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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 e ? . ! # ' . ; ? .? ;I i ? I' ? -3- 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 t `(iiv 4�'a'd fJ i2 I ,�- p � � g s . � 3 s �� g F�.. ���� �r�����►�.���•��,�������_���������c�cc���: Jl�l 11 �i�1�. .,,. , , m � ;C�np�ver�t�d��ts�s���ar�infcirr�ati��, ; �tlm3Cer'$t�il�': �pQ7d �Dra�t�i� _,F�n�ss�ast� �re�tt�� 1^��;� BtuF hr ' �Nc!ta�?a�st�� 8 F�ver�d��i Wat�r eafer; ��'i�ed �Fatt�t�d _._�Jir�€�e�� I�put: 3��'t��hr (N�t fan assisle�) �Pt��c��s ����a�CUla#e the v�3�me of th���r€�st�n A��c�S�e,�AS��t�rn;ng:�m�stio�apptian�s, �i,�c�s�n����$������,�����������w����������_��_ c�����,��/34Y� : J�X-FS.X� ����Deierrnfne A�r Ctanges,���.�r�A�t��' C}etau�i ACN va�ues l��he�ir��scatsd�stc�"�at�e�-��of uss�:t��t����Kt�IR t�t��od�: If ihe year of c�rtstrscfa�c��;���s t�st�r�,use r€�€��S�a�S#�n�artf�eit�c}.• ����Deter;�ir�R�€�€r�Vta�,tme€�r;;�s�;�st�a��: 4a. Standatd h4ethat 3`otal6tu��hr in�s��t�li c�amt�us�a���?anWes�Dfl�i(3�C:�tl�€T D�RE�T VE�i?AF��l.'sAtdCES} ?np�rt: Biu�`�r ' l�se Si�ndard��E�€�d s�urs�n in Tab9��-t t€��r�l T��R��ited�urr�ee(TF,� ?R�1: � _ If CAS Y�1ucr��€r�St�p 2)�s greater�Itart TR`J ther r�s��t����?r�s are€se�1�3. 1€CAS V�Iu���Ste�2}is 6ess than�'r��i ther�tc STEP 5. 4b. Knpwn Air In�N,r��iv�Ra����iR�1��t� Tot�I BFu,�hr�n�;�of al§f2�a-3��t�an��x v�rt a���ar� {Dt}NOT GO�1t3'I'€3��=C�4J�[�7�P�L�4CES} ;n��s'��B°u^r � Use�an-Assiste�Ag�i�a�cc��u�nr�ir�To�-�E-i t�f�d Required�lolurtte Fan Assisted�re�1FA� RV��ff'` To'�ai�3uL�hr�np�t cf��k r�r.-tar-�s'=,s�e�a�a�s fnp�t:��Btu'hr ; Use No;�-�an-,�ssisted��iian��i;�rr:€�i�;Tab�£-i t�f� Req;3ir�t,'11GIutt?2 Ert)tt-F�t�-As5.5'ed{�2���n} r2Vi�1F�:_�«h� �'o�al Reqttire�Vclu.me{TF2��=�t�'F4;��'tdF� ?��1= + = '��ft� ; I€GAS V�rlu�{#rt}m Step 2}is greater ihan���l t?�er��ctt��ot��ni€��s�re ne�dc�. If GAS�lume[fr�m SEe�2}is Iess Ehan TF;���r�tc ST�P 5. �� � ��a?c?slate�e ra�ic�o#availab�inters�r v���;me t�t��l��=reGu��af v�:�me. Ratio=CAS t�ur���t�€€�(g���div+ded by TREi;frca�ite�d��s 5t���b� Rati�=/3� �!M'= �•�rY = Sfep�#�;Cas��ate R�fuc�;or������tFj, ' :��_,�„�,����� ����. D.dk= . �C �� ; "�`�.� a�,�a�CU;a�e sir�1�oufd�o��n��g as�€a3!�cs�t�t��a�€r�s#r�:��ut�i�e: Total$tt�`�r fn�u#s�t a����!n�;si��t,�pis�ces;r:�satn�C�S{E�C�EP�`C}iF�ECT t��NTj ;���rt•3��Stu.`hr £ Gc�m�atsti�Air 0�:�€n�,Are�{�At�A�. ./��,� i'ota�Bt�:�r divided by 3�'k�8twhr��� C�{��-�,#3QE�?8tulnr�r inF=/•t�n�'! } ���Ca�u��te�+�€�?imc:�t CA�A. t��r���s GA�A=CA�},�rnult�plied by F�F �in;mu�r C�O,�=�Zs,�iL���_ �•�� ' ,� �{i3�tiUi����i01?Y}}tt5�iv^E�Fi3t��tS't�b£I�}6�i£#��£s`i,�'.,�(�v� � � �A��=1.13�u3tiplied try the squaze root oi��im;�r�G�t�a� �A{?D=1,t 3 x�A�ir�irr �A�u�A=3�n r I;desired,AC�f�,ar b��eter�ir;e��;s����S��A.E�k��afse€��:#�wer•r�r test. F�r3�p€�n;ed�res in aecti��3�. 3�m � r�C�Ild a/�h � M �a y ��������������S��A��:����'�����,�4�'r���}� � s �.�..".E . �:i ' ! z :,�� j ..,.. . l �� � �. ����J����� . ; - ,r , _- � „ .., - , . ;. ,.. �, > .. ,: , , , �,� ` , � ' '�, �. , , "V -, �'p. , �:. ;„ - , - " �h��k` . is}{�tR�.` � �� 1���`F �'f$��4� - ��'�tPt£�e421 �6��`.' 5,� �_ __ a� . ��. - � � ��� �� 1�,E�D a`�; �� 3'� 1,i�3 525 15.� �� �,7� 563 1,�75 78t� : �,�Q � � �,� ;� 7� 2,E� 1� 25.t%� 1,i5v �.87� 33$ 2,525 1,�13 �,� ?.5�� 2.� `.'25 3,#SG 1,575 3S.t� ',i� �� `�313 3.6?� , ",�r . 4�.� 2.{�; 3,� t.,`� � �.2� 2,1{� 45,� , 2,Za"s s.3i� '.�8 4:725 2. �;.0(� 2,5{� 3,��'i z.�75 5,254 2.�25 5.5.t�Q Z,i� d,1� <:� �.�5 2,888 �,t`�r �,� ��� 2,� 6,3�k? 3.15„ �,(1G�3 �,c"5� ��S?= 2,�� 5,82K 's,413 7�,Q�€`€ 3� �,� ?:�2� ?.35G 3,83�� 75,� 3,7� 5.� 2,813 ?.875 �,938 �,�C� �.t� �,� 3,� �.� 4.2� &5,� '� 6.s?� 3.`8� 8.425 �.463 �.C� 4.� �,'�i' ?.37� �.�� d.725 35.�'s d,75� 7,i� 3;5�3 9.9?5 4,�J&$ 4�.'JG� 5,� 7,� 37� '.G.� 5.2� i�.(� 5,r� 7;�7� 3��3E � t�,tI25 5.5'i3 t��,Q6� 5,� $�� 4,�25 1t,55Q �,i;b � 315.�{3 S,t� �,� 4.31v 12,u"7� 6,�,i$ t�_(1£�� 6.C� �:� d,� #i.�; 6,3IX3 125.�, 6,r:� �.:"�v �,� � 13,125 &,S�"3 1�^.� • &,5�? 9,?� 4�7Y 93.65G 8.62� t's5,� ��. b,75� t�,t� 5.�3 14,175 i,08$ � t:�;.� 7.C�.' 1�.�'� 5.i5� i4,3�' 7,350 14=,�kX}` 7,i5u IZ°.?�"ra 5.�;�5 15,�5 � 7,fi13 t�,� . • T,�i ;?.� 5,��s � ��,75�: ?,$?5 i�,{� 7,€5m; 11.�`� S�f3 te,2%5 S,t;�3 t£�;.�3Q 8.� i2,s�� �a:� 3�.5�; 84{Xt ts�5� 8�� 12.375 6,�F� � 1=:325 8,663 l7�;,� 8.� 12,'� � �.3=`5 ti.���i 8.°Z5 i�5.� , , 8.7� 13,t2v fi,�� tB.375 9.t88 SB�:�' �, : • 13,a°� fi.75i3 iB<�� 4,�5� SL�.'JC� 9,2� 13;37� 6,°.i8 3�,�i5 4,313 �� 1�,�;� � 9,.� 1�.� �,'25 �9,9�L3 9,4?5 1�3s.� 9.?5� 1�,a�""tS t,�i? ii;.�?� tCt.2� �,�'t7 4D�`� 15,{� � '.� 2t.�Q '�Uh`.� � 2�5,�� 14,2� 75,37� #,58E 21,�25 SC�.763 21e��t?. 5�.�; 1�,��G 1<875 is:� ?f,�25 215;�'� ' 10.�� ie,=� A,�3 � 32,5?5 �1,28£ �,� ;1,•"vt� te,a� 5,2� � 23,1� z�S�7 225,f� t�,25G tfi,$75 �„�3$ � i3,625 t1,$i3 23��,� • "�`:5�"r 1�.2� $.525 �d,1�ti i2.u?5 !T�1��a����s w c�1=�va c.��.�u�r th�1�.?����;�E?���de.�e�e�a�!E ttAlR us�in ti��s���n�('ise f�ble�a.2(}ACH. <1?�is�tior��f��i�:�t��s��du�:�v�s��stsin�t��te'•,��:.T��4a��KAI��5�i:��.is s�t�?��t`�t���is u.?�AG�S. . _ . .. .� � �. �, 3�.? 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 �~ �/2 - Z(�-�7�� 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: