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1467 Kingswood Pond OvlkAddress 1467 Kineswood Ponds Overlook Zip 5512_9 IAt i Blk 'I Sub uTpfGSW0A8 P9N8S 2ATD THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) ! Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas i Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify wit6 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. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ** * * PIONEER * T * ---o--- ** Certificate of 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 IAND SURVEYORS • CINL ENCMEERS LAND PIANNERS• LANOSCAPE ARCHITECTS 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 Survey for: BLAKE BUILDERS, INC. NytA ''Z,/ N89'43'35„E 98.70 1467 KINGSWOOD PONO OVERLOOK 864.2 857.7 857.8 864.& / o . , t t r ---------, DRAINAGE & UTILITY E'ASEMENT PER PLAT ? c - -- S .: ._ ? . - , LOT AREA =24,977sq.ft HOUSE AREA =2,281sq.ft W tf') M Ul) n ? N Q N ? _ Z ? 3 N M ? O Z 1 I o? ? 1 ? so.s11 43.4 4- ? 0400 862.8 ? X 15.- ? x 861.3 4.00 ? 863.00 cc1• 1?'?j0 I 45,55't 15???1 l69@ o 0 / ° / P?? Lp? pRNp?SE °-'3 86k 4 / 20 ? s rn? ? .P, 864.45 T65.7 ? o . 50 o ? ICT / ? o ? aRjE' rn)8•6l jo 0 22 66 ? 872.7 ? 71Z 2.1 p5E0 2.5 POR ?EW PY ?, 71.9? ? AN--?.?Y8 .1 ? ? N 871.8 _ 2 , ?_ 870 7 cfl . c7+ +, E G ! OUS N 5 ? 4.2 ? 872.7 ? o . BENCH MARK ? TOP OF PIPE g tD ELEV.=872.84 J 1 J 872.1 ? (2) 7 72.2 ? ? 871.6? Qx 871.7 ? 871.6 5MN 0???'/ - 872.0 f g6 ?,?o 871. 88 71.9 10?' o c,? ? BENCH MARK rn ? TOP OF PIPE ?. i ELEV.=872.12 `? g! ? _--'gg36 ELEv.=863.0 PER ? ST. , n ?, ? O f ? ? , 5) (873 ? . 7 8N,.n N?4?3? e71 o . FOUNDATION DIMENSIONS. 873 5 873.8 J 'Py . PROPOSED HOUSE ELEVATION NOTE: PROPOSED GRADES SHOWN PER GRADINC PLAN BY: LOWEST FLOOR ELEVA710N: ?a• S NOTE: BVILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERiICAL LOCAiION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND TOP OF BLOCK ELEVATION: (o NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE GARAGE SLAB ECEVATIQN: SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOP OF BLOCK @ LOOKOUT: PROPOSED IS NOT THE RESPONSIBILIN OF THE SURVEYOR. X 000.00 DENOTES EXISTING ELEVATION NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSED ELEVATION THOSE SHOWN ON THE RECORDED PLAT. DENOTES DRAINAGE AND UTILITY EASEMENT ' DENOTES DRAINAGE FIOW DIRECTION NOTE: CONTRACTOR MUST VERIFY ORIVEWAY DESIGN. 0 DENOTES MONUMENT NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM B DENOTES OFFSET HUB WE HEREBY CERTIFY TO BLAKE BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 3, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A W AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3 DAY OF MARCH, 1999. SIGN : NEER ENGIN NG, P.A. SCALE : 1 INCH = 30 FEET B Y: l tol oanao nn i.ie ohn C. Lorson, L.S. eg. No. 19828 d PROPERTYLEGAL: U d ? y N n9 v ? a m ? a N 7 Q Z ? L3? ? ? ? ? C?-' ? ? e-'o ? ? o 0 0' a ? cr--o ? ra,? ? 0"a ? do o d ? ? ?---? ? . ?o ? . e? ? ? • r? o ? . ? ? o . DATE V V I\ V L 1 LATEST REVISION: DOCUMENTSTANDARDS Registered land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slopelgradient % Proposed/existing sewer and water services & invert elevadon 5treet name Driveway Lot Square Footage Lot Coverage ELEVATIONS Ebstina Sewer service (or Proposed) Property comers Top of curb atthe driveway Elevations of any exisdng adjacent homes Proposed d,? ? • Garage floor Q? ? ? • First floof 0' ? o • Lowest expased elevation (walkouVwindow) cr' ? ? • Property comers 15,0 ? • Front and rear of home at the foundation / POMDING AREA (if aoolicabiel r o • Easement line T, ? • NWL ? 2-` ? • HWL ? 2?' o • Pond # designation ? P"' a • Emergency Overflow Elevation DIMENSIONS ?o ? • Lot IineslBearings & dimensions o?o ? • Right-of-way and street width (to back of curb) U-? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', parches, etc. (i.e. ali sVuctures requiring permanent footings) ?? ? • Show all easements of record and any City utilibes within those easements C?? ? ? • Setbacks of proposed structure and sideyard setback af adjacent exdsUng structures ?o-o' • Retaining wall requirements, if any ?'-3 Reviewed: Name / te 11 March 1999 cwuc0.ocaamrr.FM LOT SURVEY CHECKUST FOR RESIDENTIAL 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) . ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1.7- Q, 651-681-4675 / New Construction Reauirements RemodeUReoair Reauirements ? 3 registered site surveys showing sq. ft. of IoQ sq. ft of house ? 2 capies of plan and aIl roofed areas (20% maximum lot coveraae allowedl • 1 set of energy calculations for heated addi6ons ? 2 copies of pians (show beam & window sizes; poured fid. design; etc.) ? 1 site survey for exterior addiGons 8 dedcs ? t set of energy qtculaGons • 3 copies of tree preservation plan if lot platted after 717/93 nnrG• rnnicroi IrTinnl rf1CT• ?VOO' DESCRIPTION OF WORK: f2";F, ??r?vrAi?-ar/ STREET ADDRESS: I Sf?'7 ??h!!i5'wv? ?vv+?9 ???.GL-9alG LOT: ? BLOCK: ? SUBD./P.l.D. #: Amo Name: v.A Gi?9G ??S ? ?? . ^ Phone PROPERTY ?? Fwst C)WNER Street City State: Zip: ----- ? 65-1 - So3_ 3?0 3 Company:6/?llsc 9?G!%J,?1 NG ? Phone#: & a _ CON"TRAGTOR Street Address:?Z_I?577 GZ,)le !5P __ License # a2P/11SgZfl Facp. 4 " ?l " S9 ??L, - --- State: Zip: SS1d J -----_ City 5 2F7- ARCHITECT/ ENGINEER , Comp:uiy:_&9a?/!Z?6-6- Phone #: Naine:_???? Registration#: Street Address:. -;?yZ Z ?iI4/T. Ac-_ --? ---? ?--?----?---- City /0?07? ---- State: v-i-??----- ZiP` ? 2C> ?3 ----- ------------ Sewer & water licensed plumber (required for new construction anlv): ?AX-150^I AWn'L41n1 C. Penalty applies when address change and lot change is requested once permit is issued. ? I -)- [a"--7 '-7?' ? 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 Gity of Eagan Ordinances. 10,11, Signature of Appl OFFICE USE ONLY Gertificates of Survey Received L'ZYes _ No Tree Preservation Plan Received Yes No 1 (c a- f'i LJ - -3 0 01 15 "4 VA V-4 o v--e r f?? ? ?= OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 03 1 of _ plex ? 08 6-plex ? 13 16-piex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex C7 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous WORK TYPE ;6- 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas lnsert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actuai) ?JP Basement sq. ft. Census Code (Allowable) l1 kl Main level sq. ft. SAC Code ?_ UBC Occupancy 3 ti? UPa sq. ft. 9, 9 No. of Units ? 1 Zoning ? &19" sq. ft. No. of Bldgs to /_ # of Stories sq. ft. MC/ES System i/ Length sq. ft. City Water v Width 52? ? Footprint sg. ft. Boaster Pump PRV Fire Sprinklered APPROVALS ' Planning Building _ZZZ!!?- Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ ? T 8as crvq ewt Y2; xl6y= 783.?t 30f y rD = 3,933 66x 2= r3 IN ? S= t ?a 4?Ki0= 97,5' bv 17 gx X 54's_ r -1.37 g x ? _ ?6 1358? ? -q =733324,f vPP?? y? x !6 3;. x a = 6 ? SAC Units 37 X 6 = 6'x 5- % SAC 13 ?c 6 = 17 X 2 = 66x i = xfr `.. I 3/a ?5 79 aN ? 6 !p 7006_j GA? 3l?Xe?rf ? 9 ??a el ? ? 9ld X ?3674 r- 1 76J 166 03/10/99 15:59 U612 454 1511 STOCIt LUMBER EAG ? • ,v'- -- EXTERIOR ENVELOPE AVERAGE "3J" CONlpUTATION j OWNER i p , SITE ADDRESS ?. ? p ? /?,• . ? . . CONTTiAGTOR ! Ln-ke. Determine working 1- Total exposed wall area z.' Total roof/ceilir?g area ` Total exposed wall .. r?oo2ioo3 --- - -..? DATE 3 ?o PHONE rquare foarage of,each. ? . .. . I ?ao ?s. f. X .19 = "a8$ .g0 ••'33? .Cil• X :04 a' 73.?p are.a above floor ? ?? $,ap l` /G/, ?7 . a.,Total wall window area............... b..... , 4 . Tota1 door' area ........................... -i'l.?l$ . c. Total sliding glass door area...... ,....' 2 ,33 d.,fTotaZ firepXace wall area.......,..,_,,.. :e. Total wall framin 'area ?a ? (average _Total net wall, area above floar0 ........... U.$$ . ..g:."Total rim joist area........ .............: S$.3? : Total exposed foundation area h. Total foundation window area,,,,,,,, i. Tota], net toundation area abave grade..... - • Determi,ne "U" value of each wall segment. . . a. \38 .?q • g ,lU" . SS ? hG ,a$' • b. 3•h.'78 • XliU" 0 134 c. 33,33 . X "U" S8 ? _ d_ ,?a ta, 33 X e• X$lUll 1 045 = ' g. t58, a3` X„U, i o S.?S03 ?'y h. --^ }? n V l t X 11W3 ... 3. . . . . . . . . . : . . . :.. . . . . . . . . . . . Total • ' b ?a.q .?-l S If Ytem #3 is the same as, or less than Item #1, you have met the intent of SBC 6006(c)2. , 03/10/99 16:00 $612 454 1511 5TOCR LUidBER EAG 10003/003 ? - - -- . ?t ? . •• ?' ? ? r ?• ? Y , ' ? .J?1 .-11' , ? ;.• ? ' ? . ? .. Y ?`? . ? 1 • • ' .. I _,.? . i. . . ? i . . : . 1 ? '? ?A i ? . TQta]. 'exposed roof/ceiling area x. , i .+ ? ?.n.n, . '. . . _ . .. I.. ? ' , , , _ . . • .. . ''?,;Total , skyZzC?aht area ?!.i ? . ?r,? 1 I it7i'?i ?. 7 . ? ? ? ? . ? . ? ? ? ? • • . ? ? ? ? . ? • • ? ?? . ??. ?1'?? ? . _,., , . . '„ • ", ? - . , '? . roofJceiling framin area .. I' 1 , ?,'• . . g (average 10%).. 13 3 , a.0 " 1• ? ;:?Total net .insulated roof/ceiling area.4. , a < <18 8p =------_? ?.. ? ' ?^ •? Determine; "U'l yalue for each root/ceiling segment,' ? ? • ?,',?' X.$pjj11 'A v ? ., ? ?\ ??,i?k• ( ?Q .Ilut/, n . I . . } .0a ' • y. .'ii • ? (? X IIU?f ' ? . j i ? . ? . o "5 a 5 ? , , • , -?_ . . , ,, , , • ...................'.,:,•,....Totax ? . .. S'l , q$ ?r . '.If total of ?inter?t,,og "? S 4 is- t?e?same ,;as,' ? or less than? ?`?'2, ?you have met? ?the BC; 6006 . () Alte!icnate Building Envelope 13esign ? . , : To utilize the tQtai,enyelope spstem method, the values,established 'by the sum of Items.#3;and #4 shall not be greater than the 'sum o£ ? . Items. ?I and ;? , #2.' ? , . . • ? . ? Y? ,y` ( . . . _, ? ? ? .' ' ???. '' ? ., 3 4a o$ 3 • 40 ---------------- I?'?? . . . ? i ? ? < i ? ? ? . , ..i , ? • ??? i.SF'+I ? i 1 , i `' ! ? ' ` . .? , ? . i , f • . • . ?. 4 ? i? f 4 i! f ?' • . . , ? . I?YI , ? ,-?i ??i.\? r ? t -. ?h,? i t . . . .. ? ? 1 , •.' . . . . 1?? '-^? .vS`? i ? i i t'.?i ? ? ? ' . .' ' • ' . ? ? ? ??'{ `??•'-d' ' ? ' ' , ' ? • ' ? ? uG ,,It? i ? 4.i ? } i ?'? , ,? , ? ? ? . ? 1 , ?? . . . .+ i? ? ??p `•I ? -. . . . 1 . ? • rF i p i ??,r i , ? . ? . ? ? • +.lr??i 1 ?l ? ? a.'• ? ?, ? ? . ? . . ? ' . ? ' ? - ? ? .. . , • p i? . - ? . , - ? . . ? ? r 1 ' i? ' ' ? ? . , • , . ? ' ? - ?i;?is a n ' ' ? • ??r? ? ? . .. ??? ? .? ? ?la., +1 ? ? - . 1. , ? ? ,?, I ? ?' . ?' -' • ?. . ; , ? , . * * * * PIONEEIa * eng een? * * * * Certificate of Survey LOT AREA =24,977sq.ft N 64.? HOU,SE AREA =2,281sq.ft tW M Q 3 Z rz 2422 Enterprise Drive Mendota Heights, MN 55120 LANO SURVEYORS - CINL ENGIfiEERS (612) 681'1914 FAX: 68I-9488 LANO PLANNERS• UNDSCRPE ARCHITEC75 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 for: BLAKE BUILDERS, INC. N89'43'35°E 98.70 140i nirvuz)rruvu rvrvv v 857.7 _857.8 864.6 / 41 o ?-- r - - - - - - - - - ; .?- DRAINAGE & UTIUTY t'__ ? EASEMENT PER PLAT 5? l ? . : .. ?.a I ? I 'n I S? 1 M I ? , ? N I o? 1 x 860.5 ? 43.4 , 862. , ? u? x ' x ? 861.3 ?(0?_ -N 1 3 N M ? Z ? J A-%.. ?-s.o---•--- ??/ qA? ? ., .^ t f N? \..; . . , N ? s 864.45 to 870.7 (3? AISTiNG i872\ `L?A4 EHOUE ? l'? 1 ???.??`y12• 5 ? 4.2 872.7 ' ? BENCH MARK 8 .5 '' TOP OF PIPE 5 tp ELEV.=872.84 Q 871 'N 871. a?,.s 1?1•96 N p ? (i+ 9 ? J 872.1 N . 72.2 872.0 4, , .000 ? 2 8 .6 ??? ? N • . O 871.7 N ? ? FOUNDATION DIMENSI .5 873.8 87 ?i J PROPOSED HOUSE ELEVATION NOTE: PROPOSED CRADES SHONT! PER GRADING PIAN 8Y: S LOWEST FLOOR ELEVATION: a' NOTE: BUILDING DIIAENSIONS SHOWIJ ARE FOR HORIZONTAL AND VERTICAL LOCAiION OF STRUCTURES DNLY. SEE ARCHITECTUAL PLANS FOR BUIIDiNG AND TOP OF BLOCK ELEVATION: 81N, ? NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE GARAGE SLAB EI.EVATION: rb 74, 2 SURVEYOR. THE SUITABILITY OF SOfLS TO SUPPORT THE SPECIFlC HOUSE TOP OF BLOCK 0 LOOKOUT: PROPOSED IS NOT THE RESPONSIBILITY OF iHE SURVEYOR. X 000.00 DENOTES EXISTINC ELEVATION NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SNOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSED ELEVATION THOSE SHOWN ON THE RECORDED PIAT. DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIREC710N • DENOTES MONUMENT NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM ---E3- DENOTES OFFSET HUB WE HEREBY CERTIFY TO BLAKE BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 3, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPOR7 TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A W AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 3 DAY OF MARCH, 1999. SIGN : NEER ENGIN NG, P.A. SCALE : 1 INCH = 30 FEET B Y: 1? 99089.00 JJS ohn C. Lorson, L.S. eg. No. 1982 8 ? C o? ? 863.00 .?'. I a555-ri5p0? ?3?@ ° ??c l65.7 864.4 . 50 „6I ' ?Y o? ? . 871 ? 51 ? ? - ? I ?/GPRF"'- ODy86 ? BENCH MARK rn/N/ 6 TOP OF PIPE ?. ? ELEV.=872.12 ? 6 7 Z $?z., oSEO ? OR,v?w p`! c I ??'S$?6 PERVCONST LAN --, -ki ??Y 8 871.8 ? ? 871.6 . ,. ? . l. ??: ??;'::. .;?;. :?_,.:?_ ? •?? . or P"5:_. ? '..? i - L / ? T? ./• f T. ? 'r.^ / 6' 3. Attach the fi1 ter raoric to the wire renc_ and ex±end it into the trenci. ?. .Cd??? ?; • .? ;?..,:'r.•: .. ? J? • / .? ?? ? ? 4. 3ack-?:it7 aR! comoac= _he excLV2t°d 5011. ".<;;:.<z: :::; : ...........? eif,•• ? ?^1fIG Fxtension or fabric and wi re i nto the trenca. =iT I , CDNS'.3'JC-ZC:t OF ST_L'. M Ct' S7IiH S^'POA?I\G '.TrRw F=:iC? Source: Adapted `rom ;nstaliation of Strar+ and Fabric filter Aarriers `or Sediment r,oncroi, She^riood and Nyan;. . }. , 3 Z . Max`_sum d:aina3± acea ? - \ ?op of hill? ? r . - i .. . ? O ?. i Silt fence placed cn eontou: ? X! • ' ? / i. // . Tura eads upslope t preveac flav bppass • _?:.. . - - / ? . , ; .. : . : TpnicaZ Laqaat for SS1L' Feaee -' - Stea1 or vood posz ? I 30" miaisum heighc Piltar fabr-ic seeurely fas=eaed to pos= Lay fabrie ia the . 6.. •??: Baek:i21 ovnr the cop bf fsbzic?- aad "caupacc _ .. : 'the soil _r . ... ,... 2Q^ minimum depCh ? _ . Construction of Si1C Fence CITY USE ONLY LOT BL RECEIPT #: ? C) SUBD. RECEIPT DATE: MECHANICAL PERMIT # ?SOS Date: Complete this section onlv if you are installing HVAC in a sing3e family dwelling, townhome or condo under construction and not owner loccupied. • HVAC: 0-] 00 M B T U ADDITIONAL 50 M BTU 0 Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 (o . b? State Surcharge .50 Total $ T a- S Q Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ? New _ Alteration Repair _ Other Reminder: Call 681-4675 for inspections. _X Furnace _ Air conditioning _ Air exchanger _ Other $ 30.00 State 5urchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: /Y67 K-4f?oacQ fo„A5 p f/n-1Gbx, OWNERNAME: 134KC, 3u1/drrf PHONE#: - I" (AREA CODE) INSTALLER NAME: PHONE #: ?/'a STREET ADDRESS: ,-??G?'ys /cSa?„ GP (AREA CoDE) //Cv- STATE: ./7 ZIP: CTTY: f/j , 1999 MEcHANICAL ?ERMrr EftEstDENrt??? ?? ? ?GAN 3$30 PILOT KNO$ iiD ER6AN MN 55122 (651)6$1-4675 SIGNATU OF PERMITTEE L BL SUBD. APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MECHANICAL PERM1T (COMMEgCIAL) C1TY QF EAfiAN 8$30 PILOT K1VOB RD EAsAlv,lwv 55182 (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PWCE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMI'ROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: GITY USE ONLY ($.50 per $1,000 of permit fee due on all permits.) PHONE #: - (AREA CODE) PHONE #: - (ARBA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE _. , zy. -01QOIvIBTIJ __. • ' HiYAC . ??? ,u 3b:U0__, . ADDITION? AL , SO M,B'I'U •? 6,00 . ` . . .., ; a ?, ? <. . _ - ?.- . . •?. ... _ _ Complete this section onlv:•if you are reinodelu?e ad"du?g"toor,.'re' airin :'aii'e?ustingr?singlo-family'dwelling, townhome, oc condo;< Please indicate if it is a new, item; al'teration; or'repair. '" . . ,. ? -? New " Altecation - = "Repair = - Othei' " CITY: PHONE #: ?? CITY USE ONLY L BL PERMIT#: SUBD. .. . RECEIPT#: .. , ? „ , ? .. , `. APPROVED BY INSPECTOR RECEIPT DATE: = ?.? Sirr »., : • ?2000 -DMCIiANICAL PERMIT ? (COI4MRCIAL). .; r. ' : CITY :OF_ EPiGAN .?;, . _ _ . _ ._ .. . 3830- PII,OT IINOB RD ' EAGAN',' MN 55122 , ,..;. ;651-681-4675 ..._ ,..., ,.. ? Piease complete for. ail commerciaUindustrial buildings. : ; , •' ' `= LL . ° multi farriil bwldin s when se rate Y g pa permds are not required:foreach dwelling:unit' , ,..: - DATE: - ,;-,. ?? • ? n ? . :_ .. .? . ? .w_ . .> . .,_ -. _ ,. WORK TYPE: New construction _ Install-U.G:tTank. ` Interior Improvement Remove U.G. Tank - ?.. Processed Piping When 'installing/eemovin"g undergrorind,'tank, call 651-681-4675 jor-inspection byfire m"arshal and plumbing inspector ???+ -x' • >•. F E " . ' .' ..._ ! . '.- '.'.. . .. .. ,. . ' ? ^.., „ ? ' . :: . :' ? . Description of work: ..:? s. .? . . ' . ' . Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Undergrod tank removaU?nstallatton = mimmiim fee ` -" .: Contract:pnce $ ; . .. -;_.- ?. . - x (Bese:.Fee) - - . .:. ? - State surchazge: calculate at $50 for each;$1,000 Base Fee TOTAL $ , ... J ,. ,_ ,... .,. SITE ADDRESS: . - ? - --. ? ?0 w OWNERNAME: ; PHONE # ? ?.,-. (nxEn cone? -. _ . . _ TENANT NAME (IlKPROyEMENTS ONLl'):- WAS TfERE A PREVIOUS TENANT I1V THI$ SPACE? _ Y_ N." NAME:' - , „. _ . . _ . _.. . , ,. . < >. - ... ., . ?, , IrrsTALiER . .., __ _ . , , . . _ - .,ADDRESS. PHONE # :. EAREA CODE) CITY: STATE: 23P; , - . .. SIGNATURE"OF PERNIITTEE L ? SUBD. CITY USE ONLY 6L ? RECEIPT #: a RECEIFT DATE: L-? ' -?)V PERMIT # peY kK i 1' #. ;Sl:500 Please complete for: 1999 PLUMBINCi PERMIT (RE5?NTIAL) crrY oF ?s?tx ? 3830 Pu.or xivoa Rn ER6A1Y,MN 551EE (651) 681-4675 9 single family dwellings ? townhome5 and condos when permits are required for each unit ? backflow preventer for underground sprinkier system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ GeS i In Outlet ` minimum - 1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ 3 Laund tra 3.00 x C = $ 1 Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x 5hower 3.00 x = $ p Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x .3 = $ , 00 Water heater 3.00 x = $ /0 U Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> ----> $ V Z. 06 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------•---------•-------- •------ ------------------------------------------------------•------ f here6y acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable Ciiy of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its normal operational and maintenance activities to the tacilities constructed under this permit within City propertylright-o(-way/sasement. SfTE ADDRESS: lyF7 ?nQS'?,?Q ?cy?? Gl/?rfa??K OWNER NAME: : TELEPHONE #: (AREA CODE) lNSTALLERNAME: le/'Sp, ??Um L1'nG? TELEPHONE #: STREET ADDRESS: 56?5 (AREA CODE) CITY: ,-5?7GQo v Pe- STATE: /`l f?l ZIP: s?- ?v? SIGNATURE OF PERMITTEE rY r:)h EAGAN i':iH]:LI"ia S T[::fiMInA!_ NOe 874 irk;, 03f25/99 TIMk:e 15c31t:05 1ME.r B117:1.i1EkS Mft1;TGA(:,F_ CCJ l.l._C 2SF:6 9001 1467 I•:NLySWD f'ND 5p 32i',? 17 To+,a:l Rec:e:ipt Amouni,a 5 vi.r?. i' Cf'{ :I.O.'.:rCl:! F3 IJSf'fi CD: NANrY ? City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 1467 Kingswood Pond Ovlk Lot: ] Block: 3 Addition: KINGSWOOD PONDS 2ND ADD Description Sub Type: Single Family Work Type: New Description: Census Code: 1-Single Family Detach PERMIT Permit Type: Building Permit Number: EA034759 Date Issued: 03/25/1999 UBC Occupancy: R_3' Construction Type: V-N ??? Zoning: Single Family SqW FeeL ?- 2,213 -?-? fj?i ?9 tilitiU.» Remarks: Fian reviewed by Wayne I?1:ller. S& W Plumber is Lazson Plbg phone #(612) 427-7680. Fee Summary: Sewer & Water Permit Surcharge 0.50 Valuation: $177,000.00 AccountDeposit 30.00 Water Permit 50A0 Sewer Permit 50.00 State Surcharge 88.50 City SAC 100.00 Water Meter 5/8" 114.00 Treatment Plant 468.00 Water Supply & Storage 825.00 Plan Review 926.22 Contraetor: - S p1icSgle Family Home pWner: 1,050.00 Base Fee g?ake Builders 11424.95 Blake Builders St. Lic.: $5,127.17 ? 332 Minnesota Street W1099 332 Minnesota Street St. Paul, MN 55101 ? 651-503-3703 St. Paul, MN 55101 651-503-3703 I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature Issued Ay- • Si ature 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/I,ot = $6385.00 = 27) for the benefit received from the following improvements: ITEM QUANTITY Water Tnnlc S 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 or appeal from these assessments made pursuant to this agreement. DATED: G ; OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporation ?, .L..'?yl_47 ?`?? 1I 4 B `James B. Home Its: President 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 Tiunk S lots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865.00/Lot $45325.00 $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 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 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 corporahon , 14 e?--k?-?- B : James B. Horne Its: President STATE OF MIIVNESOTA ) ) ss. COUNTY OF DAKOTA ) On this /L day of 1997, before me a Notary Public within and for said County, person* appeared ]AMES B. HORNE to me personally known, who being by me duly swom, did say that he is the President of Horne Development Corporation, the corporation named in the foregoing instrument, and that said insmunent was signed on behalf of said corporation by authority of its Board of Directors and said President aclrnowledged said inshument to be the free act and deed of the corporation. ? ??. Notary Public APPROVED AS TO FORM: /;% v ? . Ciry Attom_ey's. Q,ffice - . Dated: -; . APPROVED AS TO CONTENT: Public Works Department Dated: THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Slreet, Suite 600 Apple Valley MN 55124 (612) 432-3136 MGD/wkt (206-15236) . EXHIBIT "D" IGNNGSWOOD PONDS SECOND ,ADDITION ? NORII-I L? w.oot orw H> •ioea ac Wai.e ? ?. 170 hN e1GNr a/ tM NM ebn?I f?/_' YMUY[Mi f(T, rM Rla 17115 n i auet tiXNcs raoo am Aodna. FIN GIA OBLIGATION ? ., ?V . 6'IQ6{ (NGV.0. 19]Y DAiIlY) ? oaAwea ,wu unun cAscreMn I ? t, ?c^ ?GENO 'o'm?w. ? M u"'rz? /.; E SN011M AS T?tt15; ,Hc e.:r LWE a„rc WMrA:T mmmmuu Lateral eenefk Sanitary 5ewer ?r zr.e?a vaw1 a n?! ss t) wunu ar s[enw 11. iwr. n. RNC jJ N[S! R A$$M0 10 ECM Vc.rts .wwcMrs m K scr SiNCET A[CpqDMG f0 YMX[SOTA SiA1UR; ?1M ? Y: ?:•? N00'MOIl: MIM SH.LLI R W MAL4 WIMIM tll[ ,-,7 -I ?-L.,a,,, ?' . Water Ttunk x.u ar m ucaumw o mn .uc , a Ps? aa 1 sm ia% J ? 1 ?aoo NEM LNE .-Vr'i,' e[na 5 rtcr w rom, vuu onrcr.z soe'oI'N' •uuxo ,vo wm..c sa Lor uci - ?ry ? ra =Aw (^??! uuo ?o «cr w wom, u?a[ss y . '- 01M[MMSE MbG1N. w0 IOJWMC SiREEI ~ I • ? Cl ?wM a?l ? yr a wnn? ?? wo. ? ? •.. Awo arn ior ucs .s s?ow a nE nAt ? i.n•? ? n?? ?, nn ? ?M?'?L?g?i6? ? ? •• ; yp!'rf'DO's 1N.f3 " ? ' ?? \,??•? o °;,? 4'?1` ?!7.?2y<' J ? ?? „_ 306'Cf•ML 161.00 __- "• ? ? ? % ? .". I?IJ? P • f Jx x =? 'H ? ?+ ? ?? ? ? ??/ ?S.?I 13J1 M? ??Ol?NI tlH-r??' ? ~ •??VtMM?? e1VM?? IHM-?. ' ? ?_: 1 / `1 r?M?YI s P?IU ^ ? 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'J S 9 1• ? q. i i i ? ,? ?__ p ?,.,,% r ?,. ??k? ,` - 1? ?? r ? ?, ? / 1 ?., n. a?bi ..; ? i • _) :4-e.?a ?? ?-'-?i.?f'? ? ?. `:•la• ? i.?.nm '' rt n?.f ? p ?• . ) 'J?: ? ? ?p i F. ,?l ` a 1 4.- `•' ? u1?iE'"-,?.-li? ^??"Mi/ra. ? 1 ! ? ?__' uda%` RQr? e49qNi e? i b"• i ? l ?o"'' 1^ :: ?'" ; fii ?-??i?)1 ?n?n .,. ; ?? I4•??. .?.naa '? ' /??'?W? T%'N A7Pd°?`?? 1, ?' u?l !ag ffiA H{ ?{„ [?$ 1 \ \ p ?? H11[ dNYIJp 'a' c? ? I ty ? T\ \7 1? ov.. / d y d° ? 1 \ '' ?l O q '?J. ? ? A 510' J , G.OY]C1\11 ig I jp V \ . . - ? ? J8 ? ?? i:. ::: ... ?! e ? fC ?, ?, 1 ?? ? { a QT ITr?tl? 1 1 ... .}? - •al ar'?arr ,.? ? A L.M AJ ????1 11 g ••• • ? • 1.. 1. 1 I /•'w' ? rn s o r r.•e+r w ? J Vr 1 \ ' I / ? 1?7Y=oPIJl.7.fl ii? ? I 1 ? =i»>__ ?t ?4 `---------- ----3 L-- • ?.y°?? aiwo?ea'?r? roa.ooa ? ? ,, / ??? ?- ? --- ?oo?sa'?r• ntn --- a - i .ser?a•mr ---_-----?' `--- • ? ' A ia.,d ' . _.__IIIItWIWIUIIW? ? 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For Office Use I ~i1 ^1 l City of Eajan i Permit I Pennit Fee: 3830 Pilot Knob Road I 6~ ,raj Eagan MN 55122 j Date Received::/ Phone: (651) 675-5675 i Staff: 1" I Fax: (651) 675-5694 I l C'Ar 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S 15 f aoc~ Site Address: ~ccd 'C arakS I0 J Q_"\t10 W ' f 1 Tenant: Suite RESIDENT /OWNER Name: Phone: 6S1 _ 1-~}b 13 Z'J Address / City / Zip: vW V%4 _V0_1_-4k L Applicant is: ✓ Owner Contractor TYPE OF WORK Description of work: c kL Construction Cost: > Gib Multi-Family Building: (Yes /No CONTRACTOR Name: a~ ".A."e. icense Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _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 the are trade secrets. 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. .11~ % r\. X Applicant's Printed Name Applicant's Signature Page 1 of 3 46a 7 s t o o o-4 6J k, DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ 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 00 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% 7)() Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Pi~ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 2422 Enterprise Drive * Mendota Heights, MN 55120 * PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914 FAX: 661-9488 ginmineer'nq LAND -PLANNERS- LANDSCAPE ARCHITECTS 625 Highway 10 N.E. i7 Blaine, MN 55434 * * (612) 783-1880 FAX: 783-1883 Certificate of Survey for: BLAKE BUILDERS, INC. (%(,'A-Z-) N89-43'35"E 98.70 1467 KINGSWOOD POND OVERLOOK LOT AREA =24,977sq.ft 864.2 857.7 857.8 O57,x) HOUSE AREA =2,281sq.ft 864.E o - DRAINAGE & UTILITY L EASEMENT PER PLAT - 1 5 w I 1 M 40 1 j LO -PIS 2 M N I ` 1 to d I 60.s1i f _ 83.4 ,r 101 81~ 864.45 r a I x 861 (A- I e ' x 4.00 Z , I 863.00 CID 1~ 50 11 N i5 55 t, 5 00~ 6 q@ oL'oscl) 1 w16 a~ w 870.7 `w 1 D 20 '7 3. Gf EXISTI 3 65.7 864.4 HOUS o X87213 -A a I 50 1 ~61 C-4 0 0 PAGE 6l G Cr. 0, BENCH MARK / 872.7 N 1 6 O 7 (TOP OF PIPE 82.1 o 22 6 \ O ELEV.=872.12 9.6 ` 7 ~ o BENCH MARK Z I _ _ V 15 00 8-12.1 OsED 2.5 ) 0) TOP OF PIPE I V -0? 0 0 5 o ELEV.=872.84 I gg 76 ELEV.=863.0 71.9 872.1 PER CONST. LAN---_ v 8 .1 J N (007'Z-1-2- 871.8 72.2 1871.6, 0 871.7 871.6 sMN RAW 872.0 51 96 0 % % 871.» 871.9 10?' N (P ~p(JL3 N C w (673,5)" .-tJ1' OZ ` 871.6 N -0 Va. 4 0 871.7 N N FOUNDATION DIMENSIONS. 873.5 873.8 N jp~ j i NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PROPOSED HOUSE ELEVATION NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL.AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: eI6,&, 5 OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND TOP OF BLOCK ELEVATION: 87q, d NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE GARAGE SLAB ELEVATION`. SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOP OF BLOCK ® LOOKOUT: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. X 000.00 DENOTES EXISTING ELEVATION NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSED ELEVATION THOSE SHOWN ON THE RECORDED PLAT. - - _ DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION -0-- DENOTES MONUMENT NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -E3 DENOTES OFFSET HUB WE HEREBY CERTIFY TO BLAKE BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 3, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT A W AS SURVEYED BY ME OR NG, P.A. UNDER MY DIRECT SUPERVISION THIS 3 DAY OF MARCH, 1999. SIGN NEER ENGIN SCALE 1 INCH = 30 FEET B Y: f 2189 99Q89.00 JJS Oohn C. Larson, L.S. Reg. No. 19828 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA086384 Eagan, MN 55122 . Date Issued: 09/25/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1467 Kingswood Pond Ovlk Lot: 1 Block: 3 Addition: Kingswood Ponds 2nd PID 10-42051-010-03 Use Description: Sub Type: e - Fixtures Work Type: New Description: More Than One Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Donald Loude 15118 64th St., No., Stillwater, MN 55082 651-439-8005 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Koh Plumbing % Wells Fargo Bank Mortgage Electronic Reg Systems 15118 64th Street North 3476 Stateview Blvd Oak Park Heights MN 55082-6893 Fort Mill SC 29715 (651) 439-8005 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA086385 Eagan, MN 55122 . Date Issued: 09/25/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1467 Kingswood Pond Ovlk Lot: 1 Block: 3 Addition: Kingswood Ponds 2nd PID 10-42051-010-03 Use Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Donald Londe 15118 64th St., No., Stillwater, MN 55082 651-439-8005 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Koh Plumbing % Wells Fargo Bank Mortgage Electronic Reg Systems 15118 64th Street North 3476 Stateview Blvd Oak Park Heights MN 55082-6893 Fort Mill SC 29715 (651) 439-8005 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090307 Eagan, MN 55122 . Date Issued: 07/22/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1467 F:ingswood Pond Ovlk Lot: 1 Block: 3 Addition: Kingswood Ponds 2nd PID 10-42051-010-03 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Hometown Restoration Dave R Balgobin 7308 Aspen Ln N #110 1467 Kingswood Pond Ovlk Brooklyn Park MN 55428 Eagan MN 55122 (763) 494-8695 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature I l HIM ce Us., f l 42 Cite of Ealan { Permit I 3830 Pilot Knob Road j Permit Fee: Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: j Fax: 651 675-569,4--- staff: 2009-COMMERCIAL /PLUMBING PERMIT APPLICATION Date: q- ' Iq Jv~ Site Address: t. l n hv' r14 bYl V 1C--j Tenant: /►4^ j,,~ Suite POWNERY Name: LG'1 Phone: 46` Z7Q i -444461 CONTRACTOR Name: W o r 19 t am p~nV~,t/,~/V► / Libl n-~! License OL01524 PM a Address: 2~1 05 Cat ~1 S. City: is Stater Zip: 55g0 Phone: ~(fJ12) ~'~~33 Contact Person: TYPE OF New x Replacement _Repair Rebuild - Modify Space Work in R.O.W. WORK Description of work: r' tac. & wa,f ex l Q, " PERMIT TYPE COMMERCIAL _ New Construction _ Modify Space -Irrigation System yes / _ no) RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? _Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract value $ x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is> $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ 60 ,0-0 Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ • SO State Surcharge TOTAL FEES $ 50 59 1 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 J> GM L-- N ufb t crr~ x Applicant's Prin ed Name A icant's Signature FOR OFFICE USE Approved By Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Filial ?,RV Required: Yzs No Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA104887 Date Issued: 06/14/2012 lU of ERinPermit Category: ePermit Iu_ Site Address: 1467 Kingswood Pond Ovlk Lot: 1 Block: 3 Addition: Kingswood Ponds 2nd PID: 10-42051-03-010 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Scott Lofgren 5708 Upper 147th St W #102 Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Lofgren Heating & Air Dave R Balgobin 5708 Upper 147th St W 1467 Kingswood Pond Ovlk Suite 102 Eagan MN 55122 Apple Valley MN 55124 952 431-5811 I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r I For Office Use r a I,+ I co Ron , Permit City of Ea I j i C- I Permit Fee: (9 i 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: DOOr 19Al..Gt!)CalW Phone: Resident/ Owner Address/ City/zip: 14 674 t~tIVG4St,.,004 P17UrlI QQ15-W-l1WIC- Applicant is: Owner contractor Type of Work Description of work: M-" Of at S lht ti+A e Construction Cost: 1$. 41 mo - Multi-Family Building: (Yes / No ) Company: C\,Ny\ , il" C0WtA9A4Atb Q Contact: Contractor Address: L461% %Xp#Jf.,j~o4_„E 4k\IE City: VeA 0\A_ t~t~c.E State: ) Zip: 6`59-47- Phone: 6112 1 LA%4- of b-) 0 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 & 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. 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.aopherstateonecall.oro 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 BuildinZCodemust completed within 180 days of permit issuance..#jcz~p-( x ~E W\ 1 P ar{ x Applicant's Print 6d IQAme Appl' ant's o re Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165682 Date Issued:11/13/2020 Permit Category:ePermit Site Address: 1467 Kingswood Pond Ovlk Lot:1 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Ebenezer & Patricia Otu 1467 Kingswood Ponds Ovlk Eagan MN 55122 (651) 208-0162 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166071 Date Issued:12/09/2020 Permit Category:ePermit Site Address: 1467 Kingswood Pond Ovlk Lot:1 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-010 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 15,000.00 Fee Summary:BL - Base Fee $15K $265.50 0801.4085 Surcharge - Based on Valuation $15K $7.50 9001.2195 $273.00 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 - Ebenezer & Patricia Otu 1467 Kingswood Ponds Ovlk Eagan MN 55122 (651) 208-0162 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature