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
-- ,
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---. - -.-_-------. ??
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