1456 Kingswood Ponds RdAddress 1456 KINGSWOOD ;ONBS ROAD Zlp $$IZ 2
I.Ut 3 B]k 2 $ub RIidGSF]OOD PONDS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Pertnanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roofltest caps from the plumbing system and the shut-off of water supp"'---__
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system
White - City Copy Yellow - Resident Copy Pink - Contractor Copy AA
2006RESIDENTIAL BUILDING PExMIT ArrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reuuirements
3 registered sRe surveys showing sq. fl. of lol, sq. ft. oi house; and all roofed areas
(20% mazimum lot coverage aliowed)
1 Soiis RepoA'rf proposed building is to be pfaced on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Eneigy Calculations
3 wpies of Tree Preservation Plan H bt platted after 711193
Rim Joist DeFail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanipl venGlafion form
RemodeUReoair Reauirements
2 wpies of plan showing footings, beems, joists
1 set of Energy Calculations for heated additions
t site survey for additions & decks
Add'rtion • indicafe 'rf onarte sepGc sysfem
`
Telephone #(
Date ?_ /Construction ost T O?? y?
SiteAddress zL_? f?,.boGC ?'O?.rx, ??O li Unit/Ste #
k
i
f W
Descript
on o
or
Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner
i. /TsC ri Te(ephone#(6/a
Contractor
Address City ?I%JGt- -P/! . . ,
State Zip Telephone#(,r/,S7)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 1 Worksheet . New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a simitar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
c?,
,3 c? q7
O(fice llse Oniv
Cert of Suttiey Recq ?`'- Y t?
Soils 12eport' &?; Y ?N
Tree Presfiae Recd?,? N
TreePresRegwred i X _[V
Di?-S1feSepiicSystem ,`?_l?; _N
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 plan in the case of work which requires a review and
approv
Al-ef?- lans.
Appl' if's Printed Name Applicant's Signature
14?ft 2006 RESIDENTIAL BUILDING PERMiT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenls
3 registered sile surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found desgn, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan ff lot piatted after 711193
Rim Joist Dehail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
iLI 4-,o
RemodellReoair Reauirements
2 copies of plan showing footings, beams, joists
1 set oF Energy Calculations for heated additions
1 sile survey for addiUons & dedcs
Adddion - indicate if on-sde septic system
P(D
E)ffice Use (filv
Gert of Survey RecC _ Y_ N
Soils Repart Y N
TreePres:PlanRectl Y N
Tree Pres Required _Y _N
4n site Septic System . Y_N
Date Construction Cost
Site Address R)?WQ r Unit/Ste #
S".s:-f 2 Z--
--
,
?
Description of Work ? .-??,-
04 fl r ?"
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1
-C?
Property Owner LniG }PKo v?' Te?ephone #(45&1 j?P,z
Contractor
Address _ ir City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ffl I? Telephone #(
Mechanical Contractor ii 1 7mr r ? I Telephone #(
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 wark is not to start without a
permit that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval ofA)lans.
Ap 'sP te me Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-piex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
x 33 Alteration
? 34 Replacement
? 07 OS-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
A 19 Lower Level
? 20 Pool ? 30 Accessory Bidg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/perola) ? 36 Muiti Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ?. 44 Siding
? 36 Move Building ? 42 Demolish Foundation- ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCI'Ipf.lOn:. WaterDamage_Yes -
Valuation
Plan Review /0100% or _ 25%
Census Code L/3y
SAC Units ?
# of Units
# of Bldgs ?
Type of Const ?
Occupancy MCES System ?
Zoning f ' Gity Water
Stories Booster Pump ?-
Sq. Ft. ? PRV ?
Length ? Fire Sprinklered ?
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace RI. Air Test Final
? Insulation
Approved By:
Base Fee v V
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
? HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
..:2D ?
Surcharge •
Plan Review
MC/ES SAC '
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other Total
CITY USE ONLY
PERMIT #: RECEIPT DATE: I? ?? lU I
RESIDENTIAL MECHA1VICAL PER161IT ????CATION
crrY oF E,?EiAN
S$SO PILOT KNOB RD
EAHA1V MN 55122
657-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 01 -/0 -O )
SfTEADDRESS: lq5& KtrjCrSWOOC? iolmGIS. eGI
OWNER NAME: 1nCbn6l2.16?C417Sf1 UG7`7 fJ n TELEPHONE #: 9' o V3a-`1(oo I
(AREA CODE)
INSTALLER NAME: Bi n,?f I'f-F?ti rl0 q- ('TELEPHONE #: IaS/ qS-7Jg7g ?
(AREA CODE)
STREETADDRESS: ,?Ll;? I4QfGf!'j'/CZi? AW N
CITY: S. St. PG.u.( STATE: YyllV ZIP: 7 ?
Place a check mark next to the nermit work tvne
? New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge -
rotal ? $ -7 D_. S-_p
AN 1ZNUI
Reminder: Call for inspections.
?
Y
SIGNATURE OF PERMITTEE
i7pdated 1l01
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMUMACIAL bIECH*N1CAI. PERMIT APPLICATION
CITY OF EA6AN
3$80 PILOT KNOB QD
EA6LAN, bIN 55188
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(aREA coDE)
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
SpecifyNature of Work
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = m;niT„um fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMTTTEE
:
Updated 1i01
2000 BUILDINC PEI?N?I'?iPPLICATION( ESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Hew Cansfidclion
?/ 3 reglstered alte wrveys ahowing sq. R, ot lot, sq. fl. of house
and gd rooted areaa (?AX maxlmum lot covercae allowedf
D?? copies of plans (show bsom & window aizea; poured Ind dssign; eta)
? ??1 tel of enerpy calculaNons
? 3 Coples of hee preservatlon plan if lot plcftd after 7/1/93
DATE: _ 11" 9- Con
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: 2
BLOCK:
5439.6i
C41Ied ii-q-oo
2 copies of plan
1 aef oi energy calcWaMOns tor heated addiilons
1 site wrvey br extedor cddHtoru & decka
CONSTRUCTION COSi:
?l (9b
?
Name: ?a... a?) Phone #; 9^2 Ct/
PROPERT1f laat Flrst
OWNER
Street Address:_ 9(1,0
Cify ? / State: Zip:
• Company,&?l,,?./r? Phone i:
(area code)
coNrRacroR
Street Address: `7GO ( S7,1, cf_? ucense #?6 •?Exp• O l
City _/??I•c (?,,?.??Y. State: 4?f . Zip:
ARCHITECT/
ENGINEER Cumpany: ALL. Name: '4 gC221
Telephone #: (65-/
streer Address:dGl????oQ Registraiion #:
City 2S?r?vti State: 10512.-. Zip:
?«he r J2o -7
Sewedwater licensed plumber (if instalilre sewerlwater): -?/ai ?phone #:
,
I hereby acknowledfle Ihat I have read this appi(cation, s#ate that Ihe intortnation is cortect, and agrse fo comply wilh all appiicable Sfcte
of Minnesota Statutes and City of Eagan Ordinances.
? ?.? ?, `?.? .?\V? •i' YA??a?-.
NOV 0 2 2000
Certificates of Surve
Signature of Applicant: '_ (
OFFICE USE ONL
No
Tree Preservation Plan Received - Yes - No
i
Not Required
NOIr ? . ..:i?
OFFICE USE ONLY
BUILDiNG PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
02 SF Dweliing 0 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex 0 12 12-plex
WORK TYPE
I)V 31 New
13 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 18 Deck ? 23 Porch (screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _Y or _ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bldg)" ? 44 Siding
? 38 Dernofish (lnterior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual) ?
(Allowable) -
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
Ga,.L?e_ sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building -U46
7y
!-3
Engineering
_. ?
? 31 Ext. Alt - Multl
? 33 Ext. Aft - SF
? 36 MuRi
sq. ft.
sq.ft.
Footprint sq. ft. Z (- 3
Census Code /D /
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pf.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Valuation:
a?srvr s fz ? 1d,
0l9JF,v 1.L1,15 Z-
g ?OD Da0
z??'???5? 7
? ?h3 ?? K?Y z 1?0? 1?c?2mc?
tsa? ?C la ?5??
? * **
'. * PION6Ela
* engineer]
* * * *
Certificate of Survey for:
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: 85$•5
S • QNl E?
unoscAPE
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 681-1914 FAX:681-9488
625 Highwoy 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
MCDONALD CONSTRUCTION
1456 KINGSWOOD PONDS ROAD, EAGAN
EXISTING
BENCH MARK HOUSE
TOP OF PIPE r
ELE?=86\.62? ?a?
, TOP OF BLOCK ELEVATION: 9. ? \\ x??--
° GAF2AGE SLAB ELEVATION: $(0(0.1 w
-5, i a o.3" ?
37-45 `
TOB @ LOOKOUT ELEVATION: . 862.7-0?
+n t0
? I
X 000.00 OENOIES EXISTINC ELEVATION N
,
( 000.00 ) DENOTES PROPOSEO ELEVA710N ?
1 O ?
?
--- DENOTES ORAINAGE AND UTIUTY EASEMENT O 1ib. I v r
?
' DENOTES DRAINAGE FLOW DIREC710N
?- DEN07ES MONUMENT
v
1
1
1
29?
. 1(j 3
.
.. B DENOIES OFFSET HUB ? 867.7.?
NOTE: PROPOSEO GRAUES SHO'MJ PER CRADING PIAN BY:
O ? ?p POSED
pRIVEWAY
NOlE: 9UII.OING DIMENSIONS SHOWN ARE FOR HORIZONTAL ANO VERIICAL LOCATION Z 1862.2 ' ???
OF S7RUCNRES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS. O ? ?-QO'
NOTE: NO SPECIFlC SOILS INVESTIGATION HAS BEEN COMPLETED ON TilS l07 BY THE
SURVEYOR. THE SUITABtIITY OF SOILS TO SUPPORT 1HE SPEpFlC HOUSE ?A
PROPOSED I5 NOT THE RESPONSIBIUTY OF 7HE SURVEYOR. ?
2S-p1
' NOTE: THIS CER7IFlCATE DOES NOT PURPORT TO SHOW EASEAIENTS OTHER TH AN 862.8
THOSE SHOWN ON iHE RECOROED PIAT. O M 862.6
NOlE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM I 2S _ Q-?
- 854.1
7 S84•54'18g?W
855.1
I?D
1
O I?N?o?
1:J
4.00 I
o
00 x sss.s %
I
ICN ??
863.2 1 A'
LOT AREA = 24,943 SQ. FT.
HOUSE AREA = 2637 SQ. FT.
COVERAGE = 10.6 %
2 HOUSE TYPE=WALKOUT ?
?
[?0,?oVo R???U??ED ?
319.13 ?
56.63 -' 166.04
p ?
1 y
` NQj?s
'
/?•?O&V Sq38?
S???J A?
e
<? t
r
,
U., y?
N? PER PIAT---
p POHDING EASf_ME
?___ MA
PLp7
R
gHORE IINE PE
'--
? ?
`av;c7`.. i
?
1•
? -
??
? ?? 11fi3.49
` ?
?
?\? ppNO 8 4 O
'?
.
!
i
. w
.
i r? ? N,p??826
?
859.6 S7g'10' 29
BENCH MARK
TOP OF PIPE
ELEV.=863.74
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
?
(VACANT);4
aa
LOT 3, BLOCK 2, KINGSWOOD PONDS SECOND 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 6TH DAY OF OCTOBER, 2000.
StALE :? 1 INCH = 40 FEET
2189 98451.08 BAT
y'
v
? Fun7e a'
4
??
9 E
" ?
3 4,
- - ?'? ' • - ? _7.i '°_'.TFT7,7? j7A.i.?•.J: r, ziv Di r?U_?.
_". . _..
RECEIVED NQlI 0 7
0
? 01
? w
co J
3
n
SIG ED: PIONEER EN EER G, P.A.
B Y: ?
John C. Lorson, L.S. Reg. No. 19828
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
• ) PROPERTY LEGAL ?o+3 1SLO? LA'Z;fln-?? jv,vD,S Sc66710pf7lJ/2T
J
h DATE OF SURVEY:
? LATEST REVISION:
?
? DOCUMENT STANDARDS
?
a g p
n
13 13 • Registered Land Surveyor signature and company
? ? • Building PermR Applicant
? ? • Legal description
r?r p ? • Address
a ? North arrow and scale
?? ? : House type (rembler, walkout, split w/o, split entry, lookout, etc.)
¢/?
? ? • Directionai drainage arrows with slope/gradient °,6
t
i
& i
l
ti
d
t
? ? • wa
er serv
nver
e
eva
on
Proposed/exisUng sewer an
ces
0/ ? ? • Street name
r? ? ? • Driveway
? ? • Lot Square Footage
qx ? ? • Lot Coverege
ELEVATIONS
Existinq
e/ ? ? • Sewer service (or Proposed)
0/ ? ? • Property corners
? ? • Top of curb at the driveway
??/? . Elevations of any existing adjacent homes
? ef o Adequate footing depth of structures due to adjacent utility trenches
Prooosed
EV ? ? • Garage floor
rg/ ? ? • First floor
ff ? ? • Lowest exposed elevation (walkout/window)
y ? ? • Property corners
C/ ? ? • Front and rear of home at the foundadon
PONDING AREA (if applicable)
?/ ? • Easement line
?/ ? ? NWL
? HWL
g? ? • Pond # designation
? t? • Emer9ency OveAlow Elevation
?a ? •
? ? ? •
V ? El •
05 . a ? •
e ?/ ?
a 6' ?
DIMENSIONS
Lot lines/Bearings & dimensions
Right-of-way and strcet width (to back of curb)
Proposed home dimensions inciuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
Show all easements of record and any Cily utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent existing strudures
Retaining wall requ
Reviewed:
March 1999
CRAM+IBLDGPRM'f.FM
. ? 2004 RESIDENTIAL BLTELDING PERMIT APPLICATION
City Of Eagan
? f1j? 3830 Pilot Knob Road, Eagan MN 55122
GG I-f L" Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauirements
3 registered sfte surveys showing sq. N of l04 sq• ft of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Enetgy Calcula6ons (or heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 sat of Energy Calcula6ons Addition - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
c? Q_3-oy"
b?EeUse'tkiiv
? t uniea?;i? Y' ?
1 R
??ee ?res ?Iaa?L2ecd * ??r ?1;
a
gp-?R?re,d'"'?`? ?;Y £ N
Qxn s?SEpU yst8it??;? ?Y -?.=,?};
Date 13_ / C7
SiteAddress
iNqSG(/QaL-+ e
Q? Construction Cost? ?? ?0 (9-0
ilo Unit/Ste #
?
Description of Work & eui
Multi-Family Bldg _ Y(11 N Fireplace(s) 0 2
Property Owner eG l? ' 1V'41TS'e'4 ? /,P Se? Telephone #(( / ) Z32;?Q.?3(2
Contractor
Address
State CitY
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) 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.
p T ? T
Licensed Plumber
SEP 0 3 2004
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I°)"?Telephone # ( )
nAUG 3 0
nmT
I hereby apply for a Residential Building Pernlit and acknowledge that the informa ' n is c3t?`tlet`e and ac urate;
e a e of MN
that the work will be in conformance with the ordinances and codes of the City o
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
A I-eC Sc.R i S ek)
Applicant's Printed Name pplicant's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
O 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscelianeous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bidg) - Give PCA handout to applicant
2
Valuation
1496" Occupancy MCES System
Census Code 1 3!?y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y/v Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing -
_ Fireplace _ R.I. _ Air Test _ Final
_ Insula6on
REQUIRED INSPECTIONS
FinaUC.O.
X FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retainiug Wall
Approved By: 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
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
O 09 07-plex ? 17 Garage
? 10 OS-plex x 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
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lANO SURVEYORS •
LAND PLANNERS• LAN
625 Highway 70 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: MCDONALD CONSTRUCTION
1456 KINGSWOOD PONDS ROAD, EAGAN
EXISTING
PROPOSED HOUSE ELEVATION B?ENCH MARK HOUSE _
LOWEST FLOOR ELEVATION: 858? EL'
?
TOP OF BLOCK ELEVATION: ??L 1 9.6
GARAGE SlAB ELEVATION: $??•? 40.
860.2
TOB @ LOOKOUT EIEVAT70N: 1
X 000.00 DENOTES EXISTING ELEVATION ? ?
L ?
( 000.00 ) DENOlES PROPOSED ELEVAnON Z ?. 4
DE?lOTES DRPJNAGE AND U1ILITY EASEMENT ?
- DENOlES ORAINAGE FLOW DIRECTION
-r- DENOlES MONUMENT
-E3 DENOTES OFFSET NUB G5
NOTE: PROPOSED GRADES SHONM PER GRADING PLAN 8Y: O? Z
NOTE: 9UILDING DIMENSlONS SHOWN ARE FOR HORIZONTAL AND YERTICAI IOCATION Z 1862.2
, OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND O (D
FOUNDA710N DIMEN90N5. (f1
NOTE: NO SPECIFlC $OILS INVESTIGATION HAS BEEN COMPLE7ED ON 7HIS LOT BY THE ?
SURVEYOR. TME SUITABIUTY OF SOIlS TO SUPPORT iHE SPECIFlC HOUSE ? ? O
PROPOSED IS NOT THE RESPONSl81LITY OF T}iE SURVEYOR. O
OF PIPE
=861.62 se?.?
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37.45
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863.2 1 jt-i r ?
LOT AREA - 24,943 SQ. FT.
HOUSE AREA = 2637 SQ. FT.
COVERAGE = 10.6 %
2 HOUSE TYPE=WALKOUT ?
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56.63 ! 166.04
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SHORE LINE ---
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NOTE: THIS CERT1FlCAiE DOE$ NOT PURPORT 70 SHOW EASEMEN75 07HE7i 'IHAN Ti ? 66[.a ?,862.6 \? TFIOSE SHOWN ON THE RECOROED PLAT. O . \
?
NOTE: CONTRACTOR MUSi VERIFY DRIVEWAY OESIGN. 1 ? V-11C - g ENCH MARK
NOiE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM ?25?'? TOP OF PIPE
ELEV.=863.74
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF: •
?'T 3, BLOCK 2, KINGSWOOD PONDS SECOND ADDITION
^OUNTY, MINNESOTA
? „iRPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
?,UPERVISION THIS 6TH DAY OF OCTOBER, 2000.
JFFFT
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 681-1914 FAX:681-9488
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(VACANT) i
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SIG ED: PIONEER EN EER G, P.A.
BY: ?
John C. Lorson, L.S. Reg. No. 19828
PERMIT# 'I"IIoh
RECEIPT DATE: 1 -4-00
....•
MIDEPTIAL PLU1VI$IAG PEfiMiT ANPLICATION
C1TY OF EA&M
3$30 PII.OT KNOB iiD
EAfiAN?MN 55188 ?
Please complete for:
SITE ADDRESS:
? D '[?L?
651-6$1-4675
jj? JAN 3 2001 D
? single family dwellings
? townhomes and condos when permits are
? backflow preventer for irrigation system
C?sti
612 g&6( SS J 22,
??J,_'5?
OWNERNAME::L c)ao?jolcf vWp-/S F TELEPHONE#: IS,-i- L/?2-- -760/
? (AREA CODE)
INSTALLER NAME: ? I lg kI ? TELEPHONE #: 6 ?r
/ /? 1,? V? ' (AREA CODE)
STREET ADDRESS: (Cl S .
CITY: ??/ 4? STATE: ///N ZIP: S608
Place a check mark next to the permit work tvae
x New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Ciry of Eagan ordinances. It
is the applicanYs responsibility to nofify the property owner that the City of Eagan assumes no liabilityfor any damages caused by the City during its normal
opera[ional and maintenance activities to the facilities constructed under this permit within C!ity property/rig f-way/easement. ,
? l- . -c?~
?
SIGNAT RE OF PERMITTEE '
Updated 1l07
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144993
Date Issued:08/18/2017
Permit Category:ePermit
Site Address: 1456 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 2nd
PID:10-42051-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
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 -
Timothy Hansen
1456 Kingswood Ponds Rd
Eagan MN 55122
(651) 815-1416
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157860
Date Issued:09/12/2019
Permit Category:ePermit
Site Address: 1456 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 2nd
PID:10-42051-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Tankless Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
John Selvig
1456 Kingswood Ponds Rd
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177511
Date Issued:07/06/2022
Permit Category:ePermit
Site Address: 1456 Kingswood Ponds Rd
Lot:3 Block: 2 Addition: Kingswood Ponds 2nd
PID:10-42051-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Andrew John & Jennifer Ann Selvig
1456 Kingswood Ponds Rd
Eagan MN 55122
(414) 477-7747
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature