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1458 Kingswood Pond OvlkAddress 1458 KINGSWOOD POND OVLK Zip 551$2 LOt 5 Blk 3 Sub ?CiNGSW00D PONDS 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspedor. ? Z 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 root 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 workiag in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracror Copy 7q7`tq 2006RESIDENTIAL PLUMBING PERnniT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? 6? Date I S? 1 (0,6 Site Street Address Ie irN Swoo -o a0-Wok Unit # Property Owner + Telephone # ( 6St ) - 3 ? Contractor o l,l-)l'f ?- Telephone # ( ) Address City State Zip The Applicant is: )?c Owner _ Contractor _Other Septic System New Refurbished Submit 2 sets of plans and MPC license Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes instailation of a water softener and/or water heater at the same time. !f you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _WaterTurnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 T l $? • 6 ota I hereby apply for a Residential Plumbing Permit and acknowiedge 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, only an application for a permit, work is not to start without a permit and work wiil be in accordance wi the approve pla, in the event a plan is required to be revi wed and approved. ?C0 _tw ApplicanY rin _N / e ApplicanYs Si tu PERMIT #: -1 1 t UIS/ - CITY USE ONLY RECEIPT DATE: 2002 ? '?II)ENTIAj. MECiELANICiAL PERMrr 1??PLICiATIOR CffY OF £A&AR . . 3$30 PILOT KAOB fiD EABik1Y MF 55122 651-6$1-4675 Please complete for: ? single family dwellings U23 townhomes and co ndos when permits are required for each unit Date: SITE ADDRESS: 14fD ?) V1f n?}-)Lcc?_d_ PdYIC? ??? lc-Y2114? OWNER NAME: L-C?'n`? ? ?Lo-I en TELEPHONE #: ?D ?`JI ? 9?- ??H7 INSTALLER NAME: --?? ---?- ohlers Southside Htg. & Air., Inc. 6950 W. 146?' St., #l06 STREET ADDRESS: Apple Valley, MN 55124 (952) 431-7099 CITY: Place a check mark next to the permit work type ? Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work:-?:'17t? r?-Y71C1..fl ?? -?-- ? ?'? C? CY ?r ? ?? • State Surchar e $ .50 $ Total Loa IZA:,p ?z SIGNATURE OF PERMITTEE voz CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMEftCIAL MECHANICAI. PEftM1T APPLiClETION CTf Y OF £AL&AN 3$30 PILOT K1VOB fiD EasM. btx ssi22 651-8$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dweliing unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construction Install U.Q. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, w6ichever is greater. Underground tank removaUinstallarion = minimum fee Contract price: $ x 1%_$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ , SIGNATURE OF PERMIT'TEE Updated 1/02 I ? cAt 13isl8 > 3 reylatered alte wrveys ahowinq eq, ff. of lot, sq ft. of house pc) and pff roo/ed areaa (20'X, ma)dmum tot coveraae allowed) n 2 copies of plans (ahow beam & window sl=es; poured fnd. design; efc.) n t aet of energy calcuianons D 3 coples of he9 preservaMon pipn If lof ploMed alter 7/I/93 DATE: ?" 1 6- 0V DESCRIPTION OF WORK: STREET ADDRESS: S-L a gL ? l ok'j r:? -ad -dp 2 copies of plan 1 set of energy calculaBons tor haated additlons 1 siie survey for exteAor addiNons & decks CONSTRUCTION C05T: %e ?7 LOT: ?BLOCK: _3 SUBD./P.I.D. #: ??' +?S S Lc? o d _ Ap?l?"°SC'/ a n? n Yl- Name: //?e /lai") pc„- Phone #: PROPERTY ? taat Flrst OWNER Sheet Address:_ ?? U I /4-'S- 7 A cit, A,n ?J?^ Zip: 2000 BUILDING PERMff-APPLIC'ATI?N?RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651•681-4675 . Company: /'' ?z &.r,?ld o, -S ?I- Phone 1: 1 e2 -Lr/3 o4^??o ! (area code) CONTRACTOR Sheef Address: 2(aDi l`l S" 7'.( 1-,T? License #j93Exp. - b CI1y ?? ('4 ! (? State: Zip: ARCHITECT/ l_ ?j ` ENGINEER Company: ? °?'? ? v ? ^ Name: ' ?? ?" ??/1?I ? ?. Telephone #: ( } Sheet cr 1i: Ll? City C?s uI-N State: R07?. Zip: D` ?2' Sewerlwater licensed plumber #: & 0. ) ?rl?? (. f- f o I hereby acknowledge thot i have read fhis application, state fhat the fnfortnafion is cortect, and agree to comply with op appAcable State of Minnesota Stalutes and City of Eagan Ordinances. 5ignature of ApplicanY OFFICE USE ONLY Certificates of Suroey Received ?l YBS _ Na MAV 16 Tree Preservation Plan Received _ Yes _ No ? Not Required ? 0/4 ? OFFICE USE ONLY J BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Aft - Mufti K 02 SF Dweliing ? 08 06-piex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 OS-piex O 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-piex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex O 20 Poot ? 30 Accessory Bidg. WORK TYPE . ? 31 New 0 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)" ? 44 Siding ? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATI N ' SAC Code ? # of Stories sq. ft. , No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) VA/ Basement sq. ft. Census Gode 01 (Allowable) Vhl_ Main level sq. ft. Irr MC/ES System UBC Occupancy. K 3 1-0 ?z MD sq. ft. 12 7!j. City Water . Zoning sq. ft. [f,? D Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ' /1< Stucco/Ston e APPROVALS Planning , 8uilding /? Engineering Variance Permit Fee Valuation: s. ., $ oo Surcharge Plan Review License /2 r?? MClES SAC City SAC Water Conn. .,. ` ? 2 cli' 390 Water Meter }? r? 1 ?'? • . . Acct. Deposit S/W Permit ? S!W Surcharge Treatment PI. - V n?' J? V ` ? Park Ded. Trails Ded. i'L,? f? ,D 1io Other Copies J? 71 ?U i Total: SAC Units % 5AC ..... _- ---- -- - . „ ? ? . f ?... i MNcheck COMPLIANCE REPORT . 'Minnesota Energy Code MNcbeck Software Version 3.0 , OUNTY: Dakota TATE: Minnesota ONE: 2 ONSTRUCTION TYPE: Single Family ATE: 5-11-2000 ITLE: #99-612 ROJECT INFORMATION: ong Nguyen & Nga Tran Y INFORMATION: ld Construction Inc. : PASSES quired UA = 547 ur Home = 404 .1% Better Than Code Permit # Checked by/Date Area or Cavity Cont. 6lazing/Door Perimeter R-Value R-Yalue U-Yalue UA T -------------------------------------- EILINGS ----- 1274 -------- 45.0 ---------- 0.0 ------------ ----- 34 AI.LS: Wood Frame. 16" O.C. 2819 19_0 2.0 158 BSMT: Conc. 8.8' ht/8,2' bg/8.8' insul 671 11_0 0_0 38 9SMT: Conc. 3.5' ht/3.0' bg/3,5' insul 119 11.0 0_0 9 6LAZIN6: Yindows or Ooors, Above Grade 389 0.310 121 LAZING: Mindows or poors, Above 6rade 80 0.330 26 OORS 40 0.350 14 OORS 18 0.230 4 LOORS: Over Unconditioned Space 11 38_0 0.0 0 YAC EQUIPMENT: Furnace, 92.0 AFUE '--- -, ---------------------------------------- 5OMPLIANCE STATEMENT: 7he proposed building -------- design --------- described ------------- here is ----- aonsistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been _ 4esigned to meet the req i ts of the Min nesota Energy Code.- --- Li lder/Designer Date TOTAL P.02 MRY-11-2090 16:09 1 6514523659 P.02 ?,,... ' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION f/Ds Sft/?lr71? IO ? ROPERTY LEGAL G?T ?XOPlr 5 ? ?E?NU ?DoV L P . Ti, ?. : , ? DATE OF SURVEY: - u ? ty LATEST REVISION: ? ? DOCUMENT STANDARDS q 4 O ? ? ? • Registered Land Surveyor signature and company 1;?? ? • Building Permit Applicant ? ? ? • LegaldescripGon ?/a o • Address ? ? ? • North arrow and scale ? ? • House type (rambler, walkout, splR wlo, split entry, lookout, etc.) v ? ? • Directional drainage arrows with siope/gredierrt % ? • ProposedJexdsting sewer and water services S invert elevation ?/? a • Street name o ? • Driveway qr? ? • Lot Square Footage ? o • Lot Coverage ELEVATIONS Ew'stina / ? P ? • Sewer service (or Proposed) ri??o ? • Property corners q/? ? • Top of curb at the driveway ? • Elevations of any ebsting adjacent homes ? Adequate footing depth of struetures due to adjacent utility trenches Prooosed / ?f ? o • Garage floor ?? ? • Firstfloor ip/ o ? • Lowest exposed elevation (walkouUwindow) V ? ? • Property corners / 4r ? ? • Front and rear of home ffi the foundation PONDING AREA (if applicable) ? m/? • Easement line ? P/ o / • NWL ? ? o • HWL ? yy • Pond # designation ? ? o • Emergency Overflow Elevation DIMENSIONS ar/ ? ? • Lot GneslBeadngs & dimensions V o ? • Right-of-way and street width (to back ot curb) v? ? • Proposed home dimensions including any proposed decks; overhangs greater than 2', porches, etc. (i.e. all structures requiring permanentfootings) ?? ? •" Show all easements of record and any City utilides within those easements q/ ? ? • Seffiacks of proposed structure and sideyard setback of adjacent existing structures ? cy ? • Retaining wall requirements, if any Reviewed: / Date March 19BB can0eWcaantr.Fn ,?. , : I-583 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 Addition, (236.48/Lot = $6385.00 = 27) for the benefit received from the following improvements: ITEM QUANTITY Water Trunk 51ots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865,00/Lot $47325.00 $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 ba}ances. 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 fu.rther waive the right to object to or appeal fr•om these assessments made pursuant to this agreement. DATED: G ? OWNER: HORNE DEVELOPMENT CORPORATION, a Nlinnesota coiporation i 1I 4 B : James B. Horne Its: President ` r WAIVER 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 Addition, (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 $4,325.00 $20.60/f.f. $23060.00 TOTAL $6,3 85.00 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid balances. The undersigned, for themselves, theu 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 objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal fi•om these assessments made pursuant to this agreement. DATED: OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporation , .1-4?_?? ??- B : James B. Horne Its: President STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this ? day of 1997, before me a Notary Public within and for said Counry, personal . 1y appeared Jf1MES B. HORNE to me personally known, who being by me duly sworn, did say that he is the President of Horne Development Corporation, the corporation named in the foregoing instrument, and that said instrument was signed on behalf of said corporation by authority of its Board of Directors and said President aclrnowledged said instrument to be the free act and deed of the coiporation. ? Notary Public APPROVED AS TO FORM: -- Gity-Attomey's; Offic? ? ; ,. Dated: %. ;??;,-r'?,.-?,; ? i'?• ] - ? ? APPROVED AS TO CONTENT: .,' ,1.•` ,:.., r` ,%/? Public Works Department Dafed: THIS INSTRLTMENT 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" : n(4 KINGSWtJOD PONDS SECOND ADDITION NORTH onA"Ac[ ANo unutt us[MEwis ANE SNOMN AS Ttt15: S?EET 1600? ? ? ?IOdp ?? sm J L 1mm REM LM ecw e rtn w woN. uncss omn.K[ MOICAICD NO IDANHC SOC l0r IHS N0 MMO 10 f[Ef M MOM, Urw[U OMfPw9[ M4LARD. u?D M.an? SIP[[t WO KM lOf ? lt Sn~ p+ l1I 11Al, ? ? i 1 -- soo?sa•arr es?.oi -- ..1 ; 4 • ~A v , ; , ; ? y„?°`? °?°"`N. -,.?r ?• ?a?b ,% ? :? u',? 5°?; o w a,,. FINANCIAL OBUGATION i ULY ? 0.S0.N (N.FY.0. 1979 YAiVY) i 1R? ?OMMNt Iqll.p, ° 'n' LEGEND i.. )•/ nrt tnst in+t ar n/e Nonn?cnst ? !:• c? «„w,ER 'CV«, 21, ,,,P. ,,, iinimnnuu lateral Benefh Sanllary Sewer MtKr s?a vaiw w mc ? ?8 m+c. x.t .csr n Asswco ro x?u Xurzs uawcNn m ec str v'r? Noo2f'01'M. ACCXMsifutOKwpMrqWM?a;r.(" Water Trunk 12M ur M IKCa1mC aI tMSI(At, ?}.a? 5?+?,?`f•.'•?? ? .:.',...:V` :............. 8??; .? , -a ro ?, / ,.u.r sI0.3I •34.io ? I I ? ? ? w?• / ? ? ? t ? rr. ?n ?a ? n? ?i nyr rw? ' M`SSL•GY&? ? 4? SpLryT'!PflN.f.?' -?a? ? .• ;z? J, , 5p' ?? O • Y? ? lI"l i11.00 ??•• qR1..??'??j EG '-- s?J? a?% ? I ' ' t. ' aLS 93.32 ' ? 1'?6Jt i ? "f} r NI ?s ?Mw.--'•?'"? •_'" ' "? ??dra uu m r v??nr?l s ?. I _ ,ll 1 ? 1I?.?J f}]) ?M?ol > Pr4N? .10?• • ?M?Y??' IUItOMIMIM. I?N-'. ?f+ NOI 1' ? . xoalTvrr_J L , A J+n`? ??'y! r---tr,ar-- ? -? " . - -'t ? ' ? = ?•-2?.,?. ' `2? 10 b? . r•, , ?t, •, ?Fl'a . _.?-e?- ?'h'; ? . I ?ISI, ??/ 11°l i?? ?Yai??n?'? ?_1*, ??•I''?i-' y ? rTiaii_____. 10 a 3i?'" S``-l, 3•., :.?' ? iM d / {? n ' y?f???? a^??.?y»T I 1 q Ck s % ? r 1? - 11 1 e?n? ?1?b. \ ?? , , ??.,.:? i r•o:? i ?.,, ? p? i ?.,:; _ ? ? , -a* l 1 5 ry , 6 << , ?„ i r I 9 ?; ?_?£J7VYlJ l_ sao'is7ot`?? C 'r ?'a. 8'a'? ? 4 r H? :? 1 I ? 11 ? ..?o Ve I 1 ir ? l + a i •e-wvr?o' Is !-------? 2 3 I q ali T'??Ili??' t? i:: i? i ? ? ?-r.a ?I,a • ( ? i 3 1 qL L__goib?'d?__"_?.F,?I 9 !y9 ': ------ -- - ?___ 1li.i] 6 ?3'? 1 1? f \ 1 1 J "? x [ A R ? ? - I MS???? eT ? ia 2 R4t g'o5 ? • J I y a? e ? ? a ?•. ` i? ? ? _1 ti ? L_ i i ?soQ?r?r? ?z\ 15: e @G \ ? . ?? k3= "?, ? ? 1 ? j ?..,- A ?a? `•? - iak} ? ? . a ? ? ,.. ? • ^? aixfl ? ??j3.-?S'`I ? ?. .•a i i _? ?'" .yy p ? 4 ? J ? ? i ? I: ! ??? ° ? ? ii:• "?t.°?? ? ?^ .;2`• ?__p?m- „i ,n I-? ' ' ? + ??1--'::?'.n. ,.? v.i'?• ? ? r ? ? ?., __ ' ow?'i ? ROAD p?rM? ` ?? ; ?'`? i'i ?• i ? / ? ?! ` ? I .: F_- i ?-';??-?ii?i ? ?8e`,'.p `" `,?t A? y°'•... ??..iwa '? QOD po?a? ??`?'?• ?? . ?? 1?; ;a p???`? 12 : - ? a ??? ? ? a N Iti; ?1r:? ? ?A?'" s?o'?s??E N `?i?Y? . .w,nr •-? ?? ?? n ? sY 13 7 ,1 ? ?? i? R?d1 lr ?V 11 (y7i a•le3•I?? IL 1p ? , ? ? ? ?s gi•u>' A ?r J \\ I 1/:\?;` ? 1u ?° 1 1 l 12:x?0 ?------,»»-------? ?_ -?,?a__, --- rvoru•arr yu.n iy? ? ? i i ??`---- A woW'Irw 474.e7 --- -'INIIIIIIWWIUW? ` -oms• - ----•-- --- - -- --?-- -- -- -- - -- -- -- -- -- -- --? - -- --- ?? eo--- aa?4e 1 1"'_ .?. ut v mnn • l `?•- OfLSCC 0, 7NP?27' N T13 ?I ? \__W. LME OF THE X(1 1 OG 7HE HEt/4 ? 6F SEG 11. 1wP. 7? RnG 17 ''A:t•I^ 'i[. . .. . .J.....[ ....?'.. :JC T:.N.:'ii17:}:STf: ..::.??:?. i?iii!iT ti, .r ?•T .i''s...i F:i.. 39-51 f'! F? ••• , i?•:•. : : ti3 T i)7? .rA'i F'i.::7 nrnr-?..?r. ..?. .. . ,.,..? * * * * PIONEER * 8n-g h r * ? ]? * 2422 Enterprise Drive Mendoto Heights, MN 55120 (651) 681-1914 FAX:681-9488 LAND SIIRYEYORS • pNL ENpNEERS E-mail: PIONEERCPRESSEN TER. COM LNW PLMINERS• LM105CAPE ARCM1EC75 625 Fiighwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 E-mail: PIONEER2@PRESSENTER.COM Certificate of survey for: MCDONALD CONSTRUCTION 1458 KINGSWOOD PONOS OVERLOOK CLIENT-LONG NGUGER s? ? :,a. r g 7Z BENCH MARK ic' TOP OF PIPE ELEV.=873.75 ELEC. TEIE. ?. CAN. . Q ? ? O ? . ? 6 . 873.2 W = M 0 C6 M ? . ro L0 N O O N S89'43'35"W i' 10 98.91 NOTE: PROPOSEO GRADES SHONN PER GRADING PLAN BY: NOTE: 6UILDING DIMENSIONS SHOWN ARE FOR HORIZONiAL AND VERTICAL LOCATION OF STRl1CTL1RES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. NOTE: NO SPECIFlC SOILS INVESTIGATION HAS BEEN COMPLElEO ON 7HIS LOT BY 7HE SURVEYOR. TIiE SVITA8ILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF iHE SURVEYOR. BENCH MARK TOP OF PIPE ELEV. =873.43 , , , i PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVAl10N: $1.0g' 0 TOP OF BLOCK ELEVATION: j6hO'7 GARAGE SLAB ELEVATION: ? TOB @ LOOKOUT ELEVATION: NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X (100.00 DENOTES EXISTING ELEVATION iHOSE SHOWN ON THE RECORDED PLA?. ( 000.00 ) DENOTES PROPOSEO ELEVATION - --- DENOlES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY ORIVEWAY OESIGN. - DENOiES DRAINAGE FLOW UIRECTION NOTE: BEARWGS SHOWN ARE BASED ON AN ASSUMED DATUM • DENOiES MONUMENT ? DENOlES OFFSET HUB WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: 847.2 a47.2 LOT 5, BLOCK Z;P KINGSWOOD PONDS SECONDxADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A OWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2ND DAY OF MAY, 2000. SI ED: PIONEER ENG EE G, P.A. SCALE : 1 INCH = 30 FEET B: ell , , • ? . `?= ? . s ?, _ . _. a._... ;. .. . , 872.8 N89'4335E 0 ?C X S. H. M 873.1 6 H. A 33? LOT AREA - 14,085 SQ. FT. HOUSE AREA = 1992 S4. FT. COVERAGE = 14.1 % HOUSE TYPE= W.O. (91 'IZ) I 98451 07 BAT 6?prFmFCI MdN 1 q *n3Pl John C. Larson, L.S. Reg. **********?**************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 08/18/00 TIME: 10:32:49 ID: NAME: FIVE STAR PLUMBING, INC. 3212 9001 1458 KGSWD PD O 52.50 2155 9001 1458 KGSWD PD O 0.50 a I Total Receipt Amount: 53.00 CR136074 USER ID: JAN L • BL nr usE oNLv ? RECEIPT #: SUBD. ? ?"?b eO Vl dl IS J a RECEIPT DATE: PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF Enrnrr 3830 PILOT KNOB RD EAGAN, rIId 55122 651-681-4E75 Please complete for: ? single family dwellings ? townhomes and condos when permks are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TaTAI Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ p Fioor drain 3.00 x = $ Gas piping outlet " minimum -1 3.00 x $ , 66 Hot tub/spa 3.00 x = $ -J' Kitchen sink 3.00 x = $? 00 Laundry tray 3.00 x = $ ,3 Lavatory 3.00 x = $ Septic System new/refurbished ' requires MPC Ilc. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 x = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler ff dwelling is under construction 3.00 x = $ Undergroundsprinkler 'rfexistingdwelling 30.00 x = $ Water closet 3.00 x = $ .00 Water heater 100 x = $ 3 pQ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ 5tate Surcharge .50 -> -> -> $ .50 Reminder: Call for inspections of alterations, i.e. water heaters, watsr softeners, etc. - - ---------- - ---------------------------------------- - ---------------------------------------------------------------- 1 herehy adcnowled - ge thst I hsve read this application, state that the iniortnation is corred, and agree to compry with all applicable City of Eagan ordinances. It is the appiicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activRies to the facilities constructed under 's pertnk within City properlylright-of-way/easemeni. SITE ADDRESS: L (?Q ? S Q? n d ??PiY p OWNEFt NAME: : ?(`? 1J(9ha,? \ ?Y1???•IC/! IQh?G, TELEPHONE #: (AREA CODE) INSTALLER NAME: Llve Sfoir Amkhg f?. TELEPHONE #: S-- Y-- ?' O (AREA CODE) STREET ADDRESS: a„r: Dbfiao)p v g2ECEIVED rE: z[wP. OF PERMI7TEE CTfY USE ONLY . LOT _5 BL ? SUBD. ? ?01? earidS PERMIT #: q 4 3 ;) (o RECEIPT #: RECEIPT DATE: 2000 MECHP,NICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 Date: ? - ? y - bp Complete this section onlv if you are installing HVAC in a single family dwetling, townhome or condo under construction and not ownedoccnied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) - (.o State Surchazge Total $ 30.00 4:98' iQ•?7 .50 $yg.So Complete this section only if you are remodelins, adding to, or re airin an existing single-family dwellingf townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration Furnace Air exchanger _ Repair _ Other Air conditioning Other Fee $ 30.00 State 5urcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: t Lk S OWNER NAME: YYv1?v?a? C? Cn??? uC?ti c? r? PHONE #: 95a - C/ "g a --] Co O/ ' (AREA CODE) INSTALLER NAME: A• 3? rL?.S r d,- Sc5 r\ ?m-'Yxc_ PHONE #: (n`,c 1 -(lS-1-E7 R1 (AREA CODE) STREET ADDRESS: 0.aa 40..('0tYl'1Lt-Yi A-NM 0 C[TY: S•Sfi. STATE: YV4I ZIP: A! (n l,r., ??--- SI 1VA OF PERMITTEE L BL SUBD. APPROVED BY: cirr use oNLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICA2. PERMIT (COM+ERCIAL) CITY OF EAGAN 3830 PILOT F4NOB RD EAGAN, MIlN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = minimum fee Conaact price: $ x 1°10 =$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL SITE ADDRESS: $ OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: -., SIGNATURE OF PERMITTEE * PIONI * e? * * * * LAHO 41PVEYONS • dNL ENpNEFRS LANU RAHNERS • LANOSCAPE ARCXIIECfi Certificate of Survey for MCDONALD 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 E-moil: PIONEER2@PRESSENTER.COM CONSTRUCTION , 1458 KINGSWaDOD PONDS OVERLOOK CLIENT-LONG NGUGER :t LOT AREA = 14,085 SQ. FT. HOUSE AREA = 1992 SQ. FT. COVERAGE = 14.1 9 HOUSE TYPE= W.O. 40.22 : h?poD 8,2.8 N89'43'35"E p?ND X 87116 3 ) . r? > (? S. .H 72.7 V ?7 s7z.J3TF8 BENCH MARK e72.e TC TOP OF PIPE x ELEV.=873.75 X 7; ? a ELE E °D . T EL . carv. ? . . ? O . . ? ? ? 5 ? ? 4?'48 ?' 4' ol,, g9y jr -?Q ? N ? a? rC 44 . 0 3 - a e73. - -- c7?.20•40 rT r-? I 40 cov ?: ? N V ? N 6 ° ? N 19.00 873.2 WM O co N ? C) N v M \\ BENCH MARK TOP OF PIPE ELEV. =873.43 o ' R4 0.Ak f .' 1, ? ^ \ ?_ -- 51.00 15.00 ?--- 66.34?-- ?? y/ N \ \ `\;;`? ? V. 2.8 , ?udT-? 0 sn.?.,• ??(1 ? °• As / 1OC -- -' ? .s 71.8 Dc. S 7/.?, 871.9 ? 5 ' EAS E & u n FtE?? 14?4 M FEAT L--------- -r 2422 Enterprise Drive Mendota Heights, MN 55120 (651) 681-1914 FAX:681-9488 E-mail: PIONEEROPRESSENTER.COM Oo 2006 RESIDENTIAL BUILDING PERMIT aPpLicATiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Requirements 3 registered sile surveys showing sq. k. of lot, sq. ft. ot house; and ?II roofed areas (20°k maximum lot coverage allowed) 1 Soils Report H proposed building is to be plaoed on disWrbed soil 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Pian if bt pladed after 711193 Rim Joist Detail Options selection sheet (buildings w'rth 3 or less units) Minnegasco mechanical ventilation form RemodeUReoair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Energy Caloulations for heated addlGons 1 site survey for additions g decks Addition - irMicate rl ons'rfe septic system 'L2al?Y %D,6t) CNfice.Use OnN Certo(5urueyRecd Y _h1 Soils RePortz: Tree Pres Pian RBcd ? Y A, 7ree Pre's Required Oe3iteSepfpS?/stem _:',:° ?Y. =N. Date Construction Cost ln 1? 2 Q J SiteAddress UniUSte # Description of Work Multi-Family Bldg _ Y _ N Fireptace(s) _ 0 Property Owner ? U Infi c} ?'?.o- n ) A k J k ?n Telephone #( 65 I) ll7-13 g1 Contractor Address rV, City State lkn /? Zip 0-6?F,2 Telephone # (/ 67) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateQOrv l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ 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 aclaiowledge 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 pectnit, 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. ' Applicant's Printed Name Applicant's ignature 1 q Z? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?v ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodeUReoair Reauirements Office Use (lnN 3 registered site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas 2 copies of plan Gert of Survey ReW Y- N (20% maximum lot couerage allowed) t set of Energy Calculations for heated adddions Tree Pres Pfan Recd Y-N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tr2e Ptes Required _ Y_ N 1 set of Energy Calculations Addifion - indicate ifon site sepfic sysfem 0n-sita Septic SyStem _ Y' _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options seledion sheet (buildings with 3 or less units) Date 12 / Z / o? Construction Cost SiteAddress Zy?-o ?jcy? Unit/Ste # Description of Work Multi-Family Bldg _ Y K N Property Owner n./(1 11 I l!/? !? Fireside Hearth&Home Conrractor , 14399 Huntington Avenue Address Savage, MN 55378 5tate 952.736.7761 - License #20512060 Telephone # ((9 -,N I ) f C12 - I ?6? :-, - City - ? ? _ Telephone # ( } " COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene?gy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? _ 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 accuxate; that the work will be in conformance with the ardinances 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 pernut, and work is not to start without a permit; that the work will be in accordance with the aVAptica&'s in the of work which requires a review and approval of plans. ?W3 *GY0 Applicant's Printed Name Signatu ,IJ& Fireplace(s) _ 0 _ 1 jk 2 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex [J 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Plan Review 100% or Census Code SAC Units # of Units # of Bldgs Type of Canst ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant 25% MCES System City Water Booster Pump PRV Fire Sprinklered Occupancy Zoning Stories Sq. Ft. Length W idth _ Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. _ FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wali Buiiding Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirementa RemodeVReoair Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. R. oi house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 sel of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey far exterior additions & decks • 1 set of Energy CalculaAons . Indicate if home served by septic system (ar addiGons • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options seiection sheet (bidgs with 3 or less units) DATE / VALUATION JOB SITE ADDRESS I Lj-S7 ? ??? Wc?7 0 ?orPD ? c? V?LGi?4 If MULTI-FAMILY BUIIDING, HOW MANY UNITS? PROPERTY OWNER ?-A,4 7IG(J?? TYPE Of WORK _f70,(_f)_(ttl6' -F:j9iZ FIREPLACE(S) ?_ 1_ 2 APPUCANT PHONE#(Gsl) G19LH 13?7 ADDRESS S ?` ?Y l?I?IOO ZIP CODE -S? Z. Z- PAGER #C6iZ-? 613 -LfOZ-S- CELL PHONE # TP fAX #_ ?j? NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler -1-Water Heater _ No. of R.I. Baths ? No. of Baths Mechanical Contractor: Mechanical System Inc(udes: _ Air Conditioning _ Heat Recovery System Sewer/Water Contractor. Phone # 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. Signature of Applicant 117e22? Certificates of Survey Received _ Tree Preservation Plan Received _ t Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation O 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex 0 05 03-plex 0 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex O 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorohlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ?., ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 6ct. Alt - SF O 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition 0 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Repiacement 'Demolftion (Entire Bidg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Fiaal Insularion Occupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS FinallC.O. FinaUNo C.O. _ Plumbing HVAC MCIES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I Permit I' 33~y City of Ea I P rmitF e ee (Q~ 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 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ©~,CH • I~ Site Address: Lr60o KtI4(,6W00b CONP'S QOP.1.DOK Unit Name: L°r~c1t)M Phone: ,0"" Resident/ &A GM Address / City / Zip: HS9 Kl00 WVpV &m QIe44oIC &AGM Applicant is: Owner Contractor Type of Work- Description of work: 4'(LOof Construction Cost: 10,000 Multi-Family Building: (Yes / No i Q Company: hobS'C EKI-AoPS IM C, Contact: SLRGIE 6ah11u(li1UIa4Q Address: 1 D(O [,.,swoop h h City: GT • PAUL- ' Contractor State: MN Zip: sl~)12$ Phone: VI:151.0001 License 6l,W1 w2m Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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 I 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. X_ Solt r3 -rRo u5504 x Applicant's Printed Name Applican Signature Page 1 of 3 I 1 1 1 1 1 + 1 1 1 _�q 1 1 f " 1 1 'T- i 'f -T 1 1 1 1 1 1 ISM 1112111 1 t 1 tom. '3'1!•R. �11�_Ts.[f7G�1Tzs:Ic�]�'s2 n om cf) co 0 T C1) —1 G) z Q 51)P S')`. O T c Gi 2 � 1 *'4 = - - - inlep 0-1 274 to 2 c;1 >rn r- Z g w7"v� 3 -�t l*fin es ®r� 2, >3 0 --i — V z C C' C7 m n - m Z� A yQ vm 2 53 g I Z. . foo r . kh PERMIT City of Eagan Permit Type:Building Permit Number:EA125311 Date Issued:07/21/2014 Permit Category:ePermit Site Address: 1458 Kingswood Pond Ovlk Lot:5 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-050 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Nga Thuy Tran 1458 Kingswood Pond Ovlk Eagan MN 55122 Rooster Exteriors Inc 986 Inwood Ave N Oakdale MN 55128 (612) 382-4057 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA125437 Date Issued:07/24/2014 Permit Category:ePermit Site Address: 1458 Kingswood Pond Ovlk Lot:5 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Dana Hoagland 410 Regency Ln W Hopkins, MN 553433417 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Nga Thuy Tran 1458 Kingswood Pond Ovlk Eagan MN 55122 (651) 994-1387 Dana Hoagland Plumbing Inc 410 Regency Lane West Hopkins MN 55343 (952) 935-5150 Applicant/Permitee: Signature Issued By: Signature