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1440 Kingswood Ponds RdAddress 1440 u; n g w n n rl P n n cl G rz a Zip 55129_ LAt 13 Blk 2 Sub Kingswood Ponds Ist Addition THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTIOIV. Date: ?_ZN _G0 Yes No Inspector: ? Final grade (6" from siding) Permanent steps (garage) x Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage X Porch ? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the ptumbing system and the shut-off of water supply to the outside lawn faucet before freeze potendal 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 ` • ?E' b ? ?P ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reauirements RemodeUReoair Reouirements 3 registered site surveys showing sq. fL ot lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% mazimum lot coverage allowed) 1 set of Energy CalculaUons tor heated additlons 2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additions & decks 1 set oi Energy Calculations Addition - indicate ilon-site septic system 3 copies oi Tree Preservation Plan if lot ptatted after 711193 Rim Joist Detail Optlons seleclion sheet (bldgs with 3 or less units P. - - ? to-.. Office Use Onlv 10 , a? Cert of Suney Recd Y_ N Tree Pres Plan Recd Y N Tree Pres Not Reqd _ Y_ N On-site Septic System _ Y_ N Date 3 1/ l D> SiteAddress k:jA)?'}SL0pp?nDA Construction Cost ?,( Cfib-p IA €19C'xtQ,u /YN Unit/Ste# / Description of Work L Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner -D U C 77Z/I0 IJ? Telephone #(#,K`? )?S gl? Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv i Minnesota Rules 7672 ?. ? Energy Code Category . Residential Ven6lation Cate o 1 Worksheet • (d submission rype) g ry New Energy Code Worlcsheet Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a.simil r p??n2 fI,Y?l:.? N? If so, 25% plan review fee applies. ' ?? ?'' ? I'-, ? "! ' "' ^• ? I Licensed Pluinber :u?_?? Telepho # ( - ') } Mechanical Contractor GY-__Teleph .. .#( Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit 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 accordance with the approved plar,rin the case?jf work which requires a review and approval of plans. ?•? n / / 2> A C. 'TaeU0? ?,(! ? ( ?i (? Applicant's Printed Nanie Applican, s Sigu ture OFFICE USE ONLY i Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types p 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation 2-, D o v ? 13 16-plex ? 16 Fireplace 0 17 Garage el 18 Deck O 19 Lower Level Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Stortn Damage ? 25 Miscellaneous 0 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bidg) - Give PCA handout to appBcant Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const V ? Occupancy ? -3 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Foorings (addirion) Foundarion Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. Air Test _ Final Insulatiott . • , REQUIRED INSPECTIONS FinallC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) _ Retaining Wall Approved By _Dn -, Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 O6-plex O 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ,. ? of Survey for 2422 Enterprise Drive Mendota Heights, MN 55120 (651) 681-1914 FAX:681-9488 IYEYORS • tlNl ENdNEERS E-mail: PIONEEROPRESSEN TER. COM 7+s. wMscrre u+ewTEcrs 625 Highway 10 N.E. Bloine, MN 55434 (612) 783-1880 FAX:783-1883 E-mail: PIONEER2@PRESSEN7ER.COM STEINWAND BUILDERS, INC. 1440 KINGWOOD PONDS ROAD ` '" _?' •. ? ' • ,--:? •: BENCH MARK TOP OF PIPE _ ELEV.=872.87 868.3 4 GP ? O ? % ? 871.6 A=33'2 7'43., o ? ? ---? ?\ i \1 IN 867.7 rT 93?? . . \ R a ? \\ \ .j, , 13` ? LOT AREA = 13.068 SQ. FT HOUSE AREA = 2672 SQ. FT DRIVEwAY AREA = 800 SQ. fT. COVERAGE = 20.0 % W /O -sl:cT FVNC.jr . ? ? O \ OQ ? \ o w? co aaa .10 875.3\ O?1 • ? -13 Q ? a 876.3 .. R7Z6 ? : 873.1 ( AC NT) 863.0 ? I ? RE ID ? ? 873.3 j - Gr D.Ki r. ? c.'y\(SS7 55.02 N 126.68,., G uJ .` ? 880.8 ? G ` pV N ? 12 BENCH MARK TOP OF PIPE ELEV.=878.32 NOTE: PROPOSED GRAOES SHOWN PER GRADING PLAN 8Y: PARAMOUNT PROPOSED HOUSE ELFVATION PO NOfE: BUILDINC DIMENSIONS SHOWN ARE FOR HORIZONTAL ANO VERTICAL LOCATION LOWEST FLOOR ELEVATION: 49 to - 5 Of STRUCNRES ONLY. SEE ARCHITEC7UAl PLANS FOR BUILOINC AND FouNOnnoN Dir?Ervsions. TOP OF BLOCK ELEVATION: ?4577. Z ? NOTE: NO SPECIFlC SOIIS fNVESi1GATtON HAS BEEN COAIPLETEO ON THIS L0T BY THE LEVATION G 7?. ? SURVEYOR. 1HE SUIiAOIUTY OF SOIL$ TO SUPPORT THE SPECIFlC HOUSE GARAGE SLAB E: ? PRGPOSED IS NOT THE RESPONSIBIIITV OF THE SURVEYOR. N01E: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXI571NC ELEVATION ?FIOSE SHOWN ON 7HE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO EIEVATION ___. DENOTES DRAINAGE AND U7ILITY EASEMENT NOtE: CONiRACTOR MUST VERIFY DRIVEWAY DESIGN. -? DENOTES DRAINAGE FLOW OIREC710N DENOTES MONUMENT NOTE: BEARINCS SHOWN ARE BASEU ON AN ASSUMED DANM -? = -B- DENOTES OFFSET HUB WE HEREBY CERTIFY TO STEINWAND BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SUftVEY OF THE BOUNDARIES OF: LOT 13, 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 DIREGT SUPERVISION THIS 3RD DAY OF MARCH, 2000. REVISED 4-14-00 MOVE HSE GNED: PIONEER ENGi ERI G, P.A. SCALE : 1 INCH = 30 FEET ? O bo 0 861.9 1 ? \ I mD ?m oo/n I CX ?4 , 871.3 yl 5.78_ # g0 ?A xa875.2 \ O fi? ?tb 874.8 861.2 $?d.D? ?'Ja3e?'Je: John C. Lorson, ?.S Reg. No. 19828 100072 BAT *********************************??***? CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 04/24/00 TIME: 10:14:32 ID: NAME: STEINWAND BUILDERS INC r 2252 9220 1440 KINGSD PON 30.00 32;10 9001 1440 KINGSD PON 1,492.15 3866 9379 1440 KINGSD PON 100.00 3422 9001 1440 KINGSD PON 969.90 2275 9220 1440 KINGSD PON 1,089.00 3446 9001 1440 KINGSD PON 11.00 2155 9001 1440 KINGSD PON 0.50 3743 9220 1440 KINGSD PON 50.00 2155 9001 1440 KINGSD PON 94.5C 3868 9220 1440 KINGSD PON 492.OC CR127103 USER ID: JAN ** CONTINti ** CONTINti **************************************? ?-4 0 *,t**,r************************** CONTINi CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 04/24/00 TIME: 10:14:34 ID: NAME: STEINV7AND BUILDERS INC 3716 9220 1440 KINGSD PON 3713 9220 1440 KINGSD PON 38b6 9379 1440 KINGSD PON Total Receipt Amount: 1 )-7103 114.0( 50.0( 840.0( 5,333.0` \ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851•881-4875 New consUu=iteaWrements ? ??a? ' ??333, (J5 ?a II ?d > S regfsfered site wrvays ahowiny sq. N. of lot, aq. H. of house 2 copiea ot plan and gU rooted areaa (2096 rtwximum lot covemae allowed) i set of energy ccICWaflons tor heated addiflons ? 2 coples of pimu (strow beam & window sizea; poured fnd design; etc.) 1 aife survey fot exterlor uddiHons & decks ? 1 aef of energy calculaliala ? S copies of hee preservatlon plun H Iot platted Waer 7!1/99 DATE: April 17, 2000 CONSTRUGTIONCOST: $300.000 DESCRIPTION OF WORK: Single Family - New Home Construction SiREETADDRESS: 1440 Kingswood Pondj Road LOT: 13 BLOCK: 2 SUBD./P.I.D. t: Kin gstaood Pond First Addition PROPERIY OWNER COMRACTOR ARCHITECT/ ENGINEER Name: Steinwand Builders, Inc. Phone #: 612/ 985-5111 laat Flrsr StreetAddress: 23050 Pillsbury Avenue City Lakeville $tq}g: MN Zip: 550 44 Company. Steinwand Builders, Inc. phanet; 612/985-5111 (area code) StreetAddress: 23050 Pillsbury Avenue Ucenseii 1055 Exp.3/31/01 City Lakeville State: ??l Zip: 55044 Company: Feehan Residential ArchitectureName: Tom Feehan Telephone#: ( 612 ) 494-3224 StreetAddress: 20415 Coux?ty Road S Regishaflon#: C[ty Corcoran Stafe: t`g1 Zip: 55340 Sewedwater licensed plumber (if installina sewerlwater): Fie s s i an P lumbin?, Phone #: ( 651 ) 6 81- 8 25 2 I hereby acknowledge lhat 1 have read this applicuNon, state ihat the lnfortnaNon b cortect, and agree to comply with an appliccble State of Mtnnesota Statutes and Cffy ot Eagan Ordincmces. S te inwand Bui 1 de rs , I nc . ? Signature of Applicanh bY : Lamont W. Steinwand, Pres. Certificates of Survey Received ? Tree Preservation Plan Received OFFICE USE ONLY Yes _ No ' J?7 I 8 Yes - No ?/- Not Required /? ?U I OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? OB 0&plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? os oa-pieX a 12 12-plex ORK TYPE 31 9 New ? 32 Addition ? 33. Alteration ? 34 Repair ? 13 16-plex ? 21 .?, Porch (3-sea.) ? 31 Ect. Att - MuRi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 19 Lower Level p 24 Storm Damage Pibg _Y or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)` ? 44 Siding . ? 38 Demolish (Interior) O 45 Fire Repair, ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permi! GENERAL INFORMATION SAC Code --OL # of Stories No. of Units Length No. of Buildings Width Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy #- , q. ft. Zoning sq. ft. MISCELLANEOUS INSPECTIONS A Stucco/Stone APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Total: ? sq. ft. sq. ft. ?--? I Footprint sq. ft. f- 0 n. Census Code ,a-q (^ 6;f MC/ES System r?7(') City Water ? ` Booster Pump PRV Fire Sprinklered Engineering Vartance / Valuation: $ 6 d"'6teez- o? 6 C9 o X /S = A 000 /Glol ,3- ?/M " r t , SAC Units % SAC . * * * * PIONEEF! * 9?1e 9?11 aPl * * * Lnnu ?nenb. Lu+uacwrc uaniitcrs 625 Hi Fl 10 N E Certificate of Survey for: g woy Blaine, MN 55434 (612) 783-1880 FAX:783-1883 E-mail: PIONEER2@PRESSENTER.COM STEINWAND BUILDERS, INC. 1440 KINGWOOD PONOS ROAD c? 4NT> O O 861.2 ? 863 .9 ? 4 ° ? O I D? \ m- ?' D ? > ? ^?"\a?? ? 873.1 ? 0 y?°13? , f)o /2.'? , s ' ?? \,OV i ?vtY ? .\ A4 ? ?1 u? ? ? °0'?4 . 8711.3 51 .78 ?--- ?. 875.6 ? 583'58' 32"W s ? LOT AREA = 13,068 SQ. FT HOUSE AREA = 2612 SQ. FT DRIVEWAY AREA = 800 SQ. FT. COVERAGE = 20.0 Z W/O . ? ` O \ OQ IJI) t OA , ?875.3\ vO?1 ? ?CPy \ ?0 7Q 2? 1 ? \ O X a 875.2 \? a 874.8 \ ?? 876.3 - -- .,, sn.s ? , $73.3 Date 1 2 f y ELx€_Lal1WT E1"7G'=y SLITVG JVEFR. i 'v NOTE: PROPOSED GRAOES SNOWN PER GRADING PLAN 8Y: PARAMOUNT NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR 8111LDING ANO FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. TFIE SUITABILITY OF SOILS TO SUPPORT THE SPECIflC HOUSE PROPOSED IS NOT iHE RESPONSIBILITY OF THE SURVEYOR. c,\(S; 'G 880.8 ? ? , . . . BENCH MARK TOP OF PIPE ELEV. =878.32 PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: S?S• S TOP OF BLOCK ELEVAl10N: J'577. Z GARAGE SLAB ELEVATION: 15 7e"' g NOTE: THIS CERiIFICATE DOES NOT PURPORi TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES E%ISTING EIEVATION THOSE SHOWN ON TNE RECORDED PLAT. ( 000.00 ) DENOTES PRDPOSED ELEVATION --- DENOTES DRAINAGE AND UTiIITY EASEMENT NOTE: CONTRACTOR MUSi VERIFY DRIVEWAY DESIGN. DEN07E5 DRAINAGE FLOW DIRECiION NOTE: BEARINGS SHON?J ARE BASED ON AN ASSUMED OATUM t DEN0IES MONUMENT $ DENOTES OFFSET HUB WE HEREBY CERTIFY TO STEINWAND BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 13, 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 3RD DAY OF MARCH, 2000. SCALE : 1 INCH = 30 FEET 3 100072 BAT REVISED 4-14-00 MOVE HSE ED: PIONEER ENGI ERI G. P.A. ? John C. Larson, L.S. Reg. No. 19828 BENCH MARK TOP OF PIPE - ELEV.=872.87 i i 868.3 871.6 868.4 L=33'21'43„ ? .93 ? `?fo`6•!°? ? 1 g\. O 0 O? O ? 00 ? 2422 Enterprise Drive Mendoto Heights, MN 55120 (651) 681-1914 FAX:681-9488 E-moil: PIONEEROPRESSENTER.COM ? - 5 . 867J 863.0 RECElVEC? APR 1 8 7,0001 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION L PROPERTYLEGAL: 1-0r /3 21-cre-,r 2- /SZnrCS??Q 'POw0!5 Fs257" AODZT10 N N . DATE OF SURVEY: 3" ?-Od ? ljj LATEST REVISION: -4 ° i -'0 (Z ? DOCUMENT STANDARDS ? %1: Q O? Q ? • Registered Land Surveyor signature and company ? ? ? • Building Permit Applicant S o • Legaldescription ? • Address ? ? o • NoRh arrow and scale ra"? o. ? House type (rambler, walkout, spiit w/o, spi'rt entry, lookout, etc.) 2"" ? o • Directional drainage arcows with slope/gradient °k u'-'10 ? ? • Proposed/existing sewer and water services & invert eleva0on m /o o • Street name X o ? • Driveway ? ? • Lot Square Footage ? o ? • Lot Coverage ELEVATIONS / ? Exisfin ,f ? • Sewer service (or Proposed) ? • Property comers i ? • Top of curb at the driveway ?/? • Etevations of any exi.sting adjacent homes h c af ? es Adequate footing depth of shuctures due to adjacent ublity trenc Proposed / 0 ' o ? Garage floor ? ? • First fioor m' ? ? • Lowest exposed elevation (walkout/window) ?? ? • Property comers m? ? ? • Front and rear of home at the foundation ? d'?a ? ca? o ? m/ ? ? r? ? ? Nl ?a ? ? ? ? ? ?a ? P-*?a ? ? a"a PONDING AREA (if aaoNcaWe • Easement line • NWL • HWL • Pond # designation • Emergency Overflow Eievatfon DIMENSIONS • Lot lineslBearings & dimensions • Right-of-way and street width (to back ot curb) • Proposed home dimensions induding amr proposed decks, ovechangs greater than 7, porches, etc. (i.e. aA structures requiring permanentfootings) •' Show all easements of record and any City utilides within those easements • Setbacks ot proposed structure and sideyard setback of adjacent existing structures • Retaining wali requirements, iF any Reviewed: Mareh 1999 CfUIG/BIAGPfiMf.FM 12, 12 CITY USE ONLY L BL ? oQ SUBD. RECEIPT #: ? / 3 67 / RECEIPT OATE: (D - G c) PERMIT # / ! I ? 7 8000 PLUM$INfi PEiM1T (RESIDENTIAL) crrY oF EAG,e?x 383o eaor r.uos Rn EA6FeN, MN 55122 651-$$1-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIYTI IRFC EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x -ON = $ ( Floor drain 3.00 x 1 = $ ? Gas i in oUtlet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 X = $ Kitchen sink 3.00 X / $ Laund tra 100 x $ Lavato ' 3.00 x $ Se tic S stem newlrefurbished ' requires MPC lic. 75.00 x = $ Se tIC S Stem abandonment 30.00 X = $ RPZ new installation/repairlrebuild 30.00 x = $ Rou h o enin 1.50 x = $ Shower Under round s rinkler iidwelling is underconsVUCtion Under round s rinkier itexisnn dwenin Water closet 3.00 3.00 30.04 3.00 x x x x = = = = $ $ $ $ ? Water heater 3.00 x = $ Water softener if dwelling under consVuctian W ater softener if exisNng dwelling Water turnaround State Surchar e 5.00 30.00 30.00 •50 x x x "--' = = ""--' $ $ $ s '50 Total --> --? ----> ----> 5 0? Reminder: Caff for inspections of alterations, i.e. water heaters, water softeners, etc. Lj.-?. Sv I hereby acknowledge tha[ I have read this applicatlon, state that the informadon is correct, and agree co comply with all applicable Ciry of Eagan ordinances. -------------------------------- --- ------------- -------- -- - ----- -------- - -- It is the applicanPs responsibility to notlty the property owner [ha[ the Ciry of Eagan assumes no liability for any damages caused by the City during its rrormal operational and maintenance acGviGes to the faaliGes consVUCted under [his permit within City properry/right-of-way/easement. SITE ADDRESS: ?q t4v n? - OW NER NAME: : I? • = r ?.? 4,. ,...._e.. f TELEPHONE #: ? 1 a - ? gs - S' - (aReA cooe) INSTALLER NAME: SS j? TELEPHONE #: Sl ' (° g 1S a SZ -' n p (AREA CODE) N2 S STREET ADDRESS: P' 0 1» Y a?) ?? - CITY: STATE-"?"` ZIP: SS ?J D-0 / 7 Q SIGNATURE OF PERMITTEE CITY USE ONLY LOT BL ? PERMIT #: SUBD. I'?1 Vl9l L. lA)Ob? 1 oY1 G S I y RECE[PT #: , ?015 6 ? 30 56 b RECEIPT DATE: 5-aa-C) o 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: s-a-aadd Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownerloccupied. • HVAC: 0-100 M B T U ADDITIONAL SO M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total $ 30.00 6.00 /a • °? .50 Complete this section onlv if you are remodelins, adding 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 Furnace Air exchanger Reminder: Call for inspections SITE ADDRESS: Repair _ Other Air conditioning Other Fee $ 30.00 State Surchazge .50 Total. $ 30.50 OWNER NAME: 5?i ?J L-r?JCihG?i ?1/, ??.??s PHONE #: 95o'Z -?Src = 5>Il (AREA CODE) INSTALLERNAME: 144 GPiII'??f?? _ PHONE#:95,?? (AREA COAE) STREETADDRESS:1???f??/4/?C.ol/t/T SC7CITY: ti?r? 4iJi?LP/ STATE: ZIP: S.S33 / CITY OF EAGAN 3830 PIIAT IQ70B RD EAGAN MAi 55122 651-681-4675 L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECBANICAL PERMIT (CODMRCIAL) CITY OF EAGAN 3830 PILOT 14+TOB RD EAGAN, 2+IId 55122 651-681-4675 Please camplete for. all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: S ?/rd' aD a WORK TYPE: x New coastruction Install U.G. Tank _ Interiar Improvement Remove U.G. Tanlc _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plrembing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1°/a = $ State surcharge TOTAL $ SITE A13DRESS: (Base Fee) calculate at $.50 for each $1,000 Base Fee OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (MIPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRE55: CITY: PHONE #: - (AREA CODE) . - STATE: , ZIP: SIGNATURE OF PERMITTEE -- , '?r?. .:. . . ..,_ . . ,... ...: :.,, .., ... .?-r.z?r?y,--c+,•?^,^aa?;'"`°t-"?,.?. . ? . . , _. ,?.m,*nryv;??¢cd?a?aa.. , ,;.;.. ,.,. .. .,. : , .. ,. . . . . . . ---. - -.-_-------. ?? Site address: 1440 Kingswood Ponds Road Lot?. 13- Blxk_? ._ __ Subd_ Kin?swood _P.on-d-lst- -% On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air ' tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. X This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This stnicture: will be consUucted to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE WaterHeater X Marathon MR105245 15358 NonJElectri Fumace g Bryant 350 MAV 00000 Direct Dryer X Maytag MVE 22000 Elec/Dryer EXHAUST SYSTEM LOCATION TYPE MaDEL CFM's VENTED YES No Kitchen kitchen Vent-a--Hood EP18 600 X Bathroom t Master Fan Broan 676 100 Bathroom2 Niain Soursept Bathroom 3 Bathroom 4 Other FIREPLACE S LOCATION GAS W00D MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS One reatRoo X -eat-N-Glo Pier.TRCN X MAKE-UP AIR MODEL TYPE CFM's Elect. Heat omemade/Angell Aire, nc. D.O. 600 i hereby acknowledge that the above information is ect and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ? Ju1y ;_2000Sign re amont W. teinw nd, Pres. Date Sreinwand Builders, nc. CompanyName ' This form is the responsibility af the General Contractor. Vent LOT: I C3 47 ?3qz0 BLOCK: ? SUBD./P.I.D ki.ligwood Ot1 ?i 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements ? 3 registered site surveys showing sq. ff. of lot, sq. ff, of house and all roofed areas (207* maximum lot coveraae allowedl 9 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 set of energy calculations ? 3 copies of hee preservation pian H lot platted affer 7/1/93 ? Rim Joist Detail Options selection sheet (buildinqs with 3 or less unNs) DATE: f O-- o:? 3"c-0 q 60.50 ?(-00 Remodel/Repair Reauirements Coiied 102 coples ot plan 1 set of energy calculations for heated addRions 1 site survey for exterior additions & decks CONSTRUCTION COST: DESCRIPTION OF WORK: 7-10iS4/ B/0C/y4V/U 7" If muiti-family bldg., how many units? STREETADDRESS: / ?T? ?=IN ?.S GtI 0 B[70 opONn oe+C7 E?C??AM ?'IIV -S.S~J.?.? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: -r" o nl G -Z G! L Phone 6 S/ ?SA - a'7 9 St -? ta:r ' Flrst 6 S/ S9 Z- S?-Oo2 G StreetAddress: t q'fa A?:i'N?js r.</opa .4oy.) City ?RA! State: Nrv Zip: ? Company: S61L Phone #: (area code) Street Address: License # Exp. City Telephone #: ( ) _ Sheet CHy Zip: Zip: Sewerlwater licensed plumber (if Installinp sewer/water): Phone #: ( 1 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 an Ordin ces. Signature of Applicant: OFFICE.USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required State: Name: Reg(stratfon Staie: ocr z 4 2000 OFFICE USE ONLY " ?M ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg O 02 5F 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 - SF O 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg_XY or _ N ? 25 Miscellaneous J$ 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 WindowslDoors ? 33 Alteration ? 37 Demolish (81dg)' ? 44 Siding ? 34 Replacement ? 38 Demolish (Interior) * Demolition (Entire Bldg only) t<g ,r..t •:r'? .J •:. s::+si permit = Gi4e:.PCA h'andout fo apolicant [', " i, • J 4 .N ???? t • bcC VALUAt ION • ??'? upan6y- 1 ? .. f MClE'S System . 9 '. "- Census Code `1?37 Zoning City Water SAC Units 10/ Stories Booster Pump Nbr. of Units 0 Sq. Ft. PRV Nbr. of Bldgs ? Length , Fire Sprinklered Type of Const Width INSPECTIONS REQUIRED _ Footings: New Bldg _ Footings: Deck _ Footings: Addition _ Foundation J? Framing APPROVALS Planning Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication .° Trails Dedication License Search Copies Other Total: X Insularion FinaUC.O. zf Final/No C.O. Fireplace: _ r.i. _ Pool: _ ftgs _ Building A ,' ° • _ Windows - new/replacement _ Siding _ Stucco/Stone air test fmal Roof: _ ice & water _ fmal air/gas tests _ fmal Engineering Variance l8 S ? .ay e, A /'o ? /? ,S 70 L ?M I3BL z SUBO. i o ?0 S . ' . . `f: CITY USE ONLY I SJ RECEIPT #: RECEIPT DATE: ? O PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN ' 3630 PILOT IINOB RD , EAGAN, MN 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 !t TOTAI Alterations to pxisting dwelling - minimum fee Describe: r:n VV{? $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet " minimum -1 3.00 X = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished ' requfres MPC lie. 75.00 X = $ SeptiC System abandonment 30.00 x = $ RPZ new installationlrepairlrebuild 30.00 X = $ Rough o ening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler ifdwelling is underconstruction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 X = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge 50 --> ----> --> $ '50 TOtal -> -> ---> ----> $ 3 • S () ) Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------------------------------------------------------- ------------------------------------------ I hereby adcnowledge that I have read this application, state that the inforrnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibility to nutify the property owner that the City of Eagan assumes no liahility for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pertnit within City erty/right-of-way/easement. SITE ADDRESS: ) ' ?O ? 1.?? Gti 0 O? l??5 ?•v i- _ OWNER NAME: :? --Z:) Gl G _7?i TELEPHONE #: K Crl S/ 71L/ (AREA CODE) INSTALLER NAME: ?c i ? TELEPHONE , STREET ADDRESS: Ir`ore5t4 yADO lU ll (AREA CODE) CITY: &A?,?[??I _ STAT? LIAZ ZIP: S S?? R I ? 1 SIGNATUR OF PE MITTEE ?f.J S . -qo 1 00 2006 RESIDENTIAL BUILDING rERvtiT arPLicaTioN ? 2 City Of Eagan `? 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Constructbn Reauirements 3 registered site surveys showing sq. tt of bt sq. R. af house; and all roofed areas (20qa maximum lot coverege atiowed) t SoiLa Report it proposed build'mg is to be placed on dislurbed soil 2 copes of ptan showing beam & window sizes; poured found design, eta 1 set of Energy Calculationa 3 copies of Tree PreservaUon Plan if bt piatted after 111193 Rim Joist DemA Options seledion sheef (buiidings with 3 or less wifs) Minnegasw -echanical ven4lation form RsmodellReoaic Reauirements 2 copies of plan showing foo6ngs, 6eams, joists t set of Eoergy Calculations tor heated addiGons t site survey for additions & decks Addition - indicate if on•5Re septic system ZZog2 C(,? c.v.? Office?se?7niv Cerfofu?`n?t?S' R? r , Y ..-N SQi?s ReporE _ t ! Y 'N TreeAt¢s,P1a1SR?Gd : Y i`I, Ti'?O?f?S??Q?1fCd t3?-sde'SepGcSYsi??h...?';. YF_{J Date Site Address Construction Cost ?1 1^4 S 1AJ t c? Q b? c? ??• UniUSte # Deseription of Work v n?'? V U Multi-Family Bidg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner c Telephone # ( (o5 q Contractor ?2?'/?'l'Q CClCd'? ??d1S?u?•?d? Aadress 5tate /n Al A)V. /V , Zip ciry Telephone # (1167) ?1- -3ce, y:3 ?O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rufes 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenGlation Gategory 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calcutations Submiried In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanicai Contractor Sewer/Water Contractor Telephone # ( Tetephone # ( Telephone # ( I hereby apply for a Residential Building Permit and aclmowledge that the informarion is complete and accurate; that the. work will be in conformance with the ordinances and codes of the City of Eagan and f1Ze 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 accordance with the approved plan in the case of work which requires a review and approval of plans. ' p A'yo Dk i?e Applicant's Printed Name Appiicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA108920 Date Issued:01/24/2013 Permit Category:ePermit Site Address: 1440 Kingswood Ponds Rd Lot:13 Block: 2 Addition: Kingswood Ponds 1st PID:10-42050-02-130 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code: - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Duc Van Truong 1440 Kingswood Ponds Rd Eagan MN 55122--287 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature