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1472 Kingswood Ponds Rd Use BLUE or BLACK Ink I For Office Use I I Permit ficin City of EaEd I Permit Fee:` 3830 Pilot Knob Road j Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L _________________I 2010 RESIDENTIAL PLUMBING PERMIT AP LICATION tl~ /~C7 y Date: 42-2Lo Site Address: 7 2 A; ~ /J!2 S woo A) Tenant: Suite RESIDENT/ OWNER Name: J~ Ir k` 66 / Portex Address / City / Zip: I W /T N CONTRACTOR Name: ,,~lGcrk~ll0l~/U.Qi Z7ftC- License (C~ S'~-~dY! Address: q 7 ~O S- g C7 17114 Ulf City: State: " Zip: S-9-3.30 Phone: -7& 7- S_ ~ 9 Contact: r'oeo Email: TYPE OF WORK _ New _ Replacement _ Repair - Rebuild Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures (4 Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.goi)herstateonecall.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 wit ut 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 pl s x jO~, MnNV /~l~W .`,el x Applicant's Pri ted Name Applicant's Sign ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In Air Test Gas Test -Final CITY OF EAGAN CASHIER: JS TERMINAL NO: 767 DATE: 08/18/00 TIME: 13:33:17 ID: NAME: JIN JOO HYUN 3716 9220 1472 KNGWD PD R 114.00 3713 9220 1472 KNGWD PD R 50.00 3865 9220 1472 KNGWD PD R 840.00 Total Receipt Amount: 5,771.35 CR136101 USER ID: JAN ************?************************** CITY OF EAGAN CASH IER: JS TERMINAL NO: 767 DATE : 08/18 /00 TIME : 13:33:15 ID: • NAME : JIN JOO HYUN 2252 9220 1472 KNGWD PD R 30 00 3210 9001 1472 KNGWD PD R . 1,744 15 3866 9379 1472 KNGWD PD R . 100 00 3422 9001 1472 KNGWD PD R . 1,133.70 2275 9220 1472 KNGWD PD R 1,089 00 3446 9001 1472 KNGWD PD R . 11.00 2155 9001 1472 KNGWD PD R 0 50 3743 9220 1472 KNGWD PD R . 50.00 2155 9001 1472 KNGWD PD R 117.00 3868 9220 1472 KNGWD PD R 492.00 CR136101 ** CONTINUE USER ID: JAN ** CONTINUE 2000 BUILDING PERiaiA?PLfA'i1d- 11?(R?S?DENTIAL) CITY OF EAGAN ?3830 PILOT KNOB RD - 55122 651-6814875 JOL4"+? New ConahucHon Reaulremenls Remodel/Reoair Reatd? v 3 reglatered aite auneys ahowing aq. H. of lot, aq. 8. of house 2 copies of plan ? and gi roofed areaa (2096 ma)imum lot coveroae alloweN 1 set of energy calculaHons for heated addiflona > 2 coples of plana (ahow beam & window slzea; poured fnd. deslgn; efc.) 1 alte aurvey for axtedor addlflons d decks > i set of energy calculatlons > 3 coples of hee preaervatlon plan It lot pWtted aHer 7/1 /93 DATE: '*?j CONSTRUCTION COSi: ? ? Da, Oo o °O V DESCRIPTION OF WORK: 1C'rt.r+'?J /y /V",?? ?,O?ST7^uCt?o?'/ STREET ADDRESS: o Y? S LOT: BLOCK: 2 SUBD./P.I.D. ri: 'r Name: nl?? `,'h Phone #: PROPERTY 'rast First OWNER D??? ?QJ Sheet Address: ?Ir Clry '61a0'**inq State: Zlp: • Company. Phone #: ' (area code) COMRACTOR cl:D Sheet Address: Da /V'V• Ucense # N? Exp. City /3 /o o rr, 7 nI Z-7cn _ State: 11-f"'J 2ip: 5S'S? 3' ARCHITECT/ ENGINEER Company: Telephone f: ( ) Name: Sheet Addreas: Regtstratlon #: City State: Zlp: ' . Sewerhnrater licensed plumber (if installina sewerlwaterl: Phone M I hereby acknowledge that 1 have read this applicaHon, state that the infomwtion is cortect, and agree to 7comply with ap applicable State of Minnesota Stalutes and City of Eagan Ordinances. / vv?-W- Signature of Applicant: . OFFICE USE ONLY Certificates of Survey Received ? Yes _ No Tree Presenration Plan Received _ Yes _ No ? Not Required ? BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ?V 02 SF Dwelling 0 OS 06-plex ? 03 01 of _ plex O 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-piex ? 06 04-plex ? 12 12-plex WORK TYPE CW 31 New ? 32 Addition ? 33 Alteration ? 34 Repair OFFICE USE ONLY , ? 13 16-plex 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 18 Deck ? 23 Porch (screened) ? 36 MuRi ? 19 Lower Level ? 24 Storm Damage Pibg _Y or _ N 0 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)" ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair 0 42 Demolish (Foundation) ? 46 WindowslDoors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0/' No. of Units No. of Buildings ? Const. (Actual) (Allowable) ? UBC Occupency -Q Zoning - # of Stories Length W idth Basement sq. ft. Main level sq. ft. ?6?t Sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building L-46 ? Gh g6E sq. ft. ?! 7 -52_ sq. ft. ? 71 Footprint sq. ft. a6dfc) i0°a ? Census Code 1 D/ i767 MC/ES System 1571/ CityWater YK,3. 8 17 Booster Pump PRV MA Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 0 Valuation: $ . 3 epOIJ X sS ?z.?!r= ay,??rs'_ 3G3o a-7 3Y S a? • / ? ,'?„Qcr?2 -- ? i5,7 r . =a6? /,v? SAC Units 3 31 9p? /o SAC MNcheck C(kMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-25-2000 TITLE: 00-338 PROJECT INFORMATION: Jeffrey & Kim Hyde COMPLIANCE: PASSES Required UA = 844 Your Home = 707 16.2% Better Than Code Permit # Checked by/Date Area or Cavity Cont. 6lazing/Door ----- Perimeter R-Value R-Yalue U-Value UA ---------------------------- CEILiNGS ------ ------ 2297 -------- 45.0 --------- 0.0 ---------- ------- 62 WALLS: Wood Frame, 16" O.C. 3745 19.0 2.0 210 NALLS: Stress-Skin Panels 508 8.4 60 YALLS: Concrete, Interior Insulation 236 11.0 0.0 22 BSMT: Conc. 8.8' ht/8.3' bg/8.8' insul 495 11.0 0.0 28 BSMT: Conc. 3.5' ht/3.0' bg/3.5' insul 35 11.0 0.0 3 GLAZIN6: Windows or poors, Above Grade 793 0.310 246 GLAZIN6: Windoas or poors, Above Grade 148 0.330 49 GLAZIN6: Windows or poors, Above 6rade 25 0.350 9 DOORS 18 0.230 4 FLOORS: Over Unconditioned Space 512 38.0 0.0 13 FLOORS: Over Outside Air 28 38.0 0.0 1 HVAC EQUIPMENT: Furnace, 90.0 AFUE C(MPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the r quirements of the Minnesota Energy Code. ?. Builder/Designer f,?i Date?2, ? O° 0 AFFIDAVIT OF EXEMPTION FROM STATE CONTRACTOR LICENSE. State of Minnesota ) ss Affidavit of Jin Hyun ) (Building Permit Applicant) County of Dakota ) Tv? being first duly sworn, upon oath, deposes and states the (Building Permit Applicant) the following: 1. This Affidavit is submitted in connecrion with the building permit application made by Jin Hyun (BuildingPermitApplicant) for a proposed work project located at 1472 Kingswood Ponds Road , Eagan, Minnesota. 2. I acknowledge and understand that Minnesota Statutes, s326.84, requires all residential building contractorshemodelers to obtain a license from the Minnesota Department of Commerce, unless otherwise exempt under the statute. 3. 1 am exempt from the residential building contractor license requirement pursuant to Minnesota tatute s326.84, Subd. 3, for reason(s) indicated below (check those that apply): a. I am the owner of the residential real estate on which the home shall be built and I will do the work myself or jointly with my own employees or agents that I am building such home as my own personal residence and intend to permanently live therein. b. I am an architect or engineer engaging in professional practice as defined in Minnesota Statutes, Chapter 326. c. My annual gross receipts are less than $15,000. d. My contracts on individual projects in aggregate do not exceed $2,500. e. I am a mechanical contractor, plumber, or an electrician. f. I am a speciality contractor, remodeler, ar material supplier involved only in part of the proposed improvement to the residential real estate. 4. I acknowledge and understand that the statements in this Affidavit are made under oath and if I make any statement in this Affidavit that I know to be false or incorrect, I understand that I could be subject to criminal prosecution or denial or revocation of the building permit or both. FURTHER YOUR AFFIANT SAYETH NOT. Dated: 9 3- J 9-C7lj U V'k -J 1 h To b (Building Permit Applicant) Subscribed and sworn to before me this day of , Jin Hyun 9501 Dakota Road Bloomington, MN 55438 (Print/Type Appltcant's Name and Address) Notary Public . ,• . LOT SURVEY CHECKLIST FOR RESIOENTIAL BUILDING PERMIT APPUCATION • ? PROPERTY LEGAL: Znr 721XR' Z KxIVF-Sk/OOD ONOS 'SFr'?I NQ ?IDDlTLO/?I h DATE OF SURVEY: ?'i 17/0 0 ? ? LATEST REVISION: ? ? DOCUMENTSTANDARDS ? p O? fa ? . Regi.stered Land Surveyor signature and company ? • Building PermitApplicant ? • Legaldescription ? • Address :9?1 North arrow and scale 33 .? • House type (rambler, walkout, spiR w/o, spiit entry, lookout, etc.) vl? ? • Directional drainage arrows with siope/gredient % r?a??? ? • Proposed/exosting sewer and water services 8 invert eievaUOn ?' ? ? • Street name ? • Driveway p ? • Lot Square Footage ?/a ? • LotCoverage ELEVATIONS Existina ? ? • Sewer senrice (or Proposed) ? • Property corners m? o ? • • Top of curb at the driveway Elevations of any ebsting adjacent homes ?? Adequate footing depth of structures due to adjacent utility Venches Prooosed a o • Garage floor g?o ? • First floor g? o? • Lowest exposed elevation (walkoutlwindow) ? o • Property corners C3 ? • Front and rear ot home at the foundation PONDING AREA ('rf aoolicable) p/ ? ? ? Easement line p/? ? • NWL r? ? ? • HWL ? ? ? V • Pond # designation ? o • Emergency Overflow Elevation o' p ? . ? ? ? o • a/? ? . r? ? p?? ? p . • DIMENSIONS Lot GnesBearings & dimensions Right-of-way and sUeet width (to back of curb) Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all sVuctures requiring permanent footings) Show aA easements of record and any Ciry utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent exasting structurea Retaining wall rer+uirpmpntc if anv Reviewed: Maroh 1988 caaIGMUocaaMr.FM CERTIFICATE OF SURVEY Survey fcr: JEFFERY HYDE ? ? RE E' s. 9 1 ED ' { •? 4 L? A ? i ? DD .k? 7 &AGA.A1 FNGWELERIlV FD?'.+,F'T. ' Z 092.2 ? •, sia Y ,3 o O ? Z ? A.2sos31• L-24 15 -A 1 e ? . O 1 i Ge7B03'36' ? L-7J.01 su+ sexER sVZOM wv. . 1151.00 860.3 ? ? IXISTINC HOUSE / 1468 em7 ? 1182 853.5 / i 11 , eie 7 v r2 ? 10.45 ? N tn NYnry4 Am7.0 ? E1SO/flJf AS POi DOC. N0. 569237 187.00 N 79'10'29 ' E q89, I ? i 1 ?1 I ? I N i A611 ?i t0 ? • _ 14.71 mcE OF I 1 J . '?,- ---I ?IM ??L ? Y?N ??lU? G N i (W.9 ? tll ? ii L J : y '' •. &53. -- $"A ? N N 99'41'25" E N . POND NO.dP-5 ? oavucc a vanwNc usevExr As am Dac. xa xewe _ ^} ? .. .? uMW,? U"LrrY EASUADiT ? ? 11 = 1? O A{ m? 11? y UNE '1 f mc¢ oF wAha EUEv- 828.0 Oi t ? --? F? M1L - 826.0 MAL . &M4 en.? e?ao ? HOUSE UNDER-CONST. r O ? ?°(???p G? {j u 8'uusoN = ' DESCRIPTION: Lot 7, Block 2, KINGSWOQR,?; PONDS SECOND ADDIT!ON V## &%OF Proposed Grades: Top of block 863_0 Goroge Floor _ 862•5 Basement Floor 834.0 V7D SURVEYoRS NOTE: Circled elevations are proposed; others ore existing. Arrows denote direction of drainage. 330-77 Revised 8-8-2000 BENCHMARK TOP NUT HYORAM SE CORNER OF LOT 12 BLOCK 2 ELEV. = 850.23 AREA LOT AREA = 40,403 sq.1t. ROOF AREA = 3,238 sq.ft. I hereby certify that this survey was prepa registered land surveyor under the lows of CARLSON & CARLSON, INC. LAND SURVEYORS Tele. No. (952) 888-2084 , N SCALE; 1° = 30' N J l am m * Denotea Iron Monument Found 0 Denotes Iron Monument Set red by me or under my direct supervision, and that I om a the State of Minn o a. Dated this 7th day of August, 2000.' Larry;R. Couture, Lond Surveyo Minnesota License No. 9018 RECEIVED AUG D 8 2000 PERMIT# '/ ( ?9I RECEIPT DATE: ? MIDENTIAL PLiJMIM PERMTf APPLICATION CiTY Of ER6i4N S$SO PII.OT KNOB RD ? EAfiAN, MA 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNERNAME:: TELEPHONE (AREA CODE) b ? 3?p INSTALLER NAME: L,vcx,??d`Q C JELEPHONE #: ?1Sa - 5l3a.-? STREET ADDRESS: (AREA CODE) CITY: -i?>JC- t/\:s L'? t I.t C STATE: (?•L.,?\? ZIP: . S 375 --,? Place a check mark next to the aermit work tvne x New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license ? II APR 1 2001 U State Surcharge $ .50 Total $ 9'b.50 Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is c rrect, and agree to comply with all applicable Cityof Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan KtwthinCity s no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities consVUCted under this pe- ay/easement. SIGNATURE OF PE MITTEE Updated 1/01 PERiVIIT #: 4u (.-., I ? CITY USE ONLY RECEIPT DATE: ftUIDENTIAL MECHANICAI. PERM1T APPL1CATION crrY oF EAsAx S$SO PILOT KNOB RD £A6AN 1HR 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: c) ) SITE ADDRESS: 1r:. OWNER NAME: czo 'T? v ? TELEPHONE #: AREA CODE) INSTALLER NAME: "??21 TELEPHONE #: (AREA CODE) STREETADDRESS: . CITY: T,Q?-? ,?yrp? STATE: ZIP: -?' P18ce a thetk mark neYt to the earmit wnrk tunP _ New residential dwelling unit under constructionand not owner/occupied $ 70.00 _ Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e I $ .50 Tota I Ren:inder: Call for inspectio?ts. SIGNATt'RE 4t P u r ? AUC ? I j ?j Updated t!O] CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCLdtL M£CHAN1CAI. PFJtMIT APPL1CAcT10N CTI'Y oF EA614N 3$30 PILOT KNOB itD EAsA1v,Mv 55122 651-681-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (ARFA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT ]TV THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AKL-.A CODE) STATE: ZIP: WORIC TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tanl: _ Processed Piping Specify Nature of Work Wlien installirag/removing ui:derground tank, call 65I-681-4675 for inspectiat by Fire Marskal ai:rl Plum6ing Iinspector. Fees: 11/o of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = nnnimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each S 1,000 Base Fee TOTAL $ SIGNATURE OF PERiV11TTEE Updated I/O1 Use BLUE or BLACK Ink r-----------------+ I For Office Use � ' � Permit#: �� °�� I Clty of ����� � �/ �� �� � � Permit Fee: �O 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I 1 Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ' Name: � Phone: � �2�� L ""r Resident! � �,�� � 0.w Quyng� ' Address/City/Zip: � � 2 ` ��V� ',�U_ .�72. ' Applicant is: Owner Contractor =, � p � � ►-s � q :� Description of work: � � � � Ty�e�rf W�rk Construction Cost: Multi-Family Building: (Yes /No� Company: 2�`-;1/\ 1J�� �-- � Yt���ontact: 1��' � u'�S COt1tPaCtOt' , Address: ��,5� l��St S� v�' City: � � l, e— Stat�.�Zip: S '�(� � Phone(Q�2+��1"��ll�mail: Q� 6--�. � �h �Co3o3F5� 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: N(?T�;Plans anal suppctrting��d�icumer�ts°�fhat yv�submit�r�cnr�side�ed f'c�#��publi�infcrrmat�pn. P�trtions of � th�inform�tiori=rn�y be�cfassi�eal�s�r}ari�n�rbl�c�ff;yc�u;�rc���ale s�a�eific reas�ns��that woulal permif t�ie City ta �arrctud .t�raf#hsy are trad�se`�re��. 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.aoqherstateonecall.orq 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. X �C�-e-i� r�,s X Applicant's Printed Name c ApplicanYs Signature Page 1 of 3 Use BLUE or BLACK Ink r-----------------'+ I For Office Use {� � / � � � Permit#: � �1� I I� City of ���a� � ��- ; �� � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ' Name. e. ''CG l Phone:C��2..�� (� C�Z� ( Res�dent! � � o"�. �K �2 Qyyn�r Address/City/Zip: 2 � O�n ' Applicant is: Owner Contractor � ( = � Description of work: G- �� V Q. f• � g.... `C�,�2„ ���Y.I?�g�,11�Ic�Ck � sy t /� ^ � ` '. Construction Cost: l V 0 U Multi-Family Building: (Yes /No� Company: o C�U I,�Q_��-- Contact: Contractor ' Address: City: State: Zip: Phone: Email: 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: Nt7TE:Plans and supporting dact�mei��.fh�t ytr�sr�b�ni�`are�ons�tlerec���be pu_bl��infarr��tiar�, Pvr#ions af . ttie information ma�if be clas�ified as nc�"rr;�:Rublic if yo�:pra��aC��pecrfi��e�s�n�t�rat wc�uid p�rrnet fite°City'#Q +�an�l,ude'thai't�+�:are tr�de se�r�#�. ', ,. 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.orp 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; th he 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 completed within 180 days of permit issuance. XJ� � X Applicant's nted Name p ig e Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � ' � Permit#: l J���� I City of �a��� � � �s ; � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERIMIT APPLICATION Date: Site Address: Unit#: �, ��� �� � � �?C�� —2� � �,� ���'�� Name: .���� ��_.c�.. v�J'� Phone: �,-�l Z � � Res�der�t/ � � ( c .-�. 4Q �[ � Owner�:� �'� Address/City/Zip: �y�K���. ;�-�\��C�.,.�� 1�.�\1�--c�r�cs ��V�`� S S ( �����;� � ,_§'` A licant is: Owner Contractor _.m�, �����,_ - pP �� ����. � ���� � Description of work: -�`t�.�.C�..� ��G`; � S Type of Work ��� �, ,,��� ,_, Construction Cost: � dUv Muiti-Family Building: (Yes /No ) �., �� ,�� ` Company: Contact: � ���� � ,� _ ���� ' � ' Address: City: �Contractor�� — � �,�.� _ ,�,.�� � State: Zip: Phone: EmaiL• � ��������` ';' 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 CONSTRUCTIIVG A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan ��ased 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�PIans��nd sup�o��rigtlocum% s��h�af}ro`"�subm�t are co�►siale��d�o be �ub�"��"','for "ai`ror� �P'o o�s;�of��; �the rnformat�on ma �be"`�c/ass fretl as non ublic�� ou r4�+' e s ecii�c e�so�s#haf ould� r �!�� � ta r � ����..;;. �h ���� ��� , ���.,��canclud��:fha���ey re�aal'e s�ecrefs �,���� � _��. � .� � ��� 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.popherstateonecall.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 Sltate B ' ode must �pleted within 180 days of permit issuance. y"'�.,:�%%" x J-e � � X /'��`�.�i'F*rf f� f . ApplicanYs P nted Name App4i gnature - �,; y'� Page 1 of 3 r`� , Use BLUE or BLACK Ink � � s r——————————— I For Office Use � � ' �� � �� � Permit#: `� I �� Clt� of Ea��� ; . ;�� ,� ;��, Permit Fee. � � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: Site Address: Unit#: � �, : � : ' � � ; < �N� � �� Name ">>�� �� , / �'7"7 Phone: �!�' " ���A;��5� e1�� ,�,/� QW � Address/City/Zip:1°� �'S/�/�J�'S"filt�cJGf ��'� �_' �'�76�✓f,� -��/��r�Z �� ,� : . -T� ��� �� � �� ,. � �w, „ • Applicant is: �Owner Contractor � . ,. . : �� /��'L'-�` a tl �,, r ��V11ork=�= Description of work: f ����} �� ��k��h2 Construction Cost: �. .k� Multi-Family Building:(Yes /No ) � � ` � �� ����'; ¥� Company: „ .. �ntact: ���� : „_, � �� �r�Ct�t�� Address:_y � � ' City: r , � � �� _ � � � �.�n � Sta: Phone: Email: �"' � $ �a�� ���� �,�. License#: tl�"..�ead Certificate#: If the project is exempt from lead certification, please explain why: �U��.7' /�J aZR�'G �2 � � 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: � x , • a� Fire Suppression Contractd`r: . ' Phone: � ���'E Pla��ana� ��vor�i "�' �cume #� ou s�� ��e'`� z�li���fo�►n����� �n�s�� �����e rnfc�►�nat�on rn� e �ed as� ic rf � �1 �r� �.w,� �������rc���d �� �i#y n � , ° ��x: ���'`.. r � ude�tt� t ,., �d�"seci�#s� #� �f� f ���: � � ,���.: ..., ,�' �u � . p�.F m... � m{..t . . . .• 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.orq 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. � . ' �%' , X ?'�'' l`-� � / e�,� x .. `:-C� ,`�,�,,, "�` ,. :,:,. Applica Ys Printed Name Applicant's Signature � Page 1 of 3 �` �� fi'p/�S �C�DO NOT WRITE BELOW THIS LINE �� �� �"7 7� �r �SG;�[[��� ` . T - SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building" � Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �D A� Occupancy ��G -/ MCES System '–"" Plan Review Code Edition �Ol� SAC Units � (25%_100% !!) Zoning y� City Water """" Census Code �1��! Stories Booster Pump '"' #of Units � Square Feet (�Z PRV � #of Buildings � Length �� Fire Suppression Required — Type of Construction _�_ Width �� REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Gl�r�� /�,�ri/� Q /��/j� ��� Base Fee �9/ � Surcharge Plan Review /�„H ✓ MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � � .�� � � g . � ' � N • ' � M ' � t � II 4 � �n .� Q � � �m � y r 'a w- � ]�i � !�'�` � '� � 4 � a,... a 7 QO a pp ,�, ti � in c;'3 •a, : c � � �,, '� r`'`.`•;�i ,a O �-�s [,� �p �j G. v► `;;, Z � � � � � % � � h � ` � � V � ~`�' � � + �� �,.� 3 ? � +r� � � V ��"_ O O �p 0 -,� (,�j OC � �� ! ' � � � 1• r.�. 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O � M � PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172036 Date Issued:09/13/2021 Permit Category:ePermit Site Address: 1472 Kingswood Ponds Rd Lot:7 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-070 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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 (miscellaneous)$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 - Mieso Koji 1472 Kingswood Ponds Rd Eagan MN 55122 (612) 481-0380 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature