1423 Kingswood Ponds RdAddress 1473 Kingewnorl T?nnrla Roacl Zlp 55122
LAt 4 Blk I Sub hingswood Ponds ]st Addition
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 31)q Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) s I
Vr
Permanent steps (main entry) x-
Permanent driveway
Pertnanent gas
Sod/Seeded grass ?
Trail/curb damage
Porch ?
Basement 5nish
Deck
Please verify with t6e builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN 6 ?
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstrucflon Reaulrements RemodellReoair Reauirements
• 3 registered sile surve}rs showing sq. fl. of lot, sq. ft. ot house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations fir heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior addifions & decks
• t set of Energy Calculafions . Indicate H home served by septic system tor additions
• 3 copies of Tree Preservation Plan 'rf lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGs)
DATE 2Z1 1,02
JOB SITE ADDRESS ! ?12-
IF MULTI-FAMILY BUILDING,
PROPERTY OWNER A
HOW MANY UNITS?
fSo
0
VALUATION ?32-? &_Z9'0
Phone #
TYPE OF WORK Gn? GE?E,c.. ,/
-?i,visl/ FIREPLACE(S) _ 0 ( 1_ 2
APPLICANT / i?s?2?o?Gc,s 19corrS v c . PHONE# ? ?/ - 3f7 -
ADDRESS B2,V Adt,F- ZIPCODE 67 a IV"O
PAGER #
CELL PHONE # 3f 7-~ 0J- (/o FAX #
OFr^>c.? -- 63-1 - 6f 6 ?d 9/l
NE11' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ 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 CoMractor. _
Plumbing System Includes:
Mechanical Gontractor:
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
All above information must be submitted prior to processing of application.
Fee: $90.00
Fee: $70.00
rMPT ? d?
Phone# ,
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 Orck) ces.
Signqture of Applicant
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _
Updated 2002
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
? Water Softener
Water Heater
_ No. of Baths
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
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - 5F
? 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 ` PIbg?Y or _ N ? 25 Miscellaneous
? 31 New )< 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Btdg)"` D 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demalition (Entire Bldg only) - Give PCA handout to applicant
Valuation ga)o • 6U Occupancy ?L-3 MC/ES System
Census Code 1 3V Zoning Ciry Water
SAC Units ? Stories • Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const /j Width.
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof _ Ice & Wate r _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
Framing Siding Stucco Stone
? Fireplace ? R.I. V Air Test X Final _ Windows (new/replacement)
? Insulation _ Retaining Wall
- ----------- - ----------
----- - ----
----- - ------------------- - -- Approved By v
- - -------------- - ----------- ----- - --- - - --- , 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
?.?
r,(N(S ??
??? ??0-L/?
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C:ITY nF`
,?s- TERM:tMFl. NeaS 71?
ia4n9f99 TiM_.: Jy.:sT?:33 .:`
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3066, 9379 ' 1423 !'iNGcwk{Tt PN
Me 900i AM KIMuJ1{r1 PN . . }.335.?af.?",7? .
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205 900i 0`c?..3 KIkiLa51+1I1 PN . (].50',
' 3741 `ir ?D 14 23 4IedGGArt F'N 50.00
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 651-681-4675
New Construction Reauirements RemodeURepair equir ? L)
? 3 registered site surveys showing sq. k. of fot, sq. It. of house ? 2 copies of plan
and a!l roofed areas (20% maximum lot coveraae allowed) ? 1 set of energy calculations for heated additions
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions 8 decks
? t set of energy calculations
? 3 copies of tree preservation plan ff lot platted after 7!1/93
DATE: 1 b'' IZ,/ -, 9 l CONSTRUCTION COST:
DESCRIPTION OF WORK: S'n j
STREET ADDRESS: LI 3 .' .z d D?
LOT: BLOCK: SUBD./P.I.D. #: = R D o"7 t ja 1Vame:_y?'! c(J) ?i _ Phone #: ? -- -
PROPERTY L?t F;ni
OMfiTER
Strcct Address:
Cih' ----- ` Zip:
- ------------ State: -- --- ---------
C'ompanN':_/" Phone #i: 4fig -?? /--
corTTxncrox y/
S[reet Address: '/ c!?df J ?. -4/ License # __Lxp.
CitS /? ?, ----- State: Zip:
-?-
ARCHITECT/ ?
ENGINEER Company: V'-^eel) `i e? Phone tt:
Nazne:_ • u? Re s 110I1 #:
Street Address:_??- _ ? Gl? _r_?_..e--?
Cit}• &'3 -W State: A.? Zip:
Sewer & water licensed plumber (reauired for new construction oniv):
'F..? ?? (,st
Penalty applies when address change and lot change is requested once permit is issued.
? I hereby acknowledge that I have read this application, state that the information i orrect, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
' Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received ?S&es _ No
Tree Preservation Plan Received _ Yes ='?`".--IVo _ Not Required ?
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
A
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
X 02 SF Dweiling ? 07 5-plex O 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex 13 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
X 31 New _ - , ? 35 Tenant Impr ? 39 Gas Line Only ? 43 SidinglSoffits/Fescia
? 32 Addition• " ? 36 Move Bldg. O 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) 5'IJ Basement sq. ft. 17.07 Census Code tb)
(Allowable) 5,rl Main level sq. ft. t2.0?7 SAC Code
UBC Occupancy 9-9 , U_I SIP L-V sq. ft. a(o No. of Units I
Zoning 1?_- I 6;0r4. sq. ft. (091 No. of Bldgs
# of Stories 2 sq. ft. MC/ES System
Length ? sq. ft. . City Water .
Width `57 Footprint sq. ft. . Booster Pump
• PRV .
Fire. Sprinklered
APPROVALS ?.
Planning Building ? Engineering Variance
" Permit Fee Valuation: $ ISZ" oo?
Surcharge .
Plan Review
License "
IZv-7 x(? = I S? lnS ?'
MC/ES SAC I7-b1 v- 5-4 = (p57,1'7 8?? `
City SAC - 10 6?4 ?c 5-4 = 5-745Z
1
Water Conn. .
Water Meter 68l X16 z I o,enc.
Acct. Deposit
S/W Permit rtG 7-z?c.._ 15l (o?'J?? '
1
S/W Surcharge .
Treatment PI.
Park Ded.
Trails Ded. '
Other
Copies
TotaL•
SAC Units ^F s; ,;
? . ? ?
K
'I. ?N?ttliY CrULJc? WuKriSk?r:?'11'Utc 1 ec L t ru'11LZ Lw?;.t,J,,1Nli5
SI? B,ADDRS99 p• ? ?.^'?;.'":. CYTY
COHPLPSSD HY: G HON$ DATB
I
.6IIII.DING CLASSTBICATION: 0 category 1(ntandard) or R category 2(muut lnclude ventilation)
.
lSItiIHQM CRYT6RIR
-Eoundatloa InsulaClon-R10 Walla L Hindown Roof Attic Inuulation:
' (Sec toble on rzversc side
Slab on Grade Insulaeion-R10 Eor allowable parcencages) R44-Wich Accic No flee2
Floor over unheated spacee-R24 R38-Wic}i A[eic Raieed lieel
i
Foµndation WindoWn 1/2"
R3e & RS-Solid RaFtezo
in?ulated Glaeo.
N od or Vinyl Frame
?
STSP 1 Wiadow & Door Aroa
STSP 2 Calculeta area aa a percenc eE wall
1
A.! Total Window & poor AYCa in 9q. Foec
WINDOWS (Inclktding Foundaeion Wi.ndnwe);
{filF7poH MANUPACTURE NAH6:[?j LJNE C. From S[eh 1 divide box A(4lindow & Door
I
AteA) ny box B(lotal wall tarCa) Limen 100
i7It7DOW MANUPACTQRE T7PB: 0 H f CSMT equale chc window and door areu ac a
;
36
p
ercenc of Wall area (box C).
147
?7pOH HANUFACTORB D FACTOA: .
; R. o. Quancicy liq.fl.Arc" I ?
QoX A494 X 100 = 4
Dimencions /.
-.
Box 834 32 .
I
??
61, X 4?-6" Ttt? 11' Q SSEP 3 Daeigh Featurou
X ' -Q" ?? a.SSCt4Bf,Y
s?l ?X
43 . PRAHTNG TYPE: ,
Ri-40' X !- " 11 1 srAr7D71RD FRF+MING X cCUds 16" o.c.
ADVANCED FRhMINC stude 24" o.c.
X W-6" 1 1 CP.VITY INSULATTON Tt__Lq_
I x
sH6ATHING TYPB-
--
;
i K ? LESS TItRtJ < R-5 X
?
; X
R• s > oR rIORE
? 'x U-FACTOR v
I
DCpRS:
from the table, (revc-ri;c eide) decexmine the
j maximilm percenC window & door area Eor Che
; desigr, optiona seleece3 and encer che b valtie
X
? in Box D below based on [Iio window mfg. U-
? ?
N
r Eactor: -
.? „ X , .. h °
rb/
'['.5ta1 Area oE a_464oq.fe. n
Windows & Doors
I
Bi Tetal Hall Area in Sq. FC. The : valUe £rom thc Cable in Dox p ehall br:
' equal Co or yrcal'tr than chc : iu Box C
? IHall ToCal Heighl' Area
j perfineGer
)7
.I
?
. ? ?
? 7ita1 Arca oE Nalls De34 Zsq.et
( . ....__. _ . . . _.....'.sr:._ _ .._. .
IOCT-14-1999 11:19 1 6514523659 P.02 ?
-:
I
?
i
?
i
i
?
?
ONE- 6c TWO-PAMILY RFStDFNT'[AL DUTLDINC PRE5CRfP'TTVE (COOK-13001C)
APPRO AC-11
MAXIMUM WINDOW AND OOOR AREA AS A PERC[NT OF OvERALL WALL
AREA
Prom Mlnn. Rules parL67Q,Qg75. oubFart 2, item F
Cav1t Exterior Wlndow U-Factor
Framin lnsulation Sheathin 0.49 0.36 0.31 0.27
?
STANDARD R-13 Z, K- 7 13.49'0 17.8% 21_3% 24.3%
STANDARD R-13 R- 5 12.41/6 16.4% 19.7% 22.5%
ST'ANDARD R-IS > R- S 11.9% 17.1% 20.1% 23.4%
S7ANDARD R-18-19 < R- 5 1I.19'0 16.0°/v 18.8°/n 22,0%
$TANDAI2D R-18..19 R- 5 14.096 18.69'a 21.8% 25.3%
ADVANCEU R-18-19 < R- 5 12.99F. 17.19'0 20.1% 23.4%
ADVANCED R-18-19 411- 5 14.5% 19.2°1'0 22.5% 26.1%
STANDARD R-21 < R- 5 12.8°/. 17.0°10 19.9% 23.1%
STANDARD R-21 > R- 5 14.5% 19.396 22.59'0 26.1 1/6
ADVANCED R-ZI < R- 5 13.6°/6 18.1% 21.2°!0 24.6%
ADVANCED R-21 R- 5 15.09'a 19.4% 23.29'0 26.9°/0
i A [tiqnet talculat,vL vatm
?
STANDARD R-17 < R- 5 I1.90/. 15.79'0 18.4% 21.5%
STANDARD R-17 ?R-5 13.80/9 18.4'/0 21.5% 25.0°/0
ADYANCL•D R-17 < R• 5 12.6% 16.8% 19.6% 2Z.9°Io
ADVANCED R-17 >[t 75 14.3% I9.0% 22.29'0 25.79'0
I
i
? Notea: ,
i
I
? Window arca equala rough opening minus lnetillatlon clearance9.
? Wlndow U-factor muol be detcrmined by either the National Fenestration Rating
_ Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals. Chapter 27,
; Table S.
;
TOTRL P.03
OCT-14-1999 11:19 1 6514523659 P.03
,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: LO
DATE OF SURVEY: 7 '
LATEST REVISION: ?
DOCUMENT STANDARDS
? • Registered Land Surveyor signature and company
? ? • Building PermitApplicant
?/p ? • Legaldescription
? • Address
o
? • NoRh arrow and scale
: . o • House type (rambler, walkout, split w/o, spGt entry, lookout, etc.)
? • Directional drainage arrows with slope/gredient %
o • Proposedlexisting sewer and water services & invert elevation
r?jb ? • Street name
? o ? • Driveway
?? ? • Lot Square Footage
Q//o ? • Lot Coverage
ELEVATIONS
Ew.stina
o o
? ? ? •
• Sewer service (or Proposed)
P
t
? roper
y corners
? ? • Top of curb at the driveway
??p • Elevadons of any ebsting adjacent homes
? q? ? Adequate footing depth of structures due to adjacent utility trenches
? Prooosed
? ? • Garage floor
? ? a • First floor
a o
b/ • Lowest exposed elevation (walkoutJwindow)
(
? ?
? • Property carners
m
? ? • Front and rear of home at the foundation
? PONDiNG AREA (A aoolicable)
?
o • Easement line
? 0 • NVI/L
? ? • HWL
? U? • Pond # designation
? ? • Emergency Overflow Elevation
i DIMENSIONS
r
? ? • Lot IinesBearings & dimensions
?? ? • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
? (i.e. all sVuctures requiring permanenttaotings)
? ? •' Show all easements ot record and any Ciry utilifies wRhin those easements
Q/ a/o
??? ? •
• Setbacks of proposed structure and sideyard setback of ' cent e?U'ng,stiuctures
Retaining wall requirements, rf anyp /
Reviewed:
r
-•2Z
/
Maroh 1998
CRAI(31Bl0GPRNR.FM
Ji t CITY USE ONLY
RECEIPT#:
L BL "-
SUBD. 1'?? V?/? ??O ??Cn`?? ? RECEIPT DATE: I? 4L? U v
PERMIT# -f
2000 PLUNIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD .
EP,GAN, MN 55122
651-681-4675
Please oomplete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACN #
rnTeI
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $? p
Fioor drain 3.00 x = $ .3 , d
Gas plping outlet * minimum -1 3.00 x = $ 00
Hot tub/spa 3.00 x = $ . 6
Kitchen sink 3.00 x = $ ,3 , Qa
Laundry tray 3.00 x = $ 0 13
0
Lavatory 3.00 x = ,
$
Septic System new/refurbished • requires MPC Iic. 75.00 X = $
Septic SyStem abandonment 30.00 x = $
RPZ new instellation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $ :Z3, 0
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dweiling 30.00 x = $
Water closet 3.00 x = $ o
Water heater 3.00 x = $ ? C)
Water softener if dwelling under constructlon 5.00 x = $
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.
----------------------- th------------- ----------- ------------- :---------------------------------
Ihereby adcnowledge at I have read this application, state thet the information -
- is wrrect, and agree to - compry - wdh - all - applicable City of - Eagan - ordinances. -
It is the applicanYs responsibiiity to notify the property owner that the City of Eagan essumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities constructed under this oermiRwithin CiN orooeMJriaht-of-wav/easement.
SITE ADDRESS:
OWNER NAME: JC/ (( /U n a 16 lJa b, Z IN
INSTALLER NAME: / I V G Sa r AUJI-h
STREETADDRESS: (yOW&I /`}V
ds woa
TELEPHONE#: yi a-- 2601
(AREA CODE) '
TELEPHONE #: ? / ) / - ?I \Ij V
? (AREA CODE)
CITY: 61% ('LL/ p STA : h ? IP: ?V ?/ ?
- ?"
SIGNATURE OF PERMiTTEE
CITY USE ONLY
LOT Li BL I_ RECEIPT #: gc?'? 4
SliBD._? RECEIPT DATE: I-92
1999 MEC}IANICAL PER14IIT (fiESIDENTIAIa
crrY oF EAsxiv
ssso ?u.or xxos §W
FAflAN M1V 55] EE
Date• (651) 6$1-4675
', r-
Compiete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• NV:lC: 0-100 P?: y T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) 3,00
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. ase indicate if it is a new item, replacement item, or repair.
New _ Replacement _ Repair _ Other
Furnace
Air conditioning
Air exchanger, i.e. Vanee system, etc.
Renriy:der: Call 68I-4675 for inspectians.
SITE ADDRESS:
Other
$ 30.00
State Surcharge: .50
Total: $30.50
OWNER NAME: ?,c???hJCaI(?? Ln`h ^?t P?ONEJ#: 7Gn /
INSTALLER NAME: 6;/v1MIIE'2
STREET.ADDRESS:o?/c?f? CITY: ?A'j , STATE:L'/ ZIP:
<
SI NANRE OF PERMITTEE
JS,FOR.ti15 BLD MECH PER'v11T (RES) - 1999
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
1999 MEcHAvtcAL PERMrr (coMMEtctAL)
crrr of EAs,e?iv
3$30 PILOT KNOB RD
EAsAlv, Mx 55122
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
(5.50 per $1,000 of permit fee due on all permits.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PHONE #:
INSTALLER:
ADDRESS: PHONE #:
CITY: STATE: ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
r
~Y
?
?
awarr,
?
1
Certificote of Survey for: MCDONALD CONSTRUCTION INC.
1423 KINGSWOOD PONOS ROAD
LOT AREA = 13,757 SF
HOUSE AREA = 1,882 SF
HOUSE TYPE = 2 STORY W.O.
3 \
\1 $$Z.?'.
8822 ssz.
=
Z 1
882.0
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BOPCOF MPIPE X/O M*N . G RRDE To
ELEV.=883.83 E(4SNRE' PROPaR T3t9CK
? 148.30 YhRD aRAXPaC.Ir
i w ?878.??
!
; N7g•47"S ?E 873.0
rk;r
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NOTE: PROPOSEO GRAOES SNOWM PER GRADING PLAN BY: PARAMOUNT
NOTE: BUILDING OIMENSIONS SMpWN ME FOR HORIZONiAL AND VERTICAL IOCATION
OF STRUCTURES ONIY. SEE ARCN17[C7VAL PLAN$ i'pR BUILDING AND
FOVNOA770N DINENSIONS.
NOTE: NO SPECIFIC SOIlS INVES7IGATION HAS BEEN COMPLETEO ON TMIS LDi BY THE
SURIIEYOR. 1HE SVITABILITY OF SOIlS TO SVPPORT TNE SVECIFIC M045E
PROPOSED IS NOT ME RESPONSBILItY OF THE SURYEYOR.
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ruAGAN LNGINEERING DEPT.
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: Y-q+7??7" ¢?'
TOP OF BLOCK ELEVATION: ????y.?
GARAGE SLAB ELEVATIpN: ?
TOB 0 LOOKOUT ELEVATION:
PtOTE: iNiS CERAFlGGTE DOES liOT PVRPORT i0 SHOW EASEMFNTS OTHER MAN X 000.00 DENOTES EMSTNG ELEVATON
THOSE SHOWN ON TME RECORDEO PIAT. ( 000.00 ) UENOTES PROPOSEO ELEVATON
--- DENOTES ORAINAGE 1WD UTIU7V EASEMENT
NOIE: CONTRACTOR MUST VEFtIFY ORtyEWAY OESIGN. OENOTES pRAINAGE FLOW DIRECTION
NOTE: BEARINGS SMOWN ARfi BASED ON 4N ASSUMED DAT1M 0 DENOTES MONVMENT
Ea OENOTES OFiSET MUB
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATIQN OF A
SVRVEY OF THE BOUNDARIES OF:
LOT 4. BLOCK 1, KINGSWOOD PONDS FIRST ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYEO BY ME OR
UNDER MY DFRECT SUPERVISION THIS 29 DAY OF SEPTEMBER, 1999. i`%
SCALE : 1 INCH = 30 FEET
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PIONEER
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P.A.
CTI'Y USE ONLY
PERMIT #: I 13 RECEIPT DATE: '-!:) ` 1
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QOOE ?SID£PTIAL _ - - ?IT APPLICATIOA
crrY og E?sm
9930 PILOT KAOB RD
EkHi4R b1A 55188
e51-6e1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: , ??? 7 2
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: ? G?/?
DOv( / O H
TELEPHONE #:
dY) TELEPHONE #:
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STATE: ZIP:
Place a check mark next to the permit work type
?
_ Add-on, modification or alteration to existina dwelling unit $ -39-96'
• furnace replacement p"
• air exchanger
• air conditioner
• other
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Total $ ?? G
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SIGNATURE OF PERMITTEE
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CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
8008 CO1VlMEftCLakL MECHEPICAI. PERM1T ?PPLICATION
C1TY OF £!E6lkN
3$30 PILOT KRO$ RD
EAsM, Mv 55Y s2
651-6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
5pecifyNature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = m;ni,m,m fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
I Updated 1/02
,
.• ***
* PIONEER
* 8?1Qfl?
* * * *
LANO
Certificate of Survey for:
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1423 KINGSWOOD PONOS ROAD
LOT AREA = 13,757 SF
HOUSE AREA = 1,882 SF
HOUSE TYPE = 2 STORY W.O.
BENCH MARK
TOP OF PIPE
ELEV.=883.83
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2422 Enterprise Drive
Mendoto Heights, MN 55120
(851) 681-1914 FAX:681-9488
Iver«es • QVIL ENdNEERS E-moil: PIONEEROPRESSENTER.COM
ERS• LANDSCAPE ARp11iECT5 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
E-mail: PIONEER2@PRESSENTER.COM
MCDONALD CONSTRUCTION INC.
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ELEV.=882.70 ,
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NOTE: PROPOSEO GRADES SHOWN PER CRADING PLAN BY: PARAMOUNT
NOTE: BVILDING DIMENSION$ SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECNAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOIlS INVESTICATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITA8ILITY OF SOILS TO SUPPORT THE SPECIflC HOUSE
PROPOSEO IS NOT THE RESPONSIBIUTY OF THE SURVEYOR.
3
BY.
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: 1Lyr?E!.? `L?.
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION: ?fL
TOB O LOOKOUT ELEVATION:
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHON% EASEfuENTS OiHER THAN X 000.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDEO PLAT. ( 000.00 ) DENOTES PROPOSED EIEVATION
--- DENOTES DRAINAGE ANO UTILITY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTON
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM • DENOTES MONUMENT
_E3- DENOTES OFFSET HUB
WE HEREBY CERTIFY TO MCDONALO CONSTRUCTION INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 1, 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 29 DAY OF SEPTEMBER, 1999.
SI ED PIONEER ENGI= P.A.
SCALE : 1 INCH = 30 FEET ?
8:
John C. Lorson, LS. Reg. No. 19828
{ 98087.02 JMM
BAGM PSQr' . ' ?'e°RWG DM.
- RESIDENTIAL
BUILDING PERMIT APPLICATION
i? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
?
New ConstruMian ReauiremeMa
. 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverege allowed)
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
. 1 set of Energy Calculatians
• 3 copies of Tree Preservatian Plan H fot platled after711/93
• Rim Joist Detail Options selection sheet (61dgs with 3 or less units)
DATE -7" 1-01
JOB SITE ADDRESS /y Z'
P?nd r Rd
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER f??L 4-s5avnc.nr.0: Zf?,
$ 70,00
RemodeVRenairReauirements ra"? ?'0+?+•
. 2 copies of plan
. 1 set of Energy Calculations for heated additions l.lw„ _
. 1 site sarvey for eMerior additions B decks l? ? Y?
. Indicate if home served 6y septic system for additions
VALUATION
55-12.2
TYPE OF WORK Qe-ck FIREPLACE(S) _ 0_ 1_ 2
APPLICANT l??^?k _61- PHONE# 6,0-365-06q7
,
ADDRESS H23 I<1nusworj ?Cc/ ZIPCODE 5-s7zz
PAGER # 52, _CELL PHONE # ?sZ- yey' P703 FAX # ?
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations 5ubmitted
MINNESOTA RULES 7672
Plumbing Contractor: ,
Plumbing System Includes:
Mechanical Gontractor: _
Mechanical System Includes:
5ewer/Water Contractor:
New Eaergy Code Worksheet Submitted
Phone #:
Water Softener ? Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
) I
All above information must be submitted prior to processing of application.
Fee: $90.00
L_ ,
?e,
?
By
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant T
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex 0 16 Fireplace ? 21 Porch (3-sea.)
O 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex X18 Deck ? 23 Porch (screened)
? 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
g 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
,-/
.y . . n
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC1ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
` Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
ciry sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 12 0, vo
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
I Permit
City of Ea
Rd~ I ~
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ; Staff: ;
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: a, sS/ i'Z/~~/SS 0 In /(J/ZJG Phone: 65_1..,..3G S _15' C1'7
Resident/
Owner Address /City /Zip: / y
Applicant is: Owner C,,oJnntractor
Type of Work Description of work: A/ 20 0
Construction Cost: 2,-2= XC Multi-Family Building: (Yes / No
Company: 22Z /SAC/ lC /L C~L~S Contact: , G115~
Contractor Address: City: 6'~GG¢..e/
State: Zip: Phone: 3 C oc
License Lead Certificate 7 lo"
W. _
I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
4 -
OMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
o pe suance.
x
Ap icant's Prin d Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173074
Date Issued:10/27/2021
Permit Category:ePermit
Site Address: 1423 Kingswood Ponds Rd
Lot:4 Block: 1 Addition: Kingswood Ponds 1st
PID:10-42050-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Susan M Russomanno
1423 Kingswood Ponds Rd
Eagan MN 55122--287
(651) 336-9556
Paladin Plumbing Llc
13963 45th Place NE
St. Michael MN 55376
(612) 770-2282
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176430
Date Issued:05/16/2022
Permit Category:ePermit
Site Address: 1423 Kingswood Ponds Rd
Lot:4 Block: 1 Addition: Kingswood Ponds 1st
PID:10-42050-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Susan M Russomanno
1423 Kingswood Ponds Rd
Eagan MN 55122--287
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature