1436 Kingswood Ponds Rdiiddiess 1436 Kingswood Ponds Rd Zlp 5S1z /
I„Ot 12 B11C 2 SUb KingGwood Pondc Ist
THESE TI'EMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) X
Permanent steps (garage) x
Permanent steps (main entry) K
Permanent driveway .?
Pertnanent gas
Sod/Seeded gtass ?
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps &om the plumbing system and the shut-off of water supply to
the outside lawn faucet befote 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
CITY OF EAGAN
CASHIEFa ,75 TEFiMINAL. NfJ: 690
L1F1TEa 1.2/07139 7IMr: 07e30:55
IU: j
ivANiE? MCDONAL.Li CONSTfiUC7I0N INC.
2?52 9220 1.436 KINGSWLi PN 34.00
32-10 9001 1436 KTNGBWI+ PN 1y307.35
3866 9379 1436 F:TNGSWID PN 100.00
34•22 9001. 143E; K7NGS14D F'i'V 849.78
2275 9220 1436 KIi4GSW11 PN iql139.50
3446 3001. 1436 KTNGSWD RN 10.50
2155 9001 1436 h:iNGSWD PN (].50
3743 9221) 1.4:3E Y,.iNGSWD PN 50.00
`'?i55 9001 1.43E, t. CNGSW11 PN 78.00
38(:)8 9220 1436 t:INGSWLi PN 468.00
CR12C1313 *?C CONT7:NUE
USER ID: .7AN CONTINUE
CQNTTNUE
CITY OF EAGAN
CASN]:Ef;w 1S TERMINAL NOa 690
t?ATka 12/07/99 TII°1Es Or :30:55
IG:
NAME: hiCT10NFlLD CQNS'Tf,UCTION INGo
3716 9?20 14•96 FtINGSkIU F'iti! 114o00
3713 9220 1436 F.]:NGSWI? FP! 50.00
386G 9220 1436 FCINGSWD PN 825.00
To+.al F2eceirfi Amoun+.a 4y322.63
Cfi •120313
USE.R I11: 7AN
?
1999 BUILDING PERMIT APPLICATION (RESIDEN'I'IAL)
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
Cl 651-681-4675
New Construction Reouirements Remodel/Repair Requirements
? 3 registered site surveys showing sq. ff. oilot, sq, k. ofhouse
and alt roofed areas (30°Jo maximum lot coveraae ailowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservation pian if lot platted after 7/1/93
DATE: CO
DESCRIPTION OF WORK: k??» .? /
STREET ADDRESS:
R
LOT: 4, BLOCK: SUBD.lP.I.D.
? 2 copies of plan
? 1 set of energy calculations for heated additions
? 1 site survey for exterior additions 8 decks
,_
cosT l .2 z1, Lleo'
-1-
Name:_Ae io
0 !taL)% ? y 5 J or Phone 0:
PROPERTY First
O'A'NER
S[reet
c,t,
State:
zip:
??? Pd l
Coinpan)': Phone #f: &' _4- 3
CONTRACTOR /------------
Smee[ Address:? L/Sf1 S?C? ____ License #3? b __Lxp. JQ;??d _
Cit}' '?? ?-l/ ?----- State: ----- leel 7ip'
-r?-?----
?--
ARCH7TECTl r
ENGINEER Canpany: ?CC)_lf-__°? Phone#:
Name:_ ?. e,I? Re!? Regisuation #: ?-- -------
Street Address:,LrI'
City State: ?^ r Zip:
Sewer 8 water licensed plumber (reauired for new construction onlv): 433o2,9
Penalty applies when address change and lot change is requested once permit is issued. T?
I'hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
:,tate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: J1 pa'??A
OFFICE USE ONLY
Gertificates of Survey Received Yes _ No
?
Tree Preseroation Plan Received _ Yes _ No ^ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
.
? 01 Faundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
)&. 02 SF Dwelling ? 07 5-plex ? 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-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 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 . ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Inte rior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) 5' IJ Basement sq. ft. 15i(. Census Code 101
(Allowable) 5•? Main level sq. ft. Iq_? SAC Code o?
UBC Occupancy R•3- U• ? !'. ??tL _ sq. ft. b 5 No. of Units ?
Zoning I sq. ft. No. of Bidgs ?
# of Stories sq. ft. MC/ES System
Length ?Z sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Valuation: $ / :!rGj voc? ?
Surcharge
Plan Review
License
IS-fl„ x 1-5 ; 31,5'od ?
MC/ES SAC (
44y X C4
City SAC
Water Conn. 16616x (` r ! 0 44 $?"
Water Meter
Acct. Deposit
`
S/W Permit
S/W Surcharg e
Treatment PI. t
Park Ded. '
Trails Ded.
Other
Copies
Total: 'q Qi
SAC Units
NOU-22-1999 11=52 PLANCO, INC. 1 6514523659 P.02i03
•
TR .ADDRESS C
IAMIS
CTTY
•COMPLETED BYiMf-OCWALZ) 7!'W - PHONQ q, ' AAT&
BQILDxNG CLA3SIFICATYON: ? csCogory 1(utandard) or ? catogory 2(enuot iacludo veaeilation)
HPkTEtUM CRI'I6itZA
i . ^
Fouhdation Insulation-R10 Nallc L- WiadoS+n Aoof Antic Ineulation:
? (See cable on reversa sidc
Sl! I ab on Grade Znsulati.on-R10 Eor allowable percentages) R44-With Attic No lfeel
FJ;?oor over unheated epacos-R24
i 438-Wich Attic Raieed lteel
Fciunda[ion WindoNe 1/2" R38 & RS-Solid RaEceru
ineulated Glase.
-Nood or Vinyl Frame
5JBP 1 Hindot,+ & Door Area STBP 2 Calculato aroa ae a pcrcont of H.]11
A.I Total Nindov & Door Aroa in Sq. Feet
i FINDOWS (Irlcluding FouOdation Windows):
WINDOH MANUFACNRE NAMB:C???,?, C. Pcom 5tcp 1 divida box A(Window & Doot•
Area) by box s(tocal wall araa) Liniec 700
WTNDOW tlANUPACIRRE TYpg?tASEMNT eqvalS chu window and door araa ua a
percent aE wA11 dCe,: (box C).
N2NDOW MANIIFACNR& II FACTOR:.?IFi
j R. O. Quancity cq. EC .nra? P.O? A,,,Ubn X 100 = c_'L•? °?
;Dimensions
?
?
T .
Ao:c d
?
x'-" tff& STEP 3 Daaign Foatureu
?.0•• x r_ " r 7'1_ P.SSE1I 6L'i -
X??-?? ZS _ Yk?'M lt7t TYP2:
•?b•• x lq, `l ? STANDAFO ('RAMYNC _s<ccuds 15" a.c.
1.,p+ X L p.pVANCEO FR}\MINC e; tude 29 " o. e.
6'Lo" Ch,VITY IPISU[..ATION P.
? X
SHCATiiING TYPB:
I X ? LESS THkIJ < R-5
I
; X
A-5 > OR MoRE
I X U-FACTOR V
i
DOORS:
from the table, (rcvnrce side) derermine the
2iL.g" xG'.?? ( (g maximum percene window & door area for the
i
dceign op[ions eelceced and enter Che t valizc
g in Box D belcW baeed on the Windov mEg. U-
bx_?.,
?
Eaccor:
i
144 _ 6, x . 11
10
? b
?
?
i',btal Area oE A_IJ/_oOGI.EL.
?
. •
Hindows & Doors
1O
9L Total Nall Area in Sq, Ft. The ! value Prom che cable in Box D ehall ba
I cqual to oY greater Lii.?n the t in Hox C
iHall ToCal Hoigttt Ared
j perfineter
144
I o
t o. Z2 ? . -
'?ata2 Area oE Walla n.???eq.E?
1NOU-22-1999 12:06
1 6514523659
P.02
NOU-22-1999 11:52
'?F?•
• I
I '
?I
?
?
?
i
i
i
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;
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i
PLANCO, INC.
1 6514523659 P.03i03
ONE- 6c 1YV0-AAMI'LY RESIDFNT7AL DUILDJNG PRFSCR7M1VE (COOK-E300K)
APrRoncx
MAXIMUM WtNDOW AND UUOR AREA AS A PERCENT aF OvERAL[, WALL
AREA
M Mlnn. Ru[ee Fart 767p,0471, subpatt 2, item F
Gsvlt Exterlor Wlndow U-Factor
Framin 1nsUlalion Sheathin 0.49 0.36 0.31 0.27
STANDARD R-13 Z R- 7 13.4% 17.6% 21_3°/, 24.3°/,
STANDARD R-13 R- 5 12.4% 16.4% 19.79'0 2
STANDARD R-15 > R- 5 12,9°ib 17.1% 20.11/6 23.90/o
STANDARD R-18-19 < a- 5 12.1%
~ 16.0% 1s.o 22.0 °io
STANDARD R-16_19 R• 5 14.096 18.6% 21.8% 25.3%
ADVANCED R-18-19 < R- 5 12.9°/f
? 17.2% 20.1°10 23.4"/0
ADVANCED R-18 -19 > R- 5 14,5% 19.29'0 22.5°10 26.1%
STANDARD R•21 < R- 5 12.8%
~ 17.0% 19.9% 23.1%
STANDARD R-21 > Ft - 5 14.5`a 19.396 22.59'v 26.1 1/6
ADVANCEO IZ-21 < R- 5 13.6 18.1% 21.2% 24.6%
ADVANCED R•21 R- S 15.0Ye 19.9% 23.2Ya 26.9%
Addittanal ealculaled valuee
STANDARD R•17 < R- 5 11.9% 15.7°Y, 18.4°/d 21.5°0
STANDARD R-ir ? [t - 5 13.8% 18.4Yo 21.5% 25.09'0
ADVANCGD R-17 c R- 5 12.6°/. 16.8% 19.6% 22.40/o
ADVANCED R-17 > R- 5 14.3°k 14.0°io 22.2% 25.7%
Notes: .
Wlndow area equals rough opening minue Inetallatlon clearances.
Wlndow U-factor musi be determincd by either the National Fenestration Rating
_ Councll standard 100-91, or AS}iRAE 1993 Handbook of Fundamentals, Chaptcr 27,
Table 5.
!
?
NOU-22-1999 12:06
1 6514523659
.
TOTRL P.03
P.03
?
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
? BUILDING PERMIT APPUCATION
?
? PROPERTYLEGAL' 407- IQ? BL'K'IC 7- Kzncs[:lool;? oN05 Fxa2Sr HOQZ'7'>'d?
? DATE OF SURVEY:
H
?
w
LATEST REVISION:
?
o DOCUMENT STANDARDS
o
g O
4 •
/
`Z
?? ? • Registered Land Surveyor signature and company
? ? • Building Permit Applicant
? ? . Legal descripbon
? ? • Address
d?? ? ? • North arrow and scale
;'/ o . o • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
o ? • Directional drainage arrows with slope/gradient %
?
/? ? • Proposed/epsting sewer and water services & invert elevation
?S ? ? • SVeet name
? ? • Driveway
m/ ? o • Lot Square Footage
o ? • Lot Coverage
ELEVATIONS
Existin9
/
pt o o • Sewer service (or Proposed)
o ? • Property corners
r? o /? . Top of curb at the driveway
? e1/ ? • Elevations of any eadsting adjacent homes
? d a Adequate footing depth of structures due to adjacent utiCrty trenches
Proposed
/
0
0 ? • Garage floor
p? ?
? a • Firstfloor
p
o ? • Lowest exposed elevation (walkouUwindow)
? ?
? ? • Property corners
? ? • Front and rear of home at the foundadon
? ??
? G7?/ a
? r? ?
o ?a
? o
? ?
?/ ? ?
d' o ?
? ? o
0
? ?
PONDING AREA (if audicable
• Easement line
• NWL
• HVVL
• Pond # designation
• Emergency Overflow Elevation
DIMENSIONS
Lot IinesBearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanentfootings)
Show all easements of record and any Ciry utilides within thoae easements
Setbacks of proposed structure and sideyard s ck of adj?ent epsting structures
Retaining wall requirements, iF any ? /
.
•
Reviewed:
/07 3 9q
Maroh 1998
CRAIGBIDOPRMT.FM
CITY USE ONLY
r
u.oT ? sL a PERMuT #: 3 °I LI dz?)
SUBD. (onde, l S? REcEIPT ldas 79
RECEIPT DATE: /- a5 - oa
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOH RD
EAGAN IYffd 55122
651-681-4675
Date• / - i • ? ??? ?,
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
ToW
$ 30.00
6.00
o, C,?,
.50
? ?-
Complete this section onlv if you are remodeline, addinQ to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair _ Other
_ Furnace
_ Air exchanger
Air conditioning
Ot6er
Fee
Siate Surc;iarge
Total
Reminder: Call for inspections
G?
SITEADDRESS:
$ 30.00
.50
$ 30.50
• ? 1
OWNER NAMEL' 7PHONE #: 7C?C• ?
_(AREA CODE)
INSTALLER NAME:: PHONE #:
(AREA CODE)
STREET ADDRESS: E?'
CITY:
STA1'E:.-`
i
-?;- i
SIGNATURE OF PERMITTEE
L BL
SUBD.
APPROVED BY:
tNSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECEANICAL PERMIT (COMERCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please compiete for: all commerciaUndustrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
R'hen installing/removing underground tank, cal! 651-681-4675 jor inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Undergtound tanlc removaUinstallarion = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State swcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IIvIPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(AREA CODE)
CIT'Y:
STATE:
21P:
cirY usE oNLY
F--alm
SIGNATURE OF PERMITTEE
L !a
S UBD.
Bl a
CITY USE ONLY
14 , ;*-V)o0d Povl ds 15-1---
RECEIPT#: l'D aa I-1
RECEIPT DATE: 0 C?
PERMIT# .7
2000 PLiJIdBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, M 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $ j
Gas piping outlet * minimum -1 3.00 x = $ , p
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ ot)
Laundry tray 3.00 x = $ p
Lavatory 3.00 x = $
Septic System newlrefurbished * requires MPC Ilc. 75.00 X = $
SeptlC System abandonment 30.00 x = $
RPZ new installatioNrepair/rebuild 30.00 X = $
Rough opening 1.50 x = $ ? Q
Shower 3.00 x = $ .00
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $ 0
Water heater 3.00 x = $
Water softener if dwelling under consWction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 --> --> -> $ .50
TOtal -> _> --> -a
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
.-------------------------------- - -----------------------------------------------
I hereby acknowledge thet I heve iead this application, state that the information is correet, end agree to comply with all applicable Cily of Eagan ordinances.
R is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activfties to the facilities constructed under thi"permit within City prQpertylright-of-wayleasement.
SITE ADDRESS: I / J l'J 1`J 11 Q J W DU (j
OWNER NAME: : ` Ol h I U G ? d h?
INSTALLERNAME: PIVe S?ar huij)-hq.?..hC.
STREETADDRESS: L/ '-? CJ/I?V?'?
CfTY: CIAC?e l?"ro1/e
TELEPHONE #: 1 D`
(AREA CODE)
TELEPHONE #: ??1 J?v?/ J v r?
(AREA CODE)
ST
_ \'Szo/ 6
SIGNATURE OF PERMITTEE
. ?* *
* PIONEEFf
* Bne f11 1"6
****
Certificate of Survey for:
LOT AREA = 14,298 SF
HOUSE AREA = 2,651 SF
HOUSE TYPE = WALK-OUT
COVERAGE =18.5%
13
14
861.2
rn
0
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CDS
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in
4b.
862.0
/
N83'58' 32"E
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, 0 III
\ 0-
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, 2
877.s \ l!?
? ?O
7O
878.6
'a \
??.10
9
?
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRAOES SHOWN PER GRADINC PLAN BY: PARAMOVNT LOWEST FLOOR ELEVATION: `b-7N'z
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCA710N TOP OF BLOCK ELEVATION: --o eb 7 9
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FouNDnnoN oiMeNSioNS. GARAGE SLAB ELEVATION: ?
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. 7HE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB 0 LOOKOUT ELEVATION:
PROPOSED IS NOT 7HE RESPONSIBILITY OF TFiE SUP.'JEYOR.
N07E: THIS CERTIFlCATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION
7HOSE SHOWN ON THE RECORDED PIAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
___ DENOTES ORAINAGE AND UTILITY EASEMEN7
NOTE: CONTRACTOR MUST VERIfY ORIVEWAY OESICN. ?. DENOTES DRAINAGE FLOW DIRECTON
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED OANM -r- DENOTES MONUMENT
-e- DENOTES OFFSET HUB
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A
SURVEY OF THE BOUNDARIES OF:
LOT 12, BLOCK 2, KINGSWOOD PONDS FIRST ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 25 DAY OF OCTOBER, 1999. ''- •
SIG D: ONEER ENGIN 2NG. P.A.
SCALE : 1 INCH = 30 FEET RECEIVED DEC 03 i BY: f
L.S. Reg. No. 1
2422 Enterprise Drive
11 Mendota Heights, MN 55120
(651) 681-1914 FAX:681-9488
SURVEYOitS • CIVII ENpNEENS E-moil: PIONEER@PRESSENTER.COM
11 37] 98087.03 JMM ???? hn C. Lorson, 9828
nrscwn[cTs
MCDONALD
1436 KINGS11JO0D PONDS ROAD
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BENCH MARK ?-:?_-<••.d+ .?'_.Va"..i?_a.?_.: '+e.i :?.teL
TOP ?C3F PIPE
ELEV =878.24 \
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126.58.1 876.3 C)tn
625 Highwoy 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
E-mail: PIONEER20PRESSENTER.COM
CONSTRUCTION INC.
I
y ?$ I2 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) & (l 5c)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 A
ss1
.ss?.as?5 Ca(([ 7?I91 °?
Hew Construcfion ReaulremeMs ? I7? ?(?? Remodel/ReDair Reauiremenls ?
:.1JQur-.
? 3 registered site surveys ahowing sq. (f. o/ bt, aq. H. ol houae ??? OD 2 copies of plan
and rll roofed areas (20% maximum lot coveraae allowed) 1 set of energy calcWalions tor heated addiNOns
D 2 copies of plans (show beqm & window sizes; pouretl fid. design; etc.) i site survey tor exfedor atldiflons & deCks
? 1 set ot energy calculations
? 3 copies of tree preservaNOn plan if lot plafted affer 7/1/93
DATE: 07l7 00 CONSTRUCTION C05f:
DESCRIPTION OF WORK: Zlzl/G2?? ? A?u1N-famity bldg., how many units?
STREET ADDRESS: ?Z_/AV
LOT: BLOCK: ?f SUBD./P.I.D. #: k! AACWODA 10*4.S ( J'
J
Name: Phone #: ZPI7
PROPERTY Lcst F nt
OWNER ??l?
Sheet Address:
City State: Zip:
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City
Stpte:
Company: Name:
Telephone #: ( )
Sheet Address: ReglsfraHon #:
Ciiy
3d?
5tate:
Zip:
Zip:
Sewer/water licensed plumber (if instatlina sewerlwater): Phone #: (?
I hereby acknowledge that I have read this application, stafe that the in(ortnution is co , d agree comply with ail appGcable Stote
ot Minnesofa Staiutes and Cify of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Phone #:
(area code)
licenss # Exp.
JUL I 7
:f
=\
BUILDING PERMIT SUBTYPES
O 01 Foundation 0 07 05-plex
0 02 5F Dwelling D 08 06-plex
O 03 01 of _ plex ? 09 07-plex
O 04 02-plex 0 10 08-plex
O 05 03-plex ? 11 10-ptex
? 06 04-Plex ? 12 12-Plex
WORK TYPE
19 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
OFFICE USE ONLY
? 13 16-plex ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
'Q 18 Deck ? 23 Porch (screened) ? 36 Multi
O 19 Lower Level ? 24 Storm Damage '
Ping Yor_N ? 25 Miscellaneous
O 20 Pool O 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
? 42 Demolish (Foundation) ? 46 WindowslDoors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code OI
No. of Units ?-
No. of Buiidings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? StuccolStone
APPROVALS
Planning Building ple?
5q. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
Ciry Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
`/3
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 I. ?v
Total:
Valuation: $ /go0
SAC Units
% SAC
, * * *
?IbNEER
* eng near
****
LAND
Certificate of Survey for:
S • ONl ENCINEERS
lAND5C11P( ARpalECiS
MCDONALD
625 Highway 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
E-moil: PIONEER20PRESSENTER.COM
CONSTRUCTION INC.
1436 KINGSWOOD PONOS ROAD
LOT AREA =
14,298 SF
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HOUSE AREA = 2,651 SF ?
HOUSE TYPE = WALK-OUT
COVERAGE =18.5%
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ELEV.=878.24 \
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2422 Enterprise Drive
Mendoto Heights, MN 55120
(651) 881-1914 FAX:681-9488
E-moil: PIONEER@PRESSENTER.COM
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TOP OF PIPE
ELEV.=880.26
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES SHOWN PEI7 GRADINC PLAN BY: PARAMWNT LOWEST FLOOR ELEVATION: $711' z
NOTE: BUILDING DIMENSIONS SHOWN ARE fOR HORIZONTAL ANO VERT1CAl LOCATION TOP OF BLOCK ELEVATION:
OF STRUCTURES ONIY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNOA710N DIMENSIONS.
GARAGE SLAB ELEVATION: ?
NOTE: NO SPECIFlC SOILS INVESi1GATON HAS BEEN COMPIETED ON THIS LOT BV 7HE
SURVEVOR. THE SUITABILITY OF SOILS TO SVPPORT THE SPECiFIC HOUSE TOB *LOOKOUT ELEVATION:
PROPOSED i5 NOT THE RESPONSIBIIITY OF 1HE SURVEYOR.
NOTE: 7HI5 CERTIFICATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES E)OSiINC ELEVATION
THOSE SHOWN ON THE RECORDEO PIAT. ( 000.00 ) DENOTES PROPOSEO ELEVATON
DENOTES ORAINAGE AND UTILITY EASEMENT
NOiE: CONTRACTOR MUST VERIFY ORIVEWAY OESIGN. _ _- 0 OENOTES ORAINAGE FLOW DIRECiION
NOTE: BEARINCS SHOWN ARE BASED ON AN ASSUMED DANM a OENOTES MONUMENT
B DENOTES OFFSET HUB
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION INC. THAT ?HIS IS A 7RUE AND CORRECT REPRESENTA710N OF A
SURVEY OF THE BOUNDARIES OF:
LOT 12, BLOCK 2, KINGSWOOD PONDS FIRST ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 25 DAY OF OCTOBER, 1999.
SIG D: ONEER ENGIN ING. P.A.
SCAI.E : 1 INCH = 30 FEET
9?.?.?????JEI.J qC(. i :t} ' •-, BY: ?
u`f hn C. Larson, L.S. Reg. No. 19828
371 98087.03 JMM ,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1436 Kingswood Ponds Rd
Lot: 12 Block: 2 Addition: Kingswood Ponds 1st
PID:10- 42050- 120 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Permit closed without required inspection(s). Letter sent to applicant on 4 -7 -09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Jean Cheskis
1436 Kingswood Ponds Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA083258
05/29/2008
ePermit
Use BLUE or BLACK Ink
I
For Office Use I
� 3 ,
�1� ���� �� j Permit#: � � �33 i
� � � � �
3830 Pilot Knob Road � Permit Fee: �
Eagan MN 55722 j /,, �
Phone:(651)675-5675 I Date Received: lf1 � �� �
Fax:(651)675-5694 � I
I SEaff: �
L------- -------�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
��3� .��,��� a�,�� �� a
Date: lY �� `�� SiteAddress: ✓)
Tenant: Suite#:
�������,�����, , Name: Phone:
Address/City/Zip:
� � Name: �",�t"YI �..�'�"��� i ense#: ��I��`��� �
���,����� Address: �,�V � City: ��1�
3' State:�Zip: ��� I Phone: �LIZ`z-q�'���`
�
Contact: jl%�� Email: �.� (s�!`'��`�j`�� ��-��
� � New ' Replacement Additional Alteration Demolition
` `T��i�t'�'�WCtr� Description of work: (� � -5���
.. . � �m�����+���d�gr+���rnt���+�tl ' �r���cl�tred te�E���r�ert+��a��#y
�
,. .:" . �'I��rt�the,. �t�ii��,1n����� �� �t�4�s�#ng me�����
�
�.�_, �-�..»„�
RESIDENTIAL COMMERCIAi
; _Furnace New Construction Interior Improvement
l — —
������� ... �ir Conditioner Instali Piping _Processed
' ' Air Exchan er
_ ; ' — 9 _Gas _E�Rerior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge*
*�If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
*"*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby 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;th�t I understand this is not a permit,but only an application for a permit,and work is ot to art with t 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.
X .���K�J� C t-� X
ApplicanYs Printed Name App s Sig ture
��t.C�����t���: � � '�' � ��� � ����
���red In�practi��` , , R ���dtecl By � ,,,,,,,,,_,,,,,��
§
;, .
-��n��re�ur�d; . .F��i�►� .��.,�r"f`�� ��fit�ruM��"�'���� [� ���t ��nat; F#�1�,�.����,;.
._., ��� .�. �=
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� I
� Permit#: � ��� � I
Clty of ����� ; . �\� ;
I Permit Fee: V �
3830 Pilot Knob Road i
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff: ______________i
. 2014 RESIDENTIAL PLUMBING PERMI�' APPLICATION
Date: / // Site Address: ���� ��� S C�Lr�.�Vi ��h(��
Tenant: Suite#:
�� � ,,[� �'1���f S /S 2 /� �S 7
° � Name: .� ��1 Phone: (J � !EJ'� / .�
Residen�lOwn�r��`
' Address/City/Zip: 7 �� -��� � � ��� �
Name: J�>l� License#:
COtI'kr���Qr ,, Address: City:
' State: Zip: Phone:
Contact: Email:
,",ni�:
������" " New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
Type of 111(c�rk� �C.'� 6'��d�%1�
> �� �
7, = Description of work:
' RESIDENTIAL
/\Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
P+�rmit Typ.e Add Plumbing Fixtures(_Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge)
"Water Tumaround (add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) ,
TOTAL FEES $
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.
� � �G . � �e���� X �'��>���5'
X
Applicant's Printed Name Applicant s Signature
FQt�'OFFICE US� Revie�rved By: '; Da�e:
Reqc�ired Inspecfions. � ��U�d€�r Grs�unci '��� R�ugh-tr� ���� '���,Air Test Ga��"�st ; '�. Fina1��
Meter Re[ated.ltems�.,y�,Met�r.�j�e ��„ F�adii�Read; ; Mana�n�ter !�'taff: