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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 ? ._. 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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