1427 Kingswood Ponds Rd? ii- --IN PE TION RE O D
J CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: r •'!'. .}?
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
f PERMIT SUBTYPE:
"!? 4F +' I
APPLICANT:
arfl ? .. .. , . . , . . ?.
TYPE OF WORK:
INSPECTION
, . ., .
;. DA
I ?'l
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inepection Dete Insp. Comments
FOOTINGS f,6
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Address 1427 KINGSWOOD PONDS RD Zip 5512 2
LOt 5 Blk I Sub KINGSWOOD PONDS IST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 07-15-99 Yes No Inspector: ;,
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass L /
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 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction ReauiremenM RemodellReoair Reauirements
• 3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot cmerage allawed) . 1 set of Energy Calculalions For heated additions
• 2 cropies oi plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• t set of Energy Calculations . Indicate if home served by septic system for additior?s
• 3 wpies atTree Preservation Plan'rflot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less unifs)
DATE 9- f
Water SoFtener
_ Water Heater
No. of Baths
i
/, 1 I
SITE ADDRESS I??a7 /? l^?Soac? MULTI-FAMILY BLDG _ Y _v N /
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS _ ?700 /3j`!? .?/ CITY P1411-pW_, STATE ?IP SW?/?
TELEPHONE # 7?3 ?Y?'d30?CELl PHONE # FAX #
PROPERTYOWNER TELEPHONE# 651_'7W_a'0$
------------------------------------------------------- ----------------------------------------
COMPLETE THIS SECTION FOR "NEW'° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATLG012Y 1 MINNESO"fA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculadons Submitted
Plumbing Contractor: ?_
Pluinbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
:4ir Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to co ly
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. M?
?C \J
Signature of Applicant nl?
JUN 7
OFFICE USE ONLY
.
tBYim;_._?..
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
VALUATION /al,367
Phone #
Larvn Sprinkler
No, oF R.I. Baths
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-piex
? 05 03-plex
? 06 04-plex
? 07 05-plex p 13 16-plex
? 08 06-plex ? 16 Fireplace
0 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
0 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
0 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement *Demolitian (Entire Bldg 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) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs AidGas Tests Final
_ Framing ^ Siding Stucco Stone
_ Firepface _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retauring Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License 5earch
Copies
Other
Total
Building Inspector
C:[TY ClF E.hGAN
(:ASHIf-"R- S T[:f,hfINAL_ N0e 738
UFlTE^ 03/03/33 7'rMEb 08e01e03
ILi -
NAMFr, MW J(7HFlSC1N L'qNST :CNC
p
2256 9001 1427 I.NGSkID F'ON 4 y 737.57
To+,a1 FieceiF,+, Amauntd 47i;3r o57
CR I.0; i3E; i
lJ5ER ILi: MANCY
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: F, u T i D z rd r,
Permit Number: 0 3,; r, ?ri
Date Issued: 43 3/ Fi ? j?' 9
ADDRESS:
P. IePI,a 10-4 2450 -0 50 -ni1
1427 ;c.IiVGSWiJO[7 PUVI]S RU
L01`- 5 BLOCifa 1
KIIVGSWC700 POP!DS I S7
I DESCRIPTION:
13ui':tiiriij-?Pcrmit. Tvpr
B:ii s 1e, i. [; a 144°;; v p c3
?_ ?
?SF DWG
,`t3??C Gc?usa?ncly ,,
, GC5'rriar.tion kY?i3';'
?
Sonina
#3uitc]r_rio, Lene,ii_11 i
43uildirin I.isd4;-,
V./
3:_0 1.d i ri o ot-;_
,S;ti1 Y" C t- Gr C t
:-
C; 2?i" fp
' ct e.
iV c l.J
R --:.`,ll-]
V i\1
Ft - .7.
5S
43
11.5H7
101 1 _ i7 f1M. C1F'fF1
Fr
REMARKS:
r- I r", iv tZ F_ V r F wF n H v w F'i ? r4 E ri T i iE R
F W WLIIMB'ER TS 6JEMiEI. hIrCFIl;NSC'F1L "FI[)NI.; 'nt6 51.1 452-1S 55?
FEE SUMMARY:
VFlI_UFIT;CON
B?:ass Fc:c
P LErri Review
Si_ircria rqe
SAC
.,
St}C `
sr,C uI ,i ? t
5to'i;a l
i
$J , 20?ie95
3730,6-1
$68.50
v1,?5G1.G)G?
1.?7fi
?.
- - 0 7
fei "f. y C; , i= E cS
T o t a J. F e c!
S1,6 ;i?.Ci0
$R. 7's7 , 57
CONTRACTOR: - A p o t i c a n r-- s r. [_ r i-'. OWNER:
`;OIiPlSON COhdS'I", M W 18925200 0002207 i'ei,W. JONN.,ON CONS'T"kUCTIOPd
1?645 JIJNI?Efd NA I"H 17645 JIJNIi'ER PN'I'Ii
LAhEVILLE Mh! 55044 I_AKFVSLLE hlN 55044
(6,12) 892_5200 (& 1. < )89?-Ji e+0
T herel,ll acirnc+wleclar i:hLL T tiava read thiq rvaolir.ntirn ariti scaco t:hat the
int,irm,it!orx ie-: cprract eit7ci ooror? tu cottic,lv w7t17 a11 ap[31.ieable, Sf,s,t? o't fi',n.
arad CitV 4rr tarian f3rc1.3nane•wes.
J
,
bk?
PPLICANT/P RMITEE SIGNATURE UED BY: SIGNATU E ?
CITY USE ONLY
LOT o! BL RECEIPT #: & O lD? 0
SUBD. RECEIPT DATE:
MECHANICAL PERMIT # ?"J t?ZJ ?1
1999 M£CHANICAL P£RMIT (RESIDEN'I'1AL)
CITY Of EAfiAN
S$SO P1LUT KNOS iiD
faecfiAN MN 551 ££ _
Date: (651) 6$1-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
= n v[it`?.,: v- i vu ivi ? i u
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Tota1
s .SU.UI?
6.00
(0 • Od
.50
$,42,5O
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
Furnace _ Air conditioning
Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS: I? Z? F? n?StnJOO?' FDl-la5 P06k-c?
OWNERNAME: M4`V j0h4'\5o11 GoYl'?;4' PHONE#: 0 ?2 -'?1?Z"SZ-OU
AM )
INSTALLER NAME:'SC[,LDYe' PHONE #. ?02- -413. 22Io^7
(AREA CODE)
STREET ADDRESS: 0 ESQ'J? 2,1 ST 6 VC'1-l - SL'0 'F"t-- 2-SO
CITY: PIN i`YlGlAA" h
STATE: "I-'1 ZIP: ?1?-!Y?7
kGrvnxlqe-c G,?u-?-1?
SMNATUIZF, OF P ITfEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
I
1999 MECfiANICAL PERMIT (COMMERCIAL)
CITY QF faalfiAN
3830 PILOT KNO$ RD
£AfiAN, MN 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: CGNTRACT 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 - $30.00
C0IVTRACT PRICE x l %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAIVIE (IMPROVEMENTS ONLY):
1NSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE:
($.50 per $1,000 of ermit fee due on ali permits.)
PHONE #: -
(AREA CODE)
ZIP:
SIGNANRE OF PERMITTEE
i L BL CITY USE ONLY
SuBD.
RECEIPT #: l I _? I qU
RECEIPT DATE:
PERMIT# 7?
1999 PLUM$INfi PEiMTT (ft.ESID£NTIAL)
crrY of EAsAv
S$SO PILOT KNO$ fiD
EAfiAN, MN 55122
(651)6$1-4675
Please complete for: 9 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 = $
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 = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $ Q
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
Total --> --> ----> ----> $ 0 .
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 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 activiti?s t facilities constructed under this permit within City propertylrigh[-of-way/easement.
l,,,?-SITE ADDRESS: wAd l' Vd?C15'
?,,r' . i
OWNER NAME: : Ce;f`-Q r) J o?„ tC,,7
TELEPHONE #:
INSTALLER NAME: 4 C.C('P G(rYfcr TELEPHONE #:
? 12 ??'Y -?'llT`?
(AREE}???DE) i/ T
?ci, 4000
(1/ /I (AREA CODE)
STREET ADDRESS: I?SZ oj )? a u J F-l v2
CITY: LGtrC e. vtI(e ? STATE: ?7 ZIP: s5l2 c(
SIGNATURE OF PERMITTEE
L S BL ?
SUBO.
CITY USE ONLY RECEIPT #: OO ? D.
RECEIPT DATE: J ? ?7
PERMIT # e?_CP
1999 PLUMBINC PERMIT (RESIDENTIAL)
C1TYOf EAfiAN
S$SO fILOT KNOB RD
FAflAN, MN 551E2
(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 2 = $ ,Ob
Floor drain 3.00 x $ ,OC
Gas i in outlet ' minimum - 1 3.00 X $ pp
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x $ ,ob
Laund tra 3.00 x = $ .oD
Lavato 3.00 x = $ , pb
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' 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 = $ ,SD
Shower 3.00 x $ 3,am
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 3 = $ - Om
Water heater 3.00 x $ ,017
WBter Softenef If dwelling under construction 5.00 X = $ s DO
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> ---- > t 58. 0,0
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--•--------------•-•-------------------------- ---- -----------------------------------•---•--------------••----------------..
I hereby acknowledge that I have read this applica6on, sTate that the informatlon is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsi6ility 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 activiGes to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: : _ /// W JOf{AJ6p-0 TELEPHONE #: 4I2 St?Z'
(AREA CODE)
INSTALLER NAME: W?UZ?C-. ?C(,*jU/C,/I'?i TELEPHONE #: (O??
STREET ADDRESS: /q?q 51V4wiUE:&-- 12Q (AREA CODE)
ol
crn': gG.AAJ STATE: ? ziP: SS/`ZZ
SIGNATURE OF PERMITTEE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, CITY OF EAGAN
. 7' L ?-- 3830 PII.OT KNOB RD - 55122
J lI ?
(651) 681-4675
New Construction Reauirements RemodeURepair Requirements
' a- °i
? 3 registered site surveys
? 2 copies of plans (inGude beam & window sizes; poured tnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan ii lot piatted aRer 7/7193
required: _ Yes ? No
DATE:
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations Tor heated additions
CONSTRUCTION COST:
DESCRIPTION OF WORK: _/14W CbNST12UCTION ' SlNGLL ANMlL`/ Ol?-7-J-//V&
STREET ADDRESS: ? 07 kA/GSh/Gon Poh/as )e) .
LOT: BLOCK: ? SUBD./P.I.D. #: lC/l?GSWUUD }'ONW /?
Name: / I W JDf//U,&2J\/ aJi($ , I/VC, Phone #: kyo? -Sd U U
PROPERTY Lasc Fint
OWNER
StreetAddress: 1761}`'j? J-U11/IpC?2 p?T? t S11 !J? ?0?
City 1-A 44t- V/ I-L15 State: lV Zip: 5S Uz1`'?"
Company: ? 1 ?? -JVMS()fJ DY-SJ /l1/C. Phone #: ??la '.?o7b(?
CONTRACTOR loJ
_0_Exp. 3 3i
StreetAddress: 17(ov5- -T?UN/P4-r-- pp7H S(JJa License# DO
ciry 4 A Kf- VIJ,LZ
State: IyIV Zip: 550t&
ARCHITECT!
ENGINEER Company: CI-J,4 &/? lbyl?.?. /)!?N5,l}jZ) G/t' Phone #: 3 GG 9'
Name:_ 6lflRL'Es pH lk4lp,S Regish-ation #:
Street Address: / 76Hh .Tvmpnr? plq 1w _ ju i rr 11('
Ciry ?-pkE V/?,LL. State: M/U zip: 5SU'!?f
er 8 water licensed plumber (new construction only): `n/pUZz)- l`'1?G14 • . Penalty applies when address
ge and lot change is requested once permit is issued. ? s+_C4 45?
by acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable
qqk%0vwgt4c+ahires and City of Eagan Ordinances.
FEB 12 1999
? . OF ICE USE LY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
Signature of Applicant:
_ No
_ No
L Nut neyuncu
OFFICE USE ONLY
BUILDING PERMIT TYPE
`~ .
1 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex 0 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
V31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
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
SAC Units
/Ii
J F'`
Z
?
?
?
43
Basement sq. ft.
Main level sq. ft.
Uftg- sq. ft.
/'AA sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
?S2N
? a, H `7
F,-37
/ o
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
llt?
Building Engineering . Variance
I? O-q S valuation: $/ 3 7) 04d
?$. SO adseine4t
-1 Fsb . (d a ,5-0 x la = G ??
?-?-
[6S0.oU e? ??yX i5-= /a.360
Mwo'4
,?- 16x9=
1? u z
$ 1100 7
?7o,sX 5y =
t/PI'F?
/036
X?c,o 6 7?33? 3? . S?(
AGRR> 'M^?? ?
ti?--3axaa - 6?v
-1i6 x
63?x?6 =10/y _
la/
?
?-
t
?
/ 3 6fy?
Forui for use with Minnesota Itules part 7670.0475, Subp. Z
. 1& 2 Fami]y Residential "Covkbook" Method
SITE ADDRE55 Clty
1 Z? 1?=1?1?'V???1?_ ?('` l• ??? 1. ,? ? ??-t ???? HUILDER
[? V\j Dale
\JLN 1\da)rd C(_>r.? `?Tni ?r,??
Minimum Criteria: ` _// V / !/ =21US'Air ?? .
? ?J .
Rim Joist: R-19 insulation Foundaton Windows: Insula, woodar vinyl frame
Entry doors: I?/i inch soid wood with storm or better
STEP 1 Window & DoorArea
Total Window & Door Area in Sq. Feet
VVTNDOWS (including foundation windows)
Dimensions Qnty. Area
STEP 2 Calculate area as a percent of wall
Box A(window & door area) divided by Boz B(total
wall area) times 100 equals the window and door area
as a percent oE wall area (Box C).
Box A ?'L1, l
BozB ??i z 100= C
I_ STEP 3 Design Features ?
ASSEMnLY
01'710N
FRAME WALL:
?y
iJVVKJ:
X 40
x UCj
- X !?.71-7
Total Area of 3.3?33 6
Window & D«, . a PAr,or*
-roc? w?l ?;nsq_ rL 3yr,?
Wall Total Perimcter Height Area
l : I ;U
? ?r 17 u h
STANDARD FRqMING X
ADVANC&b FRAMIIVG
cnvrrY nasutAnoN
SHEATFIING:
i.ESS rww R•s X
R-S OR b10RE
VViNDOWS (ezcepl foundation windows):
U-FAC?OR (J•tl ?
From ehe tablc, determine the mazimum pcrcent window
& door ama for the design options selected and enter the
valuc in box D below:
.
?.
Total Area Box C must be less Wan or equsl to Box b
ofwall ? I?%B
** *
* PIONEBA
* eng near
* * **
Certificate of Survey for:
i
i
l ?
?
Y 882.
VICE4
82? ?
: 'CON?STCeLAN
? ? ?, .
\ saz.s`? oo?
PO5?0 \z
1 POR1VEW P O.
? 882.
,
?
.tp
6 \(?78. ;7) y
(VACANT)
885.6 .
BENCH MARK
TOP OF PIPE
ELEV.=881.70
OV
,mC620N6y?$°6
cr,
\ 11> CATV.,
88 '
Q ,.
, lp
` \\
N
\ \
. tit
? \ 862.4
?N 1aez.s
?O'
o?
LAND SURVEI'ORS • clMl CMwnecrca
W!U PLANNEflS• LANOSCME ARCMTECTS
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914 FAX:681-9488
625 Highwoy 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
M.W. JOHNSON
1427 KINGSWOOD POND RD
ass., t? Ir
i ?
872.6 ? <0
:A
?
'LO
X 873.2
\Y
%876.6 O-A
?` ?- •?? ?O
,?
? ?? 8 6) ?
?\o ? s
oQ o S.
F.E.S. ?5'S2"W
? 74.OU1 I? J ?x 872.3
620•l ? 877.1 9740
? ? 4 A7-ui /V ?O?
880.AS ?.? 73.2 v ?0. s
cAT .t4 NI894
,s ( 8a2lo)
06T'?-- 676.71
?
34"E
4
BENCH MARK (VACANT)
TOP OF PIPE
ELEV.=882.79
B> N0o` Sg.
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?Y
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NOTE: PROPOSEU CRADES SHOWN PER CRADING PLAN BY: PARAMOUNT
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HOR120NTAL AND VERiICAI LOCATION
OF STRUCNRES ONLY. SEE ARCHITECTUAL PLANS FOR 6UILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESIIGATON HAS BEEN COMPLETED ON THI$ LOT BY THE
SURVEYOR. THE SUITABILItt OF SOILS TO SUPPORT THE $PECIFlC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATtON: $7[0.3
TOP OF BLOCK ELEVATION: ?????? ?
GARAGE SLAB ELEVATION: _Yii1J! SL
N07E: THIS CERTIflCATE DOES N0T PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTINC ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED EIEVATION
DEhO`ES DRAINAGE AND UTIUTY EASEMENT
NOTE: CONTRACTCR ldUST VERiFY CR{VEWA'7 DESIGN. --? OENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM • DENOTES MONUMENT
$ DENOTES OPPSET HUB
WE HEREBY CERTIFY TO M.W. JOHNSON THAT TH15 IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 5, 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 JANUARY, 1999.
SIGN PIONEER E INEE G. P.A.
SCALE : 1 INCH = 40 FEET R,^ ^_c l
n C. Larson, L.S. Reg. No. 1
.
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE`bF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Appiicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, spiit w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/exasting sewer and water senrices 8 invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
er---ci ? • Sewer service (or Proposed)
e`q ? • Property corners
e---'D 1:1 • Top of cur6 at the driveway
? 30 • Elevations of any ebsting adjacent homes
Prooosed
-
ff
? ? • Garage floor
ffo ? • First floor
,e?? ? • Lowest exposed elevation (walkouthvindow)
m---? ? • Properiy corners
cl--- ? ? • Front and rear of home at the foundation
PONDING AREA fif ai)alicablel
? C!r, ? • Easement line
? cy-, ? • NWL
? 0-'o • HWL
o Er'
? • Pond # designation
/
o ? ? • Emergency Overflow Elevation
DIMENSIONS
er'? ? • Lot IineslBearings 8 dimensions
o-'o ? • Right-of-way and street width (to back of curb)
C-' ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
/ porches, etc. (.e. ail structures requiring permanent footings)
sements
th
ithi
l'fi
[( O ? • ose ea
n
es w
Show all easements of record and any City uti
ei, ?,p • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? o? ? • Retaining wall requirements, if any
Reviewed: Z ^
N e / 136te
January 7996
CRAIG70B81BLOGPRMT. FM
400b
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r -.
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
R side t!
Owner s
( 11 o
Name: POi/il. 1 V I Phone:
Address / City / Zip: 1 4 Z 7 KA' 1 C,. t•l G (I c'( P6 vie( goi 50)014 / /1/ /1/ S SI 12—
Applicant is: Owner Contractor
eoa
Typ�f Wrk
Description of work: Q_ YCX7
j
Construction Cost: / c -J 0 0 v Multi -Family Building: (Yes / No )
Contrat for 4
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
TE:Plans and supporting documents that you Submit are cons►dere'to bour cinformation. Portions of
the inforr ation„may be classified as non-public ►f you provide specific reasons that would perm►t the City to
nclude tl at 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.qopherstateonecall.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 plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
pftut_ p7-1, AM
Applicant's Printed Name
x
Applicant's Sign. r re
Page 1 of 3