4188 Knob CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4188 Knob Cir
Lot: 007 Block: 02 Addition: Knob Hill of Eagan
PID:10- 42500- 007 -02
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type
Comments:
Fee Summary:
Janice Clark
6501 Co Rd 15
Mound, MN 55364
Contractor:
Westonka Mechanical Contractors
6501 Cty Rd 15
Mound MN 55364
(952) 472 -4959
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Manufacturer
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Joy G Jensen
4188 Knob Cir
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA091129
09/14/2009
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
RESIDENT OWNER
Name: v d`'.,5c- o Phone: GS --S �7
Address City Zip: /C4_i) I Ce c-A
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: %:,2 1 S 4 /`.v y "z
Construction Cost: ce e Multi- Family Building: (Yes No
CONTRACTOR
Name: A):�T„5( 6e(ie (cv-� License /11 O
4
Address: 7 'Y C4 S c
Cit l State: Zip: t t
Phone: Phone:// a _Cl Contact Person: rCc v L c'
COMPLETE
Energy Code
Category
(I submission type)
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Submitted Submitted
Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan?
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 they are trade secrets.
City of Eapll
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
PdifOffiaitiie
Permit f
Permit Fee: C i 42
Date Received: (f d
Staff:
Site Address:
Suite
:tJ 'z
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
accordancex✓ith the approved plan in the case of work which requires a review and approval of plans.
x
7TA
Applic ant `s Printed Name
I V
A�a is -nt's Sig ature
A a 2009
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 100
Census Code
of Units
of Buildings
Type of Construction
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit Surcharge
Treatment Plant
Copies
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
TOTAL
DO NOT WRITE BELOW THIS LINE
Porch (3- Season) Storm Damage
Porch (4- Season) Exterior Alteration (Single Family)
Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
"Demolition of entire building give PCA handout to applicant
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
J
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final C.O. Required
Footings (Addition) Final No C.O. Required
Foundation HVAC
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
}X Insulation Retaining Wall
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
Page 2 of 3
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I Use BLUE or BLACK Ink
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' I
~ Permit
City of Ea[I~d I a(4d° S
Permit Fee: D I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / I l 13 Site Address: 41~° LJ 1q4 Lf I~Le 4(q?f Unit#:
Name: Al Phone:
Resident/ v~ J F: ~`v1
4rn ~i~~f 2 z
Owner Address/ City/Zip: C ~ 'I`-'
Applicant is: Owner Contractor
Description of work: P. - 12~~
Type of Work ,
Construction Cost: 171 (e 60 Multi-Family Building: (Yes V/ /No
)
Company: c? Contact: J In^P~ 3 `E3 '3 ~_V
(off - 11a-q- to l l
Contractor Address: 0 City
State: r V~ Zip: Phone: _5C77~ Z( 777
License Lead Certificate
If the project is e empt from lead certification, please explain why: (see Page 3 for additional information) - V_ f
en L r; ~ l~ & \ red G~ 4t vv~ lz cal , 7 ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. i
x A VY\ t 1 t r? Vv~
Applicant's P ' ted Name App 'cWSigature Pag
e 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135521
Date Issued:03/22/2016
Permit Category:ePermit
Site Address: 4188 Knob Cir
Lot:007 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-007
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Douglas G Nelson
4188 Knob Cir
Eagan MN 55122
(952) 334-0408
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137956
Date Issued:08/01/2016
Permit Category:ePermit
Site Address: 4188 Knob Cir
Lot:007 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-007
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Douglas G Nelson
4188 Knob Cir
Eagan MN 55122
(952) 334-0408
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155444
Date Issued:05/15/2019
Permit Category:ePermit
Site Address: 4188 Knob Cir
Lot:007 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-007
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Douglas G Nelson
4188 Knob Cir
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature