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1462 Kingswood Pond OvlkAddICSS 1462 Kingswood Pond Overlook Zlp 5512 2 LAt 6 Blk 3 Sub Kinp,swood Ponds 2nd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) v Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch X Basement ?inish Deck Please verify with the builder the removal of roof fest caps from the plumbing system and the shut-off of water supply to the outside Iawn faucet before freeze potential exists. Contact engineering divisiou at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ?- City Of Eagan " 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 730 ifo New Construction Reauiremenfs RemodellReoair Reauirements Office Use6niv 3 registered site surveys showirg sq. ft. of lot, sq. ft, of house; and all roofed areas .2 copies of plan showing footings, beams, joists Cert of Survey Rerd Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Repofl Y_ N 1 Soils Report if proposed building is to be piaced on disturbed soil -1 site survey for additions & decks Tree Pres Plan Recd _Y _ N. 2 copies of pian showing beam & window sizes; poured found design, etc. Addition - indicafe ifon-site septic system Tree Pres Required Y_ N 1setofEnergyCalcula6ons QnsiteSepticSystem _Y _N 3 copies of Tree P2servation Plan if lot platled after 711193 dUN 19 2007 Rim Joist Detail OpUons selection sheet (buildings with 3 or less units) Minnegasco mechanipl ventilation fortn ?,yX bt n //. /7 ? n ? ?/ 021& Plans are considered public information unless you state they are trade se rc et and the reason. Date 6 / 14 / 07 Construction Cost SiteAddress /46z K/1?145W00D anND OvC-,=L-t>oK UniUSte # Description of Work D ee:-K Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner J1LKt-???%?? 4.t?F?'?k-!A AsAVA Telephone # ( 6it } 1< 2- - , ?. (P?? 1 33b Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 En2rgy Code Category • Residential Ventilation Cate o 1 Worksheet New • ? submission type) 9 ?' Energy Code Worksheet ( 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 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 1 the case of work which requires a review and approval of plans. f ?!kkAAfl ? Applicant's Pnnted Name Applicant's Signat e DO NOT WWTE BELOW THIS LINE Sub Tvaes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? . 30 Accessory Btdg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi El 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exf. Alt - SF ? 04 02-plex ? 10 08-plex ?1 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvqes V 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant DeSCfiptl011: Water Damage _ Yes Valuation 3i00v. r» Occupancy ?-3 MCES System Plan Review _ 100% or _ 25% Code Edition 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 INSPECTIONS _ Footings (new bldg) Sheetrock ?o Footings (deck) _ FinaUC.O. _ Footings (addition) O FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/G as Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test Final Windows Insulation _ Retaining Wall _ _ Approved By!? Building Inspector Base Fee --- -- - -- --------------------------- -- Surcharge l -- f Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permii & Surcharge Treatment Plant License Search Copies Other Total CERTIFICATE OF SURVEY for VARIETY HOMES I 'k .( i ?i. n+w?l??` ? F , ' ?^?? ' 4Y1T?'n?rt)?rq?? I ?: ! 1 Y T? iY T. z:,ri:_o.°.r.? 5" ? ? K i? gSW °°d PonIs ?-^ --- s?z ? ? sI L T Ad"iuce O 9 j ? ? ?b?,2`? s sa•? ?--? ? , I ? J EVI GAN ? D BY: DATE: 6( Z??? 7 v?c?c B U I L D I N G INSPECTIONS DIVISION Scale: 1" = 30' Lot = 12,657 sq.ft. House = 1,817 sq.ft. Coverage = 14.36% 1462 Kingswood Ponds Overlook DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and thot I am a duly Registered Land 5urveyor under the Lows of the State of Mi esot , ate ? S Z00) il 2EV Reg. No. 8140 Lot 6, Block 3, KINGSWOOD PONDS SECOND ADDITION Dokoto County, Minnesota Plat bearings shown o Denotes iron monument ? Exi ts ni g j Proposed BRANDT ENGINEERING & SUR1/EYING 14041 Burnsv ? (612) Burnhaven Drive, il l e, M N 55337 435-1966 Suite 114 V10-82-01 V10- 82- 01 RECEIVEQ JUN 18 2001 tNuAN ENGINEERING DEPARTMENT -7 ? Overl ook b L663 WAIVER OF HEARING #557 Special Assessment Authorization UWe hereby request and authorize the City of Eagan, Minnesota (Dakota Counry) 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 Tnulk 5 lots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865.00/Lot $42325.00 $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 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 ar appeal from these assessments made pursuant to this agreement. , DATED: / G X; OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporation , ?..1-4 ?-? z-?_ B : James B. Horne Its: President 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, (236.48lLot = $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. $27060.00 TOTAL $6,385.00 to be spread over five (5) years at an annual interest rate of 7% against any remaitung unpaid ba}ances. 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 objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. DATED: G ; OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporarion ??.1I 4 t? ?-?- B : James B. Horne Its: President .. STATE OF vIINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this / 6 day of ?_nyIL 4,- , 1997, before me a Notary Public within and for said County, persona]?( appeared JAMES 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 insmunent, and that said instrument was signed on behalf of said corporation by authoriry of its Boazd of Directors and said President aclrnowledged said insirument to be the free act and deed of the cocporation. , Notary Public APPROVED AS TO FORM: ?-?-_-- City?Attomey's; O,ffice, ? Dated: APPROVED AS TO CONTENT: ,. ? 7' ,•_ Pulilic Works Deparhment Dated: 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" ; KINGSWOOD PONDS SECOND ADDITION NOFiTH onN+ACE Arm unun uscreMis ME SHO1YN AS TrtK: SiRCET 7 -1 ? -C,o.? &? sm ? ? ? r,o? ??n ?nc .ra Kw wr vEs ws ? a nc nAr. • M„?° , etnw e rtcT ?.oN, uacu onrc?wsc FbCAI[O .v0 MAMnc So[ l01 IK; ![W 10 R[t N wDM, UML[25 onart.z .dwuo. ..o .o+a..m smccT > 01..2 M • lw.l« n :r auet?tiNs°.?oa""o n?io`na FINANCIAL OBLIGATION S.M Rt?s i?iei?? I A 6[V . 671N M.GV.D. 1930 OAIUY) ?0?1 OIW WWC?I? . . {/ ,d?r; C. LEGENQ ? TNf GSi LWE 0F INE NOAMCASf (? OVAMRR U?' SCCIION 21, iMP, 27, IIIIIIUIIIIAW ?IQrAI BQnB11I SanItalY SeWBr ??xr sS[wna vaiw an mc ,9 Mc?Ri uomMnR 10 ![ YT / RNC, }S KSf R 11351M0 70 B[M w?vo`umei'??wa°?awm?'?wrAND i? Waler Trunk ttM oI M IKLUIUMC Of IMZ o{AL 7. ?? ? e,?8 ? • ? ? ? e ???`?? ?._?...... :V ::.. . ........ s?°? ? ?/ - Y+`P . ? ?i ? erv.?az.ai.? ' ?$ ? n? wnc?? 1m? ? :?L•"q?S6 ? i 17H.1] - ? ?I.oO -._ a? . i1? •?•., ? w• x1. ?i m.n % . 1-• _T*??Ytt\y?`= ? ?ry? N•'? ? ? ` oxe nA¢ • / 1' e?'`?. / 31 I?YlY ? Mt ?s x.M ?-??•-- ? -? l?aep W 10 A M?MKIrf V ?- I LL 1 ?+? t11?] ?]•JI 4 ni? I?w? v w ?'?atiTl? IM? O Yt MI M IFM ?? ?? i a ,: , tr l. • ,? ,,,,, ,ny r a.,..o? / ? ` ?'.?o ?' x n ` y ? ?` 4L .oovtir._? ?i ? ; L . 4 ?,r? Y? ?'^??•„?, ? ? -` - • ?461111;a ,•?? 1747f?' ? ^? n ,l _ ?. ?? / _ ii'I[•-C'? n I ??s? ` ?? ?O , ` ? 5 f 1o '? .?,?L_" .,T ??C f•?" ^/'y?3?? 1 ? t`t l W1? \ ?t? 1 ? ?? j ??'Vy? j 9g?? ? .'?/,.0 p ?'??4. ?''. • / ,.4''1? C b„ 6 7 06;`"" -4 S g ? mo '.,N •? ? ?'?r: ?i ?pn.??d 1 ?1 J 'Y 1 R? ? ,?? Y 1 .1? I ,.?I ? y?C? ? iJi2J L_ iuo-cru_ 4 11 I : ? ? • ? ? ? ? -i ?L?` . r r? 1 ? I r¢ I ]/? L 3 ? 9?? i i 1 1 -- svmsrart m?.or -- J 111.0T --+ 4 ]? j 1 ' t •? a , 3 .Ma ? "- $ : ?_. ._. i -------, e, 6 a? S a?y ? • 2 '' - . • ?:" . r-?fE ? LA ?a R? ?--C•? ? ? , ;:: •-• ? s•? ,.. , , ,., •_?:. , ??. ... . ,. `-------?trn------ ? ?__+?a?p.--' - a --- Mwsa'irr --- - -- -- -- -- -- -- -- -- -- -- -- -- -- ---r- -- - ?.-- N? w s anm a t'?.::•!:` .:: A :it_...') ....t`i7 {i• Ti::::•.:Si):?i. Y.lSSSi•7 ;?iM;T :;F ir4•r f'e.:ai i•:i;. iil.:;1 I I- I I` 3 Nt ''o i i i I 'l4__ ?•(. , R ?f J [ `?? .i - i9?? V 'I ??`s?. ? ?L- ;/ ??0 ?K?° ?P????• ?.:? g lr.??• ?9)IL a KM s?? ?.1 •?.?, ^`Itxior 0? ryT O•I `-?'° _.,...,,dw.s...o...'.,,. _^N. q , ???.e? _ f _ ??•or. x+.n --- '?`p. -- ? ?ssr?a•ir? ??i°?? a?ooi rs.a,----- • . -- -- ---- - - -- -- - -- -- -- -- ------ -- -- ?- -- - 1_-p. lWE Of MC SEI/1 Of iH[ YIJ{ Of XG 16. 75W, 27, qN4 ]S , .,...•iF: ; ;i:i....::': ..... :::... Z . l, ?r i ? g ? ? S'• b i ? r; ? ? • ? ? / a ? 12 13 ? i uww . ?-o?.•ao--- .ue.. - -- -- -- R"'+Ja?,e,t y? Q?i g?R?Apiy?'JP, r -- - t W. tAIE Of 711F NEI ? Of 1NE NEI/4 OC SEC YI. iWP. 2?. qNG 23 ?;r: ::r?.?st-?:?::;r +?F? ;:??;::,;?? • ? f:!?::=.r :;;? .:.??r r=? ? r : ,i= . . •? . , . ?:. ? : ?:? EXTExto] Plan ei Owner Conuacior Site A$dress t ENVELOPE AVERIGE 'U" COMPUTATION R 1-005 Date (o Li 3-/ 0t U Ikt-av? Y UftrnCS VA2117Y r'avr,-LS I,Li(03 Kj6!fjsw066 Pouns eV*5ar-ooiL- I) Totat Ecposed WaII Area L2-.- 7!(' 0, sq. fc. .11 = 2qs,,-7 2) Total E:ppsed RoofjCei.ling 1sq. fc. .026 = 31, z. Wall Ca.lculation Total Wmdow Area Tocal Door Area Total Glass Door Area Totat Firepla.ce Area Total WaI2 Framing Area Net Insulated Wall Area Total Rim 3out Area Totai Foundarioa Area Total Fcundaaon windaw Z1o?7 sq. fL 3S sq. ft 4.o sq. fr. W A-- S[;. fI. sq. fL sq. ft Zb ? Sq. EL iS4- fc. v.J4.---- s4. ft 3) Total 35 = q 3 .4 .07 ? z •-'1 . 35 = J 4- • o 36 .09 = 1-7•? -043 = ?S ? 6 •04 = t a'.4 .la .35 t If item 3 is the samc as, or less than itcm I, you havc met the intent of 2 MCAR 1.16009 A aIId O. RoofJCeiling Calcuiation Total Skylight Area sq, ft. 35 = / Total Roof/Ceiling Framing { 2a sq. ft. .026 = 3, l Nct Insulated Roof Area j? sq. fr. .022 = z3."7 4) Total ' . 7x0 . 0 If ium 4 u the same as, or less th.an item 2, }rou have met tba inteat of 2 MC'.AR 1.16008 A and O. Alternatc Building Emelopc Design To utilize the total envelope system method the sum of items I and 2 shall be grcater thaa the sum of items 3 and 4. i) ? +2) : 3) _ +4j ? I herebp certify that the building herc described mee2s or exeecds che state of Minnesota Energy Conservation Act. . Signed ? ? ` LOT SURVEY CHECKLIST FOR RESiDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: J DATE OF SURVEY: LATEST REVISION: d ? c m U DOCUMENTSTANDARDS Y O z ? Q o • Registered Land Surveyor sgnature and company [3' ? ? • Building Pertnit Applicant Z? ? . Legal description [?/ ? ? • Address ?,[] ? • North arrow and sCale e'?[7 ? • House type (rembler, walkout, split w/o, split entry, lookout, etc.) N? ? • Directional drainage arrows with sbpe/gradient % id ? ? ? • Proposed/ebsting sewer and water services & invert elevation ra ? ? • Street name C/ ? " ? • Driveway ?a /o ? • Lot Square Footage F?/ ? ? • Lot Coverage fd ? ? • Benchmark ELEVATIONS Existino ?/? ? • Sewer service (or Proposed) ? ? . Property corners GY/ ?? • Top of curb at the driveway and property line extensions r? ?/? • Elevations of any existing adjacent homes ? ? • Adequate footing depth of structures due to adjacent utility trenches ? o • Waterways (pand, stream, etc.) / Prooosed Q"/ ? ? • Garage floor o ? • First floor [// ? ? • Lowest exposed elevation (walkouVwindow) L9"/ ? ? • Property comers ?i ?? . Front and rear of home at the foundaGon / PONDING AREA (ff annl'icable) ? l?/ ? • Easement line O d/ ? • NWL ? C? ? • HWL ? ? • Pond # designation ? 19 ? • Emergency Overtlow Elevation DIMENSIONS 2(0 ? • Lot IinesBearings & dimensions ?? • Right-of-way and sUeet width (to back of curb) ?? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. / (i.e. all structures requiring pertnanent footings) 4Y ?? • Show all easements of record and any City utilities within those easements ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ?V ?? • Retaining wali requirements, ff any Reviewed: Name ! ,??I 6? CERTIFICATE OF SURVEY V10 - 8 2- 01 for VARIETY HOMES RECENED JUN 18 2001 tHUNiv ENGINEERING DEPARTMENT ? E - :_r_:: t_''•e ??`r1.:T??.r?';hi ^ i'?.`'?x D'?'Pr. ? -, ? S overlook i K'? r? s Wood Pon? g _ 1 p _ 1p'45'291 $?L.? ?"- - ? 1 7Z ?O? L? ? 11 2. 66 ?i N 872,G3) 1NV= 'o 872,`7 7Z, 73? 3 20 ° f 8 7 y_. 3? ?. ? ` _60.90 ??? 1 26.76 ,n'N 20.00 9" ?73 .? j? q? 0.00 g ° 1 75' " 14.50 Gor sloi 14.17 0 9.00 $ 5g ?9 ? J o Ei 'I 4.09 0J T k?"i4??z 5eo` r- v) 0 3 , .67 _ Q?oP°? e? ° , ?p? ;? c o ° ?--? ?73.3ef? '° J $ ? ? 'n ? ?2-/'?,a? ,o.oo N?y? 38.00 ;9: u° p? ? ? ? I 17? '? ? t / r, e `T ?tVc e, Oroinoge & ? utility I 1 coscment ? I ------------ ---]5 .... ._. ? 0 84?2. ?% 0 - - - l - 92.75 ?.ro 1' f 0.Z? S 88'03'16" W ? R-a? GC/a !k Q u. f ?'C Lot = 12,657 sq.ft? House = 1,817 sq.ft. Coverage = 14.36% Scale: 1" = 30' 1462 Kingswood DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision ond that I om a duly Registered Lond Surveyor under the Lows of the Stote of Minnesota. ?0Ol P'6V Reg. No. 8140 Ponds Overlook Lot 6, Block 3, KINGSWOOD PONDS SECOND ADDITION Dokoto County, Minnesota Plot bearings shown o Denotes iron monument ` Exi ts ni g j Proposed BRANDT ENGINEERING & 14041 Burnhaven Drive, Burnsville, MN 55337 (612) 435-1966 vl 0-82-01 SURVEYING Suite 114 i?-+-Ui-Ltl 'et;':32 Fi!'7 J'L1D1<INS 6514234189 P.431 PAU but.c?ok Site address: Lot B 8lock t On Aprp 15, 2000 Ihe Mlnnesota Energy Code, Ca!qory I Buiiding Requirements for insulation pro'ecilon, air tighfne5s, and ventilation, was adopted. As a result, the City of Eagan is requlring that the tollowing informaiion be submifled prior to issuance of a CertiCcate of Occupancy. ?- ? Th's slruc'Lre' ts oonsUucted lo meet minimum requUemenGs of fhe Mn Erergy Code, Chapltr 7670 OR This s'uuclure: w111 be constructed to meet more restrictive requirements of Cbaplers 7672 or 7E74 /?/? ?- •?r.?-? S 6v?00,0 j?ay? odr/Lu?? x x /Wyft' ? ? X / APPI.IANCE ' GAS ELEC MANUFACTURER I MODEL 8TU'S VENiING T1'PE Water Healer . Gti, !L h.r?,,r • ? , ?? i rr - Furnaca Dryer GA jJ1Lc7?ecn.. ?• ' r? + P_XHAU5 SY'STEM LOCATfpN TYPE b10DEL CP61's VENTED YES Ho t itHchen kitchan ? 2-? . BaUuoom 1 yx?6. h ? Bathroom 2 68:hrecm 3 ?''° /.?rrS? 4• flathroom 4 Other A p fc .? IREPtAGE 3 LOCATION GAS WOOD MANUFACTURER •' MODEL BTU'S VENTING omECT ATMOS ; i ' MAKE-UP AIR X ?? ?T ke}•n1?b ?? ??,?,i.w? raquirements, ee a ov?rifor?maGs t?r?comTyw m iheMin?ne`sot??rgy Code and City of Eagan V Sign?{ ? ComnaryName ?1?3?d r oate ' This fomt is the responsibifity of the Gener;? ConUactar, ( . ? PERMIT # } j 7-7 RECEIPT DATE: ? ? MIDWNTIJAkL f'LUM$INfi PERM1T AflPLICATION crrY og EAsM 3830 PnoT xxaa ftn gA6AN, bIN 55188 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 ciTC ennoccc• I H (V _? VA OWNER NAME: : TELEPHONE #: (?l l??-? (AREA CODE) INSTALLER NAME: U/'' TELEPHONE #: ???? I lv (AREA CODE) STREET ADDRESS: CITY: ft1MJ STATE: ZIP: AR ?k PI h k k xt to the ermit work t e ace a c ec mar ne New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuiid of RPZ • lawn irrigation system . water turnaround Nature of work: 04? Septic System, new/refurbished - $ 225.00 • includes Counry & Consulting Inspector fees • requires MPC license State Surcharge $ .50 $ Total _ r.----- -•_ Reminder: Be sure to schedule inspections of alterations, i.e. wa[er neaiers, water bvlLGilGj?, V.?. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner lhat the City of Eagan assumes no liability for any damages raused by the City during its normal operational and maintenance activities Io the facilities constructed under this permit within City p ert y/right-of-wayleasement. SIGNATURE OF PERMITTEE Updaled 1/01 6ate:11/01/2001 . Installer ..: HAkRY Instali Date: 10/30/2001 Time ........ - M Client .....: SEP.RS Order Number: 011322423095 Department..: 92 Customer.... : THEFpHANAVA, SAENG Address..... : 1962 KINGSWOOD POND OVERL City........ : EAGAN, MN 55122- Pnone....... . (651)952-5108 Item: Pick up at: WATER TREATMENT Standar.d Replacement - Softener WATER TRFATMENT Permits Special Instructiors: AT HOOSE PERMIT REQUIRED CALL WITH TIME 952-894-9510 8389 Amount Received : Comments ........ NOTICE TO CUSTOMER: Do not siqn this statement until the installation is satisfactorily completed. The installation of tt-ie above has b2en completed satisfactorily. 011322423095 SALES CHECK NUMSER COSTOMER SIGNATURE INSTALLER NOTE: Return this form with your invoice. . R^ a11 i ag.[= (:{` Appliance Installers of MN RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauiremenls RemodeUReoair Reauirements 3 registered site surveys showing sq. ft of l04 sq. ft of house; and all roofed areas 2 wpies of plan (20% mazimum lol coverage albwed) t set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 sile survey for additions & decks 1 set of Energy Cakulations Addftion - indicate if on-sife septic system 3 copies of Tree Preservation Plan if lot platted after 7/1l93 Rim Joist Detail Options selection sheet (hldgs with 3 or less uni4s 'A r_? C) _6 b ? Offce Use Onl - I 'J -63 Cert of Survey Recd Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Sep6c System Date 01 / 0-7 SiteAddress ILtC'.!Z C_ P&-..5 Construction Cost k?NGS?dooo poU? o?l?rzLob? UnitlSte # MK3 qlz; 122 Description of Work t7i Nis?1 ?J4 3asE-V-l?- Property Owner AGI=NA L? ?'yi t-1e?vov?- Telephone #( 6S? ) 452 - S? o? Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CBtegory • Residential Ventilation Category 1 Worksheet New • gy (4 submission type) Ener Code Worksheet Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone Telephone n 1? _ ' i. ', L ' i? ?....,: .. •??. , ? ?;? I LJ vi ? ; ?'"`? I I hereby apply for a Residential Building Permit and acknowledge that the informat1n is complete ?ccurate; 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 -which requires a review and permit; that the work will be in accordance with the appr ed lauia%&I e of work approval of plans. ? ' - ?IC N F? PE !"j-) EPF.I L? 1.>,0, V A ApplicanYs rinted Name Applicant's Signat e 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.) 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex o,' 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New jo 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant 2f3 Valuation Occupancy l MC/ES System _ Census Code L 3 (4 Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const ? Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test Final ?O Insulation ? 30 AccessoryBldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. x FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding 5tucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total t C) Ive ,2 ??ve/ -) d ?o v / ? PLLTMBING (RESIDENTIAL) v Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernuts are required for each unit Date 0 t / 07 / 0 --!7 Site Address 1,46,2 ki pe,Swor.p pOND t4 avu4?,L0a k Unit # Property Owner {?C.1cr.tt?p?i ? b?eonr??*?pvP Telephone #(6f 1) 452 -`S?vY Contractor Address City State Zip Telephone # ( ' ? ) The Applicant is Owner Contractor Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including . $ 50.00 -=Z?dding fixtures to Iower leveis or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaro?nd (+ 5!8" meter if needed -$121.00) ` r _ Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system - Water softener Water heater - • `7 2C $ 15.00 ... ? ? _ replacement _ additional ? State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Perxnit 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 with the Plumbing Codes; that I understand this is not a pemrit, but only an application for a pernrit, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p - I?PD? ? 11or.?AvA ? u ?` Applicant's rinted Name pplicant's Signa e F ?-) ' .. ' . ?' RESIDENTIAL 051060 0-3 BUILDING PERMIT APPLICATION CITY OF EAGAN Jh 3830 PILOT KNOB RD - 55122 kl?1q,SlN00C1 YOyIdS 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. 8. of lot, sq, ft. of house; and all roofed areas (20% maximum lot coverage allowed) f?? • 2 copies of plan strowing beatn & window sizes; poured found design, etc.) • 1 set of Energy Calculalions • 3 copies of Tree Preservalion Plan if lot platled after711/93 ?.? IZ G?? • Rim Joist Detail Options seleclion sheet (bldgs with 3 or less unils) ?? ?P- ys79pl- 4 MP - y5??;L - RemodeUReaairRepuiremenPs r - 4?IV • 2 copies of plan • 1 set o( Energy Calculalions for heated additions • 1 site survey (or exterior additions & decks • Indicate if home served by septic system for additions ? 5M.V 70,5v lOr5o ?- ? 5?7q.y1 c?i??d b-?o-ol DATE aI is IC) I - VALUATION (EXCLUDING LAND) ? 9 (P4 q JOB SITE ADDRESS I -1 6Z KINLTSVtIOOD oncDm DVsr j.oa K. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER V{4121€TY Ct?m?.S TYPE OF WORK M50 CoNS-r SGL? FRvniL-y APPLICANT V PaR-I`?? F6M ADDRESS L"I.30 FIREPLACE(S) 4_? Ac..) I_- P?d 11- 11 L' PHONE # PAGER # CELL PHONE # SIJPT C?'`'? ?1Z- 3b3-?1 FAX # HM _1 _2 _3 I -y5y- $33a ZIP CODE SS )ZZ L5 I - HsLf-o9 5ct NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category ? 2• MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitt - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 gy ? - New Energy Code Worksheet Submitted Plumbing Contrpctor. Is Ca? ST7WA1r-T- phone #: y50 - (a`f tvP> Plumbing System Includes: Water SofCener Lawn Sprinkler I+ee: $90.00 ? Water Heater No, of R.I. Baths No. of Baths Mechanical Contractor. -1I.t Dk l N 5 Phone # Mechanical System Includes: _ Air Conditioning ? Heat Recovery System ?• ?n Sewer/Water Contractor: .1(.6fl J7L? ?Y ??? P one i' ? D? LSl- 1423- 5'7s7 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 AJ5??? Certificates of Survey Received Y Tree Preservation Plan Re ei d _ Not Required Y lr 7r Updated 1101 OFFICE USE ONLY 1:1 01 Foundation 0 02 5F Dwelling 11 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ko 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch(Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout fo'applicant Valuation V7 Im?G Occupancy MC/ES System Census Code 1 a( Zoning City•Water 5AC Units Stories ? Booster Pump Nbr. of Units Sq. Ft. PRV .%?!? Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ?J Footings (new bldg) -?o FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) ? Foundarion ?O Plumbing HVAC • Drain Tile Roof Ice & Water Final Other ? Framing _ Pool Ftgs _ Air/Gas Tests Final Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone Insulation _ _ Windows (new/replacement). Approved By&46_, Building Inspector 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 ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Yor_N 63 ?- ?r?ssKS?? S?20G? ?? ?? C! ?v D? CJ PERMIT City of Eagan Permit Type:Building Permit Number:EA113489 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 1462 Kingswood Pond Ovlk Lot:6 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-060 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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 - Ackhadet Thepphanava 1462 Kingswood Pond Ovlk Eagan MN 55122 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use l d~ Permit City of Ea R I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: LPr / r ( Site Address: ` Y %~Q•TG+ood 76ncr' Qt/tr140 a t< Unit Name: SQ e•n~ T~L{~ ~0.ytiq yCL Phone: (a S1 :3SY s 3)S I Resident/ l i Owner I Address / City / Zip: 1 y Gs Z I(.:re,9Sw0od Pond Ove -1c~4-c 6994. 5 / Z Z, Applicant is: Owner contractor Description of work: PtSidt 6,-t. SG Ccn Gc,,-"-c. Type of Work l Construction Cost: 9100 Multi-Family Building: (Yes / No Company: 5 t VaAAA Si~~'°5 hG • Contact: Tof%cL h Address: 15,71 r) l t 5 Cu. ~ w City: S Contractor ~ State: y~_ I' ~M Zip: %5511(P Phone: ~6 1/~6g 7777Email: License -W-03(0 / 2 8 Lead Certificate fiG f -F I 1 (_V 388 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) all vt 1 s d 4-6 be, Ytmov`e d COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. `Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I 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.oopherstateonecall.ora 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 OLKI Loto *-n .4 kL x l Applicant's Printed Name Applica 's Sign ure Page 1 of 3 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 3 1 2016 r Use BL.IJE or BLACK Ink For Office Use Permit#: 7/� Permit Fee: )C ()0 Date Received: Staff. L 2016 RESIDENTIAL PLUMBING/�PERMIT APPLICATION 1� Date: /-1)// Site Address: ' 1410 a rw `' `- ( A,0-0 0 0( P ®" `-' 1 ©CD' Tenant: Suite #: Name: A-Ck h ct.dr Th epp hanava Phone: � — � t- y 6191 1.410 ©a Pcvd O (56K a -, M N 551.2; Resident/Owner Contractor Type of Work Permit Type Address / City / Zip: Name: ��,i �J� "� License #: PL- Cig Address: 3'44 NiguL e Dr, City: )- ti ix) State: Vv Zip: 'fal (P Phone: ri 1 S B 8 (p _ g L t Contact: e th kQir Email: New )C' Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / _ PVB) Septic System Add Plumbing Fixtures ( Main / Lower Level) New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 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. 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. x 0" i M 6C1-kO66 R Applicant's Printed Name x "cy chiD taw Applicant's Si ture Ppl 9 FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA139747 Date Issued:11/07/2016 Permit Category:ePermit Site Address: 1462 Kingswood Pond Ovlk Lot:6 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Ackhadet Thepphanava 1462 Kingswood Pond Ovlk Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139747 Date Issued:11/07/2016 Permit Category:ePermit Site Address: 1462 Kingswood Pond Ovlk Lot:6 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Ackhadet Thepphanava 1462 Kingswood Pond Ovlk Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (763) 370-0074 Applicant/Permitee: Signature Issued By: Signature