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1457 Kingswood Pond OvlkAddreSS 1457 Kingswood Pond Ovlk LOt 4 $lk 3 Sub Kingswood Ponds 2nd Zip 5512 2 TEiESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: a_ I_ ao Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) x Permanent driveway k Permanent gas Sod/Seeded grass Trail/curb damage x. Porch y Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. a ?A White - City Copy Yel(ow - Resident Copy Pink - Contractor Copy \TJ -? -7 -76Po . 9uoo 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremerrts 3 regis6ered sibe surveys showirg sq. R oi lot, sq. R oi house; and all roo(ed areas (20% maxirtwm lot coverage allaxed) 1 Soils RepoA if proposed building is W 6e placed on disfiurbed soil 2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 set oi Energy Calculations 3 copies of Tree Preservafion Pian ii lot ptaded efler 7f1193 R¢n Joisl Detsil Options selectiat sheet (puildings wifh 3 or Iess units) Minnegesco mefianical venGlalion form RemodeVReoair Reauirements 2 capies of plan strowing too6ngs, beanis, joisls 1 set of Energy Calculations for heated addi6ons 1 site survey for additions 8 decks Addrfron- ind±cate r7on-site septic xystem Office Use Only CeROfSurveyRecd _Y _N Soils Report Y _ N Tree Pres Plan Recd Y_ N, TreePresRequired Y _N On-site Septic Sqstem _ Y_ N Date 6 07 Construction Cost 13 - 0 ?o? Site Address 1 wS Inf " all)D UniUSte # nl Si a3 neScriPnoa or worK ?-Ih?n1 eG ? n?? t?+J„?bo?? J?J/i.efe-, YtiOne- Multi-Fatnily Bldg _ Y-x N Fireplace(s) _ 0_ 1 _ 2 Property Owner wt"- Q,$ - ;Z10 P. n/sa 'aJ Telephone # ( WI ) oZ`? IE> - I n L'I ContraMOr l .n+VS"trwhmL LZ.( Im i GAUL aO(e cg7 t708 Address 1731b 66 W42) s ??.? CitY Yf/IJ44&a:j6 State _ yVJ/V Zip s:? Telephone # ( (ESI ) -3--t3 - / B,s/ COMPLETE THlS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CatOgory . Residential Ventilation Gategory 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted In the last 72 months, has the Ciiy of Eagan issued a permit for a similar pian based on a master plan? _ Y _ N If yes, date and a?(re,ss?f? ,ca?ferjp(??:? n Licensed Plumber Mechanical Contractor Sewer/Water Contractor Applicant's Printed Name MAY 0 9 Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Suilding Pernut and aclrnowledge that the information is complete and accurate; that the work, will be in confornZance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I, undeistand this is not a permit, but only an application for a pemrit, and wark 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. Applieant's Signature R MAY 0 9 2007 DO NOT WRITE BELOW THIS LINE Sub Tvaes ? 01 Foundation # 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex 0 05 03-plex ? 06 04-plex ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex Q 16 Fireplace ? 17 Garage Q 18 Deck ? 19 Lower Leve4 d 20 Pool ? 30 Accessory Bldg ? 21 Poroh (3-sea.) ? 31 Ext. Alt - Mutti ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt- SF ? 23 Porch (screenlgazebolpergola) ? 36 Mutti Misc. ? 24 Starm Damage O 25 Miscellarteous Work Tvpes ? 31 New ? 32 Addition ? 33 Atteration ? 34 Repiscement ? 35 Irit Improvement ? 38 Demolish Interior 0 44 Siding 0 36 Move Building ? 42 Demoiish Foundatlon ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof p 46 Windows/DOOrs `Demolrtion (Entire Bidg) - Give PCA handout to applicant D@SCflptlOfl: Water Damage _Yes Vatuation ?i DC>r.> • v " Occupancy MCES System Plan Review 100°/a or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings (deck) FinaUC.O. Footings (addition) ?O FinaUNo C.O. Foundation HVAC Draui Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ?O Framing Siding _ Stucco Lath _ Stone I,ath _Brick _ Fireplace _ R.I_ _ Au Test _ Final Wmdaws Insularion ? ) % _ Retaining Wall Approved By:/ //Id?"/,Y,l?/ t/?ding Inspector Base Fee ' Surcharge L4 f` d1 D 0 W .S () ?1 13 D -1W .5 -•b +°S Plan Review MC/ES SAC City SAC Utility Connection Charge ` SB?W Permit & Surcharge c °''? ? Treatment Plant License Search Copies Other Total S N E Prnposed Renovation: Z qtr 36x64° casementwindmv+ oa each aide of main flaer Sreplaee in familLr mom area 5tandard 2s6 constrvciien euto and dovbLe 2ao61uesder insereei witL windaw tage seal aiwuad window andj-ehaiuuelinser8ei 'v?to e3dsstimg v61y1 aiding. ELM. JPJ'SPECS''OR1 coPy ? ? rs / r UD ?;1?0 ? ??? A ? SMLMR9S VRlSPCGTB- pqi SMaKE DETECTURS ARE REQUIRED ON EVERY LEVEL OF THE HOUSE AND IN EVERY SLEEPING ROOM QND_ IN EVERY HALLWAY LEADING TO A SLEEPING ROON 1457 KiuESxrood Pond 4verloak , ,..,.....,.. , , C;'.I.'1 V C)F Eia(3At'J Ci1r;M:I:EFi;: ,7S TEFiNi:CNfiiL 140;; 687 DA'?;il•::;; 0806f99 l CNi ,'. 1:3,°,:I.c Pi'i? IL? ??, NANE:- MiC1!ONP,I...I! CONcirlit.l(,TTIaPd9 :CNC;,, 2452 9220 1457 KzNrGHD PEI 7a„O0 3R:f.!] `!tJt]:L 1457 i'::f.h,+GSMD p'Il 0352.0 3866 9279 14::57 I;zN.r..,Sl•ID PD 00..00 3422 9001 1457 ',•;:f:7.!C;#:iND f'D" 878.90 i?275 ?i.'.i G :1.4Si I•t.T.NGuMD F'Tl QI?39.50 3446 9001 1457 E;l:NGt_;WI1 F'T7 10o50 205 53001 1457 KTNG51AID w'T? 0.50 3743 9220 :l.457 4;lP•4=;`;M17 Pi) 50.00 203 9001 1457 Ft:I:P!£:,yIAfD f''T.1 82.00 34t:,i; 9220 1457 S(:I:Nt:,`.-:;HU F"'D fiF:,fiot:)C1 Lft115987 X;iY i:;QNl'IR!Uc. i..1:3f:R :CD. .1AN CONTTNiJC:: L;C1NT'TN'LIL= f;.T.7V (lF E.:A(,AN CtlSH:L"s::f{;; JS i'f::iit1INAL NL1e 6187 D(1TEa 0E3f26/99 l:LP41=:e 1::30203 T7:! . Nr1MF' o Mrl?OP!AI...f; rr3Nt>'r i,UcrraN? 3:NC. 306 92c'C7 1457 1•:INf.;SWD 1='D 04,.00 371.3 9220 14 1i I!7:NGSK1 F'1) 50.00 3961 922[) 1457 I;:ENGSWD PD 825.00 , : fot,_r:i. Reci=a.p1. rAmour,t.c 5,00x005 Cf? 1. i'.'.';9£z"r' USri. :i:D: JnrJ Y,:? ?k??:PfYb>?.1,[XcitY,S??(•'I?.'M1 f•h'.,ry?.1F.)?SW+•T)R.M3l: ?T?ACTTM_Th?'/?rc?if.'f?a 1999 BUILDING PERMIT APPLICATION (12ESIDENTIAL) Jr-, ? . CITY OF EAGAN ' 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodeVRepair Requirements ? 3 registered site surveys showing sq. fr. of /ot, sq. ft. of house ? 2 copies of plan and afl roofed areas (20% maximum lot coverape allowed) ? 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes; poured fid. design; etc.) ? 1 site survey for exterior additions & decks ? 7 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 DATE: ?`S" 97 DESCRIPTION OF W STREET ADDRESS: Signature of Applicant: LOT: BLOCK: SUBD.IP.LD. #: ?'+s.Srt? dor? ?c???? ?(? -a? Name:_ Ih tDo^cd'U _??Q ^' ST • __ Phone l9 7?o O/ ----------- PROPERTY Lasi First O«'1VER Street Address: tRvw??ati?? / -------- P, --- _------------- ? Cit}• ? ? Ca.?j ----- State: Li 042 - --Y"---- Compaziy:_%' < <. ?? n €..id Oc -5-t __ Phone CONTR9CTOR t?/ 1 S[reet Address:_[ b 0 r _ C GI ,S" / ?. . Liccnsc #1 ST? G --Exp' ?Cb 6 Cit}• AX,_ ? ??L?5'_------ Sute: ?i -- Z'p' ? ? C-9-?---- ARCHITECT/ ENGINEER Compazn•: Phonc Name:_ Regisuation #i: Street Address:_? t4w! a?_ Cit}' Sc 73 ?ooz-gap, Sewer & water licensed plumber (repuired for new construction onlv): ICeAve ?Fxe.?a??iv Penalty applies when address change and lot change is requested once permit is issued. ?i G I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all appiicabie State of Minnesota Statutes and City of Eagan Ordinances. OFFIC?U ONLY i? Certificates of Survey Received Yes Tree Preservation Plan Received Yes CONSTRUCTION COST: ?7?7? ?oO co . l-,1'.-'f?, _ No _ No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 1 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace O 21 Porch (3-sea.) 2 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea) ? 03 1 of _ plex ? 08 6-piex .? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex 13 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ?43 Siding/Soffits/Fascia 0 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair 17 34 Repair ? 38 Demoiish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Vit7 Basement sq. ft. /a 33 Census Code (Ailowable) ?T Main level sq. ft. 'i'A D SAC Code UBC Occupancy ME, UWEl? sq. ft. a 49 ' No. of Units Zoning G sq. ft. 6 67 No. of Bldgs ? # of Stories ? sq. ft. MC/ES System Length ?. sq. ft. City Water Width I,/ Footprint sq. ft. 'o? O0 Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge '0160 y--,,,e,1-t . Plan Review 7?('LS,D 3SSx ag= l06y ??¢? , License 3ox?0= 6Dr? MC/ES SAC City SAC 2040,00 X 7_ ! O1S Water Conn. W a t er M e t e r ? 6? N l i M4!? ___.?--- _ ' 6 sOX16 = 7? , 0 ,? Acct. Deposit /Gbr00 3$ S/W Permit 3o,00 ? l-7Xjq ? ?` 6 S/W Surchar e Treatment PI9 ,. U64.Gt? 14 xja=!y l??? Park Ded. -7x a= Trails Ded. Other 16u7 =----'.. ? 7 7764,d0 Copies ciPAF'/? y;; 5 7 H5 646 Total: 3 S X;z 6.= Ib SAC Units ? c •' " LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: l-oT 4 BLOGK 3 Kl JCTSLt-voD f"?NDS Zt?I ? DATE OF SURVEY: 7 "ci - W IATEST REVISION: g -/O `99 DOCUMENT STANDARDS iz, ? ? • Registered Land Surveyor signature and company a/? ? • Building PermitApplicant ? ? a • Legaldescription a ? ? • Address a ?? . North arrow and scale 2-'? o . House type (rambler, walkout, splR wJo, split entry, lookout, etc.) .d/ ? ? • Directional drainage arrows with slope/gradient % 2/ o? • Proposed/ex6sting sewer and water services & invert elevation 2r' ? ? • Street name E", o ? - Driveway - - V/ ? ? / • Lot Square Footage m ? ? • Lot Coverage ELEVATIONS Ewstina ? ? ? • Sewer service (or Proposed) ? c ? ? . Property corners ? ? ? • Top of curb at the driveNray t h f b d d ? r ? ? • jacen omes Elevations o any e s ng a tilit h ? ? es Adequate footing depth of structures due to adjacent u y Venc Proposed ff ? ? ? • Garage floor F fl ? a ? ? o • • irst oor Lowest exposed elevation (walkout/window) ? ? ? • Property comers ? c o • Front and rear of home at the toundation PONDING AREA (if apdiqble) ? r? ? ? • Easement line a ? • NWL ? ? ? • HWL ? ? ? • Pond # designation ? ? ? • Emergency Overflow Elevation DIMENSIONS 9/'?/ ? • Lot lines/8earings & dimenaions ?¢' a • Right-of-way and street width (to back of curb) ' ? a • , porches, etc. Proposed home dmensions induding arry proposed decks, overhangs greaber than 2 / (i.e. all structures requiring permanentfootings) 0 ? Z / • Show all easements of record and any City utilfies within those easements 2 ?/ ? • Setbacks of proposed structure and sideyard setback of adjacent ebsfing structures ? m' ? • Retaining wall requirements, it any Reviewed: Mareh 1999 cRArA3LooPanrr FM . .,.c-k-. 5' METAL POST Mn/DOT 3886 PREASSEMBLED SILT FENCE , (MIN. WT. 6.5 LB.) T P05TS AT 4 FT. ON CENTER 3TO SUPPORT 2.5' SILT FENCE _. , _. : __. -_ ..... .. , _ __ ..... . _ .. :; - . ?'::.:...'..? .....i}.::t 1.J' . z? ?"-6r REF. Mn/DOT 3886 GRADING LIMITS & SILT FENCE COMBINATION 4' T 2.5' 2' MIN. ? J.-_ 6' IONG METAL CHANNEL POSTS. MINIMUM POST WEIGHT IS EIGHT (8.0) POUNDS. POSTS SPACED AT EIGHT (8.0) FEET ON CENTER MAXIMUM. 4' HIGH ORANGE PLASTIC SAFEIY/SNOW FENCiNG FABRIC. WIRE T1ES TO SECURE FA6RIC TO POSTS SHALL 8E CUT AND FOLDED SO THAT THERE ARE NO SHARP EDGES POTENTIALLY HAZARDOUS TO CHtLDREN OR OTHERS. Mn/DOT 3886 PREASSEMBLED SILT FENCE BAGKFlLL OVER 12" FABRIC APRON IN TRENCH SHALL BE COMPACTEO WITH MACHINE DRNEN VIBRATORY PLATE. 6= ?l I 1= 6- SILT FENCE INSTALLATION PUBIIC WORKS oEPAR'rMENr City of Eagan Revised standard piate # SILT FENCE INSTALLATION I 3/99 1 801 MNeheck COMPLIANCE REPORT ; Minnesota Energy Code ; MNcheck Software Version 2.0 ; Minnesota Department of Public Service ; 1-612-296-5175 1-800-657-3710 ; COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-27-1999 DATE OF PLANS: 7/28/99 TITLE: PROJECT INFORMATION: Jammal & Chitra Gordoni COMPANY INFORMATION: McDonald Construction COMPLIANCE: PASSES Required UA = 390 Your Home = 379 Permit # Checked by/Date ? ? ? ? ? ? ? ? ? ? ? Area or Insul Sheath Glazing/Door ---- ------ Perimeter R-Value R-Value U-Value UA --- ------ CEILINGS -------- ------- ------ ----- 1221 --------- 45.0 -------- 0.0 - ----------- --- 33 WALLS: Wood Frame, 16" O.C. 305 19.0 2.0 16 WALLS: Wood Frame, 16" O.C. 1120 19.0 2.0 58 WALLS: Wood Frame, 16" O.C. 896 19.0 2.0 46 GLAZTNG: Windows or poors 87 0.350 30 GLAZING: Windows or poors 226 0.350 79 GLAZING: Windows or poors 160 0.350 56 DOQRS 39 0.350 14 FLOORS: Over Outsid e Air 37 24.0 1 BSMT; 8.0' ht/7.5' -------------- ----- bg/8.0' insul. --------------- 840 ----------- 10.0 --------- -------- ------------ 46 --- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application.' The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer Dat ? . ..? . , `?* ** * PIONEER * engineerinq 'k* ** LAND ftANMERS. uxoswe Certificate of Survey for: LOT AREA = 18,507 sq.ft. HOUSE AREA = 1,865 sq.ft. HOUSE TYPE= 2 572-y cl?v• COVERAGE =10% wpVEmns • nwL a+ar+Eens MCDONALD 2422 Enterprise Drive Mendoto Heights, MN' 55120 (651) 681-1914 FAX:681-9488 E-moil: PIONEEROPRESSENTER.COM 625 Highwoy 10 N.E. Bloine, MN 55434 (612) 783-1880 FAX:783-1883 E-moil: PIONEER2@PRESSENTER.COM CON ST. 1457 KINGSWOOD PONDS OVERl00K Sie.T fEW.E EplaE OF ? V11dDrstV,QeEO G??a 3 r- ? ? ? ? n 867.2 !}? ??I .,v il L 3y ell 7 99 _ ,, s7 ';r ?n-?•.:-,?v,?-,-.?„--., r. ;+? _- c ? BENCH MARK TOP OF PIPE - ELEV.=873.55 PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: $1041,$ TOP OF BLOCK ELEVATION: 01-7.7- GARAGE SLAB ELEVATION: g-?t°• / TOB 0 LOOKOUT ELEVATION: X 000.00 DENOTES EXISTING EIEVAT10N ( 000.00 ) DENOTES PROPOSED ELEVATION --- DENOTES DRAINAGE ANO Ui1LITY EASEMENT - OENOTES DRAINACE FLOW DIRECTION • DENOTES MONUMENT B DENOTES OFFSET HUB 873.0 TC \\oi 37.6 ? In 19.33 87_ ?.? i 7. ? x s?a.s r 03 x 873.5 BOPCOF PMARK IPE''/ I a? ELEV.=881.30 ? PEMNE T P6AN I x 874.2 ? x 881.4 0873.1 675.7 I sV RW 876.3 I 11 RW TOP ? 873.9 RW 87B.9 873.3 TC ? 873.9 gj?6 ? S.M.H. ? RW RW TOP I ?itET. WALL 873. ( .,SMH 873.4 x 879.6 . •?O ?y \ \ I TC RW TOP I db sg6?.3 873.4 ? NOTE: PROPOSED GRADES SHDWN PER GRADING PLAN BY: TC ?OO? NOTE: BUILDING DIMFNSIONS SHOWN ARE FOR NOR12pNTAL 4Nn NERTICA! LOCA?ION ? OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUIIpINC AND NN1' FOUNDATION OIMENSIONS. ? 072.' NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE TC SURVEYOR. THE SVITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE - PROPOSEO IS NOT THE RESPONSIBIIITY OF THE SVRVEYOR. 872. CL NOTE: THIS CERnFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER-THAN 8728 TC THOSE SHOWN ON 7HE RECOROED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESICN. NOTE: BEARINGS SNOWN ARE BASED ON AN ASSUMEO DATUM WE HEREBY CERTIFY TO MCDONALD CONST, THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 4. BLOCK 3, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY MINNESOTA .2-) 0 r N 868.0 PL HL x 888.3 n3: M O 689.91n IP O Z 887.1 884.4 x 873.4 RW 879.6 xx RW TOP 872.8 ? IP 20'O/5 (872.0 ' 'S IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT OWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 9TH DAY OF JULY, 1999. SIG 5ohn PIONEER ENGI E G. P.A. SCALE : 1 INCH = 30 FEET RECEIVED AUG i g 1999 BY: ? 39 98451.03 NJK C. Larson, L.S. Reg. No. 19828 869J " PL HL ,Ptve N89'43'350 E 90.00 S8.y? ? o ? & UTILITY NT PER PLAT ? I ? ? I ? I ? 4 ? TL I I TREE LINE.\ 866.6 ` i o x 8La . o 5613_00. I ----- ? 49.00 ? to 873.1 M? PROPOSE '0 ? lx? I HOUSE\ W. 872.9 1 1 - 673.0 873.1 ? TC N $7 71, 873.7 CL PERMIT# ?ti (,o S RECEIPT DATE: MIDENTUEL PLUhI$IR6E PEgMIT APPLICATIOP crrY oFEAsM s$so Pnor icivos gn £tetHAN, M1Y 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : MlGhQCI J. vVOIt ? TELEPHONE #: Sl 57Y- 7`19 7 va P? m ? eGt r nt.' (AREA CODE) INSTALLER NAME: tiA rch ti. 1 't../e ff TELEPHONE #: ("o S t 5r7$ - 71/ 47 (AREA CODE) STREET ADDRESS: I? i'"1 (????„inad ?dY?G? O Ittllo-?l CITY: 1?4 STATE: .IA 1 ZIP: 5-5I2'Z_ Place a check mark next to the permit work tvne _ New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new instal lation/repa ir/rebuild of RPZ • lawn irrigation system • water turnaround ? Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ 50? Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge thal I have read lhis application, stale that the iniortnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiliry to noGiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normat operational and maintenance activitles to the facililies consUucted under this permit within City property/right-of-way/easement. ? SIGN URE OF PERMITT Updated 1101 CITY USE O\ZY LOT ? BL 3 I? SUBD. _,_-?, vv?A,2 v6_Cm c? '?CI??OQ 2 RECEIPT #: I l ?( ?? Cc S RECEIPT DATE: MECHANICAL PERMIT # 1999 MECHANICAL PEfiMMiT (RESIDENT[Ala crrY of EAGkx ssso Paor Kxos ftn Ek&AN 141N 55122 // //- 9 n (651) 6$1-4675 Date: f `? Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occu ied. a HVA'v. V-iLV 1Y1 U"i i.T ADDITIDNAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total a 30.00 6.00 .50 Complete this section o?ilv 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 exchanger Air conditioning Other D JV.VJ State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: ? owrrER rrAME: C.,?t rHOrE #: J/3?? - 7601 (AREA ) INSTALLER NAME: PHONE #: 'oSJ/ - - ?o0a 1-D. p (AREA CODE) STREET ADDRESS: CITY: /0 ,40 . STATE: /?N ?? IG?NATURE O PERMITTEE CITY USE ONLY L BL SUBD. APPROVED BY: , INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 M£cHAvIcA. PERMrr (COMuEtcIAL) CITY OF EkfiAN 3$30 P1LOT KNOB f;D EAGAN, MN 55182 (651) 6$1-4675 Please complete for: alt commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DA'TE: t:UN i RAC i PkICE: WORK TYPE: New construcrion Install U.G. Tank _ Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, ca11651-681-4675 for inspecrion by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: I% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: ADDRESS: CTTY: PHONE #: - (AREA CODE) STATE: ($.50 per $1,000 of permit fee due on all peimiu.) PHONE #: - (AREA CODE) ZIP: SIGNATURE OF PERMITTEE ? L -1-L BL CITY USE ONLY v ? V\I-S) SUBD. a A Vk z rV ? RECEIPT #: RECEIPT DATE: PERMIT# --2?O? ? 1999 PLUMiiINc PEftMMFI' (RE.SIDENTIAL) CIT'Y df' EAfiAN 3$30 fILOT KNO$ ItD EAfiAN, h1N 55122 (651) 6$1-4675 Please complete for: > single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ ' d p Floor drain 3.00 x = $ p Gas i in outlet ' minimum - 1 3.00 x = $ d' Hot tub/s a 3.00 x = $ 34o Kitchen sink " 3.00 x = $ , 0 Laund tra 3.00 x $ 3 Q Lavato 3.00 x = $ Minimum fee alterations to existin dweliin 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 = $ I RPZ new installation/re air 30.00 x = $ Rou h o enin 1,50 R StlOwBr 3.00 Under round s rinkler if dwellin is under canstruction 3.00 Under round s rinkler if existin dwellin 30.00 $ Water closet 3.00 M d $ Q Water heater 3.00 $ Water softener If dwellin under construction 5.00 = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> ----> S Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------------------------------------- -----------------•-------•----•------------------------? I hereby acknowledge that I have read this application, state thal the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this p?e?rmit within City pro?pe-?(/right-of-way/gasem nt. SITE ADDRESS: //? ? 7?I h G.C Uf(9 (T ? I`Y1h OWNER NAME: : I INSTALLER NAME: STREET ADDRESE CITY: STATE: r i a/ll V 0 hAiG ?1 Oh ?C, TELEPHONE #: 6 / a - ` / 66 ' (AREA CODE) I? Yri ? h TELEPHONE #: 6,,?-I- rS7 `<,WV O 3 JcLeI? Am-oP/ .f?', (AREA CODE) 1't SIGNATURE OF PERMITTEE ZIP: ?v v4 L'+ 63 . .. WANER OF HEARING 9557 Special Assessment Authorization UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned by me/us: Lots 1 through 3, Block 1; Lot 13, 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. TOTAL RATE AMOUNT $865.00/Lot $4,325.00 $20.60/f.f. $200.00 $6,385.00 to be spread over five (5) years at an annual interest rate of 7% against any remainnig unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and fiuther, 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 appeal from these assessments made pursuant to this agreement. DATED: G ; OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota coiporation ( I??..,-4L_Z- , [? ? 14' z?- By: James B. Horne Its: President WANER OF HEARING #557 Special Assessment Authorization UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned by me/us: Lots 1 through 3, Block 1; Lot 13, Block 2; and Lots 1 through 11, Block 3, Kingswood Ponds Second Addirion, (236.48/Lot = $6385.00 = 27) for the benefit received from the following improvements: ITEM QUANTITY Water Trunk S lots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865.00/Lot $43325.00 $20.60/f.f. $2,060.00 TOTAL $6,385.00 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid baFances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and fiuther, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal fiom these assessments made pursuant to this agreement. DATED: G ; OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporation ?- B ./James B. Horne Its: President STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this ? day of ?-. ?-e-- ? 1997, before me a Notary Public within and for said County, personall appeazed JAMES B. HORNE to me personally lrnown, who being by me duly swotn, did say that he is the President of Horne Development Corporation, the coiporation named in the foregoing insUument, and that said instrument was signed on behalf of said coiporation by authority of its Boazd of Directors and said President aclmowledged said instrument to be the free act and deed of the corporation. Notary Public APPROVED AS TO FORM: Ciry-Attoiney's; O,ffic?'/ , . Dated: Z% , APPROVED AS TO CONTENT: Public Works Department Dated: - - ?? -1 THIS INSTRUMENT WAS DRAFTED 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" ? ; . KINGSW40D PONDS SECOND ADDITION , NORTH 4n00f OM Na '1/!] BG' 1«afN ' . % I- SO (.II I4/U.1Of 01 MF ?OTY 1 S IR' YQIYY[pT ?[Ir /IQ ? t, .1auei wK?cs .ooo rro Aoanaa FINANGIAL OBLIGATION ? wnK RLs nns ? ncv .!70.l1 (N.GYA. I9IY OAiW) o 1n- w«.mrx. m.a ?a ORANA4Y AND V1iJN EASE11ENi5 I??b 1y ?7 LEGEND onu.Sc.?wu?. . ?A uRc swow As r?nrs: .? ? / ?Rpra LWE on? ?w ???r iiiiiiiiiiiiuy Lateral eene(lt Sanitary Sewer ? tga9' war snrein aHoi« w n¢ Sm[Et :7•;L muc. 73 Ksr is Assw[n m ecut rcnnz Marn.vcxn ro ee Ur rKmCOImMC 10 YMN[vltA StANR; NA Nwa'ot'a inm7 ?? Z ioeo Water Trunk i aiut x w nn?s rmiM at `aFa? r?.? d mc ucaomc or ms out. 7. e iaro> J L l?aoo ? A S? ?,'? `¢? ?:,??.... . • ,?,'.... ? ...?. „ ???? i? ? - NEAR L"c ' ? y j i?o.a? etma e rtn n wrom. ur?tss onaeusc ? s g? '?. ?_ soe'u?•3T' ? ' ' 1• ,F-, ! , . MPCAxO IM MJUMwc 9of l01 lKl _,?„ r,D U[MO to rtET n won., u.t[SS - OMfN? MPCARD. ui0 ?O+P?M SA[[t ? /O P[M lOT 1I[S wf IHor, PI IK RAl. ,? t ? >re "+? ? ? ? x•_ Sya.y?Pt ?N.N -'[` ..: :"•44. JO!'71•iCf tt1AY `; ~ y ,, ? _ '.' x4.+ ' 111.10 r•: Q •}" ?23: S ? ?y.??CS 11.5 • " _? f 'S• ? 1131 • rU? e»-?•-?? "r•_-'"•• ?isw ru rv r arrn?nr s ?, ] ?a?d ?wr s v, ? '? +r?m? wat O w iui w w-M- ?. I •13 ? H?.sl r:;;,OA ? x o ? -- lOOY!'0.7'L MI.OI -- ,y i L ???? ///• ? ? ? `g y? een'a ?I ? .^S ``• ? ? :r? . ___ _ • (? y7. ? / ? . 'P ? - zn.oT-' ?>. A 1Gi 4 ?t-------? '` r-._ • ?s . ?l?S ?, ? ?e a d L. _ _ . ?'y? i $. ?;?'??'°`?" ?`, ,w,. "?,` 10 . .` '.. r---?rar- ? ? d?J ?$' ? i S?? ,. s ? f,''A r+ri ? ? ?•aw?.m w >E_ 5 10 a •? ? ^ , •, i y3-a% I A« i ? 7 x ? r--TnB----.-• +--- 1 'e .. o ? i ? ? 6 ???' ?sr'" -? 8 , ? ?{+?•?..? ?, i ry? 01 i % i ?? ? 5 * 9 e ? e.^+'°i.u ? -?? ? mm? ri ="? k '???'ti%_? ? -.er+ i ti w ? i i" L'b.•`2 'F. ?' ? /?_.1?'P?71;TtRJ L____3__' ? ••+ ?+•??L4 ? ? 4 11 a 3•?orW22 F• --? ??i? i i- - M? a ?? i ? ? " i i? i ? i . 2 i i ri ? a i ?? _?? + ?' u" ? i ?+•,, ?8 ? .e?ooo?T r-r--in.n-w - i r d :x ? ?3 p .11 1?;C?fr ? L"__ n? f ? 1 1 v sfi L_____'J -'_ I ?` \ p. ? 7 1`n?? ?'_'lai?l _____`M_? t 111rr?? 6 If$CN ?? T1 ?11 x1, 1? r' 11 Y ? l81?a??( • I ? l.]671 ?? ° w t• ?? 11 ? ? 11' ? J 11.?^? ?? ..Y ? 1, /`Id ?p?.? pi ?SOQ,'lJYI'CR ? I 2 iii ?.. ; • a ? [' 9tETi 1 ';'t??"lf?I \ t?i,Y1? , 1 i 'J ?.?? ' ?Fs ? ? {?' I ? ? / y :? ,? '"T'?'a7 1 r' ? 1'3- L?-!?m' p.a n?• ??A ? . ??1 ?1 1 r' 1 y ( a a 7 R? ;P Sq : fp w I`g ? a 1 ??a.. `, ? l SH? 1? 11 1 1 8 ? Id? Sy?.). ?V ??[ ?:s?? '• a 91 iQ ?? ? p "r_+' ... -• . ? ';? ? ? ? ;.?; ?-?b ?...,? _.r.?.?._- ? q ? \.a A 1 \ \ ___ ? ?a. ?•• ? ? ? I 1 Ix 227.?°_______1 r:?.st? ;=J --- wrao•orr ae.i.n U+??a? i i T? j ? q --- ?'e?'IrW 474.as --- a ? ?i ?4e•rrw , ?o t a Nno?aa•rri isa.oo a --------' ?---? d / - -- -- - ? -- -- - -?-- -- -- -- ---- -- -- -- `- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -=11111WIWIllI ? ?orarsr-- ?aea - ./- -- - rt -ua?. M lmE Of M[ sE1/4 a THC s[1/4 ?? ?•ars aa.,raem OI Y4 16, IIN. 27, qN0. IS -_w lWE Oi 1HE NEt/ 1 Of THE NEI/4 X 0F SEC tt. TW. ly. RN4 73 j.t?:,i.• ::.: ? .:._. ..t? f ^:.:i`:? Sl:' T1:N.:'l:it?:... Y.'..:J.^! . ?::...?. . ?...? ? ..:-?.': ..... .::.. ' 7!'It'^'T i?iii!ii !i? .xS'f i'i. :T INi:. 19•51 fi!ii.?T ? .•• 1!' ?i Y??1 P{.N.T 5ij_tjtj DC!`cl% irn u u n 4 4nm 650o i 2004 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. ?osz? Date l1l / ? / 0 , ?/ ` Site Street Address krl In?c?c? l??Ut - (?l?- ? tCX?1? Unit # Property Owner \ ` 1 A? Q , Telephone # ((pSl ) ' -7qij Contractor ?-? ?'M ^ n Telephone # (9Sc3,) (l1 ' !Rq Address A\\-\Cl City State Zip SSO? Y The Applicant is: _ Owner J -\\ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $. 15.00 _ replacement _ additional _ Lawn Irrigation System RPZ_4 new ? repair _rebuild $ 30.00 State Surcharge $ .50 Lj JUN 2 3 2004 ? d ? Total $ lsy 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 will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Pri ted Name ApplicanYs ' A. ?Y-7' / 2007RESIDENTIAL BUILDING rExnzrr aPPLicaTioN City OtEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CoreWdion Recpiiremenis 3 registered site surveys sharing sq. R of lot, sq. R of house; and jip roofed areas (20% maximum lot coverage aflaved) 1 Soils Report H ptoposed buik5rg is to be placed on diaWrbed soil 2 capies of qan shawing beam 8 window saes; poured found design, etc. 1 set of Energy Calwiations 3 oopies of Tree Preservatlon Plan if bt platted after 71193 Rim Jdst Deta1 pptions selectipi sleet (buNngs pAth 3 or less unib) Mmnegasco mechanipl ventllation lam RemodeUReoair Rewiremenb 2 oopies of plan showing footngs, beams, joisls 1 set of Energy Calalations for heated addrdons 1 sfte survey (or additions 8 dedcs Add'rfion - indreate il on-sife sep6c system 0; U3v3 P eettMSt?eY'?# 'Y :+:lV Sdis ?t?l; w ? ?1 Tree Pr?.plgq Rectl Y_ tJ Free Rres'ReqWreQ. On4teS?:.Syst?rr' =1' ,;N Plans are considered nublic informatinr, ii.,ipetc .1.,11 e+n+o +ho., ft.e +rft.je Qe,..e. ,.,a .&?., . Date Site Address ?y •V?N??V l\??i IGQJVII• C`onstruction Cost ?/ tC v S?] K 1 N(j W Op ?PO F.? C? V F-PL.c70 r, Unit/Ste # Description of Work 1?W VZ- OPQ- RN d RQ p?- Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? pS e, L 'Rd??,N 3 611 Telephone #( CQSI)3 277 - ? 5 d U ContraMor STOIZ.lM ? lA 14 KE-,S4--p LLC. Address ~/?7 State _ N\0 . (a ?-}?5?? Rd Sui+p l.f City (.0 00d.?Ocn?-?1 Zip SS I ?1. S Telephone #(1e5i)? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 ate orv 1 _ Minnesota Ru1es 7672 (d submission type) • Residential Ventilatfon Category 1 Worksheet . New Energy Code Worksheet Submitted Subm(ried • Energy Envelope Calculations Submitled In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor ., Telephone # ( Telephone #( Telephone #( ,,.?,v?y QYN,y ,ur amcsiaentiai uuuamg rermit 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 for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i e case of work which requires a review and approval of plans. ?.ri16 4?) v'jK(i,?r6 Applicant's Printed Name Applicant's Signature ?E?icvr' ? F2.Q- -Qyb.0a -*?j3C?3 ?.\ , ?XJ ?D%4 zooz RESIDENTIAL BUILDING rExMiT ArrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuttion Reauirements 3 registered site surveys showirq sq. R oi lot, sq. ft of house; and 11 roofed areas (20%maximum lotcwerage allowad) 1 Soils Repat il proposed building is lo be placed on disturbed soil 2 copies of qan showing beam g windaw sizes; poured found design, elc. 1 set of Energy Calalations 3 apes of Tree Preservatlon Plan if lot platted afler 7111193 Rim Jdst DelaB Options selectlon she¢( (puldings with 3 or less units) Minnegasco mechanical venhlation tam RemodeUReoair Reauiremenfs 2 capies o/ plari showing foo6ngs, beams, lasts 1 set af Energy Calculatims for heated addidons 1 site survey for addi6ans & dedcs Addifion - IrMlcate i(on-site sep6c sysfem Certv?SU ?feRep?t" _Y ?,:?I TreePresflsnR*` L'? N, Plans are considered nublic information unlpss vnii sra+p tnav aea +rarln cnrrc4 nnr! 4hc rcacnn Date Site Address 1 y S 9 {?i i F?l ConstruMion Cost /7o ti.UDc?c? ?aN? oUsk-u-)o ??EA-(?A?r._) Unit/Ste # Description of Work ?E?lN-z_ C7 I?? y.? Multi-Family Bldg _ Y_ H Fireplace(s) 0_ 1 _ 2 PropertyOwner -YNPS'2_L ?b??N5C3r Telephone#((oSI ) 3e7' ? 70 d Contractor ?:-Tp12? Address ?7 (o l-?1?- State ?Sl ?^ SO-'t1 City Zip S 5 I Z5 Telephone #(?.S 1) _7 3R-? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 (V submission type) • Residential Ventilatfon Category 1 Worksheet Submilted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan2 _ 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 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. ?Gt ??? ????//f??T / Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION ? 50 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 f70 M 651-681-4675 ca.r ;?? ??3?1 New Construction Reaulremenls RemodellReuair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan (20°k maximum lot coverage allowed) • 1 sef of Energy Calculations tor heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 sife survey for exterior addilions & decks • 1 set ot Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Trce Preservation Plan if lot platted after 717193 . Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units) DATE A' 1-01 VALUATION oad rQqani JOB SITE ADDRESS 1457 /,?MgSWDOd ond O?erfoDk IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER M!C h,Ae / J. W0 ({ YbUraar"" Mc ('? rm_.,, TYPE OF WORKArLi5L hQSemend FIREPLACE(S) _ 0-,Z 1_ 2 APPLICANT lk«hae ( J. W0W PHONE# 6,51-51$-71191 ADDRESS /45 7 fi ?nq5VJ06d l9o rZd d Uer lOOk ZIP CODE 5512-2 PAGER # FAX # NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Phone # Fee: $.90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n .f Signature of Applicant L• I. Certificates of Survey Received _ Tree Preservation Pian Received _ Not Require _ Updated 1/01 CELL PHONE # Water Softener Water Heater No. of BaY}is Phone #: Lawn Spriidcler No. of RI.13aths Phone # ? Air Conditioning HeaC Recovery System OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex pl?19 Lower Level ? 12 12-plex Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Misceilaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair A 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation 70? Occupancy MC/ES System Census Code L/!5 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire 5prinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundarion Drain Tile Roof Ice & Water Final Framing Fireplace ?( R.I. ?{Air Test y Final InsulaHon Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By I Z , Building Inspector For Office Use n I~~ { Clty of l Ealnu i Permit 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: -----------------J 2 9 RESIDENTIAL PLUMBING PERMIT APPLICATION S-~ t(,P 1691,a~e~e Date: ~ 1A. -6 Site Address: Tenant: Suite RESIDENT / OWNER Name: 4 n ~ Phone: 6/,P- - 0 e/ 015- Address / City / Zip: rCK (A/~C9 J~J/1P~ 7 42 1~, F 21 CONTRACTOR Name: S~cl 40 140 rrr License Address: nl' City: f State:- Zip: Phone:"' Contact Person: l J 4 So/- TYPE OF WORK -New _ Replacemen _ Repair ~ Rebuild/ Modify Space Work in R. W. Description of work: P C f l /t PERMIT TYPE RESIDENTIAL Wate Heater Water Softener Lawn- gation Add Plumbing Fixtures V RPZ PVB) Main _ Lower Level) Septic System- Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 wor not to start without per hat the work will be in accordance with the approved plan in the case of work which requires a review and approval lans. x t/Bu t 1 `Cfl~ 44 s Applicant's Printed Name licant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Air Test Gas Test -Final ! � � Use BLUE or BLACK Ink t: � . r----------- ��/��Q I For Office Use l �i`-' I � / �� Permit#: �� 4 � �� It of �a �� /^� � � Permit Fee: ��,°• � � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: �''�� '�� Phone:�651)675-5675 : I I Fax: (651)675-5694 � Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /�'" �� Site Address: j�� /N�� P�"'� ��`'�Oj� Unit#: Name:___ �w� �ic-C.,�z-Li Phone: Address/City/Zip:�`_,�,s 7 �rr�s� � a-� ��"'� 6�-��-c��l� Applicant is: Owner �Contractor Description of work:__ l✓SrYtz-� �r.�c�.�•�� ,�o v�. 9�- [� ��su��t� , Construction Cost: r� 7 C� Multi-Family Building:(Yes /No� ) Company:_ ��S t9V �cX9�S Contact: �� 7�.3"`<'�'/"�� ' II I Address: ��Z. l�cs�'��,- � City: �L/� s2'!'�� G�� State��/Zip: �3�� Phone:l��"`f'��"'�o� Email: ,SS��?DCics�� 1�r.t-/fo�.��L°`t 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 8�Water Contractor: 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. vwuw.popherstateonecall.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 �1 t=� ��UU�� f�~' , � x ApplicanYs Printed Name . Applican s ' na Page 1 of 3 .� , / „ / -- �� f-`�i�C� (Q jl� / ,/�.� 7 �l 1�� DO NOT W�ITE BELOW THIS LINE r -5��1 t� � ' SUB TYPES ` _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck Porch (Screen/GazebolPergala) _ Miscellaneous _ 01 of_Plex _ Lower Level �Pool _ Accessory Buiid'+ng WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* '11( Addition _ Move Building _ Reroof _ Demolish Interior �`I�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 ��"��,� "`r��+�'� SAC Units (25%_100%�) Zoning �;,1��,,,� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required 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 HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final � Pool: �Footings �Air/Gas Tests �Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control � Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control ..,.,.. Other: Reviewed By: � ��' , Building Inspector RESIDENTIAL FEES Base Fee Surcharge '. �,,� Plan Review MCES SAC City SAC � Utility Connection Charge �� S8�W Permit 8�Surcharge t� Treatment Plant Copies TOTAL Page 2 of 3 /.��-� •, POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: _ �4-=�"�7 I�, v�r�i,u�,h� ��- ,�� Applicant Name: 1 i rv2_ �.J��,�rP�l�' � � � � GENERAL INFORMATION � � � o z ¢ �'� ❑ ❑ Applicant name and contact information �� ❑ ❑ Property owner name �f� ❑ ❑ Address of property � ❑ ❑ 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 �l� ❑ ❑ Directional drainage arrows(existing and proposed) ,� ❑ ❑ Lot Square Footage � ❑ ❑ Lot Coverage ELEVATIONS Existina f� ❑ ❑ House corners fd' ❑ ❑ Property corners ❑ �� 0 If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed , ff?' ❑ ❑ Finished pool deck corners li ❑ ,� ❑ Top of proposed retaining walis (if any) and at each different elevation(if it changes) I ,d ❑ ❑ Pool bottom(or max. depth) DIMENSIONS Existinq �'� ❑ ❑ 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: .� ..s"`� m�` ate G:FORMS1Poo1 Permit Checklist/11-20-12 � ,# . . � . � �� . � � � i . .. . : . ... .,.�. ..... . .:.....:. .. , -,.'. ...r�. _ :. ..... .. .,:._., . _:s, . . : . _.. . ..,.a� ,. ... .�..._.. , ` , '�� . y�� ? �y , ��j� 2422 Enterprise Dnve ��_�. � �c ;� � � / J�� IU�L��L�� Mendota Heights, MN'S5120 �� ' � (651) 681-1914 FAX:681-9488 � � � PiONEER �uau waveraas•aH�eNa►�eas E-moil: PIONEER�PRESSENTER.COM LAND VIANNERS• LANDSCAVE ARCM7ECT5 � � � engineering s2s H�9nwoy �o N.E. Bloine, MN 55434 I � * � �* (s�z) �a3-�8ao FAx:�a3-�sa3 �� E-maii: PIONEER2�PRESSENTER.COM a� >� �;E,rtificate of Survey for: MCDONALD CONST. � 1457 KINGSWOOD PONDS OVERLOOK � � I.OT AREA = 18,507 sq.ft. � IIOUSE AREA = 1,865 sq.ft. � � CIOVERAGEPE 10% 5�'Y,� ry.v• , N89'43'35"E 90.00 � 858.y) Sl�a•z� , j _ _ , ,, d � � `- � / S�cT fEnk� '� is�- - �� - -2�,-,�Q��;o 1 � -'' � E�lsE �F � ASEMENT PER PLA;T �� `��* ' V�tO�st✓RbEO GRouNo � �-� � � PnoAcstcD p44s. ,`.,._. Zy' G!•/M�L � �• � iy'_ 2 o'x�t a� F pd!'�" , I 1��"i.� ,� � � Eee�v. 8� •� �36 � +�,� ��' " � �; I : �,t�� = ��• �.�ccNc � �.� � � �.s� � � �;ATL`�� ,: 3 �; i °""�-�,,,,�.s � A��/� i ,k`, � A'p �"� ,� �"�` �� D� `_ � P'�~ � I `" I �u,�. . I �� _��. ..._.�. I �5'� � I � � o - �� C1�.: __ J� . �� ---+ �' � � �866.6 �� - �•, , y .� I TREE LINE. � � N ��i �l�kt,�ll'�3:�l�a.,a1.0 i.::�;`1, \ j � 867.2 I I r( i r � �, , . :. . ,.� .� _ . ., , ....... . 869.1 . � x 8�� .O 86��_�� 868.0 . . , ----- PL HL 5 " �° � �� PL HL � 49.0 'a„•` \ ' � ... _. I `° I � . .'. , ;. rg ; �.; o {� '. _ 1A�L.?_.__�.��5. , _. __._...__._ s�73.o 8�3.i �- PROPOSE o M`� � ,^M M POL 1 .00 � HOUSE � 872.9 I a "„_�-�-� p 8 9� \ r �. .. __�� `!� ._�_.....__......_,��» M � r'� GARAGE \ 875I M _ �.. . ��`' �� e�3 c�v\ \�0 37.67 ITL :_ . . .,. � _ .. . . _ . ; _ .._- :., o 0 a0 11.00 0 � BENCH MARK �� __ N19•33� ____ 87Sw5�,__1__ TOP OF PIPE--�� 5• ��'� ��' � ELEV.=873.55 a�3.s � I x 878.5 � P� H I w¢ BENCH MARK �� 873.3 � �/ 03 x 873.5 TOP OF PIPE� � j PROPOSED HOUSE ELEVATION 73 5 � '� o� ELEV.=881.30 � n8.3 � I.OWEST FLOOR ELEVATION: �� t�+ �o 5ERv E�Ev-86a.5 M � �•� a PER CONST PIAN I ��:; � i Of' OF BLOCK ELEVATION: ��' 87LP4 x 874�Z x gg�.a � O � 9.�� ' �B73.1 , 875.7 � �; (;A(zAGE SLAB ELEVATION: • 873•� s73.t �Sv aw s�s.3 � 8899� g7 $� Tc N � 9�Rw 8 6.9 P I 'P � i iOf3 � LOOKOUT EIEVAT10N: C�' 873.3 \ W TOP I O CL873.1 S.M.HTC � 873.9 RW TOP RW Z ( ;; i)00.00 DENOTES EXISTiNG ELEVATION ` \� ��RET. WALL I rn ( 000.00 ) DENOTES PROPOSED ELEVATION � 873•Z I �gg7,� 873.0 R SMH 873.4 % 879.6 ^ _ -__ _ DENOTES ORAINAGE AND UTIUTY EASEMENT TC "`�' � TC RW TOP I , - ---�- DENOTES ORAINAGE FLOW DIRECTION C� .O � /� \ I ---�-- DENOTES MONUMENT V �s Q ��/J� \ I i; --.--E}- DENOTES OFFSET HUB g87C3.3 '' ��^ � � ' w � . , `� �� 873.4�' v v�� \� � 884.4 + rOTF: PROPOSED GRADES SHOWN PER GRAOING PLAN 8Y: TC' � O OO/� � I 5 R8��73.4 B79 6 �:'OiE: 9UiLDlN� DIAAF_NSIONS SN01M� ARE fOR HOR120NTAL !ND VERTICAL !OCATION L �� xx ` RW TOP �� OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS fOR BUIl01NG ANO � �� 872.8 5 FOUNDA710N DiMENS10N5. �jl O 87 C IP 20�0�5 r.ipil:: NO SPECIFIC SOILS INVESTICATION HAS BEEN COMPLETED ON THIS l0T BY THE O �';' SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE �, ,j PROPOSED IS NOT THE RESPONSIBIUTY OF THE SURVEYOR. 872, �I' rioTC: THIS CERTIFICATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN I 872'8 CL ��Z .r 1 ��;i THOSE SHOWN ON THE RECOROEO PLAT. '� TC � i� I h ''t rdpTC: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. ni�iTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM I �� wl: I�EREBY CERTIFY TO MCDONALD CONST. THAT THIS IS A TRUE AND CORRE�T REPRESENTATION OF A �� '�UF�VEY OF THE BOUNDARIES OF: � `;� �(�T 4, BLOCK 3, KINGSWOOD PONDS SECOND� ADDITION �� C,�KOTA COUNTY, MINNESOTA ' .i !`� rr DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT OWN, AS SURVEYED BY ME OR �� ir�f�ER MY DIRECT SUPERVISION THIS 9TH DAY OF JULY, 1999. SIG ED: PIONEER ENGI E G, P.A. �� `>CALE : 1 INCH = 30 FEET ��C��:� ��L � � � �-- � � 6 199� BY: ; ?_t f;9 98451.03 NJK ohn C. Larson, L.S. Reg. No. 19828 � PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166492 Date Issued:01/13/2021 Permit Category:ePermit Site Address: 1457 Kingswood Pond Ovlk Lot:4 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Amanda Ciccarelli 1457 Kingswood Ponds Ovlk Eagan MN 55122 (612) 490-4673 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature