4497 Oak Pond Rd, . . .. _ •. . .?. . ?,,,? , ,
CASH RECEIPT 0
CITY QF EAGAN
y de .
, 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
AECE?vEq . , •'-
Ff101?
? AnnOUrvr
& DOLLARS
? CASH 4HECK
'00
FON ?' J? ? ? ' ? 1 . ?. --•--.? ' ' ?
/
j?l? ( i i i?? i? i { r •
FUND OBJECT AMOUNT -
Thank You
BY
uvnna---Peyere coPy
venovr-Posting Copy
Pink-File Copy
'
? BLDG. PERMIT
N0.
r
c c c
J ?
.01-3210 Bldg. Permit
01-3422 Plan Check
? ,01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge - - ? ?--?'
3f-3860 Road Unit ._:. crJ C}O
20-2275 SAC
20-3865 Water Conn. .J-??-- C-'?-
20-3868 Water Trmt. 4=-? y
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
41-3855 Park Ded.
TOTAL ?? ?I?
CITY OF EQGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for S? Df.'G/GI1R
Site Address
Lot __7 E
Parcel No.
Receipt
14777
Est. Value 3106,000 Date APQlt. S
i .:m::.i
I
Sec/Sub. ?AWN g;DG$ 2ND
x Name 50113 C0NSTRTJC'I10N CO.
; Address 4370 RMN RC1AD
0 City EACAN Phone 452-5355
Na+e 5AM
, a
o ? Add?ress
? City Phone
W W Name ?l? A3T1FlG
Address
1334 • n r. fom 51-v-d.
Q W City ` a?n Phone
I hereby acknowledQe 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.
s
SignaAure of Permittee t
' S(iN z+ ,.^.l:?+STiti]CTIO`; ^?.
A Building4 Permit is issued to:
on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statutes and Cify of Eagan Ordinances.
Building Official__??_
?
QFFICE t1SE ONLY
On Slte Sewage Occupancy F-3
MWCC System x Zoning PD* R-•I
On Site Well (Actual) Const VA
City Water X (Allowable) tirN
PRV Required # of Stories
Booster Pump Length 421
Depth 39*
S.F. Total
Footprlnt S.F.
APPROVALS FEES
Engr./Assess. Permit 598•00
Planner Surcharge 52•00
Council Plan Feview 294.00
Bldg. Off. SAC, City 100.00
Variance SAC,MWCC 550•00
WaterConn. 550•00
WaterMeter 67•00
Road Unit ._,32.5.00
Treatment P1 2(4.tLf}
Parks
TOTAL 2,730.00
CITY OF EA GAN 162?'J9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
BUILDING PERMIT Receipt #
To be used for ?Est. Value ? 2+ov., Date ?`-
Site Address 4-4Q1 D+?K KN"% h;f
Lot 3 Block 1 Sec'Sub. FLI?? ?'I:3C?E 2t(',? OFFICE USE ONLY
PBfCeI NO. Occupancy - FEES
Zoning -
Name "UDY r"?' -•'T (Actual) Const _ Bidg. Pertnit 4? •
W
o Address ?'?'97 CAt? ?1) (Allowable) -
S
h ?,?
City '--««IO Phone 6238-161:!
# of stodes uro
arge
-
Plan Review
Length _
o Name SctiS GOHSTzt?=I4K CC oeptn - s,ac
ciry
" ,
Ov
S?4 9T A:4,'srtL'Ei t4L'4'U
Address l
S.F. Total _
SAC, nnCwCC
'- City Phone 4 3:--53 5 S.F. Foolprints -
Water Conn
On Siie Sewage
?
¢
?
Name
On Site We11
- Water Meter
W
_? AddrBSS MWCC System _
U =
a W
City Phone
Giy water Acct. Oeposit
it
S/W P
PRV Required erm
_
I hereby acknowlege that I have read this application and state that the Booster Pump - g,W Surcharge
intormation is correct and agree to comply with all applicabte State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee _ APPROVALS Road Unit
A Building Permit is issued to: Ptanner - pyrk Ded.
on the express condition that all work shall be done in accordance with atl Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ Copies
47.50
Building Official
Variance
- TOTAL
Permit No. Permk Holde? Date Telephorre #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commenfs
Footings 1
Foundation
Framing k s
Roofing
Rough Plbg. /,?,y yp0
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector- Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? CITY OF EAGAN 777
` • 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est. Value $ 1 04. OOC; Date .1 t '' 3. ! . g ,1 g '
../7 /^.ac Rx\fefl R.e?• _--__-___-_
Sit@
Lot Block ? Sec/Sub. 'A? 111?F "" ; On SRe Sewage
MWCC System
Parcel No. On Site Well
" ! `?"f lUl`1 ^? ?.
ac Name City Water K
z Address PRV Required
; 2_ , 5 Booster Pump
° Ciry Phone
Name
.
Address City Phone
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.
Signature of Permittee
A Building Permit is issued to:--
on the express condition that ali work shall be done in accordance with all
applicable State of Minnesota Statutes and CitV of Eaqan Ordinances.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
(Actual) Const
(AltowaWe)
* of Storiea
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
,, •
Zr I
294.
1 c'i!' .
g; . .
?K.
2t7 ,
Permlt No. Permi! Holder Daee Talephone ie
Plumbing
H.v.ac.
Electric
Softener
Inspectlon Dat* Ingp. Comments
Footings I
Footings II
Foundation
Framing ?
1
?
l G?Ec4 {, l r?? /,r, O/-N
ROOflllg ; ? ??- h f•G /'b
Rough Plbg. e
Rough Htg. Di ! A Q•, ? ?, C3/C
Isul. ? t -
Fireplace
.
Final Htg. 7 D
Final Plbg.
Btdg. Final G? 7 V
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # !2
. . MECHANICAL PERMIT
C
?
' L t
RE
EIPT #
=?
-•--,
CITY OF EAGAN -
1988
MaY /'O
3830 PILO *
T KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE 454-8100
Site Address 4497 Oak Pond BLOG
TYPE
.
WORK DESCRIPTION
Lot ? B lock Sec/S?ub
Res. }{X}`X New XXXX
? Name Genz-Ryah &H Mult Add-on
Address 14745 South Robert T rail Comm. Repair
U) City R°?ID1D?t• M Phone 423 -1144 ??
55068
?
Name _ 5on's Conatruction FEES
RES. HVAC 0-100 M BTU -$24.00
c Address 1334 St. Andrews Blvd. ADDITIONAL 50 M BTU - 6.00
- 0 City E&9gnr-4Q1:-__-Pfione_ 4- -52M _ (RES. HVAC INCLUDES A/C ON NEW
$TRUCTi
O
N
'
55122 N
p
) -
-
C
GAS OUTLETS (MtNIMUM - 1 PER PERMM - 1.50 EA.
TYPE OF WORK COMM/INQ FEE - 1% OF CONTRACT FEE Y
Forced Air 100 M BTU 24. APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - ,Sp
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 1• 5 BEYOND $1,000)
Other $
25.5
FEE
S/C: ' S SIGNATURE OF PERMITTEE
TOTAL: 26•
FOR: CITY OF EAGAN
T-,
;i
. . .
' PERMIT#
- ' PLUMBING PERMIT ..-2 r-
CITY OF EAGAN RECEIPT # -?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHOHE 454-e100
Sibe Address BLDG. TYPE WORK DESCRIPTION
Lot ` Block S9c/Sub
Res. New
Name y Mult Add-on
? Address Camm. Repair
c City c'Li Phone Other
NO. FIXTURES OTAL
Name ?Water Closet - $3.00 `
c Address • ? ?:. n n i? o,? d Bath Tubs -$3.00 -3 __
p City Phone ???Lavatory - $3•00 `?• ?
-7-Shower - $3.00 ?
/ Kitchen Sink - $3.00 "
FEES Urinal/Bidet - $3.00
COMM/INO FEE - 196 OF CONTRACT FEE / Laundry Tray -$3.00 ?
MINIMtJM - RESIDENTIAL FEE - $10.00 _/ Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 / Water Heater -$1.50 ?STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ---Gas Piping OuUets -$1.50 777
BEYOND $1,000.00) Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
?_Rough Openings - $1.50
?' `'
SIGNATURE OF PERMITTEE FEE; --3 f L' ?
STATE S/C:
4FOR CITY OF EAGAN GRAND TOTAL• ' (
/
INSPECTI4N RECORD . ._ . ?^
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued; (612) 681-4675
SITE ADDRESS: APPLICANT:
4497 OnK PoNO Rn F t ?C r,rnf cIyR"Fft I.HC
I1:11p7 I.: I }I ! :F ,F . i . , , ,. ; 1
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . ..
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFfNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
lNSUL
GYPIBOARD
FIREPIACE / ?i'lkT
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
»a?r1..
(Itx#i#irs#r uf (hruvttnry
titp of (Eagan
EP#tortmPttf p? Indbing JWpl'tWri
This Cerrifcate issued pursuant to tJre reguiremenu of Section 306 of the Uniform BuiJdiMg
Code certifying that at the time of rssuance this structure was in compliance with the various
ordinances of the Cuy regulating building construction or use. For the following:
use cIMrCRoO„ SF DW/CAtt Bids. rrm;, No. 14777
OM'Wa-r Tra R3 Z.? Dj,? PD R I Ty? cma Vn
ownff or sumng --`UiS OU+IS"I4ICTIQ4 C0. . naa?,.4370 RAHJ WA?, EAGAN
?;,?:497 ??. PC7M ROAD ?,iuy L7. B 1. FASdd RIIx :,
o,te: J?1t? 3, 1 g°g
awiaing oMc;.i
POST IN A CONSPICUOUS PLACE
C1TY OF EAGAN Permit No: r' Date:
3830 Pilot Knob R,Rad g/p No. Date:
• P.O. Boxj11"
Eagan; MN 55121
Owner.
Site Address: - • . -
. _ ! . nw ? n , ?..' . . . - . , .... +. .
MWCC: `'Sn,'?","
, . Zoning-
City Chg:
No. of Units:
Acct. Dep: _
. 44 I agres to comply with the Cthr oi Eagan
Permit Fee:
?Ordlnances.
Surcharge:
SEWER SERVICE PERMIT
' OF EAGAN Permft No: Date:
i Pllot Knoli Ro^d Meter No: Size:
Box 21199Reader No: Date:
m. MN d5121
Conn. Chg: i5'? • ()Qnd Zoning:
Acct Dep: f) T3. ' No. of Units: ?
Permit Fee: 1:' • ?. ??,
Surcharge: I agree to comply with the Cfty ol Eayan ;
Tr. Plant Ordlnances.
Meter. F.7 _ nflpd
M isc.: By
WATER SERVICE PERMIT
?. _ _--
??
CITY QF EAGAN Permit No• Date:
383& Pitot Knob Raod Meter No:.3 97 d 9 S' Size: d
P.O. Box 211 99 Reader No: /0 Date: 5-W - g ?
Eagan, MN 55121
Owner. Sons {'.nnRt.
Site Address: !} rl 'J
Plumber , . •d.
Conn. Chg:
Acct. Dep:_
r
WATER SERVICE PERMIT
CASH RECEIPT
• CITY OF EAGAN •
3830 PILOT KNOB ROAD
EAGAN, MIN?JE?OTA 55122
L ?
onre , is
8
& ? DOLLARS
? 10D
? CASH ? CHECK
ron ? / ? °7
FUND D&IECT ? AMOVM
'6 n U
J ?? o 0
i .-
?
?
/
v
Thank You
BY
V Yellow-posting Copy
82737 `?ft?e'e.=?PY
rT.
Pink-Flk Capy
CITY OF EAGAN
BUILDING PERMIT
To be used for REMODEL ROOF
Est.Value $2,000
Receipt #
1114 16259
. 1989
Site Address 4497 OAK POND RD
Lot 7 Block -I SeGSub. FAWN RTD(:E 2ND
Parcel No.
w Name JUDY GUIST
o Address 4497 OAK POND RD
City EAGAN Phone 688-2610
Name SONS CONSTRIICTTON PO
AddfBSS 1 374 CT ANIIRFW RT Vn
City RA(:AN phOf1E 459_5359
?w Name
? ; Address
aw City Phone
I hereby acknowlege Ihat I have read this application and state thai the
information is correct and agr to comply with all applicable State of
Minnesota Statutes and City o agan Or ? nces.
Signature of Perm?ite'e ?
A Building PermtS to Gus ?a crz-QV
on the ezpress condition that all work shall be done in accordance with all
applicable Sta[e of Minnesota Statutes and City ot Eagan Ordinances.
Building Oificiai
?830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
I PHONE:454-8100 ?
Occupancy
Zoning
(Actuap Const
(Allowable)
# ot Stones
Lengih
Depih
S.F. Total
S.F. Faolprints
On Site Sewa9e
On Site Well
MWCC System
Ciry water
PRV Required
Boosler Pump
APPROVAIS
Planner
Council
Bldg. ON.
Variance
OFFICE USE ONLV
FEES
Bldg. Permit
Surcharge
Plan Review
SAG City
SAC,MCWCC
W ater Conn
Wa[er Meter
Aa[. Deposit
S!W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Oed.
Copies
TOTAL
46.00
1.00
.50
47.50
, -CITY OF EAGAN No 14777
3830 Pilot Knob Road, P.O. Boz 21 •199; Eagan, MN 55121
PH ONE: 454-8100 c'J C- ?
O
BUILDING PERMIT Receipt# a ?
Tobeusedfor SF DWG/GAR Est.Value $104,000 Date APRii. S ,1999_
SiteAddress 4497 OAK POND ROAD
Lot 7 elock 1 Sec/Sub. FAWN RIDGE 2ND
Parcel No.
a Name SONS CONSTRi7CTI0N C0.
z Address 4370 RAIIN ROAD
o City EAGAN phone 452-5355
o Name SAME I
?a Address
?w City Phone
I NaY e BRgAN ASTING
tz t. n rews v.
Address - I
i ?
? Cit Ea an phone 55
I hereby acknowledge Ihat I have reatl this application and state that the
information is correct and agree to cornpry with all applicable State of
Minnesota Statutes and Cit Eaga rdinan
Signature ot Permitte o
e _ CX6??1 -Iolclmj
A Builtling Permit is issued to SONS CONSTRUCTION C0.
on the express condi[ion thai all work shal I be done in accordance with al I
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
OFFICE USE ONLY
On Site Sewage - Oxupancy R-3
MWCCSyatem X Zoning PD. R-1
On Site Wall _ (Actueq Const Vn
Ciry Water X (qllowable) VN -
PRV Required _ # of Stoiles
Booster Pump _ Length 42'
Depth _39,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 588.00
Planner Surcharge 52.00
Council Plan Review 294.00
Bldg.OH. SAC, City 100.00
Variance SAC, MWCC 550.00
WaterConn. 550.Q0
Water Meter _61-00
RoadUnit 3.9 S..on
TreatmentPl
_
204-00
Parks
TOTAL 2 13O. 00
flEQUEST FOP ELECTRICAL INSPECTION Ee-ooooi-os
, See instrumions lor comoleling this form on back of Vellow capy. o?o?C
E 77 "X'" Below Woik Covered by 7his Request
AA4 fley. '-SVPe of Bviitlin9 APCliances Wired EQUiVmenl WireA
Home Range 54 Temporary Service
Duplex Water Heater Liyhtiny Flxwres
Apt. Building Dryer Electrir. Heatin
Commercial Bldy. Fumace Sib Unloade,r
Industrial Bldg. Air Conditioner Butk Milk Tenk
Farm otner aen v Oinur ISO,xr.ifvI
t .? Succify Other O,hcr
Comoute lnsoec[ion Fee Below
k Fee ServiceEntrence5ize M fee Faxders/5ubfexders N Frte Circults
,Q 0 to 200 Am s 0 to 30 Am s 7,00 0 to 30 Am
Above 200 Amps. 37 to 700 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 700-/>mP+
Transiormers Irrigation Buoms Partial.'Other Fee
Signs Specfallnspection
Tq T
O
AL FE
Nema.ks
E?
J ?
,-h"
1, me ehacVlcel
Inspacbr, herabv
c?rlily that the above
Ynspe^•'-- `-s been
ThisreQUeslvoid
18 moMhs from h? ^
E 3 7 7
Hanueggg? Dale
?`
?/ ?7 n Pire No. Fouph i InsVection
Requiretl?
ill Notify. InsPer.-
eady Nuw ? W
?
U(?
?
Yes ?No ??
r When fleady
?icensed Elecbical Con[rector 1 hereby re0uest insDaction of above
? Owner electricel work installed at
51reat Aihress, Boz or Route No.
K DND Rd/. Gily
i;,?
ecuon o.
' Township Name or No. Range o. CoumY
,0q/co T?4
Occupant (PqINT) Phone No.
Power Supolier Address
1WK-?1/4 ?1 F eTK- (& r?
Electrical CoMractor (Company Name) Con[rarmr's Licnnse No.
W g LF- e- t Z°
Mail' B A Jress (Convacmr or Owner Making Instailation)
?4dAy ;We/ SS/Zy
E? litg,z T,4Ti2.
onl
Authorize $iBnatu Conva 9-tor Owner Making Installani Phone /Number ?]r(7 J
MINNESOTA Si BOARD OF ELECTqICITY THIS INSPECTION REUUEST WILL NOT
Grig9s-Midwey Bltlg. - Room N-191 BE ACCEPTED BV TNE STATE 60AFD
1621 Univarxitv Ave.. St. Pnul. MN 55104 UNLE55 PNOPEN INSPECTION FEE i5
Phone (6'12) 642-08W ENCLOSED.
INSPECiION ee-ooooi-o?.s/
. 1 Sae lnstructions (or comoletinB this form on back ai yellow copy. 0
?
"X" Be/ow Work Covered bv 7his Renunci ? T o
o ol euilam9 Aoolinncaa wired - ? l -" Eauiymant WireA
e ' ? Range TenIpOrary Service
ex
Buildinc? Fixtures
M Comme,
ial Bldg. Heahn
tril Bldg. %
oader
k Tank
ee,tvl
on Fee Ralnw
s?:e n Faa
co iuo ai„ps I/ I.!5',r)9T)s i m ioo
?nspector, hereby
Final rlily thnt the above
? inspection hes been
d
m5/0?'7/8'3` , J $tl/ `? ?
id
? 8
Hpquest Uale
. .
- Fire NO. No?ph-in InsDer,' n
e veA?
?ReaAY Now Q Will N?titV. InsPec-
.*
? ?es ?NO Ior When ReaAy
cen4d Eleclrical Contractor I hereby request insvection ol ebove
? Ow,"iki electrical work installad at
Sheel Address, Box or Raare No.
1
? CitY
u ? p
N
.cuon Townshio Name ur No. qange No. Counly
pA K-vTf/
Occuuant (PflINT) Phone Np.
Power Supplier
IQAK
T
? fF Li r AOGress
w/
v
r
Elecbical ConVactor (COmpanY Name)
' Comrnctor's License No.
v
Z. S-
Mail?np dJress (Contrec1or or Owner MakinP Instailationl
?-t,
-2.2-
Authorizad alura rectod wner Making nstallation) PhonerNumber
?? ??????
MINNESOTA STATE RD OF EIECTqICITY THIS INSPECTION REQUEST WILL NOT
Grigvs-Midway Blde. - Room N•781 BE ACCEPTEO BY THE STATE BOAHD
1821 Universilv Ava.. St. Paul, MN 55104 UNLESS PNOVEH INSPECTION FEE IS
Phonef6121642-OBO0 ENCLOSED.
Mr.l?S12?
. xoqpiesdo?
. 1 lRd6VWCeqA*MIGCIMaWAeMfun6
• tObluMbtrOdOft2dfflldM8decls
. Yd?Gffiil?mef.wtldbl'??4xe00ra?s
DA1E
MAMOM vy y 7 &4j6Np ?ep
npEOFwowc I fA e a f F /,etRoA ?
gPMPAppROS 1,4,ZY % i1/rCo/(v?
TELEPFIONE O`I??-7d 1-695Z CELLPI#ONE #
V?A? ? ? ? ? • ?
bNLTI-FAMILY 6LD6 _ Y ?N
? FNEPU?cEM _ o _ 1 _ 2
'G
5533'7
FAX #
MWMowNFJt TEL040ONEs ? s?- ysz- s?92
.................... ------------------------- --------------------------------------------------
coMnM rnIs MTM FM MME" MbMHnM euuuuM oNLY
EMWc«+e c,A,egory _ 3W4NEWrwaMM767o cnWcomr i ? ?s? ?dw+?smty?s? . aea?een" ve?oncoawrI woner?suamwme - •
• r?r,?a•c?s?emne , JUN 0 5 2002
p1ur"ip Caqrpcbr phone # B
Phim1im8 syxtcm iachtdcs: ? Water Sohm" _ Lawn Sprinkles Fu: $90.00
_ Water Heater _ fl1Yo. af RL Baths
_ Apo. of Baffis
Moehanicd Co+draclow. Plwne t
,.. MecLanical spatem iadudea: ? Air Candmonmg , Fee: $70.00
? Heat RecomY Sqatem
"/YYcrter Co?racfa:
Owte • I here6Y oNmow*clge ihaF I have read lhis applL-atfon, stafe ttWthe infd? ia correct and agree to comPh"
MM aAI appMOWe Stalt6 of M?xiesotC Stahftes aald py of Eogan Or?
sWak,raaAawio"
OFFICE ib3E ONLY
QeAiPcates of 8urvey Reoeived _ Tree Preaervetlon Plen Rowied _. Not RequireA _
LOWd 4M
OFFICE USE ONLY
(
0 01 Foundation ?
07 OSplex r
? 73 16-plex
.
O 20 Pool ?
30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 FireplaCe _. ? 21 Porch (3-sea.) ?
I 31 Ext. Alt - MuIN .
O 03 01 of _ plex ? 09 07-plex ? 17 Garege li ?
? 22 PorcFJAddn. (4sea.) 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) lVl '? 38 Muki "
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage II
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ,.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) Iu 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
?
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolltion (Entire Bl dg only) - Give PCA handout to ap Iplicant
Valuation Occupancy MC/ES Slystem
Census Code 2oning City Wate'r 11
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprin"klered
Type of Const W idth "
- REQUIRED INSPECTIONS I,I y
_ Footings (new bldg) _ FinaUCO. I
_ Footings (deck) FinallNo C.O.
. .?,
? Footings (addition) _ Plumbing
_ Foundation _ HVAC i
_ Drain Tile Other
Roof . Ice & Water Final Air/Ga:ti Tests
Pool Ftgs _ Final
_ Framing _ _
Siding Stucco Stone i
_ Fireplace _ R.I. _ A'v Test _ Finsl _ Windows (newlreplacement) f
_ Insulation _ Retaining Wall i!
,
'
-------- I
Approved By I!
r
--- -
-----
----
, Buiiding Inspector
Fee
Base --------------- -- -------- ---°--
I-
- ----------
Suroharge
Plan Review
?
MGES SAC
City SAC
W ater Supply & Storage I
S8W Permit & Surcharge
Treatment Plant •
Plumbing Permit
Mechanical Permit '
License Search
Copies "
Other •
Total '' ;
sfa_7 i
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
o yy""?
New ConsWCtion ReauiremeMs
• 3 2gislered sde surveys showing sq. R of lot, sq. ft. of twuse; and all roafed areas
(20% mez'vnum lot coverege allowed)
. 2 capies of plan showing 6eam & window sizes; poured faund design, atc.)
• t set of Energy Calculations
• 3 copies of T2e Preservatlon Plan if bt plalled aRer 7/1193
• Rim Joist Detail OpUons selection sheet (bldgs wAh 3 or less units)
DATE
SITE ADDRESS
TYPE OF WOR
APPLICANT_
STREET ADDRE
'Nq 7 0AILP
e, S - %
4g ic?,
1?,?q-7 IV(Co
TELEPHONE# C152
RemodeVRenair RequiremeMs
. 2 copies af plan
• i set of Eneyy Calculalians for healed additions
. 1 sfle survey (or exterior additions & decks
• Indicate'rfhomeservedhysepticsystemforaddNOns
VALUATION($ 115i 6 60
?
? MULTI-FAMILY BLDG _Y ?,N
FIREPLACE(S) _ 0 _ 1 _ 2
CELL PHONE #
FAX #
PRORERTYOWNER Sef?U? IUDelv TELEPHONE#?? ?- 7S2 "3092
--------------------------------------------- ------------------------------- ----°-------------
COMPLETE THIS SECTION FOR "NEW^ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI.7NI;SOTA RULES 7670 CA'I'EGORY 1
(d submission Sype) • Residen6al Ventilation Category 1 Worksheet Submitted 177UN s
• EnergyEnvelopeCalculationsSubmitted 0 5 2002
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
P'ee: $70.00
--------------°-----------------------------°-----------------------------°---°---------------------------------------
I hereby acknowledge that I have read this application, state that the i7 or ation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or a c s.
Signature of Applicant
OFFICE USE ONLY
Water Softcncr
_ Water Heater
No. of Baths
BW,0v3 STATE)ftV ZIP 55 ,?3 7
Phone # I
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY ..
' . '1,`,:Y: u . %1?• ' , '
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex .? 16 Fireplace , O, 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) r? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 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
0 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
Valuation • Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation , _ HVAC
" .
_
Drain Tile Other
Ro6f _ Ice & Water _ Final _ Pool _ Ftgs
Air/Gas Tests Final
_ Framing _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement) •
_ Insularion _ Retaining Wall •
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plurpbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By , Building Inspector
------ - --------------------------- - ----- - -- - - - - ---- - - - - - - --
L'TTV GF !=AG,AN
CASH:f.EFia iS TEi:RMSNAI_ hfi,; 691.
"Fl'TE,; Cl`9/19/9Fi l TMEC;, I.;',rt)Elc:l.i.
?
AAt1E: AI..I._.T.("L! FTRESILq: 2NC
'l210 9001 4497 onic F'ONri h 50.(]0
20; 9001 4497 bFaK F'OND R 7.50
1"nl:a:L F2er_eipi; AiS;r.n.an+a 50,,50
crnGraa9
usEr, :i:D; JFlN
/
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE:
Permit Number: BuzLDxNe
031625
Date Issued: 0 3/ 19 / 9 S
4497 OAK PON'D RD
LOT: 7 BLOCK: 1
FAWN RIDGE 2ND
P.I.N.: 10-25801-070-01
DESCRIPTION:
f,.
a
PERMIT ?
FIREPLACE
ALTERATION
434 ALT. RESIOENTIAL
'D ???
. ?
L'?'??;l44 Cy1?
?
REMARKS
FEE SUMMARY:
eese Fee
Surcharge
Total Fee
s" ???•?? ( Ga s )
Building"-,Permit Type
8uilding Wor.k Type
C'ensus Code
-°' »{"?
' g'?
$50.00
$.50
$50.50
CONTRACTOR: _ ppplicant - sT. Lzc.OWNER:
FIRESTDE CORNER INC 16332561 20090911 7HORN STEVE
2700 N FAIRVIEW AVE 4497 OAK POND RD
R05EVILLE MN 55113-0$47 EAGAN MN 55123
(612) 633-2561 (612)432-3092
I herveby_aokhow.ledge th-ot Z_haus r,$ad=thisu ap?{?13aotio?q aG'A statO, thta.t ??ha-?.
infiormari`on i.s correct and agree ta compl'y with a11 appl?ca6?.e State ofMn.
StaCutes andCity of Ea{?an ,.Orcl?nancee«.
I ? _ . _` • _ ; ___ - ° _ __ ? _ ?
APPLICANT/PERMITEE SIGNATURE
' I(41l9 'k D fA
S , ? p'I.IJ
SUED Y: IGNA UR
$MZ0
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
l
DATE:?(? V? C /d 1k < ?
DESCRIPTION OF WORK:
IOB ADDRESS:
X Construct new fireplace
_ Install ¢as insert onlv
Other TpQ?? Ln.
? UPtq'f `f VCrli
PERMIT FEE: $50.50
_X Alterations to existing
_ Install Lyas lioe only
e its Irµe ,
LOT: BLOCK: SU9DI'ii11,:0?+.',P.I.D. #: -4-1rm RIA, kL
APPLICANT (circle one only): OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is coaect
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: 'lA ie- Phone #:
Last ? First
Company:
omD-U 759
Phone #: f0 33 -,Z? I
Sveet Address: 3 85-0 41 ? L/ fn ? ? License #
ciTy Our vASVi° ? (p \.-/- srace: W4), zip:
Street
Pnone a:
m lam
City ?.! feC{ L,- State: ?? ,_ Zip: ? SJ /c(3
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 14 Fireplace
WORK TYPE
? 31 New
0 32 Addition
0 33 Aherations
O 34 Repa'v
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
. ,
?
1 1988 BUILDING PERMIT APPLICATION - CT'TY OE EAGAN, - •?
SINGLE FAMILY DWELLINGS //4777
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLDWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS ll OF UNZTS
INCLUDE 2 SETS.OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.;-
1 SET OF ENERGY CALCULATIONS
CONAfERCIAL
INCLt7DE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY`CALCULATIONS
O?
To Be Used For: r
1 OYhe, Valuation: ?
L i
Site Address ?. ?Rf? PU/ub FL? OFF21
/Dy, 000 ?
,??,q 7
Lot ?] Block On site sewage_
/? ? ?1FICC system ?
Parcel/Sub ??W? a/?XG-e On site well
City water ?
Owner SG?'?S co)''ST . /? ?-p PRV -requ3red _
Booater Pump _
Address ?Z?
City/Zip Code EEFG-hJJ_ 5.?/ Zi
' 1 . Phone
Contractor SU/J S CGNS'T co Address 491v i
City/Zip Code ?/t?A?
Phone ..?)L?)3>>
Arch./Engr. ))Vh?d ?rSr/.V&
Address 1j3-1- s,- A"dDaekrl
CitylZip Code CqGh N S 1/2 L
Phone # `4 S L'
Date: 3 -
E USE ONLY
Oceupancy R- 3
Zoning PQ•T
Actual Const V- N
Allowable V_hl
# of stories
Length.. NZ ,
Depth 3 '
S.F. Total
Footprint S.F.
APPROVALS - FEES
Engr/Assess Permit Jr B•co
Planner Sureharge 5Z..00
Council Plan Review 2q4,00
Bldg. Off. ?Zg SAC, City /00,00
Variance SAC, MWCC 550. cp
Water Conn .
,
550,00
Water Meter (gf), 0 0
Road Unit 3 2S, CO
Treatment P1 ,ZDW,OD
Parks
Copies
TOTP.L ??
,
VALu a-T LD r1
'
, .
r- -
`_-
2! ? 20 ? ?12n .
1 X3° (3) .
4o5 x14=5(-W70 '
T3Sm T
V
?3 xz/ ? ?183 ?
?qXz6= ?Jqy
Z X 3 = (G)
?-
_
'?f X13= 12-623
? sr Fwor'?-
-----?
`'? ! K zL = y 6Z
1 x 3 - 3 ,?
.?b X N
7X 2= /(o
a?/L - 12
?1CK= H y .
ZN,o Fc.oor?lauci ky?{ ? y9Uy 1
19 X ? x= 34 2 u
-z f ? ?? = 39 s ?
1 KI? = 1b
73(0 Xu9 = 3606u
lo3?q?
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
ou?1[R: ;<??15 Cnn.l.?rf' C?.. ?
- ADDRESS: SAXOh1Y LaT ! RLOL? ,? FALjH 1C 1A6;G ZND AlDDXI o
.
CONTRACTOR: DATE: PHONE: 4-62-5355
• DETERMINE HORKINC SOUARE FOOTAGE OF EACH:
?. TOTAL EXPOSED NALL AREA,,,,,,,' 225-? sq ft x"U" .I1
?. TOTAL ROOF/CEILING AREA,,,,,... 12A.1 sq ft x"U" .026 .
2 }'1„
1. TOTAL EXPOSED iJALL AREA CALCULATIQNS:
Total exposed wall
area.above floor,,,,•,,, sq ft •
a) Tota1 wall wtndow srea: •??-
qlazed...... 122 aq ft x"U"
7i.9a.
glazed,,,,,.
sq ft x "U"
.
b) Total door area ,,,,,,.. 2D sq ft x"U"
c) Total sliding glass door area:
...... sq ft x "U"
glazed...... sq ft x "U" .
d) Total fireplace wall area sq ft x"U"
`
e) Total wall framing area
(Averaqe 109,),,,,,,,,,,, sq ft x"U" 10 • 22•?,O
f) Total net wall area above
floor (Insuiaied)........_ I1?9? sq ft x"U"
g) Total clm Jo(st area...... lzlv" sq ft x"U"
Total foundat(on
area (Exposed)........., sq ft
h) Total foundatlon
wlndow area ............. sq ft x roun
1) Total net foundatlon
area above grade........ 54 sq ft x"U" ,07
TOTAL a) thru t)
`.-•f Item 03 ts the same as or less than Item pl, you have met the intent of
2 ttCAR 1.16008 A and 0. ?
Page 1
4. TOTAL E%POSED ROOF/CEILING LALCULATIDNSs
Total ex osed -
roof/ceiling area...... .. 124-1 ' sq ft
`? J) Total skyliaht area......!. sq ft x"U" ?
k) Total roof/cellinq framing ?
area (Averaae IoR)...... sq ft x"U" .021L,? ? 3L4?
1) Total net lnsulated
roof/eeflfng srea....... 112-2 sq ft,x "U" .02L? ? 2Lv.:93
4. , TOTAL J) thru 1) 30.38
If tota) of 04 Is the same as, or less tkan 02, you have met tha Intent of
2 MCAR 1.16008 A and 0.
I
AL7ERNATE BUILDIfIG ENVELOPE DESIGN
To ut(11ze the total envelope system method, the values established by the sum
of items d3 and N4 shal) not be greater than tha sum of.items 01 and M2.
t. + z. -
3. + 4. ?
C E R T I F I C A T 1 0 N
1 hereby certTfy that i have calculated the "U" factors and "R"
values hereln and that the bulldtnq here descrihed meets or exceeds the State
of Mlnnesota Energy Conservatton Act.
j S gnature
?.
I
. • MAFS1-I IP? l?Ffi
. (Date)
, Page 2
?
R VALUE
MALL SECTION (INSULATEO)
?
--{1 Intertor air film • f1,6A
2
??3 J' Z " inl?>?AT1n?l' 20.00
?{4 _ 5Nr p?5+1 r.1C } .2.A1< .
--{F Extar or a r i m • 0. )
TOTAL R2LI-o3
? U ¦ 1/R ? ,U?L.
, RIM JOIST SECTION:
?
i-.--
I ?f
p ...,A
?.r
NSTRUCTION ,
AMING SECTION:
3
FOUNDATION INSULATI6n ?ct4uiKtu:
Min. R-5 on entire wa11 OR
Min. R-10 down to frost Uepth
U - 1/R o .oLl-
?`? p. FOUNDATION SECTION: '
Interior alr film ?.6A
•A.' • 2
.?DnYwqL L t2•?S
3 ? z.-• ta e i. Z.a
'-" ,'°' b Exter or a r i m 0. 7
p ° • •,;• ? IS
dq, TOTAL..R..? 14.5P?.
? U ' I/R - .0'!
SLAB ON CRADE
- . Q•
`,6 .c •?' 4
Q A I
?- Heated Slabs:
r ?:• a. Minimun R= 8; 5
. 4; ?-•d Unheated Slabs:
?• '? '. Minimum R a 6.2
, 4, .. .' ?.
.
a'`A•? a: a'',•° •Y? .:. y
?',? • .,??•o
•4?,
•
?
?
,
?.?.,Q.
Q
4
. ? ? .?: ?I
•
? I
•
? 'a,?,?Y
'
? ,
? ?
? ?
d '
c
¢i !?
l
?
? •
' ? 'd , i ?
4
?
. ?
?•
•
? . , Q.
:
• ? .
.
. •',
?
'4
?.4. .
. , ?
, .Q
Q '..
'
,
: 4< .
•
'
. ,
,
,
,Q; ' Q' • '
•
??
. . • ;.
Page 3
U0:1/R- ,10
CONSTROCTION R VALUC•
° CEILINf, SELTION (INSULATED):
I Interlor atr film 0.61
AIR 2 5 g° D -''Y?n/GiIL ' •5Co
CHUTE 3 imAoLpr nno
.oo
4 Exterlor air film sttll n.Fi
TOTAL R = 44 U - 1 /R . . 024-
IF
CEILING FRAMING SECTION:
1 Intertor alr film A.61
' 2 5 g" -PZYwaw • 5r?
3 ?JS?J?• 30.00
4 Interior air Im still 0. 1
5 3'J2 fnches soft wood 4-399
TOTAL R - 3co• uo
U n 1/R - ,02_-7(o
?
CEILING SEf,TION (INSULATED):
1' Interior air film 0.61
2
3
4 F.xterior air film stil 071
TOTAL R
U- 1/Re
VENTED
CEILINR FRAMIMG SECTION:
1• loterlor air film Q.61
2
3
4 Exterlor alr film st(11 0.61.
5 (nches so t wood
TOTAL R ?
U- 11R-
il Y
?
1
2
3
4
5
.Inslde alr film n.F1
?•17
Outslde alr film
TOTAL R ?
u - 1/R - _
Page 4
GUIDELINE TO (R) FACTORS FRUM ASHRAE MANUAL
OF TYPICALLY USED PRODUCTS
? 1R FILMS (R) SHEA?THINaG . (R)
Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or 5heathing 0.94
Exterior Air Film (Walis) 0.17 1J2" Plywood Sheathing 0
62
lnterior Air Film (Vented Ceiling 0.61 1/2" Particle Board .
0
66
?
Exterior Air Fitm (Vented Ce.iling 0.61 Gypsum or Plaster Board 3/8" .
0.32
Interior Air Film (Nan Vented) 0.61 Gypsum or Plaster Board 1/2" 0.45
Exterior Air Film (Non Uented) 0.17 Gypsum or Plaster Board 5/8" 0.56
Plywood 3/8" 0.47
BLOWING WOOLS Plywood 1/2"
Plywood 3/4" 0.62
0.93
Approx. 3" 9 ?? Sheathing, Reg. Density 1/2" 1.32
Approx. 4 1/2" 13.00 Sheathing, Reg, pensity 25/32" 2.r16
Approx. 6 1/4" 19 00 Nail-Base Sheat6ing 112" 1.14
Approx. 7 1/4" 24.00
Approx. 14 30.00 ROOFS
Approx. 18 40.00
All other insulation materials mus t Built-up Roofs
Asbestos-Cement Shingles 0.33
0
21
be verified (R Factor) Asphalt Roll Roofing .
0.13
Asphalt Shingles 0.44
INSULATION
Insulation: 2-2 3/4" Fiberglass 7.00 SIDING
Insulation: 3 1/2" F9berglass
'
" .
11.00 ptuminum Siding •• 0
61
nsulation: 6
Fiberglass
!
.nsulation: 3 5/8" Fi6erglass 19.00
13
00 Aluminum with Backer . .
1.82
V
Insulation: 9" Fiberglass
" .
30.00 Aluminum with Backer R Foiled
112 x 8 Lap Siding (Wood) 2.96
0
81
Insulation: 12
Fiberglass
Insulation: 8" Cellulose 38.00
29
00 7/16 x 12 Hardboard Siding .
0.67
Insulation: 10" Cellulose
" .
37.00 psbestos 5idings 1/4 Lapped
Stucco (Brown and Finish Coat) 0.21
Insuletion: 12
Celyulose 44.00 .,
Insulation: 1 1/2" Thermax 12.00
Insulation: 2" Thermax 16.00 DO?O?R?S . ?
'?IOODS 1 3/4" Solid Core Door .46
w/Storm, Wood .31
Fir, Pine & Similar Soft Woods w/Storm, Metal ,26
1 112" 1.89 Pease Steel Door Insl/N/GL 7.45R .13
2 1/2" . 3,12 Sliding Glass Door, Wood .65
3 1/2". 4.35 Metal .72
5 1/2" 6.87
CONCRETE BLOCK ' WINDpWS
?
8" Concrete Block (5 8 G Reg.) 1,111 A11 Windows
(Filled with Vermiculite) 1.93 (w/Storms 1" to 4" Space) .56
12" Concrete Block (S & G Reg.) . 1,28 Removal Double Glazing (RDG) .55
(Fi11ed with Vermiculite) 3,15 Thermo or. Wetded 3/16" Air Space .69
8" Light Wei9ht 2,18 1/4" Air Space .65
(Filled with Vermiculite) 5.03 1/2" Air Space .58
2" Light Weight 2,48 (Other windows specifically tested
`(Filled with Vermiculite) 5,82 can use better-ratings)
? ;1989 HIIILDING PfiENlIT APPLICATION - CITY OF E6GAN
SINGLE FAMILY DWELLING3 1 1, 4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS
NOTB= ADDHFSSES FOH CORNSA LOTS - CONTRACTOH/HOMEOWNHA MOST DESIGN92E WflICH ADDRfSS
IS DESIRED. NO CHANGES AILL HE ALLOWED ONCE_BOII.DING PEAMiT I3 I3SUED:
MULTIPLE DWELLI2ICS RSNTAL IINIT3 F09 SkL6 09IT3 i i OF DDiIT3
INCLUDE 2 SETS OF PLANS, CERTIFSC9TE OF SUN4EY - OHECH WITH HLDG. DEPT., 1 SET OF ENERGY
CALWLATZONS
CODPlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
"Rewio4c.fipl? R00,'7 APiz (O, 1%4?
'fo Be Used For: Valuation: ? Date:
Site Address 4497 Oak Pond Road
tot 7 Block 1
Parcel/Sub Fawn Ridge 2nd. Addition
Owner ,-ru Guist
Address 4497 Oak Pond Road
City/Zip Code Eaqan Mn. 55123
Phone 68R-961n
Contractor Sons Const. Co.
Address 1374 St.Andrew Blvd.
i
Clty/Zip Cod9 Raa n Mn_ 55123
Phone 452-5355 I?
Mch./Engr. Briari Austina (d
Z po0.-
Oecupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWGC System _
City water _
PRV requir.ed _
Booster Pump `
FM
Bldg. Permit o?
Surcharge 011
Plan Neview
SAC, CiQy
SAC, MWCC
Water Conn
Water Meter
Aeat. Deposit
S/W Permit
S/W 3ureharge
Treatment P1.
Road Unit
Park Ded.
Copies S?
TOTAL SD
9PPROVAiS
Planner _
Gounell
Bldg. Off.
Variance
Address 1374 St.?Andrew Blya. Council ?
_ .i
4[
Citq/Zip Code EaAan Mn. 55123
Phone 4 452-5355 ?
NOTEs 3ewer & Water Permit fees and acoount deposit Pees will be inaluded in the building ?
permit fee. Proceasing tiime for aewer and eater permi:ts"ia tvo days once a lioensed M
plumber hae applied for a permit at City 8a11.
5
?
'
d
APFLICATION FOR PERMIT
SEWER ANQ/OR WATER CONNECTION
OF CC1gC8n
1) PROPII2TY ADDRESS: .___Vff_? . . .
r•Fr:nr• DESQ2IPTION;.
or
?. . . .
?NOTE: PAS¢IE3Tf OF FEE AT TIME OF R'xY*
; nersacMoN ooEs cuar coN- ;
: sriTUre arPRcmr. oF PEanur. ;
. .
; INsvECTIaN oF sEWEe r,nm/at Hv+TM ;.
; irsrnLLaTToNS wUL Wr ee sc.Eixn.m ;
* ITl1IL PEltMIT HAS E@7 ppPROVID. w
+t??t++r?x*ex??3?wrte.?t++:::?++++>xif:•
IF EXI$TING STRL'CTURE, DATE OF ORIGINAL BLILDIN33 PERMLT ISSDANCE:
Nbnt Year
PRESENT ZONING/PROPOSEO LSE:
Q COPM9EE2CIAL/RETAIL/OFFICE I?R-1 SIPGLE FAMILY
Q INDLSTRIAL ? R-2 DUPLEX (Tt,o Upits)
Q INSTITUTIONAL/GOVERNMENT ? R-3 TOWNHOOSE (Three + Units) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( . Units)
2) ? NAME: ? ??.lo,t ?GacY-?f n 9
ADDRFSS:
CITY, STATE, ZIP: S-Td7s'-
PHONE:
For City Use
3) NAME: C Pl rLm es I,icense:
ADDRESS: Active
Expired
CITY, STATE, ZIP: 27 -?V" , S`,S'D5`7 Not recorded
PHONE: MASTER LICENSE #
Sta Initial
e e ?-
4)
ADDRESS:
CITY, STATE, .ZIP:
PHONE: t,LS`a - J-?-?-SJ
5) s ? '?• ?RIU «.1!2e
ES-CONNECTION 'PO CITY SEWER C&CONNECTIQN 'iO CITY WATIIt O OTHER
6) -dl- *?**?**********.??***?*********?*?*?**?********,?**?,?**??**?***?*?********?*****?********?*******;
* THE GOID COPY OF 74E PERNIIT WILL BE SE6TP DII2FX.TLY TO PUBLIC WDRRS TO FACILITATE ME.TER PICK-L?P. *
* PLEASE ALLOW 'ISVO WORKING DAYS FY)R PROCESSING. FiONEONE FROM TfiE CITY WILL OONfACT YOL? IF 7gIERE *
*. ARE ANY PROBLIIKS. *
FOR CITY USE ONLY ' ? .
PERMIT # ISSUED
Pd w/Bldg. Permit FEES: $ SEWER PERMIT ( INCLUDE 'iSURCHARGE)
$ $ IO- S ? WATER PERMIT ( INCLUDE „St'RCHARGE )
$ (1+7OfJ $ WATER METER/COPPERHORN/Ot'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ J? ot ACCOONT DEPOSTT - WATER
$ _//,?1 D • l? ? $ WAC
$ (p 5 D? 610 $ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNR SEWER
$ $ LATERAL BENEFIT/TRUNK'WATER
$ oa $ WATER TREATMENT PLANTSLRCHARGE
$ $ OTHER:
$ A/ 7zr O?U $ J(( D O TOTAL I
.3?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 3 l 8
Y ,
/^ 32004 RESIDENTIAL PLUMBING PERMIT APPLICATION
?? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
-% 1 S!z?
Date _? ! (?D `' I'/ `
Site Street Address ?-I `-i ? Unit #
PropertyOwner'?P.1?(' Telephone#
Contrector?? Telephone #( ??? ?C1Il? ?0
faddrass Statek Zip?=r vIi R
The Applicant Is: _ Owner Contractor _Other
Alterations ta existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTumaround (add $121.00'if a 518" meter is required)
Other: $ 50.00
? Water Softener Water Heater
? replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rehuild $ 30.00
S+2±e Surch4rge $ .Fc)
Total $lf?'
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be i??ccordance with the approved plan in
the event a plan is required to be reviewed and approXed.
ApplicanYs Printed Name
r7 rr r]
IS ?'J
icanYs 5ignature
??Y._ ?
88 - 028
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
SONS CONST. C0.
LEGAL DESCRIPTION; LOT 7,BLOCK I, FAWN RIDGE 2ND ADOITION
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MiNNESOTA
Z
SCALE : I" a 30'
L il l b
EXISTING
GRG,FLOOR
924"9
z
OD
? W
i
4- -ih
?
5 ?
054' 55" E
40.00
LOT 7
L LIT 8
921"5 922`31 ?
(Q Cr
12923"6 ? ?? L
Ir I? 1 ?` z
NI HOUSE
? N
?
GpRPGE '8
? ?i . a1 ZI
m .924 " 5-- 924"S
?
? m
5 ?
o .....
1 m'
?
1
_---? ?
?
/
? o
y2
?G?V.
\??\G ?e
24
a>
?Np
? 10
41.(?S ?t-r• -- g23gSgG
S O°29259'BW p ?`,? ?59
922r5TEC OAK POND ROAD
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB 5ET
923'5 DENOTES EXISTING SPOT
ELEVATION
4•9)DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
i hereby certify that tnis surysy,plan or
report was preparsd B) me or under my
dirsct supervisiaA and that I om a duly
Reqisfsred Land Surveyor under ths
Laws of tAe Stote of Minnesota.
? "A /? SI,IQ-0-?
Bradley J. son, Mn. Req. No. I5235
Dare ! '511s/88
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 8 0
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR , :=. = T2b9
ELEVATION "
NOTE ' VERIFY ALL FLOOR HEiGHTS WITH
FINAL HOUSE PLANS
02/19/2013 HON 15:22 FAX 612 S22 540S Al' e Master Plumbimg
CPQ •Pi
City of Eaifl ut/
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
W002/004
Use BLUE or BLACK Ink
For Office Use
Permit #: 10,2D40
ceoub
Permit Fee:
Date Received: -1 -13
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
I6* l ✓ Site Address: L1/46/1 1 Pci-
've -Thorn
J
Suite #:
E�lEl"
IIl�rit r r: "•" t ��'I;
I4esici'en`ta444",1ill
i• Illi""
�I�,
•Name: t' . Phone.
5 � T�x�r Phone: J. ii -5
!INIl'�M'rl.;,:;.a.,;;�rl`!���ik;f'i'l
!I ;, " n""!" , Iti,i;J;,,
Address / City / Zip: qq k 'i
„,!,+.
.' �I ,+ ,i; rJ;Jll;r Noah Acquilmon . LLC ¢�� `/ n
° It l i lli { t';,,ii;;illlo „^” Name: Ohm Benjamin Franklin Plumbing License SP—C,'-..6.
, LX �_ l3
�i1,:;..,4,,,i:,,,..;;';J'.�i3J'"?
Iii
1iil1l� Ci, + t"" �
llilih 14243rd 5t1'
•'"^" Alinnea�dis. M� 55411
Address: City:
v� il,
IT
^'^
ClOjltr,BCOr''f"", •
•
l�lltf ;;il iltli{,J";.+.!'�t;i;I�t1 Iglf 7
V ,`::;'' i,;l; "r, ; "': 4" illg„ I l,'^' State: Zip: Phone: li�I nag.
lI
' ;1• ',M111111011)111'1111.11"1!9li,1.l!iin ,,.......,, Contact: 11 tl
i I 1 i Email:
I^
(.I 1l .Ji/ • •'1 LI J A .
r
M er
I �'r;'
1!�
1"A
ll 1 i
41 {i�illi;,;i��13!
'',
iii{ili
��iil"iilli
iyPe�oi
% ^'
. �ii�;;(!� �
�Ilrv,,,;:,+l l
Woki;^s
%'�+i, ,til1i�;i�,
°
.11, ,^
y. �
ill 1'� "+ . /- t
New epIacemen _ Repair _ Rebuild _ Modify Space Work in R.O.W_
—
,iq; Description of work:
' RESIDENTIAL
; t t(l,,i' ater Heater
A' ^ ;, /%
Water Softener
Lawn Irrigation (— RPZ / PVB)
—
I, ,Permit Type,
Add Plumbing Fixtures ( Main / Lower Level)
,____ Septic System
New
-
Water Turnaround
:. — Abandonment
—
L—
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 55.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
(PO TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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
accord"th thJI4LJ . proved plan in th - case of work which requires a review and approval of plans.
X I .
Ap f cant's Printed Name Applican 's Signet
l
;Iq•‘..•.1I.,,i��r, I •;..,.
4R OFFICE USE . ;;i .%..19 I i I''1 I!;.1f ;:i. ;;il,;
;�119f�Sli � l l�tl� Ill I t elih�wetl, y;, I r ri Iillk9;, , {,l1 „ichl.la
,I{,,��"Ei�" •i�' �;i,il 'rl'i,1 r V�•+YY"""''' "`;!'ut'
. Ira"�I 111 i , , ,,, " ' • r� r"'+":",, (Ird 'JI�117I 1i 10" rr r"�' �� hlYlal _ :"'r:• ,:::':: ` ? "�
Regutred tllspectJons:;Ii„„
�.oughI J,;i�llll�ds�lit!lair(Test�lr�ii�'}!
Q Y,25~
Use_B_LUE pr BLACK Ink
~ For Office Use ' ~ r I
I
I Permit City of Ea an
I /nG~
lJ
3830 Pilot Knob Road Permit Fee:
I
Eagan MN 55122 I 21-3-13-
Fax: Phone: (651) 675-5675 I Date Received: t
(651) 675-5694 I 1 1~ I
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with allllt 4 -!commercial applications.
p
Date: Site Address: ` 1 00, 1z 130 n 1/t
' \P
Tenant: lu T ~Sk (D i P-) Suite
Resident/Owner Name: SW -4- 5'I V ]YG J O r- `7 Phone: wsl --45a 3o9 c~--
Address / City / Zip: a
Name: na Hot a t't a 7 i/-l(i_ q- NA'Y- License E~ -1-C~Zd 4~-`~~
Address: 1904 V{',ym 1111 ul~l City: 41,
Contractor 2
State: A t -A Zip: S ~ Phone: (.C v l ~ 431- 92L-1
Contact: Email: ktvr wc ~e=l-50VI ®r ale r L it°. Low
-New 4Replacement -Additional -Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screeni methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Permit Type -Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Ulnit
Heat Pump Under /Above ground Tank (_Install / _ Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) U
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ L o TOT FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) = $ Perrt it Fee
*If the project valuation is over $1 million, please call for Surcharge = $ 5.00 Surcharge"
= $ TOT L FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 40 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cd~des 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 `1r 11V C rS ~Yl X V t
Applicants P nted Name Applicant's ig ature
FOR OFFICE USE
Required Inspections: Reviewed By: Pate:
Underground - Rough In -Air Test Gas Service Test In-floor Heat Final - HVAC'iScreening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114099
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 4497 Oak Pond Rd
Lot:7 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-070
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Steven D Thorn
4497 Oak Pond Rd
Eagan MN 55123
(651) 452-3092
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
",- . ..
���� Use BLUE or BLACK Ink
'�� L� � �----------------,
� � For Office Use �
���� p 2 � I
(�( ����TI (� j Permit#: � i 7,�,��r�C I
� �it i� 11 � � (� /�� � I
3830 Pilot Knob Road �� Q ,, U�' � Permit Fee: �DO • � I
Eagan MN 55122 �v.� �"�.�r���J=��'�r � I
Phone:(651)675-5675 � Date Received:�4 � �— ��I
Fax:(651)675-5694 I I
���� � � ���I� � Staff: � �
��___�_�_�_�_��_�J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
Name:���v�l, ��� Phone:uCS�" "I�S�'�U"6�
Address/City/Zip:�'1�� U�� ���� �
Name: � 1"i� � � "� � License#: _ � I � U b � S ,
Address:_{������r V�/I I� � �j��'1/l��-r City.
State:�Zip:�`�j� '�j�j Phone: i��S+' `7"� / - �� �
Contact: Email:�`/r���j1(�.'r ��,� p�e(��u..cr�a.�r,CCJ{�
_New �Replacement _Additional Alteration Demolition
;- � Description of work:�� ,- �� ��Q,,
RESIDENTlAL COMMERCIAL
Furnace New Construction Interior Improvement
�Air Conditioner _Install Piping _Processed
_Air Exchanger Gas _Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Install/_Remove)
Other
RESIDENi7AL FEES
$60.00 IVtinimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$55.00 Permit Fee Minimum
$70,00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
***If the project valuation is over$1 million,please call for Surcharge =� TOTAL FEE
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.
c-., ���i" "
X ;C��C1 Q �,0�1�.. X ��
Applicant's Printed Name ApplicanYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143409
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 4497 Oak Pond Rd
Lot:7 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Steven D Thorn
4497 Oak Pond Rd
Eagan MN 55123
(651) 452-3092
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature