1408 Kingswood Ponds Rd• "yr?' r. ?1 ???? ' .
?
WtrdftCRte 0f CCClipQ1tCv
witV of Wa-gan
Teo?ettt of 43nirbhts au?pecrsn
This Certif:cate issued pursuant to
certifying that at the time of issuanco
ordinances of tbe City regulating bui,
? use ctassifi?: SF I?
Oauparicy Type ?/h i?
V I Zdtin
Ownero(BuildingMMONAID OMMIUM
Building Addiesx 1408 HI? ? ?
?
i
. . _. , ? .. ._ .
the requirements of the Uniform Buildrng Code
r this structure was in compliance wirh the various
'ding consfrvctian or use. For the fol(owing:
Bldg. Rrmit No. 31959
s o;,vL, R I rra const. Y[V
TON na&,= 7601 1451H SI' W, APP .F'. va.tla'.v
NDS TO lncali
?
-', f.' D?:
?POST IN A CONSPICUOUS PLAC£
t
. ? .
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:
n
..
ti I
PERMIT SUBTYPE:
TYPE OF WORK:
,;, w
INSPECTION D. . .A
,.
. . ? . ? ... . ? ' `f , . .
I Hf HsSR1'';. ?.&4! 1"I.1I041ii. k ,; tAk ('l 1iMti ifari t'1 AN RFViF l!Y_fl BY h11Kt' ftA{fF'!
?
i
Permit No. Permlt Holder Date Telephone #
ELECTRIC
PLUMBING 7?3 gg ??' '?f?s
HVAC 1 ?1&19ff y5-7- 87g1
Inspectlon Dete Insp. Com enis
FOOTINGS
7
FOUND
G
r^?7v
FRAMING ?pd
0
ROOFING
ROUGH
PLUMBING
y
PLBG
Alfi TEST
ROUGH
HEATING
Z -
GAS SVC
TEST
ro y
Lt?
INSUL
GYP BOARD
FIREPLACE
AIR TEST FIREPLACE
FINAL PLBG Q L
(" " t
dM
FINAL HTG el( k
ORSAT
TEST
BLDG FINAL _ d4
? o
BSMT H.I.
BSMT FINAL
DECK FTG
DECK FINAL
P-av
Lt p
Address 1408 xi%s wooD PorIDS M Zip 5512 2
Lot 2 Blk z Sub xINCS wooD PorIDs
THESE TI'EMS WkRE / 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
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 potential exists.
Contact engineering division at 6814645 before working in rightof-way oc installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
C:L7V Or' r;::tt:;rlN
CASH:C F.':"' °S r ECRi1.1.;dA... NCi, ., r?_?-
?s.,
DATr._,._: (]?: (Jr ?.. ,..,!_) r? na ??•e ,.. ??:: ?::.r.
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?
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?r ?t. .i, r ?:?i ??_]!:i ...?..?. f
:', at:)C):4. . ?. ? f)E.3 n.1:i.!r;:, A,?r.:.+::,u•:.:,
'Iotr].I. I'ter:`L:s.l.p1; AiYiOuF1'11. 49736.46,
1.''?:?(? ?."'`A
.. .} ..?. e..7 ?
I igf:.f' I' i : NANC`V
I - CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-42050-020-02
DESCRIPTION:
SF DWG
NEW
It-3 W-1
VN
R-1
64
52 `
1
2,926
101 1 - FAM. DETACH
REMARKS:
5&W PLUMBER - STAR PLUMBING PLAN REUIEWED BY MIKE BARCK.
FEE SUMMARY:
vaLuarxaM
Base Fee
Plan Review
Surcharge
5flC
5AC %
SAC Units
Subtotal
PERMIT
PERMITTYPE: susLoiNG
Permit Number: 031959
Date Issued: 05/0 7/9S
1408 KINGS WOOD PONDS RD
LOTs 2 BLOCKe 2
KIN65 WOOD PONDS
$1,247.25
$$10.71
$86.00
$1,9@0.00
10@
1
$3,143.96
$172,006
MISC FEES $1,59Z,.50.,:.. _.
Total Fee • $4,736.46
Vv114 I nsi%.1 vrs: - Applicant - ST. LIC Vvvilcrt:
I.C00NALD CON5T INC 14327601 0002376 MCDONALD CONSTRUCTION
7601 145TH ST W 7601 145TN 57 W
APPLE VALLEY MN 55124 APPLE VAI.LEY MN 55123
4612) 432-7601 (612)432-7601
3r 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) -73
? - ? CITY OF EAGAN
3830 PII.OT KHOB RD - 56122
681-4675
New Construdian Recuirements RemodeVReoair Reauirements
? S regiatered site surveys
0 2 copies of plans (inGude beam & window s¢es; poured fnd. design; etc.)
? 1 energy calculations
• 3 copies ot tree preservatio lan ff lot platted after 7M/93
?equired: _ Yes No
DATE: e 4)-,7 4- Cj d
? 2 copias of plan
? 2 site surveys (exterior addRions & dedcs)
? 1 energy calculations tor heated addRions
GONSTRUCTION COST R?
DESCRIPTION OF WORK: S: ? s??,? lu m•??-, h?,.+?+ ?-
STREET ADDRESS: I 140,3 I?1 ^
LOT: BLOCK: SUBD./P.I.D.#: •4S wood fiOrAL
Name: mcljG ? Phone
PROPERTY I.ast Fim
OWNER
Street Address:
City State:
Zip:
Company: &?.. +r Phone #: tja - 7 ( :,,rD (
CONTRACTOR
lo
Street Address: Tc(J License # ? f)b 43 9 `
city ?A)Q-0I state: ziP: ?/A U
ARCHITECT/ / q
£NGINEER Company: rOW, ff?C ? Phone#: tOFSI " ? / ??
Name: 2 SpRegistration#:
Street Address: k 44
City Y"'.? no4? t4 •-"0 --S. State: Mi . Zip:
Sewer 8 water licensed plumber (new construction only): 5 ?. ^ o? . Penairy applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge tfiat I have read this application and state that the iniortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
/
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received - Yes _ No
I X L? ?
V NOt
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 01 Foundation ? 06 Duplex
g 02 SF Dwelling O 07 4-plex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
O 05 SF Misc. ? 10 = plex
WORK TYPE
,31 New
? 32 Addition
13 33 Alterations
? 34 Repair
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory C]
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
GENERAL INFORMATION
Const. (Actual)
(Allowabte)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
d rJ Main level sq. ft.
-?-? ? sq. ft.
Q- ? sq, ft.
I sq.ft.
LN, sq. ft.
s z? Footprint sq. ft.
Building 0A0_
? c-sc., MC/WS System -
a a-/cr City Water
G-7o Fire Sprinklered
PRV
Booster Pump
Census Code.
2 2 SAC Code o I
Census Bldg ?
Census Unit ?
Engineering
Variance
r
Permit Fee Valuation:
Surcharge
Plan Review t L? 57 ?,4 -1 z s=
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
, %Yq„??'?i;? ? TOtat
9/o SAC
SAC Units
i ?!-
r
Zi?z 5.4 :
$ 17! Sy9,-
k4l ,Kvv, -
I t ; ,SoB,-
SC2CEA).Ft:) V.bacq
12x9 L = I?Ic???? LID = 57?p? -
?+G.dye
_----
2 0 X 3 L ? ctf?
a?yo YU 1-7 I, 4G?q?. -
MAY-04-1998 11:24 MCDONALD COhlSTRUCTION INC
P.92/94
r
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£B/ie'd 659£ eSb M ti 'ahl[ 'OONki'id 0S:60 8661-170-.ktlW ' R=98% 05-04-98 11:29AM P002 #1~1
(egbea+te,n=od atqnnotte sa3r
ap?e anqanas uo aXqel qas)
OADt+aSx mi ¦ii=N
'$OpI;7 pa-3p'[nouj
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'? O sttorsr?=a=ss?tz? ?a?ra7rnn
S-I# £OOd FqV6Z-iI 66-70-90
' MAY-04-1998 89:50
.
.
PLRNCO. INC,
%as=x
1 612 452 3659 P.02i83
•
ONE- & 'NVO-P1?1WXY RESi[1E14ML oU1iDVIG PRFSptlPtlY?
AP1"ROACH (L`P01w-BoOIC)
MAXIMUIN WlNDQw AND nOOR AltEA AS A rFRCEM' QF OvERALi, WALL
AREA • ,Lre--`Ali{a.nar! 7670R?a- _•ort 3 +'*n i
. -
No!!b: "
Wledow artik cquab nnngh opening teinw Ipw%llaliar? okarances.
Window V=taelor eapet be determ;ned by either ihe National Feneslration Ratfng
Col1Mi1 standard 100-91, or ASHRAE 1993 Handbook of Fundamenlals. Chagter 27,
7'sble S.
' •
PpMdl' FG1K MOU 7671
A p?y
CaJY?1. 11i e-
1 pldy ?
ti+ r
ft
70/£0 ' d JN I NO I1Jf12115N0O Q-1tihDQDW SZ : T ti 866ti-b0-AtlW
v • •
?:T# VOOd Wtl6Z:Ti
. b6'd 1d101 66-110-90 %88=x
1 ktld 4S? Sb`s?J F'.03t03
??/? ? ?? /?? ???I?• ? ? ! ?Y ??Y
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170/170 ' d TOTAL P.93
ahl I NO I 1of12LL5Noo Q1tlN00J4! sz : ti ti 8661-170-1.dW
, , .
*?*
'r PIONEER
? CnTn
*,?**
. 674) ? RECEIl9ED MAY - 1 199t
2422 Enterprise Orivo
Mendoto Hsights, MN 55120
LAND SUKVk9i1RS • GML ENqNEEPS *612> 6e1-1914 FAX:6V1-9T+V8
L.wG MMNEns• wwSCME rRMiTECiS
625 Htghwoy 70 N.E.
Bloine, MN 55434
(812) 783-1880 FAX:783-1883
Certificate of 5urvey for: MCDONALD CONST.
1408 KINGSWOOD PONDIk RgAD CUENT-MOOEI NO. t
. ?
\.
J1
tUJ??,
864,2
/
i l
U
?
BENCH MARK
TOP OF PIP ? C.e
ELEV.=880.?6-, g80.5 ?
8\ 3 ? A
)
81
6. R
?p\ d883.1 .
??Q / / ? ?? 0
F, j?NV.= 73.0 \ ??
881.7 ?VICE-'? 0+ 885.1
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ee a A
? 874
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^h? --BENCH MARK
TOt' OF PIPE
)o EIEv. =883.98
75,1 rcAtr`' ..,
975.5 ?
r,
/ 872.0
/
? Al . .
? ry
?
ON"
852.3
NOTE: PROPOSED CRADES SMOWN PER GRADINC PIAN B'C PARAMOVNT / QS_F
PROP D HoUSE EL EVATiON
,
NOTE: BWLDINC WMENAONS SHOWN ARE FOR HORIZONTAL AND YCRTICAL LOCATION ,
IOWEST fL00R
ELEvATtON: .
,
0
7
OP STRVCTURES onLY. SEE nRCHiTECTUqI PuwS POR Buq.DU+p nnW
FOUNOATION OiMENyONS p
. / TOP OF BLOCK ELEVATION:
NUTE: NO SPECIF'IC SOIIS INVESTICAlION HAS BEEN COMPLET(D ON iHl$ LOT BY THE
SURVEYpA, filf $UITABILITY OF SOILS 70 SUPPORT TNE SPECIFIC HOUSE GARAGE SLAg EIEVAI'ION:
PROt'OSED IS NOT ME RESPONSIBIUTr OF iHE SURVEYOR,
NOTE: TMiS CERTIFICATE DOfS NOT PURPORT TO SNOW EASEMENTS O7HEft TNAN X 000.00 OENOTES E%ISTINC ELEvAnOni
7HOSE SHOVm ON TnE RECOaOED PIPY. ( 000.00 ) DENpTES oROPO5E0.'+.EVnnON
OENOtES ORAINACE
NOTE: CfiNTRnCTOR MUST VERiFY ORIVEWAY DE51GN. --- ANO VTILITY E?+SEµENT
-? OENOTES ORAINAGE FLOW DiFEC7i0rv
NO7E: E3EARINCS SHOwN ARE BASED ON AN ASSUMED DATUM • OENOTES MONUMEN7
-^- OENOTES OFFSEI MUB
wF NEREBY CER71fY TO MCOONALO CONST. THAT TH15 IS A TRUE AND CORRECT REPRESENTATION Of A
SURVEY OF TNE 60UNDARIES OF:
LOT 2, BLOCK 2, KINGSWOOD PONDS FIRST ADDITION
DAKOTA COUNTY. MINNE50TA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS,
uNDER MY OIRECT SUPERVISION THIS 25TH DAY OF FEB., 1998.
fL< ?15_0 A 4- z?- 95:7'
SCALE : 1 INCH = 30 FEET p rf _ 4C i..4 v.
_ REV15E0 HOUSE & IOCATION 3-26-98
EXCEPT AS SHOWN, AS SuRVEYEO @Y ME OR
..
S NF PtONEER E INF.E . RIN
DF'.A,
o
John C. Larson, L.S. Reg. No. 79828
APR-29-1998 13:53 96% P.01
, ? • LOT SURVEY CHECKLIST FOR RESIDENTIAL
, BUILDING PER T APPLICATI N
PROPE RTY LEGA o?
DATE OF SURVEY:
? u ' LATEST REVISION:
? y DOCUMENTSTANDARDS
F
a z ?
I f'? ? • Registered Land Surveyor signature and company
ff-,o ? 0 Building Permit Applicant
p-'o ? • Legal description
2?'? ? • Address
2r'? ? • North arrow and scale
0'' ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
0-,13 ? • Directional drainage arrows with slope/gradieM %
12-111 ? • Proposed/exassting sewer and water senrices 8 invert elevation
??? ? • Street name
? ? ? • Driveway
ELEVATIONS
Ew•sting
2?' ? ? • Sewer senrice (or Proposed)
e' ? ? • Properly comers
2?' ? ? • Top of curb at the driveway
? ?o • Elevations of any existing adjacent homes
Pronosed
? ? ? • Garage floor
d ? o • First floor
er ? ? • Lowest exposed elevation (walkout/window)
0-10 ? • Property corners
?? ? • Front and rear of home at the foundation
PONDING AREA fif annlicablel
? ? ? • Easement line
? o' ? • NWL
? o" ? • HWL
O o'? • Pond # designation
i
? C1 ? • on
Emergency Overflow Efevat
DIMENSIONS
0'--'0 ? • Lot IinesBearings & dimensions
Cy-, ? ? • Right-of-way and street width (to back of curb)
cf' o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc, (i.e. atl structures requiring permanent footings)
C'T ? ? • Show all easemenls of record and any City utilities within those easements
[3- ? ? • Setbacks of proposed structure and sideyard setback of adjacent exisfing structures
? 0----0 • Retaining wall requirements, if any
?
Reviewed:
tia Q ! ate
January 1996
CRA419Bd3L0GPRMT.FM
X(h; ry;)?(;,,?'YS:?S7;!}„5;;•.k."?XC)?:31iXC:Y: ytlC%4?:5?C.j?'.Y]?f:?:?)?C)n??)„)?i?i?'fiF?iC.?`)K?+
r.i:T=r oF r:AGAN
CA:i1-f:l:f:_Ro S TFFMIPaFd._. NOe . 692
UA'1F"., 04f22/99 T'.T.ME. 1::,'0E:1:55
ID ,;
NAt1E z i4C'DONAl...l! CriN51 R! 1r:1 IC3N
WO .`.?E][:l'l. 14fJf3 1`TNf;r.ixUlf7li 60„00
2].`;5 9001 1408 K7NGSHi7(7Li (:)„'SCl
320 9I)0.l 1408 I'].N(.Y'li•IOCID EI0v00
205 9001
1 HDB i;ING£3WGf_7T:! WCI
TC7i.1.1. Fierrajpi: !-lmr-,i..:T`;k;', 121,00
CF? i. (?t:,%3`1:1.
lJSC:R :[Ds NAAlCY
?!{`7.?.4? { i }) ? iy; r,u ? ? kTt i b,q ? i y• ?y
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? ; -- 3830 PILOT KNOS RD - 55122 s (o0 .
651-681-4675 C eW)
New Construction Requirements Remodel/Repair Requiremen fs
? 3 registered site suneys showing sq. R. oflot, sq. ft. o/house
and all roofed areas (20% maximum lot coveraae aliowed)
? 2 copies of plans (show beam & window sizes; poured ind. design; etc.)
? 1 set of energy calculations
4 3 copies of tree preservation plan if lot platted after 711193
DATE: 'r ^ i / - l ? G 1
DESCRIPTION OF WORK: LL [<,,%.C e
STREET ADDRESS: 114DO IC F-Z Sw ooJ Jdv-? r/
LOT: BLOCK: e7? SUBD./P.I.D. #: ? =.
u.U
IVame: Jv/ 2Dors .a. `(/ I..CJ Y s/ • _ Phone #i: lD ??- LI J p? ?/ G p I _
PROPERTY i?i F;rsc
ONN'NER
Streel
City
State:
"Lip:
Compan)',_/ l L?!?c Phone #: (0 (J ' / 3!;?^ 7 j C) /
CONTRACTOR
StreetAddress: 76 G) 1 /(?'??C.CT Ficense# IL?? __Exp. Q&?_
Ciry• State: _ Mi h.... Zi :
Gt 2 . 7or G77
ARCHITECT/ n I ?
ENGINEER Compan}•: ?"??«?'K? Phone#:
Name:
Street
Cit}'
? v
? 2 copies of plan
? 1 set of energy calculations for heated additions
? 1 site survey for exterior additions & decks
CONSTRUCTION COST: G1TI G. v.
n . /1 ' State:
Sewer & water licensed plumber (required for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
Zip:
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:
?V7 .
OFFICE USE ONLY D ,
.r i
Certificates of Survey Received _ Yes _ No ?9
Tree Preservation Plan Received _ Yes _ No _ Not Required `
Registration #:
, _,N
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea)
? 03 1 of _ plex ? OB 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments A 19 Lowec Level O 24 Storm Damage
? OS 3-plex ' ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New, ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition .? 36 Move Bidg.I 0 40 Gas Insert ? 44 Windows/DoorA
,?a, 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFOR MATION
Conat. (Actual) 5•? Basement sq. ft. Census Code -4
(Ailowable) ? Main level sq. ft. SAC Code d?
UBC Occupancy R• 3 sq. ft. No. of Units ?
Zoning R• ( sq. ft. No. of Bldgs
# of Stories - sq. ft. MC/ES System
Length ' sq. ft. City Water
Width ~ Footprint sq. ft. Booster Pump
' . • . PRV
Fire Sprinklered
APPROVALS• - ?
. ,
Planning Building ? Engi neering Variance
Permit Fee
Valuation: ?
$
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
??%1v?•.?,??i??j4y1?4iJ?Y????:y?? 5?? ? .r?M1?H, .?? ? d{ ir.4 i.. 1 i"
C.T. nr' ()F CA.,AN .
r!1SI-::f.f':fie 5 7EFiMTAlfii... NC?t ;:,`;)r.'.
D.<+TI, 04/22;99 TIi4!=': 006139
Ir? ?
MAMt .: Mcr_,ON,ai_D CONsTa.UcT:r.r.,N
300 9001 1408 PCI:NG;tiWCJOLi e.;p.QO
2155 9001 1417F3 K:I:N(.;f:il=IiCID Cl„`iD
3210 9001 14OH I:.T.i`df;SWOnD 60e00
?_h_`,a 900i. .i.!tOE; i;:r.ncs,w'7t:iD Ita:;5f:1
TCrF,:-,I. FiFciaipF Ainou'ttt; i.i'_1nOLl
WQC,F3._i:L
UUIc.!; :[ T? o NAid(; ;,
.Ki?<?XY,c?XYtY6?Y:i;;'.C'16YF M?i??kk'1? ?'Y!%'Y,(>?CMIK;'??t7„i:)KY'nh'1k';PF?%n`.'FYi%4
? ° - 1999 BLIILDIIVG PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
9 3830 PILOT KNOB RD - 55122 ? & 0
r? 651-681-4675
New Construction Reauirements
? 3 registered aite surveys showing sq. fY, oflo4 sq. R. of house
and all roofed areas (20% mazlmum lot coveraae allowed)
? 2 copies of plans (show beam 8 window sizes; poured ind. design; etc.)
? 1 aet of energy calculations
? 3 copies of tree pre3ervation plan ii lot platted after 711/93
DATE: 4' I G1 ' GI l
?--
RemodeUReoair Reauirements
? 2 copies of plan
? 1 set of energy calculations for heated additions
? 1 site survey for exterior additiona 8 decks
C-e?
CONSTRUCTION COST: I ZUo
DESCRIPTION OF WORK:
7 '
STREETADDRESS: ?Of'j K,,NC,Swoaz? S12
LOT: Z BLOCK: rY SUBD./P.I.D. #: I?I ISC?,S U)00?1)
1Vazne:_ '" ` C rpO Nl A'(.b C6 NST Phone #: Cn ( 2 ' ??Z ' -7 ?OU j
PROPERTY Iasc Finc
OWNER
Street Address:
CitS' State: Zip:
Compan}? M 0-D6N PcL?) NST . Phone N: '5 A-N/l F-- A-f>
corrTxncrox ?? p I IQ?S71? ST
Street Address: • Vv , , I?cense # Z374v F.xp. 2ab f)
City '&CPPLFI JMA-eY State: _ MQ. Zip: 5?5- ? 2-4
ARCHITECT/ 1 ?
ENGINEER Company._ _?L? ? QPhone fS:
Regishation #:
Street
City
State:
Sewer & water licensed piumber (reauired for new construction onivl:
Penalty applies when address change and lot change is requested once permit is issued.
Zip:
? i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appficable
State of Minnesota Statutes and City of Eagan Ordinances.
,
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
Signature of Applicant:
_ No
_ No _ Not Required
o•
r , OP a
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex . ? 11 10-plex ? 16 Firepiace 0 21 Porch (3-sea.)
? 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 03 1 of _ plex ? 08 6-plex 0 13 16-p!ex A 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
tt 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 SidinglSoffits/Fascia
? 32 Addition - ? 36 Move Bidg. O 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration ? 37 Demolish Bidg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) O 42 Reroof
GENERAL INFORMATION
Const. (Actual) 5•?-j Basement sq. ft. Census Code ?
(Allowable) ? Main level sq. ft. SAC Code dI
UBC Occupancy 2T'? _ sq. ft. No. of Units I
Zoning YL- I sq. ft. No. of Bidgs d
# of Stories sq. ft. MC/ES System
Length - sq. ft. Ciry Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engi neering Variance
Permit Fee Valuation: $ ?-
Surcharge
Plan Review
License
MCIES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SJW Surcharge
Treatment PI.
Park Ded. '
Trails Ded.
Other
Copies
ti
Total:
SAC Units
% SAC
s 4L
s .
* PIOI
*e
* ?C ?f-
*
?'e- l. -, r- ?G (/
1N/0
_?-3i
2422 Enlerprise Drive
Mendoto Heights, MN 55120
(612) 681-1914 FAX:681--9488
un05cArc NccNiscra 625 Highwoy 10 N.E.
9loine, MN 55434
(812) 783-1880 FAX:783-1883
Certificate ofi Survey for: MCDONALQ CONST.
1408 KtNGSW00Q PON RfjAD CIIENT-MOOEL N0. 1
, ti
3ENCFI MARK
?TOP OF PIPE C.B.
680.5
.?
. ? 881.3 ? Q
'`? ? •
„ ,\irvv.=e73.0
? ?? 6g
J? 881,7 . SERVICE-~'C 885.1
.
;o ean.5
50 89 a
h 6•- o?,?'?
? 4j ? a •J '?
?8?? 87?Y
A
? / ? •? ? o-?----,y?AaQ?_?9? ?o?, ?` 8 .2/ P ?. J x ti'--QG p y. 9?, .4, ?/
VJt'1 io/ ? 873.7
864.2 < 866,4 '0
O BENCH MARK
? d 6? TOP Of PIPC
\ r? Sp CLEv.=883.98
? L
x 875.1
?
? \ F9?? ?. .?d /
7t \ F?ry9 869.3 875.5 ?
Fyn x r?
872.0
(b
5b`??
•s?, .o ?,`?Y
DA?E 4. 2 0 • eGg
_ c,JS1.0 BUiLDING INSPECTIONS DEPT.
852.3
NOTE: PROPOSEO GRnDES ShOMr7 PfR CRAOIr+G PIAN BY: PARAuOUNT " _pROPO$M HOUS[LE'jATION.
NOTE' BVIIDtNC OIMENSIONS SHOYM ARE fOR MOPo20NTAL ANO VERTICN. LOCATiON ?pyyEST FLOOR ELEvaTION: _
OF STRUCIURES ONIY. SEE ARCHI7ECTVAL PL!.NS FOR BUIL AND ?-
FWNDATION DIMENSIONS, OWy TOP OF BIOCK ELEVA(fON:
NOIE' NO SPECIrIC 500.5 WVESTIGAnON HAS BEEN COMPlEfEO ON Td5 LOT 9Y iHE
SURVE40R. TiC SVITnBLLITY OF 5045 TO SUPPOttT THE SPECIFIC NOUSE CARACE SlA6 ELEVA110N:
PROPOSEO IS NOT 7FIE RESPON5I01LI1v OF 1NE SUHVEYOR.
NOTE; ihIS CEN*IFlCATE DOES NOT PORPOR7 Tp SMOW EASfMENTS O7HER THAN X 000.00 OENOTES EK1571NC ELEvATOM
TIi05E $HOvrtJ ON THE RECOROEO PLaT. ( 000.00 ) OENOiES PROPOSEO CLEVATOn
_ J- - OENOSES ORduNAGE AHO UTL17Y EASEMENI
N07E: CONTRACTOR MVST VERIFY ORIVEWA`? DfSiCN, pEyOT[S ORAINAGE FIOW DIHCCnON .
N01E' BEaRINCS SfOwN ARE BASEO ON AN ASSUMEO Oa7VM -?- OENOTfS MONUMENT
--g? 0[r+0TE5 cFfSEr uue
wE HEREBY CERTIFV Tp MCOONALD CONST. THAT THIS IS A TRUE aN0 CORRECT REPRESENTATtON Of n
SURVEY OF THE BOUNOARIES OF:
LOT 2, BLOCK 2, KINGSWOOD PONDS FIRST ADDITION
DAKOTA COUNTY, MINNESOTA
IT 00r5 rvOT PuRPORT TO SNOw iMPROVEMENTS oR ENCHROACHMENTS, EXCEPT AS SHOWN, A5 SURvEYEO BY ME OR
UNOER MY DIRECT SUPERVI510N THIS 25TH DnY OF FEB., 1998.
SCALE : 1 INCH = 30 FEET
REVISEO HOUSE k LOCAt10N 3-26-98
98087
* * * _lK
SNM
5 NEO NIONCCR E'iNEFRING, P.A.
...
? ?.,??.
John C. Lorson, L.S. Reg. No. 19A78
A-
SUBD.
o10
CITY USE ONLY
/Cel(
RECEIPT #: /D 7 D
RECEIPT DATE:
PERMIT # ?3 S Y ? I
1999 PLUMBINC PERMMIT (RESII}ERT IAL)
CIN Of' E4fiAN
S$SO PiI.OT KNOB gD
f AHikN, hIN 551 E2
(sst) 681-4675
Please compiete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet * minimum-_1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $ O. Da
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 = $
Shower 3.00 x 1 = $
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 = $
Water heater 3,00 x = $
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
Totat --> --> ----> ----> $ 3a, o
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------•-----------------------••----•---------------- -------••----------------------------------
I hereby acknowledge that I have read this application, sta[e that the information is correct, and agree to comply with all applicable City 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 by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: 14Dg K/Nb?Cc?pG? OA.IDS /ZD
OVNNER NAME: : /?'/CDpA)4[,? (!QA)5'r TELEPHONE #: 64 2 -43 Z- 7(bDI
(AREA CODE)
INSTALLER NAME: WIWZEL? /'L440CA{_ TELEPHONE #: SI 4'sZ- Is?
y? ?, (AREA CODE)
STREET ADDRESS: I?I S9 SN.?W/VE.? /VJ
C(TY: IZA GAA--J . STATE: /rL A J, ZIP:
SIGNATURE OF PERMITTEE
V CITY USE ONLY
L ? BL ? RECEIPT#: 9S
SUBD. K? AJ4S40D0Q PG+N'J0 S RECEIPT DATE: t/`3 F
1998 PLLJMBING PERMIT (RESIDENTIAL)
CITY OF EAGP,N
3830 PILOT LQqOH RD
EAGAN, MN 55122
(612) 681-4675
Please comptete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
--- - ------ - - - --- - ------- - - - --- - --- - ----- - ----
FIXTURES - - ----- - ----- - -
EACH ----- - ----- - - - -------
# ------- -
TOTAL
Shower 3.00 x 3. er,
Water Closet 3.00 x 3 = .o6
Bath Tub 3.00 x 3.ao
Lavatory 3.00 x Y = IZ.o?
Kitchen Sink 3.00 x T = 3.av
Laundry Tray 3.00 x 3.bb
Hot Tub/Spa
Water Heater (E?7iz1C? 3.00
3.00 x
x
? = 3.0o
oD
Floor Drain 3.00 x 'Z
Gas Piping Outlet * minimum - t 3.00 x =
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. Sprinkler ' 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 5-/, 1?O
---------------------------------------------------- - ------ -------------------------------------------------•----
1 hereby adcnowledge that I have read this application, state that the 'information is correct, end agree to compy with all applicable City of Eagan ordinances.
R is the applicanYs responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities construded under this pertnit within City property/right-of-way/easement.
SITE ADDRESS: 1409 K/
OWNER NAME:
,'r /
INSTALLERNAME: WE?ZEZ- / (E;WA/VlGA-? TELEPHONE#?
STREET ADDRESS: _! I S? !?9AWAPEX,7 )20
CITY: CJW-,-4/1) STATE: I1) ZIP: 17?-/Z--2
SIGNATURE OF PERMITTEE
JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
? i CITY USE ONLY
LOT ? BL RECEIPT#:
SUBD. ?.N.pKJY RECEIPT DATE:
Complete this section anlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ABDITIONAL 50 M BTU 5_00
• Gas outlets (minimum of one required @$3.00 ea.) 9- ?JU
• State Surchazge: .50
• TOTAL:
?
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 resisiences $ 20.00
State Surchazge .50
Total: $ 20.50
? SITE ADDRESS:
IT)
' OWNERNAME: M0A4/L',4C /-) ?°CJ/l?S! L-? LCC % /C7 f'C.) PHONE #:
INSTALLER NAME: PHONE #: F 2 F?
STREET ADDRESS:
CITY: -S' ?T? STATE: !/'i fU ZIP: S-?Q
C??/J'L C?•?
JS/ ATURE OF PERMITTEE
FORMS BLDlMECH PERMIT(RES) - 1998
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
rar_nN mu "i 77
p"? •
cirr use oNtY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE:
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY CF EAGAN
3830 PILOT RNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: all commercial/industrial buildings
multi-famiiy buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
Wt'iRK TIrFE: 1VEW %CO":STRUCTION INTER:OR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE
TOTAL
SIT'E ADDRESS:
OWNER NAME:
TENANT NAME (nqPROVEMFxTs orn.Y):
INSTALLER:
ADDRESS:
CITY:
($.50 per $1,000 ofuermit fee due on a11 permits.)
PHONE #:
PHONE #:
STATE:
ZIP:
SIGNATURE OF PERMITTEE CITY 1NSPECTOR
r?qW9
2007RESIDENTIAL BUILDING rERMiT arrLicaTiox
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
m
New Constructlon Repuirements
3 registered site surveys showing sq. fl. M lot, sq. ft. of house; and all roofed areas
(20°k mazimum lot coverage allowed)
1 Soils Repnrt if proposed building is to he placed on disturbed soil
2 copies oi plan showing beam & window sizes; poured (ound design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted afler 711/93
Rim Joist Delail Options selec0on sheet (buildings wIM 3 or less uniLs)
MLnnegasco mecharrical ventilation form
90 _ tgo
Remodel/Reoair Requirements Office lJse OnN
2 copies of plan showirig footings, bearns, joisfs Ceit of Survey Recd, _ Y ; N
1 set of Energy Calcula6ons for heated additions Soils Repat Y _ N
1 sde survey for addifions & dedcs Tree Pres Plan Recd _ Y _ N.
AddNon - indicate il oo-sde septic system Tree Pres Reqmred
" _ Y _ N
On-site Sepfic $ystem _ Y _ N
:.d...-...?I ..?.L.IG.. :..f..rw.?4inn iinlaQe unii Qtatp thev are trade secret and the reason. .
r141w alc
Construction Cost
?
Date
/
?
Site Address / 7V 0 ' ? 'r?1S ??c I
Po^d ' Q UniUSte #
[
tion of Work ? ? ' ??4 ?
Descri
? ? 4 ? ? ?
p
Multi-Family Bldg _ YZ N Fireplace(s) _ 0 _ 1 _ 2
c 0,e ?eKS
dQ :
TelePhone # (0 361 ?X81
Property Owner
Contractor ardS
Address ? 759? ?ok 6 0rd C? City fq? ?: hw -/0#'t MAl
State MG +'! v1 ,Ps p*?Cf Zip Jr3_0o? Telephone #(?I fot}- y4("8s F6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , . New Ener Cade Worksheet
J Residential Ventilation Category 1 Worksheet Submitted9Y
submission
( tYPe) Submifled
. Energy Envelope Calculations Submitted
In the last 12 months, has ihe 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
5ewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I her.eby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a, permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
, j?"'R-1/til B d rAn a n n
Applicant's Printed Name
Applicant's Sig ature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation
?
07
05-plex
? 13 16-plex
?
20 Pool
? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screenlgazebo/pergola ) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-p1ex ? 12 12-plex 0 25 Miscellaneous
Work Tvpes
? 31 New
? 35
Int Improvement ?
38
Demolish Interior ? 44
Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entlre Bidg) - Give PCA handout to applicant
DESCrIptl0I1: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Cqde Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered :
Type of Consf ' Width
REQUIItED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) _ Final/C.O.
Footings (addition) _ Final/No C.O.
Foundation _ HVAC
Drain Tile Other
Roof [ce & Water Final Pool Ftgs AidGas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. Air Test Final Windows
Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
r
Office Use /
For cat
Permit
City of Eapn
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
~j 2009 RESIDENTIAL BUILDING PERMIT~PPLICAT N
Date Site Addres ~~GC, I L C C li~
Tenant: Suite
RESIDENT / OWNER Name: ne: s
~J S /(G
Address/ Cit /Zip:
Y Applicant is: (-----6wner Contractor
TYPE OF WORK Description of work:
Construct' st: Multi-Family Building: (Yes / No
CONTRACTOR Name: License
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
(4 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 conf nce with the ordinances and codes of the City of
Eagan; t understand this is not a permit, but only an application for a permit, and work is not t start witho~ a rmit; that the work will be in
accordance w' h the appr die plan in the case of work which requires a review and approval of plans. ,
x x
Ap cant's rint6d Name Aoplfbant's S*nat
f - Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA078311
Eagan, MN 55122 . Date Issued: 06/15/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1408 Kingswood Ponds Rd
Lot: 2 Block: 2 Addition: KingswoodPonds 1st
PID 10-42050-020-02
Use
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840.
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Binder Heating & Air Conditioning Richard J Kleven
222 Hardman Ave N 1408 Kingswood Ponds Rd
South St Paul MN 55075 Eagan MN 55123
(651) 457-8781
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
Permit Number:EA109056
Date Issued:02/05/2013
Permit Category:ePermit
Site Address: 1408 Kingswood Ponds Rd
Lot:2 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-020
Use:
Description:
Sub Type:Exterior-Single Family Dwelling
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
RICHARD J KLEVEN
1408 Kingswood Ponds Rd
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158884
Date Issued:11/06/2019
Permit Category:ePermit
Site Address: 1408 Kingswood Ponds Rd
Lot:2 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard J Kleven
1408 Kingswood Ponds Rd
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
P
For Office Use
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
bui ld i nginspectionsacitvofeagan.com
Permit #:
I (0 2.412-
Permit Fee: I r o • —1 S—
Date Received:
Staff:
J
2020 RESIDENTIAL BUILDING PEMg APPLICATION
Date: ‘7 - 11i - Z ° Site Address: 19Qb StN (3461U Unit #:
Resident/
Owner
Name: 12N'1 }\� - A 1-C1 LV QV\ Phone: ( IL wS 5 3Z7-
1
Address / City / Zip: 16 -1 ®? Vvonl T W ®o 11 "Po d . E y ,I, m o cc,/ 2
Applicant is: Owner Contractor
Type of Work
Description of work:T@,a•,r c 1ki rpvi "tri Si�l1
8 w ;kaew s a w'-e S
, 1
Construction Cost: �a 1 -a '�., . 5 lo Multi -Family Building: (Yes / No . ) gi
Contractor
Company. C o n l +o. C B V e 1�Z 4- S.Contact: �d 1 �\ 1)o o 1 A
Address: ILI b 9 'N. L;1 d c Try, c-ic zit City: G43 1,ttot V 1 \ \ eC
MA/Zip: 55 State: I ' 11WN Z 2-Phone: Gp1'Z " t�V I-9CR9Email:'p a-17(( �/'va e_ C 6p 14 ► 'aims 6r
License #: 3 \O(0 �i� Lead Certificate #: I CO y
If the project is exempt from lead certification, please explain why:
'1-AM/it wa S \C1 L ; \AN '1"1 1 °1 °I C?)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
In the last 12 months, has the City of Eagan issued a permit for a similar plan based
Yes No If yes, date and address of master plan:
NEW BUILDING
on a master plan?
Licensed Plumber
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.com/subscribe.
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.
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. wwwsropherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved in a ea of work which requires a review and approval ofpign�. _
icant's Signature
Ian
x a�v(Lls
0
0"\
Applicant's Printed Name
x
APP
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166898
Date Issued:02/11/2021
Permit Category:ePermit
Site Address: 1408 Kingswood Ponds Rd
Lot:2 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-020
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, Pete DeGrood at (507)
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 -
Richard J & Patricia Kleven
1408 Kingswood Ponds Rd
St Paul MN 55122--287
(612) 419-4097
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(763) 512-2765
Applicant/Permitee: Signature Issued By: Signature