1431 Kingswood Ponds RdAddress 1431 KTNG4WOOD PONBs ROAD LlP
IAt 6 Blk 1 Sub KINGSWOOD PONDS 1ST
THESE ITEMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) V
Permanent steps (gatage) V
Permanent steps (main entry)
Permanent dtiveway
Permanent gas ?
Sod/Seeded grass ?
Trail/curb damage ?
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way orinstalling underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
, 1999 BUILDING PERNIIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
-? ) (651) 681-4675
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies oi plan 0
?E?.?y._J..1?
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 sfte surveys (exterior additions S dedcs)
? 1 energy calculations ? 7 energy calculations for heated addftions
? 3 copies of trea preservation lan if lot platted after 711/93
required: _ Yes No
DATE: 31 5 ? 9Q
DESCRIPTION OF WORK:
Name: \ I(\CI:j? ?Ap t,,lr _ Phone #: InE; I
L
ut First
Street Address:yU:Ln -4 ( ??}
City o; State: _CZ1,) Zip:
STREETADDRESS:
LOT: BLOCK: SUBD./P.I.D.#: tJC'->e,L3c)cA? t-t??J,, S IS'C"
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Company: Phone #:
Street Address: License # a??b3 Exp
Ciry
CONSTRUCTION COST: C?OC)
State:
Company: ?:Ln rn P-1 Phone #:
Name: Registration #:
Street Address:
City
State:
Zip:
Zip:
Sewer & water licensed plumber (new construction only): `?. Penalty applies when address
change and lot change is requested once permit is issued. I?
(? I-)-- ?a.a - I
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiKwith all appiicable
State of Minnesota Statutes and City of Eagan Ordinances. ? ?
5ignature of Applicant, L\ }r??
?-? ---
OFFICE USE LY
Certificates of Survey Received _ Yes
1'ree Preservation Plan Received _ Yes
RECEIVED
_ ?vo MAR (I 5 1999
_ No _ Not Required $ ;
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
P( 02 SF Dweiling 0 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
g 31 New ? 33 Alterations O 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5•'?J
- Basement sq. ft. Census Code (o t
(Allowable) 5?^J Main level sq. ft. ? SAC Code I
UBC Occupancy R-'3 ? sq. ft. )?z 5 Census Units
Zoning ?- I Co.2a,E sq. ft. lo l06 Census Bldg I
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width 3? - g Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS ,
Planning Building Engineering Variance
Permit Fee a-G
Valuation: $ ?-
Surcharge
Plan Review
1 33?cc ?
15 = 20? a?
License
MC/ES SAC ?,
5? '?3Z, `?-
I
City SAC ? 22??C S?C =!o (o )
-
Water Conn. (o 66 X 5
6?
? 6 = l b
Water Meter ?
Acct. De osit
?
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
.
% SAC
5AC Units
tERfi1MCAI'E
for
VARIETY
? • / ??/? ? ???!??
?L
0
0
Y
,
?
i ?
?
.
8 "k? ?
)
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.? 1
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1k
11?
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p-
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,
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'a ?`il _???4•?
12L /^fi`
.?
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0
0-
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Scale: 1" = 30'
? ,' a??
?q• ?
1431 Kingswood Ponds Road
DESCRIPTION
OF SUaVEY
HOMES
/A I
V1 0-41-99
?
O
o °?,.
Q? ? -- + ur?
o ?
????j -?\1? p?o
`" O
N ?
? -Y p ? \1 N'
p 1?
i ?
\ ??? ?10
-P
0
Y
J??' Q--
??.
?
??'?'? ?i ?? • ?j
r' 15 a , AL /
A a`
I ?1
"0 ?
.. ?-?-
LoT = f S,SoZ Sr,Q, FT;
40 vS?- r-) 19 07 Sa , F7.
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Lows of the State
of Minnesota.
Date 0' 3/YIA2 1912 Reg. No. 8140
29 v 14 /y )4Q c999
Lot 6, Block 1,
KINGSWOOD PONDS FIRST ADDITIQN
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
'?- Existing j Proposed
---
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
V10-41-99
Suite 206
LOT SURVEY CHECKLIST FOR RESIDENTIAL
„ BUILDING PERMIT /IPPUCATION
PROPERTY LEGAL: z ? _-14-111111-4
DAT OF SURVEY'
? d LATEST REVISION:
?
CD
?
>
m n a? DOCUMENT STANDARDS
n a °
N
7
Q Z ?
,-k"o ? • Registered Land 5urveyor signature and company
z' ? ? • Building PermitAppGcant
z'? C: • Legal description
a-? a ? . Address
3' o G • North arrow and scale
C3" 0 ? • House rype (rambler, walkout, spfd w/o, spC?t entry, lookout, etc.)
?? ? • Directional drainage arrows with slope/gradient °h .
?? ? • Proposed/existing sewer and water services & inveR elevation '
G' ? ? • Street name
3' ? ? • Driveway
ff, ? ? • Lot Square Footage
a-o a • Lot Coverage
ELEVATIONS
Existina
a • Sewer service (or Proposed)
a-'c ci • Property comers
a-'? ? • Top of Curb at the driveway
e2--'? • Elevations of any eAssting adjacent homes
Proaosed
?? ? • Garage floor
2r' ? ? • First floor
rn' ? ? • Lowest exryosed elevation (waikout/window)
? ? ? • Property comers
a? o? . Front and rear of home at the foundation
PONDING AREA (if aDD6Cable)
? el"" ? • Easement line
? .Er, ? . NWL
? ? ? • HWL
? o?g • Pond # designafion
? o?a • Emergency Overflow Elevation
OIMENSIONS
p?o ? • Lot IinesBearings & dmensions
a' ?? . Right-oi-way and sVeetwidth (to back of curb)
o' ?? • Proposed home dimansions indudng any proposed decks, overhangs greater than 2', porches, etc.
a (i.e. all structures requiring pertnanent footings)
?? . Show all easements of record and any City utikties within thase easements
0" a?t • Setbacks ot proposed sWcture and sideyard setback of adjacent exdsting structures
??o • Retaining wail requiremeMs, if any-,„
Reviewed:
March 1999
CitAIG/BLOOPRMT.FM
EXTERIOR ENVELOPE AVERAGE 'U' COMPVTATTON
Plan # 't D( Date
Owaa VA*A-t,-rY 1+^V
Coa=ctor _VA 2l TT`l a vr, rS
Siu Address
i) Total Fsposed WaII Area y? Rew sq. ft .11 =2tg.-7
2) Total Eapvsed Roof/Ceiling lz-4GQ sq. fc. .026 n Z
WaIl Calculation
Total Wiadow Area
Total Door Area
Total Glsss Door Arca
TOtal Fircplaa Area
Total WaII Fsaming Area
Net Insulated Wall Area
Total Rim Jout Area
Total Foundation Arca
Total Foundation Windaw
2l0? sq. ft.
3eD, s4• fG
¢p sq. fi.
w A6.-. sq. ft
!qz sq. fr.
'l??4 sq- fr-
?? sq.fL
? ?- sq. fL
w? sq. ft
3) Total
35 = q 3 .4
.O7 - -2 .-7
35 =
3£ _ ?
.09 = 1'7,3
.043 = '75- 6
.04 = t c=v. d
.14 = ?? .
35
2."3,6, (
If item 3 is the samc az, or las than item 1, yOu havc mct the inum of 2
MCAR L16008 A aad O.
Roof jCeiling CaIculatian
Total S3ry3ight Area c,a e1` sq. ft 35
Total Roof/Ceiling Framing 12z;? sQ. fs.. .026 = 3. t
Net Iusulated Roof Area I Q 8o sq. fL .022 - z;.')
4) Total T-t'v' . E3
If item 4 is the samc az, or Iess than itcm 2, you have met tht imcnt of 2
MCAR I.16008 A and O.
Alteraace Building Faveiopo Design
To uu'lize the total envelope system method the sum of items 1 and 2 shall be
greater chan the sum of items 3 aad 4,
1) +2) a
3) +4) _
I hereby certify that the building bere deseribed mGets or exeeeds the State of
Minnesota Encrgy Canscmuon Aa. .
Si?ed /0005 ? ?
CITY USE ONLY
LOT Le BL RECEIPT
SUBD. I\1 V1 S?.?JOO C? a V\t Y?S ? S? RECEIPT DATE: LA '?j C? •9?
MECHANICAL PERMIT #
Pevwi. ifi ? p
??--
Date: "7-Ag'9q
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
rppctructipn apa nnt pwnPi /OcCLniPrF_ .
• HVAC: 0-140 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
9.?
.50
$ ..? J`6
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: Ca11681-4675 for inspections.
_ Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
CITY:
1999 M£CHANICAL ?ERMIT (RESIDEN'I'IAL)
CITY oF EAsAN
S$SO PILOT KNOB gD
E4&EkN MN 551 EE
(651)6$1-4675
)NE #: &,F)/-
(AREA CODE)
7o S7?
PHONE #: tillil
(AREA CODE)
AM/ ZIp:
SIGNATURE
CITY U5E ONLY
L BL
SUBD.
APPROVED BY: , INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHANICAL t'$RM1T (COMM$BCiAL)
CITY QF EAfiAN
3$30 PILOT KNO$ gD
£A6AN, MN 55182
(651) 681-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTTON OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PWCE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permiu.)
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNANRE OF PERMITTEE
CITY USE ONLY r --? (
L 40 L RECEIPT #: i
? Q c?
SUBD. RECEIPT DATE: 7 I ? (
PERMIT #/? ? hr
1999 PLUM$INfi PER14IIT (RESIDENTIAL)
crrY oF EAsAv
3$30 PILOT KNOB RD
F-AHAN, MN 55122
(651) 6$1-4675
Please complete for: i 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 a = $ 6100
Floor drain 3.00 x I = $ 13, O
Gas I In oUtlet ' minimum - 1 3.00 x $ ,0"
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x I = $ 3""
Laund tra 3.00 x $ dO
Lavator 3.00 x S = $ S,Od
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 installationlre air 30.00 x = $
Rou h o enin 1.50 x = $ iS
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 = $
Water closet 3.00 x 3 = $ °
Water heater 3.00 x = $ o°
Watet' 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 --> --> ----> ----> $ S3 °o
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 Ciry of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: Iy31 4Y\ AS' f.vooj f avi1S Pc4
OWNER NAME: : (/Q{'i J\/ 14m-e,5 - T^C. TELEPHONE #: ?°s?' 7Jry- ?"330
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
/1 ,..? (AREA CODE)
STREET ADDRESS:
/? ? r
CITY: ?? V ?-? (? ?'0 (It ?S STATE: T ' \dV ZIP: SSV/? r?
/ /
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT ? BL ? RECEIPT #:
SUBD. V1 GI S VV O DR-iJk RECEIPT DATE:
MECHAIVICAL PERMIT #
1999 M£CHANICAL P£RMTI' (RESII3£NT'IAIa
cmt oF E,asAW
S$SO PILOT KNOB EiD
E4fiikN bIN 55122
Date• (651) 68t-4675
Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied,
• HVAC: 0-100 M}3 T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30A0
6.00
State Surcharge .50
Total $
Complete this section oirlv 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
_ Furnace
_ Air exchanger
?< Air conditioning
$ 30.00
State tiurcharge .30
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER NAME:
INSTALLER
STREET AADRESS: )q
Alteration Repair _ Other
Reminder.• Call 681-4675 for inspections.
3V?3 -
PHONE #:l0 5 ? - lD2's?-b?D'
(AREy CODE) rn ,I --t
_ PHON? #: lp 1 1, -c'?`i ?'"?'C !
(AREA ODE)
Other
STATE: 1 ' ? ' \ ZIP:
SCp 3 {g0141
ie
SIGNATURE OF
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHANICAL i'EtMIT (CQMMERCIAL)
CITY QF EAfiAN
S$SU PILOT KNO$ RD
EAfiArr,lruN .55122
(651) 681-4675
Please complete for: all commercial/industrial buitdings
multi-family buildings when separate permits are nat required for each dwelling unit
Ln;E: CUNixAC;l Yit1C;E:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
**NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fue marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract priee OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1 %
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of permit fee due on all pemvts.)
TOTAL
--------------------------------------------------------------------------------------------°--------------------------
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CIT'1':
PHONE #: -
(AREA CODE)
STATE: ZIP:
PHONE #: -
(AREA CODE)
SIGNATURE OF PERMITTEE
' CITY USE ONLY
L. BL (? ?
suso. V W-t?-o ? 1'?s?-
EACH #
1999 PL1ImBINfi PER1VIIT (FESIDENTLkI.J
Cft'Y OF i:Afil4N
S$SO Pll.OT KNOB {iD
El1fiAN. MN 55122
(ssi) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unR
? backflow preventer for underground sprinkler system
FIXTURES
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions 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 = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ---> ----> $ .50
Total --> --? ----> ----> $ 6
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---- •---------• -------------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state fhat the information is correct, and agree to comply with atl 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 qused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
.
OWNER NAME: : ?
c' r r%.e, H,i??"? W
IlVSTALLER NAME:
STREETADDRESS: /L5l `7?/CdI?
CITY:
S
RECEIPT #: 1 { 9 I -D' SO
RECEIPT DATE: I I - a-99
PERMIT # J O lo 15-
TELEPHONE#: ?5-( -6S?9- R2T
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE:
SIGNATURE OF
ZIP: ?i2
?a . ? ? i e ,r?u .4 ? ? ??d• t
.4?•>?T'fi.?.??,.%it.?.'1«?t:jirt:7i.Y:X:FC.'r?>?{?l:?}?..7?{_fi?.?.?Lnfr.?if.?Ci'.: ?' ;F?0
:.!.TY Of i-.(lGriN
C(lCil-':f.ER^ :7fi T(-Ris;[it!Fl!. NG; 695
nArE:2 09/CiB/99 T'IhSi:: : f. r :t1::, ;1.`?
IT7 -.
jaAM[;t: D1=r.i]'GNlii:G' Df.t:{C`::i £x 1=1:'NGL_
3010 9001 i13i. It:CNGS{•fJt)I, f,WOO
34:3t7 90(:)1 1431 KJ:MC;SWf:1!::!?1 0.,25
205 9001 :143:1. I;..[f.vGS3Will.lD i.l,,:'iQ
T; UT ],I. ;n;{ac(it7 p{; A1T!CJIJYIt. 0.75
cr,: a. i.r:,8o 7
t.isa-R :r.D: .;r;N
i?C}?F}„)?C:1? l.:'?!'>'?.'S?i:?};'?[7k)'F.i;(i?):;`?::?(:;{X;??ii4:f??:i;?.",?i'{??:??•.';::.7?ti;C?!;?i::Tk'Pnl,t
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122 s (a o.
651-681-4675 ?
n ReauiremeMs
? S reg(stered sBe suneys showing sq. R. ot lot, sq. ff. of house
and gU roofed areas (20% maximum lot coveraae allowed)
A 4 coples of plans (show beam & window sizer, poured fnd. design; etc.)
D 1 set oi energy calculafions
? 9 coples of hee preseryaNon plan N lot plaMed aiter 7/1/93
DATE:
DESCRIPTION OF
STREET ADDRESS:
6
RK:
?K?31--
LOT: BLOCK: li_ SUBD./P.I.D. #:
00
6??r
Name• Phone #:
PROPERTY ta . FUSt
OWNER ???( ` ?lh S Vl/
Street Address: A -
4 ?
City ??C f1? f1! Stat : ?-11-2h Zip:
Company: GC-F S, 6 (112- ( 7_
Phone #:
(area code)
CONTRACTOR ???
Street Address: License ?i
City ?t ?L(! r2 4 state: t/-1 /7., zip: 55>' ?U
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Stree't Address: Registration #:
City State: Ztp:
rSewer 3 water Iicensed plumber (reaulred for new constructton onlv):
ftnaNy applies when address change and lot change ts requesFed once permN is issued.
I hereby acknowledge that I have read this application, stafe that the tnformatio coRect, d agree ? compty wHh all applicabl
Stafe of Minnesota Statutes and Cify of Eagan Ordinances. ? 1
Signature of AppllcaM:
Certificates of Survey Received Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY / /? ? f?-
?,?_
_ No
_ No _ Not Required
Remodel/Reocir Reaufremenh ? g ?
2 copies of plan
1 set oi energy caiculaHons for heated addRions
1 aRe sorvey for exierlor addRlons 3 decb -e'?J"'(/ d?
CONSTRUCTION COST: 7? ?d
/ .
,(,? erl
-
4 ( ?* ,, ;
SEP 7 ? _ -
Jvo
OFFICE USE ONLY
BUILDING PERMIT TYPE
J `
? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling .? 07 5-plex 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
0 03 1 of _ plex ? 08 fi-plex ? 13 16-piex <0?l 8 Deck ? 23 Porch (screened)
? 04 2-plex .? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* O 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handaut to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuaq Basement sq. ft. Census Code ?
(Allowable) Main level sq. ft. SAC Code G/
UBC Occupancy sq. ft. No. of Units CG
Zoning sq. ft. No. of Bldgs ?
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning ? Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ?
Total:
Valuation: s1206
,
,
SAC Units
% 5AC
CERl"IFICATE OF SURVEY V 1 Q- 41- 9
for
VARIETY. HOMES
q• I
.
i,?'? / ? •
'O
o 0
C' ?
0
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1431
Kingswood Ponds Rc
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duiy Registered
Land Surveyor under the Laws of the State
of Minnesota.
.--t 1h .
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Lot 6, Block 1.
KINGSWOOD PONDS FIRST ADDITION .
Dakota County, Minnesota Plat bearings shown '
o Denotes iron monument
, . 61i 0 PERMIT ? i-tqlo
City of Eagan Permit Type: Plumbing
3830 PILOT KNOB RD Permit Number: EA034858
EAGAN, MN 55122 Date Issued: 03/22/1999
(651) 681-4675
Site Address:
1431 Kingswood Ponds Rd
Lot: 6 Block: I Addition: KINGSWOOD PONDS 1ST ADD
Description:
Sub Type: Residential
Work Type: New
Description:
Meter Size Tvne Manufacturer
2 Bath Tub
1 Gas Piping Outlet
I Laundry Tray
3 Rough Opening
3 Water Closet
?
y.. 4
^"r 7 •:u i?b?..,
1 Floor Drain
1 Kitchen Sink
4 Lavatory
1 Water Heater
Remarks:
Fee Si
State Swcharge - Fixed 0.50
Fee ? 49.50
$50.00
?
V'
Cootractor: - ApPlicant - Owner:
Valley Plumbing St. Lic.: Variery Homes
860 Quaker Ave 1431 Kingswood Pond RD
7ordan, MN 55352
-TJL-LlLI
I hereby aclrnowledge that I have read this application and state that the information is correct and agee to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signaturc
Issued By: Signatwe
CITY USE ONLY
L ?.J BL RECEIPT #:
SUBD. i??J V.T? C? C%VJ/?- RECEIPT DATE: °1 9?
1999 PLUMaINC PERmIT (R£SiDENTIAL)
CITY Uf' EAfiAN
S$SO PILOT KNOS ftD
EACAN, MN 55122
(657)6$1-4675
Piease complete for: ? single family dwellings
: townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------------------------------------------------------------------
FIXTURES -------------
EACH ---°----------------------------
# ----------
TOTAL
Shower 3.00 x t = 3-
Waier Closet 3.00 x °?-
Bath Tub 3.00 x L-
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x ?-
Hot TublSpa 3.00 x =
Water Heater 3.00 x 1 = ?-
Floor Drain 3.00 x --
Gas Piping Outlet ' minimum -1 3.00 x ?-
Rough Openings 1.50 x `b = -4. su
Water Softener ' for dwellings under constructlon 5.00 x =
Water Softener ' for existing dwelling 30.00 x =
U.G. Sprinklef ' for dwelling under const. 3.00 =
U.G. Sprlnkler " for existing dweliing 30.00 =
Altel'atlons * to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished syslems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 661-4675 for inspections of water heaters,
water softeners, alterations, etc.
TOTAL.
---------•-•--------------------------------- -------•--------------------------•------••------------------------------------------
I hereby aGcnowledge that I have read this application, state that the informalion is corred, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanCs responsibility to notify the property owner thai the City of Eagan assumes no liabiliry for any damages caused by the City during its normal
operalionai and maintenance activilies to the facilities construded under this permit within City property/right-of-way/easemen[.
j) I /
SITE ADDRESS: I ?? I 1?, - -1 % wu u c.I -'` d'
OWNER NAME: V^{,' L ?, I Hor--- '
INSTALLER NAME: TELEPHONE #: Y4 J-? 1 3STREET ADDRESS: UU
C ITY: STATE: VA? ZIP: S S 3 1'
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
VALLEY PLUMBING COMPANY, ]
860 QUAKER AVENUE, JORDAN, MINNESOTA 55352
PHONE: (612) 492-2121 FAX: (612) 492•2617
' ? c??, ? • ?? 7 Y
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JUN 1. 7 i999
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? `M'MXI:kNFy(?i 'M??k7k'?'??Yl.?' 'M'?:?:k5$7K'M%K??xC>Y?i FPXC7'Ci 'M>i<'M`+'? M?
C7TY Of= EFlGHN
GFlSI-!IER: $ 7L:[it4INal_. NCJ: EaFiO
pA7Fa 03/24I99 TIt4C:4 14:5026
zW,
NnMEc Vph'.T.FT'Y FIqME"s zNc
2256 9001 i43-.` f:NG4>ND i"'ND 4yfx40o17
2256 7001 1.43i t.i4G5ND F'ND .`.;y:l 5r:>o39
ro± a:i. r,x ce;.pt Amoun+. : 9l796.56
CF:1Ll43E,?,
U,'.rL.R .T.De NANCV
PERMIT
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type:
Permit Number:
Date Issued:
Building
EA034761
03/23/1999
Site Address:
1431 Kingswood Ponds Rd
Lot: 6 Block: 1 Addition: KINGSWOOD PONDS 1ST ADD
Description
Sub Type: Single Family
Work Type: New
Description:
Census Code: I _Single Family Detach
UBC Occupancy: R-3
Construction Type: V-N
Zoning: Single Family
Sq ?g Feet. *?? 2,191
??•:?? ,
? 9 ?zr ???? 4 ; ?? ??•?,.:
?.
? "(3i???
{?? .? ?rd
Remarks: Pian;eviewedbyCraigNovaczyk.
S& W Plumber is Valley Plbg phone 4(612)492-2121.
Fee Summary: Sewer&WaterPermitSurcharge 0.50
Valuation: $180,000.00 Account Deposit 30.00
Water Permit 50.00
Sewer Permit 50.00
State Surcharge 90.00
City SAC 100.00
Water Meter 5/8" 114.00
Treatment Plant 468.00
Water Supply & Storage 825.00
Plan Review 937.14
Contractor: plican?le Family Home
- S
4 pWner: 1,050.00
.
p
Fee
B 1,441.75
?
VARIETY HOMES Lic,
St Variety Homes $5,156.39
. 4130 BLACKHAWK RD 4130 Blackhawk Rd
EAGAN, MN 551220000
? 6124548330 Eagan, MN 55122 651-454-8330
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.
ApplicanUPermitee: Signature
ssued By: Signature
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: VALLEY PLUMBING
ADDRESS: 860 QUAKER AVE
JORDAN MN 55352
LOCATION: 1431 HIIYGSWOOD PONDS RD P.I.D./LEGAL: L6, Bl, KINGSWOOD PONDS 1
RECEIPT #/DATE: 104635/03l22/94 VALUATION:
REASON FOR REFUND: PER CONTRACTOR REQUEST PERMIT #: EA034858
TYPE OF REFUND:
Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $49.50
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (Ciry) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Permit 3713-9220 $
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
Water Treatrnent 3868-9220 $
Surcharge 2155-9001 $
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Chazge 3711-9220 $
Other $
TOTAL $49.50
I declaze under the penalties of law that this account, claim, ar demand is just and that no part of it has been paid.
??/ ? June 18, 1999
5GNATURE DATE
?q& oo 2006 RESIDENTIAL BUILDING rExMiT arrLicATioN
r7q / p9 3 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas
(209'o maximum lot coverege allowed)
1 Soils Report 'rf proposed building is to be pfaced on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies ot Tree Preservation Plan iFlot p(atted after 711(93
Rim Joist Defail Options selection shcet (buildirgs with 3 or less units)
Minnegasco mechanical ven6lation torm
RemodellReoair Reauirements
2 copies of plan showing footings, beams, joists
7 set of Eneigy Calculations for heated addiUOns
1 site survey for additions & decks
Addition - indicafe ff on•s'rfe septic system
a
r?
i7se Oni
Cert nF`Suryey R?cd
Soils Rpport?
Tree Pres,Plan Recd
Tre?PCasReqwPe? ,Y Y ^N
Onsiteaep11c5ysfem...',
Date ! / Zi_ / 0-7 Construction Cost (?]-TiIBQ
SiteAddress i L423 {_6na-S???d ?RoY,,C:I 2U
V l UniUSte #
Description of Work
Multi-Family Bldg _ Y_AN Fireplace(s) _ 0 _ 1 _ 2
Property Owner On a Telephone #((p`a,) 7L49
/ i
4
`?
'
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/
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LC,?td`
Contractor ?l
Address /
City S?J??CG?Gf-r-?v
State /p/ Zip Telephone # (1167) h? 3rl.
COMPLETE THIS AREA ONLY#f CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Aules 7672
Energy COd6 CatBgory 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d 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 apply for a Residential Building Perxnit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accvrdance with the approved plan in the case of work which requires a review and
approval of plans. '
--aSe.K
Applicant's Printed Name ApplicanYs Sign re
..
? i (1 ?)s(;u
200e RESIDENTIAL BUILDING PeRMIT
N0.909 D01
--------------
? FOf. OflICB U89 J W- ! ?
j Pem+it if: l ' v ?
? Permit Foe: ?
j Pats Racsi j
I ?
i Slan: ?
? ?
APPLICA7101??P(?/ ???`O?'
RESIaEN710WNER Neme: C•?/j? Phone;
,
AddrgSS ! Clry ) Zlp:.
?
Appiicant is: _ Owner
ConYractor
TYPE OF WORK 6oscrivtion ot wark:
• Cansiruction Cost: ?4 C?CJU•, z? Multi•Family Building: (Yes _ I No ?,)
CONTRACTOR Nams: Licensett:
Rdd2ss:
?
City:
S : LSLL?.. Zip:
Contact Parsan:
CQMPLE'TE THIS AREA O?iILY IF GdNSTRUCTINJG A NEW BUILC]ING
- Minnesata Rules 7870 Gat or 1 ulinnesata Rules 7672
Energy Gode • Aesldentlal Veniilauon Ca[epnry t worksheet • Naw Energy Code WoAcsheel
Cai0q4ry Submlltad Submilled
(4 SUhI11i5sI011 tyRB) • Energy Envelope Calcula[ivne Submltled
In the last 12 months, has the Clty of Eagan fssued a permit for a simllar plen based on a master planT
-Yes _._Na II yes, date and address of master.plan,
Lfcensed Plumder: Phone:
Mechanlcal Canlractor: Phone:
Sewer & Wafer Cont?acTor Phone:
NdTE: Plans and supportfng documents;thatyau submif ara consfdered fo be ?sub/ic tnlarmatlon. Pvrtlans oi
the lnlnrmadon may be classiIfeQ as.norrpubllc U you proyfqe speclllc reasans That would permlf the C+fy to
canalude lhat tho ara frade seCrets.
I pareny acknowletlga 1na1 ihls Informapon Is compielo ana accuraio; lhat the work wIn he In coniormance wltn Iho orGlnances and cotlee of tne Ciry ot
Eagan; thaT i urtdersiand this Is noi a psrmll, hul only an appllcallon fer a permli, antl worK Is qo1 10 eten wilhoul a E,ermiC ihaI lhe wnrk will pe in
accerdanas wllh tha approustl plan In ine ceae ol work wnltn requires a rovfaw sntl approvdl o( lans. /,/
L r1 vt
x n ?t
X
Applicent's Prlnled Name Appllcant's Slgnature
v Pepe 1 al3
08i26i2008 09:40 ERGAN ENG+COM DEV ? 99528849146
City of Ea?a?
3Ei38 Pilot Kneb Roed
Eagan 1AN 55122
Phone•(651)675-5675
Fex: ($51) 675-5694 ,,,^-'
? vcxa
08i26i2a08 09:40 EAGAN ENG+COM DEU 3 99526849146
DO NOT WRtTE BELOW THIS LINE
N0.909 D@2
SUB TYPES
? Foundation 0 05-plex CJ 16-plez ? Accassory Buflding Q Pool
? Single Famby ? U6-plex ? FlrOploCO ? Porch (9-saason) ? Ex4 All.- Mulp
? 01 of - Plex ?7 07•ple% 9 GaYOgB iJ Porcn (4season) ? Ex1. AN. - 5F
? 02-Piex ? 06•plex ? Deck O Porch (screanigazenorparqoia) ? MuNi Misc.
C7 03-Plax ? io-plex 0 Lower Leve1 O storm Gamage
? 04-Pler 0 12-plex 0 Mimllaneous
WdRK TYPES
O New ? In[erlor Improvement ? Siding O Oemolish Buifding'
,W Additlon D Move 8uilding ? Rerooi O Demokish interlor
O Afleratlon 0 Fire Repalr ? Wlndows ? Qemoflsh FoundatiOn
Q Replacement ? Egrese Wlndow ? Wa1er Demage
' Oemoll[lon (sntlre bulld ing) - give PCA handout io applicanl
DESCRIPTIQN;
Vafuatfon Qccupancy MCES 5ysiem -
Plan Review ? Cade Edltlpn SAC Unfts
(25°k_106Me ? YonEng CityWater
Census Coda y3y Storias ? BoDster Pump ?
it af Unlts - Square Feat &a PRV ?
# nf BuAdings - Langth oZ ° Flre Sprlnklers J
Type of Conal. ? Wfdih J-0
RE. UIREd IN9pECTi0N5
Fontings (new bidg)
? FoolingS (deck)
? Fvotings (addition)
Fourrdatlon
Drain TEIe
? Raof- A?fce & Water AFinal
? Framing
Fireplaee:_R.l. ,_Air 7ast ,,,,,_Final
Insulation
Revfewed 8y:
Base Fee
Surcharge
Plan Revlew
MCIES SAC
Clty SAC
UiiBty Connectlan Charge
S&W Pernrlt & Suroharge
7reatment Plenf
Capies
Total
Sheetrock
? FfnallC,O.
7:jj? FinaUNO C.O.
HVAC
Olher:
Pool: _Footfngs _Air/Gas Tests ____Mnal
Siding: _Stuao Lath _Stone Lath _Srick
- Wlndows
_ Rgtafeing Wall
. Building Inspectar
.......... -...... °............................................................................... ..--•-•-----------
yoo #?e ;V???x? iL ? 3??S??y 13Y?,2
5z?
/t'ao? c244vL '0B4e
92-Z ?
Page 2 0l 3
?
f
,
612 827 0805 Ma[tson Macdonald You 09:00.29 09-16 2008 7/3
Mattson
Macdonald
YOUIIg structural engineers 612-827-7825 voice
612-827-080Sfax
Basset Creek Business Center
901 North 3rd Street, Suite 100
Minneapolis, MN 55401
Septembec 15, 2008
Brian Lauer
Lauer Construction
9309 Lyndale Ave S
Bloomington, MN 55420
Re:
Dang Residence - Garage expansion
1431 Kingswood Ponds Road
Eagan, Minnesota
M/M project number 08464
Dear Brian:
The purpose of this letter is to document that we have reviewed the two items you have
requested regarding the garage addition to the above referenced residence.
1. Review of the existing garage roof trusses for supporting the added weight of the over-
framing of the new roof .
2. An engineered design for the foundation wall supporting the precast plank fioor.
Assuming the existing roof trusses aze as described in terms of span, spacing and
condition it is our opinion that the weight of the additional over-framing can be
adequately supported. Ensure that the trusses are not more than 24" on center, are
undamaged (including the press plates) and are in generally good condition. A row of
2x4 struts is to be added from the over-framing to the existing truss panel points, see
attached sketch.
The main floor of the garage is to be 8" deep precast plank with up to 4" of concrete on
top. The foundation walls for support of the plank aze to be 10" poured concrete. The
walls are to be reinforced with #4 bazs vertically and horizontally at 18" on center
maximum, located I 1/x" fram the inside face of the wall. Provide #4 x 4'-0" horizonta]
corner bars (2'-0" each leg) at all outside comers, ]ocate these bars 11/z" from the outside
face of the wall. The waIi footings are to be a minimum of 20" wide and 10" deep and
are to be reinforced with 244 continuous bars located 3" from the bottom and sides of the
612 827 0805
Mattson Macdonald You 09:00:52 09-16-2008 2/3
k
footings. The precast plank is to be doweled to the top of the wa11 by the precast erector,
the dowels are to be spaced at 48" on center maximum.
The new, full height concrete foundation wall will enclose the new gazage basement on
four sides (includes the sides where there is an existing wall). The contractor wiIl be
responsible for ensuring the existing foundation wall stays in place and is not undermined
during construction, and will provide underpinning as needed.
The design snow load is 39 psE and the design floor load is 50 psf.
The foundation wall and footings are sized based and an active soil pressure of 45 pounds
per square foot per foot of depth and an allowable net soil bearing pressure of 2,000 psf.
The backf'ilt is assumed fo be free draining. Tf there is reason to believe that these
assumptions are not cotrect please contact us.
Please do not hesitate to call if you have any questions.
3incerely, I
on Mac nald Young, Inc.
i
Jos A. Cain, P.E. MN# 40119
2
ELLVAI IUNS
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a ? HANDFRAMED .'LAY-ON " ROOF COMMON 7RU55ES
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' 2" X 4" COLLAP, TIES 90 32" O/G .
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EXISTING GARAGE
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CN? ??Cx SFI'Pwif t0?-
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, 1'4n ? FIRST FLOOR LINE
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GIRDER TRUSS
- T 8"
KEMOVE Ex1571NG WALL
MATCN EX15TIN6
12' 10"
5/8" TYt'E "X" GYPSUM
EXPAN510N
3" -4" CONC TOPPING
WATERpKQOFlNG MEMBRANE
8"57ANCRETEPLANK
HIP-5ET TIZ
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CERfiIFiCA7E OF SURVEY
for
VARIETY. HOMES
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Scale: 1" = 30'
1431 Kingswood Ponds Road
DESCRIPTION
I hereby certify that this survey, plan, or Lot 6, Block 1,
report was prepared by me or under my direct KINGSWOOD PONDS FIRST ADOITION
supervision and that 1 om a duly Registered Dakota County, Minnesota
Land Surveyor under the Laws of the State
of Minnesota. Plat beorin9s shown
o Denotes iron monument
? Existing.,, Proposed
Date 3 Reg: No. 8140 ---
EV iN A-R. ( 4 9
. BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Bu rn svil I e, M N 55306
_ (612) 435-1966 V10-41-99.
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?;
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
416 53 3830 PILOT KNOB RD - 55122
New Construction Reauirements
• 3 registered site surveys showing sq. ft af bt eq• R of house; anli raofed amas
(20°k maximum bt coverage albwed)
• 2 copies ot plan showing 6eam 8 window sizes; poured found desgn, etc.)
• 1 set of Energy Cakulations
• 3 copies o( Tree Presenation Pian 'rf bt plaUed aRer 717193
• Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units)
651-681-4675
4 Iz?,2S
$J17JGj
RemodeUReoairReaufrements
• 2 topies of plan
• 1 set oi Energy Cahailations tor heated additions r? r r?
• 1 sib survey for exterior additions & decks
• Indicale iF home served by septic system for additions
DATE S Zo Lo I VALULTION *-5cloo
JOB SITE ADDRESS ILl.3 I ? l111c15IAlod.D PdN 0 5 ?-d-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF
t"I D"G"
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT _ U PI'P_I i"t"Y (,"farn'" PHONE# 45 l-N Sy -8 33a
ADDRESS Lfl3O ZIP CODE
PAGER# CELLPHONE# FAX#0_1-qs4- 02S°I
NEW RESIDENTIAL BUILDING ONLY- FtLL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residentiai Ventilation Category 1 Worksheet Sut
- Energy Envelope CalculaUons Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
: Sewer/VYater Contractor.
Phone #
Fee:
$70.00
All above infortnation 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 Or in ces.
Signature of Applicant Q
Certifcates of Survey Received _ Tree Preservation Pian Recei ed Not Required _
t ` Updated 1/01
_ Water Softener
_ Water Heater
_ No. of Baths
_ Air Condilioning
_ Heat Recovery System
Phone #:
, Lawn Sprinkler Fee: $90.00
_ No. of R.I. Baths
Phone #
%:'?
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 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 Stortn Damage
PK 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 ini Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 , Move Bidg. O 42 Demolish (Foundadon) ? 45 Fire Repair
? 33 AlteraGon O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitton (Entire Bidg only) - Give PCA handout to applicant
Valuation ?& e_g_ Occupancy MC/ES System
Census Code `vI Zoning ?(. . City Water
SAC Units ?l Stories Booster Pump
Nbr. of Unifs ? Sq. Ft. PRV
Nbr. of Bidgs ? Length Fire Sprinklered
Type'of Const ? Width
REQUfRED INSPECTIONS
_ Footings (new bldg)
Footings (deck) Final/No C.O.
? _
Footings (addirion) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ U. _ Air Tesi _ Final _ Siding Stucco Stone
_ Insularion _ Windows (new/replacement)
Approved By '? , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
W ater Supply 8? Storage
S&W Permit 8? 5urcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
0t1@f
Total
FinallC.O.
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? i
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