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1454 Kingswood Pond OvlkAddress 1454 Kingovooc] Pond Overlook Zip 5512 2 LAt I I $lk ? Sub KinQSwood Ponds 2nd THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECT'ION. Date: 2/ 2 4/ 00 Yes No Inspectot: B a r r y G r e i'vt . Final grade (6" from siding) Permanent steps (garage) A Permanent steps (main entry) a Permanentdriveway x Permanent gas >1 Sod/Seeded grass ?. TraiUcurb damage >-' Porch x` Basement finish Deck Please verify with the builder the removal of roof test caps from che ptumbing 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 ? Addi2S5 1454 Kingswood Pond Overlook Zip 5512 ` IAt 11 Blk 3 Sub Kingswood Ponds 2nd THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIMB OF THE FINAL INSPEGTION. Date: 2 / 2 G / 0 0 Yes I S T o Inspector: B a r r y G r e i v e Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) X Permanent driveway X Permanent gas Sod/Seeded grass Trail/carb damage Porch Basement finish Deck Please verify with the builder the temoval 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 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy w AddieSS 1454 Kingswood Pond Overlook Lot I I Blk 3 Sub Kingswood Ponds 2nd Add Zip 5512 Z THESE 1T'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 21-4 00 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb 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 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ??k>k%?YF??t:?fi ?1F ? ?F??<M>$?F1???K?Y,t%?h??K?K ?Y?FX?X??'m?F?k? `JF>;t:XXt clTY nr- i:::nrAn! r.:A5wIrr;: 3 rEk.MINAL Ncat 862 UAfE't; 04!14J99 T:L'Ml:::: 040000 1Dii NnM:r:.,7Oo-AN 'o ;,tr.r.N. R05 9001 1455 I;NGSND I"'MD i.D0e00 2852 9220 :I.`FJJ i:N(:,S!xlt) F'NC? 30.00 3743 9Rc (] H`ic I:N(;SN1:+ PND 50.00 303 9220 1.455 t;NGSlaID PND 50,.00 ,':iEiF.E, `3._°; r'9 1.4..`5 FtN[:;`:;l+ID PND 00. Q0 371.6 92RC) 1455 F;Ni;,s.;lAtr:i F'NLi 04.!:)l:l 3818 9220 1455 i.nC5WD PND 468.00 38F, 5 9220 1455 F.NG,SWTi W'NU 825.00 3422 `?t:lt.:li. 1455 I:Nf:;SND PND 1,006.30 22'i'5 9220 1455 f:NGfaND N'NX! i,C)09.50 r,R.10640-:, ** C:ClNt'INUF.. U?.;I":R IL?g NF1N( Y *7F (::ONT]:NlJr ?%c:+d?cXt#kcikhc?C?tY??*:???Y,??X;?<?n:???k?t?!ti<?%nk t.!'iNTINIlE:: CI'T'Y OF [_Ar;AN CA:;i-I:i:l=:R° S TEfiM1:NA!_ NLl< 862 Dr,TE. 040¢i99 rIMi-:: 16:04tnl. zr, : ;aAME? JOHra s si-41N 314E, rar.Jt):L 1455 t:NC.,SWr; PNr? i.r;o50 3210 90t.',1 1455 FCNGaI=tD PND 1,548.15 Thi:a:l. f't.ac?.?i.pt Ainouti+; 59?,4:L.45 WC)(_-,4r F? L.lF3i:-fi ITi: NANL'Y Yt??'?'?k?KXt?X?%?XXc?XY???nM' '??X'M?#>k?%#Xt?kMik?X??M'?Ynh''X{?K?k?%?k%t3? : • 1999 BUILDING PERNiIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN ? 3830 PII.OT KNOB RD - 55122 (651) 681-4675 -?? -?-T ? . New Construdion Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 7 energy calculations ? 3 copies of tree preservation plan if lot platted after 7H/93 required: Yes _ No DATE: Z,? DESCRIPTION OF WORK: SlA0,6- %:Llwtd14 STREET ADDRESS: LOT: ? BLOCK: 3 SUBD./P.I.D. #: RemodeVReoair Requirements ? 2 copies of plan 0 7 site surveys (exterior additions & decks) ? 7 energy calculations for heated additions 44? CONSTRUCTtON COST: Sa% AOD 0 V e_/C1 oo u-- 14 3?,o S 1 0 11 0 3 Name: Vi?J?.rN ?Dff/V Phone #: PROPERTY [.acc ° First OWNER. Screet Address:- 4MA 9 . X271 E d2'003 City !Z, , State: ?M& Zip: Company: ONNEX d Phone #: _ CONTRACTOR Street Address: License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: _ Registration #: Sh..et Address: City State: Zip: SC3 l1i Sewer & water ticensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, sYate that 4he informatien is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinancas. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received ._Z Yes ? Nu Tree Preservation Plan Received _ Yes _ No l/ 1L? l? E IJ V ll\ l D - 5 Ig99 Not Required OFFICE USE ONLY 3UILDING PERMIT TYPE -1 01 Foundation ? 06 Duplex ;k 02 SF Dwelling ? 07 4-plex 1 03 SF Addition ? 08 8-plex 7 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ,..,, . ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility C] 14 Fireplace ? 21 Miscellaneous 0 15 Deck ? 31 New ? 33 Alterations ~? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition . GENERAL INFORMATION .onst. (Actual) 5_ Basement sq. ft: 20 210 Census Code ( D i (Allowable) 5• f-( Main level sq. ft. 20295 SAC Code ' JBC Qccupancy 2-5 2`O W sq. ft. is-5 Census Units l ?oning sq. ft. % taCo Census Bldg ? of Stories 2 sq. ft. MC%ES System _ength -7 4 sq. ft. City Water JVidth 5? •? Footprint sq. ft. I? Booster Pump PRV Fire Sprinklered APPROVALS 'lanning Building Engi --U neering Variance Permit Fee Valuation: $ oD6 ? Surcharge Plan Review Zb2P?o?GS ./ = 3??'t'?-F'S? License MC/ES SAC /z?•Lpj,a( 5"y21 &-e- pCl City SAC x 1 ? Water Conn. Water Meter ? gj6 Acct. Deposit S/W Permit S/W Surcharge TOIW L Treatment PI. Park Ded. Trails Ded. Other , Copies ? , Total: % SAC SAC Units e OWNE ?r?1 ?'?•? SITE ADDRESS, l?S Ili.h?S ? ??c?? CONTRACTOR HOMEVNORX PnKrNEFS. ING. PLAN NO DATE y?y-ff PHONE 636-31W Determine working square footage of each I Tptal exposed wall area...... ?96?8 sq. ft. x.11 = 3/g,65? 2 Total roof/ceiling area......... sq, ft. x.026 = ,S'y/ 3 Total floor/cant area...,.,...... sq. ft. x.10 = A Total exposed wall area above floor Z*f2.3 a. Total wall window area........... ... .............. ... b. Total door area ..................... ..................... 2d c. Total sliding glass door area .... ..................... 2/3 d. Tptal fireplace wall area.......... ...................... 40- e. Total wall framing area (averag e 10%).......... . vLS: / - f. Total net wall area above floor . ..................... ZaJ*.?' g. Total rim joist area................. ................... ?93• ? Toial exposed foundation area „ h. . Total foundation window area ... ...................... ? Total net foundation area above grade ............. Determine "U" value of each wall segment a. L71, f x „U„ .38 = . b. ID x °U" = .37 c. 24 3 x „U„ , ?g = d .? x „U„ , 39 = e. x"U„ . or75 = le-lb f. IAOI-4 . x „U„ . 039 _ -201 g. 3?3 4 x;"U., . 037 = 5,01 ? -b- ° x "U" h . 36 = 457- . -5.7 x ;,U„ . 072 = 5:85'? a. ................:................................ ..... Total = 367,Oy If icem tt4 is the same as, or tess than ilem #1, you have met the intent of SBC 6006(c)2 Total exposed rooflceiling area Pfeil 7 ?.... j. Total skylight area ............ ....... I..,.................... 0- k. Total roof/ceiling framing,area (aver. (.10016"o/c).. 10"-' (.0625024"o/c) /? !. Total net insulated roof/ceiling area ............ .. .... /8`a'el- Determine "U" value for each roof/ceiling segment ..OL- x ., U„ .39 = le-- j. k. /`ls:2s x "U" • 023 = ?.vf> I x "U" , 022 = 4//.33 s ........................................................ Total _ e1?1.? If tolal of #5 is the same as, or less than #2, you have met the intent of SBC 60060i Total exposed floor/cant area ?o ?/ m. Total floor/cani framing area (average 10%) ...... ... .. ... _2? •50K n. Total net insulated floor/cant area ............ ... ... .... tl"3. 6 Determine "U" value for each floorlcani segment M. X"U" , 03?7 -7 3- ,. n. Sv .L x , . 072 = /2-9• 6 _ ....... .......... ......... ......................... ...... Total If total of #6 is the same as, or less than #3, you have met the inteni of SBC 6006(c)3. ALTERNATE BUIIDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5 and #S shall not be greater than the sum of items #1, #2 and #3. 1 54 -d$_? 2, Sd6.41 = ?7?•/9"- 4. '307. Oy 5. 6. ?37, ?''l = Prepared by: / ? , '(y9ti Date: yw, s'? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT AP9LICATION PROPERTYLEGAL: -% OATE OF SURVEY: ' LATEST REVISION: ? a y ? v ? ?n s v w DOCUMENTSTANDARDS a Q o N 15 Q Z 2 ? J ? • Registered Land Surveyor signature and company ? • Buiiding Permit Applicant ? • Legal description a--a ? • Address a--o u • North arrow and scale [I-'o ? . House type (rambler, walkaut, spfit w/o, splft entry, lookout, etcJ ? • Directional drainage arrows with siope/gredent °•6 S? ? • Proposed/exasting sewer and water services 8 invert elevation 2r'? ? • SVeet name Z-?-o •-1 • Driveway zi'o ? • Lot Square Footage 2--'C3 o • Lot Coverage ELEVATIONS Existina ?? ? • Sewer service (or Proposed) ?c ? • Propertycomers 12r, ? 7 • Top of curb at the dtiveway ? • Elevations of any ebs6ng adjacent homes Proposed ? o ? • Garege floor -? ? First floor ? ? Lowest exposed elevation (walkouUwindow) ? ? ? • Prope?ly comers ra? ? ? • Front and rear of home at the foundation PONOING AREA (iF auo6cade ? e'? • Easement Gne o A'? • NWL ? el?? • HWL e o'? • Pond # designation a e-'a • Emergency Overflow Elevation / DIMENSIONS ?3 A ? • Lot finesBoarings & cfimensions dy ? • Right-of-way and street width (to back oi curb) e? ? a • Proposed home dimansions indudng any proposed decks, overhangs greater than 2', porohes, etc. (i.e. a!I structures requiring permanent footings) ?o o • Show all easements of record and any Ciry ub66es within those easements ET' a ?a • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? Retaining waA requirements, H any ? Reviewed: Marotit999 caAicreLoaPaMr.FM , • AlT2DA72T O¦ LxEMYT20N FROM 9TAT6 CaHTRACTOR LICLNBB Stata ot Minnesota ) John Shin ) as Affidavit of County o! Dakota ) euildlnq Permit Applicant beinq first duly sworn, upon ( i ing Permit AQplicant) ? oath eposes and states_the Following: 1. This Aflidavit ie submitted n co nsction with the building permit epplicntion made by ?Ohn ?'ln (Suildinq Permit Applicant) Por a proposed work project located at 1455 KinQswood Ponds Road , Eagan, Hinnesota. 2. I acknowledge and understand that Minnesota Statutee, 5326.84, requires all residential buildinq contzactors/remodelers to o6tain a license from the Minnesota Department of Commerce, unless otherwise exempt • under the statute. 3. I am exempt.from the residential building contractor license requirement pursuant to Minnesota Statute 5326.64, Subd. 3, for reason(s) indicated below (check those that apply): a. I am the owner of the residential real estate on which the home shall he built and 2 will do the work myself or jointly with my own employeps or agents and I am building such home as my own pprsonal r•esidence and intend to permanently live therein. b. Z am an architect or enqineer engaging in professional practice as defined in Minnesota 5t.3tutes, Chapter 326. c. My annual gross receipts are less than $15,000. d. My contracts on individual projects in aggreqate do not exceed $2,500. e. I am a mechanical contractor, plumber, or an electrician. f. I am a specialfty contractor, remodeler, or material supplier involved only in part of the proposed improvement to the residential real estate. 4. I acknowledge and understand that the etatements in this Affidavit are made under oath and if I make any statement in this Affidavit that I know to be false or incorrect, I understand that I could be subject to criminal Qrosecution or denial or revocation of the building permit or both. FURTHER YOUR AFFIANT SAYETH NOT. ? Dated: ?44ci'9 Bu ing Permit Applicant 17 th Street, pt. ' ?? D?..? MnT 55101 Print/Type Applicant'e Name and Address Subscribed and eworn t b ore me thie de of ? . 19LL• ?? ?v?AfilLYi?l.?'iI;CHEI?PFENi^d'+G ? y ? -k ;• NG07 Pll8LiC-A?INNESOTA DA90TACCl1NT`f c? °My Commissfon ExPires Jai. 31.2000 ? otary Public ? L- 1163 WAIVER OF HEARING 4557 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned by melus: Lots 1 through 3, Block 1; Lot U, Block 2; and Lots 1 through 11, Block 3, Kingswood Ponds Second Addition, (236.48/Lot = $6385.00 = 27) for the benefit received from the following improvements: ITEM QUANTITY Water Trunk 5 lots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865.00/Lot $4,325.00 $20.60/f.f. $21060.00 TOTAL $6,385.00 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and _ assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objecrions to any technical defects in any proceedings related to these assessments, and fiuther waive the right to object to or agpeal fi-om these assessments made pursuant to this agreement. DATED: ? G A OWNER: , HORNE DEVELOPMENT CORPORATION, a Minnesota corporation lI 4 B . James B. Horne Its: President STATE OF NIINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this / ? day of Z_,y1L ZA,- , 1997, before me a Notary Public within and for said County, personaVy appeared JAMES B. HORNE to me personally known, who being by me duly sworn, did say that he is the President of Horne Development Corporatioq the corporation named in the foregoing instnunent, and that said instrument was signed on behalf of said corporation by authoriry of its Boazd of Directors and said President aclrnowledged said instrument to be the free act and deed of the corporation. z? Notary Public APPROVED AS TO FORM: Gity-Attorney's;Office ? Dated: APPROVED AS TO CONTENT: Pulilic Works Deparhnent Dated: THIS INSTRUIvIENT WAS DR.AFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley MN 55124 (612) 432-3136 MGD/wkt (206-15236) ` EXHIBIT "D" ; ? ? . ? KINGSWOOD PONDS SECOND ADDTTION NORTH % ; ? woor oti wa 'ne1 ea' bee?.e p• ?,a+wcxr xr. No ? rTM, Ri: mss. Y / ? a,a, ?"x ?5'?'0??0 " ro`?a?ON. FINANGIAL OBLIGATION Dn?r+AG[ AND vt1uTY USEYENR I b/ty q° ?V - l50.M (N.4Y.0. 1919 YANM) LEGENQ 0?n' v?xT ?? ?• A U onnerx rmitwt[a ^ .? 11RE SNOMi AS rrvs: n: h ?he [nsr uv[ ar ni[ Narrriusr 1 - STREEt / WM7ER aF SCCOON tt, fiW. Sl, IIIIIIIIIIIIIIII UfIGraI BB?IEIn Sa?lllary SeWBr ?^?S uw?wnro K ttr 2! MCSt IS ASSVYCO 10 BCM ?¢MOmt fi u?MCSO?? StANi[S 4q ? NOOZ9'OI11. WaCN SMUI x w PLAtt WIMIN a+( ????? --I r-L,a.,, Water Trunk ttM V tM( KLU1mC ff iM5 PUi. ? aoo soo / j s i ?/ ? d ?noo? _J L 1 iaao w A? ?????t+ !/?+ . ? .'.. ...,. • .'-'.,1... . ? ... ..., d?e I Hcw va ? . ? . f? ao ?`? enr?a ? rccr ? .om. ?.ncss onxnrsc $ ? q? 'p. _ soe'n?•?T'r „ ' '•, Y,, - I wOCAiY ?vD W.4xNC 3?[ Lot IISI " F ?. ? q / M0 KM 10 RCI N NOM. IMICSS ? i?24•10 I onrtn.sc .+oc.ao. •.o w.iw.ic smter . , . ? .' /HU ?CM LOt "S wS Swor1 W M R?T. ?p ? • j .7 i j ? ?er• ?ea wi.? ? ? a1v? ?? nni ?? . ?N ? ? / sosn'acr ia•.?a - :?G :=: j ' ?l 1'•. . ?:+?? i9.: + F? ` ? a ` ' _? F•- ui.n ' !t1r? ,.t?Q$C> > ? rze ozJi -- -?. n.P --?•-_ rrare uu ra r n.?+M+r s d ? `? t11.'N 031 Y? p p?y..v? wtt s• ? ??w.??an. ww? e Mr Iut w mM- ?. I ' __ 590'i]'0.Yl ldI.OI -- ?1• ' ? V ? ` .raa+ w ^yp1 °n / ? ` i? Is M 0 ^ ? ?j 4L I ' ? F ' __ ."_ ? . ?--------v,.-oT- ,?? '<<? ?e ?• ? '? ` ..? ?,? r'? » ?¢'?;. f?• 4 ti-.,??J.S ?; 1 d , Lf _ ? Z , *^'' ' „ • ?10 %` :a. ? I • '$n• it ? ? i ? .- ,yi y3;7F 7?--_e«__ ?ns p.+?----? nm ? d?? ,{?s ?'• a i S?i r s ?t?, l.; ? A ...+t'i ? ? s^.rmi wm ?7E?- .+vu'' ? ?? ?"?n^h i ?--svR3+e'3-----J •'l? :? '°a : , .? .ri ' ?? py.i ? N? ? ' i r? ? ??? ?1 - ag r---z..----.-: -+-- S ? l0 p .;- ? ?ar.a?' ? '] [ 1 1 ?rOR?M1\????1.. \ a 1 ? ??f 1^?M f)1 I .? p 1 ? ZV ? / w? 1? `11 OI ?'• 1 I 13 ? Ywi 1 .?' ,? 1 ??1?: • ?i .e? S ^'1 1 U R 1 e.sf ? W I i I ? B ? /?_1?741T[J l_ ram.3ot _'? •? r^a. ?` ? ? 4 r+ ? _? ? ?i ? aS ru 8 , 3 , d?,•?.?,• i, ------- , 2 ?i- = M 'p a • r ? r--?n.n--' ?fii? '? ? g SMVi-Y"J.!,.?1 1 n ? wl '+? 1 L sJ 1ni3 `gi •, ' V 1 1375'1t::•YT "' '__ T' •?I ? 11 1 1 / 11 ?J b ? e s r ? ? ? 1 1 (? \ 1 ? GqSleb 1 • 1 4-pK .1 2 J'? (y. 14. Nt:q? . , -?. ? - • 9?.'71 1 ? a"?? I ? `l, ?„fr ..:':• ? ? rw?-'-1 __??.a7 ? ??' ?; v `:?ra. ?t__,tsm ?-- ?-% ? ???i?? ?_-±t w? 4qrM• ? 1 1 ? ?y?? __ now'/ [LQ ? Lo yjY ; ?.. ? . ,-?'?oi)i J {' .?'"? ? q QY• .Y ?R l !rV te : ? ?-- ?s k, ? ? M,I I? ,.. •???« ? ('? pOD ? "nt 7 g ? E? •y. :A?- s?o•.9??c NP;a?jO ?oi ..,, OUTLOT , ?.. ' • ?1 ?1 11 1u " 1 - 1 l ?A f1 Se&n a r4a'irr aMo ` --- Mooxa'irr 4stsa --- se A I0.1f I/? ?--- wr u.? s w+ter a .ca.oa ran rwn rM _? 0%LYC. 06. TAV. 77, GT73 S[I t 1..:'I^1i:S0 T N. •i..Pr.R:..,.i•.• {li TiJY.N-!3i2ili?T.ri:fil^J ....:1?.1• i:....:i'i? ?.?: •..i. ...i:. i?iii!iT !i. .: u'. i'i... i i•li7. iii•til a„2t ? ?r? ? ? r 1? J. R? :g ? ? ] i. ?.:' • ? ? I ay tq A J ?l \ ? I Id \ ? ------- ?---? ,d / /- -- - ? LN. LINE OF 711E NEt/1 Of TME NEI/4 ar uc xi. nm. 17, pr,a xs i-?i•f ::Eii'.4i?Fi-ii:hiT riF Ti??+{ _ i••i: jj 7 LOT BL ? SUBD. , S w? P ?0_ ibN ? 2 03 CITY USE ONLY RECEIPT #: ? 1 .J ? A RECEIPT DATE: ?`" I I' I? MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAfiAN SSSO PiLOT KNO$ fiD EAflAN MN 55122 ? (651)6$1-4675 Date: Complete this section orelv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) .Ge ??? State Surchazge .50 Total $ ? S, S6 Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration Repair _ Other Reminder: Ca11681-4675 for inspections. _ Furnace _ Air conditioning _ Air exchanger _ Other $ 30.00 State Surcharge .50 inimum Total Due $ 30.50 SITE ADDIiESS: L ? / 1 1 OWNER NAME: PHONE #: - (AREA CODE INSTALLERNAME: PHONE#?: ,?- (AREA CODE) STREET ADDRESS: ? 0 tff f STATE: ?' ?1 ?IP•? D-1 CITY: vY Y Z-Lsn.? SIGNATURE OF PERMITTEE L BL SUBD. APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT#: 1999 MECHANICAL PEfiM1T (COMMEiZCIAL) CITY QF EAfiAA1 S$SO PILOT KNOB EiD EAfiA1V, MN 55188 (651) 6$1-4675 Please complete for: ail commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTTON INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: l°/a of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT YRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SIT'E ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: CITY USE ONLY ($.50 per $1,000 of permit fee due on all permits.) PHONE #: - (AREA CODE) PHQNE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE r o ?t?45? tla () 3 L ? BL ,J CITY USE ONLY RECEIPT 15 0 a-7 SUBD. a.k-4, RECEIPT DATE: PERMIT # 1 1939 PLUMBINfi PER1VIIT (RE.SID£NTIAL) crrY aF f-Asttrr 3$30 PILOT KNO$ fiD f.A&AN, MN 55182 (651)6$1-4695 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTU RES EACH # TOTAL Bath tub $ 3.00 x = $ , (j Floor drain 3.00 x $ ' Gas i in outlet ? minimum -1 3.00 x f = $ p Hot tubls a 3.00 x = $ Kitchen sink 3.00 x $ ? Laund tra 3.00 x $ v Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ newinstallationlreQair -? ??- ---? -- 30.00 `- x = $ Rou h o enin 1.50 x $ ..5 Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dweflin 30.00 x = $ Water closet 3.00 x $ 2,00 Water heater 3.00 x $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellj[12 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> > ---- ----> $ 50 7otal --> --> ----> ----> $ 5z Od Reminder; Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------------- --- -------------------------..... I hereby acknowiedge that I have read this applicatian, state that the informatlon is conect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by ihe City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertyJright-of-way/easement. SITE ADDRESS: OWNER NAME: : TELEPHONE #: (AREA CODE) tNSTACLER NAME: . ? , cc i TELEPHONE #: l< <a -S?6 6 / (AREA CODE) STREETADDRESS: cr?(q ;;,-? CITY: 121 STATE: ZIP: SI?TURE OF PERMITTEE ??/ ?-"°1Q.C0 e? I 09? 2006 RESIDENTIAL BUILDING pERmrr aPPLicaTioN City Of Eagan 4 C/D CX? 3830 Pilot Knob Road, Ea gan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 ?- New Construction Reaui2meMs 3 registe2d site surveys showing sq. R of lot, sq• R of house; and 11 roofed areas (209'o maximum lot coverage allowed) 1 Soils Report'rf proposed building is to be placed on disturbed soil 2 cop'ies of plan showing beam 8window sizes; poured found design, etc. t set of Energy Calculatlons 3 copies of Tree Preservation PNan d lot platted after 711193 Rim Joist Detail Options selection sheet (buiidings with 3 or iess units) Minnegasw ,-echanipl ventilation torm RemodeURepair Reauirements 2 copies of pWn showirg footings, beams, joists 1 set of Energy Calculations for heated addRions 1 site survey for add'Aions & decks Add'Rion - indicefe ff on-site septic system se dn z: CerYo( SurveyRecd w,, Y N So1s R?pqrt- 1? ?N T* Pi?sPlan Y H TroePr@sR?9wYed 1 _N ?n51f@:$EptiFSyStBln TX,_{!1 Date ) ) / 1'? / li ? Site Address d ? ? q ", ?i-i vr a o 4 , Construction Cost vr ) o o c 1,4,e v /0 0 Unit/Ste # Description of Work Multi-Family Bldg ? Y_ N Firep[ace(s) _ 0 _ 1 _ 2 Property Owner T D ?? ??e 7%? ?c r.?q Telephone #(IG s 1) 3 3 y- 2 4 3 6 Contractor ?.?LG ld!bQGL(,?l?G? ???;57`G???7di? -? Address State /7) 4/ ip ;rSZ' F,? / City Telephone #(/ 57) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6lation Category 1 Wwksheet ' • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted In the last 12 months, hos the City of Eagan issued a permit for a similar pldn based on a master plan? _ Y _ N If yes, date and address of master pian: Licensed Piumber Telephone #( ) Mechanical Contractor Telephone #( ? Sewer/Water Contractor 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 pemut, but oniy 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. ' ??? ? ??? ?? ? S ec- Applicant's Printed Name Applicant' Signature LAND SURVEYING • ENGINEERING INNSBRUCK OFFICE PARK y y 2722 HWY. 694, STE. 130 ST. PAUL, MINNESOTA 55112 651-631-0351 9 p ~ FAX 651-631-8805 RIM ELEV. 671.40 INVERT ELEV. 860.1 SANITARY SEWER SERVICE ~ INVERT ELEV.862.8 o , „ , ~ (PER CITY OF EAGAN) N 41 5136 W 4.91 N 89°43'35n E 251.$2 ~ t=4.74 ~ . _ - / o - ~ss.as - - o c~ R=100.~0 ' ri CONCRETE RETAINING WALL ~ r. =02°43°01" ssreH / ` _ ~ - KEYSTONE ' ~ _ ~ C . CRETE CH-4.7~ ~ g RETAINIMG _ o e r~ WALL 4~ ° ° w CN BRG-N 4313 07 W ~ ~ s~nH o,~ A FOUND 1/2" ti~ : 1 M ~ _ ^ S$9 43 35 W 159,90 _ _ _ ~ iRON PIPE . . R ~ . • ` ' ' . ) I r G ( R L S 1 7 7 6 5 j-8 7 2 4, - Q S 8, , 20 FT. Ut1lITY EASEMENT PER DOC. NQ. 566951 s a 33 1~0. BO . o o ~ ~ r-- ~0 ,.4~,"~0 , o p ~t y 30" ~ ~ ~o. ' - O ~,4 9, ~ ~ , : Ao : . . ` - - - ~ - - - - - p ~ iNCw Ec 0 10 20 1 INCH EQUALS 20 FEET ~ ~ 0~ . . . . ; . : . ~ / P . ~ p~ SET OFfSET ~ WVqTE R4 QO ~ 't !n BASIS FOf ~ T . ~ : Of KINGSt 7 0~ S AKE Aq . " BASIS FOR BEARINGS: PLAT OF KINGSWOOD PONDS .R 2 S~~ppp ~ ~69. . 0.,, SECOND P ?9 F~' . ~ / UTILI~TY AtdD ' FOUND 1/2" SECOND ADDlTION FOU 1 " ~ / s ~`6 ~ip ry I • ; • ' ' : +L . . I IRON PIPE BASIS FOE / o~ ~ > . 0.. 0 • , O~(', ~ ; DRAINAGE EASEI~ NT.: Nur ~ F~ BASIS FOR ELEVA110N: TOP NUT OF FlRE HYDRANT AT THE ON PE ~ F. !y . 0 1 (RLS 17765) INTERSECI ( S 1 765j y~,~P~l- ~ 00 t~ q • • ~j ,8 O POND OVE / } . INTERSECTiON OF KINGSWD00 POND OVERLOOK AND KiNGSYY00D • ~ ' ~ CONCRETE: ' g O •~i n ~ ~ . PONDS R( ^ 2l M' ~ L . ~ . . _ . . ~y/ . . .Cj ^ 8 . CURB'.., . . . r o 04 865.63 (P PONDS ROAD. ELEVATION 865.63 (AS PER CONNIE, METRO 8 6 , ~ • LAND SUP 10' SIDE ' s,q 8 R ~ ~ 1'~ ; i~ W' ` . . ' , LAND SURVEYING, 651-766-0112) SEI6ACK UNE PROPOSED GARAGE ~0 ~ . . ' ~ 9~~ ` o . . ' • ~3 : . . ~ 5 CB ' (O ~ ~J CONTOUR CONTOUR INTERVAL = 1 FOQT o I~ FLOOR ELEV. 872.2 ~6' RIM. : tP . • ' . . CONCRETE , , p 'DO o~ ~ 863 97. . ' ~ , . 'CURB ~ ~ . ~P ~ . 4 , ~ ` ti~ SET OFF~T j ~ B,~Q 4~ ~6 ' . G.,.;.:~. ` : v . . . ~ S sra~E 8 ~ q,~ . . . . , . . , . ~p ; ~ ~ t ~ I RROPER ADDR SS: BENCHPAARK: . . , . • . : ~c~:' ~ ~ . ~ ~ ra~ ~ur ~H $63. , ~ ' ~ c'~o~` " ~ .i , ~...w d~ 0 cA~ PROPOSEO cA ~ 1455 KI 5WQ0 ELEV. 865.63 ,Q, ~ .ao. ssM `~cp , N- ~~P ~ FOOTPRIN ~ 3 FOND RL " ~p . , ~n ~ ~ a'~ a T N ' ~ N . . \ , . ~ . ~ N AREA = ?e N / : . \ SQ. FT. 33 ~ S~3 : ~ ` . ~ k ~ S~, $ SET QFFSET LOT AREA = , J . . ~ T E ~ s~ .00 1STAKE M Z9~~~J6 SQ, FT. / ~ . - auR RE~ oo ~ OR d.6877 ACRES 862 ~ 6 . ~ F ON ' ~2, o ~ Fi~~ : ~ y~ 4 . N ~ . . . . s~ . , . R 3 g~ . . / a 669 6'~/ : ~E1. . T~ ` N T S Y M ENT g CB ~ ~ 0 8 ED " ER 1 '~J~ RIM ~ . , ~ / 86 , c~'. . eD~ aso.~5 F . ' si ^ g6 , ~ ~ _ - ~ $ _ ~ _ _ ~ a _ _ 67 ~ - y_,_ ~o_.. _ - - _ _ ~ _ ~ ~ r _ ~ ~ . - ' o ,~m• 86 _ gg9 o • ~~e- . . . 6 ~s 6~ 8s ROPOSEO LOWES _ _ ~ ' , . LEGEND q 1~ ? 9 3 E~v. t aaa.o 865 ~ ~ y.. s • ~ : ti 3 ----~--86~' \ ~ ~ ~ ~P~t' ' . / , 'p~, / `"`~-$71--~"'' EXISIING CONiOUR LINE 0 86 863 ~p \Ga,~ ' 0 ~ ~ 'S ~ ~ : ~ , P. . Q 8~ S 61 `g / SSMH O SANITARY SEWER MANHOLE 8 ~ ~ o ~ ~ , : , . 8S sr 6~ ~ i. sn~H f R 8S 9 9 / O S 0 M SEWER MANHOLE ~ 2 ~~0 q~~ 5 , ~ ~ ~ ~ ~ 3 s~ CB ~ STORM SEWER CATCH BASIN 8 5 $h ~ , . : / 8S SS ~ ~h~ Aj ~ ~ . ~ WV ~ WATER VALVE ay~ 'G' IM 85 ds'. . . ~ ~ ~ k' " ' / ~ FIRE HYDRANT S, 8 8y~ , : . ~ . ~ s~ 8s¢ ~ ,rn 8 $ Fj cP LP~ IiGHT POLE SO S~ i W . 84 ~ . ~p ' . . ~ ' ~ r[f TELEPHONE RISER y / t1 ~ o~~ a,~: N. NAG~' ~ 0 , Z ` ' ' • ~ ~ ~ r CABLE N RISER t ' ~ NOTE: CONTRACTOR TO VERIfY PROPOSED ~ D r ~ . , , . Foumo ~/2~ 0 6: ~ BUILDWG DIMENSIONS, SETBACK REQUIREMENTS, si~ IROId PIPE i G``• . ' . (R~s ~~7ssr 84 AND THAT THERE iS SUfFICiENT FALL TO 1 8 G:. ' ~ ~ THE SANITARY SERVICE. 872 PROPOSED C~NTdUR LiNE ~ _ ~ g . . . , -8 ~H., ss 0 ~7 . . ~ . ~ ~ ~ ' / ~'1'`~ ~ ' , ~s . • . ' DIRECTION Of PROPOSED DRAINAGE 4INAGE ~B Q. , ; ~ RIM 846.37. o~ . , ~ W . • ~ W . SSMH ~R : " ~ . ' ~9 .CONCRETE ' , DENOIES 611UMiN0US SURFACING CURB . ;ItdG ~ . ~ . . ~ , r : - ~ a+~ ~ ~ 7 . ~ ~ ~x ~ ~ ~ i t~ [9 s i ~ ~ ~ ~,r ~ [ ~ N i``" ~ ,,i . ~ ~ ~ a, ~ SETgACK RE UIREMENTS PROP05ED LOT CQVERAGE _ Q U . ~ - - ~ fRONT (PUBLIC STREET) - 30 FEET TOTAi. l01' AREA = 29,956 SQUARE FEET ~ r~~ , SIDE - 10 FEET PROPOSED BUILDING FOOTPRIIdT AREA = x~~ ~ 6 , „ ~ _ , _ + REAR - 25 FEET 2,813 SQUARE FEET - ~ . . . ZONED R1 PROPOSED LOT COVERAGE = 9.4% (AS PER BOB KIRMIS, CITY OF EAGAN PREPAREO FOR: PLANNING DEPAR7MENT, 651-681-4696) JOHN SHIN cER~FicanoN c f o HOMEWORX PARTNERS, INC:, CERTIFICATION 272Z HIGMWAY 694, $UtTE 20 `I HEREBY CeRnFY ' ' i HEREBY CERi1FY THAT THIS PLAN, SPECIFICATION OR REPORT WAS NEW BRIGH70N, MINNESOTA 55112: sPECiFlCAnoN oR F PREPAREO BY ME ( PHONE 651-636-3100 oiRecr suPERwsi~ 'PREPAREO BY ME OR UtdDER MY D1R£CT SUPERVISION ANO THAT I AM FAX 651-363-9225 ' A' ou~Y REC~s~t~[ LAND SURVEYOR UP A:DULY REGlSTERED PROFESSI NAL LAND SURYEYOR UNDER THE WS E STATE OF I fV%qHE STATE OF M ESOT . MARK D. , 3 AAARK D. K , Pl5 1 OATED THIS AY OM 1999 99146 99146Ri.DWG REVISEO P R CITY COMbt N 4 OATED THIS A ( ) E E TS /8/99 ~