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1404 Kingswood Ponds Rd?.-. ? ?CL'tiftCQ#e 0f cCC1tpQ7tC? (Fitf) of Cagan Tepartuleat oF 8aitbing 3uapectian This Certifcate issued pursuant to the requirements of the Uniform Buildrng Code certifying that at the time of issuance this structure war in campliance with the various ordirtances ojthe Ciry regulating building construction or use. For the fol[owing: ux cl?iecation: S F D W G ewg. remit No. 31587 cx-r-y Type R- 3 U- I zming o;sn;a R- l Type Const. V N MANLEY BROTHERS AbJ0636 JUPITER AVE ?AREVILLE,MN L°CJli ic L't1YV ??a G?'D' r e?? $ t 55TEBuikbng Offgw POST IN A CONSPICUOUS PLACE . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; iWil, 111104) NiiNlV; klt i J PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .• iitnPrk H rtr, nw' pf'viFijl it iiy P1tKf'- BAftCi ??? ??. ? Permlt No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Agt I -8 fLrr Impection Uate Inap. Comrt:ents FOOTINGS 7 FOUND jqvn-S ? f l OK FRAMING ??O y p? o ii/y c??v ROOFING ROUGH PlUM81NG PLBG AIH TEST </ ROUGH HEATING b GAS SVC TEST N (? ? INSUL GYPBOARD FIREPLACE L AIR TESTCE FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL Zd BSMT F.I. BSMT FINAL ? DECKFfG DECK FINAL Address 1404 KINGS WOOD PONDS RD IAt I Blk 2 SUb KINGSWOOD PONDS 1ST Zip 5512 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) 77 Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway ? Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze poten6al exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY USE ONLY i.,OT ? BL Date: ? ''q --f? LJ Complete this secUon onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M BT U $ 24.00 ADDITIONAL 50 M BTU 6.00 ?a ? • Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: .?P . sr:> Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: 1998 MECHANICAL PERMIT (RESIDENTIAL) OWNER NAME: M &DJ t-PiYS 6&1-1 _ PHONE #: v INSTALLER NAME: 6?&4 l.J C?x-t., PHONE #: G S?I ?19? ? STREETADDRESS: !lL DI J? ???,)?Q TICa., l/ K.J ? CIT1': STAT'E: ZIP:--5 5g-j -7 //Im Ai ?A' A OF PERMI E JS/FORMS HLD/MECH PERMIT (RES) - 1998 /e RECEIPT #: RECEIPT DATE: CITY OF EAGAN 3830 PILOT IQQOB RD EAGAN MN 55122 (612) 681-4675 CITY USE ONLY L BL SUBD. IL4D 1998 MECHANICAL PERMIT (COMMRCIAL) CITY OF EAGAN 3830 PILOT IQiOB RD EAGAN, t+N 55122 (612) 681-4675 Please complete for: \all mmerci allindustrial buildings family buildings when separate permits are not equired for each dwelling unit DATE: ? C CONTRACT PRIC . WORK TYPI?: ? W CONS''R[?CTIt?N INTF'RJO?t IMPROVE11!?'T DESCRIPTION OF WORK: FEES: 1% of contract price OR $ Processed piping - $25.00 CONTR.ACT PRICE x 1 % PROCE55ED PIPING PERMIT FEE STATESURCHARGE TOTAL RECEIPT #: RECEIPT DATE: 00 minimum fe/,whichever is greater. ($.50 per $1,000 of nermit fee due on all permits.) SITE ADDRESS: OWNER NAME: TENANT NAME INSTALLER: ADDRESS. CITY: orrl.Y): Cii SIGNATURE OF PERMITTEE PHONE #: _PHONE STATE: I ZIP: CITY INSPECTOR `7 ? CITY USE ONLY L? BL ? RECEIPT#: oq 9 56 a'"' ' SUBD.c ? RECEIPT DATE: 1998 PLUIMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT IQdOB RD EAGAN, M 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for e ach unit ? backflow preventer for underground sprinkler system - ---- - - - - ----------------- - ----- - -- - - - ---- FIXTURES ----- - ----------- EACH - - - - - --- - ----- - ----- --------- - - - - - -- T TAL Shower 3.00 x ? _ ib, an Water Closet 3.00 x _194 -';5 = 9?? Bath Tub 3.00 x I = 3, no LevatOiy . 3A0 x Y = 9.C1J Kitchen Sink 3.00 x 3•n0 Laundry Tray 3.00 x Hot TublSpa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x l = ?? Gas Piping Outlet ' minimum - t 3.00 x 1 = ?co Rough Openings 1.50 x Water Softener ' for dwellings under construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. SpriRkler " for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 = STATE SURCHARGE .50 TOTAL iq2 , JV -------------------------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the infortnation is cortect, and agree to compty with all applicable City of Eagan ordinances. Et is tha applicai-if'a resporssibility 4o notiry the properiy owner tnat the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and maintenance activities to the facilities construded under this permit within City propertylright-of-way/easement. SITEADDRESS: HQq ?\\(1qSllWA YC?,CI? OWNER NAME: , 1 1anIQ' aO t1'?`(L1C? tb1`1 INSTALLER NAME: 5&Q?-Q,Ii- PI umbin TELEPHONE #: W)"L?3q STREETADDRESS: '11iOO MhQn C1rG SL CITY: V`tOf V..ayu?- STATE: C?N zIP: 553`7 z SIGNATURE OF PERMITTEE JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 czrv OF EAr.:nN r.::nSl-!Sr.-::Ft° t:, 1'(-:hMTA!AL. NO^ 761. LATEr 03f019E3 'T']:MEe J.5;:i.r,s57 TLi; N (-tM iH. e MANL..E"4 NR.t]5 Ct7N':31' i_R[:iL 9(:101 1404 I•.`.:f.N(:,S W[1(]D `.'i90>.`5,.r i Tot.a:'s. fiecc:i.pt Amaun+: 5pn`.35ai?i CR(l$"r'i.`? i usaEr, zDn NAr!cv fXrF?nyXtnr}Ut>X?F #'??F' 7%?X?K:3k7%>KyF1K?k)K?X?k:k nM?X'M?'k•?' #=k'?f?A?XC / ?i ?ITY QF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUTLDING 031587 03/13/98 SITE ADDRESS: P.I.N.: 10-42050-010-02 DESCRIPTION: 1404 KTNGS WOOD PONDS RD LOT: 1 6LOGKe 2 KING54JOQq PONDS 1ST 5F qWG NEW ft-3 U-1 VN R-1 68 42' 2 2,432 101 1 - FAM. DETACH 46 ???? ?? REMARKS: S& W PLUMBER: SHEflRER PLBG PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATIpN Base Fee Plan Review Surcharge SAC SAC ? SAC Units Subtatal $1,452.25 $943.96 $106.50 $1,000.00 100 /?L?y 1 .. $.J g 5V • 71 .. $213,000 MS5C FEES $1,592.50 Total Fee $5,095.21 CONTRACTOR: _ Applicant - 5T. LIC OWNER: MANLEY BRDS CONST INC 13863815 20054327 MANLEY 6RO7NERS CONST 20636 JUPITER AVE 20636 JUPITER AVE LAKEVILLE MN 55022 LAKEVILLE MN 55044 (612) 386-3615 (612)386-3359 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PILOT KN B RD 55122 S, 0QECzI 681-4675 ?j New Construdion Reauirements ? 3 registered site surveys ? ? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.) ! ? t energy calculations - ? 3 wpies of tree proservation plan 'rf lot platted after 7/7193 ? required: _ Yes _ No DATE: ? GI DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: ?_ 5treet City CONTRACTOR CW-E-Qe.? 3113 iLr g RemodeVReeair Raquirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy caleulaGons for heated additions CONSTRUCTION COSTA O (of9P-) State: License # State: Zip: 55O ARCHITECT/ ?s a ENGINEER Company: Phone #: -o 7a!Z Name:?j? Registration #: Street City State: MV-- Zip: ?J'S ? aol Sewer 8 water licensed plumber (new construction ony): " . Penalty appiies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to camply with ali applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONL)G / Certficates of Survey Received Yes Tree Preservation Pian Received Yes 7No No Zip: 38lo"3 gI5 CYVi ? 5t Phone #: -3 3 S Gj Name: Phone RO01 :7 '14 PROPERTY Last Firsc a q.-7 OWNER OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 06 Duplex 1"2 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE \16 31 New ? 33 Alterations ? 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actual) V /'J _ (Allowable) ? UBC Occupancy P-_ 3-0 I Zoning ?- I # of Stories z- Length G 8 ' Depth -et 2 ' APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ,A ? 36 Mave 0 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. 2'^a sq. ft. ELwa4L sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building /VS is.2b MC/WS System ? i(.yl City Water ? r s7v Fire Sprinklered -7_ PRV Booster Pump Census Code. 101 Zy 3 Z SAC Code ?a i Census Bldg l Census Unit i Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Valuation .? - . :+SX3z 2,q x 4 C?? 3x3 x,y SuZ Trails Ded. ^J_ Other 38 )e -3y Copies ? a u z y Total: °kSAC ,_? 67 SAC Units f x 13 ?l? ? x lU _ . _....,. -.a. .. .... ?1 .! 4 V w $ 2X3, vvca, ` ?Z 14 i ,r y i? 23? ?d 1 2. i?3Q z? l (eFt 9 rd ? 5{f = 12i(, ti0Y ) 4 i( 1570 Q] J Sq IU? L66 / zz3v nrC-k ? ,z e 41 2- a',992.- 9 S<(f 7go.? 12, Syy. - LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION , ? a °z e? ? 9?0 ? 0 go, ? ?' ? ?O ?? ? ? > ? w ? ? ? ? ? ? ? O ? O a DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient °k • ProposedJexdsting sewer and water senrices & invert elevation • Sueet name • Driveway ELEVATIONS Existina w'o ? • Sewer service (or Proposed) Er' ? ? • Property comers 2r, ? ? • Top of curb at the driveway ?-10 0 • Elevations of any ebsting adjacent hames Proposed ? o • Garage floor [l-' ? ? • First floor ? ? • Lowest exposed elevation (walkout/window) ? • Property comers [3?? ? • Front and rear of home at the foundation PONDING AREA fif aaalicable) ? ? ? p? • Easement line ? ? `, C? • NWL ? ? HWL [3' ? • Pond # designation ? e," ? • Emergency Overflow Elevation DIMENSIONS [?-,o ? • Lot Iines/Bearings & dimensions Ef' ? ? • Right-of-way and street width (to back of curb) Cr-'0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', / porches, etc. (i.e. all structures requiring permanent footings) Cl ? ? • Show all easements of record and any City utilities within those easements ?? ? • Setbacks of proposed structure and sideyard setback of adjacent exasting structures ? ?a' ? • Retaining wall requiremenis, if any Reviewed: Ndme / ate PROPERTY LEGAL: January 7996 CRAIG768BI8lDOPRMi. FM F . 'i , . ., 7- 5zz ' ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS DDRESS ? •• CITY TED BY: IF _ p11ONS ? DATE NG CLASSIEICATI027: d category l(otahdard) or ? category 2(muat inalud M CRZTERIA ' a vantilation) Foundation Ineulation-R 10 Waile G Windown Rao£ Attia Zneulations Slab on Grade Ineulation-R10 (See Eorallowable percenta es) R94-With g Attic No Eleel Floor over unheated epacea-R24 R38-With Attic Raised tteel Foundation Windowe 1/211 ineulated Glase. R38 & RS-Solid Rafteze -Wood or Vinyl Frame BTSp 1.Wiudow & Doar Area ST6P 2 Calculata area ae a parcent of wall A. Total Window & Door Area in Sq. Faet WINDOWS (Including Foundati on Windowe?: WINDOW MANUFACTURB NAMBs C. From Step 1 divide box A(4lindow & Door WINDOW MANSIFACTURB TYpgs 65h4Ir Area) by box B (total wa1laYea) timen 100 equals the window and door area as a FTINDOW MA2dUFACTURB U FACTORa ti 1>(s percent of wall area (box C), R. 0• Quantihy Dimensio eq.fl-.Area RpX A X 100 = ns t Box 8 C nl? ? I u ca C?2 // Z X ' ' '' " ' N ZL!>uX Lo -off/ Lz:? - STEP 3 Deeign Featurau Z? vu X 3'" 1JJ 75 z 37 a.sscMsLY ' zr?u X5i'?'N FRAMINd TYPE: STAND ? -z I ou X3! N ?? 4 ARD FRAMING sttids 16" o.c. L Z'?k x?, ? ?? / Z ADVANCBD FRNlINa ' ntuds 24" o.c. " D CAVITY INSULATION R? S! N X S I ? O o ? ? X 7 9lIHATHZtt6 TYPSt LESS T 51 4 F1AlJ < R-5 X -0 Ll 3 157 R-5 > OR MORB X U-FACTOR p D002S: I -30 Z Q From the [able, (reverse eide) determine the maximum percent window & door area for the Z g X? p v , deeign optione selected and enter the ! value in B D b l ? v ox e ow bused on the window mEg. U- o X 4::P Eactor: 7bt 1 1) a Area oE Windows & Doors A= ag,ft. 69 - - 8. Total Wall Area in Sq, Ft. . The } value from tlic Ceble in Dox D eliall be. equal to or greater than the t in Box C ? Wall Total Ileight Area Perimeter 9j a 741 ' -7 - ? i?-?- . 7otal Area oE Walls D=Id91/?q.ft _III= I , . _._....i _':.____..... „ . • ONE- 6c'fWp_pqMILY RES[DENTIqj,.pVMDINC, pRESCRpT.NE (COOK-DOOK) API'ROAC7I MAXIMUM WINDOW qND DOOR AREA AS A I'ERCENT OF OVERALL WALI, AREA 77 B"III=Lalsulated val?? STANDARp STANDARD R_17 ADVANCED [?_17 ?DVANCED It.17 < R- 5 11.9% 19.7% 18.4% 21.5% Z?- 5 13.8°Je 18.4'0 21.5% 25.09'0 < R- 5 12.6% 16.8% 19.69'0 12.9% R- 5 14.396 19.0%_ 21.29'0 25.7'Y, Notee: Wtndow area equals rough opening minus Inatallatlon clearances. Wlndow U-faclor musl be determined by elther the National Fenestration Rating Councll standard 100-91, or ASHRAE 1993 Handbook o! Fundamenlals, Chapter 27, Table S. ' Post•N• F1IM Nota 767 t on. ? ft RECLEIVED MAR 9 9998 * * * 'k PIONEEFI * e?gT ,K * * * 2422 Enterprise Drive Mendota Heights, MN 55120 LANO AIRVEYDRS • LIVIL ENCINEERS (612) 881-1914 FNX:681-9488 Certificate of Survey for: LANO PLANNERS• LANOSCAPE MCN17EC75 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 MANLEY BROS. CONST. 1404 KINGSWOOD PONDS ROAD LSG=a(m&m ?? sm%flBY oATE _?-? - BUILDING INSPECTIONS'?EPT• fL Y . ,. _ NOTE: PROPOSED CRADES SHOWN PER GRADING PLAN 9Y: PARAMOUNT PROPOSED HOUSE ELEV?3ATpIO?N- ?j NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST F?OOR ELEVATION: OF STRUCTURES ONIY. SEE ARCHITECiUAL PIANS FOR BUILOING AND FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: ? NOTE: NO SPECIFIC SOILS INVESTIGAliON HAS BEEN COMPLETED ON THIS LOT BY THE ? SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOVSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF 1HE SURVEYOR. N01E: THIS CERTiFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 OENOTES EXISTINC ELEVAnON THOSE SHOWIJ ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESICN. --- DENOTES DRAINAGE AND UTIUTY EASEMENT ` UFT1UiE5 ORAINAGE FI_OW OIRECTION NOTE: BEARiNGS SHOWN ARE BASED ON AN ASSUMFA DATUM • DEN07E5 MONUMENT - B DENOTES OPFSEI HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATIDN OF A SURVEY OF THE BOUNDARIES OF: LOT 1, BLOCK 2, KINGSWOOD PONDS FIRST ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT A?IHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 19TH DAY OF FEB., 1998. ? /l PIONEER ENGJiVEERING, Y.A. SCALE : 1 INCH = 40 FEET 98077.00 SWK ?--z ? n C. Larson, SHEET 1 OF 2 SHEE75 - .• . * * 2422 Enterprise Drive Mendota Heights, MN 55120 * PIONEEA (612) 681-1914 FAX:681-9488 y LAND SURVEYORS • dNL ENCINEERS eng?neer ng UNO PLANNERS• LANOSCAPE ARCHITECTS 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 Certificate of Survey for: BENCH MARK TOP OF PIPE ELEV.=890.93 MANLEY BROS. CONST. 1404 KINGSWOOD PONDS ROAD 885 0 PEDS TELE -- ? . 887 9 ? --- ^O ? . . . -_,`88a.5 i ARK TOPCOFMPIPE ?4 aaa. ?.'?-1GHT POL ELEV.=885.00 ea .a ??Z4 • 90.6 8 Gy? SERVICE' ? INV.= 891.9 j x. M?0 ? m/ 889.5 a ?888.2 M? E NOTE: SEWER 5ERVICE INVERT 74.00 20. "?'Z ????? \\N?o.aa 893X ELEV. NOT AVAILALE FROM CI TY OF EAGAN. cqRq / ?; pRpp„ ? o 28•4 _ 876.3 ???C.9 685.8 x 893.2 x 893.5 ? SCALE : 1 INCH = 40 FEET 371 98077.00 SWK - ' STORM SEWER LINE PER GRADING PLAN (NOT FIELO LOCATED) $ 883. t 0. SAN. MH. 3 ! ? O 4m V 8 Z SHEET 2 OF 2 SHEETS Use BLUE or BLACK Ink -For--- Office-- Use - I I Q~ j Permit City of Eap al. a s Permit Fee. 3830 Pilot Knob Road ~I Eagan MN 55122 Date Received: J tY j Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: BLS I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: t.,/f7 L~ilrn~ Phone: 21 Resident/ Owner > Address/ City /Zip: Applicant is: Owner X Contractor Description of work:r . J 1_0 Type of Work (JD 6.6 Construction Cost:.cez-_> Multi-Family Building: (Yes / NoXJ Company: - elm' G S tom. Contact: / l f7 Address: kF SG,~,e City: Contractor y~~ r✓ d State:/ ~'/Zip:5.~ S fz'~,s Phone: (CJ A/ t ?License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & 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. ~._.o-....__....... . - 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.gor)herstateonecall.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 G zr /rT x Applicant's Printed Name Applicant's Signature d Page 1 of 3 /�'2 Y2r�� r'' � l/;�G g� . � ::� a� Affidavit of Chad�Ienning STATE+l�F MI ��UTA COUNTY tJ�F I7AKfJTA The undersigned, C ' Z�EI�TItiFfNG,being duly sworn,hereby deposes and says: l,I am over th�age of 18 and a�n a residet�t of the State�of Florida. I have personal k��wledge of the�acts herein, an�, if called as a witness,ct�uld testify completely theretfl; 2'. I su�f"er nc�legai disabilities a�d have p�rsc�:a�al kncrwledge of the facts set fc�rth below, 3.�Chad Henning} a Field Supervis�r foz Sunrise Exteric�rs,LLC�t tl�e time,was present during the insta;�ation of the new ro�f shingles and underlayment on 1�-�9-2013 at the add�-ess/j�b site ofKamal Sharm� at: �444 Kings�ood Pc�nd Rd,Eagan Mn 55122. 'The underlayme�t cansisted af 2 row�llin�s{3'�and t+�tal c�f{6'�of Ice and Water�hield (Reqt�ired by Code)on all Eave Iines,We alsa installed 1 linelrou�of Ice and Wat�r s�i�id in anylall valley's; Th�n 30#roofing felt was installed over ithe remaining pc�rtian of the rcrof before the shingle installat�on.;Su�rise Exteriars,LLC i�talte�the new raof and�Il accessories to Code. The phatos af the I�e and Water Shield were lost antl w�x�not able to b�retrieved fc�r pr�of af in�talL I decl�re that,tc�tl�e best�f my kno�le�ige and belief,the infarmat�c�n hererri is tnnte,�z7recf,and complete. Executed this��ay of�� �1� ,20���. h 'r` � ...:.. ���`'��y���rC� �. .. ��� Chad H�enning This is a RocketLawyer.com dbcument. l�C3TARY ACKNOWLELIGEMENT �t>("r`�A.. � ���''G"�""`� STATE UF A��E�6�A, CUUNTY UF��t�;ss: Th�s Affidavit was acknv�ledged be�'c��e me on thzs��ay of l�jQ�'�''t`�'t��l�a'�' , ,��1� by Cha�Henning,who,being first duly swQm an oat�t according ta law, dep�ses and says that�e/she has ret�d t3�e foregoing Affic�avit�ubscribed by k�ina/her,and that the matters stated here�n�e true�ci t�e best of hisl#��r infc�rtnation, knawledg��.d belief �P � , Nfltary Public `�RYp"° F�fJL.LY tl�4 VYl��.��tkiVlS ��`{�, ���^ q � � � f � = MY COPvih�lSSiQAJ#�F�{37497i �,. � ''�`nF.o� �XPIRES[7er�errtt�t�r B.2097 �'1��,'�331{����27h.�� fa�7);�stt�oi,s FEoridard�t�ry5ervicG.cam : My corn�issit�n e�pire� �� �} ���`� Tisis is a Rocke�Lmwye�.�vm document. City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planninba.citvofeagan.com OCT 1 B 2016 For Office Use Permit #: 131'f62 - Date Received: 2016 ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. Property nformation Site Address: 14('} ( CA4 SUjy®ei Po RD Owner Name: 1'U i1 PrL- SCJ MLfr1(1 Type of Work Name: Address: Applicant Signature: Email address: Phone: CO j 20 '3( ZL City/State/Zip: Date: koM/�L_ - ' A e ©\MAIL- M FR Retaining Wall <4 feet J Patio 0 Sidewalk Description of work: ❑ Driveway ❑ Sport Court ❑ Fence Other: 4c - 'tannin etbacks3 hard' surface coverse, sh zoning. Revised Plans Approved: Engineering Grading, drainage, utility easements, erosion control, provements in the Righ. �y Approved / Denied Notes: Date: Staff: Comments CALL BEFORE YOU DIG. Call Gopher State One CaII 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, G:\Building Inspections\PERMIT APPLICATIONS * * PIONEER * eng neer ng ** LAND SURVEYORS • CIVIL ENGINEERS LANO PLANNERS • LANDSCAPE ARDS ECTS Certificate of Survey for: MANGEY BROS. CONST. 1404 KINGSWOOD PONDS ROAD x NOTE: SEWER SERVICE INVERT ELEV. NOT AVAILALE FROM CITY OF EAGAN. ScAtt 1."r_ 640 T -. 0.9 F Si / 1—N8----,3'0-6.5-27--7"W-4:"..\--7;431-g, 83'06.57"W . 45.85 .��\' �1 14 r/ ' .y\ cyO>, t^ vi� qx • /// 'ROX fit^ G / /kO\ �O1i /1 'y \ (9'k \ 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX: 681-9488 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 BENCH MARK TOP OF PIPE ELEV.=890.93 ‘` AD /4.IGHT PDE. 890.6 891.0,101\ 891.9 / / 685.0 TELE. PEDS-- -- BENCH MARK TOP OF PIPE ELEV.=885.00 -- 2 876.3 argofio � v ttr 01.0 1552.3 / N. 8'83. v/ eD •_E 41/4 1 VI c0 s••• ervo T/ t Bei !73.3 ' • C1G7 v • ;,1530 ,+5/ 1v,),0 Le(,S fav" // 894.9 // II—Er: �i 893.9 F x N 28.4 w 894.6 895.0 N in t 885.8 7. 882.3 879 874.4 x 1 AL3 -7°. fZe. \ ` s\ / 'S\�� x 893.2 x 893.5 883.1 `SAN. MH. 060