4506 Oak Pond Rd? A GASH RECEIPT t
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i `.
DATVI? 19 J
T l$ , 1,..
& DpLLAR$
+Oo
I-I rcSU I-I-rurrte
White-Payers Copy
Yeifow-POSting Copy
Pink-File Copy
Thank You ff
e Y t ?
. ;
BLDG. PERMIT ti0.
s ^,
/
.?,
01-3210 ?y B1`d?. ermi*_ J
01-3422 ? Plan Check
01-3445 Surch. /Adm. ?
- , -,?
01-3446 SAC/Adm.
? -
01-2155 Surcharge
-- - ,
-
17-3860
20-2275 Road Unit
SAC -T
_?? --r
+
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter %-
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. .
11-3855 Park Ded.
TOTAL _%? ? % • c ? ?
;
, 3830 Pilot Knob Road P O. Box 2G-A199, Eagan, MN 55121 'v o 13316
PHONE: 454-8100 BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est value g76,000 narp MAgLH y ,o 87
Site Address 4506 DAK YOnD 4tU
Erect 6 3
Occupancy x
Lot FAkrN R IUGE 2ND
1 Block 2 Sec/Sub Remodel ? Zoning
.
Parcel No. Repair ? Type of Const V
Addition ? No.Stories
W KEYLAirD HOMES
N Move ? Length SU
ame
' Demolish ? Depth 4R
3 RN5V1LLE PKWY
Address 14450 $L
° City $' V 1 LLE Phone 894-2636 Int
pr. a Sq. Ft
I
nstall
= o Name SAME Approra ls Faes
? Address Assessment Permit ?
Q
~
City Phone
Water &Sew. 3800
Surcharge .
U¢
W W
?_
U?
?_
< W
Name DENN IS NALIAG I ST Police
Fire _
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances.
Signature of Permittee?i? - ? `-
iCVYLAMU HOt4"'S
Eng.
Planner
Council
Bldg. Off.
Var.
Plan Review
SAC
Water Conn. ?Uo
Water Meter
? ?
Road Unit
Tr. PI.
Copies . 5
TOtal '
A Building Permit is issued to: ? on the express condition that
all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial '
permk Na PKmit Holdar dtle TMephaN N
PlumlLin9
1 H.V.A.C. i?, . C.G '? ? •,. . L-?
k.d?ic
Inspeclfon Data Insp. Commenb
Footings I
Footlnqsll
FoundaUoe
Frsminq
Rooilny
Rouyh Plbp.
Rouph Htp. O j7
Insul.
Flnplac?
Final Mty. t? ?
Final Plbq. -??
Bldp. FMaI
C?rl.Occ.
Oeck Ftp.
D?ck Fmp.
WNI
Pr. Dhp.
rl
\, • ?•
CONTRACT
Site Address
Lot
m Name
? Addre{
c City ?
L Name
c Addre;
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT #
MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHANE: 454-8100
BLDG. TYPE WORK DESCRIPTION
Res. New `
UI ult Add-on
:.omm. Repair
Dther
-7 S_ M BTU
M BTU
M BTU
M BTU
CFM
/
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR CQND. 0-24 BTU - 12.00
ADDITIONAL 6 M gTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
?57? I y`lf?
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address < <" ?
Lot _?L_ Block
? Name ? .
19 Address L.. 1c
c Ciry ?ttt:G r-J-`?--
Name
3 Address
o Citi tT'gnsY+T1E-
PERMIT #
RECEIPT f#
DATE:
BLDG. TYPE WORK DESCRIPTtON
Sec/Sub _ Res. ?K_ New
Mult. Add-on
Comm. Repair
FEES
COMM/IND FEE - 1°Yo OF CONTRACT FEE
APT, BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMiT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE OF PERMITTEE ,
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_7_ Water Closet - $3.00
I Bath Tubs - $3.00
2_Lavatory - $3.00
Shower - $3.00 x . . b
_/-Kitchen Sink - $3.00 7? ~-n
Urinal/Bidet - $3.00
1_Laundry Tray - $3.00 ?. ?
-LFloor Drains - $1.50 ?. •7 u
I_Water Heater - $1.50
f • :? ?
Whirlpool - $3.00
_-L-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
weil - $10.00
Private Oisp. - $10.00
---?_Rough Openings - $1.50
_FEE: ?
STATE S/C: • ? `
? . S ?
GRAND TOTAL:
.?'? . . . F . ?f ..:` :r ^ • ? \+ ??T?'?'^ ???`•
? `?...`:??'
(Ur#ifirate u# (IDrrupanry
titp of (Eagan
mqxr#mmf u# suilbing jwrrtwu
This Cerri, ficate icsued pursuant to the requirements of Section 306 of ihe Unifornt Building
Code certifying thar at the time of issuance this structure was in compliance with the various
ordinances of the Crty regulating building construcuon or use. For the following.•
,
Use ClassiLntion '1, ?' Ci'l? BFdg. Rrmit No.
Occuparicr TY? R3 zonina Dab-Kt v
1Owoer of Building Addras ? ?? s ' ?
?'.2,
6uading Addreffi I.oality
n.u:
? snflamg offiaxi
POST IN A CONSPICUOUS PLACE
F EAGAN SEWER SERVICE PERMIT
lot Knob RQadP ?
7 ? :.
K 21199 PERMIT NO.:
MN 55121 DATE 4`14"07 ?
No. oi Units:
HOi1es 3
II
lo comply _with fhe City of Eagan
Date of Insp.:
Insp.:
IQ0.0 lpd 3
Connection Charge:
Account Depasit: ? S_???- •?
Permit Fee:
Surcharge:
Misc. Chargea
Total:
Date Paid:-
OF EAGAN Permit No: `• 63 7 Datec
Pibt Knob Ro_ad.-'Meter No: Size:
3ox 211" Reader No: Date:
n, MN 55121
nn. Chg: Zoning: i].
ct. Dep: ?• 3?`F"° No. of Units:
---- --- -
•mit Fee:
rcharge: •-'? p"` I agree to compiy with the CIly of Eagan
Plant C' . t?lOrdinances.
Aer. 7
. _ . e..
WATER SERVICE PERMIT I
i i r ,
CITY OF EAGAN Permit Na Date: "'` '
3830 PiW. Knob Road Meter Na .?g?? d ?3 gi=e, 5'? ocff
P.O. $ox 2115'D Reader No: _?1 .3 P?.?? S 3 Qate: ?-' 7
Eag"^ MN 55121
Owner.
Site Address: ' Oalc Pon,! roa(' i? n? FaGm ^idfie I?
Plumber " 'lechaui_ca1
?
ct.Dep. • IS,?Opd 9:
lT.eter nn. Chg: OUpd 't??
rmit Fee: '-?< <e di??;?? e`
S? ; 1RC -
S EtC. I
rchar e; ,9 1 agree t c,q(r)ply with the City ot Eagan
Plant WATER SERVICE PERMIT
CITY OF EAGAN N 0 13 316
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
'
BUILDING PERMIT PHONE: 454-8100
Receipt# Jd
Tobeusedfor SF DWG/GAR Estvalue $76,000 Date MARCH 9 19 87
Site Address 4506 OAK POND RD Erect 29 Occupancy R3
Lot Z Block z Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning Rl
Parcel No. Repair ? Type of ConsL V
Addition ? No. Stories
? Name KEnAND HOMES Move ? Length 50
3 Address_ 14450 BURNSVILLE PKWY Demolish ? Depth 1'8
° Ci B' VILLE 894-2636 Int. Impr. ? Sq. Ft.
ty Phone Install ?
o I Name SAME
? Q Address
? City Phone
U ?
W W
F
S?
U =
aw
Assessment _
water & Sew.
Police
Name nFNNTS HATTQI;IST Fire
Address
Eng
TN
ciry - RL.M(: pnone 831-1875 Planner
I hereby acknowledge that I have read this application and state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota StaWtes and Ci f Eagan Ordin n es.
Signature of Permitt
A Building Permit is issued to: KEYLA D HOMES
all work shall be done in accordance with all applic§Ble Styte of MinrMQ
Council
Bldg. Ott.
Var.
Permit -. "'
Surcharge 38.00
Plan Review 209.75
SAC 625.00
Water Conn. 525.00
Water Meter 67.00
Road Unit 305.00
Tr. PI. 180.00
Parks
Copies---- .
? 5
r
on the express condidon that
and City oi Eagan Ordinances.
Building
•s????87 REQUEST FOR ELEC7RICAL INSPECTION ea-ooooi-os
7/ SG 12.
S8e iR4tfUElions tOf cOmplOtipp this f0lT onbSCk Of VBIIOW COpy.
lr Q 1 7(1 G "x" Below Work Covered by This Request ,
FIwAAdd1.Nep.1 Tvoe of Builtling I Apolioncea Wired ? Equiymanl Wired I
iCe
Ce
N F@e ServiceEntreneeSiza d Fee fandars/SuhfeedeFs # Fae Circuita
iCO 0 to 200 Am 5 0 to 30 Am s ??v 0 to 30 Am s
Above 200 qmpy 31 to 100 Ainps vi40 31 to 700 AnWs
Swinvnin Pool Above 100_Am s Above 100_AmFS
Transrortners Irrigation BoonG .V Pdrtial,"Other Fee
L I I Signs ? I ISpecial Inspection ry sa I
peirerk5 TOTAL F ?/
' - _ ? y/,.,
U/
C i.
7. . n. ,he E?ac ,.icei
Isoactor, heraby
Final /%
??°? A
? ?
?.!
?a,? ^
^?? ?
certify thet the ebove
ina0ection has been
mea.
This rtlpuest voiA -3jc?1=7j87
? ma9h1 ?7 0 6
/ / (FO02
ReqWes!?ste
Y
+ Fir¢ No. Roueh-iPi nspection
ReQUir .
[]Heaay Nuw iII Notify InsPec-
/? ?
? ? ?
es No tor When Feady
menstrd Electrical Contractor I heraby request insoeetion ot ebove
? Owner electrical work installed at=
Stveet Address, eoz or floute No. Citv
ectmn o. Township Name m Na. anBe o. County
Occvpnnt(PPINT) Phone No,
?
Power Sup?r ? AAdress
Electrica C Mractar (GOmpa ny Nam Convacto,'s Lice se o.
zo
Mai m Address -oNractor or Owne MekinB Ins ilation)
/
? ?
'
J /' :/ CE i
.
Authorized Si nature n ctor Ownar ine Installa on) Phone N mber
MINN&6'TA STATy90ARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Grippa-MitlweY BIAp• - floom N•191 BE ACCEPTED 9Y TNE STATE BOARD
1821 Univeroitv Ave., St. Poul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 18121 642-13800 . ENCLOSED.
RESIDENTIAL
Sa J BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construclion Reauirementa
• J rtgistered sile surveys shovrirg sq. ft. of lot, sq. fl. of house: and all roofed areas
(20% mazimum lot toverage alloweC)
• 2 coDieS of plan stwwirg beam & window s¢es; pouraC lound desgn, elc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatian Plan i11M platted afler 7!1/93
• Rim Joisl Detail Options electbn sheet (Wdgs with 3 or less unNs)
DATE ! ?40`
SITE ADDRESS
TYPE OF WORK_
APPUCANT
STREET ADDRESS _
TELEPHONE # ?
PROPERTY OWNER
RemodeUReoair Reauiremants
• 2 wpies of plan
• 1 set of Energy Calculations for heated addilions
. 1 site survey for exlenor addilions & decks
• Indicate if home served by septic system for adailions
VALUATION 51 6 (17- IU) 00
MULTI-FAM:LYBLDG _Y _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
PHCSNE #
30 S?TyATE?ZIPc?c?c77
fAX # W rW?
TELEPHONE#!O?/ ' q,52:Dk/J
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiILES 7670 CATEGORY 1 MINNESO'CA RLTLES 7672
(J submission Type) • Residential Ventilafion Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submined
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Vlcchanical system includes:
Sewer/Water Contractor.
_ rlir Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
1? MW 0.d.6 Il
n? .IUi 2 2 2002 i?L?
----------------------°---------------------------------------------------------- -4, ° =--------
I hereby acknowledge that I have read this application, state that e in r ae t? comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' an e
Signature of Applic
..------'---'----°--'-°°-----°-"-'-----'-°'°------°-----'°---°----°------------°-' ---------
-----
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received Not Required _
, Updated 4102
- `
Water SoRener '
Water Heater
No. of Barhs
_ Phone #
Iawn 5prinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool !, ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ?? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int improvement ? 38 Demoiish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof E3 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Waterl'
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinlilered
Type af Const Width
REQUIRED INSPECTIONS '
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC ?
_ Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs
Air/Gas Tests Final
_ Framing _
Siding Stucco Stone I _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) ?
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC7ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
' , Building Inspector
, 03 wa
198? HQILDING PERNIIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IBCLIIDS 2 SEfS OF PLANS, 3 CERTIFICATSS OF SOROEY, 1 SET OF ENERGY CALCQLA2IOH5
.
H01'E: ADDRESSES FOE CO&NfiH LOYS - COHTRACTOR/HOMEOWNEE MQST DESIGHATE WHICH ADD@ESS
IS DFSIRED. NO CHANGfiS HII.L BB 9LLOWED ONCS BDILDING PERMTT IS ISSDSD.
M[TI.TIPLE DiIEI.LINGS - RFSIDENTIAL RENT'AL UAITS FOR SALE OHIrS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SiIItVSY - CHECB IIITH BLDG. DEPT.,
1 SET OF ENERGY CALCUL9TIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFZCATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ?Valuation: ?(0r000 Date: 3-t
Site Address 0 4-C 6W D(M OFFICE USE ONLY
Lot 2- Block 2- On Site Sewage
d MWCC System ?
Pareel/Sub/??n On Site Well
-7//7?. City Water ?
Owner /?G:v Z?...Q ?er3
Addre99 /f?"y?`b
City/Zip Code aryksalt(tr
Phone gl'Y - Z[3LI I 9PPROV9LS
Contractor 2SA67"?8'
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy
Zoning Q-I
Type of Const ?
(Aetual)
(Allowable)
!l of Stories
Length ?
Depth ?
S.F. Total
Footprint S.F.
FEES
Permit 419 SD
Sureharge 38.
Plan Review ?
SAC, City looSAC , MWCC 525 •
Water Conn 52S•
Water Meter
Road Unit p5•
Treatment Pl f F?O"
Parks
Copies
TOT9L ?7??,
2(o ? 119 (o x's8 = G9 3(o 2)
2a ?<- 2q - ? c-D (2 = 5"7 coo
)C) x f cD =
I00 x ? ? BOO
.
.,
?7S IZg
A O B E KEruwa yanjg66
PICENGINeElliNG r'HSUL71N6 EHC3IHEfAS
PIANHEAS ond LAHD SUflVEY083
COMPANY, tNC.
k 1000 Ea57 I46L1 57AEET, 8l]AHSYIILE, 4IHHESOTJI 5E33T PH 432-300fl
CerJlz?'z cu?e re y
Le?al .I7e4g;-4p2=ort- L07 2, BLOCK Z, FAWN RlD6f
DAKOTA CAUNTY, MfNIVESOTA
CzLW,.?) DENOTES EX/$T/N6 EC6I/ATIOA/
( 9ZS, o) QE'q/OTE$ P.eOR76E0 ELEVAT/ON
/ND144TES D/RECT/oN OF $U2F,qCE DRA/AJA6E
925, 33 = F/N/SNED 64KA66 FLXR ECZcV.4T/ON
C U 9941NA6E AAID
/
T/G17Y EA,SENIF.NT
N 99° 38' oi"W
i
W
x
? Q
N y
a ?.
0
?
6/7..)
?{r'--? --S I ?• F??
i92z.eD
?-
I O
r
[92S.c)
71 ?"
I ? (916.5? ?y/7.o) 25.67
5 R?9Lg5? o
`-----\ ?-
??+ s?
r
(
t
30' FRONT BI/ILD/A/6
'?C7'BACK L /AlE
2A/D ADD1710N,
? 25.00
C7 ir_i)
?92i. ?? ? b
?
. 920 a
U)
-- i 10'
Z
g;? ?
? I
9
5, c) I
30.0 ? N ?
m ? O
h Y
?925.0) !0
I
?ZS o J
'W
? ?923 6%
SCACE : I " _ .30'
?i7, f I / 4Z. DO I (924. /) - -
N 890 38' oi• W 2)
I her*by cartify that thia is a t:ue and correct repraaentitian of a trac2 of
lind a: ¦ho+m'and deacribed heraon.• Aa preparnd by tne on this sW -a•r ot
Aes? I 19 8-i . .
? ??c Hinn. Ee;. Xo. !!-asS
; .
OWNER:
EXTERiOR ENVELOPE AVfRAfF °U" COMPi1TJ1TiON
nnrr :
` SITE ADDRESS: PIIOPlE:
?.
CONTRACTOR: Y(a
c„n J-InrnP -1
Determine working square foota9e of each
1. Total expased wall area..... ,21 i,S sq. ft, x.11__= ar
2. Total roof/ceiling area..... /a([,5_sq. ft. x .026 =_ <fs-
a.
b.
c.
d.
e.
f.
9•
h.
i.
.i ?
Total exposed wall area above floor=,./7c)2,_;
Total wall window area ........................................... irn9
Total door area...... . ........................................... ?3q
Total sl9ding glass door area .................................... ,aa
Total flreplace wa11 area ........................................ -
Total wall framing area (average 10") ............................ . 10i7. }
Total rim joist area............................................. ,,cJn
_.net wall area above floor ..................................... i-A,)?<--
wall area above floor .....................................
wall area above floor ..................................:.. --
frame wall area at foundation ................................... --
7ota1 exposed foundation area= '4-
k. Total foundation window area .......................
l. Total net foundation area above grade .............. P7,//
Determine "u" value of each wall segment
(e.g. window, door, eacfi separate wall section)
d. /(nC/ X
b. ^3R x
c, tl?1 X
d. - X
e. X
f. ipn X
g . / 7n-7, s- X
h. X
????? 7:?F3
.1Ul. ,a.19 = a0,5?3
olull --
liulo .olv9 = 1,5,01
liuil , vg = -7.a
„ull ,nq
liuil
X iiuop
j. x „uis
k. X nun ?, lO °-F?1nF3
X ??uo_ O
3 . .................................Total
i
__„?.,_.._.__...__....__.._........----
If item N3 iS th
as, or less then
N1, you have met
intent of SBC 60
Dctr.rior Envelope Average "U" ComputaLion Page 2 of 4
Total exposed roof/ceilinq area = /Oyg
m. 1bta1 skyliyht area ............................ --
n. Total roof/cciling framing area (nvcraye 10%)... iat/,A
o. Total net insulated roof/ceilin9 urea........... //07:?, ?Q
Determine "U" value for each roof/ceiling segment
M. - x nU°
n. Y, "U" 3, Dn
o. «a3,a x "U" ,oa aa.?Lo ,
9 ........................... 'lbtal = L/(a
?f total of #4 is the same as, or less i:han N2, you have met the intent of
Snr 6005 (c) l.
Alternate Building Envel.ope Design
7b utilize the total envelope system method, the values established by the s:un of
items iF3 and #9 shall not be greater than the sum of items N1 and #2.
i. +2. ;,C I.s = ?7/`7n
s. PQ?,-? +4. -,?;,00 = aq cv- tvro
F'L.A " -*
IMIIIII
L i kigAL FT, e.acpos? D WAL L
BL04-k- ; ac?-r-aa+ aa= 70
'T?,I?I ?G• ?? ca -f- ?? t.o +? d co t-?,??fl -? I a?l
FU L L ( '
F V l.. l. 2. 9 r--
?t
1Zt M : ?80
wALL
?uLacK.', -7o
ICN
YN. O' x 4./ ??,. ._.
1::u c. L x 8-?
Fu L.l.. Z ; ?. k {? = --
-
, -
F, P ? -
....__ . _
---
,
P,1 M :
'ro't'A L = a? 2s
11-2yg 05Q,Ft , ESCp05E-b GEI LIUC{
ArR..EA
0 W Dv115 Lt N D o0e5 L'?1
TNy ;;?u3co
0 sI-D ( ia) LPo ? -°?v 4, twi ai
s,,'
I ? 1860
1 ?41a?
/ P ?t3m
?r
7)
C ?
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nc
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GOLD COPY PERMIT RELEASE FORM
PERMIT ll 5'(, ;? '
ADDRESS ?'?rC?io l1f'k ?O?csd? /(, >
n ?
PICKED UP BY
L ? 13 ?. ,)a? ?/? =
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
I
LEGAL DESCRIPT20N:
* ********#?****#*#***#**!***#***#*#
*^10TF: PAYMM OF FEE AT TIML OF *
* aprLscaTzorr ooFS rxrr aorsri= *
? r,pPxovAw oF rrRMIT. +
*
* INSPFX•TION OF SET+m ANID/OR mI1m
* nNcrnr.ramrONS V7IIS. IJcyT BE Sam-
* UIED [RPPIL PII2NIIT HAS SEEN
* APPRC3VID. *
(LOt/BlockjSubc3ivision or Tax Parce ID )
IF EXISTING SIRL'C1L?RE, DATE OF ORIGINAL BL'ILDING PERMiT ISSL'ANCE: '
PRESE[SP ZONING/PROPOSID LSE: Mbn Year
Q COvERCIAL/RETAIL/OFFICE
1-7 IbIDC'STRIP.i,
n INSTIZL'TIONAL/GOVERNME,'NT
MR-1 SINGLE FAMILY
Q R-2 DLPLEX (Tvm Onits)
? R-3 TUWNiO0SE (Three + Units) ( LTnits)
R-4 APART=/COhIDOMINIIIM ( Units)
2) ?
NAh1E:
ADDRESS:
CITY, STATE, 2IP:
PAONE:4? -
3) u i; ?•
_ NAME:
ADDRESS:
CITY. STATE, ZIP:
PHONE:
4) •• ? i?•
NAME:
ADDRESS:
CZTY, STATE, ZIP:
PHONE:
'v
•5) u v. . ? ; . ?. : o • a? a?
Ey"CONNECTION 1O CITY SE4JEE2 ?NNECPION To CITY WATIIt rl pTIM '.
6)
PLF.ASE HOLp ApPROVFU PERMIT FOR PICK-IIP BY ONE OF ABOVE `--- -'-
P?SE AP ROVID PERMIT TO 1, 21 3, 4, AHpVE , .
? (Circle one)
rlw?lUC..J Llcense:
? Active
"-" Ecpired
Not recorded
LICQQSE#
.``'<,</? f? ? "
Sta?f Initial
, h
FOR CITY USE ONLY ?
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ JD- S? SEWER PERMIT (INCLUDE SDRCHARGE)
$ $_ WATER PERMIT (INCLLDE SDRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ IS'? ACCOLNT DEPOSIT - WATER
$ $ WAC
$ or 67 $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFiT/TRONK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
'$ (T-?) $ WATER TREATMENT PLA[VT SORCHARGE
$ $ OTHER:
$_ $ cj ?' GJ Z) TOTAL
3.5 { ?a yLo 3
RE EIPT
. RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIS ISSUED BY THE ENGiNEERING
.
T AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY;
TITLE:
DATE: 71`7' rl 7 '
CITY USE ONLY
PERNIIT #: RECEIPT DATE: T;lI 'DI
RESIDENTIihL M£CH4NICAtL PEftMIT APPLICATION
crrYoe Ensari
3830 PaoT icivos Rn
gasax Mrr ssiEE
651-681-4675
Please complete for: > single family dwellings
townhomes and condos when permits are required for each unit
Date: 0
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
Place a check mark neYt to the oermit wnrk tvee
ZIP:
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger ,
• air conditioner
• other
Nature of work: ("eA'2??
State Surchar e $ 50
L Total $ C° _ S7
Reminder: Call for inspections.
TELEPHONE#: (,7s (?- SY" 0`P ( S
(AREA CODE)
STAPfflnnn'Krnffiu6 ? , ^ ; fflffi;F.f.^;.1A.,, TELEPHONE #:
410 WEST LAKE STREET (AREA CODE)
MINNEAPOLI9, MN 55408-2998
upau¢a rui
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCUL M£CHANICA1. PEiiMiT APPWCATION
CITY OF EA6AN
S$SO PILOT KNOB RD
EAfiAv, auv 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(ARE.4 COUB)
TENANT NAME (IYIPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENAr'T P.V THIS SPACE? Y N. A'AVIE:
INSTALLER:
ADDRESS:
CITY:
WORK TYPF: New construction
_ Interior Improvement
_ Processed Piping
Specify Nahue of Work
PHONE #:
(AREA CODE)
STATE: ZIP:
Install U.G. Tank
Remove U.G. Tank
Wheii ii:stallii:g/reniovixg underground tank, ca11 651-681-4675 for inspectian by Frre Marshal ai:d
Plumbing Iinspector.
Fees: I% of connact price OR 550.00 minimum fee, whichever is greater.
Underground tank removaUinstallanon = minimum fee
Contract price: $ x 1%o =$ (Base Fee)
Sta[e surcharge calculare at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERNIITTEE
Updated 1/Ol
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114674
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4506 Oak Pond Rd
Lot:2 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-020
Use:
Description:
Sub Type:Reroof & Siding
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Rein A Raud
4506 Oak Pond Rd
Eagan MN 55123
Diamond Cut Homes Inc
965 Evergreen Tr
Circle Pines MN 55014
(612) 868-9460
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126711
Date Issued:09/08/2014
Permit Category:ePermit
Site Address: 4506 Oak Pond Rd
Lot:2 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Rein A Raud
4506 Oak Pond Rd
Eagan MN 55123
Diamond Cut Homes Inc
965 Evergreen Tr
Circle Pines MN 55014
(612) 868-9460
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158017
Date Issued:09/23/2019
Permit Category:ePermit
Site Address: 4506 Oak Pond Rd
Lot:2 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jason Helms
4506 Oak Pond Rd
Eagan MN 55123
(651) 228-9200
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158292
Date Issued:10/07/2019
Permit Category:ePermit
Site Address: 4506 Oak Pond Rd
Lot:2 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jason Helms
4506 Oak Pond Rd
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158665
Date Issued:10/24/2019
Permit Category:ePermit
Site Address: 4506 Oak Pond Rd
Lot:2 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason Helms
4506 Oak Pond Rd
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
I For Office Use
1.
'41Permit# ri
t. • ,
'', #0 11
I
I Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
I i
f651)675-5675ITDD.(651)454-8535 I FAX:(651)675-5694 i Staff 1
zui'd nu-nspectionsgodypleagan corn L _— ....
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
5/27/2020 4506 Oak Pond Road
Date: Site Address: Unit#:
Jason Helms 612-802-6989
Name: Phone:
4506 Oak Pond Road
Address I City I Zip:
Applicant 4- . Owner Contractor
Window Installation
-,,,,,:,, ,..e,,i,";,,,'$!7„•:Y,,,,IT,',4::,:r, Deschpon of work'
-
, tot-,•,-..) -„,'---„----,-v.".. 4150.Cl0
V
Construction Cost- Multi-Family Building:(Yes_I No _)
-10C, Carnt)any: PfD- 1-)4 :)-f)t');1/416/1 LI 6.Lipij Contact Aiii.,,,-Iti *1111
Address: te,-321 .rar(71 pktw, t ,O4
,,,,-- -- 1,1 i'll!k• -,g1-i State-AIA/ZtP:
':: i.,--',-
Or wri7 t City. -1-., k"),k6,/
Phone:( 7-Z17 -4(71(.-/ Email wkalr+7 de ptisot rieZerArl vtid-01.4f c,cf)WI '
Ay
Li
cense#: yek,„ - Aff Lead Certificate#. 4 a ----- /S-
I/4
If the project is exempt from lead ceftificatIon, please explain why I Apcdii6„,
Au ue ki-70e., -,30-Tei
,- _
ii COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
' In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes
Na If yes,date and address of master plan:
ILicensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor Phone:
,-
Fire Suppression Contractor: Phone:
' ' ' - -r• ;4.,..: ,N.;.:... ' -4'...4.4.....4.—'-$., `,.: ...1..... .•- * ' -:....j......1 .1 —4.1:4,,",,A.,:1:-, ...a.,.........,A. 4,.x...,i:.:,,,x,.......::.-- g :"T'‘-.'- ` - ., ' ,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www cdvoleauericorrifsubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Budding Code must be completed within 180
days of permit issuance.
CALL SUCRE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Can 48 hours before you
intend to dig to receive locates of underground utilities wavy.
I hereby acknowledge mat this ofonnation is complete and alb:curate,that the work will be in conformance with the ordinances and codes of the City of
Eagan, that I understand this is not a perm& but only an application for a perms, arid work is not to start without a perm& that the work wilt be in
acCOrdance with the approved plan in case of work winch requires a review and approval of plans .
/Ifr7 .Cii x .
Applicant's Printed me Applicant' hire 1
DO NOT WRITE BELOW THIS LINE
SUBfl•PES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch(Screen/Gazebo/Pergola) fi Miscellaneous
01 of_Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
Replace _ Repair , Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation I Zege.Iv0 Occupancy a-.1- MCES System
Plan Review X Code EditionZb=oMr) . SAC Units
(25%_ 100% k ) Zoning �� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
___ Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
IC Framing X 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
1C Insulation yt Windows
_ Sheathing Retaining Wall: _Footings_Backfill_Final
__ Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
__ Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES /rG t(C 1t ico °C)
Base Fee
Surcharge
Plan Review VSI."i M I'N i 1400tow. e%rt Ss
MCES SAC
W (MU
sac i'A 1 0444, 142904 00
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2of3
Smoke and CO detectors affidavit for Building permit final
I '; G: :, ; have tested all the required smoke detectors and Carbon Monoxide detectors,
At 45(.6 Oak Pond Rd Ea_AIN,on this date 611 .They are correctly located as per the manufacturer's
installation instructions and operating.
There are working smoke detectors in every sleeping room,in every hallway leading to a sleeping nun and on
every level of the house.
There are working Carbon Monoxide detectors outside of every sleeping room,within 10'
Permit S EA 161464
Signatur'�' _