1459 Kingswood Ponds RdAddress 14S q K i n v c wn n A P n n r1 c R ri Zip 55129_
LOt 10 BIIC 3 SUb Kingswood Ponds 2nd Addition
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: Zi
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck `Please verify with the builder the removal of roof'test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potentiatPexists.
Contact enginee[ing division at 6814645 before working in rightof-way or installing undeground sprinkle[ system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
??, ? 3830 Pilot Knob Road, Eagan Mn 55122
? Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date o- / 0,6? l e3
Site Address ?4f ft/ K/?lyijl;S W
D3!5,>d?? ?VE??b?- ?/?'?1? Unit #
3 -- O a
Property Owner Telephone 9 (6S'/ )?_ D 7
Contractor
Address City
State MN Zip f3-1 Z1- 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 consulWnt fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water tumaro nd (+ 5/8" meter if needed -$121.00)
Other: lp? dL+ ?
- ,
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
?
State Surcharge ? ?- ., -•t?iy ? , ?I?' .50
, -?
?
W i J
II I
Total
, $
I hereby apply for a Residential Plumbing Permit and acknowledge that the i ormahon is?compiete ana accurate; tnat tne worn wni
be in conformance with the ordinances and codes of the City of Eagan and wrth the Plumbing Codes; that [ understand this is not a
permit, but onFy an application far a permit, and work is not to start without a permit; that the work will be in accordance wilh Ihe
approved plan in the case of work which requires a review and approval of plans.
li'k =L?
Applicant's Printed Name
Applicant's Signature
-?? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtian Reauirements RemodeUReoair Requirements
3 registered site surveys showing sq. ft of IoC sq. R of house; and all roofed areas 2 copies o( plan
(20% maximum lot wverage allowed) 1 set of Energy Cakula6ons for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
7 set of Energy Calculations Adddion • indicate rl on-site septic sysfem
3 copies of Tree Preserva6on Plan if lot platted after 711/93
Rim Joist Defail Opfions selection sheet (bldgs with 3 or less unifs
D?
Offce Use Onlv
Ced of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-sile Septic System
s ? c,v\,j
Date ? l0,2_ l C7? Construction Cost
Site Address
T'- UniUSte #
Description of Work ?z?1J 11 h
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner aA-9*- L ? Telephone # (,?f-I) jl??g 3 - GY'J]/,
L
Contractor
Address I?/.SYf /t-j/V4s w?
-r T- 1,D e? City -44:?
State _A4 AZ Zip Telephone #(/'S-1 )y"$ 3- C9 0 7 U
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
(J suhmission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
1 iO rnAY 0 2 2002
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
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 1VN
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.
N- 14--i -LE ?-f -'
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF 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
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbY or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
2 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolitivn (Entire Bidg) - Give PCA handout to appiicant
Valuation >-o v v
Census Code
SAC Units ?
Nbr. of Units O
Nbr. of Bldgs /
Type of Const ill"I
_ Foorings (new bldg)
_ Footings (deck)
_ Footings (addition) .
Foundarion
Drain Tile
Roof Ice & Water Final
,4? Framing /
? Fireplace Y R.I. ' Y'Air Test 2( Final
3[ Insulation
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 le- r
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
g? Plumbing
4' HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By -? 09 S???' , Building inspector
*************************?*************
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 699
DATE: 08/.'.5/00 TIME: 07:04:29
ID:
,
NAME: VARIETY HOMES INC
3210 9001 1459 KNGWD PDS 60.00
2155 9001 1459 KNGWD PDS 0.50
Total Receipt Amount: 60_50
CR136477
USER ID: JAN
. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, . CITY OF EAGAN
` q?4 ? 3830 PILOT KNOB RD - 55122 q 851-881-4875
New Conahuctlon Reaulremenh Remodel/Reoalr ReaulremeMs
D 3 reglstered sIfe surveya slwwinfl s% ff. of bt, aq. fl. of house 2 coples of plGn ?4IIt"' V I? 1lo o
and go roofed areas (20% maxlmum lot coveraae allowad) i sei ol energy CalculaHOns for heated addlHons ?
? 2 Coples of plans (show beam & wlndow alzes: poured Ind. design; etc.) 1 stte Eurvey tor exferior admflons & decks
> 1 aet ot eneryy Calculationa
> 3 copies ot hee presenaflon plan H lot platted aRer 7/1/93
DATE: g& I-b 3 CONSTRUCTION COST:
DESCRIPTION OF WORK: U eC (l I d, )?a ?j a
STREET ADDRESS: ILI S4T lz6nolS waocY AaU`
LOT: 1.0 _ BLOCK: L3 SUBD./P.I.D. Y:
PROPERiY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
--fUi.O toS a ^ ? / lO C' i PhOnA #: 69S - 7 ? 7 1
Name:
Lad Finf
Sheet Address: l?? y ?t' f`!!l 5u.?va+a'' vo-°cj
Cify ?a-o'?&-kA _ Stqte: 7Jp; ?t -a-3
Company:
Telephone #: (
Phone #:
(area code) Llcense # Exp.
Zip:
Name:
Streef Address: ReglsfraHOn #:
City
State:
Sewer/water licensed plumber (if Instailira sewer/water): Phone #:
Zip:
I hereby acknowledfle ihat 1 have read this application, state ihat Ihe infort»afion is cortect, and agree to compy wilh an appqcable Stafe
of Mlnnesota Statutes and Cffy of Eapan Ordinances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Survey Received
Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
2 21
City State:
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext Alt - Muiti
? 02 SF Dwelling ? 08 06-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
plex ? 09
? 03 01 of 07-plex AN 18 Deck ? 23 Porch (screened) 0 36 1AutG
_
? 04 02-plex O 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex 0 12 12-plex ? 20 Pool O 30 Accessory Bidg.
WORK TYPE
9 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
* 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 Footprint sq. ft.
de
C ?
Const. (Actual) Basement sq. ft. o
Census
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. PRV ter Pump
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? StuccolStone "
APPROVALS
Planning Building ? Engineering
Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC '
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
. ,.. . B
?f
t? ?
I ?
?oi ,
I b2 N 89'43 35°
98.91
Lo t =
House
v 5 5
I ?
? . Draina e& ng, u ility ?
easement
?
I '1?
LL,
o
o 51.5 13. N c3i
1ta a
!o Proposed house j I
cD ?
?? o cD e.?z 10.00 w
Gar slab? Bsmt el 845,00 '/
d?
\ m ? Io EI ? ?-U/?' D&?;R o
? Io Top I . o? o
Blk $SZ,'7
? ?` rn Sp ? ?
20 .00 . ? 16.00
? 5 Z? A3 ?•? $ i ?.aQ .,?s gsl-3$,)
? 51 ?5to
?---- ? o
? , Ser ?ky ??6 - ?
?gy7.i7` ? 7.l7 -
- - ?_" - - = 48. 22 r
ey7, 52.22 _ 9, 1 2' 36,. ,
S 8 '43'30"? = 300.??' , -----?
Pond s Roa
Kingswood
?
. 2000 BUILDINC?iRMI PPL A ON (RESIDENTIAL)
CITY OF EAGAN _C? 1
1.4 U3830 PILOT KNOB RD - 55122 ?
651-681-4675
C?-15 1a87Ls
0 5-4-0d
D 3 regiatered alte wrveys showing aq. H, of lot, tq, ft, ol house
and 2! rooled areas (2096 maximum lot covetasre Wlowed)
? 2 copies of plans (show beam 8 window alzea; poured fnd. deslgn; etc.)
> 1 set of energy calculatlons
3? 3 coplea of hee preaervaBon plan If lot piatted aHer 7/1/93
DATE: _L1 Z 1 -3 od
Re /Reoait Reaufremenis
2 copies o1 plan
1 ae1 of energy calculaNais for hected addiNOns
i site survey for exteAar atlditlons 6 decka
CONSTRUCTION COST: 9/ ) ` 81 000
DESCRIPTIO?F WORK: S,9 LFAv"'ir s(-J CdA)?
STREET ADDRESS: N C) 5 WOB ?PQN qS
LOT: ? BLOCK: J SUBD./P.I.D, #: KL N q5w O o 1A P611D 5 GVD
wame: Vf?lZt? F?m45 (oS?-?S?-?33
Phone Y: 0
PROPERTY Wsr Ftrst
OWNER Sheet Address: L413 0 Y? ? l ? K
Cily State: ?/V zip: S 51 Z Z.
Company.-cs?M L 1R`5 uz- Phone i: .
(area code)
CONiRACTOR Zoo3?3?3
Sheet Addr?s; License # Exp. 3 ? 1
CHy
State:
ARCHITECT/ \ r ??
EN6INEER Company:_ V -14,TName:
Telephone 1F: ( )
Sheet Address: RegistraNon #:
Cily
State:
Zip:
Zlp:
Sewedwater licensed plumber (if installina sewer/water): Sca_? ?zuJ/M-T.?I-K?'?i? ??'/ Phone #: (&SI
r
1 hereby acknowledge thc} I have read this applicaHon, sFate that the iMomnation is coRect, and agree to Comply wNh all applicable State
of Minnesota Statutes and CiFy of Eagan Ordinances. „ 1 ?
Sigrtature of Applicant:
OFFICE USE ONLY
J
Certificates of Survey Received es _ No
Tree Preservation Plan ReCeived _ Yes _ No
Not Required
.?
•?• i ..?., f
OFFICE USE ONLY '
,
BUILDING PERMIT SUBNPES
? 01 Foundation ? 07 05-plex
X 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex 0 09 07-plex
? 04 02-plex D 10 08-plex
O 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
31 New
O 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext Alt - Mutti
0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Storm Damage
Pibg _Y or._ N ? 25 M(scellaneous
? 20 Pool ? 30 ' Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Inte(or) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATIOf?
SAC Code
No. of Units
No. of Buildings Z
Const. (Actual) -VA
/
(Allowable) -
?_
UBC Occupancy ??
Zoning g?
# of Stories
Length
Width
Basement sq. ft.
ain level sq. ft.
' r? sq. ft.
Catlid", sq. ft.
MISCELLANEOUS INSPECTIONS
)( Stucco/Stone (7? ???L
a
APPROVALS ? ?A?
Planning Building L_l-
`
Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MClES System
Ciry Water
Booster Pump
PRV
Fire Sprinktered
Variance
?
?
Permit Fee Valuation: $
Surcharge
Plan Review 790
License
MC/ES SAC ,p
City SAC
Water Conn. j?'f ?v
Water Meter
Acct. Deposit x rL? 20q
S/W Permit
S/W Surcharge ?i
Treatment PI. AV 6 C?
Park Ded.
Trails Ded.
Other
Copies
TotaL•
SAC Units
% SAC
r?- - ?
?D 7? o
AQrI
hu/?s?
N -
EXTERIOR ENVET.OPE AVERAGE "U" COMp[1TAT'xpN
Plan #
Owner
Contractnr
5ite Address
1) Tota1 Fxyosed W all A,rea ?- SCAS sq. f t. .11 ? 2
2) Total Fxposed Roof/Ceiling safr• .026 = 3 f.;'7?
Wall Calculation
7ota1 Window Area
Total Daor Area
Total Glass Door Arca
TvtaI Fireplace Area
Total Wall Framing Area
Nec Insulated Wall Area
Total Rim Joist Area
Total Foundation Area
Tota1 Foundation Window
Sq. ft
g sq. ft.
?- sq. ft.
sq. ft.
s4• fL
? 7 7 _ sq. ft.
t.1. 3 sq. ft.
y Wq_ 5q. fc.
w M, sq. ft.
3) Total
.35 = I ,
.07 "i •. 7
.35 = ?_
3fi =f
.09
.043 - ?
.04 = ?
.1a - zQ. ?..
.35
'z.l z.?
Tf item 3 is the same as, or Iess than item 1, you have met the intcnc of 2
MGAR 1.16008 A and O.
Kaof/Ceiling Calc'ulation ?
T4ta1 Sl.ylight Area w x?--- sq. ft. .35 = Z
Total Roof/Ceiling Framing 54' ft. :?? = Z'
Net Tnsulated Roof Area ?I"?g 4) Tsq. otal 2? •
If item 4 is the same as, or less than item 2, you have mot the intent of 2
MCAR 1.16008 A. and O.
Alterrcate Building Envelope Design
To util.ize the total envelope system method the sum of items 1 and Z shall be
greater than the sum of items 3 and 4.
1) +2) -
3) +4)
i heTeby certify that the building here described meecs or exceeds the state of
Minnesota Enzrgy Conservation Act.
Signed ?
Date ,1 a f 2-???q
U
n
N
?
W
?
?
0
O
Y n
a?a
? ?
? ?
? C
? ?
o
? ?
?'/? o
?
?? ?
? ?
ra/ ? ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?LdT
DATE OF SURVEY: 4-10-00
LATEST REVISION: 4 -I7' 00
DOCUMENT STANDAROS
.
.
.
.
.
Registered Land Surveyor signature and company
8uilding Permit Applicant
Legaldescription
Address
North arrow and scale
House type (rambler, waikout, spfR w/o, split entry, lookout, etc.)
Directional dreinage arrows with slope/gradient %
Proposed/exdsting sewer and water services 8 inveR elevation
SVeet name
Driveway
Lot Square Footage
Lot Coverage
ELEVATIONS
[§' ? o
?? ?
?
4' O
? ??
? tn/ ?
.
.
?/? o •
m' ? ?
?? ? .
?
? ? •
/
'
o
m ? •
Existinq
Sewer service (or Proposed)
Properly comers
Top of curb at the driveway
Elevations of any ebsting adjacent homes
Adequate footing depth of structures due to adjacent utility trenches
Prooosed
Garage floor
First floor
Lowest exposed elevation (walkouWoindow)
Property corners
Front and rear of home at the foundation
PONDING AREA (if apdicable)
? ? • Easement line
? W/? • NWL
a qf ? • HWL
? ? • Pond # designation
? ?/ ? • Emergency Overflow Elevation
/ DIMENSIONS
e? o? • Lot GnesJBearings 8 dimensions
Vo ? • Right-of-way and street width (to back of curb)
v? ? • Proposed home dimensions including any proposed decks, overhangs greaterthan 2', porches, etc.
? (i.e. all structures requiring permanent footings)
?', ?? • Show all easements of record and any City utiliUes within those easements
re? ? ?a' • Setbacks of proposed structure and sideyard se? f adja e?asting structures
? r? ? • Retaining wall requirements, if any , Reviewed:
/ Date
March 198B
can1GJSLocvaMr.FM
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDING PERMIT APPLiCATION
? PROPERTY LEGAL: /OT? ;3?IC ? ee;A,Pd,e`M,ela]O RW? ??LO/?O
n DATE OF SURVEY: 'y `
?y LATEST REVISION:
?
o DOCUMENT STANDARDS
O
O
?
? .
Registered Land Surveyor signature and company
? ? • Building PermitApplicant
? • Legaldescriptian
? ? • Address
? ? • North arrow and scale
m? ? ? • House type (rambler, walkout, splft w/o, spiit entry, lookout, etc.)
ra-'o o • Directional drainage arrows with slope/gradient %
?a ? • Proposedlexisting sewer and water services & invert elevation
m1/ o ? • SVeetname
?'i ? ? • Driveway
Ea' ? • Lot 5quare Footage
? • Lot Coverage
ELEVATIONS
? Ew•stin9
? • 5ewer service (or Proposed)
? o Property carners
?
? ? : Top of curb at the driveway
0' ? 0 • Elevations of any exdsting adjacent homes
? m /? Adequate footing depth of shuctures due to adjacent utiliry Venches
Prooosed
/
? o • Garagefloor
? ? ? • Firstfloor
o ? • Lowest exposed elevation (walkouVwindow)
:/? ? • Property corneis
? ? • Front and rear of home at the foundation
? r'? o
? d/ ?
? d o
? e?jt7
o d a
?'?4 ?
0 0
r@'/ ? ?
?
o
PONDING AREA fif auolicable
• Easementfine
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
DIMENSIONS
A07WaTZ'o/v
• Lot fines/Bearinga & dimensions
• Right-of-way and sheet width (to back ot curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. ali sVuctures requiring permanentfootings)
• Show all easements of record and any City utilities within those easemenis
• Setbacks of proposed structure and sideyard setback ot adjacent epsting structures
• Retaining waA requirements, 'rf any
Reviewed:
.
Mareh 1989
CRAIGIBLDGPRMT.FM
.
CERIIFICATE OF SURVEY
for
VARIETY HOMES
.
ingsw
?
ponno?
.
?
x -- -- _ ___
m:r
?
?X
Scale: 1" _
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the 'State
.?
Kingswood Ponds Road
DESCRIPTION L.ot 10, Block 3,
KIN6SWOOD PONDS SECONO ADDITION
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Exi t s g j Proposed
lz G<1 nApk zoou
BRANDT ENG'NEERfNG Oc SURVEY'NG
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(612) 435-1966 V10-66-00 •,
Reg. No. , 8140
RECEIVED APR 2 8 2000
i
? i
i
.?- ?
c?g62•92?'
? -
vI o-66-00
'1 370.N2jLot = 12,685 sq.ft.
House = 2,256 sq.ft.
? ?? cr Feme,5
,p
V?ycn Po
CERTIFICATE OF SURVEY V 1O- 6 6- O O
for
VARIETY HOMES _
-, .
`c,
? f JU/9
.
b'Z•q Z N 89'43'35" E
98.91 ?- - -
? o ? ? ?.??'?ZI Lot = 12,685 sq.ft.
? QbZ•92' ° House = 2,256 sq.ft.
` ? - 5?-? - -?--- ? ?1 5 ?T.14T'ORq???E ?t8s???
? Drainu tlit & o^, I ''o F'Dk0(4T o-}ApM V
easement ? ? G°7a C,ft?aN., QAo E.
N?gssan I 1ZE 1 s- U- ? ?+?,?'?z
0
°
88.00 r 13. ? U1
Proposed house ` -?' I I
?-J °: ?O e2 ?0.00 Gar I b7 Bsmt el 845.40 k W -:
N caI
m ?o El R ?
Top $ o
0
? . .I ? 10.00 Blk VZO &00
m ?
' I N 20.00
+? ? 16.00 „? - ?
;T" }i4 s Z? ? v g 1 Zj0% 1As 9
? • ' ? ?? Ll°
?_--
;
?----
N ? ?---?--
.a
52.22 = 48.22 •/7 ?
8 43'30 W ? = 9p0.00
?
`n - ?.,{??S?i? '?,?p j i???`- ?
? n gswood Pands Road
?
..
E V E 7 ??
i Date
?T?iT EA.G"LNEE?ING DEPT.
s
'
.r.
Scale: 1" = 30'
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of ota.
Date 10 2 Reg. No. 8140
26V 11AVIZ2000 Rlz%i OM14Y1`ky 'I2FV >)
?5.61
_Kingswood Ponds Road
DESCRIPTION
Lot 10, Block 3,
KINGSWOOD PONDS SECOND ADDITION
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? E)<i ts g j Proposed
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(612) 435-1966 V10-66-00
L, I 06 3
WAIVER OF HEARING #557
Special Assessment Authorization
UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to
assess the following described property owned by me/us: Lots 1 through 3, Block 1; Lot 13,
Block 2; and Lots 1 through 11, Block 3, Kingswood Ponds Second Addition, (236.48/Lot =
$6385.00 = 27) for the benefit received from the following improvements:
ITEM QUANTITY
Water Tiunk 5 lots
Lateral Benefit
Sanitary Sewer 100 f.f.
R.ATE AMOUNT
$865.00/Lot $41325.00
$20.60/f.f. $2,060.00
TOTAL
$6,385.00
to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid
ba}ances.
The undersigned, for themselves, their heirs, executors, administrators, successors and
assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of
any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and further waive the right to object to or appeal
fi•om these assessments made pursuant to this agreement.
DATED: G ;
OWNER:
HORNE DEVELOPMENT
CORPORATION, a Minnesota
corporation
14 ? z-?-
B : James B. Horne
Its: President
I
WAIVER OF HEARING #557
Special Assessment Authorization
UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to
assess the following described property owned by me/us: Lots 1 through 3, Block 1; Lot 13,
Block 2; and Lots 1 through 11, Block 3, Kingswood Ponds Second Addition, (236.48/Lot =
$6385.00 = 27) for the benefit received from the following improvements:
ITEM QUANTITY
Water Tnunk 51ots
Lateral Benefit
Sanitary Sewer 100 f.f.
TOTAL
RATE AMOUNT
$865.00/Lot $4,325.00
$20.60/f.f. $2,060.00
$6,385.00
to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid
balances.
The undersigned, for themselves, their heirs, executors, administrators, successors and
assigns, hereby consent to the levy of these assessments, and fiuther, hereby waive notice of
any and all hearings necessary, and waive objections to any technical defects in any
proceedings related to these assessments, and further waive the right to object to or appeal
from these assessments made pursuant to ttus agreement.
DATED: G ?
OWNER:
HORNE DEVELOPMENT
CORPORATION, a Minnesota
corporation
I
B : James B. Horne
Its: President
.
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA )
On this ? day of 1997, before me a Notary Public
within and for said County, personally appeared JAMES B. HORNE to me personally
known, who being by me duly sworn, did say that he is the President of Horne Development
Corporation, the corporation named in the foregoing instrument, and that said instrument was
signed on behalf of said corporation by authority of its Board of Directors and said President
aclaiowledged said instiument to be the free act and deed of the corporation.
Z?
Notary Public
?za ?-e?
APPROVED AS TO FORM:
Ci'ty`Att rney's,0
Dated: /? r f '?''
_ , - ?-
?
APPROVED AS TO CONTENT:
?
.,
Putilic Works Department
Dated:
THIS INSTRUIv1ENT WAS DRAFTED BY:
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(612) 432-3136
MGD/wkt (206-15236)
` EXHIBIT "D"
KINGSW04D POND?S SECOND ADDITION
,
NORTH %
;
wuot orM Hs •net ac' i«e?w ?
iw r..i e,u.nr f u. NN eemr ? s?ry• yo?nwtwr ?cr, iwo
.f a,b, A. ..,Os „? ,? bpna,. FINAN(.IAL OBLIGATION ? wM ms msi ; i
DRNNACC AND UTiUIY EASEMENiS I b/?i q` ?•?M (N.GV.0. 197p OATW) LEGENO ?l? ?MNT ?? ?•
4 O onuws[
M rma?im . ?.J ?
E SNOMN AS TNU$; ?? Q. TIE [A51 LlliE Of ME NdiM[ASf
? ?• pJ W.R,? ?????, r?. ?„p. ,?, mupmnuu Lateral Beneflt Sanltary Sewer Wf-r s,.?xa vam a mc ?i???,¢
STNEEi ,y. ? IIxG. 2J KST 4 ASSWCU 1p p[M A[CpIpMG?tOSY YMII[SpfA Si N1[; Y10 1??``~?
? +" • ? N0079'OI"Il. ?'?4?
MNCM SN/iLL EE W 1YACf WMIN WC /?a h
iaro7 ?(- Zio.ao ? I . Water Trunk xM n nti ucannc or ms ouc 6.00 ? ? ?4 1 ? i ? / •/
wl Jlam
,a g?? ? ?? , ,.,...,... 4 ...,.....?,..,
L l
?M L.? a ? S40.34
-- - ' '
I
e[s.o e rtcr w wom. uruss onrcRarsc ? j9? -.•1 ?' '?' -- SOC'°f .fTi •• ' ,•'
MwcAi[o wo w.Rwne so[ wr !KS V i 1 / s ..24,,?a (8? ?? ?
ra !fM 10 R[r N Mom. IMiI[Ss
0nH4-9 MdGRD. uiU MJOwwC S1N[R I
rw Kw wr ur[s As sxo+1 w nc rut ,? fl? JF" on•w? ? ? ati u?` roo+r..r,m? :.'W.?9'R.r ? .• _
i, ! , j ?, ? ? ? L? "ae'Fm JY'.?u.:'wx+? yy!'11•7Pf fN.?9 - 'ig ? ._.
SO!'Oi.?j 3J1.00
0
h•-
, ii, ?`• ,a. ,61.711
+
? ???IyV?
, ? '? ri?p W I? M 1??M114?? V
` O M? I I2]]
,?. t1J' ??w? wv?an? ?attOwMla ihw%?.
ii..u ??rLy?. ww,oi r ?.1.b. `` +.•-an ?. M U l? y7 ? 1 a
- ---------- --->- .m?
fr, i a?.o7- - - - . '? . ? f•.?'a a ?• a?,?t'? Fy ? ? +' . ? K'I _...x LI . ;: .
??i ?? ?D` r•
f • ?a / ? i f-- _ iA7T-' ? l -
• ?
. ,•. r . n ? s:•-? » - -_ ?n r r,4--_-' „
? ? .r '&,? ? ? ? y?, ^ a r i/ i ?%?E??Y _ •o.».m ?F`- .,.w ' y ? m;K? :
? ?__SAC77Il?3_____? ' ?7 1 1'a .'•.' ? .ri " ? ? 1 ? _ _ ? _; h
B J?l. 5 10 -V
a r--- ??aa----.r??; ;;+--- , ? 'S S?'?'dr ",• '•-' i ti.r?'0 1 b? ? F? ? 7 x r"-" p ? i 9
e .y1 U ? ? YM• '? ?
? E.U I . W?ly I? ? xa p ? ?Yy / ? 1 r1 ?61 I t .?y
? 5 ry, 6 r i , `a. ?
? i vw -? ? ,;; . r 1
?a ? .? 9m'IS o'C tr = b 1 H a11 .. ? .. ?• - yM1?? .
?----?-- .,= '' 4 a •? d?r ?? ?
+? a r •e-w•..•?r T> r--??a-? --? r--?n.n--? p',°7i? 2 ? i- 3
Q . I ' R-eoaoo.:? n 1 1 s' ? I ? q
. ? al I
SMbf
(1
a _ ' _ _ _ _
Tr7.i: 1 ? ?f1?11
L---- _'i_-_ ? '!q
Yn:-? 95
1
• 1 l-JG1f ?'}.? ? I 1 ? 1 ?,??? ?9?? P R So033 ?1-
i 2 LO=9 J` ? ?\q ? ?? ti ? i _? `-__ a n°°!'.? -• f"Y`Oir'4 ? ---- 1? ??(-? ? ? i ?
F-' ? ? ^??]S"?-W.;-'?,,,?ASxi'y.• ?? r ?\ 1, _, ?"?m? pdwn?-- -[lof?
"Ppl`1D
; , r_- „8• 1, ? ? ? Isr». • aw ' ' G?? ]3
c
:A? z?a'4rvc
.?
7 ?? I-? ?? ?. O•le1•?f?:?l ?? I S C?? ?' dQ d
?`US.?•tr 21 .? _
{ .
• ' ? .q t es' ? -....?s?.s.N....?..,. A `') J
1 ;_ a1i.n_- ??._'us? ??.orl 3et.f7 --- ?
._.?
__'______
_
eorsa'rr¦ n?.a--- a '? ?? ??a•mr . V?4 t NOO?aa'irr ree.oo., --------- `---4 a / ------- ---
- p --- a
---- -- - -'-- -- - - -- -- --- --'-- ---- - -- -, --'--'-- - IWIIWWIUI???. ? -ora.•sn- r.
-?----------
- --?---- -- -- -- -- - ?--- -- -- ---- - v? ? ?-?nro?:tr
#Qif-s,jjit+n
l_._ n. ? s mn.. a 1
?n.ees rawf ?n ?x `.•? aLSCC? , THE MP?77, G T 73 SEI/l w. LmE 0F T1F NE11{ Of ME NEt/4
? Ci 5(C, pl. M9. 47, pnG 23
...:'ti` .... .. ..... v:"A,i ? ?.:. ...?._ ? C'?3•• A'}`?..'.i:::T
'i
i?:?{i ?:. .::RY. i't...l :•:::. ::?-:71 ft?ti:?I :if' ,??. .....tIl.?t..:•:
CITY USE ONLY
L L
, SUBD. ? o d!v
RECEIPT#: ?7 0?
RECEIPT DATE:
PERMIT# W ! 7 I ?i
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, PMI 55122
651-681-4675
Piease complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH tl
TOTAI
Alterations to existing dwelling - minimum fee
Describe;
-? $ 30.00
Beth tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum =1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
5eptic System new/refurbished "requires MPC Iic. 75.00 X = $
Septic System abandonment 30.00 X = $
RPZ new installatioNrepaiNrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dweiling is under construction 3.00 x = $
Underground sprinkler ifexisting dweiling 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 $0.00 X = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> --> $ .50
Total -> $ ) C)
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------- - -----------------------------------------------------------------------------------------------------------------
lhereb ack ---- -
y nowledge tfial I have read-this-
-a-ppf'icaation, state that the irdortnation is mrrect, and agree to comply wdh all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liebility fnr any damages caused by the City during its
normal operetional and maintenance activities to the facilRies constructed under this parmit wRhin Ciry property/right-of-wayleasement.
SITEADDRESS:
OWNER NAME: : ? TELEPHONE #: 6,-az- La-lenoo
(AREA CODE)
s
INSTALLER NAME: ? ?/ItfJIE"! TELEP ONE #?S I"VS C?'- 1670
(AREA CODE)
STREET ADDRESS:
CITY:
SiGiVATURE DFPERIUIITTEE
CITY USE ONLY
LOT O BL ? PERMIT #:
SUBD. RECE[PT #:
RECEIPT DATE:
'q/ 7 9
'V 7ia
7-19-oc)
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQROB RD
EAGAN MN 55122
651-681-4675
Date:
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
9 0?1?
.50
$ TJ 51)
Complete this section onlv if you aze remodeline, adding to, or revairin? an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
Furnace
_ Air exchanger
_ Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME: - ? PHONE #:
(AREA CODE) _
INSTALLER NAME: PHONE #: (",EkCODE)
STREET ADDRESS: 1S?O;J (1A/}N lQ.l?
CITY:
22JZ_ ZIP: '5y0w
SIGNATURE OF
L BL
SUBD.
APPROVED BY:
INSPECTOR RECEIPT DATE:
2000 MECEiANICAL PERMIT (CODMERCIAL)
CITY OF EAGAN
3830 PII.OT IQdOH RD
EAGAN, MN 55122
651-681-4675
Please complete for all commercial/industrial buildings
mu1G-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ lnterior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, cal! 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of conhact price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee .
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: 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:
CITY USE ONLY
PERMIT #:
RECEIPT#:
SIGNATURE OF PERMITTEE
fl- 00
oc?
?
2006 RESIDENTIAL BUILDING rERmiT arpLicaTloN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FP,X # 651-675-5694
New Corrstruction Reouiremenis
3 registered site surveys showing sq. R of lot sq, il of house; and ail roofed areas
(20°k maximum lot cove2ge aliowed)
1 Soils Report ii proposed building is to he piaced on disNrbed soil
2 capies of pian showing beam 8 window sizes; poured found design, eta
1 set of Eneigy Calculatbns
3 wpies of Tree Preserva6on Plan'rf lot platted atter 711193
Rim Joist DehaA Options selection sheet (buiidings with 3 or less units)
Minnegasw mdianical venlilation form
RemodeUReoair Reauiremenis
2 eopies of plan stwwing footings, beams, joisfs
t set of Energy Calculadons for heated addiGons
1 site survey for additlons & decks
Addition - indicate if on•sne septic system
2 2 09 ?
0 , ft 35sB o, niv
?rtof?ti?eqReaf ? : Y ;N
TreePAVFlanrR
mPl eGd Y 'N.
?reePres?YequS?ired X t?.
t3n?rfd SepUa st?a ? $ Y._N
Date ?0 /
Site Address ?
?{ S"1 Construction Cost (0) ? ) g'
?G+inq S w D oc? Pd Q wVip0 k Unit/Ste #
Description of Work <t vt V U0T
Multi-Family Bldg ^ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?.A v Gu, LQ Telephone #( Ip S ?) (0?3 ° 7U
Contractor ( 1Q,11/?I?QGC(t d'G? ??/I;;S?Gte--{7d/?
_ . ,?y? ?/ ??/• /? City J ? /?Gv'Cf-f-PJ?
Address ,hC94f7
State !7) A? Zip 06 F.2 Telephone # (//67) ?i! 3?i. 5/ 3"ao
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Cade Cafegory , Residential Ven6lation Category 1 Wwksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Caicula6ons Submitted
in the Iast 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Pernut and aclrnowledge 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 permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. '
*??44 S,& ko-y,?- &Xl-e-
Applicant's Priiited Name Applicant's Signature
City of Eagan
PERMIT
4111' C!ty
of
Eaali
Permit Type:
Permit Number:
Date Issued:
Building
EA106161
08/14/2012
ePermit
Site Address: 1459 Kingswood Ponds Rd
Lot:
PID:
Use:
10 Block: 3
10-42051-03-100
Addition: Kingswood Ponds 2nd
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
Surcharge - Based on Valuation $4K
$103.25
$2.00
0801.4085
9001.2195
Total:
$105.25
Contractor:
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
- Applicant -
Owner:
Noel C Thompson
1459 Kingswood Ponds Rd
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131894
Date Issued:07/13/2015
Permit Category:ePermit
Site Address: 1459 Kingswood Ponds Rd
Lot:10 Block: 3 Addition: Kingswood Ponds 2nd
PID:10-42051-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Stephen T Kane
1459 Kingswood Ponds Rd
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature