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1401 Rocky Lane-A INSPECTION RECORD CIT`'if OF EAGAN ?c PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date issued: (612) 681-4675 Control No. 0887 e ?ILR ASiI/.^ Sri/3?/?2 SITE ADDRESS: LOT- h N t oc ? : i APPLICANT: 1401 ROCkY LAHE i,01LLEGE CITY COMSTROC1`IOIi k [NOS won 2140 (612) 431--1211 PERMIT §,YPTYPE: TYPE OF WORK: NEB! ¦ 1?1,04 A14t & W COMIRACTOR - Permit No. Permit Holder Dots Telephone # SM PWMBING _. . HVAC AA? , A 4j -AI, le ELECTRIC ft ELECTRIC a" Inspnbon Dow insp. Comments Footings f ?y?9 y c?,? A?3?93 4J cop- Foundation Framing Roofing Rough Plbg. ?1V Rough Htg. b ??oh Isul. /? f Z S Fireplace -zp_9e oS ?• ® ??` r Final Hog. O Orsat Test r ( r Final Plbg. Mg. Inspector - Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. .: "O ?¢ +? lJ?O . .a-a2e+cr Deck Find web Pr. Disp. m r AEI I w wwmf icate of cccupaucv with of Wagan Toartmcut of fuitbiag au mm This Certificate issued pursuant to t& requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use SF DWG Bldg_ remit No. 117 2 TYK R3/M1 Zoning District R I Type Cowl VN OwnerotBuilding COLLEGE CITY CONST. Address 6470 151ST ST, APPLE VALI Bu;ta; Address 1401 ROCKY LANE City L5, B1, KINGS WOOD 2ND r i Date:' Building Official POST IN A CONSPICUOUS PLACE 1 ?O/9Y- I '/C3 %W CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681 X4675 SITE-ADDRESS: 1;., . IJI11111 3.111 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: fit o„ 1k. APPLICANT: I 111!I I 1 ill I 1 . ! .' 1 t. ? < 1 0 JI J PERMIT SUBTYPE: TYPE OF WORK: Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. isul. Fireplace o[!/ ?f- e ?? Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Nobly Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. Address 1401 ROCKY LANE Zip 5512 2 Lot' `5 Blk I Sub KINGS WOOD 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6 from siding) f Permanent steps (garage) f/ Permanent steps (main entry) Permanent driveway 1/ Permanent gas Sod/Seeded grass vll? Trail/curb damage Porch Basement finish Deck ? Please verify 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 before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy REQUEST FOR ELECTRICAL INSPECTION ? lee inslmctions for completing this form on back of yellow copy d+0 7 55 4 "X" Below Work Covered by This Request "'T` E -00001.08 ew Adq Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building d Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contranor5 Rema Ly???] Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circutts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 -Amps Signs Inspectors Use Only: TOTAL _ Irrigation Booms 36 I Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee r COMPLETED WITHIN 18 MONTHS I, the Electrical Inspector, hereby Rough-in - 411 Date? 7 a certify that the above inspection has been made. Final Dat - 4- Y OFFICE USE ONLY This request void 10 months from ?AnU REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. 'x" 6eill Work Covered by This Request ff'" %, EB-000011-088 yrN Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Co rector's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps i'? Transformers Above 200 -Amps Above 10 Amps Signs inspectors use only: OTAl ?D Irrigation Booms D O? ?` J 0S7 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO h the Electrical Inspector, hereby poughdn Vale 1AIN certify that the above inspection has been made. Final y 7 OFFICE USE ONLY This request void 18 months from d 07 5?54? 12 no Request Date Fire No ugh-in Inspection i tl7 O Ready Now ill Notify Inspector - equ re s ? No When Ready? lZrlicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route N y City M Section No. Township Name or No. Range No, Cou Occup (PRINT) Phone No. Power Su r Address Electrical actor (Company Name) Contractors License No. Maibng A tlres Icon actor or Owner Making Installation) Authonzed SI lure IComractovO,;h akino Installation Phone Number / MINNESOTA STATE BOARD OF ELECTRICITY v THIS INSPECTION REQUEST WILL NOT OrlgganMltlway Bldg. St Room 5173 BE ACCEPTED BY THE STATE BOARD 1821 a 4612) uy Ave., SL Paul. MN 55106 UNLESS LESS PROPER INSPECTION FEE IS Phone t61Yl 64241800 ENCLOSED. 2 4 0 3 79?? O/o a 9a- 5 ?l a'? -'Vss ' Request a J Eire No. R h-in Inspection 'ad? P Ready Now DW il Notily Inspector Wh n Read ? [ No e y I Ntensed contractor ? owner hereby request inspection of above electrical work at: Job Address IStreat. Byx Route No) z City 04 Section No. Township Name or No. 1 Range No. County O .4019 Occupant (PRINT) 0 Phone No, Power S tier r Adtlress Electrical Contractor (Company Name) 30' Corns r5 Lbense No. 74ofo?? Mailing Access IContractor or Owner Making Installation) 04 ? ICJI'fG! 6'-' -Q Authonzetl Signal nratlon w Installation) Phone Number yv?-amass MINNESOTA STATE BOAKD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Mldwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 5S104 UNLESS PROPER INSPECTION FEE IS Phone 1812t ea2-0800 ENCLOSED. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025145 Eagan, Minnesota 55123 Date Issued: 02/21/95 (612) 681-4675 SITE ADDRESS: LOT: 5 BLOCK: 1 APPLICANT: 1401 ROCKY LANE FIRESIDE CORNER INC KINGS WOOD 2ND (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. ROUGH-IN FINAL J J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: cUlIGG BUILDING 025145 02/21/95 SITE ADDRESS: 1401 ROCKY LANE LOT: 5 BLOCK: 1 KINGS WOOD 2ND P.I.N.: 10-42001-050-01 DESCRIPTION: (GAS) B,ctldi gL.Permit Type f Building 16rk Type r' FIREPLACE NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - FIRESIDE CORNER INC 2700 N FAIRVIEW ROSEVILLE MN (612) 633-1042 Applicant - ST. LIC 16331042 0001068 55113 OWNER: COLLEGE CITY CONST 14750 GALAXIE AVE APPLE VALLEY NN 55124 (612)431-1211 I hereby acknowledge that 1 have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. 011.4 SSUE BY: IG TUR I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 41111610 "14§ 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: ?• , nn I DESCRIPTION OF WORK: INSTALL NEW FIREPLACE: r WOOD BURNING GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: TH ` Q= l - STREET ADDRESS: LOT Z BLOCK _I APPLICANT: (circle one only) SUBDJP1D. #: V- cw? FIRESIDE CORNER OWNER - CONTRACTOR 2700 N. FAIRVIEW AVE _ _ _ . , ROSEVIL.LE, MN 55113 I hereby acknowledge that I have read this application antllstate that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER Signature: FIRBt #: k°JI - X211 Street Address* City: State: Zip: FIREPLACE INSTALLER Phone #: Signature: A d ? u--o > ) FIRESIDE CORNER Street Address: 2700 N. FAIRVINAVE- License #: (612) 638-3304 GAS LINE Company: INSTALLER Name: Signature: Phone Street Address, City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 32. Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Census Code. SAC Code <.l tc ;'','REIWARKWO" Chimneylflue must be inspected before concealing. ,n FEES Permit Fee Surcharge Other >^ -,..120 '?,EIMI -77 1, . :; ?i .S:' SOTS Copies G i 3 K u:V€ Ofd °d o (S Val Total: CITY OF EAGAN L B MECHANICAL681 (612) P-4675ERMIT DATE RECEIPT SUED. # RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER e p FEES SITE ADD C) I ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER. GENZ-RYAN HEATING HVAC: 0-100 M BTU PHONE #: 423-1144 ADDITIONAL 50 M BTU 6.00 ADDRESS: 14745 South Robert Trail GAS OUTLETS - MINIMUM 1 @ $3 EA. r9 ?o CITY. Rosemo t ZIP: 55068 SURCHARGE: _ $ .50 SIGNATURE: TOTAL. s° $ , COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER TOTAL: $ SITE ADDRESS: TENANT: . . SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE #: CITY SIGNATURE: SIGNATURE 1 1 L 5 BL ig> CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD.?? (612) 681-4675 RECEIPT # ? !J DATE g ?a RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: LL 4 __? ?J?y,? ??n n 1?2t?.?GtYy1 ?YC?/J /ce9?xa.d?, SITE ADDRESS: e v INSTALLER: GENZ-RYAN PLUMBING ADDRESS: 14745 South Robert Trail CITY: Rosemount ZIP: 55068 COMPLETE THE FOLIAWING: NO. . FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 3.00 7-Z? - 3 WATER CLOSET WATER 3.00 ?? BATH TUB 3.00 coo 3 LAVATORY 3.00 J9 crO KITCHEN SINK 3.00 -4 _ LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 T WATER HEATER 3.00 } FLAOR DRAIN 3.00 3 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ?.s v _ OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S 3 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALLER: ADDRESS: CITY: PHONE: FOR: CITY OF EAGAN ZIP: CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) PHONE #: 423-1144 PERMIT M j,QC jgdfID2 1111 CITY OF EAGAN x,992 BUILDING PERMIT APPLICATION Za93 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural-& structural plans, i 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 guest is made or lot chan a is re nested once emit is issued. 3 Valuation of work U o U d Dated --7 ' / L Site Address: / STREET STE 0 Tenant Name: (commercial only) LOT BLOCK J- SUED. J P.I.D. Y Description of work: s? The applicant is: ? Owner Contractor ? Other (Describe) . Name Phone Property LAST FIRST Owner Address STREET STE M City State Zip Company d 77 Phone 232 2,22 Z Contractor License #41)/=269 Exp. Address 7 ? 62 - ) city 1444 State n Zip ?S /a y Company Phone Architect/ Engineer Name Registration IY Address City._ State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: --'?" OFFICE USE ONLY A BUILDING PERMIT T YPE ? 01 Foundation ? 05 Apt. Bldg 'Ef 09 Basement Finish ? 13 Comm/Ind. New ? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 16 Public Fac. ? 17 Agricultural WORK TYPE V 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. Actual) Basement sq. ft. MWCC System (All owable; 1st F1. sq. ft. City Water UBC Occupancy R- 3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler . Length On-site well Census Code y.3c/ Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS PA T?NLQ.??,ieWF/NOSH ? Site ? Footing 6. Framing ? Insulation ? Wallboard J( Final ? Draintile ? Fireplace Permit Fee J a Oo v.U.tion: s Surcharge SD Plan Review License MWCC SAC City SAC Water Conn... Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1401 ROCKY KINGS WOOD 2ND PERMIT SUBTYPE: SF DWG INSPECTION RECORD Control No. 0887 PERMIT TYPE: BUILDING Permit Number: 001172 Date Issued: 07/30/92 LOT: 5 BLOCK: 1 APPLICANT: LANE COLLEGE CITY CONSTRUCTION (612) 431-1211 TYPE OF WORK: NEW INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION TYPE FRAMING DATE INSPTR. INSULATION FINAL FIREPLACE REMARKS: S S W CONTRACTOR - /? PERMIT Control N 0887 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1401 ROCKY LANE LOT: 5 BLOCK: 1 KINGS WOOD 2ND PERMIT TYPE: Permit Number: Date Issued: BUILDING 001172 07/30/92 DESCRIPTION: Building Permit Type SF DWG Building^?Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning R-1 Building Length % 72 Building Width 53 Building stories,°' i REMARKS: C oa 0 /S S & W CONTRACTOR - FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $765.50 $497.58 $68.00 $700.00 100 $2,031.08 $136,000 MISCELLANEOUS $1.610.50 Total Fee $3,641.58 CONTRACTOR: - Applicant - ST. LICOWNER: COLLEGE CITY CONSTRUCTION 14311211 0001209 COLLEGE CITY CONST INC 6970 151ST ST 6970 151ST ST APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 431-1211 (612)431-1211 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 Mn. Statutes and City of Eagan Ordinances. D L 4nt(? - AP LI NT/P MITES SIGNATURE ISSUED V: SIGNATURE PERMIT # CITY OF EAGAN 4-g G `?!'`? REACTIVATE _ 1992 BUILDING PERMIT APPLICATIO __ .. _ ,? 661-4675 jjqj Mff 2 A RE6 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies when typin? of permit is requested, but not picked up by last working day of month in which re jest is made or lot than a is requested once ermit is issued. Date 7 / 26 / 92 Valuation of work \a& .0b0 AJO Site Address: en3 Pn ku TanP STREET SUITE 0 Tenant Name: (commercial only) LOT 5 BLACK 1 SUBD. King's Wood 2nd Addn P I;D. ?t 104200105001 Description of work: The applicant is: ? Owner ® Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE R City State Zip Company (n 1= city CnnEtr=tion. Inc. Phone 431-1211 Contractor Address 6970 151st street License # 1209 Exp. 3-31-94 City Apple valley. C State MM Zip 55124 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber n Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State.of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE . . ? 01 Foundation /I 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plek ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add11. WORK TYPE P 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move &v Const. (Actual) Basement sq. ft. 1?3z MWCC System .y} (Allowable) 1st F1. sq. ft. /,92Z City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning - Sq. Ft. total Booster Pump / of Stories Footprint Sq. ft . Fire Sprinkler Length 72. On-site well Census Code Depth 51 On-site sewage SAC Code of APPROVALS Planning Building Assessments Engineering Variance . REQUIRED IN SPECTION S ? Site ® Footing ® Framing ® Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: valuatim: $ 1361000 1 7z zP?Z _ s8 V,F zoo, el- = z Y l?3 Mo. At% « .a M.16. a e4nt Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish 3-+20 = fO <? 2 P,y- z = 5`O ? 0 lzys7,? l?.c/SG SAC % SAC Units 4( * PIONEER ? engineering - OVIL ENGINEERS LANOSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 612) 661-1914-Fax 681-9488 625 Highway 10 Northeast Blaine. MN 55434 612) 783-1880-Fox 783-1883 Certif kite of Survey for: Colle ge Q t Qenstructi on Iric House Address: Rock y Ld he. L.04106. M-? --- --------------- -- --------- --- - l - PILOT KNOB ROAD I I N 00'29101" W S 00.2901" E z I ' 120.22 e.00 o on 1 0 w - --- \ 58.87 44.58 O 4?- ( In r f --\ ------------ 51 \ --? L_'° - r I -C I I d4\ 1 I ( \ ?i Q l 1 ? L co O I \ I \ \ r- ! t? ?• m o \ CD (IT 4h. e CA fTl Na \ \r ? zfi ` ' ? CN ? \ \ ( FN a,\ ,t,. o \ \ " '74 \ ? .b s \ {9 \ `I saes , \ \ \\s mss, \ \ \ s S 3S' 8 s'osh ?6 . 900.o Denotes . 9oo.3j Denotes Denotes Denotes --o- Denotes --s-. Denotes yc•ry i vJ ?, / QA1yvE GIB E?1? ... ? DEpT ?v Existing Elevation Proposed Elevation Drainage & Utility Easement Drainage Flow Direction Monument Offset Hub Bearings shown are Look o.4 windows w/6 elev, -- 104.93 PROPOSED HOUSE ELEVATION Lowest Floor Elevation Rou? Top of Block Elevation: 965, 33 Garage Slab Elevation: 909,o assumed LOT 5, BLOCK 1 KINGSWOOD 2ND ADDITION DAKOTA COUNTY. MINNESOTA I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duty Registered tend Sumayor under the laws of the State of Minnesota. Doled this Z-? day of T`s 1 n - A.D. 19/g ROBERT Q. SIKICH L.S. REQ. NO. 14891 TER OWNER /ELOPE AVERAGE "u" U UfR of SITE ADDRESS CONTRACTOR iOGLrGF_ C7-V c?Onli'r DATE _I Zl lit PHONE ?{?j I?IZI J Determine working square footage of each. 1. Total exposed wall area ...... 7Zp04- sq. ft. x ,?J a 2Zo. 2. Total roof/ceiling area ..... (18 `70 sq. ft. X ,0.4ko - ?S•?? Total exposed wall area above floor = a. Total wall window area.. ...................... 'z.Z 3 ? b. Total door area .................................. y 37 c. Total sliding glass door area ................ O d. Total fireplace wall area....... .. ........... O e. Total wall framing area (average 10%)...:........ 7 0 f. Total net wall area above floor ................. v g. Total rim joist area ....... ....... %q7- Total exposed foundation area = (0 4- h. Total foundation window-area ..................... 0 1. Toal net foundation area above grade ............ to 4- Determine"U" value of each wall segment. a. ZZ° X "u" b. CCCL.?.. ? J_J X $lull iIZV = !.VT --?? C. Q .X "u" o = 0 d. 0 X „u,, t] e. 170 X "u" OQ2.. f. 12(00 X "u" X43 V g. Iq Z X „u" .04..1 76-7 h. ? X "u" O 0 I.- I o4- X „ull .0-79 - 8-V2, 3 .....................................Total 70.t i Lfl if item 13 is the same as, or less than item 11, you have met the intent of SBC 6006(c)2. MID U Vi _I. iNDow ARE-A A11AI-Y515 of L ,fir i ,1Q jLAZEQ ARAA5 TyP,: OF WJNAaaw THE \ul,vDOW will-S 14AVL g[C4 rC6rt4O FOQ• ' l2•--VALN•i? "rNAY AC& As L-14140 A8oVC qA/o A14Y 41 .76siryAl 6V A 0C.914N [SSFLJ VAJ-tA.L of °R z Z. 1B9 INGLND+yG AlA IWILM5, Fbo i n G 4. FOUNDATION WINpoW AAA: TYPE of ?--'JJVOOW : TMP- Vv;N,oo+? L+1+ls/IgJE. BL1.../ TEST<D Fop.*R^ vAL"r,THLYARLA.$ obl&lp A66VA Auer m4Y Or AsslCig11-0 P pLSI(yn/[3AaL? VALUC o= -$"u Iucj- bolNq AIQ a1LM9 , L'42- I?ryji • I/ _? F??•?44 i FopTA C+C : 0 SLID14; (-?1-A55 DooR ARLA: TYPL PI° D009- !>L- C?L455 DCK>AS NHvc aLF.-4 TWA LO' Fog"R= V4"Kcy TNLY ABL ys 1-+arAp AbOUL AdO MAI B* ASS ?•y NF•-? A n?s?G+_k Gswrq ?IALNG OF •?^f_. "JLi,-rpIwj /!la CI&AS urf3 -'I or% . 1! F7a•Ti.4 L- =? D oo R f{ Ra A Typ e o r Doan : DOOR, IJAII'r5 NAVL 6k.Cb`4 TL5TC0 A40 fOUVG 'rO NAVC AN \/A L+.l4 CP *7. 81 INGL.H O+N fy Ate 61 .•+'13, Lill; )/Raj FCOTAr-c IL X--. 5JPECIALS : TypL FARM E-1 !on:„a qi - T-I"g•.7'30 .5KItVEO I . AND VA' RIM So15T )6Z r. 5LC-Ti oW5 "R° - VALUE L__ .._ I nI T R I O /Z AIR- J<I L M X%0 _ -I US U SAT 1o N C1z-11 ) 2.0(O Ski EA r1uGt -(0Z %Z s,oI,lc;_LAP •`? I'h.° SoFrwoop . 17 _,6I<TF K 1O R Air- 7-4-,139 Tor A L- • t?. ?AUL.G j, I i 1 24.3 n TOMFOOrASt I OUr.1 D AT ION 1IN/ALL. AREA, CABovc C4FADX--3 R" VA L 4.E 6?" )Id TERl02 AI)Z FHL-r\ '165 6 "t (.po 31 Fbaa et c,»w?rlc.4 (R- it ) rj EXTE-K.10R, Aja FIL-M 2 •L3 OTAL. Ajw4 VALME- u4 - Il r I Lso ta0.,n L•I la#06j4, ANA•t-ysl:? O AlzLA ; TOTAL t AOTAr4 : I o 4 OkTt ?-Ak-vi?25I(Wt0$ 7F?' ANDVU V ' '^ ANALYSIS OF yy' 41 SE.Gr ioNS Sru r, / FKAM IN(j ARC. IN : F( ' - VALUe _?'?IaTeK??R RIR 1:ILN) AS -?f?G?v.srLM ww?Lasoneo I d sop, rvomo _L P 51ojucl Z _ VA>'c)le GAa4KOXR- L EOrLX[OR AIK. Pl"M 10-22 ?110TAL' R.. VALLAL 0" g 1/0-1 s I i1o± . .v z a' TorAL rmrAGC 1-70 5 u-LATE-o AKeA BcrwzaN 5T '-A Os ..R..- VALY.L •OI IurE¢iou AIR FILM ?IQQS /Z6ypS"m WALLBopQD ?"f.? ?•' IuSU.LAT JO N (RtiI? ). Z.O?p ? S?1pA TM ?NQ. UI C.?"rl! 7? b l 0E ._Siolu4 ?L vAaa?.. ?nw?c.?c? AIR. POILM 'LZ-712 rOT A I. Aj,.rt VALUL 0y,.ULL-&a I (Z??`?to• M I.1 I"Um. !t?' TOTAL PoorA4a. /Z(p0 R.. ND~U" ?l"_I -. A#QAL.y915 OF "4E ?s°''F/CEILW!j SECTIONS, JOIST/ ( JZAMi),,C1 AREA IR4- VA LU E •lo 1NTgRIOR AIR FILM 4.3J? Z 5OFTW000 SU ??4YP.5"M WALLSOASO i/ Iu ?uLt. I NTER 10R, AIR FILM -OT q L " Rw, VALLLE ZL 7 WWI 'Z7:73? TOTAL FOGTA4 , ZNSULATL`.O AREA BE-rwLGN THE UOISTS °R- - VAL"e. /?1IAITERIOR AIR FILM ?` bwwtJ LLA TION CRi• j ?_??YPSUM WALLP"JLD VAPOR. BAAR149- ?_INfLRIOK AIR fltM -4S3L'TOTAL "R•-n' VALLLL L4-2. zIXz " a -1 1 oianl, rly ¢.5.3(c? 1brA6 RoorAGI. o p?trR7 "?'?I`w?o City of Eaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 DEC 222009 Date Received: Staff: 2009 MECHANICALCPERMIT APPLICATION t Date: 1 45? -09 Site Address: ` tC) oc_k t jCr) Tenant: \ -l� l r t •J 1 J Suite #: RESIDENT / OWNER Name: 1 XAIMI C\ \ e_ k Phone:1J I 4- Lo 3-c).] ; Address / City / Zip: \ Lib 1 C ,CA__- (n. Ecccoarl .. ,;(:) CONTRACTOR Name: License #: U 1e� i QURIdSVILLC 11CATINa 8r AIC, INC. Address: 3451 W. Burnsville Parkway Suite 120 City: MN 55337 State: Zip: t�Buunsville, Phone: . `QC1 --(Dr ontact Person: l na c TYPE OF WORK New k Replacement Additional Alteration Demolition Description of work PERMIT TYPE RESIDENTIAL X Furnace COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Conditioner Gas Exterior HVAC Unit Air Exchanger Heat Pump Under / Above ground Tank ( Install / _ Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Other RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50- increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is less than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x GUThCA C311Ail Applicants Printed Name Applicant's Signature City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #. 1k0(416 Permit Fee: Date Received: Staff: 51 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: ` 7 0 /PipG.. <<L( t Q L -'l Unit #: Name: c"t r PC1 [I Address/City/Zip: J / () 1 Pic Lce - Applicant is: Owner Contractor Date: —7-13 Description of work: Ile ird®rt'Pl Cc<`e 0661 Construction Cost: Phone: 4I L '6CJ J —3 - a� r ;e _4(e - Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 'occtrrienttsthatyo ubmf are co srder srf ec/ as no-oubti' yo e o r e pecr season o; clt(de ha the are a e secr€ 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Signature Page 1 of 3 4111' City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: °5-71 �% 1 Permit Fee: 1 5-3 3 Date Received: ¶ (" 13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C 7- (3 Site Address: No J P DC �L)(' i_aku -L' Unit#: Name: PCt V Phone: 612- 6 ec -321R Address / City / Zip: 1 Lf0 I Aoc._k I . Applicant is: > Owner Contractor Description of work: �i S Construction Cost: '.__ 00c) t✓p Hg9ra'v cetoac Jr." rdtct4 Multi -Family Building: (Yes / No 4-211 134 Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 061) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. i. l PC1 VCS( x C V Applicant's Printed Name Applicant's Signature Page 1 of 3 G/6j DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family) Single Family Multi 01 of _ Plex Garage_ Porch (4 -Season) Exterior Alteration (Multi) Deck Porch (Screen/Gazebo/Pergola) Miscellaneous Lower Level X Pool Accessory Building ORK 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 DESCRIPTION Valuation Plan Review (25% 100%y ) Census Code # of Units # of Buildings Type of Construction V6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building - give PCA handout to applicant Pt- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water _Final Pool: ootings ,,Air/Gas Tests Final Framing Siding. Stucco Cath _Stone L h _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 Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 POOL PERMIT -APPLICATION SUBMITTAL REQUIREMENTS Address: 141 Applicant Name: '6ei('o yL `- /Ave -k GENERAL INFORMATION ¢ -0 o z f2( ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name )d` ❑ ❑ Address of property U ❑ North arrow, scale (1" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. ❑ ❑ Location and name of all streets adjacent to property U ❑ Directional drainage arrows (existing and proposed) ❑ ❑ Lot Square Footage ❑ ❑ Lot Coverage ELEVATIONS Existing Z ❑ ❑ House corners 51 ❑ ❑ Property corners ❑ ,i21' ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ Jd' ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) )0r ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ All property/lot lines ❑ All Easements on the property Proposed ❑ Pool ❑ Pool plus integrated deck/patio ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: G:FORMS/Pool Permit Checklist/1 1-20-12 ate HALVERSON LAND SURVEYING,LLC Russ Halverson, LS Land Surveyor PO Box 384 Northfield, MN 55057 (507) 301-2029 russethalversonlandsurveying.corn Licensed in Minnesota & Wisconsin PILOT KNOB patois, Yziiii3 51 L 1 1 \'-4 • f'oci 141 N 00'29'01" W 120.22 ‘58.67- 2422 . tarp?' Drive 1.10evrato '• s. 55120 (612)- S : Fox 681-9488 ;11491te Northeast 55.A. 83-1880- ax 783-1883 acInstrud.-116h, Inc. OD 7 -EF-WEDAI By D Date ROA4.91 EAGAN ENG G DLPT. Flgo4P 4/4/0104 S 0029'01" E 8.00 7 7 7 7 7 7 Lio (LA 1 fiesz0 e•9 01-f-- -•••"" qt FouNP •••* x splo Denotes Existing ElevotiOn Denoes Proposed Elevation Denotes Drainage. & Utility Easement - Denotes Drainage. Flow Direction - Denotes Monument Denotes Offset Hub LOT.5, L.00k 0.).4 otvs/ t40 eta?. •••=.143 4.43, pROPOSED.,, HOUSE ELEVATION Lowest Flo:or 'Elewtion;101..z2 Top. of Block Elevation:1433 Garage Slab Elevation; 911c1..o Bearings shown are assumed KIN GSWOOP 2NPADDITIQN DAKOTA couNTY. MtNHESOTA I herd* certify thethis SUrtntY.11106 or risioct wasArrearsO b rri4Lof lendee rirt ettpervision that env duty aqiitired tntriorfor under the Wes of the State of Ationeeata. Dated thk day of A.13 19 ,,, • El; At?, irp'insr4— nonERT 13. Stitte '''''''''''''' 1,4,ti.1411,1 City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: i' 8 Q� 5 5 Permit Fee: 1 !V 5 Date Received: t V /!0/L3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0-30— 1 3 Site Address: /(10( dor .v L as Unit #: Resident/ Owner Name: flq I i LI PCC Phone: 6/2-685— J-11 -Z Address / City / Zip: l �(' / l D ( Rack Lcii 1 . jq 5-51,„.2 Applicant is: ( Owner Contractor Type of Work Description of work: Rep/ad t- 1,4A &talo- -r> s ru E 37(i K 0,e i r Construction Cost: O ® Multi -Family Building: (Yes / No ) Contractor Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and the information supporting documents that you submit are considered to be public information. Portions of may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. al\ aVC---- ?0,t/C— Applicant's Printed Name x Applicant's Signature Page 1 of 3 PriA6, City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR n 1 2014 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: T31 " 1 T Site Address: / 6 U c L Unit #: Name: eft Pqv'dL Phone: 6/ 2 -`6E -6C-321`? Address/City/Zip: / T 1 Acc- (C Ly -L-( I EEcc-ec6-4 g Applicant is: Owner Contractor `!�/ Description of work: I " lam, /^C P Ctilt POIPf d C /05e f LYLece Construction Cost: 1 t2. ()c0 Multi -Family Building: (Yes / No Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Pskr 76' 1,99a 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x I C'e. i i ,A' PcvcJ Applicant's Printed Name Applicant's Signature Page 1 of 3 /c/01 /G ° v� -J1( DO NOT WRITE BE W THIS LINE SUB TYPES Foundation Fireplace j' Single Family Garage Multi Deck 01 of Piex Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement Addition Move Building tAlteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% r/ ) Census Code # of Units # of Buildings Type of Construction ii31/ Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In _Air Test Final it' Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /7211- I,r51 Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Siding: _Stucco Lath Stone Lath _ Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector X 33 d @ .to ~/+ 11//4041041.1 • Final Brick Final ye P2610' eL Page 2 of 3 City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA121982 Date Issued: 04/21/2014 Permit Category: ePermit Site Address: 1401 Rocky Lane Lot: 5 Block: 1 Addition: Kings Wood 2nd PID: 10-42001-01-050 Use: Description: Sub Type: Residential Work Type: Alteration Description: Fixtures 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. Fixtures:Master bath remodel, Toilet, double lay., and shower Terry Sieben 18605 Fischer Ave Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge -Fixed $5.00 9001.2195 Total: $60.00 Contractor: Sieben Plumbing 18605 Fischer Ave Hastings MN 55033 (651) 343-6298 - Applicant - Owner: Darin D Pavek 1401 Rocky Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature