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1475 West Pond RdCITY OF EACAN CASHIER: JS TERMINAL NO: 687 DATE: 08/26/33 TIME: 1.3::00:40 ID" NAME:, MCDONAL.D CONSTRUCTION? INC. 2252 9220 1.475 WEST POND 30.00 321C 3001 1475 WEST FOND 19340.`_5 3866 9379 1475 WEST FOND 100.00 3422 9001 1475 WEST FOND 871..62 2275 9220 1475 WEST FOND 1:033.50 3446 900:1. 1.475 WEST PONTi .O.SO 21.1;1 9001 1475 WEST PONY" 0.50 3713 9220 1.475 HES1 ' FOND 50.00 2155 9001 1475 WEST POND 81.00 3868 9220 1475 WEST FOKII 468,00 CR:1.15986 *)X CONTINUE USER ID. JAN :cXc CONTINUE );c>;:X(y< Krc X>' )krc n;;::c XX:rnSyx:B * SaXM„MMR:'I,Y C:k)XX.;C",** 7tX;X 'cX :;nX7XX:X X Xcr );,X Sr;;X;r ::>::i.:>;oXXcXo Y,cBo;o:c CON") NUE CITY OF EAGAN CASHIER: JS TERMINAL NO. 587 DATE:: 08/26/33 TIME: 13"00:40 III" i:AME" MCDCNAL.D CONSTRUCTION, INC. 2716 3220 1475 WEST I'-`OND 114.00 371.3 9220 1.475 WEST FOND 50.00 3865 3220 1.475 WEST FOND 825.00 Total Receipt Amount" 4y98:L.07 CR1.i598s USER ID: JAN );U:X:YX:X);lY,:)".:;c7;cY,c)$Y,cX<XC:c:'„7X);c7`):cY,O$>n)X ?c1?Xc)XMXcXcY,O;cXcnc$c ?Y,: Address 1475 West Pond Rd Zip 5512? Lot 13 Blk 2 Sub Kingswood Ponds 2nd THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: I a- -1 C( Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) ' Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact 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 1- 1-3 az 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 I 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 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 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 from these assessments made pursuant to this agreement. DATED: / G OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporation By'James B. Horne Its: President WAIVER OF HEARING 4557 Special Assessment Authorization I/We 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 Trunk 5 lots Lateral Benefit Sanitary Sewer 100 ff. 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 from these assessments made pursuant to this agreement. DATED: G OWNER: HORNE DEVELOPMENT CORPORATION, a Minnesota corporation By' James B. Horne Its: President STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this day of 1997, before me a Notary Public within and for said County, personally appeared JAMES B. HORNS to me personally known, who being by me duly sworn, did say that he is the President of Horne Development Corporation, the corporation named in the foregoing instrument, and that said instrument was signed on behalf of said corporation by authority of its Board of Directors and said President acknowledged said instrument to be the free act and deed of the corporation. ?GU Notary Public ??- APPROVED AS TO FORM: Ciry Attoiney's(Office? Dated: APPROVED AS TO CONTENT: Public Works Department Dated: u, "7 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 SECOND ADDTITON NORTH MANAM um unun to rcNM Aft snow AS DMI: SMET -1 IPWJ- F l- oo -nm] J L L REAR LRE K. a Rn x "ta vw[ss om[txq .EA.. 1eJ,yrlC - Lor Y(; . RW ro RE' w were, In y V`KL .buno, W roCwwe fME, t A. E. Lar V , AS 9Cwr w M R... .Y r 1 ------ ------n-11161 4 11 K r aoaneRc wnnr aM x. •I.e: W. I...ry r dml cs INANCIAL OBLIGATION s 1p, WMM.r Yr, nM •^ aL r»r. r ; Y A Fw Meep 3xo Aopnvt ?. L. nsv .axiom (x,cv.o. Iv» oerw) 'o LEGEND 1 w• Nawx[xr rouq aawz weurtP e o „p . e . / ,, A : THE EAST W CV NWNtAST SECP :1I, IM -TER rtA d , w 21. .G 3, .CS1 4 n AS AssLKO Tp n. e[u r ' .w,a > a .t 1 nnnwmuu Lateral Benefit Sanitary Sewer ]Arts xY .m ro K Qr . ry um(TOU u Nrts uo d / 1' , • x[OT elti. = : •a uuL ecwnrv mw v` s • Water Trunk rtA v na Rcnmwc v n.s RAT. ? Iff if , SP, F-Sx-s :-3.m • =A ????r ue/ . ." -i;•o ?Ku ?Pd? r]-? ;6? r sN ' \ .. .: {' j ? , ]r - SOa•rf ? . '2 , •-v •" ?av .ryil(?i ? • In ii ___S?f.tf'[ ],1.a/- •. d ?. \ .:- c ).. ? .? :? / v _ LLR essr Y C J. V h? 'r t ? ? _xm?nrY-J j' I = ( I ?•».,+R . A ?` L ? '-r7: ? C , _ _ ..- a I &s•. J of Nu• - C_-? n J•4--. Z Y ` d/? ? 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JCI ?....•..• ..,.".. •. .-.. ..... ...... i?iit!ii iii• .... ir:.AT NO. 119-57 ,.1 •gsL I`Jei))w P. t e'irtR a\,t ?-'(\ / EG \ ^ : r 9 I ? S' I ? tri p a i i ' r ? i s y? a t , ? L 13ViA12 Rriifro ? ? ? I .6 "?,i1 h y ?? II d ' •" 1 I i --iwwuwwtwu? ?-ora,•RO--- - -- -- -- ]]ers n_ Vt• r'F-a011sI•] - r -- - . . L r Lp1.1/im i{77 w. Lm[ V TK W114 a W K)/4 a sca 31. IW. 21. PMEL 3s f::i:-JT OF PLAT 1!1.! io 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD 55122 • t y'o '?- 651-681-4675 ti ? ?j New Construction Requirements Remodel/Repair eq s- ? 3 registered site surveys showing sq. ft. of lot, sq. ff. of house and all roofed areas (20% maximum lot coverage allowed) ? 2 copies of plans (show beam & window sizes; poured incl. design; etc) ? 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 DATE: ?- / - -9 _/ DESCRIPTION OF WORK: STREET ADDRESS: , T r?o -. LOT: / *?- BLOCK: e-J- SUBD./P.I.D. #: ? 2 copies of plan ? 1 set of energy calculations for heated addmons ? 1 site survey for exterior additions & decks CONSTRUCTION COST: X36 Al 0, ^ h PROPERTY ONN :NER Name: 7't ?J J . _ Phone N: 2Z (7` _ 7 Zje( -?? ----------- Lut First Street Cit3 State: J41 .+ • --- Zip: J ?/9 T Compui}:- /lC??G J l --- Phonek: f? ZqJOt^Xv CONTRACTOR / ---------,--?-- Street Address:_ _0? L?_?? License % 4! (9 _Eap. ?q`?0 - I I ?/?r---- -- Cn}' _ ?`-- I-- - ----------- State: A71 ------- Zip: ?? ARCHITECT/ T ENGINEER Cmnpa»}': Phone N: l -? O _Q2 _ Natne:_ Registration H: ---_-- Street Cil}' r"'5 1 ?- V State: A, Zip: 575 CSC ?-- Sewer 8 water licensed plumber .33i:2 9 Penalty applies when address change and lot change is requested once p?rmit"itiss Xe ?I 9 "t I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D C C Its v t=?rN 1 Certificates of Survey Received Yes No l?I Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) !7N Basement sq. ft. 7 /7 Census Code /0/ (Allowable) Tiv Main level sq. ft. / / 7 / SAC Code U / UBC Occupancy sq. ft. / Z /y?t rl? y No. of Units Zoning sq. ft. e?,, No. of Bldgs # of Stories sq. ft. ` MC/ES System Length ?r ' sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge 93?x 2S ?SC'r Z-3 Plan Review - / License Z 13 MC/ES SAC 7 A Sy- City SAC S 7/ Water Conn. ?UGy? SZ/- ?7 Zfs? / Water Meter Acct. Deposit 77 k 1C_ S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: L ?l 8 l .O -7 SAC Units i 1 ENERGY CODE WORKSHEET FOR 1 & 2 FAMILY DWELLINGS I?SITE• ADDRESS FOR5YTH I _ - _, CITY ) n M_I1__- n MINIMUM CRITERIA Foundation Insulation-RIO Slab on Grade Insulation-Rio Floor over unheated spaces-R24 Foundation Windows 1/2" insulated Glass. -Wood or VinYl Frame #99-485 • category 2 ti Walls & Windowa (See table on reverse side for allowable percentages) STEP 1 Window & Door Area A., Total Window & Door Area in Sq. Feet WINDOWS (Including Foundation Windows): WINDOW MANUFACTURE NAME:(:RESMNE WINDOW MANUFACTURE TYPE:'poVM HVN& -S M7' WINDOW MANUFACTURE U FACTOR: .3 6 R. O. Quantity sq.ft.Area Dimensions Roof Attic Insulation: R44-With Attic No Heel R38-With Attic Raised heel R38 & RS-Solid Rafters STEP 2 Calculate area as a percent of wall C. From Step 1 divide box A (Window & Door Area) by box B (total wall area) times 100 equals the window and door area as a percent of wall area (box c). POX A_47 7 X 100 = Box "3372 C =14.1 C/ 0 X ?3J STEP 3 D i 1-6" X 51-0" i)l) _ S? es gn Featurea kSSEhIn LY O , X 3,-b., 1 i+ FRAMING TYPE: STANDARD FRAMING t d " X s u s 16 o.c. ADVANCED FRAMING t d " X s u s 24 o.c. CAVITY INSULATION X SREATXTNG TYPE: X LESS THAN c R-5 X R-S > OR MORE X U-FAC':'JR U DOORS: From tl,e table, (reverse side) determine the maximum percent window & door area for the X design options selected and enter the t value in Sox D below based on the window mfg. U- IO factor: X ?? a III D Total Area of A_4.'77sq."t. Windows & Doors II - B. Total Wall Area in Sq. Ft. The t value from the table in Box D shall be equal to or greater than the t in Box C Wall Total He fight Area Perimeter Total Area of Walls 10= '7 q.ft ONE- & TWO-FAMILY RESIDENTIAL DUILDING PRESCRWTWr- (COOK-1300K) APPROACH MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA 7 7 7 STAN p STANDARD R.17 <R-5 ° 11.9/° 15.7% 18. ADVANCED [Z_17 R-17 R 5 13.890 18.4% 21. A DV A N _ <R-5 12.6% i 16.8% I 19. N > R - 5 14.3% i 19.0% 22. Notes: Window area equals rough opening minus Installation ;earances. Window U-factor must be determined by either the N: onal Fenestration Rating Council standard 100.91, or ASIIRAE 1993 Handbook ` Fundamentals, Chapter 27, Table S. A"iUQnal calculate?val a es LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ?p PROPERTY LEGAL. LOT 13 -BZcV"L ge--5Ww/J -wos ZNO DATE OF SURVEY -7 - 14 - 92 LATEST REVISION. 2 DOCUMENT STANDARDS / p ? ? Registered Land Surveyor signature and company V, 11 V ? Building Permit Applicant ? ? Legal description n/ ? Address ? North arrow and scale ?? ? - House type (rambler, walkout, split w/o, split entry, lookout, etc.) A--,? ? Directional drainage arrows with slopelgradient % i?-'S ? Proposed/existing sewer and water services & invert elevation a ? Street name ct?' ? ? Driveway cd' ? ? Lot Square Footage 0-/b ? Lot Coverage ELEVATIONS Existing ? Sewer service (or Proposed) r? ? ? Property corners gr' ? p Top of curb at the driveway Or ? Elevations of any existing adjacent homes re'® ? Adequate footing depth of structures due to adjacent utility trenches Proposed ED" ? ? Garage floor e' ? ? First floor 2, ? ? Lowest exposed elevation (walkout/window) E' ? ? Property comers v/ ? ? Front and rear of home at the foundation PONDING AREA (if applicable ? V ? Easement line ? d ? NWL ? at' o HWL a ® ' C3 Pond # designation - / ? q K' Emergency Overflow Elevation W DIMENSIONS & di i ? ? mensions ngs Lot lines/Bear o ? le, Right-of-way and street width (to back of curb) or' ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) R/ a ? Show all easements of record and any City utilities within those easements (2' ? p Setbacks of proposed structure and sideyard setback of adjacent existing structures ? aim ? Retaining wall requirements, Aany Reviewed: Name Date March 1999 GRAIG/8LDGRRMr.FM 1 * PION] end * #** C1gMER5 UWe PU111 . Uwa$C MCHRCIS Certificate of Survey for MCDONALD 2422 Enterprise Drive Mendolo Heights, MN*55120 (851) 881-1914 FAX:881-9488 E-mail: PIONEEROPRESSENTER.COM 625 Highway 10 N.E. Blaine, MN 55434 (812? 783-1880 FAX:783-1883 E-mall: PIONEER20PRESSEN TER. COM CONST. 1475 WEST POND RD PLANJ99-488 LOT AREA =23,561 S0. FT. p COVERAGEEA8=01899 SO. FT. RKE n p ? HOUSE TYPE=r STORY WALKOUT By \\V// G Bate C' kT EPTCT1VEAm,aiTATC DEFT. 1?v ,a Cy Ci y/y,9? "YOO p(9'l'S. CAF. Ste, S • ? 11 0 ?V+ ? 1 ? ?g55 D 0 Z ?00 N ow) Z NnN C4 117 2 d Y ?g 52A, 12 NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN By. NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. I I. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. PROPOSED H VATI N S LOWEST FLOOR ELEVATION: p? 5 TOP OF BLOCK ELEVATION: GARAGE SLAB ELEVATION: TOB *LOOKOUT ELEVATION: NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION - - DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM DENOTES MONUMENT -E- DENOTES OFFSET HUB WE HEREBY CERTIFY TO MCDONALD CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 13, BLOCK 2, KINGSWOOD PONDS SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS.SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 14 DAY OF JULY, 1999. ?? L ND: / /A'IONEER ENGI ERIN P.A. SIC E SCALE : 1 INCH = 40 FEET WCEIVED AUG 2 3 1999 BY: -3A.52 lAda* STORM SEWER ,-PER CITY PLANS 855.2 S. Req. No. BENCH MARK TOP OF PIPE SAN. SEWER PER CITY PLANS . ELEV.=857.59 0 1 DRAINAGE & UTILITY o ?,---EASEMENT PER PL T ?1 \ 1 7111 _ e.... au , d 857.18 i ._ ... l.. , 1 `? v 45 FT UTILITY EASEMENT PER DOC. NO. 569235. till _----__-.1.&%.a-- F--- 20.33. 10I MAXmTAgro.q?Raa'PE13?SWRLEr ? % .0 vrL) 859.8 R I ?RASroA6a?' ?o a Ir S;a o , t< rn -a IFa 13 ?A u+ I ?W 8 mo •ifa .8 16.6 UW LSf°'°?• e ] zS 1 856.1 $ aLO >f(! ] O W L-"'r - O' 0/) 849.12 i I FErll-? ? ? C ,o 09 M G' 859.9 M 8 1 1 1 BENCH MARK -TOP OF PIPE ELEV.=854.97 852.8 15 F:)) o?o Vo R[E(2U ?L?D CITY USE ONLY LOT BL RECEIPT #: l 11 I -1L} SLED. ?t ?l?a ?l(t1?S ahd AJ JVj. RECEIPT DATE: U I- I q 1999 MECHANICAL PERMIT (RESIDENTIAL) 2, ?l I CITY OF EAGAN 3630 PILOT KNOB RD EAGAN MN 55122 Date: 01 on ? n (651) 681-4675 Complete this section only if you are installing HVAC in single family, townhomes or condos 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.) O 9.00 • State Surcharge: .50 • TOTAL: O' Complete this section 21LU if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New _ Replacement _ Repair _ Other Furnace Air conditioning Air exchanger, i.e. Vanee system, etc. Reminder: Call 681-4675 for inspections. SITE ADDRESS: Other $ 30.00 State Surcharge: .50 Total: $30.50 O%VNER NAME: (/?? PHONE #: \? -' ry/7(,0/ INSTALLER NAME: C0^j7Zr n11 ?) PHONE #: ? ) 6n - STREET ADDRESS: o2/?/Q / ? ,11 CITY: ? nJ lt7' STATE: ZIP: 1S FOP %1S BLD MECH PERMIT (RES) - 1999 `li<y SIGNATURE OFTERIvIITTEE L BL SUED. APPROVED BY: CITY USE ONLY INSPECTOR RECEIPT #: RECEIPT D, 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 5830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICF_: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: I% of contract price OR 530.00 minimum fee, whichever is greater. Processed piping - S30.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TEN.?'vT NAME (LMPROVEMENTS ONLY): INSTALLER: (S.50 per $1,000 of permit fee due on all permits.) PHONE #: ADDRESS: PHONE #: CITY: STATE: ZIP: SIGNATURE OF PE -MITTEE L 13 BL CITY USE ONLY 1 bi ? RECEIPT #: SUED. i??V?A%JUUn Ir h Vl S a- RECEIPT DATE: PERMIT #? 1999 PLUMSINfi PERMIT (RESIDENTIAL) crrYof EAeAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 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 Bath tub $ 3.00 x = S `I. cc Floor drain 3.00 x $ ola7 Gas piping outlet ' minimum - 1 3.00 x = $ 3, VV Hot tub/spa 3.00 x = S Kitchen sink 3.00 x $ ,oc Laundry tray 3.00 x $ ,OZJ Lavatory 3.00 x = $ Do Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x = S Shower 100 x = $ Ga Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30 00 x = $ Water closet 3.00 x = $ 2.C`0 Water heater 3.00 x = $ p0 Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- = S State Surcharge .50 > > ----> $ .50 Total > > > ---- > $ 'Q Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - ------- ---------------- --- - - -------- - --- - - hereby acknowledge that I have* ave read this application, state that the information is correct, and agree to wmply with all applicable Cityof Eagan ordinances It is the applicant's 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 activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: I /::) E G ?i ,/2 / OWNER NAME:: M?DO,uf?LOi V TELEPHONE #: 61Z ;132- 7(001 1, / M ,/1 C TELEPHONE #: (AREA CODE) INSTALLER NAME: YV EAI ZEL ' "' E ?Zf ?- _-6-a qq? STREET ADDRESS: 195q ?5/4A/JUCZZ? JQD (AREA CODE) 122- CITY: LA 64 .) STATE: ZIP: 5,5- SIGNATURE OF PERMITTEE L BL CITY USE ONLY ? SUBD. l O -an RECEIPT #: -I 3! 156 RECEIPT DATE. &- 3-00 PERMIT# ?Z//9 7 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: D 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: $ 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/refurbished • requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/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 if existing 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 -> > -> > $ 3 Sb Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------e - t hat I have r-------------ead--this ---- applic----ati on--- , state -------informati----on ---is--cone---- d-- , --- and------ agree---tocomp-------ly- w-it-h--allap---------- plicable--City ----of--Eag----an----ordinance------- s-- Ihereb y acknowledg that the . It is the applicant's 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 activities to the (facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 1U15 11 )Ck - rlC't ROGA OWNER NAME: : TELEPHONE #: (AREA CODE) INSTALLER NAME: t<\\?mrn MorhCt n l 1 1 CD)?gt( ms.STELEPHONE #: 8Go-atng (AREA CODE) STREET ADDRESS: Vo tACA r 4 , n1r, A PDc.?Ck #- l1 CITY: `??v-,MS Sm L STATE: ZIP: f)-?7 SIGNATURE OF PERMITTEE City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1-----------------I I For Office Use Permit #: I I Permit Fee: ? Date Received: I I Staff. I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7- 01-e2F Site Address: f 7S (.(.J• /71,1 Tenant: R!a R1_) C (2 1?I Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: / A li t i O /C pp can wner s: - ontractor TYPE OF WORK Description of work: 'T Le" 7 e - 7DDe . oa Construction Cost: Multi-Family Building: (Yes No ? CONTRACTOR - n Name: 14 P ry?T? License #:?°y?? Address: 2, / z6i° City p). , S 0,4)1 _State: ..&9L. Zip: SLL ©2S Phone: o/ - L? ?,'2 -123,F/ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 the are trade secrets. 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. x --I9,,sP a r_ x iY/ t'/ L d Applicant's Printed Name A nt's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1475 West Pond Rd Lot: 13 Block: 2 Addition: Kingswood Ponds 2nd PID:10- 42051- 130 -02 Use: Description: Sub Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 e- Fireplace Construction Type: Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Benjamin Bushaw 1475 WestPondRd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA077993 05/29/2007 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA112844 Date Issued:08/26/2013 Permit Category:ePermit Site Address: 1475 West Pond Rd Lot:13 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-130 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Carol Foss Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Derek R Masterson 1475 West Pond Rd Eagan MN 55122 (651) 707-6433 New Exteriors By Sma Inc 10701 93rd Avenue North, Suite E Maple Grove MN 55369 (763) 315-8900 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158323 Date Issued:10/09/2019 Permit Category:ePermit Site Address: 1475 West Pond Rd Lot:13 Block: 2 Addition: Kingswood Ponds 2nd PID:10-42051-02-130 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Derek R Masterson 1475 West Pond Rd Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature