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1505 Kings Wood Rd Use BLUE or BLACK Ink For Office Use I I 3 I Permit I ~ 1 City of Ea~odn I Permit Fee: 0 0 1 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: 02 Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 L _ _ _ q 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: N~16 WOot-S 0, Tenant: Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: 1NCQ\. A F- ~J J4: ~'r License#: Address: l oLtya _ Jr ST LIJ p~ y-~city: C,{ State: Itti tt~/ Zip: t'{ Phone: 1 J (O~ ~7`S t Contact: x--P P"V, Email: TYPE OF WORK - New _Replacement _ Repair _ Rebuild Modify Space - Work in R.O.W. Description of work: Rol,' A,.,O PERMIT TYPE RESIDENTIAL Water Heater , Water Softener Add Plumbing Fixtures C_ Main / Lower Level) , RPZ PVB) Lawn Irrigation ( Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pi~ns. t6l 5JI / X M~ t'~tz Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 'RECEIVED MAR 17 2011 Use BLUE or BLACK Ink Far©frceUse -----__f~-`~- C~ C S Permit # City of Eap O I Permit Fee. l 3830 Pilot Knob Road lr'~_ 1 Eagan MN 55122 i gate Receive i Phone: (651) 675-5675 i Staff: l Fax: (651) 675-6694 ! 11 RESIDENTIAL BUILDING PERMIT APPLICATION 2D f 41 t E I r s, 'Date' ~ Site Address Unit Name: - t , : tl iPhone. i RESIDENT 1 OWNER Address 1 City i zip Applicant is: „r Owner Contractor TYPE OF WORK Description of work: Construction Cost: Witi-Family Building: (Yes i No } Company: ` • .i ..1 i~ (f . Contact: City: CONTRACTOR Address: t>a` Stater zip Phone: License # (s,-2) t ' r Lead Certificate # ; 1 i't If the project is exempt from lead certification, please explain why: (see Page 3 for additional information), Mine COMPLETE THIS AREA QH IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? „Yes ___-No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities u~Er~~~ ersfa.eo~c~ii.or 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 t understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x/ x / Applicant's Printed Name w Ap icant's Signature Page 1 of 3 -5 t7 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) , Storm Damage ' Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) _ Multi Deck Porch(ScreenlGazebolPergola) Exterior Alteration(Multi) 01 of _ Plex Lower Level Pool T Miscellaneous Accessory Building WORK TYPES New _ interior Improvement rt Siding Demolish Building" - Addition _ Move Building Reroof Demolish Interior Alteration _ Fin: Repair Windows Demolish Foundation Replace Repair Egress Window T Water Damage Retaining Wall `Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation _ Occupancy G ---~L- MCES System Plan Review Code Edition SAC Units (25%,,,,,_ 100%1/ Zoning fZ~l 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 _J4 HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: ,-,-Footings Air/Gas Tests ___Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In ...Air Test -Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies k TOTAL Page 2 of 3 V,d 906L'£K109 'ONI 'NOIlO JiSN00 ONd dVV: l•0 I, l- 96 is" I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122 (612) 681-4675 I SITE ADDRESS: r ?y? _ ? ? ra?;, 1- 1 N ?4-• ldi?l?l.+ ,'r11.i PERMIT SUBTYPE: ,,; ? I i 10 1 1 n4 I-, ?:, IN5PECTION RECORD PERMIT TYPE: Permit Number: Date Issued: Lt) i 4 itl Ut F.: wo1,; APPLICANT: MI<fI,CMOIN'r ( r, l -' 41,1 ti k) i I TYPE OF WORK: r?I ? 1. i n otra?, ?.linn Nb/st/vd PermR No. Permit Hotder Date Telephone a S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dete Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. ?l '? 4/ EJ Deck Final Y" n & r well Pr. Disp. CASH RECEIPT A + , CITY OF EAGAN -. . ' . R • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ig ` ? A AMOUNT $ ,,. , & DOWRS 'm ? CASH -CHECK wa i?y? 1??Xi??<J? Lflt ?/ J? ?J/0L.C s eY C 017279 06Ite--PaYeas coPY Yelbw---PosEmgCopy ? Pink-File Copy Thank You SEWER & WATER PERMiT CITY?OF=€AGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 .. ? DATE IrEB 11, 1992 a OFFICE USE ONLY METER# PERMITDATE 02/19J92 CHIP # PERMIT # 12549 METER SIZE B.P. RECEIPT # C 017279 ISSUE DATE B.P. RECEIPT DATE 02I12/92 _ PRV _ BOOSTER PUMP SITE ADDRESS 1505 KINGS WOOD RD LOT 258LOCK 2 SEC/SUB KINGS WOOD 2ND APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: STAR PLBC ' ADDRESS: 1018 MOUND SPRINGS TERR CITY, STATE BLOOMINGTON HN Zip 53420 PHONE: 684-4149 OWNER: MCDONALD CONST INC ADDRESS: 1212 BLUEBILL BAY RD CITY, STATE BURNSVILLE MN Zip 55337 PHONE: 688-7061 PERMIT REQUESTED X SEWER X WATER - TAPS - COMMlIND X RESIDENTIAL x NEW - EXISTING Lawn Sprinkler Meters are to be Installed I Ahead of Domestic Meters on Water Line. ? Credit WILL NOT be given tor Deduct Meters. ? / I AGREE TO C PLY WITH CITY OF ? EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PRG?CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ? SEWER PERMITSCONTACT ENGINEERING DEPT. SEWEH & WATER PERMiT CITY OF'EAGAN 3830 Pilot Knob Rd. Eagan,MN,55122-1897 DATE OEB 11, 1992 SITE ADDRESS 1505 KINGS WOOD RD LOT ?SBLOCK Z SEC/SUB APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PLUMBER: STAR PLBG ` ADDRESS: 1018 MOUND SPRINGS TERR CITY, STATE BLOOMINGTON MN Zip 55420 PHONE: 884-4149 PERMIT REOUESTED X SEWER X WATER _ TAPS _ COMM/IND X RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed ' Ahead oi Domestic Meters on Water Line. : Credit WILL NOT be given for Deduct Meters. I AGREE TO C PLY WITH CITY OF ' OWNER: MCDONALD CONST INC EAGAN ORDINANCES ADDRESS: 1212 BLUEBILL BAY RD j CITY, STATE BURNSVILLE MN Zip 55337 PHONE: 688-7061 SIGNATURE WHEN ME R ISSUED PLEAS`E,/A'LLOW TWO VGORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ; SEWER PERMITS, CONTACT ENGINEERING DEPT. ; OFFICE USE ONLY METER# ?Sg7i71? PERMITDATE 02/19/92 2549 CHIP #t PERMIT # 1 017279 METER SIZP - B.P. RECEIPT # C 02?12/92 ISSUEDATE /? 2- B.P. RECEIPT DATE ZIP PRV - BOOSTER PUMP KINGS WOOD 2ND ? • x ?io ct, 7 •' ?e r • ' ' (gtr#i#iratit of (Orrupanry titp of (eagan ]lrvwrbttrnt of sailding inmrrtiun Thir CerKficate luued pursuanllo the requlrements ojSectiort 306 of the Unijorm Building Code oeratlyin8 tkatat the 6nre of i.rsuance tliis s[ructure K+as in rnmpl'eana with t!u rnrious ordbwxcu of lhe Qrty regulakn8 building constnuction or use For the foUoxing: ux ckwifiouo. SFGl?R e?ek. Pamic wo. ? ? ?LP'?YPe ?/+A',+' Zm'ry Dimria Ri 7YR Crna VN Avacd? ?D . QQ ? 1212 ffi.j??. ? ?o ? ?? 505 KIN('?u WOM R[]AD Localiry LZS, B2, KM [+XIOD ZNID 77- ? /_ z/ Dam 4/29j42 euddims offici.l POST IN A CONSPICUOUS PLACE . . CITY OF EAGAN 2009$ z ^ . 3830 Pilot Knob Road, P.O. Box 21-7 99, Eagan, MN 55121 {;1 PHONE:681-4675 _ . ' BUILDING PERMIT Receipt # To be used f SF DktC/!GAR Est. Value =133 ,000 Date FEB 1 1 , 1992 ? Site Address 1505 KINGS i100D RD ZS 2 KINGS iJ00D 2ND Lot Blxk Sec/Sub OFFICE USE ONLY i Fees ' . PBfC¢I NO. Occupancy R-3 -K?l . 735.00 Z i li4-1 Bkig. PemYt Name !lCDONAI.D C019ST INC on ng (ACtuap Const V'?p Siacherge SO " 66. Y?M w ,o,ddress 1212 BLUEBILL BAY EtD (A°°wabie) - pan Review 491.OQ { ? Cjty BIlRPSVILI.E !!N Z'jp 55337 ?n9hrories ? ?? S?? ? Phone 688-706I Depth 14-9 snc, city too.oD ; ._ ? " Name $AIII S.F. Total - SAC, MCWCC 700•? ? ? Add12SS S.F.Footprints Sit w O S - water Conn ; 675.00 Cjty Z'jp n e e age On Site Well _ - Water Meler 93•00 ; ? Phone Mwccsysc? x acct oePosn ? 30.00 ? c watef X . 8 # OW2376 Lj M 00 30 CenSe PRV Required _ S/W Permil • ' I hereby acknowlege that I have read this application and state that the Boosler Pump - SNV Surcharge •? ? inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan prdin ances. Trealment PI 3?•? / Signdlure of PBrmitee ` . .. ? ' APPROVALS Road Unit 380•00 A Building Permil is issued to: MCDONALD Ci0N$T TI'iC Planner - Park Ded. ° j on Ihe express condition that all work shall be dane in accordance with all Council _ applicable Slate of Minnesola Statutes and City ol Eagan Ordinances. gby. pry. _ Copies : Building Official Variance - TOTAL ?Q 3,628. I Perintt No. Pmnit Holder Date Telephona X sJw 9 y- PLUMBINO Hva,c eLEctaic ELECTRIC Mfpection Date Insp. Commants Footings I Foundatan 3 -3- 9 2 Framing Roofing fiou h PI 9 b9. Rough Htg. isui. 3-2s-pz Fireplace 2 39 S Final Htg. .7A -`j Orsat Tesl 52022 Final Plbg. d Pibg. Inspector - Nolify Plumber Const. Meter . EngrJPlan Bldg. Final -z 9 ?z Dedc Ftg. Dedc Final weu Pr. Disp. DATE: FEB 19, 1992 RE: 1505 KINGS WOOD RD (MCDONALD CONST INC) _X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO 'CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. . Your Sewer & Water Permit for the above property cannot be completed for the tollowing reasons: _ Your Sewer & Water Permit for the above property has been compleled, but the meter cannot be issued or occupancy allowed until further notice. - COMMEHCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Piumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE OIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. AddxPSS: 1505 KINGS WOOD ROAD Lot 25 Blk 2 Sec/SubKM FDpD 2NID These items were/were not complete at the time of the fina inspection. D te': 4/29I92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify vith the builder the removal of roof test caps from the plumbing system and tha shut-off of watar supply to the outside lawn faucet before freeze potential exists. ? wEpLLLDMRR White - C1ty copy Yellow - Resident copy Pink..- Contractcr copy CITY OF EAGAN ? O O 9 8, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT Receipt # C, 0j 7-1'72 Tobeusedfor SF DWG/GAR Est.Value $133,000 Dale FEB 11 , 1g92 Site AcJdress 1505 KINGS WOOD RD Lot 15 Block Z Sec/Sub. KINGS WOOD 2ND Parcel No. Nafp@ MCDONALD CONST INC w Address 1212 BLUEBILL BAY RD ? ? Cfty BURNSVILLE MN Zip 55337 Phnnc 688-7061 ir Name sA??_rF: ? Addf2Su City Zip ? Phone ? License # 0002376 I hereby acknowlege that 1 have read this application and state that the information is correct and agree to comply wilh all applicable State of Minnesota Stalules and City of/ Eag n rdinances. Signature of Permitee _ ?i ? • A Building Permit is issued to: M(:DnNAT.n CnNST TNC on the express condition that all work shall be done in accordance with all applica6le State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Otticial rn.Li OFFICE USE ONLY FEES Occupancy R- 31`L-1 755 00 Zoning R=1 Bldg. Pertnk . (ACtuaq Const v'N Surcharge 66.50 (Allowable) V-N pLan qeview 491.00 # ol Stories Length 66' 1-10ense 5_00 Depth 34' SAC, City 100 _ 00 S.F. Total - SAC, MCWCC 0 700.0 S.F. Footprints - 675 00 On Site Sewage _ Water Conn . On Site Well - Water Meter 0 95.0 MWCCSystem -X__ 30 00 X Acct. Deposit . City Water PAV Required - S/W Permit 30.00 Booster Pump - S/W Surcharge - 5n Treatment PI 'Ann _ nn APPROVALS RoadUnit 3An.nn Planner - Council Bidg. Off. Variance , - Park Ded. Copies 0 TOTAL 3,628.0 J3??2 5 FieQUS te r ire No. . • Ro #-in Inspedion qA10111 ? No ? Peady Now 1? CTt71R'(?Wify Inspector When Ready? I'iylicensed coniractor p owner hereby request inspection of above electrical work at : JoD fptlre e(I?L1x?fieele ? lZd Cily E Settion No. Township Name or No. Ranqe No. County x2 lit Occ 4t I V TI / 4- `? / Pho o. 7,04.C V Power Suppl ? .J? 7 ?. v.? Atltlress EI tr al Conv ctor ICom any Na I rt 1W on ract 's License o. Mai in tlress (Go iracto r Owner Making Insta wf) lation) ' r Auth ?zec SignaWre (Co trac n 4C r Making Ins7 II atjon) ?^ Y? L P Numb r - D ? MINNESdTA ITATE eOARD OF ELECT IC TY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bldg. - Room 5173 BE ACGEPTED BY THE STATE 80APD 1821 Universiry Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSEO. ? iC. J REQUEST FOR EIECTRICAL INSPECTION ? See instmctions for completing this form on batk of yellow copy. °X" BelowWork Covered by This Request Ee-ooaoi-os ew Add Rep. Typeof8uflding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial effirnace Farm Air Conditioner Other (5petily) Conhaclor5 Remarks: Compute Inspecbbn Fee Below: # '- Other Fee # ServiceEntrance Size F e # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps J to 100 Amps Q Transformers Above 200 Amps Above 100 _ Amps ! Signs Inspectork Use Only: TO L Irrigation Booms f Special Inspection J Alarm/Communication THIS INSTALLATION MAY BE-ORDERED DISGONN ECTED IP NOT Other Fee COMPLETED WITHIN 18 MONTHS,%: ,:Lr,. I, the Electrical Inspector, hereby if h Rou9n-m oate y t cert at the above inspection has been made. Final ?' i ? • e OFPICE U5E ONLY ? ? This request void 18 months trom Gm%? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? ??, :?-o Date 057 Site Street Address SDs Dod I!t ?lz Unit # Property Owner Telephone # ((05? )`-ks4 "1 ??? Coniractor?il'??s "relephone # (tj?9 Address City State Zip The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5!8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be, in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wi!l be in accordance with the approved plan in the event a plan is required to be reviewed and approved. `Lc1k; v A??n`?1??.. K 3.1???; LW 1E 303L_, 1 ? ? Applicant's Printed Name ApplicanYs Signature 'viAR !7 2005 CITY OF EAGAN '" • • 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-5100 . .... ??}?NICA7..;?'. DWELLINGS & PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT. ------------------------ -------------------------------------------- WORK DESCRIPTION FEES NEW CONST ? ADD ON REPAIR OWNER NAME: SITE ADDRESS: C?6 LOT: DS BLOCK ? SUBD. )\k r\ 5vZo?d. ?-G INSTALLER:?-n,--???c? 1`11- C- ADDRESS: \. V•? d-? 7n (_-?) C? CITY: C k_- ? ZIP: PHONE #: ' 4UO `lDC)?) 6?1 ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL SO M BTU 6.00 GAS OUTLETS - MINIMUM I 3.00 ? OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TOTAL : $ 2so C•f?/?(' I?YJ?"L't--i-?' ?"c.ti SIGNATURE OF PERMITTEE ? J FOR CITY USE ONLY PERMIT # ttECEiPT # DATE : ?OMMER?iA?:f?iVAAS'TRlAZ;:; 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: T OT : BLOCK SiJBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRZCE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # SD DATE : '9.-z- R3S??AiEA??1p??s PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & : .. . uv.:G...KKC TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH [TNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON ? SHOWER 3.00 =7--00 REPAIR WATER CLOSET 3.00 . 1 BATH TUB 3.00 :?.00 LAVATORY 3.00 OWNER NAME: ?C? n q?r[ l/0 >>?S ?(nC?T l d?? ,,,_C, KITCHEN SINK 3.00 do LAUNDRY TRAY 3.00 ro ,vt) SITE ADDRESS: /hQS410dda pGJQCJ HOT TUB/SPA 3.00 s,no ?/ J WATER HEATER 3.00 QO LOT: t? B TCK ? SliBD. ?1 / h Gle.(S (A/(?4 U? FLOGic Dt^c.4ii1 3.00 ? Od GAS PIPING OUT. INSTALLER: I" Id1•r, pI ll Q (MINIMUM - 1) 3.40 ?CG 7 ROUGH OFENINGS 1.50 _Y,so ADDRESS: /? l? Inve I AIp. '_Z OTHER Q l WATER SOFTENER 5.00 CITY: b /h. ZIp: _ PRIVATE DISP. 15.00 ? o/ V _ U.G. SPRINKLER 3.00 PHONE d SUBTOTAL S ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: ?. ?"?MCS?'+i?f,?AL?IfitllLfS`Pf?EEiLw PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WIiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWTIER NAME : SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1$ OF CONTRACT FEE. STATE S[JRCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $ STATE SURCHARGE $ TOTAL: $ ( S IGNATiJRE ) CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LOT: 225 BLQCK: 2 APPLICANT: 1505 KINGS WOOD RD KRECH, TIMOTHY KIN6S WOOD 2ND (612) 451-8671 PERMIT SUBTYPE: TYPE OF WORK: DECK MEW suILprNe 023744 05J31/94 INSPECTION .A . .A FOOTINGS FINAL PERMIT C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 c? ?Q 19 7 PERMIT TYPE: Permit Number: Date Issued: BUILDING 023744 05/31/94 SITE ADDRESS: 1505 KINGS WOOD RD LOT: *25 BLOCK: 2 KINGS WOQD 2ND P.Z.N.: 10-42001-250-02 DESCRIPTION: B•uildingLPermit Type DECK rOuilding Wa-rk Type NEW .? ? , ., G , .: f.. ? _.- ,,v.-. ? J r,? '6vl r??'' ? ? ` { , ? ? \ ?? "' i ?t ? ? ,? ??- ??? 5??.. J REMARKS: FEE SUMMARY: Base Fee $30.00 Swrcharge $.50 Tqtal.Fe.e $30.50 4( CONTRACTOR: - Applicant - 57. l.rC. OWNER: KRECH, TIMQTHY 14518671 0005080 ARNDT 6ARY 1093 15TH AVE N 1605 KINGS WOOD RD S ST PAUL MN 55075 EflGAN MN (612) 451-8671 (612)454-7187 I he.reby acknowledge that I havs read Chis infiormation is correct and agree to camply 5tafiutes and City of Eagan fJrdinances, - ? ' APP C /PER TEE SIGNATURE applieation and state that the with all applicable State of Mn. -j nu A"- I ? ISSUED B t SI ATUR CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ??????E-D ???' 2 3 1994 ???? ?? ?? -- SINGLE & 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: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date u / ? 3 / S y Valuation of work S^b'LS °? Site Address: /SOS- ?iti•, s?wop? ??. - STREET ? T SUITE # Tenant Name: (commercial only) LOT ? BLOCK SUSD. Y.I.D. # Descri tion of work: Cc The appl i cant i s: ? Owner Contractor ? Other (Describe) Name Z?i rnd'f' C-P --i r?i Phone Property ?AST?- FIRST Owner pddress /sos? K? n 5 s wdo ? STREET STE ff City State J''t?h? Zip a,e,k Phone `1,0447? Company _ ?rj?r, ?-e c? )6 l?? Contractor Address /db 3 /1 f4 ?v. i(/ ? License #aoo _4_,0&o Exp. City State M, nn Zip 5?fd7S? Company Phone Architect/ Engineer Name Registratian # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wit all app icable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY BUlLDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPR4VALS Planning Engineering REQUIRED lNSPECTIONS ? .Site O Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ?? . . .•- . . ., ? 16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. O 19 Comm./Ind. Misc. O 20 Public Facili.ty ? 21 M9scellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments ? Framing 0 Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC 5AC City SAC Water Conn. Water Meter Acct. Deposit S/Y Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: vatuaiim: $ SAC 9G SAC Units • . +? . Res. Arnart 1SO,f R, ^g s wovap Tim Krech, Builder 1009 - 15ih Aveaue Norfb South St. Payl, Minpesata 55075 1- o f. ? , lk'i h'5.s w oo'p R'? . - ? 15??•0 p-F 60 • 5i)+ 491 >00-1- 2,315•50+ 3)028•0Ol'= ?fw 'I 5 ?3 • 0 u F 66•50+ 431 •IJOF 2, 315°50= 3, 6) 2 3 •00,: , . 1992 BUILDING PERMIT APPLICATION CITY OF EAGA REOUIREMENTS: 20004 SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWEL.LINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REOUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. sskv? To Be Used For: Valuation: ? Date: 2-'7 -92_ Site Address 1511c? 1G,,,,tL,...,.J r,>tl LOt 25 BlOCk ? J 1 33t a j?'? ^ vrr?vc v?c v1"" Occupancy Q3 M-1 Bldg Permit Parcel/Sub ' Zoning Q-? Surcharge Actual Const V-N Plan Review Owner Allowable ? License Fee # of stories SAC, City Address Length GG? SAC, MWCC Depth 3y, Water Conn. City/Zip S.F. Total Water Meter Footprint S.F. Acct. Deposit Phone S/W Permit On-site sewage S/W Surcharge Contractor ` On-site weil Treatment PI. MWCC System i/ Road Unit Address j21 bi Q City water Park Ded. PRV Trail Ded. City/Zip i(( 33 Booster Pump Copies TAL Phone b?-?7061 License mo2g7b APPROVALS Pe a1iy Planner Lot Change Council TOTAL Arch./Engr. BIdg.Off. z-/o. a S Variance Address City/Zip Code FEES 155, oa Phone # Sewer/Water for sewer/yua Contr. ts is tv area 11111001 ProcAssin?time agrees that all work shall be done in accoi,dance with all appl1qAWej6t60`of Ming(agota Statutes and City of Eagan Ordinances. . ? VAL-UA-g'taN ? y /r-a ..?-----?---- 163s x 15- 9570 B??? r, 3? ?t 26s R3G 10 5"1 K ?ST ?C.ap? LA ZN? 2',rz ' i. 3L x z"7'/°z = 99 o x a 3???? 4? a ?- . , ------------- ?a ta I?3 3, z?a a'?" I 3 Z., 9 5q . ? E I !• ? .i???Y " T£ ?.• ? ? ? 'S,'j. C f` i??tL4'? •Y/a1 ???i,11!-?.? CA'1 [:.? L??p4,, , ^y :?ti • • C"Ti? `Y i- ?..1. ' .Y..: a. ri u rI ?- .-r cn -• _? • 2422 Enterpriee privr. Mendaca Hefghts, H1N 55120 ? r?71"? ?"'?N°R LAFtD 51l+?'?EYORS?CI'JIl6NGIMEEA? y r p? 19114 -} FM LAND PLAfiNti,O!'S • L?#N-APE ARCNfTECTS 1612) ?+ V$i-{ * engineering -?, Certificate of Survey for: M_CDCJt'?1C1lC? QUnstru-CtiC??1' ._InG'r i 11 S`I GS 1 yOV D D! \ I'Y E ?n . _. - ? _ _.._ -- - - - - N ?0°29'4rJ" W qti' --a- e?`0 10(3.00 JI ? ?' -- _ -- -- - --.. - - - - t r SPr?t? ? F?, 1 I o 35.87 GARAGE n? , ? a ? 4 ? PRDPUSEp HOUSE L _• ??.oa ? I . . 22 00 '---1 ? ----` , ? :_-- - ..1_ ?? Q P. CO Tt ?' E? lt,?` IR r+7 N n ' =? \„ ! f \?i ?.? ! I L, .', lI V ? ?. ( ' 'y I -'- - t-- ? - --- --- ?- --- _ i - -- -- - -- ? ? - - _ , 4 PJ .r • ? t B ?i ? p? t 1 r4622.30 t.y ~ ????? ???\iB?aYpdSb A?-?+tie?'?+u • DT . . ..? - 900,0 Denates Existing Elevation PRUPOSED_.HOUSE ELEVAl1ON - eea.o penotes Propased Elevation Lowest floor Elevationc__$a-6 Denotes Drainage & UtiliEy Easement Tap af Block Elevat(on: ?f37-] Denotes Drolnage F,ow Directian ` ---o- penotes Monument Garage Slab Elevatian: -T.r= Denotes Offset Hub gearfngs showri ure assumed LOT 25, BLOCK_ 2 KINGS_ WOOD 2ND AL DIT?ON DAK4TA COLtN?Y, M!hlNESOTA I hcr.:by cCrtity thyt this survny, rylin Or repnrt wis pPA+1red hy me pr unAer my ilhecr eupervlsion and that I em dulY Raplstered Lnnd Eurveyn* ? unde. t{±s I)ws ot the Stetr ot Minnesotn. bnted this daY ;z ?- } ?•r`1? . Scale: 1'?- 30 ie9i- (2bi7 92004.01 MINNESOTA STATE_-ENCRGy CODE ca?CULAmIONS BA5Eb vN CIIAP''ER 5 vF T?li ? r • M?DEL ENEI2GY COUE _ 1.983 I nN ' Adoption Effective r Owner 4"LzQt?,->-F Phone bate Site Address P4D Atmrnok) Contractor ?C?5 phone. Building Classification: Type A1 (Sinqle Family & Duplex)A Type A2 (Residential, 3 stories or less) (Over 7 stories) (other) NOTE:_CQmplete ' • GENERAL INFORMAmtnu?-? • 1. Building Perimeter 2• Wall height (qround to eave) " • ft. 3. 1. x 2. (above) gross wall area ?J?r ? sq.ft. 4. Building dimensions (L)X(W) =« tBq,ft.roof 6 floor area 5. Sq, foot area of xim joist - Fl?r jvis Bize 2 X rd . ?? X (perimeter) --li p q ft. 6. bovrs - Areal?t?C 12 r ? Thickness in U. factor! 49` 1 Type of Construation Perimeter ft. Manufacturer 7. Total door' s perinieter f t. 9. Windows: M ?uE,a ctttrer?t State approved U f actor TYPE SIZE AItEA (Sq.Ft. ) NUMBEEt OF TpTAL EACH UNITS 3Q FEET 9. Total sq.ft. Glass I lo. Fireplace area: Width X Ileight X = sq.ft. 11. Exposed fovndations Height X Perimeter<<O X49 =99_6&,ft. COMPLETION UF THIS FORM x6 REQUIItEp FOR ALL HEt9 tON3TRUCTxON, MAJOR REMODELIt7t3 ANb BUILDING3 BEINO HOVED WtiERE ENER(3Y r ,O.THER THIfN TNE MItiIMAL CODE ALLOWANC$, IS USED. -1- 12. Framinq area = io$ of gross wa 1 area. 13.• Gross wall area??'CQ, sq,ft. ' Window area AOWOI sq.ft, U windows Rim joist area 9.ft. U rim joist= IQ 1 Door area A ?l sq.ft. U dvor area= other doors area A0%ft, U other doore= Exposed fndn A ?'?Psq.tt. U fvundation=?04 ? Framing area (O'Zsq, ft. U framing area=091E/ Net wall area 4&4 QAt?s q.ft. U wa11= L -0 (13B) TOTAL . . . . . . . . . 14. Gross wall area x 0.11 (13. above) x 0.23 x .2a x .28 A Q^' ? • x U Code I I UxA = rb-7 UxA = ?3,:? UxA = , C CCo UxA = { UxA = ( / UxA = UxA m ? ?-- (A-1 single family & duplex) = allvwable UxA/Code (A-2 other residential) (other buildings) (Over 3 etories) BoUN musk_ be laxger than or same F. as 13B above 15. Ceiling framing area (Af) eguals 10$ of ceiling area 15A. Gross ceiling area =(L) X(W) _ -sq.ft. 15B. Joist area (Af) 15C. Net oeiling area U ceiling x A c U framing x Af = lo% ceilinq area = (,?S- sq.ft. (Ac) (15A - 15B) _ gq,ft. - -?=-?.`•x!?t?=_?1 a ,1 1? X ? ?? =• 1 ? 15D. TOTAL U x A ......................... 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) A(15A)`x U Code t d ? 2 ?( oTUH must be- larqer than or same F. as 15D above NoTEs Use U and A values obtained from pages 1, 3 and 4. CERTiFICATTvN: i hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the state of Hinnesota Energy Conservation Act. Date signature ' . -2- r j ? l 1? -?41 ?I LL. .,In? ? ??? L ? k (4-14- l 4:) = _- ?7 1= I??I ??? ??o= I? ????? = ?=6??? = W 4?2.?o = l 2,4-7 . ?? - y-- - ?d?CoZ? 112s;l ?? r ? ??F ? ??? tet K YALUE U VALUE r ? . WALL SECIION Inalde air film • ;6B ' Lnterior vall 0415 (Wall) U• R : lnsulatlon 19'C> ' Sheathing 2 •0cp Slding .(p1 ? Outelde alr film .17 R iOiAL Z3 , p ?j Instde.air film ? 68 STUD SECTION Intettot wall u ?P,(f stud Slieathing 5lding Outslde•alr film R TOTAL .45 R= 4?;:38 (p -rjp(Framing) U . R - i Z. ocv .m7 . oq5 ??• 53 2ND UALL SECTION. Inelde alr film R= .68 Intetlot vall Ln9ulatloa Sheathing Extettor wall eovering ExtetLor air fllm' R -..11 R TOTAL (Nflll ? U - R d z , R lF1 JOIST - = 'ntec lnr e Lc f 1•lm R= .68 a nsulatlon ? lneh eoft anod R=i .88 (Rim JOISf) heathing 2, , p(p xtetlor aat l covering .1D7 xterlor air film R= ,17 R TOTAL 2-4. 4(o nterloc aIt film R= .68 nsulatlon)Flf!?GgULM? 11•00 Z,oq- ? xterlor air film R= .11 Pt roraL Z. I - S`l xposed 81uck •_??Grade 3. I U °j ' , O4I (Fdn.) U = ? = r ??J :ETLtNG WITH VENTED ATTIC SPACE A60V. R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 Insulation 45.0 4.38 Jois 0.56 Ceiling 0.56 0.61 AirFilm 0.61 42" motalR 4(o' 70 U - 1/R Window infiltration 0.5 efm/lineal foot of crack Residential door infiltration 0.5 efm/square fvot or door and minimum code reguirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" aoncrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated eores = .26 R 3.8 Ub 12" lightweiqht block = :32 R 3.1 Ub 12" lightweight block insulated cores = .12 R 8.3. U single glass = 1.13; wfth storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on-the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value, i ?4qlq 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when pernuts aze required for each unit 30, s-Z) Date ov / Site Address_ l q / JOD4 150S 46/ LcJ S LQ?? VC{ J?,?' Unit # Property Owner Cc') prr Orn C?? Telephone # (&S, ) Contractor Street Address State <<--- - -=" ? , .`? _??_??i (? ??? ? / • ?-?/ '' City 7?? Zip Telephone # ((Q. JI ) ?? "' Bond #• Expires: The Applicant is _ Owner ?ontractor Other Add-on or alteration to exis6ng dwelling unit $ 30.00 furnace _Additional _ Replacement air exchanger ? air conditioner _New ?ep lacement other State Surcharge 2004 $ .50 Totai s -a) sY I hereby apply for a Residential Mechanical Permit and aclmowledge that th tion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan d with e Mechanical Codes; that I understand this is not a ,4will be ip accordance with the rmit, t only an applicarion for a perxnit, and work is not to start ? o a ermit; that the wi?r app ve plan in the case ork whic ?a review and approvaY of pl App icant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate pemvts aze not required for each dwelling unit Date 5ite Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Expires: The Applicant is Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _ Remove "see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector P¢rmit Fees: $70.50 Underground tank installationfremoval $50.50 Minimum (indudes State Surchazge) or Contract Value $ x 1% _ $ Peravt Fee • If permit fee is $1,000 or less, add $.50 ? $ State 5urchazge If pernut fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclmowledge that the informarion is complefe 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 pernvt, but only an application 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. Applicant's Printed Name ApplicanYs Signahxre Approved By: ,Inspector "?U (4D 2U06 RESIDENTIAL g?tLDtN(r PFRNIIT APPLICATION ? City Of Eagan ,3830 Pilot Knob Road, Eagan MN 55122 . Telephone # 651-675-5675 FAX # 651fi75-5694 New ConsWCtion Reauirements 37egistered site surveys showing sq. ft of lot, sq. ft. of hause; and all roofed areas (20°kmaximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured faund design, etc. 1 set of Energy Calculations 3 oopies of Tree Preservatlon Plan if lot platted aker 7/1193 Rim Joist Detail Op6ons selection sheet (buildings wilh 3 or less unils) Minnegasco mechanical ventilation form RemodellReoair Reauiremenls 2 copies of plan sMowing (ootings, beams. joists t set of Energy Calculations for heated additions 1 site survey for addi6ons & decks Adddion - indicate il on-site seph'c system 1,J3S- 7?6' OFfice Use Onlv Cert o( SurveyRecd _ Y_ N Tree Pres Plan Recd Y N Tree Pres Required Y_ N On-site Septic System _ Y_ N Date /607 Construction Cost n o0o SiteAddress f* 5 7ClRAL(.Z7G7d Q" d UniUSte # Description of Work pe-.S/(,T-[ sjWh 5j& 61 ,??/•?? lK_.?•?? Q IGN+ti d?~ ? Multi-Family Bldg Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ( - ??7/?/?c? ? Telephone # ( ?P',r/) ?? ? `710 ' ContraMor ?tt?iN I??IFS ?I?iAG ?lL1d' 3$.SlOJ1/RI.L e?7??l?0 Address (/(/(f ?,(aQn(,y?G /«filia ?•? City VIJA* State ? }?f A11 &04 Zip . /? Telephone # ( 454 . 0766 e??? ?5! aS3 8b8? c?l ! . COMPLETE THIS AREA CNLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv I Minnesota Rules 7672 Ene?gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitled SubmiBed • Energy Envefope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( [ hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; [ 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 wi11 be in accordance with the approved plan in the case of work which requires a review and approval of plans. Ala NCu FEB 0 7 2007 A'rlican's Printed Nam prli nt's Signatur ' DO NOT WRITE BELOW TH1S LINE Sub Tvaes ? 01 Fbundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work T.vaes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Cevel ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) - ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Ait - Multi ? 33 6ct. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ?.O 45 ?ire Repair a .-- " - ? 37 Demolish Building' ? 43 1 L 467%alA.???dows7Doors •Demolition (Entire Bldg) - Give PCA handout to applicant' . .. `t? De ? Orf.?8llir 6&na; t 7iJVs -. _??ii\ Valuation Occupancy Plan Review 100% or 25% ,;?, .e? ' .r ti Census Cot1?? ' Zoning SAC Units Stories # of Units Ft. r`. , .., # of Bidgs Length Type ofF?'iqm?,? •:z? Width • ,e. } !t?,'?: ?.??? , ,'3.:, `, c?•,s _ Footings(new bldg) _ Footings (deck) _ Footings (addition) Foundation . Drain Tile Roof _ Ice& Water _ Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final ]nsulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&1N Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10, OS-plex [1 11 10-plex O 12 12-plex MCES SysteQn ??''%}•"?'n %it?`Ufter , F' Booster Pump )O+Ath'-+{ `s?i?b'?Sl?uah?t'".?ii? L??i^+? ?t,,?'•• .. ?ra? Rfink?'e?t?rc-rb+x: 2AA l4.J I??? ,. REQUIRED INSPECTIONS _ Sheetrock _ Final/C.O. _ FinallNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows Retaining Wall Buiiciing Inspector ?. _ . . , ? r 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calalations 3 copies oi Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellRepair Reauirements 2 copies of plan showing footings, beams, joists 1 sel of Energy Calculaftons for healed addifions 1 site suNey for additions 8 decks Addition - indicate i( on-site septic system , Office Use Onlv Ced of Survey Recd _ Y_ N Tree Pres Plan Recd _ Y_ N, Tree Pres Required _ Y_ N On-site Septic System _ Y_ N Date Z Construction Cost 6iJ Site Address Description of Work Muiti-Family Bldg _ Y _k N Dnit/5te # /,,.J PW L)r LUJJ,4_) 6?4--,4- Fireplace(s) _ 0 !/Ll _ 2 /'+ pA ? ?1 Property Owner 1..??"1?4`'? A.1LP D ? Telephone#(t9N/ Fireside Hearth & Home contractor _ qTTN: Danielle Ostgard ndaress _ 20802 Kensington Blvd state Lakeville, MN 55044 City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Nlinnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission lype) Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( ) Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application far a permit, and work is not to start without a permit; that the work will be in accordance with the approved pl 'n the c of work which requires a review and approval of plans M l ?LA, `? 1 '?^'?, _ Applicant's Printed Name App cant's Signat DO NOT WRITE BELOW THIS LINE Sub TvPes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF D 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31:.New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demoli sh Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - G ive PCA handout to applicant DBSCrIpt1011: WaterDamage _ Yes Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treafinent P(ant License Search Copies Other Total 100% or 25% Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. Final/No C.O. HVAC Other Pool Ftgs AidGas Tests Finai _ Siding i Stucco Lath _ Stone Lath _Brick Windows Retaining Wall Building inspector I Eap Permit GEC 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: , 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date' / V Site Address: / SQS7 y~qf lt&Q 41 Tenant: &,g )et/ Ae/),1174 Suite M RESIDENT / OWNER Name: Gr% ,~'►(yl~f Phone: &V Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: dv Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: -~i~CL~j~ License )©r0, 3 j y Address: ! 7/ SS t!. ~f City: &10 State: Zip: ~b Uyr~ Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 ns. x Applicant's Printed Name A icant's Si ure Page 1 of 3 Use BLUE or BLACK Ink I 94- I Permit t City of Ea~dff Permit Fee: 3830 Pilot Knob Road RECEIVED I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 SEP 3 0 2010 ' Fax: (651) 675-5694 1 Staff: I -----------------J 2010 MECHANICAL PERMIT APPLICATION Date: c 1 t 10 Site Address: , SD5 ,L-AYAJ UJIDOCI t`'"1 Tenant: q, Suite # RESIDENT I OWNER Name: Phone: Address/ City I Zip:. CONTRACTOR Name: ~.~'bi~ `\1 " ~✓1 Address: 11C,i11C1~. ,,-,t( J~b q.-- City: State: zip: `J 01--- Phone: t Contact: r Z ail: TYPE OF WORK New Replacement Additional -Alteration Demolition Description of work: d gr ount ecineuptnn t. re ui.r c e ed C' 4 g: easy cep; act th [VleChanica( I,nspectorfo information-501X5erm ttei1,scr~e:rrtng~met s $ RESIDENTIAL COMMERCIAL PERMIT TYPE 14- Furnace _ New Construction _ Interior Improvement _ Air Conditioner Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) When installingtremoving tank(s), call for inspection by Fire Other Marshal and Plumbing inspector RESIDENTIAL FEES: $50,54 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $r~~ k TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Perm! t Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dlg to receive locates of underground utilities. www.aooherstateonecall.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 wi the approved plan, in the cipse of work whi requires review and approval of plans. x x y \Yn/i~(J App cant's Printed Name Applicant's Signature {yam , , '-4S ..'.5 •x! :z ..'.~,s. .tis. t. ~;yi._ v S' d.n n'1~ k k ~:1 ~gat:X64 fl F eviewgd Bx::A Jul 02 13 01:52p Tony and Kelly Brown 7636896868 p.1 ` Use BLUE or BLACK Ink For Office Use I I I City of EaRan I Permit I , Permit Fee; I L22 3830 Pilot Knob Road 1 I Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3'/3 Site Address: KrhG S ~~Cc"YA 41 Unit Name: Phone: Residenti* l Owner Address/City/Zip: y Afac.~4, 41 Applicant is: Owner ' Contractor : Type of Work Description of work: ,d/ 51m 64-ok i bta Z4" DH ey*s/7;9 Cam, R Construction Cost: Multi-Family Building: (Yes / No Company: 8/Yct7 ~La~ a.~r. It rs Contact: A Address: City: _ Lip r 6 : - i Contractor Slate: 02 _ Zip: O F Phone: & l 2- Z Z 1 per, Z Ucense At: _ (o % 70 O Lead Certificate A07- /00 to © Z - I 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 tl ~ P In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan? s Yes No If yes, date and address of master plan: Ucensed Plumber. Phone: r Mechanical Contractor. Phone: i i Sewer & Water Contractor: Phone: N07F. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public N you provide speck reasons that would permit the City to conclude that they are trade secrets. . CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground ublities. www.aopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a build ing permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x fp / Ud1 c.~ ./3io"P7 x Applicant's rinted Name Applicant' Page 1 of 3 s. r DO NOT WRITE BELOW THIS LINE / SUB TYPES J~ ~~/h~Sr1r~ _ Foundation - Fireplace _ Porch (3-Season) _ Storm Damage - Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) -Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof 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 Occupancy MCES System Plan Review Code Edition A At- 47 SAC Units (25%_100%__M Zoning ---Fs- 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: 4Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: `Ice & Water Final Pool: `Footings `Air/Gas Tests Final Framing Siding: `Stucco Lath Stone Lath -Brick Fireplace: Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES J Base Fee tt r Surcharge Plan Review MCES SAC'S V 1 City SAC Utility Connection Charge S&W Permit & Surcharge} t~ Treatment Plant Copies ' TOTAL Page 2 of 3 f r 14lr IL Cr Grl`K 1 fICCf 1 11 _ u w _ / _ 2422 Ertteyprise Drive * !*~~lC Mendota Heights, mN 55120 . y PI~fl..ii \_lG LA"D3VnvEyor4- CIV I L t P4153 NEEP9 ~+p ^ . ER T L,RN ti.a3• L~IINL>SS~APE AFCHI TECT5 J61 2) V V 1 -1 914 engineering Certificate of Survey for: MCDonC Id .-Constr.W-ction' KINGS WOOD DRIVE. W N 0(3°29'45" ~ {NA e1 0 100-00 1 1 0 w i t)rivIDW Y 1 I g~z, y 12.00 0 01 C, v 1 6~7j 35.67 GARAGE 4 I LIJ 01 10 L _ _ ~D•oo_ I~ i F~RbRUSECI HOLM Ln c) r- 0 122.pa 7 _ _ y~ _ - ..1- t~ Q LO qD '-t I ~ r I ~ O l ' N 00 rt•,,.,.~NN ` s 14 22,3(1" ~ >w.l~ RJR pT ti 900.0 Denotes Existing Elevation PROPOSED HOUSE Ei_.EVATION oa.o Denotes Proposed Elevation Lowest Floor Elevation-.__871,_C- Denotes Drainage & Utility Easement Top of Block Elevation: 97rZ Denotes Drainage Flow Direction ---o- Denotes Monument Garage Slab Elevation:_ 9W. 7 T= Denotes Offset Hub Bearings shown are assumed LOT 25, BLOCK 2 KINGS. WOOD 2ND ADDITION DAKOTA COUNTY, MINNESOTA 1 hereby rertity that !fits survey, 01an or repOrl rvl$ pePp?.W.d by me nr under mJ rl:tect tupecraviiston and that I am duty Reglstervd Lind Surveyor vnder ll+d hawz of The State- of t0lnneiotn• Dated this day of 1L_ A,SJ, 19..-~-L- . f r ' Scale: ~r}Cll Ofeel fe,QRFI~T 6. St Ire t-.S. REO, t140- 2.897 =71 92094.01 PERMIT City of Eagan Permit Type:Building Permit Number:EA120420 Date Issued:02/10/2014 Permit Category:ePermit Site Address: 1505 Kings Wood Rd Lot:25 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Gary J Arndt 1505 Kings Wood Rd Eagan MN 55122 (651) 454-7187 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature TSilverstone 952-233-8739 p.1 CK 1nk �,j_� Use B��E o�8LA _� ���'� '. �� � � ForOfficel3se r ---__ i ,V � I � , a�.� � �a� � � Pem���: : E����/�. /,, 8� ' � Pertnit Fee: "'D ----- � � ,. 1�1L ����►��� �N 2 g 2014 ► �,' -/�— ► � J � Date Reve��e�� � � Q,,.Q Y F^�I I 3830 Pilot Knob R�� � sratt: ____---- �agan MN 55122 BY: -------- Faxn(��675569475 L PLUMBING PERM�T APPLICATION 2014 RESIDEN;�A � ,� � , - ,� - �'� s��ada�ess• 1''� � s���#: j Date' ,j �I �"') ! � i �� 1 �I� •�� f � Tenant: �_____,,..-; (� _ 1 Phone: � � �..�---y° �-n � �t � � 1 �Iame: ; ,i ResiderrtJOwne� � 1 ti ��� � � Address�CdY!Zip: ,______-�..-.�...-�--�--�",, � , . �1 C' License#� ; _ , � ,',K � Name: ��H: �� y i , ; = A��ass: � g� � ` Contractor � `rt��} n� ` � PF�one� . f� ,c:�►11 '� State:_]�L�-Zip: - ,� ` � 3� � � n r r Email: j ; � Gontact '.�—�� Madify Space _.Work in R-O W i Rebuiid � ±r�.= �.�. _w� � _ — _� ` � �New _„_Replacernent _RePair i j 1 ; TyAe o#Work ,_. ; 4 Desc�ption of work: � � .. —.--�-� x � , ....�..�..__ � RESiDENTIAL � � f 3 � Water Heater WaterSoftene� � 4 �,PVB) � LawerLevel) � �, � _�ym irrigabon(____RPZ I F�tuies(�Main/_ Add Plumb�ng Permi�Type ; �ptic SYstem � ; � � Water Tumaround � '! ' New ; 'E ..�— t } , # r � _Abandorunent � t RESI�ENTIAL F�ES: ` Heater,Water Softener,or Water Heater and So(fiener(incwdes$5.00 stace Surcharge) � � $sa.00 Water ! $6D.0�1.2w��«�9ati0n(includes$5.00 minimum State Surcharge) ' mcludes$5.00 S1ate Succhacge) !. �60.00 Add Plumbing Fixiures,Septic Svstem Abandonment.WaterTurnaround t� +wa�pr Tumaround(add�z00•00 if a 5�6"metev is reqwred) TOTAL FEES$ � $�15.00 SeA1iC SVStet�'1 New($10.00 per as dunq pnu�oes°°""`r"°°°""d6-���°��urcharOO) 1 ; EFORE YOU DIG. Call Gapher State One Catl at(6U�}�464a s02�O�poo�OSta9a'n°ca`.oera9rou�U���damage. CALL B Ca1148 hours before you inhend to dig to rece�ve locates of undergro e����a�the work����in knowled e that this intortnation is compiete and a���on for a permit and work is��o�°��°�a�P n�����of ihe C'dy of I hereby ac 9 Eagan;that 1 urdeTSta^d U+is is not a pertnd, but O��Y an apa��a���and approvel of plans. accordance with the approved p�an'Rt ihe Case of�m�'�h�" x X ppplicanYs Signature ppplicanYs Printed Name Date: _ Reviewed By: FOR OFFICE USE qir Test Gas Test Final Requi�ed[nspectans: Under Ground Rough-In — � , Staff: Meter Related.ltems: Meter Size Radio Read , �� PERMIT City of Eagan Permit Type:Building Permit Number:EA122721 Date Issued:05/16/2014 Permit Category:ePermit Site Address: 1505 Kings Wood Rd Lot:25 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-250 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 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 - Gary J Arndt 1505 Kings Wood Rd Eagan MN 55122 Hause Construction, JG P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139538 Date Issued:10/27/2016 Permit Category:ePermit Site Address: 1505 Kings Wood Rd Lot:25 Block: 2 Addition: Kings Wood 2nd PID:10-42001-02-250 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Gary J Arndt 1505 Kings Wood Rd Eagan MN 55122 (651) 454-7187 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature