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1411 Kingswood Ponds RdAddiess 1411 Kingswood Ponds Rd Zip 5512_2 LOt I Bik I $Ub KinQswood Ponds ]st Addition THESE 1T'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: J ?_z_0() Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway x Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish x Deck x Please verify with the builder the removal of roof test caps from the ptumbing system and the shut-off of water supply to the outside jawn faucet befoce freeze potential exiscs. Contact enp,ineerinR division at 681-4645 before wocking in rightof-way or installing underground sprinkier system. White - City Copy Yellow - Residenf Capy Pink - Contracror Copy 0 PERMIT# s I -j- C) C) RECEIPT DATE: 200E MIDENTIAL PLUM$ING PfRhI1T APPLICATION crrY o? EAGM 3$80 PILOT KNOB RD f.Aflt4N, MN 55188 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100 00 includes $40.00 Counry fee . Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ?Addin fixtures to lower le els dditi l di t t h ft d : g v or room a ons, exc u ng wa er so wa er eaters. eners an $ 50.00 _ Abandonment of septic system. Water turnar nd - existing dwelling unit (+ 5!8" meter if needed -$118) _ Other.' ,L,>0 '?' p YY?? 17--7t v\.i _ RPZ: new installation/repairlrebuild $ 30.00 _ lawn irrigation system ._----? ReplacemenUadditional: water softener water heater $ 15.00 'i ? .? State Surcharge I $ .50 .- Total $ I hereby acknowledge that I have read [his application, state that the information is corw6t, and is the applicanYS responsibility to notify the property owner [hat the City of Eagan ??umes n operational and maintenance activities to the facilities construcled under this oer'mit withiWCi OF PERMITTEE (AREA CODE) nances.it its normal 1102 ., . ' BUILDINC PERMIT APPLICATION L+ 9 j CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0_? C? ?O 657-681-4675 New ConsVuction Reauirements RemodellReoair Reauirement? • 3 registered site surveys showing sq, ft. of lol, sq, ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) • t set of Energy Calculations for healed additions • 2 copies of plan showing beam & window s¢es; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home sened by septic system for additions • 3 copies ot Tree Preservation Plan i( lot platted after 717193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE V-- r''/ - d y RESIDENTIAL JOB SITE ADDRESS 1?411 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? / PROPERTY OWNER TYPE OP WORK FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT PHONE# i??si? f?s z-Pa / 3 ADDRESS PAGER # ZIP CODE CELL PHONE # ? I Z ' 7YI' 14 / 7 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPI Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes Mechanical Contractor: Mechanical SysCem Includes: Sewer/Water Contractor: Phone # Phone # I'ee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Water Softener Water Heater No. of Baths VALUATION _ Phone #: Lawn Sprinklcr No. of R.I. Badis _ Air CondiGoning Heat Recovery SysCern Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? ? 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.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchJAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ?18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair X 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. ? Foorings (deck) FinaUNo C.O. _ Footings (addition) T Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By T_Z, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 0 . , DELMAR H. SCHWANZ • LAHOSURVEYORS.INC. . . . .. , , psQisfemd VndN Lar.s of TM Slale ol Minnesda 14750 SOI:-H ROEiERT TRAIL ROSEMOUMT, MINNESOTA 5!?068 651/423-1769 SURJEYOR'S CERTIFICATE , ,.. ..? . ,. ,, . . .. . . .. , . .., ,. on pipe mornment Property ltildress: 1411 Kinqswuod Ponds Road t WOod hub at building offsEt Scale: 1 inch = 30 feet , ... , . . . . isting spot elevation oposed elevation oposed direction of- drainage "? ." . . ?... , . nitazy Sewer i.nvert e leva tion RE" IE ' D area = 13.382 square feet ? By . ? . . / e and garaqe area = 2, 553 srnaare f_eet e Type: Rambler wii-h lookout ? Date,_?- / T- ? rAG1VL: rG DrPT. osod garage floor elev. ?7 :)sed top of block elev. Dsed lvwest level elev. FZ F -k: TN(i at East Pond Road and fswood Ponds Itoad = 882.01 89.9 . .. ; ..,. . . ? , ee9 91.0 ? 'S I 15 ?- a } m . -N------- \ I .04 ?? '2v ?881. '',? O9 6, "• , ? '? O B79 H "''Y ,y ?'?p c? I ,?.., • \ (J1 87 3 r ?p ? ? '1 • F` 883. , I 2 \ . ` ? . p ' ,. (. ? u. • '• t0 \ ? ?y' \ •7 m ?` r ''0 m n \ ? N S C. 97 ? v N 1 wAT . . . ~VALV o eas. 88 / ??? 2 66 B5. 0 `.. , ,? ?? 2ti . 81179. , es .a1??... /1/f1 . . ???? • /_ ?? r l. 1 /!r ? ?fp ?n o', ? + . .. , .830.6 ' 881. 1. "''4 h. ? 0 OCK 1 ?? , .. ?? . ... ,, , . ?. °° ? 'A o ...-? . ; o 1-+ 885. ' 890.3 Q?%'? -_ xty Description: ?\\ ?o 8e9.7 IIlock 1, KINGWOOD PONDS FIRST ADDITION, ? xli.ng to the record plat thereof, Dakota County, 2000 BUILDING PERMIt_=WPI ATION (6?&iTIAL) CITY OF EAGAN 3830 P 55122 ? ? LI ` I ? 651-681-4675 New Conaiructlon Reaulremenh cR-? 5?I s a7 Re " ir?teoaKeoire'menis°Q ? 3 repisfered alte wrveys ahowinp aq. R of lot, sq, fl. ol house 2 copies ot pian and gp rooted areaa (24% maximum lot coveraae altowecft 1 set W energy cdculoNons tor heated addlflons ? 2 coples ot plana (ahow beam d window sizea; poured Md. deslgn; eic.) 1 sNe wrvey for extedor addfHOns 8 decks v 1 aef of energy calcWatlons ? S coples of hee preservafion plan If lot plalted afFer 7/1/93 DATE: ?--2 8- d 0 CONSTRUCTION COST: 26 DESCRIPTION OF WORK: N(?Ul STREET ADDRESS: /?r/ i n?S c?Ioo ? ?s r,d5 oa d LOT: BLOCK: SUBD./P.I.D. #: ??%.5"1oe c1 Name: Phone #: PROPERTY I.aat Fint OWNER Sheet Address: Cify State: Zip: Company:.?f?V' ?)rAS- 04n54- ??c'• Phone C 612. 3pZ- ?0 Z Z (area code) COMRACTOR O t ? Street Address: ??/ ?/?/..? ??• f?- tlcense #a7Dr0( 6(0 ;9 Exp. Z4J/ cny ffosc??ou?,f state: up: 55061 ARCHITECT/ ENGINEER Company: ?h +? i?S ?"?anYl ? nP .?n c• Name: Telephone #: ?I ?,pnsulu? Sheet Address: r37.5'' ,?- .,Ln.1,'d /' Loar? RegistraBon clty .&'nso fae- state: Zip: 55133 7 Sewedwater licensed plumber (if instatflna sewerlwaterl: 64A22.L Phone #: (6 51 ) T? ?R?16? I hereby acknowledge ttwt I have read Ihis applicalion, state that ihe Infortnation ' cortect, and agree to comply wHh all applicable State of MinnesoM Stafutes and Cify of Eagan Ordinances. Signaiure of ApplicanY. `- OFFICE USE ONLY Certificates of Survey Received ?S/Yes _ No ' Tree Preservation Plan Received _ Yes _ No _??5ot Required _ ?? OFFICE USE ONLY , - , BUILDING PERMIT SUBTYPES ? 01 Foundatlon ? 07 05-plex P( 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex YVPRK rrPE ? 31 New 32 Addition ? 33 Alteration O 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muld ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 18 Deck ? 23 Porch (screened) ? 36 Mulb ? 19 Lower Level ? 24 Storm Damage Plbg _Y or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bidg. 0 36 Move Bldg. 0 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) O 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATIQJV SAC Code uL No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories ? sq. ft. Length ? sq. ft. Width Footprint sq. ft. Basement sq. ft. Census Code /L?/ Main level sq. ft. MC/ES System sq. ft. City Water sq. ft. Booster Pump PRV Fire Sprinklered MISCOUS INSPECTIONS X ?uJ Stone APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/ES SAC cicy sAc Water Conn. Water Meter Acct. Deposit S!W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ? IT4&e Engineering Variance ? ? Valuation: $ Jy y L? d ? D3, 9 5- v qL/ ty .d ? N4 ?a?u? Total: '`I 9 0 1-1. 'f 1 ? ? /? ??a ?? / y .y ?2-? / SAC Units % SAC ?. . MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3,0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CDNSTRUCTION TYPE: Single Family DATE: 6-23-2000 COMPLIANCE: PASSES Required UA = 379 Your Home = 354 6.5% Better Than Code I ' ? ? Permit # I I ? Checked by/Date I Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ---------------------------------------------------------------------- CEILINGS 1926 99.0 0.0 52 WALLS: Wood Frame, 16" D.C. 2018 19.0 2.0 113 BSMT: Conc, 8,0' ht/7.5' bg/8.0' insul 1161 10,0 0.0 73 GLAZING: Windows or poors, Above Grade 231 0,350 $1 DOORS 101 0.350 35 ------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the equirements f the Minnesota Energy Code. Builder/Designer ?~ , ? Date C?'?? ? Minnesota Energy Code MNcheck Software Version 3.0 DATE: 6-23-2000 PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors tc use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATIDN INSULATION - foundation wall insulation R-5 minimum - foundation insulatian extends from top of wall down to top of the footing - exterior foundation insulation is covered by a protective:coating finish CONCRETE SLAB OR UNDER-SLAB INSULATION - slab on grade perimeter insulation R-5 minimum - slab insulation extends from top of slab to design:frost line or top of footing - floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS - average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows) - window U-Ualue consistent with building plan and MNcheck Report - window and door area consistent with building plan and MNcheck Report MECHANICAL VENTILATION ISSUES - residential mechanical ventilation system provides adequate ventilation per code requirements* - furnace efficiency is consistent with MNcheck or building design plan - protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW - interior basement insulation R-5 minimum (if no exterior insulation) - ceilings with attics R-38 or consistent with building plan and MNcheck Report - wall framing and insulation level is consistent with building design and MNcheck Report • INSPECI'ION ISSUES CONCEALED INSULATION FRAMING AND SHEATHING - wind wash barrier installed at attic edge - exterior wall corners framed so that insulation can be installed after exterior sheathing is installed - intersections of interior partition walls and exterior walls are framed sc that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed - gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly - all penetrations Uetween conditioned and unconditioned spaces made prior to framing inspection are sealed INTERIOR AIR BARRIER - all fire stops are air sealed - pipes, ducts, wires, equipment and flues and chimneys through the interioz air barrier are sealed - a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas* - air barrier behind tub and shower is sealed and protected - recessed light fixtures are sealed ENVELOPE INSULATIDN - basement insulation R-5 minimum - wind wash barrier on wall separating house and garage is sealed - loose fill insulation is prevented from entering the eaves - insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side ATTIC INSULATION - attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel - attic card attached to framing near access opening - notification of attic R-value and date of installation posted near bui] permit inspection card LOT SURVEY CHECKLIST FOR RESIDENTIAL BUIIDING PERMIT APPUCATION ? PROPERTY LEGAL: %nT / aLOCII-/ /TZI/6'S"L//pOD h DATE oF SuRVEY: 6? - 2- ? LATEST REVISION: -7- IC) ? 00 w ? C 0 DOCUMENT STANOARDS Y 's: a Q 4 ?? • Registered Land Surveyor signature and company ? ? : Buiiding Permft Applicant ? Legaldescription ?/ ? • Address ¢f/ a? • North arrow and scale c?f ? o • House type (rambler, walkout, split w/o, spl"R entry, lookout, etc.) ?? ? • Directional drainage arrows with slopelgradient % ?? ? • Proposed/existing sewer and water services 8 invert elevation V? ? • Street name V o ? • Driveway m// ? ? • Lot Square Footage p' o ? • Lot Coverage ELEVATIONS Existina m/ ? ? • Sewer service (or Proposed) 8/ ? a • Properry comers O/? ? • Top of curb at the driveway a-'o o • Elevations of any eAsting adjacent homes ra-'?? Adequate footing depth of structures due to adjacent udlity trenches Proaosed m' a ? • Garagefloor IV o ? • First floor m? o? ?o o • • Lowest exposed elevation (walkout/window) Propertycorners r,a?o ? • Front and rear of home at the foundation / PONDING AREA (iF aaolicablel ? li/ ? • Easement line ? t? ? ? ?? • • NWL HWL ? o ' • Pond # designation El ti O fl ? t? ? • eva ver ow on Emergency DIMENSIONS / rY o? • Lot Gnes/Bearings & dimensions o • Right-of-way and sVeet width (to back of curb) m? ?? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. ' (i.e. all sUuctures requiring permanent footings) ?o ? • Show all easements of record and any City utilitles within those easements ra?a o V • Setbacks of proposed structure and sideyard setba f adjacent existing strudures ? ? • Retaining wall requiremenhs, if any , .4 Reviewed: / Date . March 1999 CRAIGI3LD6PRMT.FM Certificate of House Location For: Schafer Construction H20100 - DELlIAAR H. SCHWANZ LAHOSUHVEYONS.INC. .. qapipMM VnMr lnv? 01 The StAN, ol Mino"dJI 14750 SOI;'H FOBERT TRAIL ROSEMOUNT, MINNESOTA 5F088 ssi M23-1769 SURVEYOR'S CERTIFICATE , .. ..?, Iron pipe monwnent Property Address: 1411 Kinqswood Ponds Road f? = Set wood hub at buildi.ng offset Scale• ? 1 inch = 30 feet ? O ..... O . . ??. , . . . . ? {? t+ 890.3'G/G.?l" tl`-- =+ 889.7 - ? p/.D = Existuiq spot elevation <D = Proposed elevation ` Proposed direction of drainage 872.0 = Sanitazy Sewer invert elevation Iot area = 13.382 scRiare feet Eiouse and garage area = 2.553 square feet House Type: Rambler with lookout i Proposed garage floor elev. Proposed top of bloc)c elev. 6,4; //0 0?? 1!5 Proposed lvwest level elev. F`J.65- Bench Mark: THII at East Pond Road and Kingswood Ponds Road = 882.01 ? lo \ L+ ? \\ ?. ? ?.. ? ? ? BAGAN ENG 14 ,k x DEP'9.'. s /,•?? %JI /J,U> t J ?. p ' A .. , . . . to ?.. • _.?-?'_--.....___ __...__... . t N m ?:.. ). Stoim sewPx location per? N N ? City plans. , ?._..., z NvF - Prop?mty DeSCL1ptlOI1: Lot 1, Bloclc l, RIlVGW00D PMDS FIRST ADDITION, aooording to the record plat thereof, Dakota Crnmty. Minnesota' 0 M , Also showinq the location of a proposed house staked thereon. ? DELMAR H = . SCHWANZ 8625 - I hereby certily Ihet Ihie survey. plen, or rsport wsa prepered by me or unde: my direct supervision sr.u ??4i????o• ..?'. ?? thet I em a duly Registered Land Surveyor under fhe laws o1 the Stete of Minneeota. ' ReV1S0d 07-10-2000 Add2d StAI7f1 SEweL'r, (j11I1P_T1SlOfl osiud 06-22_2000 of carb to praperty lineo moved hod-se -- bacac I foot U.?ECEIVEG J U L 1 2 2011b i. .. . ,. .. . ... , , . , ,. . ., ?. %. , .?° L > Delmar H. Scywenz. ? Minnesofa Reglatretfon Na. 8825 ? • i. ?-' 0?- Site address: /4-ILKi n Gs w oad 1' e1? A ;?a Lot I Block ? Subd. K-n aS ul .a415 jo&j On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection., air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following imforrnafion be submitted prior to issuance of a Certificate of Occupancy. ? This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR - This structure: will be constructed to meet more restricUve requirements of Chapters 7672 or 7674 I?icrIl? V tvl 1 APPLIANCE GAS ELEC MANUFACTURER MODEL. BTU'S VEN,TING TlP,E. Water Heater ? +? (os ? ,? Dd c?? ,?/2??,,'? Furnace .X .? ??' " F'h AO $ ??l aD Dryer X ( I I 7 Q 1 9 C? 'I MC4 ? EXHAUST SYSTEM LOCATION TYPE MODEL CFM's `kGENTED YES .;, No Kitchen kitchen Bathroom 1 Bathroom 2 Bathroom 3 Bathroom 4 Olher . FIREPLACE S LOCATION GAS WOOD MANUFACTURER M,ODEL 8TU'S VENSING DIRECT A7MQ5 V: -r . MAKE-UP AIR MODEL TYPE CFM's>: o 0 te5 en mo, o Ffes Lr . I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code arad City of Eagaa requirements. I n,-A LIJ?a SI?BfIC.?'1Ile2 Yt r ?B.TD4 CompanyName li -a -o-o Date A * This form is the responsibility of the General Contractor. L4 + -1 -c?-y ?. ? -, *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 729 DATE: 09/05/00 TIME: 10:35:35 ID: , NAME: WENZEL MECHAIdICAL . 3212 9001 1411 KGSWD PD R 59.00 2155 9001 1411 KGSWD PD R 0.50• > Total Receipt Amount: 59.50 CR136845 USER ID: JAN ? CITY USE ONLY L ? BL ? SUBO. 11; ponQ sfi 1939 RECEIPT #: RECEIPT DATE: PERMIT # Z 2000 PLUMIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT FINOB RD EAGAN, M 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIYTIIRFi EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ . 00 Floor drain 3.00 x = $ oo- Gas piping outlet ' minimum - 1 3.00 x = $ . O Hot tub/spa 3.00 x = $ 3, O o Kitchen sink 3.00 x = $ . DO Laundry tray 3.00 x ?. _ $ • 00 Lavato 3.00 x = $ . O Septic System new/refurbished " requires MPC Iic. 75.00 X = $ Septic System abandonment 30.00 X = $ RPZ new installation/repaiNrebuild 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x J = $ • fl Underground sprinkler if dwelling is under construction 3.00 x = $ .9 O Undergroundsprinkler ifexistingdweliing 30.00 x = $ Water closet 3.00 x = $ - 00 Water heater 3.00 x = $ 3,00 Water softener If dwelling under construction 5.00 x = $ 5< d 0 Water softener if existing dwelling 30.00 X = $ Water turnaround 30.00 x $ State Surcharge .50 --> -> ---> $ .50 Total -> -> -?-> ---> ' Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------------------------------- •------------------------------------------------- •-------•---------------------------------- I hereby acknowledge that I have read this application, state that the infortnatian is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiliry 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 constrxcted under this pertnit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : ?? Gi? -,TELEPHONE #: (AREA CODE) INSTALLER NAME: VVC01'el, OAWAW(-r? TELEPHONE #: 10J j W Z????S 7 STREET ADDRESS: ? ?? ? 5k&A&&A? Nj>• (AREa CoDE) CITY: VYYN • STATE: N " ZIP: 1:D 7/?? c 1 v 'Lt K4??_24? SIGNATURE OF PERMITTEE ? CITY USE ONLY LOT BL PERMIT #: _ susD. (?ihACwnoA DondS JS? RECEIPT #: RECEIPT DATE: 9-11 qv 2000 MECHANICAL P£f;MTT (ftESI)ENTIAL) C1TY oP EAfiAN 3830 PI.oT Kvos Ru Exs,tN huv 55t 2E O2 v r t'o 651-681-4675 Date: Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 / :Z o o. .50 $ 5/2•? ' F Complete this section onlv if you are remodelinaddinQ to, or replacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New _ Replacement _ Other _ Furnace _ Air conditioning _ Air exchanger Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 Reminder: Cayfor final inspection. SITE ADDRESS: POJJ'Dj Rot OWNERNAME: Sc- /7R ic -{2, z Dr11ipn+s C GN.Sr. PHONE#: ^ ? ? J/ (AREA CODE) _ ?,Z?J? ?v INSTALLER NAME: _61Z O J? rS /?' ?nj ?j- p/!L PHONE #: STREET ADDRESS: l3 /s r ST (A) (A REA CODE) , CITY: kU S-t^b vA7 STATE: /?.?. ZIP: YSrd -e? SIGATFTRE OF PERMITTEE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CHANICAL PERMTf (COMMERCIAL) CITY OF£A6M 3$30 PILOT KNOB ftD EA6+4N. MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buiidings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T'YPE: New construction • Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When installir:g/removing irnderground lank, cal! 651-681-4675 for inspectiox by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = mini*num fee Contract price: $ x 1%_$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: CITY USE ONLY PHONE#: - (AREA CODE) h STATE: ZIP: SIGNATURE OF PERMITTEE ??************************************* CITY OF EAGAN CASHIER: JS TERMINAL NO: 699 DATE: 08/25/00 TIME: 07;09;21 ID: NAME: GROFF'S HEATING AND AIR 3213 9001 1411 KNGWD PDS '42.00 2155 9001 1411 KNGWD PDS 0.50 Total Receipt Amount: 42.50 CR136480 USER ID: JAN RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 j0 651-681-4675 r ? NewConstructioa Reauirements RemodellRepair Reauirements • 3 registered site surveys shawing sq. ft. of lot, sq. ft. of house; and all roo(ed areas . 2 copies of plan ;24% maximum lot coverage allowed) . i set of Energy Calculations for heated ad( • 2 copies of plan showing 6eam & windax sizes; poured found design, etc.) . 1 site survey tor exterior addifions 8 decks . 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/U93 • Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units) DATE 5 / Z H/6 ! ? VALUATION (EXCLUDING LAND) JOB SITE ADDRESS ItIl k<<n W6C-0( ee'% ActcQ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERYY 01hlMER ? i'? ?? I e J ?-4- 0? c.?. e?. 1-i ,P All- TYPE OF WORK IR PLACE(S) _0 2_3 APPLICANT ???. IeC L.? PHONE# ADDRESS t/'RCGC UDAAs /leta Gr?aH ZIPCODE PAGER # CELL PHONE # lo <Z 7S 1 ?6/ ] fAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Cateqory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Pluinbing Systern Indudes Mechanical Contractor: Nlech.inical Svstein Includes: Sewer/Water Contractor: , Air Conditioning Heat Rccovery Syst.crri Phone # Phone # Tce: $90,00 Fee: :570.00 All above information must be submitted prior to processing of application. I hereby acknow{edge that I have read this appliCation, state that the information is correct all applicable State of Minnesota Statutes and City of Eagan Ordinan s: ???,? .? Signature of Applicont Certificates of Survey Received _ Tree Preservation Plan Received _ Water Softener Water Heater No. of 13aths _ Phone #: IK1rvn Spnnkler No. of R.I. Ba[hs IC iln i L, I, I 1.11 04 ree to comply Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex Q 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garege ? 10 08-plex ? 18 Deck 0 11 10-plex 'K 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) 0 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) 0 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi p 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to appiicant Valuation L?(}'It> Occupancy MCiES Sysfem Census Code -44,-W Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ) Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. - Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing - Foundation HVAC Drain Tile Roof Ice & Water - Final pther X Framing _ pool Ftgs Air/Gas Tests Final Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone ? Insulation _ Windows (new/replacement) Approved Byl-2,Building Inspector 3ase Fee Surcharge °lan Review :V1C/ES SAC -lity SAC Nater Supply & Storage 3&W Permit & Surcharge T"reatment Piant 'lumbing Permit 'Aechanical Permit _icense Search .opies • ? S Dther rotai PERMIT City of Eagan Permit Type:Building Permit Number:EA124824 Date Issued:07/11/2014 Permit Category:ePermit Site Address: 1411 Kingswood Ponds Rd Lot:1 Block: 1 Addition: Kingswood Ponds 1st PID:10-42050-01-010 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 . Gregg Biske 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 - Diane L Hokans 1411 Kingswood Ponds Rd Eagan MN 55122 Rooster Exteriors Inc 986 Inwood Ave N Oakdale MN 55128 (612) 382-4057 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �-----------------, �,,� �,� �, h ,� �- For Office Use � � ��.:,�.�.,.� ��:�� .. � 02�1�3 3 ' �� U�� I Permit#: � I 1�` / I a '� OC� � � ��1't � Permit Fee: l/� � � � 3830 Pilot Knob Road � ;, � I Eagan MN 55122 �,� ;, � � F �� I �jj�, ��,,�� Phone:(651)675-5675 x,;'!';__.___.__.___�.._ _...______ I Date Received: � Fax:(651)675-5694 � � � � Staff: I ____________��___J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. , Date:_.�d� ��-I Site Address:I��Il/�iS�IJ�� Y� / )�� Tenant: Suite#: 5` 4 � I � .ti �- /"/� `'7�^�' � � � Name: ° �� Phone: �/�a''� /c� �`� �� Res�den�wner /+ � � ` ` Address l City l Zip: � (� � � � . � �, .F� ; �� ° �Name: L � License#: �,� v �� + ��' � �T� �x �� Address: 1��G� � � � City: � �� ,� Contr,actor � � �/ � J �'� �/ �_a , � , , f, ; � �a � State: Zip:_�� 7�7 � Phone: �Ui ` �� " �O� x ,� � � , � � s : � � °, �; :. q,�� Contact: �� " , � � � EmaiL h 1 C,. �� h � � �. i1't � �C��l, F N � ,� . . . . . . . . �� . . . . .. . . ` �� '� '�� New Re lacement ' Additional Alteration bemolition 'a�e� � �� : ��'�' � � � p � , ,�� :: `� T e vf Wor'!�� Description of work: , ,Yp � ` � x �� IOTE �t�oof mo,Ui�tetl and��aund md�#��ed�ttechan�cal equ�pr�e�t asyrequired to=be;screenez�by City` ' �,�� .��m4 ; GQCte::Please contact the:Mechar�icat Inspector fo�-��nformatiQn�n�permifted screen�ng i'rre#itaiis.:,�-�` �. ._�.. � � , �� , .ti�_ �. _ . �. �. . .� � . � b� � ��E �� - RES/DENT/AL ' COMMERCIAL � � � . � , umace _New Construction Interior Improvement p��.��-��, 1/ Air Conditioner _Install Piping _Processed ^� ,^� f � ,r � � �Air Exchanger Gas Exterior HVAC Unit a r�� +s`N �� — — — , '�;�� F � `: � . _Heat Pump _Under/Above ground Tank �Install/_Remove) � ,�� . ��',�?�.; '�' Other � ��/[��/Tld/ FFF_C Q.00 M111imum Add or aiterauon to an ex�5uny u��u��w�.•...••••••.• •-..._.._.�_, „ � $100.00 Residential New(includes$5.00 State Surcharge) _$ �► TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge" ""if contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 *'*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowiedge that this information is complete and accurate; that the work will be in conformance with the ordinances an 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 s � ithout a permit;that the w will be in accordance with the approved plan in the case of work which requires a review and approval of plans. �-''f �� ,l �� ) � X IV� W� �'� � i'4 x"' Applican 's Printed Name Appli s Signature �� d� , � � FO�O��I�EI��E �� . ��E � � � � � ,; � s � � °� P RP.Ql1I1'@CI ILIS�SCEIQI7S �� b�� a`� —�"� � Crip� � ��i�� ^a �"@ViP.W�CI By '� " " , a � Q'd�@ �k ' � ,`��, � ,�, " � �u <�: � ` � n � r '': llndergrQU�nc� : �"Rough trt�`".�_ }�rr x�esf �.:Gas Servfce Test. ; x, In;floor Hea� ��F�naC; � u1��fAC�cr�ening^' ; , USB 6LVC VI �LH4�l Illfl � r-----------------� i For Office Use � ' � �� I � � Permit#:�_ I �� Qa� I � � I � Permit Fee: � 3830 Pilot Knob Road i � Dafe Received: t Eagan MN 55122 i i Phone: (651)675-5675 i staff: Fax: (651)675�694 �________________ � 2014 RESIDEN�IAL-PLUMBING PERMIT APPLICATION Date: � l- Site Address: � L � ��"v 1 l ��1 e� ` C Tenant: � �� . � d Y�°- Suite#: ��. .�,n„ . ... . ... _ .�� ...�,,.�.�,,,,,��,..,.�.,F.R,.� _ . _. _�... T._T �- \� , ` (�, ,; j Name: �a�-�`�f `�`I�� Phone: ��. � `-L��- C��—.�_-� � i � �� , c � � ,�p � � � � �� Address/City/.Z�P.,�� l4�l�l'��'� � � � � L (�� ; Sd 6pyni�F+MaR'�L . errv-nilv'arv[e+SCewanxT• � .. �vx�'e`n�TC�emc � �� ; , �� u�►�1�1 l�� Name: �� L I_icense#: � k Address: � `�c� � City: �`1�1�J��""�, ; � ` `��'8+��3,� ,� ,� n � _ �1 � l� -1 t� �� t-� (�� ° ,� � ��f State:��_Zip:� Phone: �� '� � f �, ' ;: Contact: `�l� Email: � .,�.��,.,��w ..,�� .�.��,.�.R. ..��.��,�.,,� _. ,�. �� t , k �' � f ~ — — — — � > � New ��Replacement Repair Rebuild Modify Space Work in R.O.W �� Y F ,.4\!,. . �1 , � Description ofwork: ._..n- . .. � � z,a�� ax��n� ._ �. ., . .. _:..__.. �.,,�a-.��.�„ .�.,�,.�� . • i � i '� � RESIDENTIAL � � � j � Water Heater � � , � �D Water Softener `: t �awn frrigation(_RPZ!_PV8) ` � �, � �'��1��'�� Add Plumbing Fixtures(_Main/_Lower Level) 'h Septic System " 1 F. � New Wafier Turnaround i; � � Abandonment ,,a, ,-,r,T. .. . ,_... ,..a<�.-,�.�;��,�c,�.��,�-»,�+�, ..-�� .—�� .�,�,..��,•��;,..,��..-„�.,,,�,:.�.-.,�mm.�m ..�. ..�.-�.,�..,�.�....—,,, .�-.��.,_.._ .. .....��-,—,� ; �; � {; � RESIDENTIAL FEES: ` I,: e $60.00 Water Heater, Water Softener, or Water Heater and Softener(inciudes$5.00 State Surcharge) c; � $60.00 Lawn IrTigation(includes$5.00 minimum 5tate Surcharge) �f $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.Q0 State Surcharge} � �Vlfater Turnaround(add$200.00 if a 5/8"meter is required) � �`, $115.00 SeptiC SYStem NeW($10.00 per as built)(includes County fee and$5.00 State Surcharge) v� �� .��..� .�� .�.�� TOTAL FEES��,� � �,,�.�, ..�,�.m.-��_ .�. ._ . ._ . . _ ._ ,�-�,�-, CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utifity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www aopherstateanecall.orp 1 hereby acknowledgethat 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 rrot#o 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 p na . 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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: 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 - Diane L Hokans 1411 Kingswood Ponds Rd Eagan MN 55122 (651) 206-7609 Minnesota Roof Contractors 5500 W 25 1/2 St Minneapolis MN 55416 (651) 206-7609 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140399 Date Issued:12/15/2016 Permit Category:ePermit Site Address: 1411 Kingswood Ponds Rd Lot:1 Block: 1 Addition: Kingswood Ponds 1st PID:10-42050-01-010 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 - Diane L Hokans 1411 Kingswood Ponds Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature