1497 Kings Wood Rd.
4?' ?B ? ?' . .
-. o ? JNf
19rrttf'tra#r o# Orrupariry
` . titp of eagan
Erpor#tttm pf luitd'mg jwrrtimt
Thir Cemjcate issaed pursuant to the requiremenls of Section 306 of the Untjorm Building
Code cerrJ'ying that at the time of rssuaxce rhrs s&ucture mu tn rnmpliance with the Narious
ordiaaxces of the G}ty regulaling building consducuon or usz For rhe foUoxdng.
uA aasirneoe SF DWG/GAR m49. nwmk im 320
R3 1 ? RI VN
oww «? DON EiOLZ ? ? 14Q7 I?1GS r RD, F.AGAN
-- SuMnAdd= 1497 -IBiV WOOD,40 ??,L23, B2, ItII?S WOCA 7i?ID
A1 , -'! ??--mk: 7/27/92
POST,MACONSPICUOUS PUCE
,
INSPECTION RECORD Control No. 0281
CITY dF EAGAN PERMIT TYPE: Nu s i_ ra Y n r,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: 0 4.1= 4/`a `
(612) 681-4675
SITE ADDRESS: t O'l:-, 3 Nt o,lIK , APPLICANT:
1491 R:J.Nt,<, WOna r:l, H!)VEFt c:oHSr cO. LnuRr•.wCE
IiiN?3S Wi1Ql1 -,ND (612) 451-1761.
PERMIT SUBTYPE:
', t UWt:
TYPE OF WORK:
NEW
INSPECTION
r oU r I ac; D. .
rHaaIrvr, DA
IIiSULA`i lUN f1NAl
I"IRF.P kAf:E
s
{ R'1'11hRKs: K'NV
? w ti W CONIRACTUR - J2M MURR f'L.96
? 4 ?? .F? ?"od6 Pri't ? ?..
. tifi
? ? - ,?? I r t?
? ?
Permlt No. PermR Holder Date Telephone #
S/W
PLUM8ING
HVAC
ELECTRIC
Inspectlon Date Insp. Comments
Footings 1
Foundation
Framing
RooBng
Rough Plbg.
RoughHtg.
IsuL
Fireplece
Final Htg. '/ , ?
Orsat Test
Final Plbg. h Pibg. Inspector - Natiry Plumber
CAnst. Meter ,
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Dlsp.
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
;19.9-? r!,? ?<<? ?•:
iPERMIT SUBTYPE:
; 1 .
N
PERMIT TYPE: ' ? ? ? ?! ? ?? ? ?
PermitNumber.
Date Issued:
APPLICANT:
TYPE OF WORK:
ti i 11 u n i ,t,+t
I h
f I•i11:A i l il1 1:M 1 7 17, ;;! 4 11114.1 Il 1 U1: iiN7 1- 1 tlfdlt I 141
I I I-1 I 1 ,l1 AI IliI l;t
?
Pertnit No. Permk Molder Date Telephone li
ELECTRIi; D JO ?? 1??5 O?
PLUMBING
HVAC
Inspeetlon Data Insp. CommeMs
FOOTINGS
FOUND
FRAMING
N
?
Wi .?Y-ri`F a: L2P? %[![
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST 3
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDCa FINAL OI
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address : 1497 KINCrg W00D ROAD Lot 23 Blk 2 Sec/SubKMS WOOD 2ND
These items were/were not complete at the time of the fin 1 inspection.
Date: 7/27/92 Yes No ?
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway L/
Permanent gas
Sod/seeded grass
Trail/curb damage ?
Porch ?
Basement finish v"
Deck
Pleasa varify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet befora
freeze potential exists. &
MCxiEOwvEn
White - City copy Yellow - Resident copy Pink - Contractor copy
REQUEST FOR ELECTRICAL INSPECTfON
00089091P. See insimc[ions br completing lhis torm on back of yellow copy.
L, "X" Below bllork Cavered by This Request
aTMa?t?
EB•00001-
??;:?
?.,?.
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other Speci )
Farm Air Conditioner
Ol r (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Am s
SIgnS Inspecror's use Only: O L
T
Irrigation Booms
?o • ? ?v
,J`' O
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN A4AONTIIS.
I, fhe Electrical Inspector, hereby
tif
h
t
h
b
i
i
h Rough•in • Date
cer
y t
a
t
e a
ove
nspect
on
as
been made. Flnal oate
OFFICE U3E ONLY
This request void 18 months irom
?y
5
, na ?? ?
0?08909
3
?
Request Date Fire No Ro gh-In I? ection Required Ins ection Olher Than Rough-In
(Yo ust call inspector when ready) ? Ready Now ? Will Notity Inspector
?? ?
Yes ? No Date Raed ?
IAlicensed contractor ? owner hereby request inspection of above electrical work at:
Joh Address (Street, Box or Route No.) Cily
! a -
Seclion No. Township Name or Ran e No. County
CJ t 9
OaupaN
bikitei (PRINT) a?
I ? ? 7
'Phone ? ' O?
I
Power up ier Adtlress
Electric I Contraclor ( pany Name) '
(
? ractor's License No.
Cont
a
v -
?
&?? 3
M iling Adtlress (Contractor or Owner Ma ing Installation)
? ,
I f
U
'
I?
.? vr;?S
?
?
?
Authorized ignaWre ontraclorlOwner Making Installali ) Phone Number
`y
, r
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway BICg. - Room S728 ? BE ACCEPTED BY THE STATE BOARD
1821 Univeralty Ave., St. Paul, MN 55704 i UNIESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 , ENCLOSED.
2 311a.3,? ?os8o .s
? ???? ??r?
Rej?uest D??e
ft?72-L.Q ? a, ? 9 9 2 Fire o. ough-in Inspection
Required?
? Ready Now Q.WIA"NOtiry Inspector
L.-ii G No When Ready7
I fa'I?icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street Box or Route No.) City
7497 Kirzghtaood ?2oacL E¢yaa
Section No.
Township Name or No.
Range No.
Counry
I D¢ko t u
Occupant (PRINT) phone No. -
' La22y fLOLP2 liomez 457-2751
Power Supplier Addfe55 4300 Z 2O.t fz S.t. S. Gl.
[7¢kota 6.tec.f2.ic fa2ming#oa, /1N 55024
Electrical Coniractor (Company Name) Contractor§ License No.
l'1idiand Uec.taic 041610
Mailinq Atldress (Convacror or Owner Making Instanation)
17854-[3 aag.? eQ 1Jay LakeviLee,PIN 55044
Aulhor¢e ?gn IContre od r aking Installation , Phone Number
892-9666
1'i1 N OTA STATE BOARD OP E CITY THIS INSPEC710N REQUEST WILL NOT
GNggs-Midway BIAq. - Room BE ACCEPTED eV THE STATE BOARD
1821 Universily Ave., SL Peul. 104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
- ? See instmctions for completin9 Ihis iorm on back of yellow copy. 49231
""X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indushial Furnace
Farm Air Conditioner
Other (speciiy) Contractor's Remarks:
Compute Inspecfion Fee 8elow:
# - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps D to 100 Amps 572
Transformers Above 200 _ Amps 700 _ Amps
Signs Inspector's use Only: TOTAL
' Irrigation Booms 76. SD
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Elecirical Inspecror, hereby Rough-in
/ Date ^
J ' r
certify that the above inspection has
been made. Final oa?e
OFFICE USE 3NLY
Thi3 request voitl 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNaB RD, EAGAN MN 55122
651-681-4675 ?'
New Construction Reauirements RemodellReaair Reauirements
• 3 registered site surveys showing sq, ft. of lot, sq. ft of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverege allowed) • 1 set oi Energy Calculations ior heated addifions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 sife survey for exlerior add'Rions & decks
• 1 set of Energy Calculalions . Indicate if home served by septic system for additions
• 3 cApies of Tree Presenation Plan if IM pfatled after 711193
• Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units)
DATE VALUATION ??
SITE ADDRESS _Jf? GI/ I? RMD MULTI-FAMILY BLDG _ Y _ N
TYPE OP WORK ??-6 400"-U?- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS CITY Aaie STATE?ZIP
TELEPHONE #?eZ CELL PHaNE # 2(42!2G?-:1/ FAX # 9&2?2 X7?
74917l017 ('0/2- tPi2
PROPERTYOWNER Z??L? TELEPHONE# (OS/ r7
-----------------------------------------------------------------------------------------------
COMPLETE TH1S SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLTI.ES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Workshee[ Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
#
Fee: $90.00
$70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina e? ?
Signature of Applicant ?
OFFICE USE ONLY
Water Softener _
Water Heater
No. of Baths
Phone #
Lawn Spruikler
No. of R.I. Baths
?? ?vi I q
I11 JUN 0 3 2002
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of, plex
? 04 02-plex
? 05 D3-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
0 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
O 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New 0 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - 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) Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
Drain 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
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD Control No. 0281
CITY OF EAGAN PERMIT TYPE: euzLozroG
3830 Pilot Knob Road Permit Number: 000320
Eagan, Minnesota 55123 Date Issued: 04/24/92
(612) 681-4675
SITEADDRESS: L07: 23 BLOCK: 2 APPLICANT:
1497 KINGS WOOA RD H0VER CONST C0, IAWRENCE
KIN6S WOOD 2ND (612) 457-2751
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEbJ
INSPECTION .A . .A
FOOTING FRAMING
IWSULATION FINA!
FIREPLACE
PERMIT
CITYrOFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMI..T.. TYPE:
Permit Number:
Date Issued:
Control No. 0281
BUILDINCa
@@0320
04/24/92
SITE ADDRESS:
1497 KINGS WOOD RD
L0T:.23 BLOCK: 2
KINGS WOOD 2ND
DESCRIPTION:
Bu`ildin'q._ Permit 7ype SF DWG
Building Gtnrk Type NEW
UBG Accupancy>., R-3 . Pt-1 ,
Construction Ty,p?e V-N
2oning R-1
8uilding kength 66
:
Building Width 60
. , .:
- '
f, • - --
{ .,
-?-._
REMARKS: ? p 17 ,cl.?'-)
PRV
S& W CONTRACTUR - JIp PIURR PLB6
FEE SUMMARY:
VALUATION .. ;125,000
Base Fee $727.00 MISCELLANEOUS $1.610.50
Plan Review $472.55 Total Fee $3,577.55
Surcharge ;62.50
SAC $760.00
sac $ lee
sac unsts i
. Lic. Search Fee $5.06
5ubtotal ;1.967.05
CONTRACTOR: - Applicant - ST. LIC. OWNER:
HOVER CONST C0. LAWRENCE 14572751 0002792 HOLT DON
6 APPELRIDGE CT 1497 KINGS WOOD RD
S ST PAUL pIN 55075 EAGAN pIN
(612) 457-2751 (612)452-1604
I hereby acknowledge that I have read this applicatinn and stats that the
information is correct antl' agree 'to comply with all applicnble SCate of P4n.
Statutes and C3ty of Eagan Ordin ances.
L
??` "?cC?'zG??- ? /? ?' `"?
APPLICANT/PERMITEE SIGNATURE I SU D
_ : S GNATU E
.i.?e.. - . -
PERMIT ?3 1
.
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
pPR17Wo
SINGI.E & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date _ ??/lL / ? Yal uation of work
Site Address: I?-??
STREET ? STE 9
Tenant Name•
LOT BLOCK ? SUBD. ?
?i.wC .$ CA:?CJ? ? ? P.I.D. M
Descri tion of work:
The appl i cant i s: ? Owner ? Contractor ? Other (Deseribe)
Name /ydel z domw Phone ?60 <<
Property LAST FlRST
Owner
Address
STREET ' STE ?
City State Zip
Company?1966n,.rvcz- /7/04,?.L. ??rvs?ac. Ctv, Phone S!S-? --2?.51
Contractor Address 4?-' d9?'-`?L-L /?•?? £ ? . License # ??'i-?A Exp.31=?114?3
Sso?S
City -?o ST State /??;`n-•,. Z i p
Company Phone g?9
Architect/
Engineer Name '612.Tr 7?-."<<?S Registration ?
Address
City State Zip
Sewer & water licensed plumber •7?`M ???rz2 /'2 Lv;', G?`hG , 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 Appl icant:
.,
BUILDINGi PERMIT TYPE
O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
j2r-02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool
? 03 Two family 0 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam.-T.H. O 08 Deck E3 12 Comm./Ind.
WORK TYPE
21?31 New
? 32 Addition
O 33 Alterations
O 34 Repair
? 35 Tenant Finish
0 36 Move
GENERAL INFORMATION
? 37 Demolish
? 99 Undefined
? r
? 13 Publfic Fac.
O 14 Agricultural
Q 15 Miscellaneous
Const. (Actual) V- N Basement sq. ft. /C.fO MWCC System YES
(Allowable) .?= f- lst Fl. sq. ft. ss' City Water ?
UBC Occupancy 2_3 M_1 2nd F1. sq. ft. PRV Required ?
Zoning R-I Sq. Ft. total ±ta` Booster Pump
# of Stories Footprint Sq. ft. _ Fire Sprinkler
Length ? On-site well Census Code ve
Depth o l On-site sewage SAC Code ?
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site
O Wallboard
? Footing
? Final
? Framing
El Draintile
? Insulatinn
? Fireplace
Permit Fee `721,00 veim:;on: $? Z1& {tx)o ?.
Surcharge L0
' 4a,reaCPE', -22x34= 9 46
Plan Review .1+171
y
License .5,? a?cr2: C?_
MWCC $AC
City SAC ? D 00 0
p01 oo C'?t?7', _ ??`°? x 16= //, S0 ((
32 x 3 a ` 96o
Water Conn. 17,oo ZX/9 c 34
Water Meter ?S I o?? ?y XYb = 6yy
Acct. Deposit 3a, 00 ?o.,c?s:ayGa?a
S/MI Permi t 30,00
S/W Surcharge
Treatment Pl . , ?t)
30o, ua -?-----°?
Road Unit
Park Ded. j ??? ,A-53s $7 ?
Trails Ded.
Copies I 2?? 05 ?
Other
Total :
SAC % l?
SAC Units ?
? * .? .
* PIONEEA
* eng?neeri
* 4( * *
LAND SURVEYORS • CIVIL E
UND PLANNERS • LANDSCAPE
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-1914•Fox 681-9488
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of Survey for: H over H om es, In C.
House Address: Kings Wood Road. Eagan, MN
Model Name: 92144
?
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01<.oa i
_ m lz ??oSEO Ha? i c
uRSE BASfM? r l n ^
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o
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Ff?
IV .3 11'SZ' 6 74.
oo
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? ` _ ` ry0
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ANGBNIIERIAlC9 AEPT
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r.? r-?,
4?U fJ s? i??i
k 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
x 900.o Denotes Proposed Elevation Lowest Floor Elevation:866.55
Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction Top of Block Elevation:874.66
--o-- Denotes Monument Garage Slab Elevation:874.33
-E3 Denotes Offset Hub Bearings shown are assumed
LOT 23, BLOCK 2 KINGS WOOD 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
1 hereby certlty that this survey, plan or report was prepared by me or under my direct supqer.v?ision and that I am duly Registered Land Surveyor
under the lawa of the Stete of Minnesote. Dated thts 15? day o} APRI V A.D. 19?- ,
t 1 1?
S C a Ie. 1 ?IIC?1 _3 0 f98t ROBER .5. EG. NO. 14891
I
1- 1 92166.Q0
UWNER:
SI'.CE ADDRESS:
CUN`CRAC`.COR :
PilONE :
DE'CERMING WORKING SQUARE FOO`CAGT OF E11CH:
1. `CO'CAI., EXPOSED WA1.,L AREA 11'?1z,? SQ. F'C. X
2. ;C(7'CA1., RUUF/CEII:,ING AREA 5Q _ F'C. X
3. '.C(7:CAL EXPUSED WAI.,I., AREA CALCULA`CIONS:
'Cotal exposed wall
b G(Z??
l?
ar.ea a
ove floor
a) 'Cota1 wa11 window area SQ. grr_ x "u° Z
b) 'C
t
l d ? F'C
S X °U°
o
a oor area .
Q.
c) 'Cotal slidi.ng qlass dooi- ar.ea SQ.F'C. X "U"
d) 'Cotal fi.replace wall area ? SQ. F`.C. X "U"
e) `.Cotal wall fi-ami.ng ai-ea QzA SQ.F'.C. X "U" 'V l= l9l
( aver.age 10%)
f) :Cotal net wall aLea above
f1eor (i.nsulated)
q) c'cal ri.m joi.st area
'.Cotal foundation area
(exposed)
IV & sQ.F.C. X „U„ _ ?z.z
S Q . F `.C .
G?D SQ.F'.C.
h) 'Cotal foundati.on wi.ndow area 0
'' ?
i. )otal net foundati.on area :Zfo
above gi-ade
X fiUtl?=
SQ.F'.C. X "U" - D
SQ • FT X I. U" ? ( / - ?{?
TOTAI., a) through i)
If i.tem #3 i.s the same as, or less than i tem #1, you have met
the i.ntent of 2 MCAR 1.16008 A and t)_
PAGE 1
EX`CCRIOR ENVELOPE AVERAGE "U" COMPU'CATI(lN
ti
1
9. 'CO`CAL EXPOSED RUUF/CEI1 ING CALC:UI.,A`CIONS:
'Cotal exposed i:oof/ `Q•F'C.
cei.li.ng area
j ) 'Cotal skyli.ght area
k) '.Cotal roof/cei.li.ng
framing area
(average 10/)
1) `.Cotal net i.nsulated
roof/cei.li.nq area
9.
'CO`.CA]:, j ) throuqh 1 ?I ?;71
If total of #9 i.s the same as, or less than #2, you have m
the i.ntent of 2 MCAR 1.16008 A and 0.
37ji c 43.1 00'/
AI,`.CERNA'.CE BUILDING ENVELUPE DESIGN
'.Co uti.lize the total envelope system method, the values
established by the sum of #3 and #4 shall not be greater
than the sum of i.tems #1 and #2-
1.
3.
SQ.F`.C. X "U" ---
sQ. rT. x"U" i02L
SQ.F'C. X "U't
+Z.
+4.
CER'CIFIC:A`.CIUN
I hereby certi.fy that I have calculated the "U" factors anC
"R" values herei.n and that the bui.ldinq here descri.bed meets
oi- exceeds the State of Mi.nnesota Energy Consei-vati.on Act.
(Si.cnatu
Date
PAGE 2
N
.
7;
.
G
?
12 3 4 5
H
cE iL iP+a sECrinN (tFt;ulAjfh)r
1 Interlor alr fllm
2 - 5LA Sr
3 .t].nm Insul.
4 Extwrier a{r film T
CEILING FRAMINR SECTIOq:
2
3
M
S
ut
U • 1/R
11R .026
,
CEILtNG SECTION (INSLILATEb):
1' loterlor air film 0.91
2
Mtxter or a r m st 11.
TOTAL a
U a 1/R w
CEILINr, FRIUIIMt; SECTION: 1- Interior*alr,film 0,61
t ?
; - ?
? Exter or a r m st 1
.ri nche so t wood
; ZOTAL R o
i
U m 1/R- a .tY° •
I `IfISid! •ir.fillA
t
3 ,
i
S uts de s r m n. 7
TOTAL R ?
U0 1/R?
a I
VENTEO
A
!0
.
5
RIM J015T SECTIfNI:
?
1 ?J
C
MISTRUCT I ON
r
? ° 6 Studa
AMING SECTION:
Lntertor aIr flia
NALI SECTIOH (INSULATED)
-{2
,..
Y
R 11ALUE` `
? If.6A
-.-n. 1
.
1 Interlor alr fllm 00
2 Y? Tnsulatim 12.00
I>< ?-- ' 3 1'? *.'ood gn
?- ?4 ?5/3? L?i] p 2 b
S 1idine
6 Exter or a r m
FOUNDATION INSULATION REQUIREO: ,. `4-6-
Min. R-5 on entire wall OR 1/N ?• _.(14
p,A•;•,4 Min. R-10 down to frost aepth
FOUNDATION SE[TION:
1 Interlor •f r fI1T I A.RR
3, S ?? ood & 3; Insul ti.on 11-00
?'• s ' '' ?• ' ' o c '1'1.1i
•` .' #A r 4 Exter or i r -film
? •e. y
:
a(5
.
e•
- TATAL R ? 12 : 96
u -t/R • .bs
SLAR ON GMDE
?
:. ? a' -
.
. 4' ?
?• • . , -
??(? ..• .??..t
? '
Q.y ° d'..''? A : ;..
,. . 4 / ,/••ii
o •
.? , ?
,? , Heated Slabs:
?v' • '' ? Minlmun R • 8.5
• •-,C Unheated Slabs:
. .? . ?
?• •' •'• Minimun R = 6.2
.. a? .. . .
,•??. „ .
444.
'.Ad. a :.?• ?-4•'
? ?. ????• •?•• ?•?_,?,?? d
?'??.-•.oii{i'• 4.••Q •d I
'• A? .?:.??-? .•? •??=1
- • ?b • • Q ? • . ?..d ?.
? ?.4?t??. ?? •? ??..i?r?
.
A' ' '• • ? ' :4• '.4'
!L s?,',. •? • . ,
':'? ..?.f... .?et?
. .
..4. ., ? .d ...?
, ? . . . •.
• p.•..? ?..
.??
'd. .• % d?.
• _•. . • ? ,?..o
Pase 3
U • 1/Q n .043
INSPECTIUN RECUKD
CITY OF EAGAN PERMIT TYPE:
, 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 23 BLOCK: 2
1497 KING5 WOOD RQ OLSETN CQNST INC
KINGS WOOD 2ND (612) 727-3763
PERMIT SUBTYPE:
BASEMEN7 FINISH
TYPE OF WORK:
BUILDING
025363
94/11/95
ALTERATION
INSPECTION D. . D•
FRAMIN6 INSULATSON
ROUGH IN PL66 FINAL
REMARK5: A SEPARATE PEF2MIT TS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
.. ....,. .. i e . . y?
a . + . . e _ ? i. . ._ `• .4 0^ . ? ? ?.
. . . . ` . _' . . .' . .., _ . . ? . . : . ` . !
s
. r
? . . ,_ ....._._...., . ._ _. _ .. .. . .
-?. CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT Cuqzqq
PERMITTYPE: BuILDING
Permit Number: 0 2 6 3 6 3
Date Issued: 04/11/95
SITE ADDRESS:
1497 KINGS WOOD RD
LOT: 23 BLQCKs 2
KZNG5 WOpD 2Np
P.T.N.: 10-42001-230-02
DESCRIPTION:
BASEMENT FSNISH
ALTERATTON
J: VR.4 1+? £ g?'.?A{
34.- "?+¢S4 w:4?+YYA?`-t3
NfY aa'
•??a?.
't.$ x[ `b!5:? 4fF ? ??? 21L £4? ? E3".
REMARKS:
fl SEPARATE PERMIT I5 FiEQUIRED FOR flNY PLUMBING OR ELECTRICRL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR; - Rpplicant - 57. ITC. OWNER:
DLSETH CONST INC 17273763 0008153 ZEIDLER MARK
13220 WEBSTER AVE 1497 KTNGS WOqD RD
SAVflGE MN 55378 EAGAN MN 55122
(612) 727-3763 (612)688-7949
APPLICANT/PERMITEE SIGNATURE -r I°SS? yi SIG
CITY OF EAGAN ?? ??'
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ;4 ?- ? RI
° 681-4fi75
dew Construetion Reauirements ggmodellRepair Reauirements
i 3 registered sfle sunreys ? 2 copies of plan
? 2 copies of plans (include beam S window sizes; poured fnd, design; etc.) ? 2 site surveys (exterior edd'Aions 8 dedcs)
i 1 energy eelculations ? 1 energy calcuiationa for heated additions
? 3 copies of tree preservation plan 'rf lot platted after 711/93
required: _ Yes _ No
DATE: YLs?is CONSTRUCTION COST:
DESCRIPTION OF WORK: ???ry f??'s h
STREET ADDRESS: ' /Y g 7
LOT ' i _ BLOCK J,_
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
?a
SUBD./P.I.D. #:
Name: 7e?dleV 14GrI1- Phone #: 666??9L
W. ms,
StreetAddress• I'Vq 7 141,11'Q51veod R61
City: FGaa h State: I"'J Zip: 5-5-laa
Company: Olae-fh CvnsrWofibh ,Z,dc, Phone #: 7? 73 76 3
Street Address: 13.)ao 445V-v I45?> License #- 61S3
Ciry: State: 4/N Zip• S53 7 e
Company:
Name:
Phone #-
Registration #•
Street Address-
City:
State:
Zip:
Sewer & water licensed plumber. Penatty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coRect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: •? '
OFFICE USE ONLY ???EWr
Certificates of Survey Received _ Yes _ No APR Q 51994
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01
Foundation
o 06 . : ?
Duplex '
D 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch o, 09 12-plex '
0 05 SF Misc. ? 10 _-plex
WORK TYPE
Jow
? 11 Apt./Lodging 49W-, 16 Basement Finish
' ? 12 Multi RepairlRem. ? 17 Swim Pool
o 13 Garage/Accessory o 20 Public Facility
! ? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
0 31 New GI=`-33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (ActuaQ
(Allowable)
UBC Occupancyr
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq, ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. 'V:'V
SAC Code a /
Census Bldg i
Census Unit o
Engineering
Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded. Trails Ded.
Other
Copies
Total:
% SAC
SAC Unita
L cj2-3 BL ? CITY USE ONLY RECEIPT #: 3
SUBD. DATE: °? 95
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x -
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x -
Floor Drain 3.00 x -
Gas Piping Outlet * minimum -1 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x
Private Disposal * Dakota Cty. license
U.G. Sprinkler * home under const. 20.00
3.00
= ?l?
Alterations '` to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL l,yS-V
S17E
OWNER NAME:
INSTALLER NAME: ' > o- ry? eo iw
STREET
? ?L
`'7Gt.ch 57S -2i7 Y
CITY: STATE: /1't )-) ZIP:
PHONE #: ( WY)
e?
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are IIQ# required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ?? fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
STE. #
INSTALLER:
ADDRESS:
CITY: STATE: ZI P:
PHONE #:
SIGNATURE:
APPLICANT CITY OF EAGAN
L?c ? BL oZ CITY OF EAGAN
fJ?• n 1 ,? PLUMBING PERMIT
SUSD. (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WIiEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------T ----------------------------
WORK DESCRIPTION 1
NEW CONST ,?
ADD ON
REPAIR
OWNER NAME : J'lDi- ??S !'7 S C?"?V PJ U dj Cr?.'?
SITE ADDRESS : [?1 / 7 / t_t-UC7 S Uj0pto RaaQ
INSTALLER : ?-?-Z4'1 m 610 R P4 v"K ?'-?' •
annREss: ?2_ 5 So--Ce-F-4V g?v
CITY: 50. ZIP: S5 0`7S
PHONE jj: ?? 7? l 3 3`7
,..-v/17?=?!i?
SIGNATURE OF PERMITTEE
NO
?
Z
2
3
?
--?-
?
?
CITY USE ONLY
RECEIPT ?? ? 01-5 3
DATE J
r
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
FIXTURES EA.
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
IAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
'rIAOR 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. SPRINKI.ER 3.00
W. TURNAROUND 15.00
TOTAL
77-Z,o-
(y•cvo
6-vo
9 777
.oc.
3•wt>
$
.e
u= so
STATE SURCHARGE .50 '162>
TOTAL : S LI lI . w
COMMEACIAL
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:
SZTE ADDR.ESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
i,CNTREICT PRIi.E:
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
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
:::.....,:.,..::: :.; c: .< .:....................
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE : =5 ??
I?.?'T"a;> PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- ------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME : ?P,t ^. P :\Q \- (r? ? \ .
SITE ADDRESS: , "I l nrt . V c'O ?
;.,CT: GM E;ACK o2 cUBD. ?
INSTALLER: l C'01
ADDRES S :
CITY: ZIP: .`?`7
PHONE `r?--
DWELLINGS &
ADD-ON MINIMUM $15.00
HVAC 0-100 M STU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM ? 3.00
OF 1 PER PERMIT
SUBTOTAL: $ ?0
STATE SURCHARGE: .50
TOTAL:
?7 NATURE OF PERMITTEE
G?71?a4?Ct?IA?S:/IL+1DVSTRIAT.:PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
................ ... . . .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR :
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
220897
OFLICE OF TTIE iE1315TRM OF
TITLES • GNOfA COIMr Ma7.
CE/RIflED TMN TiE NATFtlN
NSfflUMEN'f NYkB FLEO IId TIIIS
OFF'1CE ON MW AT
c:t 4
ooc ra
CUMFCJ" Nn c , I
.wMEs ra oa.M •
W-CIWRM OF TMU
irr. p. R .
°EFU"iy?.oo
FU
? T
aEac
aanoe
CHAROE VWXW
AEFLINO
3 8b 3 •
-SFVe'C.So'", "?r?c@o? r Sr+rcJo.?J
-f-o
UmLA A..-4 RZ_
907011
OFFICE OF THE CWNTY
RECORDEH--OAKOTA COUNTV, MN.
CERTIflED THAT THE NfITHIN
INSTRUAtENT WAS fILEO FOq
RECOHD M THIS OfFICE
ON AND AT
OcT 4 2 31 PN'B9
DOC „0 90'7011
JAME$ N. COUNTYRECOROER
DEPUTV?.FEE ' n lv.Ge
cAsH ? CHEpI )( cwwce (J
CWWGE wNOM
p0NqT REMOVE
aad " i 'L •
d k . I? . C,", )k .
113 ???6? ??q9?j,(.
?
19 _3 ?. ?Ig? ?`l?!`/?Y
)93 ?.3 1`)?
19 3 Llo? 33?
19 !1 wooa .N?
1S3 vloo?3*?? 9119c-1>
?a.3?i'
IS 3 ,??38? 8Y9F,?;
1C)3??3fo?
: 193??3?? ?`I`?? i
?93 ??yGv, 8y;;c
f? 3 ???I I? fi"`f
193 ?`dya? s4,. ,
220897
907011
[IIiGB MOOD 2ND 71DDITI0l1
PR6SSORE REDOCING Y!?LnE 11GS6B!lBN4
TH AGPEEMENT, mode nnd eniesed into the vncLaY oZ
, 1989, by and between the CITY OP EAGAN, a
Munici 61ity of the Stnte of Minnesota, (heceinaftec callea the CITY,
and tt{e Owaec and the Developec identifiec herein.
The tecros 'Developer• nnd 'Owner' as uaed herein refer io NOFNE
DLYELOPMENT CONYOAATIOH whose add[ese is 3650 Co[onntion Road, Eagan,
Minneaota 55122.
NeEREAS, the Developez hae applled to the City Eo[ approval of
.the plat or aubdivieion kna+n ae EINGS w00D 2ND RDDITION, located
rithin the Cityl and
NHEREAS, the Owner and Developer agree to notify the proposed
potential buyers of a.l lots xithln RINGS NOOD 2ND ADDITIOH that Lots
17, 28, 29 and 30, elock 1 and Lote l4r 15r 16F 17, 18r 19, 20v 21r
22, 23, and 24, Block 2 are in a higr ratec pcessure zone ana a
preasuse ceducing vnlve shnll be installed in each hane below the
elevation of 875 feet. Al1 coste shall be the sesponaibility of the
Ovner and Developer and ahall be inetalled to pcevent oamage aue to
high watec preseure.
NOW, THEREFORE, the City, Ovnec and Developer a9cee as follows:
1, gpcoia±na, This agreao=nt ahall be tecorced with the Dakota
County Raeordet so as to ptovide aotiee to the a+nare of Lote 27, 28.
29, and 30, Block 1 ano Lots 14, 15r 16# 17p 18, 19, 20, 21r 22. 23,
and 24r Bloak 20 EINGS WOOD 2ND ADDITION. TQe arner shall pcovioe ano
execute am and all documents necessacy to implement the cecorcin9 ot
this agreement.
y. goti,ct. The recosding of this document sAall constitute
notice to all orness and futuc• a+ness oi proparty in the RiNGS wooa
2ND ADDITION that Lots 27, 28r 29, anc 30, Block 1 and Lota 14, 150
16r 17, 18, 19, 20, 21, 22, 23, and 21, BloCk 2 aie in a hlgh rates
pseasuse sone and tdat a presause ceducing velve eball be installeo
in each Dome bel ar the elevatioa ot 875 ieet. All coote adall be the
.
?
ceaponaibility o! Che euyec and Bhall be installed to prevent damage
due to high rates pceseure.
3, veiiAlty. If nny portion, aection, subsection, eentence,
alauae, pnrngcaph o= phrnee of this agceement le for any [eeaon neld
to be invalid, aucA decision ahall not alfect tQe valialty of the
cemaining pottion of this Contrnct.
4, Minaina aareement. Ths partiea mutually cecognize and agree
thet all terme and conditiona of thie recosdeble agreement shall run
with the land hezein deecribed and ehall be binding upon the heice,
aucceaeore, adminiatrators and aesigne of the arnera and 8evelopera
refezenced in thia Contrect.
IN WITNESS WHEREOFp we have heceunto aet our han6s.
CITY OF ACAl1 aVNER AND DEVELOPEN
(Date: . ) BORNE DEVELOPdRNT CORPORATION
eyi gy, fiN
2ta Mayot Z i - -
Atteet: •_"'
Its C zk °- - -
STJ1T6 OP MINNESOTA)
? ea.
COUNTY OP 2922?I
On this N day oi J-k E r 1989, before me a NoCacy Public
rithin and for said County, peraonally eppesred VIC!'OR L. ELLISON anu
E. J. Van0YER8ER6 to me peraonally kna?n, rho being each by mo ouly
exo=n, ench aid say that they are respectively the MaYor an6 Clezk ot
the City of Eagan, the municigality named in tbe focegoing
Snatcnmene# and that the seal affixed on behalf of said municipnlity
by sutAority of ita City Council and eaid !layoc anb Clerk
ackaovledged said instrument to De the ttee act and ased of saic
municipality. ,
runn L Kxetnnuns
x1,x /O:MtfYCttC-Y?MEW?? ?
? OAKOTA COUNT bllc
Y
'1 N Las Pu
Iry Larwss? 4? iH l t!L
'
I
?
?
STAT8 OF MINNESOTA)
) sa.
COUNT2 OF DAPLOEI )
Oa this :Zff day of M,4y , 1989, before me a Notary Public
vithln and for said County, personally appeared
.t.,es e3. ffo.c..£ 4nd- to me r nelly;. _, f ?
known# vho being eaeh by me duly sWOZn, enek did say thet ?•
:eepeee4r07 ? the P,eJE:,e?.,r e++? ' ?
of the Corpotetion named in ihe lorego;ng
instrument, '
and that eaid insttwnent vne - ;
eigned vrn*-9eei-e* on beAalt oi said corposation by auihocity of its 'i
Boerd of Dirocto[e and eaid PRES.o--??r - 'ana'
ackn a+leaged saia instrument to be thp fcee :
act and deea of ihe corpocation.
ELi2?BETH A. WITT )
woiMr?v*uo•ruu+aorA ?.L . S ' .
DAKDTA COUHTY y+b11C ?
+e«.?aon. NOtdP
?+M?
r . ` ' . .. i
AY?ROYED AS TO FORM: ?.;
C' y Attocney' -f e '
ate:
APPROVED AS TO NTENTs
"i
Pub11cS ocks De artm?t
Dates
78IS 2NSTRtlMENT MAS DRAFTED BYt
McMENOMY i SEYERSOH, P.A.
7300 Meat 147tA beraet
P.O. 8oz 24329
Apple Valley, MN 55121
?D/ ! Q 3 2-3136
e
-3-
Use BLUE or BLACK Ink
:.,.y r-----------------
I For Office Use
~ Permit
City of Eanan ; osa~- 11
Permit Fee.
3830 Pilot Knob-Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / /,N
VV U ACAnit
I Name: C/ v Phone:
RESIDENT 1
OWNER Address/ City /Zip: le
~N
r
Applicant is: Owner Contractor
TYPE,OF WORK x Description of work: Alml
Construction Cost: te ~/00 Multi-Family Building: (Yes / No
1 Company: AD//27*-Nz e ~eeyl e le Ul ~l.~P/T✓ Contact: A!4
CONTRACTOR `Address: z} City:
StatV.Z Zip: 1 Phone: 96-27-
License ~ Q
r 6 C~~ - 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 j
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.oopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application 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 a building permit issu in ordance with the Minnesota State Building Code must be completed within 180
days of per issuan
x
x
pli ant's Printed Na a pplicants Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110658
Date Issued:05/21/2013
Permit Category:ePermit
Site Address: 1497 Kings Wood Rd
Lot:23 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Viswadas Leher
1497 Kings Wood Rd
Eagan MN 55122
(651) 554-0561
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113258
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 1497 Kings Wood Rd
Lot:23 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Natalie Velez
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Viswadas Leher
1497 Kings Wood Rd
Eagan MN 55122
Great Northern Builders
9419 Buckley Ct
Inver Grove Heights MN 55077
(651) 436-5672
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120671
Date Issued:02/26/2014
Permit Category:ePermit
Site Address: 1497 Kings Wood Rd
Lot:23 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Viswadas Leher
1497 Kings Wood Rd
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145577
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 1497 Kings Wood Rd
Lot:23 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Viswadas Leher
1497 Kings Wood Rd
Eagan MN 55122
(651) 554-0561
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature