1416 East Pond Rd? t,-) -" `f c, -7 __7 g
RESIDENTIAL
L b V kind and PonJr Est BUILDING PERMIT APPLICATION yb?y3-bP- 5y0g,57
JJ CITY OF EAGAN q y q N, M P - 7D r 50
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys stowing sq. R of lot sq. R of house; and Lit roofed areas
(20'/e maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.) h?N i
• 1 set of Energy Calc.alons D y q o
• 3 copies of Tree Preservation Plan id lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units) ,/1 -H l b5 O n
DATE '7- 10-0
j%DB SITE ADDR
IF MULTI-FAMILY BUILDING,
PROPERTY OWN
TYPE OF WORK 'ALA S°
T
MANY 1UyNITS?
)
J-1U 0f
l ?i-? 3rx? ??
LAND
FIREPLACE(S) _0 _1 _2 _3
APPLICANT 17411 r PHONE #W- 41;1- 76 o I
ADDRESS ? Q( f l- UcrZIP CODE S`•S`la
PAGER # -? CELL PHONE # (a/2 -70 (^ t?Slo 4 L( FAX # 95J-430' l•? 6F
NEW RESIDENTIAL BUILDING ONLY - FILL OUT CON
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: Phone#: -??w
Plumbing System Includes: _ Water Softener Laren Sprinkler Fee: $90.00
Water Heater Z) No. of R.I. Baths
No. of Baths
Mechanical Contractor: l ?TQ?/ d
Mechanical System Includes: K Air Conditioning
, Heat Recovery System
Sewer/Water Contractor: j-, e L l- '( ?vsurt
Phone # L? 4rLo- o';7
Fee: $70.00
Phone # 9'sik & --?A 3 Q
All above information must be submitted prior to processing of application.
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 Ordingnctes. n
Certificates of Survey Received
Signature of Applicant
Tree Preservation PIS
RamodePReoalr Reguireme7sb h 0/ /
2 copies of plan
1 set of Energy Calculations for healed additions
1 site survey for exterior additions & decks
Not Required
Updated V01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
10102 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
S
Valuation `2 ooO Occupancy zf -3 MC/ES System Yes
Census Code Zoning _ City Watei ?s
SAC Units Stories / Booster Pump
Nbr. of Units Sq. Ft. _?or)PRV .Ufl
Nbr. of Bldgs Length -' Fire Sprinklered
Type of Const Jam- ? Width
/J Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
HVAC
_ Other
Pool _ Figs _ Air/Gas Tests _
_ Siding _ Stucco _ Stone
Windows (new/replacement)
Approved By?_, Building Inspector
- -- -- -------------------------------- -- - -- - - -
5-R i
Fs2 /S?BX a5 : 3?? ?lSo f
cca/Fsa2 sk?A ?zsx iS- / /a5
fvl# L
aaro icsy ? ??gJ?yv °o
G!4-121.?G?
7, 6 x,16 - - /d j73(1°f
00
Address
Zip 55122
Lot 6 Blk 2 Sub Kingswood Ponds Ist Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: //Z0/e2- 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 f
Porch V/
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff 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
.107/10/2004 08:53 EAGAN ENS+COM DEU + 99524321368
NO.865 005
JobSiNAddr,?S; 1 flo }°WST 7O^[J
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS city flf cage
INSTRUCTIONS; This alternative may be used for one, and two-famUy dwellings built to meet the Category 1 requirements of
Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U-
values; size and type of equipment; equipment controls; and location of vapor retarder and windwash barrios. More detailed
information can be found in the Minnesota Energy Code summary sheets available from the Minnesota Department of Commerce.
Part A. BUILDING ENVELOPE
Check proposed enve g .-..P. • g ) lope join[ cealin opdon a ?reieriptive (caulking asMs. etc. ? Perfomuncc (test per 7670.0470 subp. 7.CJ
Cheek thermal energy calculation option used 4 ? "Cookbook" (complete worksheet below) 11L MnChock method (anach report)
O Performame (amch U-value talcutanons) ? Systems Analysis method (atweb analysis)
"Cookbook" Worksheet hoamUMR OuntEMFdYTS
for "Cookbook" option only)
Step I.
INSTItUC770NS
Check item(s) that design meets on Minimum Requiroments list ? Ceiling Insulation: Minimum R-38 with P/e" energy bed; or
bfutienum R44 with low muss heel; or
Minimum R-38 with R-5 sheathing when no anic.
S to the righL Must meet ell items m use "Cookbook" option. ?
Door
s: Mnx. U•value of 0.30 or ]'/."solid wood with ste
tep 2.
S Indicate proposed wall type on table below. ? Rim ]
n
ois[ Isulation Minimum R-19
tep 3,
S Indicate Window U-value and source. ? Floors over unconditioned spaces: Minimum R-24
nip 4. Verify total window (incltuling area of all foundation windows) ? Foundation Insulation: Minimum R• 10
end door area is equal or less than allowable percentage. ? Foundation windows: 'h" Insulated elass, wood or vinyl frame
M TABLE FOR DET ERMININ G Alt AI W WINDOW AND DOOR AREA
aximom Allowable Total Window and Door Area as
a Percents of EN posed Well -----.-s 12% 14% 16% 18% 20% 22% 24% 26% 29%
Wall Tvpe (Standard Frainin Maxim[u n AV Window U-value (exce pt Foundation windows :
O 2x4, R-13 insulation, R-7 sheathing 0.55 0.47 0.41 0.36 0.33 0.30 0.27 0.25 0.23
O
Q ?x4, R•!5 iasuladon. R-5 sheathing 0.52 0-45 0.39 0.35 0.31 0.28 0.25 0.24 0.22
?x6, R-19 insulation. <R-5 Shea dun 0.48 0.41 0.36 0.32 1.29 0.26 0.24 0.22 0
21
0 2x6, R-19 insula7lon, R-5 Shea rhing 0.56 0.46 0.42 0.37 0.34 031 0.28 0.26 .
0
24
O W. R-21 insularion, <R-5 Sheathin
2 0.51 0.43 0.36 0.34 0.30 0.28 0.25 0
23 .
0
22
O 2x6, R•21 R-
5 R-5 sheathin 0.58 0.50 11.44 0.39 0.35 0.32 0.29 .
0.27 .
0.25
Ws117
Advaaa
-
Muimttm
Avenue Window U-value (ex pea
t inundation windows
.
? < R
5
IT, 19 insulation. < R- sheathing
U6. IT, 252 0.45 0.39 US 0.31 0.28 0.26 0.24 0
22
O
O 2x6. R- l9 insulaaan. R-S sheathing
Z
G
M 0.58 0.50 0.44 0.39 035 0.32 0.29 0.27 .
0.25
x
. R-21
ato,, < R-5 sheath n 0,55 0.47 0.41 0.36 0.33 0.30 0
27 0.25 0
23
O 2x6, R-21 insulation, R-5 sheathing 0.60 O.S2 0.46 0,41 0.36 033 ,
0
.30
1
0, 0.28 .
0.26
Window U.value: F Source: ? NFRC O ASHME 1993
Hsn
100X.;=-]= <?
window & door area gross exposed wall area DESIGN ALLOWABLE (from table above)
MINNESOTA ENERnY rnnF _ Wiurtu Dior =e ANA v I / loc ')
TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES
taehed R-3 occupancy 1-nd 2-family dwellings Chapter %72; or
Exam let: sin tc fern [win homes. Icxes
F Cha ter 7670 "Cate o 1with statutory ressuriadon and ventilation uiremcnts
ached R-3 oeeapancy dwellings Chapter 7674: or
xam let triIex townhouses and row houses Cha ter 7670 with either "Category 1" or "Caietiory 2" rovisions
occopaaey buildings of 3 stories or less Chapter 7674; or
Exam Ies: condominiums or a amnents Cha ter 7670 with either -Cateo1" or "-Cote o 2" m-ieinns
R-1 occupancy buUdlnp over 3 suarles high Chapter 7676
Examples: high rise condos ors menu ,.use.
JUL-10-2001 10:06 651 681 4694 96% P.05
'07/10/2004 08:53 EAGAN ENG+CCM DEV i 99524321368 N0.865 1?06
NEW CONSTRUCTION ONLY
no?
Part B. DEPRESSURIZATION PROTECTION
Chuck option used: O Fuel burning equipment (complete schedules below) O No fuel burning equipment
INSTRUCTIONS
Step I . Complete the Comburiion Eguipmenr Schedule below, Only equipment
with a Y (Yes) may be selected under the "Category I"alternate.
Step 2. Complete ExhousUMoke-up Air Schedule on the right if direct or power
vented or solid fuel atmospheric vent space heating equipment is
selected.
COMBUSTION EQUIPMENT SCHEDULE
check all es o osed)
Space heating - nonsolid fuel Sealed combustion Y Hearth - nonsolid fuel 0 Sealed combustion Y
QF\Direcr or power vented
Y. Direct or power vented
_FK Y
Atmospherically vented N Atmospherically vented N
Water healing - nonsolid fuel O Sealed combustion Y Space heating - solid fuel 0 Atmospherically vented
Y.
Direct or power vented Y Water heating - solid fuel O Atmospherically vented Y
Atmospherically vented N Hearth-solid fuel O Atmospherically vented Y
• If atmospherically vented solid fuel or direct or power vented nonsolid fuel space hearing is installed, then make-up air to match
flow is required for each individual exhaust device which exceeds 300 cubic feet per minute.
Part Ci. VENTILATION
VENTILATION QUANTITY
(Mechanical ventilation must be provided per the larger quantity calculated below)
7lo cubic feet It 0.00583 /minute = ® elm (® x 15 cfm/bedroom) * 15 cfm = [Z?-Q cfm
volume of habitable rooms number of bedrooms
Check method(s) proposed -) VENTILATION FAN SCHEDULE
La _Exhaust only Balanced eat recovery ventilator, au exchanger, etc.
Fan description or location ? 2- t TOTALS
VENTILATION Intake cfm cfm cfm cfm cfm
AS DESIGNED Exhaust v cfm I C-0 cfm J efin v cfm cfm
Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the
requirem t of a Minnesota Energy Code.
.-,'itefi ??.r otis -10-0 ?5-9 -1'V-NL y/
Applicant (print name) a)i t Date Telephone number
Part C2. VENTILATION (Submit Part Cz upon completion of system verificationt)
x ---------------------------------------------------------------------
Job Site Address: Permit Number
Fan descr tion or location TOTALS
MEASURED Intake cfm cfm cfm cfm cfm
PERFORMANCE/ Exhaust am, cfm cfm cfm cfm
T Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the
scaling of joints in the build/ conditioned envelope (from Pan A).
over 300
Compliance Statement Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air
flow.
Applicant (print name)
Signature Date Telephone number
JUL-10-2001 10:07 651 681 4694 96% P.06
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck software version 3.0
Permit #
checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE
DATE: 6-15-2001
TITLE: #01-314
Single Family
PROJECT INFORMATION:
Stuart Philstrom
COMPANY INFORMATION:
McDonald Construction Inc.
COMPLIANCE: PASSES
Required UA = 552
Your Home = 455
17.6% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-value U-value UA
CEILINGS 2210 45.0 0.0 60
WALLS: wood Frame, 16" O.C. 2473 19.0 2.0 138
BSMT: Conc. 8.8' ht/8.3' bg/8.8' insul 944 11.0 0.0 54
BSMT: Conc. 3.5' ht/3.0' bg/3.5' insul 196 11.0 0.0 14
GLAZING: windows or Doors, Above Grade 455 0.310 141
GLAZING. Windows or Doors, Above Grade 80 0.330 26
DOORS 18 0.230 4
DOORS 48 0.350 17
FLOORS: Over Outside Air 28 38.0 0.0 1
FLOORS: Over Unconditioned space 3 38.0 0.0 0
HVAC EQUIPMENT: Furnace, 90.0 AFUE
--------
-
--
---------------------------------
COMPLIANCE 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
requirements of the Min
designed to meet thhe nesota Energy Code.
//
B
ild
C7r
/D
i
` ° ?? l /
?
v/
u
-
er
es
gner Date
" LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: l 6 L G'lD c>` 7? J / p 1S--r
r,.eAB4iao /)a S
DATE OF SURVEY: S'-/?-6 7
LATEST REVISION:
rn
c
m
U DOCUMENT STANDARDS
Y ¢
O `z v
¢
? ? • Registered Land Surveyor signature and company
11 ? • Building Permit Applicant
?
? ? • Legaldescripbon
? ?
? • Address
ru/?
? • North arrow and scale
H
• ouse type (rambler, walkout, split w/o, split entry, lookout, etc.)
V ?
(a/ ? • Directional drainage arrows with slope/gradient %
Li
/ ? • Proposed/existing sewer and water services & invert elevation
l
0 ? • Street name
IY ? ? • Driveway
0/ El ? • Lot Square Footage
?
M/V' ? • Lot Coverage
0 ? • Benchmark
ELEVATIONS
/ Existing
Pf ? ? • Sewer service (or Proposed)
f3? ? ? • Property comers
fa/ ? ? • Top of curb at the driveway and property line extensions
??/ ? • Elevations of any existing adjacent homes
? tT' ? • Adequate footing depth of structures due to adjacent utility trenches
? V11 • Waterways (pond, stream, etc.)
/ Proposed
H ? ? • Garage floor
? ? • First floor
fi / ? ? • Lowest exposed elevation (walkout/window)
?/ ? ? • Property comers
r ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
Easement One
[? ? ? • NWL
?/? ? • HWL
GY ?/ ? • Pond # designation
? fd ? • Emergency Overflow Elevation
DIMENSIONS
f?/ ? ? • Lot lines/Bearings & dimensions
Gd' ? ? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
r? ?? ? • Show all easements of record and any City utilities within those easements
a ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? ? • Retaining wall requirements, if any
Reviewed:
Name /
Site address: C Pond ?d Lot L Block Subd k(T'SL,) C4 PVVLIS,(Sr
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection; air-
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7692 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
Furnace ?C for t C 9 ? D 12E L Z C) o ` kas? i4 con"s
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED;
YES No
Kitchen kitchen Vch k. ro¢r O C) 13 t2D X
Bathroom t - 63* MT V g Y a,
Bathroom 2 rvAsT Atisr bad 'L4 4,I;70 A by 0a yl - 1?J0 JD
Bathroom 3. yy ?(?Fay1 /JY?QYI 50-
Bathroom 4 _
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMDS
1 L- ?-V }?fa? h• 6(u 006 fL -a AL
Fya..R?t ea?h•L?lo bOG T2 , b ft,. J? .
1/OA-t??tn YlTr? '
-MAf%-W AIR MODEL TYPE CFM'S
Mae- 144 a-4, /3aLacnee .2(oS`
r+vn
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and Cityof Eagan
requirements.
.'j/ AIAA 21
1//da
Signatur Date
Mc rur lA(?,S ru?fl L
Company Name
This form is the responsibility of the General Contractor
• * 4L
* PIONI
* son n
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 681-1914 FAX681-9488
wo?• 1AM "^ 625 Highway 10 N.E.
Biaine, MN 55434
(612) 783-1880 FAX 783-1883
Certificate of Survey for:
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: ?2` g3
TOP OF BLOCK ELEVATION: 77.0
GARAGE SLAB ELEVATION: $7.5,9
TOB 0 LOOKOUT ELEVATION:
X 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSED ELEVATION
- - - DENOTES DRAINAGE AND UTILITY EASEMENT
- DENOTES DRAINAGE FLOW DIRECTION
0 DENOTES MONUMENT
$ DENOTES OFFSET HUB
MCDONALD CONSTRUCTION
1416 EAST POND ROAD, EAGAN CLIENT-PHILSTROM
I
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY. PARAMOUNT
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED CN THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWN ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
66.00 Cg3q;l?
`
Z 113.00 ----
0
O I
I
J
11.3
OD
POND JP-5
NWL=826.0
HWL=834.2 I
W F
a
? a
?
I
w
o_
w
I z
I w
Z 0
0 I
Lill
J I
co
I
? I
I
r I
CA
0
111.21
WE HEREBY CERTIFY TO MCDONALD CONSTRUCTION THAT THIS IS A TRUE AND
CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
S84.52'33°E
7
BENCH MARK
TOP OF PIPE
ELEV.=
I
N:? I 1
M
0
Z ?
1
rc 7
I v
r4
o ?a
671413.53
-
V9.5 I `-
R i x671.3
/ r?f0\\
41 1
0
?D. 6 x
667.D
K
I
z
w
? _
f
I
I <a A
I OW T
I 8
o i S1 L v"'i
LI'
pep ?
z '
l
-- - r
238'3
(-lo8.0)
LOT AREA = 51,949 SQ. FT.
HOUSE & GAR. AREA = 2964 SQ. FT.
COVERAGE = 5.7%
HOUSE TYPE: WALKOUT
SERV. INV. ELEV.=865.2
m-11 18 RECI
EXISTING
74,6 HOUSE 6821
N
V,x 874.3 -
N7
'Pl,
874. 0-
QUO 7 75.f
i A9 g 4-
/ lmV
4-5
?.
x
673.6
/
0
1
BENCH MARK
22- TOP OF PIPE
2 9+ ELEV.=
4
,_3900 ??yio? 577•??34 ~w gyp..
t
'LWEll))
REY
5
By
Da'
_1GAN ENGINEERING DEFT
}
LOT 6, BLOCK 2, KINGSWOOD PONDS 1ST 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 8TH DAY OF MAY, 2001.
REVISED 6-18-01 MOVED HSE.
SCALE : 1 INCH = 40 FEET REVISED 7-17-01 MOVED HSE
SI ED:? PIONEER ENGINE ING .A.
BY:
/Jon C. Larson, L.S. Reg. No. 19828
m
879.4
C$74'D 579.6
878.9 30
879.
? 879
0 0
Z
7 .
?PO ?
.0 °
?
?O ??•o°
N6 a
v
•4515
,ti o$'A5
y
1 3
l1
CO
DETAIL
NOT TO SCALE
98087.08 BAT
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA106080
Date Issued: 08/09/2012
Permit Category: ePermit
Site Address: 1416 East Pond Rd
Lot: 6 Block: 2 Addition: Kingswood Ponds 1st
PID: 10-42050-02-060
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Able Restoration Group Inc. Russell N Osnes Tste
17316 Kenyon Avenue, Suite 103 1416 Pond Rd E
Lakeville MN 55044 Eagan MN 55122
(952) 378-5000
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 Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120096
Date Issued:01/16/2014
Permit Category:ePermit
Site Address: 1416 East Pond Rd
Lot:6 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
Valuation: 4,000.00
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 -
Russell N Osnes Tste
1416 Pond Rd E
Eagan MN 55122
Nmc Exteriors & Remodeling
15 - 1st Avenue South
Buffalo MN 55313
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature
,'
�eu io, �ui4 i :vor�v� No. yyU4 N. 1
,
Use�LUE or BLACK Ink
� For Offlca Use ` j
U�� O��� �ll j permiC�: � ��� I
� I G� I
3830 Pllot Knob Road � Perm�t Fee: �
Eagan MN 65122 � �
� I
Phohe:(651)675•5675 � Date Received: I
Fax:(651)675-5694 � �
� Slaff: j
________.--��.�.-..�.����J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submlt two(2)sets of plans with ali commercial applications,
Date: ('7 � Site Addtess: � <<o � '� (J �
Tenant: Suite�t:
�`:'E_S''.'�—''_-'F=i;i�Sl.�i�- \� �•Rke ..` , . . .
:.:e:: ���(�
t�i�r=��;:�-:-Tn�;;.�iW ,.".;�;��"t� Name: �5�l L 5
Phone:
��,�::, e.s�.sT�nu 4 �,�:�.
�'�"�-`�A-��' � ��� Address/Clt /ZI
i��::`tllfl�n�rrt`�z===�' IQl�-.�'W:l Y P� �� �l� L ��/••Q1� �C7�f�t�
7"��'•''•it.:�t�L`r�;';:°y,": .. :!.!r:e._
,��;
, ,, ,.,. � u��3,'� ._�.��Y Name: � l C���✓�Tv;� I����-h��C(� License#:
i ;.�� � wx�:a�=:���:�:
__.._....A�s`=v `
��; ;y�.,, c'r,_s��=,s=r�=-� Address:°�L�oO /L,,. � ut Clty: P�-S
, _..0 Q��i �rtor��__=a:
�'4"f.ii!t.•?.: h 1=�ef'3.
— '_'s�i.',F.,�_�.��, -��•"�Ys{
Y__:��,-�.e� :s:i: ,�,�z r�; State: { { _Zip:�`��3�,. Phone: ��'�7'-�a�i'-��i���
a�__:�...�::� �`�`;�,�
_^,:,.Y�����M,;,!e'u , u)� .
�=o��x._aa;,��! �'�1��� Contact: �l�.-ti C/1.�"_tf'«: �mail: -�tw�-� Slc�tik4Z'�Xtv.�l,�,PC...a-Es4,�tt ut-� �
� �s�c��,��;�:-�, : . � �";�
aa '�� j�2-�„�, � `� _New _Replecement �C_Addiiional �Afteration bemolition
i .,�`: z;
�����'"e'� '3 '"-� Descri tion of work:
.� . ,:,TYp�. ��.����� p
� ..:r:�':":t��b�.:�°� ' � e�:�:�- - T�a y�t W cws,
A
.
- - '� - - -
,..__
:t _ ^r w�y,•� :��--`=,,--,. _
. ..._,._,�, . �a:.: e ,< --- �
'__ '..r.:.ric•�:_ . .� T•.._�:�:.._ • �•- � A ,Ye y � .,.i:C'at..
a` • r.r.x.
r.._= g,� l, - �,�,,�� �;; - -_
�:: .�.,�, ;�'� e�• �� �� ,�U::;:����.����,�-,"+�tl)� e.�.., t�,o.�ie�sEr ened:6``�it"�:
���=,:x�'"-a,:--, �=:-_.-�•,.r „.. '� � a�s N"M h��..._i x:: �, ' �awa��.�xt�;as��-��•�-��
, • .
.:..:w�. ' �,'�
:�:.•:.-:-. " ....
'.�____:_.., -�.�-
-.�_...�::_-,_:�' . :;.. :c__. ;�+ o e ease onl cn t a.�-� � �I:1 ���°�°�°�����i''s,�; ..
=,-.a� �..r-��^� ?�t�•��.rwv�n,4�k: �o„rr�r�ii�x,r.�w F�-�.�$P - ��l�n�ar �`sc�e.e�ing rr�elhod&ti:�i:;
x,.=.�<<:�::�:-u=.�r.x:,,, ay_° .� ' _ - -= --
r-,.�••_:-_�,_.:--x � �,
.�::-�-.._-�_:.._. _
.....z..,. �:,..
;,�:u---a:.—��• ,s,;
_:ti�.�:_;�--.. ._ �,� DE
.
, ;� L
` ;.�r,-�:�_. � h� `� .
.... . ... �. -� , .,, . ,.
RESI NTIA COMMERCIAL
���,� �r,�<<.-z��;. ��, �
��F. .r,o;,�``�;,f�- •, �; �;�� _Furnace _NeW ConslrUCtion _Interior Improvemenf
� ` ._.4���"�G� 11
'� Alr Condllloner Jnstall PI In ProCessed
�,� ,P i��nl�;;i�r �� — — P s
; �
.�'� �'��. F:1q' , �t,{ �
.� `4�� '�'•�=`=;'� �'• S' �Air Exchanger
I• �"
��"q+is,��+�, �.���y�. t�q�N. _Gas _Exlerlor HVAC Unit
'X J ``�..:.RG:�y.l ��-..
`,�;Nil��� �:.. +.j;.T`�;F..
:�rl+:•-�: �p��is����i {-'�i:=�'�.=� —Heaf Pump
��; ; •i, ��x� �� :: _Under/Above ground 7ank �Install I Remove)
�i-,l�i'c,:'�iai UF.=�:.:!�:�--����yt'�'1�f��`- 'r�`,�' —
���b� xA.x ��-1.y� iti�:� L /��. .
:-..�1'h�:-M:.�'�I�rt�.lir�i�i3='��..�I:'�ii�?�-�Ih=.:: 0�118� C9U{,' � V.C.GJfi.'�'p . . . . .
RESIDENTIAL FEE'S
$60.00 Minimum Add or alterallon to an exisiing unit(inclutles$5.00 State Surcharge) �„
$100.00 Residenlial New(includes$5.00 Stale Surcharge) �$ fo4-'"f T07AL F�E
COMMEi�CIA�FEES �
Contract Value$ x.01
$55.00 Permlt se M(nlmum
�$70.00 Underground tank Installaflon/removal =$ Permit Fee
`If contract value Is LESS(hat►$10,010,Surcharge=$5_00 =$ Surcharge�
�*If contract value is GREAT�R than$10,010,Surcharge=Contract Value x$0.0005
'*'lf the proJec�valuation is over$1 million,please call for Surcharge =$ TOTAI�F��
I hereby ecknowledga that fhls Informaflon Is complete and accurate; thal the work wfll be in conlorrnance v�ilh �ha ordinances and codes of lhe City of
Eagah;lhat�understand thls Is nol a permil,bul only an applical�on tor e permil,snd Work is nvl lo start wilhoul a permil;Ihat the work ill be in accordance
Wilh ihe approved plan In the case of work whlch requlres a review and approval of piens.
x��,�� � ���c�c x ,
Applicant's Printed ame � ' pplica 's gnature '!
i
.;�.,,�. F �1�� 5��:'�, -�- - � - •-�_=:—��,� - _�'� ,;�fi
� e�ulred:lnspa lo s� _ -�+_. ��-== '� ��_ � . `" ' '�`._.������
� ; � --�� ed:eY�� � - .��:����
r.�
� ,- F�:��ca`.���-,---..o�,��^�' ' �.•:,� - ��
.�..���C�,.�.aaa—�. �9 . ..-__. � ":�.�-� .sL�-a.__ .9 8 . ...`.�G��C(EE��II'xQ.�
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168798
Date Issued:05/04/2021
Permit Category:ePermit
Site Address: 1416 East Pond Rd
Lot:6 Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Russell N Tste Osnes
1416 Pond Rd E
Eagan MN 55122--287
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature