2084 Kings Rd41,11/P
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office
Permit#: �--1, Ca,
Permit Fee: 444:1(=V---)
Date Received:
Staff
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Q/tom 5 Site Addressf r
4
Tenant: Suite #:
RESIDENT / OWNER
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Name: KA 10\0 w \ Phone: U51 ft —9a61
Address / City / Zip: 0,0ste aki n
Applicant is: - Owner Contractor
TYPE OF WORK
1
Description of work: T O Q/4 � ()C)
Construction Cost: i OC) Multi -Family Building: (Yes I No )
CONTRACTOR
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Name: K n„....5License
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State: /j_[_[ Zig SS J 9 Phone: / 9 �� ` —,S- 'I
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Contact: 111041 h. Email: / ilk`` , 1130, (T"" OE\
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COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
:No
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor..
Phone:
Phone:
NoTE: Prams and supporting documents that you submit are considered to be public information. Potions atf
the information maybe classified as non: public if you provide specific reasons that won t perimit the y 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be . forman
Eagan; that I understand this is not a permit, but only an application for a permit, and
accordance with the approved plan in the case of work which requires a review and approv
Applicant's Printed Name
I
App is attire
ces and codes of the City of
it; that the work will be in
Page 1 of 2
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA091209
09/18/2009
ePermit
Site Address: 2084 Kings Rd
Lot: 061 Block: 06
PM:10-81950-061-06
Use:
Addition: Vienna Woods
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
3/2/10 Letter & correction notice sent to applicant. Copy of correction notice to inspector. (pf)
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$50.00 0801.4088
$0.50 9001.2195
Total: $50.50
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
- Applicant -
Owner:
David M Wilson
2084 Kings Rd
Eagan MN 55122
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 with all applicable State
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA099967
Date Issued: 07/06/2011
Permit Category: ePermit
Site Address: 2084 Kings Rd
Lot: 061 Block: 06 Addition: Vienna Woods
PID: 10-81950-06-061
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
- Applicant -
Owner:
David M Wilson
2084 Kings Rd
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
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA100651
08/19/2011
ePermit
Site Address: 2084 Kings Rd
Lot: 061 Block: 06
PID: 10-81950-06-061
Use:
Addition: Vienna Woods
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet:
e -Siding
Siding
House & Garage
434 -
0
Construction Type:
Occupancy:
Comments:
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50
$1.50
0801.4085
9001.2195
Total:
$90.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
- Applicant -
Owner:
David M Wilson
2084 Kings Rd
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
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE (Q/I/9 D
SITE ADDRESS
LOT 6 BLOCK 6 SEC/SUB VIENNAWOODS
APPLICANT: i 1-. W e✓
ADDRESS. 9 3 6 141 Oh , - --
CITY, STATE C-4-'1 / 0 R0I S a1 A ZIP,5 -/I gyp
PHONE:
2084 KINGS RD
OFFICE USE ONLY
6/8/90
METER # PERMIT DATE
CHIP # PERMIT # 11439
METER SIZE B.P. RECEIPT # C6552
ISSUE DATE B P RECEIPT DATE 2/26/90
XX PRV BOOSTER PUMP
PLUMBER.
ADDRESS. t
CITY, STATE
PHONE.
PERMIT REQUESTED
'/ SEWER WATER TAPS
COMM/IND RESIDENTIAL
NEW EXISTING
Lawn Sprinkler Meters
Ah - . - of Domestic Meter
C edif LL NOT be • ive
to be Installed
on Water Line.
or Deduct Meters.
OWNER:
ADDRESS.
CITY, STATE ZIP
PHONESIGNATURE WHEN METER ISSUED
PLEASEALL;R�'�1� 1 0 DIAY OCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
E TOC • PLY WIT
AN ORDINANCES
SEWER PERMITS, CONTACT ENGINEERING DEPT.