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890 Lakewood Hills Rd S Apr 13 2009:54p p.1 • For Office Use • • Permit 4: / k, . � • c� a E AG N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (551)675-56751 TDD: (651)454-8535 J FAX (651)675-5694 Staff: buildi noinspe ctions(a)citvofeacja n.corn 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 04.13.20 Site Address: 890 Lakewood Hills Rd , Tenant: 6 l(t• {�(1012. Suite#: Resident/Owner Name: Ok 76.44. a i, t o S Phone: Address/City/Zip: Name: GREAT QUALITY PLUMBING PC647348 License#: Contractor Address; 10212 XENIA AVE N City: BROOKLYN PARK State: MN Zip: 55443 Phone: 651- =4101 Contact YURIY Email: UROKG GORYEV@COMCAST.NET Type of Work --New _Replacement _Repair _Rebuild ✓ Modify Space _Work in R.O.W. Description of work: Install new bathroom and bar sink Tankless Water Heater Lawn Irrigation( RPZ/ PVB) Standard Water Heater Description ✓ Add Plumbing Fixtures(_11 Main/_Lower Level) P Water Softener Description: toilet, sink, shower, bar sink. Septic System _New _Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures,adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System(includes County fee and State Surcharge) $60.00 Connecting to City Water from Well`+ $290 for Meter and$200 for Radio Read =$550 *Sewer&Water Permit also required for connection charges TOTAL FEES$ 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. ww_aoonerstaieonecail.orq You may subscribe to receive an electronic notification from the City of proposed ordinances bysigning upfor an email update on the City's website at':rsnrr.citvoteagan.comfsubscribe. 9 9 Pd 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 appr val lans. xYuriy Grigoryev Applicant's Printed Name Applicant's Signature Page 1of2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160973 Date Issued:04/27/2020 Permit Category:ePermit Site Address: 890 Lakewood Hills Rd S Lot:18 Block: 0 Addition: Lakewood Hills PID:10-44350-00-180 Use: Description: Sub Type:Residential Work Type:Alteration Description:6 air supplies, 3 air returns & 1 bath fan 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 - Randal Buendorf 890 Lakewood Hills Rd S Eagan MN 55123 (952) 443-3430 Air Express Inc 1010 - 118th Ave NE Blaine MN 55434 (763) 291-8519 Applicant/Permitee: Signature Issued By: Signature • RECEIVED ��tt G APR y� 2U .0 For Office Use /_ 014 a .,- 4t,i o , a ::ee : /6//(..a I � ` EAGAN 549. 74 : ,0„..„, Date Received: 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 (651)675-56751 TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buiid nctinspectionsgcttyofeagan corn L 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Karen Buendorf Phone: (612 )743-1979 Resident) 890 Lakewood Hills Rd. Eagan MN 55123 Owner i Address/City/zip: Applicant is: Owner ✓ Contractor S I Basement Remodeling/Finishing Type of Work . Description of work: Construction Cost: 21687.56 Multi-Family Building:(Yes—/No 6/ ) Company: On Time Contractors Contact: Aleh Shliomin Contractor t Address: 1920 Central Ave NE City. Minneapolis State: MN Zip. 55418 Phone: (763 )843-233: Email: aleh@ontimecontractors.com BC466034 NAT-50228-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting-documents o r.tin documents that submit are considered to be" , _.ons ' .. . sn. be g youpublic information. Portions of the information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.comtsubscribe. 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. 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.q=_ herstateanecali pig I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and c.•-s 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 - art without a permit; th- e wo, will be in accordance with the approved plan in the case of work which requires a review and approval of plans ' Aleh Shliomin x ���.�_,__ ice. Applicant's Printed Name App �'nature 411101i' ,//‘ .-/ DO NOT WRITE BELOW THIS LINE g / 0 LM6-otiod l 1 S k4- c . / 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 X Lower Level Pool _ Accessory Building WORK TYPES New 7% 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 0//G . 356-:0° Occupancy TPC / MCES System Plan Review X. Code Edition Z',S c. t J ec SAC Units (25%_ 100%() Zoning ,2 / City Water Census Code Stories Booster Pump #of Units Square Feet 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 Foundation Before Backfill ,C HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final '7< Framing 30 Minutes 1 Hour Drain Tile >c Fireplace: '>cRough In _Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS X Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan - -'-- Other: Reviewed By: G „z7-1/4------ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Miles Johnson From: Gable, Emily <Emily.Gable@CO.DAKOTA.MN.US> Sent: Monday,April 27, 2020 4:11 PM To: Miles Johnson Subject: RE: Message from KM_C654e Attachments: Lakewood Hills Rd S_CI-Compliant (11.05.19).pdf Good afternoon Miles, I actually was copied on the inspection from last year,so I had the soil information! With trenches the soils affect the sizing of the drainfield.So that's why I asked. It looks like there's a total of 250' linear feet of trench.According to the information I found, it's a silt loam soil at the depth where the system is sitting.Trenches for a 2 bedroom system in silt loam should be 200' long and they should be 300'for a 3 bedroom. My guess,though, is that when the system was designed, it was actually designed for a 3 bedroom using a loading rate for loam soil which would come out to be 250'as shown in the as-built. For the tanks,2000 gallons is enough for a 3 bedroom under today's rules and county ordinance (county ordinance requires 50%larger sizing for garbage disposal). State minimum has it enough capacity for up to 7 bedrooms, but drops down to be sizing for 3 bedrooms if the house has a garbage disposal.This is making the assumption that the system is gravity and both of those tanks are septic(basically that the 2' tank isn't functioning as a pump tank). So... all that brings me to think the current system was designed with the intent to be used as a 3 bedroom system. Hope that helps! -Emily From: Miles Johnson<mjohnson@cityofeagan.com> Sent: Monday,April 27, 2020 3:47 PM To:Gable, Emily<Emily.Gable@CO.DAKOTA.MN.US> Subject: RE: Message from KM_C654e Not that I have received. I guess I was not concerned about soil types just if the septic is approved to add another bedroom. 'A4'3! Fac'. Miles Johnson . •; Senior Building Inspector : 3830 Pilot Knob Rd I Eagan, MN 55122 • 8 Office:651-675-5684 • • ' .4 https://www.citvofeagan.com . .ZliNs /l From:Gable, Emily<Emily.Gable@CO.DAKOTA.MN.US> Sent: Monday,April 27, 2020 2:15 PM To: Miles Johnson<mjohnson@citvofeagan.com> Subject: RE: Message from KM_C654e 1 Was there any soil information that accompanied the compliance inspection? / /( -Emily From: Miles Johnson <miohnson@cityofeagan.com> Sent: Monday,April 27, 2020 1:53 PM To: Gable, Emily<Emily.Gable@CO.DAKOTA.MN.US> Subject: FW: Message from KM_C654e WARNING: External email. Please verify sender before opening attachments or clicking on links. 890 Lakewood Hills Rd, Eagan. Emily per our conversation. Thanks, `4° 4,40 ,. Miles Johnson N * ,•� x Senior Building Inspector ., 4, 3830 Pilot Knob Rd I Eagan, MN 55122 e �"" "� a ' Office:651-675-5684 • ib � - w� https://www.cityofeagan.com • t,�isNso / From: noreply@citvofeagan.com<noreply@cityofeagan.com> Sent: Monday,April 27, 2020 2:13 PM To: Miles Johnson <mjohnson@cityofeagan.com> Subject: Message from KM_C654e Note: This email and its attachments may contain information protected by state or federal law or that may not otherwise be disclosed. If you received this in error,please notify the sender immediately and delete this email and its attachments from all devices. 2 • // Property address: 890 Lakewood Hills Road S,Eagan Inspector initials/Date: .5p1 f/- -)°I 4. Soil Separation—Compliance component#4 of 5 Date of installation: 1999 ❑Unknown Verification method(s): Shoreland/Wellhead protection/Food Beverage ❑Yes a No Soil observation does not expire.Previous soil Lodging? observations by two independent parties are sufficient, Compliance criteria: unless site conditions have been altered or local requirements differ. For systems built prior to April 1, 1996, and ❑Yes ❑No not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs) Protection Area or not serving a food, 0 Two previous verifications(Attach boring logs) beverage or lodging establishment: 0 Not applicable(Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical 0 Unable to verify(See Comments/Explanation) separation distance from periodically saturated soil or bedrock. ❑ Other(See Comments/Explanation) Non-performance systems built April 1, ®Yes 0 No Comments/Explanation: 1996,or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage,or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* Experimental" "Other",or Performance" 0 Yes 0 No Indicate depths of elevations systems built under pre-2008 Rules;Type IV or V systems built under 2008 Rules(7080. A. Bottom of distribution media ALN- 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 433,. Drainfield meets the designed vertical C. System separation 33 " separation distance from periodically saturated soil or bedrock. D. Required compliance separation* 3 Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local Failing to Protect Groundwater. Ordinance. 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable Is the system operated under an Operating Permit? ❑Yes ❑No If"yes",A below is required Is the system required to employ a Nitrogen BMP? 0 Yes ❑No If"yes",B below is required BMP=Best Management Practice(s)specified in the system design If the answer to both questions is "no", this section does not need to be completed. Compliance criteria a. Operating Permit number: Have the Operating Permit requirements been met? ❑Yes El No b. Is the required nitrogen BMP in place and properly functioning? ❑Yes 0 No Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn.Stat.§115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced,or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance.If the system is failing to protect ground water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance.If an existing system is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas,or those used in connection with food,beverage,and lodging establishments as defined in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1/24/12 Page 3 of 3 /(427/ 47 . - ....______.. . .. . .._ _ .......... • : TE; 1 • I . i • , • ; ' i 2.41 E(f,s;ica ! i•-iibt.ei i i i.f:fc.f.p•redf 1.1:-.T.1 i ; • ' ' - 4 , ! ' 1 : C-- 1 :_______.._;____....,.74j.) '....-- *-,—•-• - •------4—i--- ----:•+i-64. t 1 - t-7 : AtfleAdt—r-• ! i i j! 1 .4,'"',Y‘ ; .1 : ' 1 : ,.•-•-r-- ; 2 I : ; • , : i 1 : ' : 1 : • : I i : I -•••*-A • -4 •:-...----- ': ----- --- -• ------4,- i ------- t—i-----2--+—I--- ; I 1 I ' 1 . . . - ._ ..1_ 1 i --1! ! , ! 1 t 4 1,4.1 ' 4- 14144, / ,* 1 i : . . ._•t 2 a : .I i ! 1 _ ! I 4 LY ! ... pi!#4. . J• . Iii- . LIP'l'•4. ______,..-____.. . r.-.-7-7 i ! 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Illii , II : N , . 11 . - , , • • , , • . : , , • , . .......___„_______.. : .„......_._ . 4 .. . eiii—i- i , .. , i , I , , _ : I - t_ ..! !s.Nill t ift4.4 i i i I . 1 i _. ,q,-Z.-•••-` !. :_____ . . .. . . .. 1 , 1 • ; 1 ; ; IN . ; 1 1 • . ' . : 1 1 ; if 1 50 ! +fkeri zi,k 1 1 1 i 1 I i I I 1.....9\. I • i : I •. : , . : i I i 1 i 1 i 1 I i 1 I i 1 :. : : • . : i : 1 i .! , . I ."'-'''....'7----'-"--• . , • • ; I 1 I _. ; i hnirlsioialI 1 ii ; ,.. -r---- ; , i 1 ; : . ; : , • : ; ; 1 1 1 1 , ; /6// 97 Minnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St.Paul,MN 55155-4194 (SSTS) Doc Type:Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: requirements and attached forms—additional local requirements may also apply. Submit completed form to Local Unit of Government(LUG)and system owner within 15 days System Status System status on date(mm/dd/yyyy): j ®Compliant—Certificate of Compliance ❑ Noncompliant—Notice of Noncompliance (Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3) frame outlined in Local Ordinance.) Reason(s)for noncompliance(check all applicable) ❑ Impact on Public Health(Compliance Component #1)—Imminent threat to public health and safety ❑Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑Tank Integrity(Compliance Component #2)—Failing to protect groundwater ❑Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater ❑Soil Separation(Compliance Component #4)—Failing to protect groundwater ❑Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcel ID#or Sec/Twp/Range: 10-44350-00-180 Property address: 890 Lakewood Hills Road S,Eagan Reason for inspection: Property Transfer Property owner: Owner's phone: or Owner's representative: Karen Buendorf Representative phone: 612-743-1979 Local regulatory authority: Dakota County Regulatory authority phone: 952-891-7100 Brief system description: Drainfield:Sep 1000gal,Sep:1000gal Comments or recommendations: Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system.No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system,inadequate maintenance,or future water usage. Inspector name: Joey E.Menden Certification number: C6844 Business name: Bohn We D U ling Co. License number: 1043 Inspector signature: Phone number: (952)445-4809 Necessary or Lo ly Required Attachments Soil boring logs ®System/As-built drawing ❑Forms per local ordinance 0 Other information(list): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • //24/12 Page 1 of 3 // Vr Property address: 890 Lakewood Hills Road S,Eagan Inspector initials/Date: .SII /i $-hi 1. Impact on Public Health-Compliance component#1 of 5 Corn.liance criteria: Verification method(s): ® Searched for surface outlet surface. System discharge sewage to the ❑Yes No al Searched for seeping in yard/backup in home round ❑ Excessive ponding in soil system/D-boxes System discharge sewage to drain tile 0 Yes ® No or surface waters. 0 Homeowner testimony(See Comments/Explanation) 0 "Black soil"above soil dispersal system System cause sewage backup into ❑Yes ®No 0 System requires"emergency"pumping dwelling or establishment. ❑ Performed dye test Any"yes"answer above indicates the system is 0 Unable to verify(See Comments/Explanation) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explanation) Comments/Explanation: 2. Tank Integrity-Compliance component#2 of 5 Corn•liance criteria: Verification method(s): System consists of a seepage pit, 0 Yes le No ® Probed tank(s)bottom cesspool,drywell,or leaching pit. ® Examined construction records Seepage pits meeting 708(12550 may be 0 Examined Tank Integrity Form(Attach) corn•liant if allowed in local ordinance. ❑ Observed liquid level below operating depth Sewage tank(s)leak below their ❑Yes ®No 0 Examined empty(pumped)tanks(s) destined o•eratin. death. If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" ❑ Unable to verify(See Comments/Explanation) Any"yes"answer above indicates the ❑Other methods not listed(See Comments/Explanation) system is Failing to Protect Groundwater. Comments/Explanation: 3. Other Compliance Conditions-Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No 0 Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* MI No 0 Unknown *System is an imminent threat to public health and safety Explain: c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes* m No *System is failing to protect groundwater Explain: www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1/24112 Page 2 of 3 Smoke and CO detectors affidavit for Building permit final 1 gitroe LI . °shave tested all the required smoke detectors and Carbon Monoxide detectors, At address g i ° d t g‘l' S , on this date 0 ( / L0 Z.._o . They are correctly located as per the manufacturer's installation instructions and operating. There are working smoke detectors in every sleeping room, in every hallway leading to a sleeping room and on every level of the house. There are working Carbon Monoxide detectors outside of every sleeping room, within 10' it Permit # /6/%(0 7 Signature""s PERMIT City of Eagan Permit Type:Building Permit Number:EA174932 Date Issued:03/01/2022 Permit Category:ePermit Site Address: 890 Lakewood Hills Rd S Lot:18 Block: 0 Addition: Lakewood Hills PID:10-44350-00-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Randal Buendorf 890 Lakewood Hills Rd S Eagan MN 55123 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature