1444 Kingswood Ponds RdAddress 1444 KinQSwood POnds Rd Zlp 5$12 2
Lot 14 Blk 2 Sub Kingswood POnds Ist Addition
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage 4?
Porch
Basement finish
Deck
Please veri with the builder the removal of roo? test caps from the plumbing system and the shut-off of water supply to
ttte outside awn faucet before freeze potential exists.
Conbct engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
W ?
hite - City Copy Yellow - Resident Copy Pink - Contractor Copy
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
- ? Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon ReQUirements RemodeVRepair Reauirements
3 registered site surveys showing sq. R M bt, sq. ft af house; and all roofed areas 2 copies of plan
(20% maximum bt coverage allowed) 1 set of Eneigy Calcuhations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc 1 site survey for additions & decks
7 set oi Energy Calcula6ons Addibon - indicate M on-site septic system . ? „.
3 copies of Tree Preservation Pian ff lot platted after 711193
Rim Joist Detail Options selection sheet (hldgs wilh 3 or less un'As
Date _T/( 2
Site Address / 0 L Construction Cost
?'j h UniUSte #
. ? 2
Description of Work
Multi-Family Bldg _ Y Fireplace(s) _ 0 _ 1 _ 2
Property Owner =
&.(^-I 1
Telephone # ( C?) ' .-
- ??-
Contractor
Address City
State -?,??? ?p Tele
= ne # ( )
?-----?o-
-
IPV
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Cetegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/VJater Contractor
Telephone #(
Telephone # (
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 NIN
Statutes; I understand this is not a pernut, but only an application for a pernut, and ork is not to start without a
permit; that the work will be in accordance with the approved pl ' the cas of wo which requires a review and
approv ofplans.
f `
?f
Ap cant's rinted Name ' App t's Signa e
OFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling 0 08 06-piex ? 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
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demoiitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy /2 '3 MCES System -
Census Code ly-3.11 Zoning IZ ?( City Water -
5AC Units - Stories ? Booster Pump -
# of Units - Sq. Ft. _A?a_ PRV -'
# of Bldgs ? Length Fire Sprinklered -
? Type of Const ? Width 3 3
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
[ce & Water
Roof Final Pool Ftgs _ Air/Gas Tests Final
_
_
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation Retaining Wall
Approved By:
Base Fee ? '
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
CopieS
Other
Total
Building Inspector
2-2 6?
,
Surveyor's Certificate
SURVEY FOR :CHRIS AIMUA & ASSOCIATES
DESCRIBED AS : Lot 14, Block 2, KINGSW000 PONDS 1ST ADDITION, City of Eogan, Dokoto bs??2
County, Minnesota and reserving easements of record.
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LOT SQ. FOOTAGE = 22,660
N ?? ? • roo?.c?G?? ? 2072-
?Cr'" ?cVEJt.cIG? - ? /p
PROPOSED EI.EVATIONS
Top of Foundotion =M-$
Garage Floor =80,q
Basement Floor -852;:i,7
Aprox. Sewer Service
Proposed Elev. - ?
Existing Elev. , _
Drainoge Directions =
Denotes Offset Stoke = •
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BENCHMARK,
-N+(PiitorjSwoAd A't1)5 ?:?•
? V,?n?srr?d 4??rW, wer?oo(?.
(?`.V = 5?5,63
MIN. SETBACK REQUIREMENTS
SCALE: t inch = 30 leet
Front -3o House Side -io
Reor -15 Garage Side -5
1 HEREBY CERTIFY THAT 7HIS IS A 7RUE AND CORRECT REPRESENTATION JOB N0:
????UNAD OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED OOR-264
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCRO.'GHMENTS, EXCEPT AS HOWN.. ' 800K: PaGE:
PLANN/NC 6NClNli'r4RlNC SURVBYINC ?
2005 Pin Oak Orive
Eagon, MN 55122 OATE CAD FILE:
Phone: (651) 405-6600 Y D LINDGREN, LANp RVEYOR
Fox :(651) 405-6606 I ES A LICENSE NUMFiE 14376 Misc-00
? •• . ... .. . .-...? ...NMt?,?
?T :r'?...?i?r^eY•,.?.1?
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gp _t
? Date ?
RA nGAAN ENGIIVETR?G DEPT ?
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• ? CITY OF EAGAN
J., 1 3830 PILOT KNOB RO - 55122
551-681-4875
V
New Contfiucllon ReaWremenh Re /ReDalr ReauirementsJ`-xs? (? . ? ?-v 1
.. oo
? J reylstered site aurveya showing sq. H. ol bi, aq. tt. ol house 2 copies ol plan
and gg rooted areaa (20°G maximum lot coveraae allowecp 1 sef of energy calculatlons lor heated addiliona
D 2 eopies ol plans (show beam & wlndow sl=es; poured tnd. design; etc.) 1 aite survey lor extedor addiflons & deeks
> 1 set of eneryy caIcutaNOna
> 3 coples of hee preservalion plan if lot platted affe? 7/1 /93
o?
DATE: `-5 - d` (a - c)-v CONSTRUCTION COST:
DESCRIPTION OF WORK: ?J }2C5 j pF4 7rar(,,
STREET ADDRESS: I C/ /C.
LOT: BLOCK: ? SUBD./P.I.D. #: PO-tJ 05-Name: T''1AN19- A Tt? Toi?i ? .?iL?L- Phone#:
PROPER7Y Last Flrst
OWNER
?A?? eet Address:
Sfate: Zip:
:cjfY
' Company: GAk"f-?5ikIKuut c- Phone #: (vs 1 52 W
(area code) •
COMRACTOR
Sheet Address: 3W4" 0,k! Lc Y' ft 0G6- Ci i-- Ucense #.2 0U'151(Exp. 1- o I
Cfty tj c)ob t3 L!:?'(/ State: Zlp: S?
ARCHITECT/ n.._.
ENGINEER Company: `?"?1 K 15- A)'"'uA Name:
?
Telephone Y: ( C?SI ) 5 ? ? ?4E:'(,22
Sheet Address: CA-(- 13- *? (SIELY ??(r?, ?-+? z-4 ? Registraflon #: °L y 4" °z I
city 0,C) b? r s state: *-° -A ZIp. S?k?2 •-
3 c/l clkv;
Sewedwater licensed plumber qf InstalBna sewerlwater0-7/ 02 Phone #: (?O 5()?4$v f&$K5r?
I hereby acknowledge ttwt I have read this appUcatbn, date that 1he infomnation , and agree to comply wHh all applicable State
of Minnesota Statutes and CHy of Eagan Ordinances.
Signdlure of Applicanh
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No V Not Required
??
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelting ? 08 06-plex ? 17 Garage 0 22 PorohlAddn. (4-sea.)
03
? 01 of _ plex ? 09 07-plex ? 18 Deck D 23 Poroh (screened)
0 04 02-plex O 10 08-plex O 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-ptex Plbg _Y ot_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg.
.
? 31 Ect. Alt - MuiG
? 33 Ext. Aft - SF
? 36 Mufti
WORK TYPE
A 31 New ? 36 Move Bldg. ? 43 Reroof
0 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration O 38 Demolish (Interior) 0 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) 0 46 Windows/Doars
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories ?- • sq. ft.
No. of Units Length ? sq. ft.
No. of Buildings Width !::j D? Footprint sq. ft.
Const. (Actual) N Basement sq. ft. / v Census Code I_
(Allowable)
a ?
-
V N
/ Main i vel sq. ft.
ft .? N 2 G
Z) MC/ES System
City Water
?
ncy
UBC Occup ?.. .
sq.
Zoning ? (=j2)j, sq. ft. ?ST?T Booster Pump
PRV
?
Fire Sprinklered
S INSPECTIONS
_ MISC r/0StUone
? APPROVALS
Planning Building T'? y 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:
6 g? K- 0,?
??Vl)
G-ctA,
??13.Sr1
$
lZ(/o?4'lS'=
?
, ?l '70 7q
701,30
/
SAC Units
% SAC
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
? BUILDING PERMIT APPLICATION
PROPERTY LEGAL
vi DATE OF SURVEY:
N
LATEST REVISION:
?
? DOCUMENTSTANDARDS
O ?? z
?Yy ? • Registered Land Surveyor signature and company
c • Buiiding PermitApplicant
0 . Legaldescription
? • Address
? ? • North arrow and scale
pl'?[.?. • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
c • Oirectional drarnaqe arrows with slope/gradient %
Cl ? • Proposed/exasting sewer and water services & invert elevation
w'o ? • Street name
ri/? ? • Driveway
o?p ? • Lot 5quare Footage
?t/ ? ? • Lot Coverage
ELEVATIONS
Existina
? ? ? • Sewer service (or Proposed)
? ? ? • Property corners
?? ? • Top of curb at the driveway
?o f? • Elevations af any exdsting adjacent homes
??? Adequate footing depth of structures due to adjacent ublity trenches
/ Proposed
?Y o ? • Garage floor
? ? ? • First floor
? ? ? • Lowest exposed elevation (walkouUwindow)
? ? ? • Property corners
?? ? • Front and rear of home at the foundation
PONDING AREA (if aadicable)
?f a • Easementline
? ?/? • NWL
? B/' o • HVVL
a P1/0 • Pond # designation
a d' a • Emergency Overflow Elevation
? OIMENSIONS
a ? • Lot IinesJBearings & dimensions
r?1 ?? . Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanent footings)
?a ? •' Show ali easements of record and any City utilfies within those easements
r? V60 Setbacks of proposed structure and side setback of adj?eent e?assting structures
? • Retaining wall requirements, if any ?
Reviewed:
! Date
Marcn 1989
CRAIG/BLOGPRAR.FM
612 825 2303
MAY-26-2000 FRI 03:09 PM RAY N. WELTER HEATING FAX N0, 612 825 2303
0
City
? ??4 y b. 4)exYej, gle 6 -?
]?MNACE SIZE CALCULATIONWORKSHEET
srre aoD?s ?v?" I? I?lK? 41?t1d o?_n L ? S T?.s'-?Y
Y['£ATtNG CONTRACTQ& '\ q y[,_r'i w ?'t /L- PSOTT? ?I?•f2 ?aw
GEMRAL CONTRAC7'OR OR QwNER ,0jjjtj6J ".it i? PHONE
CwLCULATiOKS PREPAREA 8Y ,!!lUd AlfntPSQNtE u?
'YLe daip latormatlon bdow, must bo determined from iLa bulldtag y141srsPrMAntlo0e. BTLIH
1. 8q. feet olRSpo.ad s?xll arn aDovo zrads!?OY ••[7" , o S'= ts dewroa / 3 S: ?
z. sq. (YSt Of R=posed wEQ40W YrRa E?r x^v., , s s= se a?oes 3;L,/g.'
3. Sq. Fwt of axpoced door srea r10 s nC?- g$ degrm f/9 L/O
4-
Sq. fect o[ aellfA= Area 1?rs"U^ : 88 de?ess r ?-?.
3 i?`: ' e4
S. 5q. feet at basewcat lloar ar"L?-?5 r 2 BT[1}1lsqwre feat ;2'
6- Sq. feet of brsament walt seea betow Ynda J0?/2s 3 BTUF{/sqnara [est ? I 2 G?
7. LWC. feet of lafiltratton for wludows (,`? p x(0.34) s(3.885) x 88 degrees
8. Sq. tad o(lnNtratlac ior doors.%f' z(0.3):(1.085)s 8g degrees j?t I5?
9. Sq. taet o[lamvadon for aUd[oe Claa doors l D s(0.? :(1 A&5) : 88 degreas S?_ 3 U
10. Aliowancs G?r kitc6en aad bath iaai: # Idteheu fang 0 600 $'1'US each
X 3 62m (;uu @=oo arvs daa? zac'
11. Altowance [or !lrepiaccs: M/a 1.300 BTCJH asch f 3C r?
12. Macbsnlcai Veatilation: EzhQtut GFM =(1.OSJ) _99 Degrte!
Y3. Totai 8TUl1 lott tot aU sAove ite.as - Minim?,?m rstt??ed baniie outaut
10. blaximcm nllnxcd yrnncy?,ogtnLL* Is Llne t3 s lA3
•Ih+rnACe oatpul ahsy be eversized te Incllide A safety tactvr and pick-up
luads bat mry uot exaeed 43%.
Appt[canc StPature ,.6z
r:\aaatie1152\wr?w.btFumaoc ska
v200o
P. 01
•HelpM .Fffecliue •Laoking Al+ead •Professionat
C'Itt & ? .
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£DOln L699 8G2 T49 XVJ TZ:LO I2I3 00/60/90
L699 82.9 LS9
651 578 6697
06/09/00 FRI 07:20 FAX 651 578 6697
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I MINNESOTA ENERGY CODE
,
I4 Fumily Residential Building
RESIDENT7AL "COOKBOOK" WOMHEtT
Appiicanl Name Phone
I 'iu.U?t ic51 Js?r?- ?l?? Date
- 7-&0 Sfatement of Compliaace: Building OETicial Use
Applican[ Addrcss
i O4?- L124 12. The proposed buifding desige mpRSenhd in Iheu
dacuments if wnsislent with Ux builAing plen9,
`-? Uo 0 l V specificadons, and other oalculeHore submiKed
Building Addrcss: . with the pereth eppticetion. 'Che proposed
building hac 6ten d'gned to meel the
;
7 'i' tr y A-'`3
, rcquireme "f . inna "e Code. ?
_1 ?' .
ApplicanUEnginecr
NIINIMUM REUUIREMEN'CS for "Cookbook" Ontion:
6nlry Doors / I-3l4" solid wood w/ storm Ceiling with energy truss R-38"' Rim joist
? daor or equivalent (Min. 7'/x" top plate to sheathipg) ?
Foundation Windows* Insulated Glass w/112" gap in Ceiling with low heel truss R-44** Floor over (?_Z
`/ woo4 or vinyl frame uaconditioned space
"`tnclude square footage in cslculation of WindowJDoor Area Ceiling-no attic R-38 w/ R-5 sheaihing
to detcrmine above grade Window U-Value.
-- uuuIauvn ror,ormance aC w 1nler uesign l:onanions
Windoa snd boor AreQ +' 100 : + +/o WINDOW U-VALUE : ' b[ 7
A!'s Of Bxposed Wail An?1 Above Grade Window ond Groaa Walf Arcs WlndowrDeer Arer Soutce: NN'ltC ? or ASHRAE 1993 Handbook
FeyndrtEonWlndowJDoot Ares
.L MAYiIUCilld WiN11l1W 11 T_VAt ttVe
Check; Wall : WA41. TXPE 11+IAXIMUM.WINDOW.AND DbOR AREA % OF EXPOSEd WAI,L AREA
12% Ldbo ;16°s d8°/n 20% ; 22% 24%". 26%. x$'Ye 30°l0 32% 34%
TYPE A 2x4 framing, R-13 insulation, sheatkiing R-7 or greatet. 0.55 0.47 0.41 036 0.33 0.30 0.27 0.25 0.23 0.22 0,20 0.19
TYPE B 2x4 &aming, R-I S insulation, sheathing R-5 or greater, 0.52 0.45 0.39 0.35 0.31 0.28 0,26 0.24 0.22 0.2 E 0.20 0.l8
TYPE C 2x6 fratning, R-19 insulation, sheathing less than R-S. 0.48 0.41 6,36 0.32 0.29 0.26 0.24 0.22 0.21 6. l9 0.18 0,17
PE D 2x6 framing, R-14 insulation, sheathing R-S or greater. 4.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 022 0.21 0.20
TYPE B 2x6 fracning, R-21 insulation, sheatfiing less than R-5. 0.51 0.43 0.38 0.34 030 0.28 0.25 0.23 0.22 0.20 0.19 0.18
'f'YPE E 2x6 framing, R-Z I insuiation, sheathing R-S or gteater. 0.58 0.50 0.44 0,39 0.35 0.32 0.29 0.27 0.25 0.23 0.22 0.21
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This is a summary only, Other requiremaits may apply. See the Minnaola Energy Code. u5/96
?
Questions? Call Department oCPublic Service Information Cmttt st 6171296-5175 or 1•800/657-3710. _.M1.
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Surveyor I s Certificate
SURVEY FOR :CHRIS AIMUA & ASSOCIATES .
DESCRIBED AS : Lot 14, Block 2, KINGSWOOD PONDS 1ST ADDITION, City of Eogon, Dakota
County, Minnesota and reserving easements of record.
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PROPOSED ELEVATIONS
Top of Foundotion =M-$
Garage Floor =80.9
Bosement Floor =35?a,7
Aprox. 5ewer Service = 8s3.o±
Proposed Elev. - ?
Existing Elev. _
Droinoge Directions =
Denotes Offset 5take = •
HEADLUND
PLANN/NG 6NClNlf'ERlNC SURVBYlNG
2005 Pin Ook Drive
Eagan, AAN 55122
Phone: (651) 405-6600
Fox : (651) 405-6606
BENCHMARK,
-rN-I+@};irF'jsrroct? 4?rti5 f.'.?.
? i+rlivttcxd {}UY?i (NPXIuDk,.
` L?,?1= Sb5,b3
MIN. SETBACK REQUIREMENTS
Front-3o House Side -lo
Rear -t5 Gorage Side -5
JOB N0:
OOR-264
800K: PACE:
a
- CAO FIIE: .
Misc-00
I HEREBY CERTIFY THAT THij IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROgCHMENTS, EXCEPT AS SHOWN,
DATE S/?S/Cp
?•7:?
LAND
LICENSE NUMBEiC 14376
SCALE: 7 inch = 30 teet
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1 ? CITY USE ONLY
L gL RECEIPT #:
SUBD. J U? / RECEIPT DATE:
PERMIT # ?
8000 PLUMBINfi PEtMTT (RUID£NT1AL)
crrY oF EAsRx
3830 PILOT KPOB fiD
f.A6AN, biN 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
? A.iieraiions to existing d+nrelfing - minimum fee
Describe: $ 30•00
Bath tub $ 3.00 x = $ ?°"
Floor drain 3.00 x = $ 300
GaS I IIl OUtlet ' minimum -1 3.00 X = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $ 3"`
Laund tra 3.00 x = $ 300
Lavato 3.00 x = $ /Lov
SB tIC S stem new/refurbished " requires MPC Iic. 75.00 X = $
Se tIC S Stem abandonment 30.00 X = $ ?
RPZ new installationlrepairlrebuild 30.00 x = $ ?
Rou h o enin 1.50 x - $ ? ou
Shower 3.00 x = $ ?,ou
Under round s rinkler if dwelling is under consWction 3.00 x = $
Under round s rinkler if existing dwelling 30.00 x = $
900
?
Water closet 3.00 x 3 = $
W ater heater 3.00 x = $ 3 A'
W ater softener IT dwelUng undar constructfon 5.00 x = $
Water soRener if exiscing dwellln 30.00 x = $
Water turnaround 30.00 _ x $
State Surchar e .50 --> ----> ----> $ .50
To4al > $ ?1?Y0
rrvTi iocc
Fer.u
#
TOTAL
Reminder: Cali for inspections of alterations, i.e. water heaters, water softeners, etc.
---•------------- =--------------------------------------- --------- ---------------------- ------------------------ -----•---------------•-----
I hereby acknowledge that I have read this appliption, state that the information is correcC and agree to comply with ail applicable Ciry of Eagan ordinances:
It is the applipnt's responsibility to nofify the property ownar lhat the City of Eagan assumes no liability for any damages caused by the Ciry during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/righ[-oi-wayleasement.
SITEADDRESS: IKUY ci'ft?Sw0od PU^4%'4d
OWNER NAME: : C Rri 5 Aimu-a a- ?SS oc TELEPHONE #: (of SI--srJ ?-66
(AREA CODE)
INSTALLER NAME: JGt,ILe So-t, f9ILCrn Gaiq TELEPHONE #:
(AREA CODE)
STREET ADDRESS: ld-q(0 q?
CITY: STATE: ZIP: 553 ?J1
SIGNATURE OF PERMITTEE
******************************?********
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 718
DATE: 09/22/0.0 TIME: 11:51:36
ID:
NAME: RAY N WELTER HEATING COMPANY
3213 9001 1444 KNWD PD RD 36.00
2155 9001 1444 KNWD PD RD 0.50
Total Receipt Amount: 36.50
CR137810
USER ID: JAN -
CITY USE ONLY
LOT IL" BL ? PERMIT
SUBD. ( yiT$ W 0 a RECEIPT #:
J
? z°I n
RECEIPT DATE:
2000 bI£CHANICAL PEitMIT (RESIDENTIAL)
crrY oe E,tfi,e?iv
3$30 PILOT KNO$ itD
f:AfiAN bIN 55 ] 2 E
Date: 651-6$1-4675
Complete this section onlv if you are installing HVAC in a single-fatriily dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U T/l#ik" 10,010019he X.tA4 ?11'z/%A1WL $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) ?k/yd.4 lfiria P0e-z
State Surcharge .50
Total
Complete this section ohlv if you are remode, adding to, or replacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New _ Replacement _ Other
_ Furnace
_ Air exchanger
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for f.nal inspection.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY
Qa4 Q?? ITA
I 4* &OS lo PHONE #:
(AREA CODE)
? PHONE #:
-
A ./l (AREA ODE)
' 7
?c!?` $TATE: ?iVr ZIP: 5SZl?
SIGNATURE OF PERMITTEY
Air conditioning
Other
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
, INSPECTOR
PERMIT#:
RECEIPT#:
RECEIPT DATE:
2000 M£CHANICAL PERMIT (COMMEtCUkL)
CITY OF EA6u4N
S$SO PILOT KNO$ fiD
EA6AN, MN 5512E
651-6$1-4675
Please complete for: all commerciai/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tanic
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Wlsen installing/removing underground tank, cal! 651-681-4675 for inspection by ftre marshat and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removal/installation = min;,,,um fee
Contract price: $ x 1%= $ (Base Fee)
5tate surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE A,DRESS:
OWNER NAME: PHONE #: -
(AREA CODE) ,
TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: '
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREn CODE)
STATE:
ZIP:
A -_
1
SIGNA'fURE OF PERMITTEE
RESIDENTIAL BiTII.DING
Permit Application
? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
C).??
?? ?-t) -d3
New Construdion Reauiremenis Remodel/Reoair Reauirements Office Use Onlv
3 regislered site surveys showing sq. ft. ot lot, sq. ft. oi house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, elc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Addftion - indicate i(on-site septic system _ On-site Sepfic System
3 copies of Tree PreservaGon Plan if lot platted a8er 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Dat@,, -?_ `2
._, ? Construction Cost
Site Address Z-/ r?l,?5 Unit/Ste #
Descrip6on of Work
Property Owner I O?z N MA?^y ?KJq,.;-W Telephone #(b5f 1) ?S
? l 'a
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
e}
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 in the case of wor hich requires a review and
approval of plans ? '
1 a b. : D - °
ApphcanYs Printed Name App ic t's Signa e 9?003 D
? _ ?
OFFICE USE ONLY
Sub Types
? 01 Foundation
< 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
V 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex 9( 19 Lower Level
? 12 12-plex PIW?Y or _ N
Valuation
Census Code
SAC Units ?
Nbr. of Units O
Nbr. of Bldgs ?
Type of Const '57 A/_
_ Footinga (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundarion
Drain Tile
Roof _ Ice & Water _ Final
? Framing
Fireplace R.I. Air Test Final
]7 Insulation
? 20 Pool
0 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
2[ FinaUNo C.O.
? Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By S/0 3, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Occupancy
Zoning i - 1
Stories
Sq. Ft.
Length
Width
? 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 Bldg) - Give PCA handout to applicant
PLLTMBING (RESIDENTIAL)
Permit Application
City Of Eagan U
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date??
1
Site Address (
, Unit #
Property Owner Tetephone #
Contractor
Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Esisting Dwelling Unit, Including $ 50
00
? Adding fixtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaro (+ " meter if needed -$121.00) I
_ Other: Y U-c U -e- l
,
_ RPZ _ new installation _ repair _ rebuild
$
30.00
_ Lawn irrigation system
Water softener Water heater
- -
$
15.00
_ replacement _ additional
State Surcharge $ .50
Total $ ??-sn. ?
1 hereby apply for a Residential Plumbing Permit and aclaiowledge 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 with the Plumbing Codes; that I understand this is not a
pernut, but only an application for a permit, and work is not to start withou t the work will be in accordance with the
approved plan in the case of ork wYuch requires a review and appro plans.
?
?
?
1w i
Applicant's Printed Name Applic s Signa e
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116782
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 1444 Kingswood Ponds Rd
Lot:14 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Sergie Gontcharenko
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 -
Nathan M Delgado
1444 Kingswood Ponds Rd
Eagan MN 55122
(952) 412-6008
Rooster Exteriors Inc
986 Inwood Ave N
Oakdale MN 55128
(612) 382-4057
Applicant/Permitee: Signature Issued By: Signature