861 Lakewood Hills RdPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128780
Date Issued:12/04/2014
Permit Category:ePermit
Site Address: 861 Lakewood Hills Rd
Lot:021 Block: 1 Addition: Rockwoods Woods
PID:10-64500-01-021
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.
Scott Follese
5182 West Broadway
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jane G Rockwood
861 Lakewood Hills Rd
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
- .,?.?.- . :.... .. ...... ..,.•..... ..r=..,. .... ...-s.-,.-c-,,. . . .
?. %
CITY OF EAGAN 18346
?- -?-?+- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for SF OW/GAR Est. Value $i"s'
SiteAddress $hl LAKEWOOD F[ILLS RD
Loi 021 Block 1 SeGSub. R?KWOODS iIQODs
Parcel No.
W Name AKiYL"{ 1allAhi` 3XULTLUTI
o Address 18305 MZNNETOttKA BLVD
City wAY2ATA phone 476-6756
o Name
ou ¢ Address
'- City Phone
Name
Phone
I hereby acknowlege lhat I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesola StaWtes and City of Ea gan Ordinances.
Signature of Permitee
A Building Permil is issued to: AR14DT CQNSTI{UCTIQN
on Iha express condition that all work shall be done in accordance with all
applica6le State of Minnesota Statutes and Gity o( Eagan Ordinances.
OFFICE USE ONLY
Occupancy R-3 M-1 FEFS
Zoning S"' 1
(Actuaq Const V"N Bldg. Permit 794•00
(Allowable) V N 72.00
Surcharge
p or stories
?i 516.?
Plan Review
Lenglh t
oaPm - snc,cay
S.F. Total ,
SAC,MCWCC
S.F. Foolprints
On Site Sewage X Water Conn
On Site Well X Waler Meter
MWCC System -
Acct Deposit
CilyWaler _
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS Road Unil 355.00
Planner - Q 6$5.00
Council -- Traij? ?
? '
Bldg. Off. ?
2022.00
Variance _ TOTAL
' Permit No. Permit Holder Date Telephone AF
1NATER
SEW2R
PLUMBING
' 90
H.V.A.C.
ELECTAfC
Inspection Dale Insp. Comments
Footings I 9 !/ ?;D ae
9i 4c,?
Foundation /-/
Framing / lU 90 QS.
Roofing
Rough Plbg.
RoughHtg.
igui.
Fireplace
Final Htg.
Final Plbg. '-6
Const. Meter Plbg. Inspector- Notify Plumber
Engr./Plan
Bldg. Final `/
Deck Flg.
Deck Final
Well
Pr. Disp. -? ^g
?
CITY OF EAGAN NO ? g348
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100
Receipt # ^,? < <1 ?«J
To be used for SF DWG/GAR Est. value $144, 000 oate SEP 7 , 1994_
Site Address 861 LAKEWOOD HILLS RD
Lot 021 Block 1 Sec/Sub. ROCKWOODS WOODS
Parcel No.
W Name ARNDT CONSTRUCTION
3 Address 18305 MINNETONKA BLVD
0 City WAYZATA Phone 476-6756
o Name SAME
;iQ Address
U? City Phone
?
¢
Ww
Name
W
Address
a W City Phone
I hereby acknowlege that I have read this application and state that Ihe
information is correct and agree lo comgly with all applicable State of
Minnesota Statutes a iry o Eagan r8i?rla es.
Signature of PermiteeI y
A Building Permit is issued to: ARNDT CON TR CTION
on the express condition lhat all work shall be done in accordance with all
applicabie SUte of Minnesota Statutes and City of Eagan Ordinances.
8uilding Official - , 1• 1 n61QJrL , rn„U
OFFICE USE ONLY
Occupancy R-3 N-L FEFS
Zoning R=1
(Actual) Const V-N
0
Bldg. Permit 794.0
(Allowable) V=N Surcharge 7 _ nn
# ol Stories
60'
0
Plan Review 516.0
Length
Deplh , 54' , SAG Ciry
S.F. Total - SAC, MCWCC
S.F. Faotprints -
On Sile Sewage X Water Conn
On Sile Well X Water Meter
MWCC System -
Acct Deposit
City Water _
PRV Required _ S/W Permit
Booster Pump - 5/W Surcharge
Trealment PI
APPROVALS qoad Unit
Planner - Park ea. 685_ nn
Councii -_1Yai1 Dedication
100.00
BIdg.Off. -
?
Variance - TOTAL 2,522.0
Address:86 I LAKEWOOD HILI,S ROAD Lot021 glk I Sec/Sub RO'.,KWOODS WOODS
These items were/were not complete at the time of the final inspection.
DATE' 3/II 91 Yes No INSPECTOR: (,C1 ?-
Final grade (6" from siding) t-,?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
;
Sod/seeded grass
Trail/curb damage y/
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.
White - City copy Yellow - Resident copy Pink.- Contractor copy
rAUv G 1 1990 ?
?- r ..
1990 BUILDING PERMIT APPLICATIuN
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
• 1 SET aF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED lYP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDZNG PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ;ool, ?ye-Valuation:? ? Date: aLLc,i., 27- ly
Site Address Srct LAKEwCK)D HL" 20A1j I OFFICE USE ONLY
Lot 0?{'( Block I
%c- Ey500- oZ! - o/
Parcel/SublOGkWOOc,? WDod.S Rc1Gw4Orn
OwnerVV1°?y?e.?? fic?eJ?WO?c?
Address C'jgtS
City/Zip CodeRps" ;(t t ?N -41?5is'?
Phone ?? 8 4 ' &,:?7&
Contractor ry%t^,c`+- Co?ny?,rv?c?
Address jgws
City/Zip Code WaYx,w? 55:3,11
Phone 474-67-56o
Arch./Engr. ?,G.??.se?. • P,SSoc.
Address 2-301 Cnw•0
City/Zip Code ,s¢-N.,, t ,$,5108
/yy? ooop
Occupancy !?-
Zoning R-1
Actual Const V- N
Allowable V-N
# of stories
Length [.?D ?
Depth 54'
S.F. Total
Footprint S.F.
On site sewage ? /
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit '?KC7Ca
Surcharge r/ Z, Od
Plan Review S/b.DU
SAC, City --
SAC, MWCC -•--
Water Gonn
Water Meter -! '
Acct. Deposit
S/W Permit --? i
S/W Surcharge --
Treatment P1. 77?
Road Unit 35$,OO
Park Ded. ?
Gapi*:s IRAIL D99, OI n, oD
SUBTOTAL
Penalty
TOTAL
+r
Phone # (,y/-T- e675
i
G/aRAG?
VALUATIOtJ
10iyo
+i o u,
z.'L6 X? d= l??so x/o5= Zo fl
Z?o f?
?g k ? =
?jv J =
6/G •
? o)
u76 y51=
242?C.
1 1-13 b/6
r
t. ?
r
. ,.
Sam & Jane Rockwaod
985 Lydia Drive
Roseville, MN 55113
DELMAR H. SCHWANZ
uNO sunveroas, iNC.
. RspietNW VnAx LnM of TM S1NS of Mlnnssolm
14750 SOUTH R08ERT TRAIL ROSEMOUNT, MINNESOTA 5508E 612/423-1789
SURVEYOR'S CERTIFICATE
Description of Tract B:
That part of Lot 2, Block 1, ROCKWOOD'S WOODS ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota which liea easter3.y, southeasterly,
southerly, and southwesterly of the following described line:
Commencing at the SouthweGt c.orner of said Lot 21 thence North OS degtees
28 minutes 24 seconds East, assumed bearing, alonq the west line of said Lot 2,
62.48 feet to the point of beqinning of line to be describedi thence on a bearing
of Eaet 36.1.4 feet; thence Nortli 04 degreec 13 minutes 33 teconds East 135.00 feet=
thence North 30 degrees 37 minut•es 00 RP_COhdR East 90.00 feetl thence South 65 degrees
31 minutes 26 secondG East 399.39 feet to the angle point in the easterly line of said
Lot 2 and therd terminating. '
Area: 78,053 square feet Groes
96,317 square feet Within drainage easement
31,736 square feet Net
NOTES: Area is served by a platted privatel.y maintained road.
Area has individual wells and on site sewez systems.
f ,. ' - `
1 hereby certity thet thla survey, plen, or report was
prepared by me or under my diract supervisfon snd
thet I am s duly Reglsteesd Land Survsyor under
the tswa ot the Stets of Minnasota.
Datea 9-*90
?x?,???1 ?' f?il
Oslmor H. BeNwanz
Minnawla Rophtrtlion No. Ms
. .. __. .... . . . .,..
? -- -'_------n --nr- __..-..•- . .
Sam 6 Jane Rockwood °
985 Lydia Drive
Roseville, MN 55113 shee*?}o€ 3 ,
• .
DELMAR H. SCHWANZ Bk:1 38/78
tANO SuavErons. iMC. 110019I0tM VnAw loW 011M !Hb OI MInnM01? • ..
14750 SO11TH f10BER1 1RAIL p03EMOUNT, MINNESOtA S506S 012/149-17e0
SURVEYOR'S CERtIFICATE
? ??a?e• r? %0 •-
??" 16T.24 S83039?40°W
? ??( - - - - - -?? '- - -? • '-..-SOUTHER4Y E%TEPlSION OF EAST LINE OF SNEFf1EL0
,v ?? ? ?:`•`- 17.42 .... .. ` V --
175.71 589059,05 ?-
11702 PER CERT. N0.45866) \ \ NNORTH LINE 6F'SI/2 OF SEI/4
'lIERLY EXTENSION OF WEST) SEC.28t TWP.2T?ROE. 23
l0T 1, WILOEFiNE59 RETREAT
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L E! W
l?" ?" ` WATER ELEVATION AS OF ? ot ?
cir bAUGUST# 1987 =883.8
'
(N.aN.U. 1929)
wp? ?
!l i 8001
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/cao o LP_34
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410.68 <N09:5_9???"?:??i?`vL????ff g ?1?T ^?? e
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66 ± . O
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60 a - - - - • - - -235.00 - - - - - \ ?
o ?0 l_? ?'r •e? \
d) 1 •
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l z N 0 ,
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N oI I ?
o = Set offset hub.
I hsiebr eoHlly IhN thls i sunsy, plan, o? raport wn /00,0 = Existing elevation on an assumed datu ,
prsppnA br m? or unAsr my Alrect supervislon ond ?N\\J+?1???? '
iq?? House will have its own well and
sew
IAa11 pn tfuuly Rs01919rsA lmnA 3urveyor undsr .?.` ??.. ........,, j,?y
?.?`?.;. ?sposal system.
tn• qwb ot 1M S?ns ol pinrwot•. .? •.,.?
08?`?:p?0 (Elevea?,? 100. 00 = 902 _ 75 IQGVD)
= DELMAR H. DNmn H. Schwan= ?
D?t?d 09-11-90 = SCNYVANZ = Mlnnewh Rylotnllon Ne. AA25
08-14-90 Stake house = '• _ $625 - '
. ?<•.^ ?
.
.
CITY OF EAGAN
EXTERIOR ENYELOPE AVERAGE 'U' CO!lPUTATION
OWNER: S Gth,,ue? ( ctv% d Jcttne_ PloUKwoo
SITE ADDRESS: /[^ - G y SZ?C) -° U'Z- I - 0 I
CONTBACTOR: rc{n ? '?' CCoins}rN??'%? ? 4?(n- S
DATE: (t¢ +4 U 6uST 90 PHONE: 47 (o
Determine rrorking square footage of each:
1. Total exposed wall area ... afa i sq, ft. x. 11 = 3 16, 3 I
2. Total roof/ceiling area ... ) °f-? sq, ft, x.026 = SZ• dat
Total exposed xall area above floor _ Zo4;5
a. Total wall Window area . .. . .. ... . . . . . ..... . .. .. . . .. 733
b. Total door area ................................... k:i
c. Total sliding glass area .......................... l0 6
d. Total fireplace wall area ......................... 2 rm
e.-I Total wall framing area (average 10%) ............. 45 )
f.-I Total net wall area above floor ................... 5 9t 3G5'
g. Total rim joist area .............................. 16"0
E-z ?.?nc? -4.ee0 Shea.ti... ?d ,
G-Z VJees. F2HV.,t-LeieidJLrio?l+.?.t` 'J?? 5
Total ezposed foundation area = '15 3 (P3
h. Total foundation window area......... ........... ...
i. Total net foundation area above grade .............. r7?.3
Determine 'U' value of each vall segment:
a. 233 x , U' • 2-154s? = w d. t 9
o. s? x lul ,3;?-?, = 171
G. Ib(v % IU, .<?'ra: b = 2?'.57
d. z?o x 'U' iV
e• - (ft x 'U' .p?-7 7to c (?•3S
f• 5--72 x 'U' n?s5z e
g. x 'U' I,G2i 3 - 7•Iq
h. x 'U' .; 75? = I! ?oi
i. x fUt vfnzo?
f - i 0 d3i" :
3. ......... F. ?..... .' .:........... ..'.::.:3:............ TOt%1_1c 300.? 1
If item 83 is the same as or less than item #1, you have met the intent of SBC
6006(c)2. D k
/
Total exposed roof/ceiling area = a ol?
GEIL.IUG ONE - U MLLTSp
J. Total s i,,, :..r,r sze& ............................... i ?fZ % ?bGb
t
;: r???u6 oNE. k. Total roof/ceiling framing area (average 101) ..... 10 4 -
Total net insulated coof/ceiling area.............. 334
C6!(.in??7wo M. ya"r? LQrqGL"?lvti l.1Ar4 ,_. , 3"7
:;ho se??:5??,lsl
OVER
Determine 'U' value for each roof/ceiling segment:
?
J. 14a?x IUI
t
k. (bc1- x ,Ui azmo3 _ ?.?1c9
1. 33 b Yquo ?6 230 3
M_ ?') `x `V ,o2s
u . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ?-
If total of #4 is the same as or less than 82, you have met the intent of SBC
6006(01. J !,,-
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items #3 and S4 shall not be greater than the sum of Items #1 and #2.
+ z. r2,?.;z. = 369 2. -7
3. t u. dA.Gd ? = 3s o.ss ??
vTV-: To I1/iec'f Cuclt .!-`l D?r? vn?ra- i?art
liiS'ti1a4,o?
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: _, _ ?
SUBJECT: WAIVER OF PLAT 4?:_ Z? - (0 - `3 - ` ?7 C)
APPLICANT: JANE & SAM ROCKWOOD
LOCATION: IAT 2, BLOCK 1, ROCKWOODS WOODS ADDITION
?-s-y'r?
EXISTING ZONING: R-1 (SINGLE FAMII.Y RESENTIAI.)
DA1'E OF PUBLIC HEARING: MAY 22, 1990
DATE OF REPORT: MAY 9, 1990
COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT
APPLICATION SUMMARY: An application has been submitted requesting a Waiver of
Plat to divide Lot 2, Block 1, of Rockwoods Woods Addition into two lots.
EXISITNG CONDITIONS: Lot 2, Block 1, Rockwoods Woods Addition consists of
approximately 4.1 acres and there is a home on the northern portion of the lot. This
home was built in 1976 and is occupied by the applicant's daughter. The area has
individual wells and on-site sewer systerns.
COMMENTS: The Rockwoods originally owned approximately five acres of unplatted
property at this location. In 1976, they built a retirement home (now occupied by their
daughter). In 1988, they platted the property and sold an acre (L,ot 1, Block 1,
Rockwoods Woods Addition) to their son who built a home on this parcel.
The Rockwoods are now nearing retirement and have realized that the 'retirement home'
built in 1976 is too small to accommodate their needs. Therefore, they are seeking a
Waiver of Piat to divide the 4.1 acre Lot 2. As proposed, the split would provide the
existing home with an approximate 2.3 acre lot while creating a 1.8 acre parcel
approximately on which the Rockwoods plan on building their home.
The two existing lots have direct access to Lakewood Hills Road which is a platted,
privately maintained, road. The proposed Waiver will create a lot that also has direct
access to said road.
If approved, this Waiver of Plat shall be subject to:
1. Recording with the County within 60 days of Council action.
2. All other applicable Cade requirements.
FINANCIli1L OBLIGATION - ROCICWOODB wOODB wAZVER OF PLATs
. +,
Based upon the study of the financial obligations collected in the
past and the uses proposed for the property, the following charges
are proposed. The charges are computed using the City's existing
fee schedule.
Improvament Proj Qse Rate Quantitp Amonnt
Sanitary Sewer Trunk 241 SF $11435/A .73 A $1,048
Water Trunk 241 SF 1,450/A .73 A 11058
Storm Sewer Trunk 444R SF .053/SF 69,772 SF 3,907
$6,013
l IN X 1
L? LPJ.SO
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985 Lydia Drive 'Roseville, MN 55113 Sheet 1 of 3
DELMAR H. SCHWANZ
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SEC.06, TWP. 27, RGE. 23
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WATER ELEVATION AS OF N? r
ci L,' I n? ' I AUGUS7, 1987 =883.8
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FINANCIAL OBLIQATI4N
ROCKWOODS WOODS WAIVER OF PI.AT
PRIOR ASSESSMENT
/
•
r
•
L
STORM SEWER TRUNK
Pr..n..l l 1.?, INI '•.1 ?\
^Fnr1 1 ni \
DEIMAR H. SCHWAN2
.w-?w..,?. ?...... ??
..r?.?.xr.?w..w.? r?praw?_rnw?rnor?e?er ??arqsirw
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FINANCIAL OBL{GATION
BpCKW00DS WOODS WAIVER OF PLAT
SJATER TRUNK :,ANITARY SEWER
rt?o4a
SO]Z PF.EiCULATION TEST
SAM LOQCtiVOpD '
I.akewvod Hills Addition August 25, 1990 ,
.3`
1.) A three (3) bedraan hcane has an average daily flowage of 450
gallons per day.
2.) Pverage Perc Rate is 5 M.p.I., due to the fine sands that were
encountesed in the borings. The rate nust be increased to
16 M.P.2., which will require 752 square feet with 6 inch rock
unrlar the pipe.
3.) Use 12 inch rock under pipe and system can be down-sized to
602 squa.re feet. Use 4 drop boxes with 3 foot wide trenches,
this will requ.ixe 4 lines, 51 feet in length.
(See diagram.) .
4.) 33.42 cubic yards of rock are required.
5.) 1250 septic tazi}c will be required.
6.) No garbage grinder allowed.
7.) Punp septic taiilc every twn (2) years.
ISTA #D0666
L DAKOTA COUNTY #P-666 ?
I'harils you.far letting A-1 Perculation be of service to you.
,
corn - R r? gjj.4'"
Coiy and Bret Lucking
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PERCOLATION TEST DATA SNEET
,?;...
„
'Jast"hble loca[ion_ 6-? L^ ole number i' 4.Z
?ate tes[ h(,Ie vas prepared 2-11_To Depth of hole bottom._?/L inches.
Diameter of hole, ? inches.
Soil data from test hole:
Depth, inches Soil texture
( k t QXA.5- On , d rre1:,n'•,.)
?
V
Me[hod of scracchinq sidevall __2".,??
Depth of pea-sized gravel in bot[om of hole, • a., inches.
Date and haur of initial water tiliing X-2B _90 -') ;P M
Depth of initial aater fillinfr_ 1?,7- inches above hole bottom.
Hetho,& used to maintain at least 12 inches of water depth in hole for at least
4 hours-_ -1,p 9N
Percolation test readings made by ?
--•-
E-P-'3..y - ci n starting at
(da[e) ?--P-O•
during test, inches.
on
. Maximum water depth above hole bottom
Time Time
IntervaZ,
Hinutes
Measurement,
inches
Drop in vater
level, inches Yercolation
rate,
minutes per
iach.
Remarks
•
` 5
` .
.
e
Percolation rate m , -?j minutes per inch.
LoQs of Soil BorinRs
B-27
=. • i.or_atian or Pro ject
? Borings made by [Z;-,hpk p,? Date -l6-90
-? Clasaification System: AASHO ; USDA-SCS t/ ; Unified ; other
Auger used (check two): Hand or Power t!?; Flight _, or Bucket other
Deptho Boring number Depth, Soring number ?
in Surface elevation in Surface elevation
feet feet
,
O 1?7 t?. d SD?rv-i? O
I -
2 AdtY
?
3 -
4 -
5 - • ? ,.?'? ?'?? cL o-a.n,rr?.
6 ?-
7 -
?
J
8 -
End of boring at _ feet.
Standing water table:
F-rosent at ? feet of depth,
hours after boring.
Not present in boring hole
Mottled soil:
Observed at feet of depth.
Not present in boring hole
Obsurvations and cou¢nents:
1 -
3 -
4 -
S -
6 --
7 -
8 -
Ead of bor*ng at €eec.
5tanding water table:
Present at feet of depth,
hours af[er boring.
Not present in boring hole
Mottled soil:
Observed at feet of depth.
Not present in boring hole
Observations and couments:
' _DEC 06 130 09:59 DHKDTA COIJNT'Y HUf1RfV SEP'JICES - DAKOTA COUNTY
PUBLIC HEALTH CEPARTMEtVT
NI 1MCN .5'ECIVIC.'ES DIVISION
F' . 1
DONNA M. ANDERSON
a{aecYaA
(612)450-2619
Fax(672)450-?946
P,,olic reaith Nurs nq Environmentai Healih Emergency Medical
Servlca? Se=v!ces Services
.. ... .._- ? ?asnia Loo?•y :vart?arn a"arvic: Gsnter ? ?urnavnle 4U;te
33 E?ri Wentr.ur!n Avc+!uC i 101 Wbat CountY Rcad 4:
:He&' St. >aJi.'AN 53118 Burnsvllia, MN 53337
let"a7 415-8055
aragram
+?.i2V 439-849B
De? x't7 a'A C[,1liIvTY P JBZ I C H.E.3LTH DE?,ARTMEI3T
WAT^.R Q;.?4i.ITY MiAN3GE"1ET
Avenue, Sui?e 345
(6:2; 450-2790; FAX 450-294$
.`:_''??_.,,..'?.'?_-? ?°?.; ?_ •°'r+'.j4ii1 ;•._ JU 1`lT4N
itiD LOa ?..,...0.........._.___ ._ ..-?-.«
a?o??tG Li/01{'kS'
TEr E: ?ONF: 4s? ?????
Ran_q,?,"r???'?,.,?m????
PM
REi F-k 2•.) WEuX.: }'.k.?.=uMIT i. ;b ... _ 3GJ _ ._) I 74
?.=ka?'FA C?:rii':d'I'1 tFli.iT HAS RECEIVEb
BELOW, IF YO[I
_ePl ICATI4N dR TF
Y+JiI q .?': E??i J.: i'Y'? ?,E?ULiT ZT, PLEASE
C;0?4TnCT OJR aFa f^,? ;+01 OR THE FNVIRON-
-, L HE4.LTP? "PF''rMI-f-'-I T 1';-v Ai4VE. IF Tf1ERE
eS '3Ct T.;E4FONSE FROM .'•.iUR 0 ,"W~'?rr s:? 24 HOURS (EX-
CLL'DIi4G CJEEkE:CD? ???Ti' !?Ci.i:i;r.15 j: THE DEPAfiTM:ENT
STnPs G1lLL a=.S5lTME i&AT Yt1J t(AVF' N0 O37ECTIONS "L'Q
;qE TSSIJ,?-NCE 0-r' THE FPRMIT. Pl.?'??E trOTE THAT THE
PERMT1 IfiSt7A:ICE TS A2?WAYc> CONDr?TON.;D ON COMPLIANCE
WITH :AI.L r?-PPLYC?.BLE LOC_yT !;FQU'?Rl?iEN"I'S/GRDiNANCES.
OWNiE. n, DPSLv(4H ??rbrLm
_ _..?.h..Z •
,,-?C-?s',a OF w'ELL(S)14/lc
sr-jt-?q/rF/S4s.2da rnUNIc7PALzTY:
L;A Tr,: Al D DRILLEft: H4
WELT(s) DEsCRIPTION: Privah dc
4t1d4 t3a 449a ' .
- . ?, ?. .
?
* ZE you xeceive a poor facsimllie eo , eall $12450
AIV E9l1AL OPPpRTUfVITY EMPLOYER
DAKOTA COUNTY
PUBLIC HEALTH DEPAFiTMENT
HUMAN SERVICES DIVISION
DONNA M. ANDERSON
DiRECTOR
(612) 450-2613
Fax(61Z) 450-2948
Pubiic Health Nursing Environmenlai Health Emergency Medical
Services Services Services
REPLY TO:
S Dakota County Northern ServiCe Center C Bumsville Otfice
33 EaSt Wentworth Avenue 170'1 West Counry Raad 42
West St. Paul, MN $5178 Burnsviile, MN 55337
(612)450-2614 (612) 435-8055
WIC Progrem
(612) 435-8496
DAKOTA COUNTY PUBLIC HEALTH DEPARTMENT
WATER QUALITY MANAGEMENT
33 East Wentworth Avenue, Suite 345
West St. Pau1, Minnesota 55118
Telephone (612) 450-2790; FAX 450-2948
SAVINFAX FACSIMILE REQUEST FORM
NOTICE OF WELL PERMIT APYLICATION
SEND T0: Tom Colkr-f
oFFZCE: Ci?qd.raqam PNkl?c A/Ork.s
TELEPHONE: (61Z) 4'sT'B1Q6 FAX: ?TS?-8363
FROM: R6YISpayII5 tTCTT4UChY,STELEPHONE: 450-2932
DATE: /2/6/90 TIME: PM
REFER TO WELL PERMIT N0. ,J O- O/ 74
DAKOTA COUNTY WATER QUALITY MANAGEMENT HAS RECEIVED
A WELL PERMIT APPLICATION DESCI2IBED BELOW. IF YOU
REQUIRE FURTHER REVIEW OF THIS APPLICATION OR IF
YOU HAVE ANY QUESTIONS/CONCERNS ABOUT IT, PLEASE
CONTACT OUR OFFICE [(612) 450-27901 OR THE ENVZRON-
MENTAL HEALTH SPECIALIST LISTED ABOVE. IF THERE
IS NO RESPONSE FROM YOUR OFFICE IN 24 AOURS (EX-
CLUDING WEEKENDS AND HOLIDAYS), THE DEPARTMENT
STAFF WILL ASSUME THAT YOU HAVE NO OBJECTIONS TO
THE ISSUANCE OF THE PERMIT. PLEASE NOTE THAT THE
PERMIT ISSUANCE IS ALWAYS CONDITIONED ON COMPLIANCE
WITH ALL APPLICAELE LOCAL REQUIREMENTS/ORDINANCES.
PROPERTY OWNER: Da vid G?ar/sar
LOCATION OF WELL(S) : 861 L-aiGe WOOd MIir1CQ SEISWISEISCC.26 MUNICIPALITY:
DATE: DRILLER: ?1r?7Y1?,/'?/'1 WcII LO.
WELL(S) DESCRIPTION: PrivOcft daV»e.rfic ukll
,410 1 •- --- .-,,, tu p- Pa __? :1-
I * If you receive a poor facsimilie copy, call (612) 450-2614 immediatelv to.re[rzncmit. I
AN E9UAL OPPORTUNIN EMPLOYER
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117571
Date Issued:10/21/2013
Permit Category:ePermit
Site Address: 861 Lakewood Hills Rd
Lot:021 Block: 1 Addition: Rockwoods Woods
PID:10-64500-01-021
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Inna Bodnar
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 -
Jane G Rockwood
861 Lakewood Hills Rd
Eagan MN 55123
(651) 274-7756
Intelligent Design Corp
4009 103rd Ave N
Brooklyn Park MN 55443
(612) 919-2596
Applicant/Permitee: Signature Issued By: Signature
tyofEaill
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
076344o
3�1
Date Received:
Staff:
*1
2015 RESIDENTIAL BUILDING PERMIT APPLICATION 1L201
Date: /`2 Site Address:LO/ ,C�/�c 1�.4✓i�C,� /i// A-701" Unit #: �/�%
Resident//
Owner
Name: 7 iW., OCfiLJC C/ Phone: IO5/ `972
Address / City / Zip: 8(0/ ,42,�/ 0,26Yj� 0,4 ga.04)
Applicant is: Owner X Contractor
Type of Work
Description of work: ,2.!,. �,l'%5 t/.� 4).els'`- ,'/O uier C%Sl e,,sG S id
Construction Cost: C:a r"). oD Multi -Family Building: (Yes / No ' )
Contractor
Company: Z/KiUS 6//.1521 ,,h , Contact:.. / // ;7;eh
C
Address: 879 eul 6'3 City: _r Zug.
State: Zip; 5-1/O0 Phone:c.5/' 96 / %(Email: 17,5h 0) ;iduS( (o1'
License #:(11)7'// Lead Certificate #: A/4T 51/J
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qooherstateonecall.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 mus be completed within 180
days of permit issuance.
x ,lcsk `�r`FtXJj I
Applicant's Printed Name
App /cant's Signature
Page 1 of 3
bkL&cd
H,i<S
�O NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
lc, Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)()
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
›G Deck
Lower Level
_ Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
" Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
IZ
Siding
Reroof
Windows
Egress Window
I)-eioco
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
5/ SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
1,-14A-
0,115
c-0( /C--- 317s---0
36,4 x isoS� ;�°--
po
C))
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143411
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 861 Lakewood Hills Rd
Lot:021 Block: 1 Addition: Rockwoods Woods
PID:10-64500-01-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jane G Rockwood
861 Lakewood Hills Rd
Eagan MN 55123
(651) 274-7756
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143412
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 861 Lakewood Hills Rd
Lot:021 Block: 1 Addition: Rockwoods Woods
PID:10-64500-01-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jane G Rockwood
861 Lakewood Hills Rd
Eagan MN 55123
(651) 274-7756
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
Attn: Derek
Permit Number: EA166264
861 Lakewood Hills Rd
Plan Change Basement:
Room in basement doesn't meet egress code not allowing the room to be marketed as a bedroom. We,
the property owners chose not to change out the window to make it a legal egress. It will be used as
marketed as that.
Denny Hansen
Heartlight Properties
�Jo � j
Josh Schugel
C �l -7 1/l (-) S7/ Z-
RE IEqED
Date: ---
Eagan BuMng inspections Division