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1464 Kingswood Ponds Rd ?St- l??g- ss3l? Ac? :So /c4 f^+uC? 5??7 e? ?'?Oe ?p ? u ?J ? L ?? ? 1X d+.-? ?C L a.c-,.?s i'et-t,, j yJ'?? . 6SK..fi l?ly. iafs Address_ 1464 x;ngwnnrl Pnnrlc ua Zip 5512_9 I.Ot 5 BIIC 2 SUb Kingcwood Pondc 2nd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) V/ Permanent steps (gazage) ? Petmanent steps (main entry) Permanent driveway VZ Permanent gas Sod/Seeded grass Trail/curb damage ? Porch ? Basement finish Deck Ptease verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside Iawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy ie)d i 7 (p 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReouiremenLS RemodeUReuair Renuiremenls Offoe Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joisls Cert ot Survey Recd _ Y _ N (20% maximum lot coverage allowed) t set of Energy Calwlabons for heated addi6ons Tree Pres Plan Recd Y _ N. 2 copies M plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy CalCUlabons Adddon - indicate ilon-site septic system OMSite SeptlC System _ Y _ N 3 capies of Tree Preserva6rn Plan rf la platted after 711193 Rim Joist Detail Opbans selecGon shcet (buildings wifh 3 or less unils) Minnegasco mechanical ventilation form Date Construction Cost ? tvj 00c) SiteAddress Q.b UniUSte # Description of Work 2G^t.Adw ?ND ??T'L°>C.? ?OF V1 Multi-Family Bldg _ Y_ N Fireplace(s) 1 _ 2 Property Owner !D2kt_ D PVvNP02T Telep6one #((qs1) Contractor "DSS Ek?_2iD2S Address Du 5.e-.?? City M iivn/ € N'oi.-S 5tate N ? ir-^Jie-wm Zip -rj5H Iy Telephone # ((p(a ) 4'7C?*1- 4(,t(P0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules '7670 Cateeorv f _ Minnesota Rules 7672 (J submission type) • ResitleMial Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Enveiope Calculations Submittad In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ 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 Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that che ill be in accordance with the approved plan in the case of work which requires a review and approval of p Applicant's Printe Name Applicant's Signature DO 1vOT WRTI'E BELOW THIS LINE 5ub Tvoes ? 07 Foundation ? 02 SF Dwelling ? 03 01 of _ piex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvnes ? 31 New 32 Addition ? 33 Alteration u 34 Wratxtnertt ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 27 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessory Bldg O 31 ExL Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. 13 35 Int Improvement ? 38 Demolish Interior ¦ 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Buiiding` 0 43 Reroof ? 46 Wndows/Doors "Tiemofton YErltrre 85fig1- Utive 4'CA'nanfioiftta applhcam Descrintion: wacer oamaye ` ves Valuation at V e 00i7 Occupancy MCES System Plan Review 100% or 25% C.-.P,Vys Cru.ia Znnk3 Crfi4 uuatP.c SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bidg) _ Sheetrock _ Footings(deck) _ Final/C.O. _ F&a'hSgS kl.251IY.V'1TI, _ FM.M11 Rib Z.0. Foundation H V A C Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tests Fina1 _ Framing _ Siding Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _ Air Test _ Final _ _ _ _ Windows _ Insulation _ Retaining Wal] Approved By: Base Fee 5urcharge Plan Review MUFS SAC Ciry SAC Utility ConnecYion Charge S&W Permit & Surcharge Treatment Plant l.ice?e SP.arrh Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex Building Inspector SIC61 RESIDENTIAL BUILDING ?'10<a0 Permit Application City Of Eagan L?e( S???n3 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements RemodeVReoair Requirements O(fice Use Onlv 3 registered site surveys showing sq. ft. of lot, sq, ft, of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calalalions for heated addi6ons _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Nol Reqd 1 set of Energy Calcula6ons Add'Rion - indicate if on-site septic system _ On-site Septic System 3 copies of Tree PreservaGon Plan i( lot platted after 711193 Rim Joist Detail Opbons selection sheet (bldgs with 3 or less units Date ?,U / ()3 Construction Cost Site Address I1-1(a'A E 7 n r. S(,?sUO b P(? n d RG UniUSte # L ft '? S'I 2 Z Description of Work 0,tl ylA Cj[P 'k P)a w- ,?- Multi-Family Bldg _ Y X N Fireplace(s) _ 0_ 1 _ 2 Property Owner L iz-,( L ? M Ay-A D),ru ? o pcFttsC Telephone # ((oS I ) 336, 14 Contractor Address City State - Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene?gy COdA Category • Residential Ventilation Category 1 Worksheet New • gy (?1 submission type) Ener Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor (p FF 0 T s' APR 3 tl 2003 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 MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. a,rk bawe? fa? . ApplicanYs Printed N me ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types 13 31 New ? 32 Addition tK 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF 0 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36, Move Bldg. ? 42 Demalish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant 0 0D Valuation Occupancy MC/ES System Census Code ;y- Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundarion Drain Ti1e Roof Ice & Water Final _;K Framing _ Fireplace _ R.I. _ Air Test _ Final ? Insulation REQUIRED INSPECTIONS - FinaUC.O. ? FinaUNo C.O. Plumbing X HVAC T Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By TZ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC city sa,c Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 OS-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex 0 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex X 19 Lower Level ? 12 12-plex I Plbg_Y or _ N ?? r?.w PLLIMBING (RESIDENTIAL) (4-SD- S-IL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pemuts aze required for each unit Date Site Address h;y V"? Uni t # Property Owner G r i C G t! , h420Y f Telephone # (6 $-() U' ? y$ 7 Contractor Address C?ty State 'p Telephone # ( ) The Applicant is .? Owner _ Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Altera ions To Existing Dw lligg-Ju' 4cluding ? $ 50 00 . Adding fixture 'lower levels or om addifwns, excluding water softener and water heater . _ Abandonment of septic system _ Water tumaround (+ 5 / 8" meter if needed -$121.00) - ( ? _ Other: C Q 2 rL4L _ RPZ _ new installaGon _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener Water heater - - $ 15.00 _ replacement _ additional State Surcharge $ .50 Total $ I hereby apply for a Residenrial Plumbing Pernut and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; 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 p-[ ?v-k L v ch d u. A- ?? ,/) ON\P,? AppIitant's Printed Name Y Applicant's Signature RESIDENTIAL BUILDINC PERMIT APPLICATION 3830 PILOT KNOB RD,EAEAGAN MN 55122 '1_3 -I (D 651-681-4675 New Constructian Reauirements RemodellRapair Reauirementa • 3 regislered site surveys showmg sq. R. of !ot. sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lat coveraqe allowed) • 1 set of Eneryy Calculalions lor heated additions • 2 wpies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions 8 decks • t sel of Energy Calcula6ons . Indicate if home served by septc system for additions • 3 copies of Tree ?reservation Plan if bt platted after 711193 • Rim Joat Detail Optlons seleclion sheet (hldgs with 3 or less units) DATE A:9 -U&-- 0 Z Gzv VALUATION 6A7 SITE ADDRESS 4" Ta MULTI-FAMILY BLDG _ Y - N TYPE OF WORK _??oo? ?o'tsT l?e?a?r PIREPLACE(S) _ 0 _ 1_ 2 APPLICANT •xr z- k" itr wzq 3963 STREET ADDRESS 1!6 ?_ E-a(tjPmaf-e? RId• CITY STATENlAI ZIP SIl TELEPHONE #CELL PHONE # 612-- g`IS_-r3 g 3 FAX # PROPERTYOWNER ???G ??+vE^?P°?? TELEPHONE# 6Sl`33a~l"?93 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINN1:S0"C.1 NC`I.I:S 7670 CATEG012I' 1 NfINNESO'I':1 RCLES 7672 (q submission type) . Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: _ Phone # Plumbing systc?n includes: Water Sof[ener _ Lawn Sprinkler Fee: $90.00 Water Heaker No. of R.I. IIaths No. of Baths Mechanical Contractor: Phone # Mcchaiiril sy5lcI11 incluclrs: Air Conditionitig Pcc: 570.00 -- Hcat Rccovcry Systcni _ - - -_, Sewer/Water Contractor: Phone # f. : n I hereby acknowledge that I have read ihis application, state that the information is rrect, anO co ?ply with all applicable State of Minnesota Statutes and City of Eagan Ordinan es -- Signature of Appltcant ? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-piex O 16 Fireplace ? 09 07-plex 0 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lawer Level ? 12 12-plex Plbg_Y ar _ N ? 20 Pooi ? 21 Porch (3-sea.) 0 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage x 25 Misceilaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 6ct. Alt - SF ? 36 Multi ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 AddiHon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair x 33 Alteration ? 37 Demalish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement •Demolition (Entire Bl dg only) - Give PCA handout to applicant V l ti W0 ? M / S a ua on Occupancy ystem C ES Census Code A-iA_ Zoning I? • I City Water SAC Units '-' Stories Booster Pump Nbr. of Units v Sq. Ft. PRV Nbr. of Bldgs ( Length Fire Sprinklered Type of Const VfJ Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. _ _ Footings (deck) ? FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final ? Framing _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total 3.It0 Approved By C few= , Building Inspector Date 7/30/2002 Page Permit Inspections Entry Comments Identification: EA040434 - 1464 Kingswood Ponds Rd Comments: 1. poly and rock behind b-vent 2.nai1 off sheathing - DONE 3, add studs under brake in top plates in garage - DONE 4. finish rooF - DONE 5. rock by fireplace, outside wall told not to rock until inspected ITEMS 1 AND 5 WILL BE INSPECTED WHEN SCHEDULED. CONTRACTOR WILL LEAVE Sl ROCK OFF THESE AREAS FOR VIEWING. CRAIG,7/21/00. For fina] 1. need 1' cleazance in basement for b-vent 2. need clip in basement 3. need solid blocking in basement 4. need backflow preventer on back of house faucet 5. need to tape cold air return in basement 6. draft stop were gas line goes into fueplace in basement 12-14-00 MA ******************************* CITY OF EAGAN CASHIER: JS TERMINAL N0: 784 DATE: 04/27/00 TIME: 11:40:26 ID: NAME: NORTH STAR TITLE 2252 9220 1464 KNGSWD PND 28.20 32?.0 9001 1464 KNGSWD PND 1,620.95 3866 9379 1464 KNGSWD PND 100.00 3430 9001 1464 KNGSWD PND 5.00 3422 9001 1464 KNGSWD PND 1,053.62 2275 9220 1464 KNGSWD PND 1,089.00 3446 9001 1464 KNGSWD PND 11.00 2155 9001 1464 KNGSWD PND 0.50 3743 9220 1464 KNGSWD PND 50.00 2155 9001 1464 KNGSWD PND 106.00 CR128246 ** CONTINUI USER ID: JAN ** CONTINUI *************************************** *,r********************,r*****,r** CONTINU: CITY OF EAGAN CASHIER: JS TERMINAL N0: 784 DATE: 04/27/00 TIME: 11:40:27 ID: NAME: NORTH STAR TITLE 3868 9220 1464 KNGSWD PND 492.00 3716 9220 1464 KNGSWD PND 114_00 3713 9220 1464 KNGSWD PND 50.00 3865 9220 1464 KNGSWD PND 840.00 Total Receipt Amount: 5,560.27 CR128246 USER ID: JAN xxxxxxxxxwxxwxxFxxxxxxxxxxxxxxxxxxxxxxt CITY OF EAGAN CASHIER: JS TERMINAL NO: 784 DATE: 04/27/00 TIME: 11:37:00 ID: NAME: NORTH STAR TITLE 2252 9220 1464 KNGSWD PND 1.8( Total Receipt Amount: 1.8( CR128244 USER ID: JAN , .. 2000 BUILDING PERMIT APPUCATION (RESIDENTIAL) -- L CITY OF EAGAN 6 ?• ? ? ? ? , ? 3830 PILOT 5- 55122 r? New ConahucNon Reauirements (fe) he,? fz?-) Name: LGSt Flrst ? 3 reglatered qtg wrveys ahowing sq. R. of lof, sq. fl. of hotue 2 copies o1 plan and 9I roofed areqa [2096 maximtan lot coveraae ellowed) i set of energy calCUlations lor heCt6d ad(AHons D 2 copies of plans (ahow beam & window aizes; poured Md. design; etc.) 1 sife wrvey for extedor addiHons !e decks D 1 set of energy caloulaNona D 3 copies of hee preaervailon pian if lot platted after 7/1/93 DATE: ?1?? - bc7 c? ,?-a CONSTRUCTION COST: DESCRIPTION OF WORK: W e w ko, 1?es. STREET ADDRESS: / ?/ G ?f ?L.:t'-a S' f 6..1 od o t"" -J 0 -1 =- 0 (? LOT: -5 BLOCK: ? SUBD./P.I.D. #: V10'S s '-v °°d ^'9f Z"a PROPERTY OWNER CONTRACTOR Sheet city 6?)C)D.o 610- State: RemodeURenairReauirements (alf QGI (41 ) y 4J-7 Phone #: _ An-i Zip: Company: C- i 2 -64 8--?y3 ? Phone #: 6l Z - 6 ?r- 1,-1Q 4 (area code) Sheet Address; Ctty 19a - ?j h State: 1? ,.. Zip: ARCHITECT/ ? EN6INEER Company; ???5? Name: r?? ? ?? ??? Telephone #: ( ? 1 L ) a 3 o Sheet Address: Registraflon #: city state: ? , c ?? ?l b?- af',44-7-C73? Sewer/water licensed plumber (if instatlira sewerlwater) : / L^`fl ? /j 4/1 Phone #: . ` 1 hereby acknowlsdge that 1 hwe read Ihis applicatbn, state thaF fhe infomnation is correcf, and agree to compiy wHh all opplicable State of Minnesota Stafutes and CiFy of Eagan Ordinances. ? Signature of Appllcanh OFFICE USE ONLY Certificates of Survey Received ? Yes ? No •;,, 1, 3. Tree Preservation Plan Received Yes _ No Not Required ? ,.A UC911Se # Z o j y 2?-Sy Fxp, 2171 p? _?L- d 2 - S-5 e L ?J 5 OFFICE USE ONLY ;L BUILDING PERMIT SUBTY PES ..,. ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi )<'02 SF Dwelling ? 08 06-plex ? 17 Garage 0 22 PorcNAddn. (4-sea.) O 33 Ext. AR - SF ? 03 01 of _ piex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plax ? 10 08-plex ? 19 4ower Level ? 24 Storm Damaga ? 05 03-plex ? 11 10-plex Pibg _Y or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. YVQRK rYPE 31 New 13 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATiON SAC Code D+ # of Stories 2 sq. ft. No, of Units I Length 9 3. 7s sq. ft. No. of Buildings ? Width yel Footprint sq. ft. 2 SC, U Const. (Actual) :V-61-_ Basement sq. ft. ??37 Census Code !a r (Allowable) -s Main level sq. ft. le, 3 7 MC/ES System UBC Occupancy P--V u-1 I=-?I sq. ft. I z6 3 City Water Vt? Zoning ?-r _ an sq. ft. 6S; Booster Pump ` PRV Y,16 Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone . APPROVALS Planning Building Engineering Variance Permit Fee cd Valuation: $ Surcharge Plan Review License Q4r xS?. 76S 3?x( I?St ?)S =27 MC/ESSAC , City SAC ` I XIS Water Conn. , Water Meter Ma ?? • Acct. Deposit Z ° S/W Permit 3a X? 1613-2 X SLJ ? 10, ( SIW Surcharge , jv k z i5'` Zsr : Treatment PL Park Ded. Trails Ded. Other 32 x3`? ? y Copies ?263 rSN_ b 4; ?o z ? k ?? S s 10 Total: ? . ..ts e SAC UnitS 3U, 20.5 C53 X 16? Jf ?0 u % SAC 2k !? 1 Y e ? ?NG ROBIE NEERING CONSULTING ENqNEERS, PLANNER5 and LAND SURVEYORS YORWAY HOMES PROJECT N0. 9686.00 800K .3V COMPANY, INC. PAGE s? ? 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 ''• CERTIFICATE OF SURVEY Legal Description: LOT 5, BLOCK 2, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA. 864, ?; DENOTES IXISTING ELEVATION ?(o 6. ? DENOTES PROPOSED ELEVATION -?--- INDICATES DIRECTION OF SURFACE DRAINAGE 6I? 6 - FlNISHED GARAGE FLOOR ELEVATION 59ao = gqSEMENT FLOOR ELEVAl10N 867,oa = TOP OF FOUNDATION ELEVATION SCALE : 1" = 40' N06?'02132 ,.W ? REV E 5 ? o ;$Y ?NH 47' 10N65;k1ZV NwL- = $? 1I?ate ANb O?ff,C?X • ?y ru ? = 834'? FAGAN ENGU43EPMG DFXM ? EG? = 865. 63 ?\^;. ? . _ _....__- / ?_185p. DRAINAGE & PONDING /764 /1 ?N6Sl/?7 / vN? ?'Jv' • e` /?' EASEMENT PER DOC. N0. 566949 / 5 sto• 5j23" Lor ARE-A 271,65'2 5F= w HoI.ISE ,d.REA gb c"?.'7._?iQ 75p: 526?29 ???k. ? j`-- 3?•?7 DRAINAGE AN / UTILITY EASEMENT ?T 5 5 ? -- L ' N? , Z? , 11..i t 1) T O "? tD p?J J? L? , - 77266 , 1?- , - Cf- ? m ($58,? fGwo J =- ?- ?xa?sE 1?5'l?43.42 K m w 15.58 ? PRppOSEo w L3.5 3 HpUSE ?0 8fdo? e7 3,3 " t? o a 11. ,p ? c?j/4R*E ' o 0 11.0 .33 ? 1'? ? a.67 10.33 p.67 ? 3? w m A lA Y ? ?GARAGE?, d, ? 3 c''?e55.5 p_ _ 8b 5 a,aLLN 5 ?,rsaNS ? o -iFt.f6?•?8 0 8?- • . " g6?,.°-°% p ? gbZ.y? A R0A I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepared by me this 4-W day of APK?L- 2000. , RECEIVED APR 9 31-f C, 0 a 40,440 1, Zra?? Minn. Reg. No. I o8(o ? ? f ?J n N ? w ? C? 0 og ° ?o ?? ? ?/? ? ?/ ? o o ? ?'jf? . ? ?'? ? /o 0 q'? ? t? ? ? o o ? /O O ? ? o ? S ? o ?' p ? ??? ? r.?/o ? ? ?i0 ? ? o t / ? ? ? V'? ? ? ? ?o ? o ? ;/ ? ? ?/ o 0 ? G ? DIMENSIONS Lot lineslBearings & dimensions Right-of-way and street width (to back of curb) 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 utilities within those easemenis Setbacks of proposed structure and sideyard setback of adjacent exdsling structures Retaining wall requirements, 'rf any Reviewed: LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: LdT ? S1Q?? 7 ;&z S .SFiComo WA0461 DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, spift w/o, spNt entry, lookout, etc.) • Directional drainage arrows with slope/gradient °r6 • Proposed/exassting sewer and water services 8 invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existin • Sewer service (or Proposed) • Properiy corners • Top of curb at the driveway • Elevations of any eAsting adjacent homes Adequate footing depth of structures due to adjacent uU7ity trenches Proposed • Garagefloor • Firstfloor • Lowest exposed elevation (walkout/window) • PropeAy corners • Front and rear of home at the foundation PONDING AREA (if aonlicable • Easement line • NWL • HWL • Pond # designation • Emergency Overflow Elevation . March 1989 CRAIG/BLOGPRNR.FM i ?f 0 f eCt si« FXTERIOR ENVELdPE ENERGY CODE CaMPUTATION WORKSHMET ?y To Determine Compliance with the Minnesota Energy Code (Section 502 of the State Amended 1989 Model Energy Code) l ? i ? ?-d?• I f-,16 o. 1. EXPOSED WALL CALCLJIATIONS A. Opaque Wall 1. Masonry/Concrete a. /3?x B 12 -ii b. c. 2. Foundation Wall (Above Grade) a. 5-9 K L t3 b. 3. Wood Frame Wall a. Insulated Area b. Framing Area (Ave. 15% at 16" oc) c. Framing Area (Ave. 10% at 24" oc) 4. Peripheral Floor Edge/Rim Joist a. b. B. Gtaaing 1. Windows a. b. 2. DOOCS C. Doors 1: Wood a. Solid b. With storm door 2. Metal 3. Overhead 4. Otner D. TOTAL WALL AREA, sq.tt .............................. AREA x x x 7[ z x 141 x yy3? ??x 34/ a z x y39 z x SLI_ x x x LZ _ x x x 5uy ? "U" VAI.UE AREA x fa5/ _ r a ZI.2-yc) ? o 6H S- _ . OLrs- = s a a ?s = ? O 6 )F- a E. TOTAL OF AREA x"U...................... ................................................................................. U. ROOF/CEdING CALCULATIONS A. Roof/Ceiling Insulated Area x , U23 = " B. Roof/Ceiling Framing (Ave. 15%n at lb" oc) x ? C. Roof/Ceiling Framing (Ave. 10% at,24" oc) /54-1 x , C) 2 7 = D. Skyligh[ X = E. TOTAL ROOF/CEII..ING AREA sq.ft ......................... Z02l - F. TOTAL OF AREA x"U..................................................................................................................... ? -?G . SS ~o S?/(oo o ?• ? * s? 5 y?.?f32 . ? y. / 5 3 z ? , M. B?I?I?'i6 F,TVELQPE REQUDiEMENTS TOTA.L AREA REQUIRED "U" (From I.D. & II.E) (From V.) A. Exposed Wall: 1'/ x ./ _ B. Roof/Ceiling: 2.o Zgi x JZ Co ? C. TOTAL ALLOWABLE BUII..DING ENVELOPE (Total of A dc B above) ...............:.: N. ACT[IAL BUII.DING ENVELOPE A. Exposed Wall (From I.E.) B. Roof/Ceiling (From II.F) C. TOTAL ACCUAi< BiJII..DING ENVELOPE (Total of A& B) ...................................... *(Meetr code requirements ijless than III.C) . V. REQUIRED •U' VALUES WpLLS ROOF/CEILING Detached one and two family dwellings .11 .026 ' Multi-Family Residential Buildings (3 stories or less in height) .238 .026 • All Other construction Types (3 stories or less) .238 •Ub • All Other Construction Types (More than 3 stories) .28 •06 •Based on 8007 heating degree days (MpLs. /St Pau!) Adjust "U" Yalues accoxiingly for otker locadons .? ALLOWABLE, (Area z "U") I ? $0 2 Y'D 2, Sy' _ SS6 , 5 ?y ACT[lAL (Area x zI 0 J I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy Co ?. BC;SD 4-93 X416 CC/SM/6574 CITY USE ONLY LOT J BL PERMIT #: SUBD. r'l+'l`?00J 01'1CL RECE[PT #: ? 05? 7 RECE[PT DATE: (?-l-oe) 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: ?- ?M^ i?)b Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M 13 1 U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Tota1 $ 30.00 6.00 50 Complete this section onlv if you ' are remodeling, adding to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Repair _ Other Fumace _ Air conditioning _ Air exchanger _ Other Reminder: Call for rnspections Fee $ 30.00 State Surchazge .50 Total $ 30.50 SITE ADDRESS: ) -1 ? l Ktl ? S\-4 b 0 L\ OWNERNAME: \) u1W u.\1 ? 0?45 PHONE#: S '\?'I %?A ( A CODE) INSTALLER NAME: PHONE #: E l ? - ???1• g???h ` t (AREA CODE) STREET ADDRESS: ? ? ? ? ? `?? e ? l (fy'^?+. ?? C[TY: STATE: ZIP: ?s SIGN OF PERMI CITY OF EAGAN 3830 PILOT IINOH RD EAGAN A4d 55122 651-661-4675 L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COIrMERCIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, rIId 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dweliing unit DATE: WORK TYPE: New construction Instail U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When instalfing/removing underground tank, call 651-681-4675 for inspection by frre marshal and plumbing inspector. 0 Description of work: Fees: 1°10 of conttact price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstal]ation = minimum fee . Contract price: $ x l%=$ (Base Fee) State swchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WA5 THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CIT'Y: PHONE #: - (AREA CODE) STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE ? S a ? CITY USE ONLY SUBD. Z ? RECEIPT#: ! ??? a5 RECEIPT DATE: GJZ)a,G '? PERMIT# 14 2000 PL[JNIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? singie family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIYTIIRES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = Y .? Gas piping outlet ' minimum -1 3.00 x 1 = $ 3 Hot tublspa 3.00 x = $ Kitchen sink 3.00 x f = $ 3 Laundry tray 3.00 x I _ $? Lavatory 3.00 x = $ Septic System new/refurbished • requires MPC Ilc. 75.00 X = $ SeptlC SyStem abandonment 30.00 x = $ RPZ new installationJrepairlrebuild 30.00 x = $ Rough opening 1.50 x 3 = $ O Shower 3.00 x 1 = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x I _ $ Water softener if dwelling under construction 5.00 X = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surcharge TOtal .50 --> --> --> --> ---> ---? ----? s .50 $ ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------•------------------------------------------- ------------------------------------ - , state - that the - infortnation is correct, and agree to comply with - all - applicable Ciry of Eagan ordinances. - read • this - application - I- hereby - acknowledge - that I - have - It is the applicant's responsibility to notiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayJeasement. SITE ADDRESS: 14q V? i h q S PDaA Lj OWNER NAME: : YT kJ 'If TELEPHONE #: (AREA CODE) INSTALLER NAME: SLNel e/ n TELEPHONE 13 (AREA CODE) STREET ADDRESS: qqOl) q ' l?i ? ? CITY: \?f ,t)f ?? lC{ STATE: ZIP: SIG TUR OF PE ITTEE lv f?o?. s 2004 RESIDENTTAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 x, `7D.oa dAt[,e.el. (0 I r ? lo S/20 New Consirudion Reauirements RemodellReqair Repuirements ?se'Akse;?'I' 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% mauimum lot coverage allowed) 1 sel of Energy Cakulations for heated addiUons ITIWFi@5"Plai fteGd YrIm"*?' 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addidons 8 decks pr ?? `r?s?ft p' fi"' Y? AN 1 set of Ene CalaAations Add'rfion - indicate if on-sde sePtic sYStem ?'a ? ?9Y e 3 copies of Tree Preservation Plan if lot platted aker 711193 Rim Joist Detail Options selection sheet (bldgs witli 3 or less units I/ ? Date s d .Construction Cost o0 Site Address i Unit/Ste # Description of Work ff v-.v D-p- [k Multi-Family Bidg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ?-Y??. J ulra niAdarf Telephone#(bS'() Contractor ? 'G/e C C', 1 ? s 7i61'c7t `oZ, l'! G Address &Z-elLuvvd (,(iUr/ City State Zip ?SUS7 Telephone # (612 ) -z 3?2 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (+1 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan fee applies. Licensed Plumber Mechanical Contractor ? Sewer/Water Contractor A NEW BUILDING ?? MAy ? g 2004 Y N If so, #( Telephone # ( Telephone # ( Worksheet plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of plans. - b pn&e ? A 'G? S r._ 4 4i 2 = - Ap licant's Printed Name Ap h ant's Signature OFFICE USE ONLY Sub Types r. ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding /)!P 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ??VV v Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ?fJ Width _ Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion REQUIRED INSPECTIONS FinaUC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retauting Wall Approved By: ` t:" , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total M I - ??I -r-- 1000 EEAING CONSULIING ENGINEERS, PLANNERS and LAND SURVEYORS Legal Description: LOT 5, BLOCK 2, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA. 6 DENOTES EXISTING ELEVATION (,q66.3? DENOTES PRQPOSED ELEVATION ?- INDICATES DIRECTION OF SURFACE DRAINAGE 6& b - FlNISHED GARAGE FLOOR ELEVATION 59, oo = gqgEMENT FLOOR ELEVATION 867.00 = TOP OF FOUNDATION ELEVATION SCALE : 1 " = 40' 0/0 mMA': 77/N A-r 1f1N65Wxt9 ANb OvE2LW4. Emv- = 864-,63 A0r465-S : ? 1464 f?iNGSvarJ Lar ArzEA 'Z-I.?'58 `'F" Kni.lstE- QRe-A gb 23"9 5P DRAINAGE AN UTIIITY EASEMENT 04 ? ? a? ? J ? c ? "ic L=? ? cw ? u ?$ ,.VACAN?f ?'OT ?r•.w axM, P4' o?o NWL? ?3?.2 ?{WL ? ?X\ x / / YORWAY HOMES ? PROJECT N0. 9686.00 eooK 99W DRAINAGE & PONDING EASEMENT PER DOC. N0. 566949 LO.77 T 5 O L 5 ? 1 Nc? o t "? 1? 1 c '?Q r 1 I ?? m ' c 1 = 1 1P?.8'- - FR ^a ? ? cog? ?5`7?? 1558 43.42 N OsEp ? QR?P ISE W l inl 0 o a„ b?o o lE 33,°n 6711.0 $6A4 , g o w -.. T ? e ?p 67o?g 53? 8 J? . 3 s ° 5 .??, e?o• s r8 2 ? rA41.E?N 5 J-o , ?J?S " " ° gyy5 S I N* NOL156 % ? ?n R?A I hereby certify that this is a true and correct representation of a tract as shown ond described hereon. As prepared by me this 4T day of A?1L- , 2000. ? RECEI°??D APR 13 20500 ,??? Minn. Reg. No. 190,9(0 N06'01 ?S??W 4PANY, INC. EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIFICATE OF SURVEY PAGE .a .. .?; ? Use BLUE or BLACK Ink r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ x'-- I For Office Use f Permit non City of Ea ; - - Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: _ I I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /I/1° ! ►'1 GJdD Dtwl Wn Unit Name: ~1 d~17' Phone: e Resident) Owner Address / City / Zip: / Ai 9 k, o Applicant is: Owner Contractor Type of Work Description of work: ;PC /er F ,ee..stw~ Construction Cost: Multi-Family Building: (Yes / No . , . S b Company: es~l ©Contact: i f~ f f Contractor Address: oz~'eCity: f4 CyW11-7 Stater Zip: ~s dPhone: License #:3 sue- Lead Certificate 3 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.aopherstateonecall.ora 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 Minnesota State Building Code must be completed within 180 days o ermit issuance M x ~~o I~~VL/ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139203 Date Issued:10/13/2016 Permit Category:ePermit Site Address: 1464 Kingswood Ponds Rd Lot:5 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Eric D Davenport 1464 Kingswood Ponds Rd Eagan MN 55122 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140698 Date Issued:01/13/2017 Permit Category:ePermit Site Address: 1464 Kingswood Ponds Rd Lot:5 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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 - Eric D Davenport 1464 Kingswood Ponds Rd Eagan MN 55122 (651) 662-2247 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: l % d' / 6 / Permit Fee: / ©�- d Date Received: Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 �� ") ? 7 Site Address: / L� C h Sw i L iro"1 S Unit #: Name: 4(' . (_. 90 Phone: Resident/ Owner Address / City / Zip: I-110 j 'La c t P n,ols Rog. Type of Work Contractor Applicant is: Owner Contractor Description of work: 17C.Ad" OCC k- rt09a C Construction Cost: i(p) () O D Multi -Family Building: (Yes INo) Company: C11iS 19vt Per Le>nc J- Contact: Al,. Ch: S+ -44-' Address: Liq 1 D- S k ri J City: A %-. vg -mow Q. + State:Zip: /S (, U).Phone: i4,;' 3 `O - 4S Email: ‘-c-14:; Zc.{ .0-e (• C O',--1 License #: 6 L b 3 ?'11-1 Lead Certificate #: I If the project is exempt from lead certification, please explain why: ,a O C l 4Ll 1lo /4. 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 Pans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nonpublic if you provide species reasons that would permit the City to cone 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.gopherstateonecali.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 Minnesota State Building Code must be completed within 180 days of permit issuance. f_ -e` C Tto"- r Applicant's Pted Name Applicant '-S nature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144568 Date Issued:08/01/2017 Permit Category:ePermit Site Address: 1464 Kingswood Ponds Rd Lot:5 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Eric D Davenport 1464 Kingswood Ponds Rd Eagan MN 55122 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173960 Date Issued:12/15/2021 Permit Category:ePermit Site Address: 1464 Kingswood Ponds Rd Lot:5 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eric D & Mara R Davenport 1464 Kingswood Ponds Rd Eagan MN 55122--287 (651) 492-1785 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature