG
, B;uilding,:Work 7ype NEW
UBC Occupancy R-8 M-1
Cpnstruction-T,Xpe V-N
Zaning --,. R-1
Building Length 72
Building Width 30
\
?i
REMARKS: COa 02 9 y
PRV 5& W CONTRAC70R - VALLEY PLBG
FEE SUMMARY:
vaLuarznN $163,000
Base Fee $860.00 MTSCELLANEOUS $1,610.50
Plan Review $559.00 Total Fee $3,811.00
Surcharge $81,50
SAC $700.00
SRC ? 100
SAC Units 1
Subtotal $2,200.50
CONTRACTOR: - Applicant - sT. LI OWNER:
BRENTWOOD NOMES 16466529 000151 BRENTWQOD HOMES
1564 UNIVERSITY AVE W 1564 W UNTVERSTTY
ST PAUL MN 55104 ST PAUL MN 55104
(612) 646-6529 (612)646-6529
I I
I hereby acknowledge that I have read this application and state that the
infarmata.on is correct and agree ta comply with all applicabl.e State of Mn,
5tatutes and City ofi Eagan Ordinances.
L -1
?
APPLICANT/PERMITEE SIGNATURE
106t6?? , _a, .
ISSUED : SIGNA RE
Control No. 1047
...
APPLJCATION
?''A U G 3? 1 REC:,
. . .
SIN6LE & MULTI-FAMILY .,.., , ,. . , _
. . _ , . ' .. .yt !.
2 sets.of plan`s, 3.registe,red site surveys, 1copy of energy '
calcs.
COMMERCIAL 2 sets of architectural &:structural plans, l set of
- .
specific,ations, 1 copy of energy calcs.
Penalty applies when typin
of permit is requested, but not picked up by last working day .?.,;
7,s
of month in which r.e uest made or lot ehan e is re uested once ermit is issued.
Date 8' /2- 7/ 9 Z Yaluation of work
Site Address: 14 cl 3 Il I N 6 s!w oo d
STREET 1 SUITE !
Tenant Name: (commercial only).
LOT ZZ BLOCK Z.- SUBD: ?,( i n165 W ?o.p ?
a/'A P.I.D. 0 .
Descri tion of work: 5+I-J GLt a,wcL L
The applicant is: B.Owner C3 Contr.actor ?:Uther coesorsbe> _
Name 32 r..? r w o or::) r} (0 wLE-s Phone ?46 = G 52-9
Property LAST FIRST '
Owner add?•ess 1564 W. UnJ)Ur(zS ITy,
STREET STE * .
City State 1''1 f? Z;p 55 ? OD?
Company SA}rel E Phone
C011tr8CtOt' Address License #1)19OI5I1 Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration.#
Address
CitY State Z;p
Sewer 6 water 1 icensed pl umber UA L-i. tq Processing time for
sewer & water permits is two days once area as been approvel- j
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:
vrNUt ust unLr
BUILDING PERMIT TYPE
O 01 Foundation
0 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
El 06 Duplex '
O 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
P.31 New
? 32 Addition
O 33 Alterations
? 34 Repair
?
?. ? $ ? 11 Apt./Lodging C,?sement Finish
012 Multi..Misc. ,?,?'1?S1vrm Pool
? 13 Garage/Accessory ? 18 Comm./Ind. .
? 14 Fireplace O 19 Comm./Ind. Misc.
? 15 Deck O 20 Public Facility
O 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
O 36 Move
GENERAL INFORMATION
Const. (Actual) V- N
_
- Basement sq. ft. MWCC System as
(Allowable) v
7W lst F1. sq. ft. City Water ?
UBC Occupancy _,rA_i 2nd F1. sq. ft. PRY Required c:s
Zoning R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 7 z.' On-site well Census Code /ot
Depth 30, On-site sewage SAC Code o?
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site O Footing ? Framing ? Insuletion
? Nallboard ? Final ? Draintile ? Fireplace
Permit Fee v.luac;a,: g Ifo3?000
Surcharge
Plan Review GA?t 3oXZ1= 630
License
?? X ?
MWCC SAC
City SAC
Water Conn Gyr
$-5MT? x 14? z: /oZ5(a
i
.
Water Meter ,2g u
. y Z= I I r7?
Acct. Deposit a )L 13
S/W Permit
S/W Surcharge 12oz ? 15= /$? p3p
Treatment P1. ??T F?ooR;
Ro ad Un i t ---'-----
Park Ded. Bsrn? =. 1?.a 2.
Trails Ded.
g k??/
2
Copi es . SO Lx
Other
Total:
i'?y;.X53= 65e2?
0
SAC % I ? ?Na
SAC Units
-1-
1 3
3 0`F u 2=
? '&$?I
q?b1c53-
16s,qo(p
0
SICMA
SURVEYINC3
?SERVICES INC.
19Z 1 Sehecb 94r7d •Sut f e E.
Eagen. MfrxMota 55122
? Plwne: (812) 452-3077
DRpIpA69 ANO YTN,ITt lASENEN7{ ME
SNOWN'YMUf:
0J
Q 1.-0 Q
--LL
B RE ?TWoaD
HOMES, • INC.
?_.C1T G ?
r
? ? ?^\\ S63 a A/
lo
gf ?
h / /w o
N ? h / ?' •
`/
O N
2 ? ?oi __0?•
A=`.
I to o
?? pO ? i
.?, ? 2D {m 0 ?
\ • `` . ' Ln_ zZ 6•'?O/
N[ e14V 0 .,
Co-? ?
NATH
a Denotes Wood Hub Set
?b
,._ .? ?
sca-te :
-LEGEND-
o Denotes Iron Monument
?
.
L?
x813.1 Denotes Existing Spot Elevation
?x861•O) Denotes Proposed Spot Elevation
----- Denotes Drainage Direction
-PROPERTY DESCRIPTION-
4? /ss ?+r??'.
? 9a
/ r \ yI•p
0 ? ? _ ?,? ?G•
,%` ?b ? ? ? $bq16
/a 1
?
4v??t., G
( ',. 4\
A?
38
: r-1'- ? .2 ? 0 I_ C}?
y?; b r.y O?? p?Y' ?
?0
? RO
o. /
: , ?.31 I
?
uia ` . 7 . 1?
?/?
J???o
?
DEPT
? oVe A ?I ED
PROPOSED f,ARAGE FLOOR ELEVATION=
PROPOSED TOP OF BLOCK ELEUATION= g?s'0
PROPOSED BASEMENT FLOOP, ELEVATION=
*NOTE: Verify all Bldg. Diinensions and
Floor Heights with Final House Plans.
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
Lot 22, Block 2, KINGS WOOD 2ND report was prepared by me or under my
ADDITION, according to the record direct Supervision and that I am a duly
plat thereof, Dakota Coun•ty';.,Mitin';:;•:,, Registered Land Surveyor under the laws of
the State of Minnesota.
. ? _ . ? ? ? .. Oate: -! Z.SIqZ
a Wayne . Cordes, Minn. Reg. No. 14675 -.10
'O
owMREgD E&rrv.»nD 1-l Q M -
S=TE ADoREss 149 3 k Im G 5 l.J o a D R iJ .
mrnsAcTOx_Sf? EI?f1W OD? ?I ? m ES nn? 8 I gxoNE(, 4(o -(oS29
petermine working squaze footage of each_
. 1. Total exposed wa11 area . _ . _ _ _ 3193 • 24 sq. ft_ x • ( - ; 1-; t . Z,(o
2. Tbtal roof/ceiling area ...... ? I P?,Z .(a, sa. ft. Xa U?i?p - 3O •,s
A. Total wall window area.......................... 425 • b?o
B. Total door area................................. ;;'7. 83
C. Total slidi.ng qlass door area................... 7 3.3"1
D. Total fireplace aall area ...................... N A
E. Total wall framinq.area (averaqe 103)----------- *:%19 . 32 _
F. Zbtal Aim joist area----------------------------- 2"1l. Zq
G: Zbtal Net wall area above floor................. Zd g S. a2
Total exposed foundation area - 1 (,05_9_
H_ 2ota1 foundation window area____________________ IV A
I_ Total net foundation area above grade............ 1,65, cj
Determine "U" valae of each wa:!i seqment.
a. 42 x ..U.. . '38 = ! (o l . ? 5
b- S-7. 83 x..U., . O6_7 = 3. S 7
c.13 . 31 x,.U., . SO = 3(0 .(08
a- N a. x..U., N A = N l?.
e- 319 . 3Z x.•o" - _ 38• 31
f- 27 I Z 4 X"U' 04 1().?
9-ZOqs .08z X "U•. •04 = , 3
h- !VA x ••U,• , V 1 = {V&.
x..U.. , p7 _= I 1, t?a
3----------------------------------- Total = 344.9
If item #3 is the same as, or less than item ill, you have :net the intent of
SHC 6006(c)2.
. _ ..__. __ _: ....
_ ?1• ` • -
- ..a . ? •. . . ,
-. ?. . . .
Total exposed roof/ceilinq area = - I18 Z• Co
j. Total skyliqht area................................. N p.
k. 1bta1 roof/ceilinq fYaming area (average 10?)...... it$ ?27
1. Total net insulated roof/ceilinq area . . . . . . .. . . . . . . 10
Determine "U" value for each roof/ceiling segment_
? • ? x "u" N1 Q. = 1?1 A
k. ? IR. 2-7 x"o" . 03 = 3.55
1. iO??. 40 X-v° . 02
4-• .... ........................:.....Tbtai _ dl . 0-2
If total of 64 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum o,f items kl and #2_
1. ??C_'i ? 2443 + 2 . 30-1r'J = 3aZ,di
=?-_3Aq . °I + a. 241 . ?33 3(o9 .73
??
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
??T
FOR CITY IISE ONLY
PERMIT #
RECEIPT #
DATE : lP
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- --------------------------------------------------------
WORK DESCRIPTION I COMPLETE THE FOLLOWING:
NEW CONST
ADD ON
REPAIR
OWNER NAME: Z!:?756gK "VTj
SITE ADDRESS:?'?
LOT:C?U BLOCK o'- SUBD.
INSTALLER:
ADDRESS:
CITYI: ZIP:
PHONE
SIGNATURE OF PERMITTE
N0. FIXTI7RES• EA. TOTAL
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
_ WATER CLOSET 3.00
_ BATH TUB 3.00
_ LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
? WATER SOFTENER 5.00 ?
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
. ??
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
GONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
STATE SURCHARGE $
TOTAL:
( S I GNAT[JRE )
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
SUBD. $25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
ZIP:
CITY OF EAGAN
t G?a BL 12 CITY OF EAGAN CITY USE ONLY
PLUMBZNG PERMIT
SUBD._ (612) 681-4675 RECEIPT
DATE
AESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
COMPLETE TFIE FOLLOWING:
n, ?
SITE ADDRESS : 1t'? T?? W v?j i)C`
INSTALLER : f ? ?_?o ?.?rr-? C ' -A) co
ADDRES S: l R? f--) C, -C A L -?
CITY: ? t31E ? A.j ZIP: 5
PHONE #:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 3=
?
WATER CIASET
3.00 _
a BATH TUB 3.00 ti_
'^1 LAVATORY 3.00 o-_
1 KITCHEN SINK 3.00
7 LAUNDRY TRAY 3.00 3--
HOT TUB/SPA 3.00
I WATER HEATER 3.00 3-
? FIAOR DRAIN 3.00
? GAS PIPING OUT.
(MINIMUM - 1) 3.00 1_
? ROUGH OPENINGS 1.50 L?•,?
_ OTHER
WATER SDFPENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. T[JRNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S & `
COMMERCIAL
PLEASE COMPLETE THIS 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 ADDRE55:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
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)
CITY OF EAGAN
?? B MECHAMCAI, PERMIT RECEIpT # /O
SUBD. '' (612) 681-4675 DATE ,/1?
RESIDEIVI'IAL
PLEASE COMPLEi'E UppER pORTION ONLY FOR SINGLE FAMII,Y DWELLINGS. AISO, COMPI.ETE FOR
TOWNHOMES/CONDOS WHF,N SEPARATE PIItMTi'S ARE REQUIRED FOR EACH DWELLING UNTP.
OWNER: , FEES
STTE ADDRFSS: .
? ADD ON/REMODII. (E7iiIISTING
CONSTRUCTION ONLM $ 15.00
INSTALLER: G?-RYAN HEATING HVAC: 0-100 M BTU 24.00
ONE #: 423-1144 ADDITIONAL So M BTU 6.00
[ADDRESS:
14745 South Robert Trail GAS OUTLEI'S . 11?NIMUM 1@ S3 EA.
Y: RosemoLmt zip: 55068 SURCHARCE $ .50
SIGNAT[JRE: . TOTAL: g ;?? sya
COMMERCIqL
Y
?
PLEASE COMPLETE 1'HIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. AISD COMPLETE FOR
AI'ARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUII,DINGS WIiEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLiNG UNTT.
WORK DESCRIPTION:
CONTRACT PRICE
fy?
196 OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
519000 OF PERMTT FEE. $
PROCFSSED PIPING - $25.00
M1!'RiUM FEE - $25.00
$
4
220897
OFFICE OF 7T1E REWSfRM OF
T1TLE9 • a1GOTA COUNfY• Mft
CERfIF1ED 7}NT THE WITFMN
INsrw*AErrr vIAs cr.En w rHIs
pFFICE ON MID X
C.?t 4hmp
ooa Nn
cErrIFr.vE rxi C.---U4,
.?Ar.IEs ?a ootiAn '
FNEasrnw oF Tmes a. f? .
I".
?.? p • 00
?
FEE
o°`A' T
pHEp(
G1Afi0E
CHAFIGE VVHOWI
REFUND
3 e6 3 .
???SAti??^cs.
SFvo.CSwu (o
, ccc'O-11 t SNrcJaiJ
OAC's y-o
507011
oFFlCe oF rHe couNn
{IECOHDER-DAI(OTA CWNTY, MN.
CERTIFlED THAT TME WITNIN
INSTRUMENT WAS FILEO FOR
RECOFIO IN THIS OFFICE
ON AND AT
OcT 4 2 31 PN'B9
? No 90?O11
JAMES N. COUMTY RECOROEN
DEPVTY?fEE lo.ca
cAsN ? CMECI( )( c+uace u
CMARGE WNOM
REFUND
DO NOT REMOYE
ab6 --)-
??-
i
? . '---?
?'----- ? ?
aJ.L. (?'i, -4
I??
03 ?
?
?rb ?-
ICf?
???17p/ q
9 f1?.
193 ?.?i9?
193 33?
r S -5 w-a.w?
i9 3 voo? 35? Ff`19C-
I S.3 ? ?:3? rJ4i( ?
15 3 ,??38? ?'i9F,•;
1?3??3b? &y;(?
: 193??3?
193 ??4G'' SY?;-[
J ! j ?J? I? "?'??/?
19 3 i/"d ?) a? ? `! ? . .
S
i
2?A897
.
907011
[IAGB MOOD 2HD ADDISIOA
PIESSOAd AEDDC2BG V11LVE 11GRBLIIBNT
TH'Ij AGAEEMEHT, made and antered into the (G? GaY o=
, 1989, by nnd between the CITY OF BAGAN# a
Munic! #lity of the Stete oi Minnesota, (hereinaftet called the CITY,
and trie Ornet and the Developer Scentlfiec herein.
Tha terms 'Developec• and 'Ovnec" as uaed herein tefer to HORNE
DEVES.OPMENT CORPORATION whose addiese Sa 3850 Coronatlon Road, Eagan,
Mlnneaota 55122.
NBEREAS, the Developer hae applied to the City for approval of
the plat o[ aubdivlsSOn known as KINGS NOOD 2ND ADDITION, located
viL11n the City; and
NBEREAS, the Ownec and Developer a9ree to notify the proposec ?
potential buyecs of a,l lota Mithin IfINGS WOOD 2ND ADDITION thet Lots
$7p 28, 29 nnd 30, BloCk 1 nffd Lote 11, 15# 16, l70 18, 190 20j 21,
22, 23, and 24, Block 2 are in a high water preseure zone ana a
preasuce ceducing valve shnll be installed in each hane Celow the
elevation of 875 feet. All costs shall be tAe [esponsibility of the
Owner nnd Developec and shall be Snetalled to prevent camage aue to
high wates pseeause.
HQ9, TBEBEFORE, the City, Ownei ann Developet a9tee as follows:
l. R&cordiea. This agreem:nt shall De [ecorced v1tA tbe Dakota
County Recorde[ so na to provide notiee to the a+ners of Lots 27r 26,
29, and 30, H10Ck 1 OnC Lota 14, l5r 16, 17p 18, 19p 20, 21, 22r 23,
and 24r Block 20 1CINGS WOOD 2ND A?DITZON. Tde wnec shall pcovice ena
e:ecute am and all documente necessacy to implement the tecoraing oI
this agreement.
2, ypr,iGL, The secording of thia document shall coneiitute
notice to all a+nera and future arnere oi property in the ICINGS w00D
2ND ADDI4ION that Lote 27, 28, 29, an6 30, 81ock I nnd Lots 14, 15,
16, 17, 18, 19, 201 21. 220 23, and 21, 81ock 2 are in a Digh vater
pressure sone and that a preasnre reducing valve adsll be installea
in eacA Aama bel w Cha d evation of 875 teet. l?11 coate shall ba the
ceaponeibllity of the Buye[ nnd ahell be installed Lo prevent demn9e
due to high wntes pcessure.
3, ValidStv. If ariy portionr section, subsection, sentencer
clause, paragraph or plisaee of this agreement is for any zeaeon Aelc
to be invnlid, euch deciaion eAAll not alfect the valioity of the
remaining portion of this Contsact.
4, Hindfn¢ Aareement. The perCies mutually cecognize snd egree
that all terme and conditione of this reco=dable agreement shell run
with the land herein deacribed an8 shall be binoing upon the heira,
eucceesosa, adminietrato=a and Aeeigna of the owners and developece
zefereneed Sn this Contract.
IN wITNESS WHEREOF, we hnve hereunto set ouc hands.
CITY DP AGAl1 CWNEA AND DEVELOPEN
(Dates ) HORNE DEVELOPMFNT CORPORATSON
9Y= ` By: I s ?
Ite Mayoc
Atteet s -?-
2ta i tk '? -
STATE OF !lINNESOTA)
?n.'- __ ) sa.
COUNTY OF ?j?i)
Oa thie KN day of ?? ,= . 1989, be[oce me a Notary Public
witAin and foc saic County, pereonally appeared VICPOR L. ELLISON ane
E. J. VnnOVERBERE to me personally knarnt who being eacb by me duly
exocn, eacb did say that they ase Leepectively the Nayot ano Cleik of
the City of Eegsn, tbe munieipality named in the foregoing
lnatrument, and that the ssal aEfixed on behalE of eaid municipality
by autbosity oi ite City Council and said Mayor an6 Clerk
acknovledged said instrument to be tde fses act and deed ot eaio
munLclpality. ,
?K ?
wnn L WVAEnrru?rt
x j?a N7:MT IYC11C - Yalrkf0lA N iar Publ ic
DAKOTA CCUNTY
' r? ce.+MSSn. Esr ?n a rm
-Z?
?
,r
:
STATB OF MINNESOTA)
) es.
COUNTY OF PAALarOt )
On this zZS!! day of M++' , 1989, betoce me a Notary Public
vithia and for said County, pereonally appeared
.T'.rmes e3. NoA.,£ .mnd- to me r naliy; _.,
known, who being reeb by me duly svornr aaelt did say that
?iy? the PREsin...ir eff3
of the Corporation named in the foregoing
inetcwcent,
and that said insttument vss, .-
signed aed-eee3ed on behalf of said cotporation by authocity o! ita
Board of Directoro and said ?RESinr.ir -enr _. •
eckn wleaged snia instrument to be Cdg icee
acG and deea of the cotporation.
El12ABETH•A. WITT
? MOTMT?WUO•YWNflOTA
OAhOTACOUNTY NOta1S+ PUb11C
r„ e«M.+,? ..&n w?x In
r
APPHOVED AS TO FORM:
* ..,
C' y Attocney' -f' e
ate:
APPROVED AS TO NTENTs
.'?
Public Worke De arGme t
Dntet ?-,7?Q
TBIb INSTROMENT NAS ORAFTED BYs
MelIEHORY i S6VERSON, P.A.
7300 Neet 147CA 6treet
P.O. Box 24329
Apple Valley, MN 55124
MGD/ 2 Q32-3136
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MECHAIVICAL (RESIDENTIAL)
Permit Application
City OF Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date _o-i_ / /U
Site Address ?L'[ q3 V, Unit #
? 55 2-2 -- 3v
Property Owner .0-(-i r4_1? Telephone # kqr3 (9
Contractor
Street Address 2-toCo 5 GQ•? City TianQ?cy?
State Zip S,S?O,;5Telephone #((p?j'?
The Applicant is _ Owner NI./Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
X air exch
anger
air conditioner
other
State Surcharge $ .50
Total
I s G-5 G
i
i
?t . _. .._. _.:._I
I hereby apply for a Residential Mechanical Pernut 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 tlus is not a
permit, but only an applicarion for a pernut, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
? ' ??. 1?` ??2 (?r?, ?1 ?•
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applica6le) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractar Other
Work Type
_ New construction Underground Tank _ Install _ Remove
_ Interior Improvement Call for inspection during installationlremoval of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Mindmum Fee (includes State Surcharge)
Contract Value $ x ]% _ $ Pernut Fee
• If pemut fee is $1,000 or less, add $.50
If pernut fee is over $1,000, add $.50 per => $ State Surcharge
$1,000 Permit Fee
$ Total Fee
i nereby appiy tar a Commercial Mechanical Pernut and acknowledge that the inforxnation 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 pernut, but only an applicarion for a pernut, and work is not to start without a pemut; 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
Approved By: , Inspectar Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114364
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 1493 Kings Wood Rd
Lot:22 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-220
Use:
Description:
Sub Type:Reroof & Windows/Doors
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, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Windows/Doors: If altering the opening size, a framing inspection is required.
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jason L Becker
1493 Kings Wood Rd
Eagan MN 55122
(612) 210-1916
Clear Choice Restoration
487 Owasso Hills Dr
Roseville MN 55113
(612) 226-7170
Applicant/Permitee: Signature Issued By: Signature
.
�
a
D Use BLUE or BLACK Ink
^-----------------
� For Office Use �
' j Permit#: � j
C�ty af ���a� �o �/\
CC�'v � Permit Fee: ` vi �
3830 Pilot Knob Road �G. ,� �
Eagan MN 55122 ,1 9 e�p1� j Date Received: ' �
Phone:(651)675-5675 ,u4� � I I
Fax:(651)675�694 I Staff: I �
� I
�----------------� �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION C ` , ����
��f9.3 � � � �
Date: �/� � Site Address: �'✓ �..(IG �� Unit#:
,� y� � ,� G�-is G�z- z��- f� i 6
Name. Phone:
R�SIC��1'M'� ; q \ �°
� " ��p�s�- Address/City/Zip: I�! 3 ��^�S� �'�1 z �`�
��
� �� �� :
� `�,, : Applicant is: Owner Contractor
, , yy
i �t /� �.
� ��� Description ofwork: lnl+J � F ��
7� �r�
,, , �. �
� _� �%. Construction Cost: � y�eCk� Multi-Family Building: (Yes /No )
�
� , . = Company: Contact:
,, � ,
" Address: City:
��Cl�
;.�: �
�� � State: Zip: Phone: Email:
� ��
/� ��
,� ��\ License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�
�wN�P/� iS uj'�- - v��; R-1
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:
�Ct?TE ff�t�#�s��C�'�r��s���i�c„�{���t►�rl�r�#�tTi�f you�' �����7���red to be pc���i�i�!�t���ra!t� �t�1'"#C+ �,
the rtt�t��a�a�may'�������#i;�d a�r�r�rr p�r���°���°� ���1�►�sp t�t��sar�#��t wc�u�I��r�t�"�!� �ct
, ,.
� , % �,,,,�,, � :,,
< .
,
7.�� .,��,,.� „ ..: �.<,;;..., c� ���"�(re a��.tr�d��� � :�4 .�...
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 confonn ` 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 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
Exterior work authorized by a building permit issued in accordance with the Minneso te Building Code must be completed within 180
days of permit issuan
x J�+,S�,J �;i�"�
ApplicanYs Printed Name p canYs Signature
Page 1 of 3
,.
.
� � l� �1 N � �I..JC>`JC!' p�-� �
� �����
DO NOT WRITE BELOW THIS LINE �
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4Season) _ 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 T 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 7� Occupancy �� MCES System �—
Plan Review Code Edition __!� SAC Units "�
(25%_100%� Zoning �.�1 City Water ""'
Census Code �� Stories — Booster Pump —`
#of Units / Square Feet '� PRV —"'
#of Buildings � Length "" Fire Sprinklers `�
Type of Construction �_ Width �
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/ No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES �'/bj � G'� �0� I tP �� �
Base Fee °��� ""
Surcharge
Plan Review f g� r
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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(N�t fan assisle�) �Pt��c��s
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Use BLUE or BLACK Ink
�----------------�
I For Office Use �
I "�, �
� � Permit#: O � � I
Clty of ����� ; . ���, �
I Permit Fee: � �
3830 Pilot Knob Road i
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff: ______________i
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �/2��� -/ ' e Address: t__Y� 3 �/n<<5 �u?�� ��
Tenant: ---��-SU�✓ �PGv/� i #:
Su te
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R�S�d4CIt/C�Wf�@r Name: a N Phone:
Address/City/Zip: / � Vl r�/ �✓l.(�� ��°
Name �///� License#:
� Ctltl�raGta�'� �, Address: City:
State: Zip: Phone:
Contact: Email:
.�:��������,�_ _New _Replacement _Repair _Rebuild odify Space _Work in R.O.W.
ti�6��.-, �
�' � ��'��'� ;�s: Description of work: �
� RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
������T��� �dd Plumbing Fixtures�Main/�wer Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge)
$6 awn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 d Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge)
"Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) /'�+�
TOTAL FEES $ f�
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.ao erstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in c rmance 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 wor ' not to start without a permit; that the work will be in
accordance with t approved plan in the case of work which requires a review and approva plans.
x ��/`� �f'l x
Applicant's Printed Name t's Signature
FC1[�Q�FIGE USE R+����w By: Da#et'
Required In�pecfions: , � ��Unc#er Cr�t�nd=- ��� �t��u�h�lh� ��fr T�s#� °��s����Te�f ���i�ial. �`���
Meter Related�lfems -,Meter�iz,,�;��; ��,�adi�R�ad': M�norri���r . �taff: