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,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
" CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
New Construction Reauirements
? 3 registered site surveys
? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.)
0 1 energy calculations
? 3 copies of tree preservation plen if lot platted after 711/93
required: _Yes No
DATE:
C ? I
RemodeUReoair Reauirements 4
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
Q?
CONSTRUCTION COST: II7I30
DESCRIPTION OF WORK: kpn/ CfjhlS-J?/2,UC:?Jrc) !- 5'/n/G44i? FArry ILY hu/ZQ?/A/Co
STREET ADDRESS: _ /?'/D &/N('?.S Nlv tit )tbWb5 f(JAD
LOT: ? BLOCK: ? SUBDJP.I.D. #: 1t/Nl'.x5n/aD0 P604X5 J`5'
Name:_ ? I7? ?D}"I/?ISON CUIj? I IIJC . Phone #: ??a? / O ya ".5 0?(? 0
PROPERTY Latt First '
OWNER /
StreetAddress: /7?py5- -JDA?/iPLY'v lOA/ /9
?
Ciry State: /w Zip:
Company: /vIA/ .TONiUNON CoivST INC._ Phone#: OD
CONTRACTOR J-U 17?5-
Street Address: I7?'yS? fl?/?/?'Ot. f?/??1-_ lo C9 License # r?o?0'7 Exp. 3
/ ?j r 4
Ciry h1?1 State: / /A) Zip:
ARCHITECT/
ENGINEER Company: G'Vn/'c.AL-l5 Pti/L,LI i-?-S Phone#:
Name: I7&'45- .TU/V1 P9Z pFF'11I Registration #:
Sueet Address: `5 v 1 ri
City State: /V " Zip: _5?3 U'T?
Sewer & water licensed plumber (new construction only): Wa17-Z-)- Mk2Nan11C k I? . Penalty applies when address
change and lot change is requested once permit is issued. +, -'? ./5-L S
• ??
1 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:
OFFICE 7P'Yes LY
Certifcates of Survey Received _ No
Tree Preservation Plan Received _ Yes _ No
K Mw NSO$I C[JJ.ls.> /NC.
' Not Required
RECEIVFD
AP? <kQ1999
B cY•
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
;K 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 0$ 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
? 11 Apt./Lodging ?
? 12 Mu{ti RepairlRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
K 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 1382 Census Code t o f
(Allowable) Main level sq. ft. t -361 2 SAC Code d?
UBC Occupancy 24-° L-J sq. ft. t 3I a Census Units I
Zoning I (Sx 4-?2- sq. ft. ? 83 Census Bldg
# of Stories 2 sq. ft. MC/ES System
Length ? sq. ft. City Water
Width ?(L Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee ?
Valuation: $
Surcharge
Plan Review
License
(?v 82 JC l
0) ?30 `=
Z
MC/ES SAC -7 s) r k8
City SAC (3 l o x 5?= ?O, 7 41a,!t?-
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
T(??--= l 8 s? 18
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies •
Total
,
:
.
. ,
?
% SAC
SAC Units
PROPERTYLEGAL:
V
?
a?
J
N A
`0 a
n Q
? O
Q Z
?
?
?
4?a
?o
yo
o%
a??
'E
N
?
N
?
d
c3
7
2
LOT SURVEY CHECKLIST FOR RESIDENTIAL
DOCUMENT STANDARDS
? • Registered Land Surveyor signature and company
o • BuildingPermitApplicant
? • Legal descripdon
o • Address
c • North arrow and scale
? • House rype (rambler, waikout, spfrtw/a, spl'd entry, lookout, etc.)
? • Directional drainage arrows wiM slope/gradient °.6
? • Proposed/epsting sewer and water services 8 invert elevation
? • Streetname
? • Driveway
o • Lot Square Foohage
o • Lot Coverage
? ? .
?Q,?p ? •
??? ? •
?? a •
ELEVATIONS
Existina
Sewer service (or Propased)
Property comers
Top of curb at the driveway
Elevations of any ebstlng adjacent homes
? Proposed
ef ?a ? • Garage floor
V ' a : Firstfloor
? Lowest exposed elevation (wafkoutAvindow)
d ? ? • Property comers
a?o ? • Front and rear of home at the foundation
Z PONDING AREA tit eDdicable)
o d?? "o • Easement line
? ? • NWL
? tl" p • HWL
? • Pond # designation
? ? • Emergency Overftow Elevation
/ DIMENSIONS
d o ? • Lot IineslBearings & chmensions
? ? • Right-of-way and street width (to back of curb)
d? ? • Proposed home clmensions indudng any proposed decks, overhangs greater than 2', porohes, etc.
(i.e. ap sevctures raquiring permaneMfootings)
c o • Show all easements cf record and aml Ciqr ufillities within thase easements
r3' a /a • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
??f a • Retaining wall requirements, if any
Reviewed:
T
March t999
CRAIC,IBI.DOPRMf.FM
LATEST REVISION: /?j y
--?T
,.. Forvt for Use wit}i 1vSinnesota Rules part 7/670.l;vi5, Subp. 2
1& 2 Family Residential "Cookbook" Method
S1TE ADDRESS Cify
DUiLJER baie
MJnimum Criteria:
Rim Joist: R-19 insuiatian Foundaton Windows: ]nsulaled glau, IR" air space, aood or vinyl ftame
Entry doors: 1'/+ inch solid wood with siorm or better •
STEP 1 Window & Door Area
Total Window & Door Area in 5q. Feet
WTNDOWS (including foundation windows):
Dimcnsions Qnty. Area
2-4 " t?o 1 -I O
Z0 x ?j.-a
1_O x Up -2 ?
--12 X a4D 1
-l 2 x i?
z4 X 4? 14 I 12
x
x
x
x
x
DOORS-
Lo O x'? Z 2 ?,21P • LvI,Q
?) L x `to l
-1 Z X Zo ? C)
7'otal Area of
wndow & Doors
3LeJ,44f A
TotaJ WaJI Arra in Sq_ FL
Wall Tota] Perimeter IieiQht Area
' t?? ? I d11C?
1 I.PID 4-
Total Area
of wail
B
STEP 2 Calcuiete area as a percent o( wall
Sox A(window & door arca) dividcd by Boz $(total
wa]I area) times 100 equals the window and door area
as a percent of wall area ($ox C).
BozA 100=
Box B li: j
STEP 3 Deslgn Features
ASSE-MF3LY Of't10IN
FRAME WALL: STANbARD FRAMING x
ADVANCED FRAMING
cnvtrv nasuLnnorr , R_ Z2
SHEATfiMG: LF-SS TIIAN R-5
R-5 OR MORE WiNDOWS (eacept foundadon windows):
U-FACTOR -. _ U- _ 3
From the table, dcterminc the maximum percent wlndow
& door acra for the design options selected and enter the
valucin Uox b below: ,
.
----------- --
Sox C must be less Wan or equal to Box D
Z, n CITY USE ONLY /a9 46?
L ? BL RECEIPT #: U o`
SUBD.• RECEIPT DATE: ?? 7/
PERMIT # 3
1999 PLUbiB1Nfi PEtMiT (U..SIUENI'1AL)
CTfY OF £AfiAN
3850 PILOT KNOS RD
EAfiAN, MN 55122
(651)6$1-4675
Please complete 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 = $ DO
Floor drain 3.00 x $ c?
GaS I In outlet " minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x $ J. 00
Laundr tra 3.00 x = $ 3 .00
Lavato 3.00 = $ ? S. O
Minimum fee alterations to existin dwellin 30.00 = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 = $
Private Dis osal S stem abandonment 30.00 M = $
RPZ new installation/re air 30.00 = $
Rou h o enin 1.50 = $
Shower
3.00 x
=
$ p0
Un
der 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 = $ 00
Water heater 3.00 x = $ O
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 --> --> ----> ----> $ s•
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, stale that the information is correct, and agree to comply with ?all applicable Ciry of Eagan ordinances.
It is the applicant's responsibility to notiry the property owner that the Ciry 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 property/righbof-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
,; 1 ovc
PI r
STREET ADDRESS: 4-96--57r
TELEPHONE #: t/, /„Z ?.?'
(AR % CODE)
TELEPHONE #:
(AREA CODE)
CITY: 5Y3 7? STATE: 114 ZIP: SS3?
SIGNATURE OF PERMITTEE
?
? ? .
^ U:7V./
* * *
'k PIONEEFt
* eng
* * *
?
Certificate of Survey for
LOT AREA =13,295 sq. ft.
HOUSE AREA =1,949 sq. ft.
LAND SURVETOftS • GINL ENGINEERS
UND PLANNERS • LANOSCAPE ARp11TECT5
2422 Enterprise Orive
Mendota Heights, MN 55120
(612) 681-1914 FAX:681-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
M.W. JOH.NSON
1410 KINGSWOOD P
879.5
L. 7
N67.00 ?3 12 ' f
1? 6? ? F -
6 p?:yh°c
BENCH MARK Q- 77.
TOP OF PIPE --,
v ELEV.=878.06
8754 16878.
`
%j -P
x\
>? ?? 877.4 ?? ? 'so
?
7.5 i .
ss T 4.1, 878 22 8.7
' ?X\ .. ? ?\
? 875.4A\ 5.6 877.1
873.1 2p ?
? 873.1 8'
F?
/ ~co NO
873.3 873. ?
k
O) Z? ?
s
?
/ V
? 3
866.5 1
4 j.;CSL-
? 1
?
?
. ?;._
?_._'_: _?????w:=?. -?_•i? ? ????.. :.,..?,
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PARAMOUNT PROPOSED HOUSE ELEVATION
NOiE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VER7ICAL LOCAiION LOWEST FLOOR ELEVATION:
OF STRUCTURES ONLY. SEE ARCHITECTUAI PLANS FOR BVILDING AND
FOUNDATION DIMENSIONS
2
. TOP OF BLOCK ELEVATION: ?
N07E: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SB 1
7
SURVEYOR. RiE SUITABILITY OF 501LS TO SUPPORT 7HE SPEqFIC HOUSE .
GARAGE SLAB ELEVATION:
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVE70R.
T.O.B. 0 L.O. ELEVATION:
NOTE: THIS CERTIFICATE OOES NOT PURPORT TO SHOW EASEMENTS OlHER THAN X 000.00 DENOTES EXISnNC ELEVA710N
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED EIEVATION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. --- DENOTES DRAINAGE AND U7ILITY EASEMENT
? DENOTES DRAINACE FLOW DIRECTIDN
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMEO DATUM • DENOTES MONUMENT
-E3- DENOTES OFFSET HUB
WE HEREBY CERTIFY TO M.W. JOHNSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 3, BLOCK 2, KINGSWOOD PONDS FIRST ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERViSION THIS 16 DAY OF MARCH, 1999.
SIGN D: IONEER EN 1 ING, P.A.
SCALE : 1 INCH = 30 FEET REVISED 3-26-99 RESTAKED SE
BY: /
1 oenze m i ic John C. Larson, LS. Reg. No. 19828
A??
IDS RD. ` CLIENT-ROXAS
30 1 ?
e7s.ax
579.4
• O
876.6 A
O/i
Q
SERVIC
ELEVE .=A(9.(0`?0.1
O
880.0 p`'? ?
?`x
p ,?O
•? t? I ?p l
876.0 x
' 878.0
i? x 873.3 ?
?5.84
\\ / ?
? 1° \V ?o .h?'E
.3
\ O?Q
79.7 \
\
_ 880.5
) .tp
\BENCH MARK
------ --TOP OF PIPE
?- - ELEV.=882.67
884.8
?.84 y??S
1 ?G r2
2 sF c
876.4
CITY USE ONLY
LOT 3 BL 2- PERMIT
SUBD. 114SW60d PANdS 'st RECEIPT #:
J
u+3,?5
13a?aa
RECEIPT DATE:
6-aa -oc)
2000 MECHANICAL PERMIT (RESIDENTIAI,)
Date: LI!"k-co
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you are remodeline, addine to, or renairin? an existing single-family dwelliag,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
? New _ Alteration _ Repair _ Other
_ Furnace ? Air conditioning
_ Air exchanger _ Other
Fee $ 30.00
State Surcharge .
Tatal $ 30.50 ?
Reminder: Call for inspections .
SITE ADDRESS:
OWNERNAME: D2zn,(.S _PHONE#: &J ( - 4oJ'?'? y137
(AREA CODE)
INSTALLER NAME: SLJCYI (Q, ?? -k 6/0- PHONE #: r /,2- -S'9?l dCJ OS'
STREET ADDRESS: .?, ??A CODE)
CITY:
CITY OF EAGAN
3830 PILOT LQiOB RD
EAGAN MN 55122
651-681-4675
_ STATE: 41?4) ZIP: 5,05{3_76y
c ^
SIGNR?M OF PERMI E
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PBRMIT (COIyMRCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, cal! 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallarion = minimum fee .
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each 51,000 Base Fee
TOTAL
SITE ADDRESS:
$
OWNERNAME: PHONL #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE#: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT ? SL ? RECEIPT #:
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
19991KECHANICAL P?RMIT (ft£SII?EWIAL)
crrY oF $,e?EiAx E)
P S$SO PILUT KNOB RD 0 EtkfiAN IYIN 5518E /? P
Date: (651) 6$1-4675 lJ 121
??''
/
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: O-100 M B T U $ 30.06
ADDITIONAI. 50 M B'I'U 6.00
• Gas outlets (minimum of one required @$3.00 ea.) ?. CD
State Surcharge .50
TOt31 E
,
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dweliing,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
Furnace
_ Air exchanger
_ Air conditioning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER
IN3TALLER NAME:
O
L AfGS
(Aj aWlf PHONE #: 7'?"
(?'D
?o ?
PHONE #: ?6o 6422
STREET ADDRESS: Oql02 I b EA-h-/II au<, (AREA CODE)
CITY: L640A-) ? v w?lJ STATE: ZIP: l?~vl d?
??? ??hAove'
SIGNATURE OF PERMITTEE
CITY USE ONLY
L BL
SUBD.
APPROVED BY: , INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHANICAL f'ERM1T (COMMEfi.C1RL)
CITY Of £A6A1V
3$30 P1LOT KNQ$ RD
EraGANo 14I1V 55182
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dweiling unit
JATE: rnrr?rn ?rT nu*rE:
.......... .. ?.u?
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of nermit fee due on all permits.)
TOTAL
S?TE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CjTY:
PHONE #: -
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
.
3IGNATURE OF PERMITTEE
7?770
ql?. 2*1
2007RESIDENTIAL BUILDING rExMiT aPrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reauiremenls
3 registered site surveys showing sq. R. of lot, sq. ft of house; and ali roofed areas
(20%maximum lot coverage allowed)
t Soils Report if proposed building is to be placed on disturbed sal
2 copies of plan showing beam & window sizes; poured found design, ett,
1 set of Energy CalculaGons
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selettion sheet (buildings wiffi 3 or less units)
Mmnegasco merhanical ventilatlon fortn
RemodeVRenair Requirements Office'Use Onfv
2 copies of plan showing foo6ngs, teams, joists Ced of Survey Recd _ Y'_ N
1 set of Energy Calculations for heated additions Soils Repat ` "Y _ N
1 site sutvey for additions & decks Tiee Ptes Plan Recd _Y _ N,
Addifion - indicate if oo-site septic system Tree Pres Required _ Y_ N
Oo-site Septic;System _Y N
Plans are considered nubiic information unless vou state thev are trade secret and the reason.
Date Q,9 l 1-3
Site Address ?a A-'/A/?s VyQOP Construction Cost 9/ 'T 2.3
Ap vVA $' Unit/Ste #
Description of Work 01Y_ 42 C IS(vm/c?
Multi-Family Bldg _ Y_4' N Fireplace(s) _ 0 _ 1 _ Z
Property Owuer PC 1N*15 kpv_ f Telephone #(?,5'/)
Contractor
WrSZE, rA/ QDDFl/1/t?l 45
.
Address 97/s!:7 /3?T'if/,Qtl/? A/
State City
Zip 6lr? Telephone #('Gy) O 3C7 f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby appfy for a Residential Building Permit and acknowledge that the intormation is complete anu accurate;
that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and the State of NIN
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.
-r? fi-vudu/(lPe Anr7i7et ,
Applicant's Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? .04 02-plex'
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
N 34 Replacement
? 07 05-plex
? 08 O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
D@SCrIptl011: Water Damage
0 13 16-piex
? 16 Fireplace
? 17 Garage
? 18 ' Deck
? 19 Lower Level
? 20 Pool O 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
•Demolitlon (Entire Bidg) - Give PCA handout to applicant •
Yes
Valuation Occupancy
Plan Review 100% or 25%
Census Code Zoning
SAC Units ' Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const . Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License 5earch
Copies
Other
Total
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
Final/No C.O.
HVAC
Other
Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
Retaining Wall
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126200
Date Issued:08/18/2014
Permit Category:ePermit
Site Address: 1410 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-030
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis Ii Roxas
1410 Kingswood Ponds Rd
Eagan MN 55122
Amana Construction Inc
1237 107th Lane NE
Blaine MN 55434
(612) 636-3441
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128217
Date Issued:10/30/2014
Permit Category:ePermit
Site Address: 1410 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Khue Le
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 -
Dennis Ii Roxas
1410 Kingswood Ponds Rd
Eagan MN 55122
Amana Construction Inc
1237 107th Lane NE
Blaine MN 55434
(612) 636-3441
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152979
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 1410 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Dennis Ii Roxas
1410 Kingswood Ponds Rd
Eagan MN 55122
(612) 810-2652
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155233
Date Issued:05/06/2019
Permit Category:ePermit
Site Address: 1410 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Dennis Ii Roxas
1410 Kingswood Ponds Rd
Eagan MN 55122
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170309
Date Issued:06/25/2021
Permit Category:ePermit
Site Address: 1410 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Dennis Ii & Ellen C Roxas
1410 Kingswood Ponds Rd
Eagan MN 55122--287
(612) 810-2652
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature