Loading...
1463 Kingswood Ponds RdAddress 1463 Kingswood Ponds Rd Zip 55122_ LAt 9 Blk 3 Sub KinQSwood Ponds 2nd Addition 'F?IESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: -aLl -00 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) ? Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass ? TraiUcurb damage ? Porch ? Basement finish ? Deck Please verify wit6 the builder the removal of roof test caps from the plumbing system and ffie shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy .?? UJ --+'- 1-4 c.? 9 1-f -?)- 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EAGAN 3830 PI 1 651-68-46 5. 55122 v? "."' sa s-co Remodsi/iteoair iteaui? ? 3 reylstered tife wrveys ahowinq aq. M. o( bf. sq. fl. d house 2 copiea of plan and gUroofed creos (2096 mmdmum bt coveraae albwedl 1 set ol energy CaladaHOns (or heafed addNlons ? 2 Copies o( plaru (ahow beam 8 window sizes; poured Ind. deslpn; efc.) 1 site wrvey lor extedor addiflona d decka > 1 set ot energy calculaHOna D 3 copies o( free presenatlon plan 11 bt plaMed adter 7/1/93 nntE: 3 - Zg - a o DESCRIPTION OF WORK: 5 . F:: ' 'b- CONSTRUCTION COST: I-7 S, Ob C7 STREET ADDRESS: 14-63 K1 NC? S kr o o Q Pa iv L-\ 9.CAI?> LOT: 'I BLOCK: 3 SUBD./P.I.o.$: K?NUS waoo PDiI.76 Z Name: RONC-; ff-,44c!?-4 4f0`y)5T I?C- - Phone #: ?0I Z_-" 87S '-"963 7 PROPERTY Laff First OWNER Sheet Address: city LM.t:-: U(tA-0 state: M? zlp: SSo4 4- • Company. I`?Or?? 1??6-tT -• `?? Phone #: ?91 Z 8 a S c1 S c (area code) coNrnncroe Street Address: C.ALE V IE W ?-?- ucense # 13??? Exp• 3/ o 0 Cffy State: 21p: ss?"?- ARCHITECT/ ENGINEER Company: fi lra,f1 `l2 GlZ Tetephone #: ( ) Sfreet Address: RegishaMon #: D CNy State: Zip: Sewer/waterlicensedplumber(ffinstallinasewer/water): Ey--c-, • Phone#: ((n) Z ) -7 2-0 -?4'S4' I hereby acknowledye Ihat I have read this applicatbn, atate Mxt Me Infomwfion is ect, and agree to comply wNh aA applioable SfaEe of Minnesota Statutes and Cily o} Eagan Ordinances. Signafure of Appiicant '^- OFFICE USE ONLY `- Certificates of Survey Received -`- Yes _ No MAR 2 6 ' Tree Preservation Plan Received _ Yes _ No =?=?Not Required q5 Name: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ,O r01 Foundation O 07 05-plex O 13 16-plex El 21 Porch (3-sea.) ? 31 Ext Alt - Mutti ,35, 02 SF Dwelling O 08 06-piex ? 17 Garage 0 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF O 03 01 of _ plex O 09 07-plex O 18 Deck O 23 Poroh (screened) O 36 Muld O 04 02-plex ? 10 08-plex O 19 Lower Level O 24 Stom? Damage O 05 03-plex ? 11 10.plex Plbg Y or _ N O 25 Miscellaneous O 06 04-Plex ? 12 12-Plex ? 20 Pool O 30 Accessory Bldg. WORK TYPE ,k' 31 New El 36 Move Bidg. 0 43 Reroof O 32 Addition ? 37 Demolish (Bidg)' 0 44 Siding 0 33 Alteration 0 38 Demolish (Interior) O 45 Fire Repair 0 34 Repair 0 42 Demolish (Foundation) 0 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0) # of Stories 2 sq. ft. No. of Units _ I Length -75r sq. ft. No. of Buildings ? Width 32. 2 s Footprint sq. ft. Const. (Actual) ? F& Basement sq. ft. Census Code f a t (Allowable) ---cw Main level sq. ft. MC/ES System UBC Occupancy &-?14u-? sq. ft. City Water Zoning R- t sq. ft. Booster Pump PRV ?s Fire Sprinklered MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS Planning Building CG Engi neering Variance Permit Fee Valuation: $ 1 6Sr, 6 GG aurcharge ?. Plan Review License MC/ES SAC 3 20 y4 3 U= 1 ? 13y6 r , s =zv, ciry sAC : ?6 13,r 2 Water Conn. Water Meter ?^,N ?? y6 ?B ?2 6k y , Acct. Deposit S/W Permit 9, -4k Fld?r S/W Surcharge 3,i,h30 = 11,4 0. 1166 +SK ,s62a6N Treatment PI. Park Ded. Trails Ded. Other 3?{ X2? ,_ ? y?( Copies : wY _ 7h( I26 rotal: SAC Units % SAC C.H. CRRPENTER LBR. TEL:612-447-4042 Mar 28'00 13:51 No.017 P.01 =TBRIOR ENVELQPE ENERGY CODE COMPUTATLQTI WORKSFEE7 To Detarmfne Compliance with the Minneaota Energy Coda . (Sectian 502 of the Stata Amended 1969 Model Eaergy GoQe) ?' ,?? „ ro? ??r?r?c?. ... ,:..,.. ? Sitc AddEeee. 1. 87POSED WALI, CALC[JLAT[ONS , . ? . . ? • . ? ; AREA •U" VALU$ ARPA x'U' A. Opaque WaJ) 1, Meaanry/Concrete ' . b. ..,._?.. x ??. ? , . c. x # . 2. Foundatioa Wag , ove dr e ?- jo difiLe-1/ 103-32, x ." b. x = 3. Wood Frame WaH a. Insulared Area 6 Framin Aeea (Ava 1$96 et 16" oc) .D/ x 4 ,;684 x '01jr7l, ?? « • •3/ « . g 5 , ? c. Framing Area (Ava 109b at ?A" oa) x . 4. eeriph t r d Joist /?..? ?. a /Ap/ b, x = B. C3lazing , "`- 1. Windows a, x • (?_ " ?ds? b. 2. Doora x x . : ?:. ?? • ?? C. Doors 1. wood a. 3olid x ? b. Wirh aro ? or x /f ? j 2. Metsl ?. ! --?- -? 3. Qverhea x ? 4. Othar ' x . ? - D. TOTAL WAL.L AFtEA, sq.fL......... _ .................. E. 'POTAI.OF AR.EA x '[]"............_......_ ...........................................»....»..,,.. .»..................« U. ROOF/CEWG CALCULATiQN3 A. Raof/Ceiling Insulated prea gavf gf) x ? H. Roaf/Celling Framing (Ave. 1396 at 16" oc) x : b C Roof/Cbiling Framjng (Ave, 109G at 24" qc) D. Skylight x . E. TOTAL ROOF/CEII.ilYO AREA aq.fc ......................». ?11,64c62 F. TOTAL OF AREA x `U' ..................... ....... .............. ».......................... .».....?......... .... »............ ».... .. ?.? IL, C.H. CRRPENTER LBR. TEL:612-447-4042 Mar 28' 00 13:51 No.o17 N.U2 111. BUILDINC ENVELOPE RF..(jlJiItEhtCN7'S 1'U7'AL AREA tiEQUIREp "U" ALLOWABLE (From I.D. de i?.E) (From V,) (Area x'U') A. Fxposed Wali: B Roof/Ccilin : dn s ? •// e ? . g x C. 'C'OTAL ALL.QWARLE BUILbINC3 ENVELOPE (7'otal of A dc $ above) ............... ?., ?9•3,? Iv, ncrvni, gUn.nINC ENWt.orE ACi'qAL (Ara x'U•) A. Exposcd Wa!! (From I.E.) . 77 B. Raof/Ceiling (From I1.F) C. TC?TAL ACTLIAL BUILnING ENYELOPE (Total of A& B) ...................................... •`?. •(Meers coda r+equtrements if less then !ll.C) V. REQUIRED "U" VALUE$ betached one end two famity dwellings WALLS ROOF/CElUNG .11 C: J" " Multi•Family'Residanti:tl Buildings (3 etoriea or Nem in heiqht) .238 .026 ' AU Othu wnstructinn Tyhes (3 stnriec or leas) .238 .06 ' All Othet Constructinn 'Iypea k'More Ihnn 3 stories) .28 .06 'Ba,ted on 8007 lieatinq degree duyr (Mplr. /St, Pauf) Adjwt "(J" Vtrlua uccorcaingty for other /ocarionr t hereby certify that ! have complet4d the abnve information and chat it complies with the Minneaoca State Energy Ca 1E244La) DCSD 4•93 r..C/S M/b57a ?• LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: Zw-, 5 h DATE OF SURVEY: 3-21 F4 ?? ?.? LATEST REVISION: (Z cz DOCUMENT STANDARDS ? Q O? Q ? • Registered Land Surveyor signature and company ? ? • Building Permd Applicant ? ? • Legaldescription p?g- ? • Address ?/p ? • NoRh arrow and scale ? .? • Hause type (rambler, walkout, split wfo, splR entry, lookout, etc.) ? a : Directional drainage arrows wRh siope/gradient % ? Proposed/e?assting sewer and water services 8 invert elevation ? ?a ? • SVeet name ?' ? ? • Oriveway ?p ? • Lot Square Footage g/ ? ? • Lot Coverage ELEVATIONS Existina ,e? ? • Sewer service (or Proposed) ? • Property comers ? p • Top of curb at the driveway * ?? • Etevations of any exdsting adjacent homes ? Adequate footing depth of structures due to adjacent utitity trenches Prooosed ? ? • Garage floor ? ? a • First floor o ? • Lowest exposed elevation (waikouUwindow) ? • Property corners m? ? ? • Front and rear ot home at the foundation PONDING AREA (if aoolicable) ? ?? • Easementline a ? • NWL ? ?? • HWL ? m?}? • Pand # designation ? ?? ? • Emergency Overflow Elevation AMi"T"zOw /DIMENSIONS la' o? • Lot lineslBearings 8 dimensions ?? • Right-of-way and street width (to back of curb) o? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ?? ? •' Show all easements of record and any City utilides within those easements ct? ?? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ???o • Retaining wall requirements, rf any Reviewed: / Oate AAarch 7968 CRAIOfBLDGPftMf.FM pt RoBE NCINEERING CONSULTING ENqNEERS, RONGITSCH CONSTRUCTION PLANNERS and LAND SURVEYORS PROJECT N0. 9534.00 eooK 3ov COMPANY, INC. PAGE 57 ? 1000 EAST 146th STREET; BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY Legal Description: LOT 9, BLOCK 3, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA. I yO,? DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION -+---- INDICATES DIRECTION OF SURFACE DRAINAGE 52,00 - FINISHED GARAGE FLOOR ELEVATION 8¢7167 = BASEMENT FLOOR ELEVATION 856. 34 = TOP OF FOUNDATION ELEVATION (nT rz6Arz ar- N9v5o SCALE : 1 " = 30' gelcH /yJ9? ' 74/? oF SA7? id!!f egA/ ? dPPoSrrE Sa?uvEST&zzy 47T' (?WA144Z 7, = 84-8. 30 AoDRe55: 1463 KIN65WD0D 120AI05 RO-Ap Lo7 A&?A =13, 606 SQ, F7- 11odSE ARFfI = 22/3 SQ, F,T Dp?eway _ roaH SQ F ; Yorac coy%A,w- - 3Z/9 sz?, FT, Q3,7,0 ?SbS? N? 29? 0 LOT 9 ? p 5 -.i . -ti 7f= v,c Sta,? ?y6 ?; --- - -- -_--- : z ? 8 59-4 - - • - ----+a l o m < 4; ; -- ? 0 Q) rn ?--i PO iz 44.00 iD o cw,zss Gi CO? 36.00 o i cou,¢sE - 8" eu? o co p =? 3Ex7RAcOV?¢fE PROPOSED N1o0 m "I ?J -A GARAGE ? HOUSE,N ? ? ?v ? DRo?$'G N ..14vo-SroRYo ?. 86 12.00 0 0 o 24.33 30.67 z a 13.00 0 $?Z? ? g5t,y? a? b •3 BSo.?5 o? ; ? 75.4 ?woojn/I a S86'45? 1"W ? ??`66• 0¢2g 5 ? 5 g., sss'a5' t"W e? 67.2 INV,. _ 8,gsa' S3o ? 47,20 5?sy _12' 52' 11 63.07 ? 54-7•0 p$q?? 3. 3? ? S89143 30"W 30 tAH. ? KINGSWOOD PONDS RO'AD ? /N??J" EXPaSE? .5'•v/? ?/cs?iFi? ?o?o?Io ? ? = 84o.9 I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepored by me this 977H day of MA2,'11 , 2000. ¢-13 - rzw :,7Ev?5? - Ar/d 7j?PE CdT Ay-t il S.nAs7 60 7 co0EiZ4<0 s? Aef&,6r-Minn. Reg., No. /90x? ?/.'?f2r EGE?r'9Y?o?', . 0-1 ?1. ? A PaC_ . J - / --•/ A' / ?---??? ...i. ?.t?a?.;..?? ?.°L'+{?t..?`?1.'vTEI ?'?.?i?ING DEPT. ? ? , 86ci3 ' 863,0? N88'03'16' E 863 0 (Rb5.31 92.75 !+{Y L ? SUBD. 3830 PILOT KNOB RD EAGAN, NN 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACN # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ SBptIC SyStem new/refurbished * requires MPC Ilc. 75.00 X = $ SeptiC SyStem . abandonment 30.00 x = $ RPZ new installationlrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 X = $ Underground sprinkler ifexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Watef softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ 3 0_ 00 Water turnaround 30.00 x $ State Surcharge .50 -> --> --> $ .50 TOtal --> --> --? ?> $ Q _ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------------------------------------------------------------------------------------------------------------------------------------- ihereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ell applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no Ifability for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under this pertnit within Ciry propertylright-of-wayleasement. SITE ADDRESS: OWNER NAME: :_ dR O'F/ 1J TELEPHONE #: 6 S/ 10 &-?y ,?o lo (AREA CODE) INSTALLER NAME: Yrlr &,O-? (?0- STREET ADDRESS: arY: 2 CITY USE ONLY BL p?s2? RECEIPT #: RECEIPT DATE: H-00 PERMIT# 4% (-? 2000 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN TELEPHONE #: 5/`y 57- -oZ 9 C/L (AREA CODE) S 52177 -.L9 ' SUBD. 8000 PLUM$INf PERMTi' (RSIDENTIi4L) crrY oF EAssx S$SO Pll.OT KN09 RD f:R&AF, MN 551 EE 651-691-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL ,?,._.._.:.,,,. to ?xiating d?.,elling - minimum fee nltC? au?n w Describe: $ 30.00 - I ? Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum -1 o r W la 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ GO Laund tra 3.00 x = $ 3 Lavato 3.00 x = $ S2 tic S stem newlrefurbished ' requlres MPC lit. 75.00 X = $ • Se tiC S Stem abandanment 30.00 X = $ ? RPZ newinstailation/re airlrebuild 30.00 X = $ ? Rou h o enin 1.50 x ,:3 = $ ?U Shower 3.00 x 1-12 = $ Undef round s rinkler ifdwelling isunderconsWction 3.00 x = $ ' Under round s rinkler if existing dwellin Waterctoset 30.00 3.00 x x = = $ ? $ Waterheater 3.00 x = $ a Water softener If dwelling underconstruction 5.00 x = $ Watersoftener ifexistin dwemne 30.00 x = $ Water turnaround 30.00 x $ ? State Surchar e .50 --> ---> ----> $ .50 Total Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. C??• ?! - • --- •------------• ---- • --•-------- •-------•---•-------•----• ---• ----• ------ •---• •----------------------------------------------•------•----- 1 hereby acknowledge that I have read this application, state that the information is correct, and agree tn comply with all applicable City of Eagan ordinan^es. It is the appliwnCs responsibility lo notify the properry owner that the City oi Eagan assumes no liabiliry for any damages caused by the City during its norm3l operalional and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. ? SITE ADDRESS: I y(d.3 irl !?e-'5600 dl 4011 OWNER NAME: Lgf1S&r uJ d-Uu TELEPHONE #: ? • (AREA CODE) INSTALLER NAME: TELEPHONE #: :Z6?249Y'7&66 --.00W0MWM--? (AREA CODE) STREET ADDRESS: cIn: t z? U CITY USE ONLY BL Lna,swoacl poh& 2nd RECEIPT#: RECEIPT OATE: -7--/I 'w PERMIT # %7 w _ ziP: ,5J 3 OF PERMITTEE Cl'1'Y U5E ONLY " n LOT _? BL ? PERMIT #: o(a_ suaD. ICinqSWfod ponAS 1'tl RECEIPT#: RECEIPT DATE: 7' I d- aC) ,- E000 MECHANICAL PERMIT (RuIDENTIAL) CTCY OF f AfiAAi 3$30 PILOT K1V06 iiD 7 I 7+? D? BAHAN M1V 55122 651-6$1-4675 Date: Complete this section o?elv if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) 6•00 ? State Surcharge .50 Total $? ?0 Complete this section on if you are remode, adding to, or Mplacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New _ Replacement Furnace Air exchanger _ Other _ Air conditioning Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 Reminder.• Call for final inspection. SITE ADDRESS: 1?1b 3 A'/n5c?OC>ld ,p z OWNEANAME: !/?hq,'SfC 4 l, Wh4/y.C4?On PHONE#: / l (AREA CODE) INSTALLERNAME: X-o? ?UYc?6r PHONE#: '55 7 _ 6STREET ADDRESS: 3 a C3D ra , ?/ b?v V^ I? SAv e (AREA CODE) CITY: .-,,L -a-a s--;, STATE: Al /Y ZIP: SS0 FS ? S NA ERMITTE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CHA1VlCAL f'ERMIT (COMMERCI1kL) CiTY OF EAHAN S$SO PILOT KNOB RD EA6AN, MN 55188 651-687-4675 Please complete for: all commercial/industrial buildings multi-family bUildings when separate permits are not required for each dwelling unit DATE WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When installiteg/removing underground tank, ca!! 651-681-4675 for inspection by fre marshal and plumbing inspector. Description of work: Fees: I% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: - (ARiiA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN TH1S SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: CITY USE ONLY PHONE #: - (AREA CODE) STATE: ZIl': -` SIGNATCJRE OF PERMI'I"TEE L`1+33 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 Trunlc 5 lots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865.00/Lot $4,325.00 $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 balances. 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 fiom these assessments made pursuant to this agreement. DATED: A OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota coiporation , 14 7-?- B : James B. Home Its: President WAIVER OF HEARING #557 Special Assessment Authorization UWe hereby request and authorize the City of Eagan, Muinesota (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 tlirough 11, Block 3, Kingswood Ponds Second Addition, (236.48/Lot = $6385.00 = 27) for the benefit received from the following improvements: ` ITEM QUANTITY Water Trunk 5 lots Lateral Benefit Sanitary Sewer 100 f.f. RATE AMOUNT $865.00/Lot $4,325.00 $20.60/f.f. $2,060.00 TOTAL $6,385.00 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid ba}ances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal fr•om these assessments made pursuant to this agreement. DATED: ? ? OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota coiporation 7 , B : James B. Horne Its: President STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this ? ? 1997 tary ?G day of ?' ;,? s- ? , , before me a No Public within and for said County, person* appeared JAMES B. HORNE to me personally lmown, who being by me duly sworn, did say that he is the President of Home Development Corporation, the corporation named in the foregoing insinunent, and that said instrument was signed on behalf of said corporation by authority of its Board of Directors and said President acknowledged said instrument to be the free act and deed of the corporation. Z? Notary Public APPROVED AS TO FORM: ??--_------ Giry Attorney's; Office Dated: ,/, - ? ? APPROVED AS TO CONTENT: Pulilic Works Departrnent Dated: THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley MN 55124 (612) 432-3136 MGD/wkt (206-15236) ' EXHIBIT "D" ; KINGSWOOD PONDS SEC4ND ADDITION NORTH a+unAcc rrm unun cnscuEMis ME SNOM/ AS TNS: Sm[ET 7 ? f Z !oo 'aoo) J t?nm L ? ? . i REM tM ? ![IMO ! RCl N wUM MLSS OM[Il'MS[ INGCAio Nn AoJminC 5D[ tor VLS /ND Kwo 10 R[r w rDM. ua[st y onnrt.st .auao. .rro w?..c sm[[t ANW ICIa loT uS1 n Lqw* d M'lA; ? 1 " s00'6$'0!'I 1dI.01 -.. ____"ni.oT'_'_ 4 ar -- e? r---Tr1.i ? 3 ? wnoo 4 •?ae? eo• ro?.cw 150 ?s° ; ; ? ba FINANCIAL OBUGATION Mnt ns vns ?' "°"""`"""' NO , ,, , at . R[Y . 0.S0.G{ (N.GY.D. fY]G pANY) EN t 112- YoMlufMt ld.W, LEG D . oTHEll WDICArza S^ !,y ? ' 711E EASi UN[ Of T1[ NpfM[A51 WMfCA Of SCCTON 71, iMP, 77, iiii,i,iiiinm Lateral Benelit Sanit ary Sewer -l )CARS uOViAr(NR IYl ![ RT C e : r ? ? m+ xooc.7s':ao1'?[w. sr n aswwco m xu? . Aaoxowc n umuaou suwnt uo K 0 L a . Water Trunk 1 M 91NL ![ W R.C( MMW UJC ? ? f` •.. , , ' , • •.? g 4 .i?, ? Ai.... ..? .. ? ....?. ^•]4.10 v •- r' "f ` :+ ? 1 "L C,yNI •: 9 , ?o, ? V ?NOOUI??I_ J ? : --?rar-- a Sli M? s io - : ?__:°:°-.•=?-_---?? ?? 9 .--- ?s.s,-------, 6 k ? ; ? ,?• - ? i U?? 5 ? • i ° i_n ?J ^ . 2 ; ?: .;. ? ? • r.- 1-, ?_? ? I ?n]'y?? ^??-?1 n?l.y?rp,• ? ? .: f'" :.-?'? -i?);r_ ?-?• ?,..? ?, 7 a ::: •.. 4 - lr • ? 1 R `l ` p --- MOmU'frW 4?4.e7 --- - -- -- -- -- -- -------- ---------- ?"? N? u? v mnm • •.saw ?ee! ruar .s? ...:'I:'...::.i Y. i:i.. ..i? ....:. Y.Tr..iY i?iii!i7 Si;' :r:+.'i i'i..% i i•li:. 'iS c W( I10.? ?- ? I ? yyb'ff•70 'L '? @? .ars '_' 3W9 ?s» ia.?e ) 1132 f2.] w??s?.t M? ?. ia??•??.? 1 •? . ?rw?w u? '? ra ?w mrn II M ?3J t11.51 Al *pura > ! M1R1? M O I IY .? I N U 'J 1 A ? i.J? / 81 TIU??????,`IL???? `?y lO L ., . •= ?i ?, r -_«?__ _,i'? ?_?•.n.?= ?,Nm ? . gs; I I°w'?rt WI 1 YI 1 I 1 ;: 1 1 'M '•.• F'? ? / ySry / ?' l ? , [ Y`11 b1 6 p.? 1 ?, ? 7 AA PSr_ -I '1 R I " ? 9 ?W' 1 .7 11 e I I J 'el ? ¢ 1 1 1? i? I, I ::L? 1 A_ l? FZ s ?Sl? e. •••• ? 11._.. . 11 ?3? - ,? ? ?-•i ? ? ? ?? ??_ /` ? m I ? A ? ROl iYn?M ? qY? . R ??vM D J?'W C S ? . 7 a :,a•..??c " ? ?. 'nr b .,..M.....,...,..-?. s 0i17'(,pT A ?:5.?? ? -- ?'?asr?s•m? a r a t ,wssa' , 4 -- - p.ar -- -- -- -- -- - - -- -- -- -- -- -- ---- -- ? - - -- -- - - - 1 l--M. lME Of iN[ Y//4 0( TM[ SLI/1 OF XC i!, fMP. 77, qNC. 33 ....JI`l^. .,....J:':'.::L:. ...... I ?\ •:i ' -C ?:- 'h I . ??` \,• ?1 ?)i R______R R] ?R????,? Sp•??% ? ?,\ aieoya z'o?'?YCS e\ ? ? C\ ! / @G ? ? o ? ?` ?,k ? ?y ??? ? • l ! r ` ' ' \ ' 1? y , ?? ?, .m,,.- b , ? ;@ 13 ? ...? ` ? ? l8 "?;?? ? ? ' •?1 ? Ll ? , . ? ? ? +' - ----- `--- • ?-oraram-- a,a.. - -- -- -- °K °rR'iwrw'aw t s y- -- - s a ? tm L w. unE a nHe ME114 ov nK e+[i/+ a scc ii, nm. :7. rwc. as i-!i•: i:::f':si?'Ffi:!•iT fF 7i??i•i:ie'iii: T. fi!iie?T i; ? ' ., +•; i :r.? i r ] City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 1463 Kingswood Ponds Rd Lot: 9 Block: 3 Addition: KINGSWOOD PONDS 2ND ADD Description: Sub Type: Residential Work Type: New Description: Meter Size Line Size Remarks: Fee S v.J' State Surcharge - Fixed Fee Permit Type: Plumbing Permit Number: EA034830 Date Issued: 03/17/1999 0.50 49.50 $50.00 Contractor: - Applicant - QWRel': Valley Plumbing St. Lic.: Variety Homes 860 Quaker Ave Jordan, MN 55352 612-492-2121 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. 0 PERMIT ? Applicant/Permitee: Signature Issued By: Signature CITY USE ONLY L ` , BL RECEIPT #: SUBD. RECEIPT DATE: a ?+ww?3 t?83 ? 1999 PI.UmBINEi flERMrT (RESIDENTIAL) CI7'Y OF EAfiRN 3$30 PELOT KNO$ RD EAFAtIV, MN 55122 (651)6$1-4675 Please complete for: D single family dwellings i> townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ---------------------------------------------------------------------------------------------------------------------------------- FIXTURES EACH # TOTAL Shower 3.00 x { Water Closet 3.00 x 3 = A- Bath Tub 3.00 x -D! Lavatory 3.00 x LA_ Kitchen Sink 3.00 x 1 = 3- Laundry Tray 3.00 x 1 Hot TublSpa 3.00 x = Water Heater 3.00 x 1_ = L_ Floor Drain 3.00 x 1 = 13- Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x Water Softener ' for dwellings under construction 5.00 x = Water Softener ? for existing dwelling 30.00 x = U.G. Sprinkler ? for dwelling under const. 3.00 _ U.G. Sprinkler ' for existing dwelling 30.00 = Alterations * to existing residence 30.00 = bNater Turn Around 30.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alteretions, etc. C'. J TOTAL ? -••---.....----•---•----•--------•-•-•--•--------------------------------------------•---••------------------------------ I hereby acknowledge that I have read this application, state that the intormation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the appiicanPS responsibility to notify the property owner tha[ the City of Eagan assumes no liability for any damages causetl by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: ;, . ? t_.uu cj S F'?,(< ` i -C i--i 1 i - ' V"ik STATE TELEPHONE #: V`^ - "i 1 _ a ? ), ZIP: 5 s 3 '? SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 : .,?. VALLEY PLUMBING COMPANY, I 860 QUAKER AVENUE, JORDAN, MINNESOTA 55352 d d?, PHONE: (612) 492-2721 FAX: (612) 492-2617 Z.J 'N ,? „? `9 ??C ??? ` v f? ?- ???-b ? v - L ? BL 2) CITY USE ONLY SUBD. ? RECEIPT#: %s RECEIPT DATE: % ` o U PERMIT # )`T l 0(0 ? 2000 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, TN 55122 651-661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: '?E&A-tJWV,L,JK- $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurblshed ' requires MPC lic. 75.00 X = $ Septic S stem abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler 'rfexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 --> --> -> $ .50 TOtal __> _> --> ----> $ .S Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------•----------------------------------------------------------------------------- w--ith--all ----------ie- C-of----------ordinan-------ce- I hereby adcnowledge that I have read this applicati--on, state that the infortnation is cortect, and agrea to comply applicabity Eagan s. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance adivities to the facilities constructed under this permit within City property/right-of-wayleasement. SITEADDRESS: I LI? 3 t I ND)fiNnd &4 04erlgk OWNER NAME: : AV?A ? • '' fild h l CA JM _ UQY1 $Q I`c'h TELEPHONE #: (AREA CODE) INSTALLER NAME: CUVIfV TELEPHONE #: (AREA CODE) STREET ADDRESS: S?1e 0 5 A?4?G'e - cirY: STATE: ZIP: ? wx ,. SIGNATURE OF PERMITTEE Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - 1 For Office Use I Permit Ca~`~~el City of Ea an I I 1 l D~ 1 Permit Fee: 3830 Pilot Knob Road pI Eagan MN 55122 Date Received: n"~~- 2 I Phone: (651) 675-5675 I~ Fax: (651) 675-5694 I Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ~Q e-0- C~ ~C3 R, C) 2 Phone: ~7 G~ lQ- j RESIDENT/ 1 n OWNER Address / City / Zip: L~ GV 6,0 P,0 Applicant is: Owner Contractor TYPE OF WORK Description ofwor : e RO Construction Co , j ® ® G Multi-Family Building: (Yes / No ) Company: -sa vIl's Contact: CONTRACTOR Address: q b City: 1le J State: Zip: _~'56 7 L Phone: l (V ° License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide, specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Exteriorwork authorized by a building permit issued in accordance with the Minnesota ate Buil g Code must be completed within 180 days of permit issuance. -J X 6 49 Ph l, , x Applicant's Printed Name App ' nt's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use of 1q 3l Eaaan Permit#:City Permit Fee: i°5 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 7-C; 1C6y�ec°s1 cA571 ey Phone: &S-/ 2/d UI I 1,'Resident/ l � l(/ Svl'p �dZtI /4" Ovv-ner, Address/City/Zip: �j erX Applicant is: Owner V Contractor Description of work: VZ2Z`bj Type of Work Construction Cost: Z52c9 7C> Multi-Family Building:(Yes /No ) Company: 6 15Qe-5 ,w--f-t. (-)x-1t 5 /A/C., Contact: t; a IOa 5 Contractor Address:/V206 �oic4A &y City: Pc.)-e�d/tc)irhr7 State: /'°N Zip: 5/22 Phone: 9 L36YIr Email: /ry4e7 / `sefCa y 0,j‘4141 ,CC i4 License#: 66" 72-- (:)062©S) Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of := the information,may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Exterior work authorized by a building permit issued in accordance with the Minneso tate Building P.,.de must be completed within 180 days of per it issuance. / x Gl w ✓ 5a 2�J x / Applica is Printed Name Appli , Vs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166657 Date Issued:01/26/2021 Permit Category:ePermit Site Address: 1463 Kingswood Ponds Rd Lot:9 Block: 3 Addition: Kingswood Ponds 2nd PID:10-42051-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Thomas F Rooney 1463 Kingswood Pond Rd Eagan MN 55122--287 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature