4570 Oak Pond Rd?
x
BURNSyI LLE
Heating & Air Conditioning, Inc.
12481 Rkodc Island Ave. So., Savagr, AQV 55378 • 894-OOO5
Orstat Test Report for Job# 0
Address City?
1./1.4Upant r!
Datie of Install ' ?- 2 '
Type of HT. F/q= HW Space HT Unit HT
Otlher
Male
Model
?
Sedal
Input
Pilot Type tM
Pressure 3 ? C02 `' ?
Input CFH 7'? 02 L
Sfiack Temp f, ? CO
loj3o/0/
,' V,1(.r y Al c
Name ofTester ( r I '
? ?-?"'?siD`r?`ri?L?? $P ` q5567 - 5z13. 77
BUILDING PERMIT APPLICATION Mp- qgw _ 70,90
?44 3830 PILIOT KNOB RDN 55122
vConstructionReaulrements 147
3 registered sife surveys showing sq. ft. of lot, sq. ft of house; and all roofed ereas
(20% maximum lot coverage allaxed)
2 copies of plan shovnng 6eam & window sizes; poured found design, etc.)
7 setof Energy CalcWations
RimJoist Detail Oprtions selection sr heet (bldgs wlh 3 oress unAS)
4TE 0`? ?/ 6 '
)B SITE
MULTI-FAMILY BUILDING, HOW MANY UNITS?
tOPERTY OWNER M1 Tly C S -j'lEoT K
PE OF WORK S) NGI.E ?MiTT
'PLICANT +'VI11'i-FLSil9??1 ?AO79
)DRESS °aLIDS OW" STrLE.E'r \GER # CELL PHONE #
651-681-0675
5: (!30..)shQucl'lor3
RemodellRaoairReouiremants 537q, ? ?
• 2 copies of plan
• 1 set of Energy Calalations for heated addidons
. 1 site survey for ezterior addifions & decks
. Indicate if home served by sepbc system for addifons
pfe l -?e ;- md , caQ lo -5-0,
-?
w
VALUATION a 18,pOV f/??i`
FIREPLACE(S) t/b 1 2 3
+J PHONE # &SI - 5's2 - 1q? I
PP -q556q - 10,s0
ZIPCODE SZC-077
#?SI-s?2-q0?2
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETEL
=nergy Code Category V--' MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope CafculaYions Submitted
MINNESOTA RULES 7672
g e Ener y Code Worksheet Submitted
Plumbing Contractor: ry ?? n Phone #: '7_( Z' 10 ? a?
Plumbing System Includes: ater Softencr L,awn Sprixikler Fee: $90.00
Watcr Heater No. of R.I. Baths
?. No. of Baths
Mechanical Contractor:St-tx/JSUl L-'LC Phone
Ylcchanical System Includes: _ Air Conditioning
HeaC Recovery System ,
Sewer/Water Contractor.
1'"
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that?ieinformation i;.qorrect, and agree to comply with
applicable State of Minnesota Statutes and City of Eagan OrR4?nanc? nn?Il -.
Slgnature M Applican}`?? ??
t Required
:rtificates of Survey Received y Tree Preservation Plan Received x No
#??S 2^)`8?y-?US
ree: $70.00
Phone #
Updated 1l01
' OFFICE USE ONLY
01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
?1%2 SF Dwelling O 08 06-plez ,? 16 Fireplace ? 21 Porch (3-sea.)
03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
04 02-plex , ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
1D31 New
32 Addition
33 Alteration
34 Replacement
.,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)* ? 43 Reroof C] 46 WindowslDOOrs
*Demolition (Entire Bldg only) - Give PCA handout ta applicant
duation Occupancy
:nsus Code ? Zoning
kC Units 61/ Stories
rc. of Units ? Sq. Ft.
)r. of Bidgs ? Length
pe of Const Width
? Footings (new bldg)
_ Footings (deck)
Foorings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
r
IC:J MC/ES System
City Water
? - Booster Pump
PRV
?
? Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
? Plumbing
HVAC
Approved By I& , Building Inspector
ise Fee
ircharge
an Review
:/ES SAC
ry sac
ater Supply & Storage
.W Permit & Surcharge
eatment Plant
ambing Permit
:chanical Permit
:ense Search
)pies
her
ital
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco _ Stone
_ Windows (new/replacement)
?-?-
?16?'?/?
IY?'lXSy?
? ??.?vE? ?
`9 b
?- ?
Add7e55 _4570 Oak Pond Rd ZlP 55123_
I.Ot 2 Blk I Sub Pfeifer Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb dama e
E- C- C- a zro
Porch
Sasement 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 potendal exists.
Contact engineeting division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy
??-
Colo T
(SEE ATTACHMENTS)
Development I'FUL(fIZ hDDiTIGN
Lot Number
Address
Builder
Block Number
qT-tO okv-t>Utvk?) tzoA?
MI'TTPLS"TIAEnT CSZUS CCPCI' ?1?1C•
Tree Protectio Re uirements:
Tree Fencing
Y7- Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
?
Attachments:
--16Z
Additional Notes:
Not Required
AsFollows: IFp1+1,(t WjEGQ\'z`t R9" RZ?'S
Yes
No
V
•???'?
..??
HAghove\2000fi1e\treepre5lTree Preservalion Plan Summary-2000
07/12-01 08:47 TEL 6515529072
BRO
? D?lTION
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07-12-01 08:47 TEL 8515529072 NITTELSTAEDT BRO IZpp
MITTEL8TAEDT
BRQTUFRS
JULY 12. 2001 - REVISIDN 7'0 I'FtUI'USAL SUBMITTED JUNE 6. 2001
TREE f'F2t5C;FiVA'1'ION IZLAN -- LOT Z, BLOCK 1 IN PFEIFER ADDITION
PROaERTr OwNe:rt: Mi'fYELSTnEOT 6ROTHERS CONSTRUCTION, INC.
k3UII.DEfi: MITTELSTAEDT BROTHERS CONSTRUGTION. INC
GOfV'I'AC7: DON MITTELSTAEDT
TELEPHONE= (651) 552-1 777
FAX: (651) 552-9072
SIGNA7URE:
ExISTINC TREES: 25, nOTED ON FINAL PLAT. SEE LEGEND FOR pF.TAII_5_
PROPOSED REMOVAL: PRESENTATION SUMMARY RF..VISED AS DICTATEO BY FIELD CONOI'YIUNS A5 FOLLOWS:
• EXl:i'fiNG SIGNIFICANTTREES = 25 -
• SIGNIFICANT TREES REMOVED = $ (3296) -
• ALLUWAOLE REMOVAL (FER ORDANCE) R 2096 =$
• REOUIREO REPIACFMFNT = 3
• rRLL YO BE REPLACED - 24" OAK =<{ CATEGORV F1 TREES TO REPLACL?
• TREE TO BE REPLACED = ZO? OAN = ZCATEGORY B TREES TO REPLACE
• TRF,F, TO BE REPLAGED = 20? OAK = 2 CATEGORY B TR£ES TO REPLACE
• ACTl1AL REPLACEMENT •- 2 CATEGORY 'A' CONIFERS TREES (5EE A7TACHE0
MAP FOR PLACEMENT)
• ACYUAL R[PLACEMENT = 2 CATEGORY'A' DECIDUOUS TREES (SEF ATTACHEo
MAP FOR PLACtMHNT)
ATT/1CHM ENTS:
1) SURVFV pA7ED MAV 2, 2001 , LOT 2 DLOCK 7 IN PFEIFER ADDITION
2) TREE PRESERVA7iON PROPOSAL HISTORICAL. PREVIOUS OWNERS - PAGE 1
3) TREE PRESERVATION PROPOSAL HfSTORICAI., PRF.Vi0U5 OWNERS - PAGE 2
4) CURRCNTTREE PRESERVnTION PLAN WITHTHRFFADDITIONALTREES REMOVED
4 N
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1
TITLE: Cahill, 9' Ceilings, Full Basement, Eaton Version
COL7NTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 05/17/01
DATE OF PLANS: 05-17-2001
COMPLIANCE: Invalid Area(s)
Ceiling 1: Raised or Energy Truss
Wall 1: Wood Frame, 16" o.c.
Wall 2: Wood Frame, 16" o.c.
Window 2:
Above Grade, Vinyl Frame, Double Pane with Low-E
Door 1: Solid
Basement Wall 1:
Solid Concrete or Masonry, 8.0' hU7.5' bg/7.0' insul
Floor 1: All-Wood JoisUTruss, Over Outside Air
Furnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
Proposed and Maacimom U-Factor Averages
Above-Grade Windows and Glass Doors 0290
Includes Foundation Windows > 5.6 ft2
Builder/Design
O
Permit Number
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
1496 44.0
2957 19.0
268 0.0
497
43
1628 11.0
42 38.0
Proposed
Average U- Fac[or
1.2 33
3.4 154
10.1 -29
0.290 144
0.667 29
1.2 93
0.6 1
Mawmum
Allowed U-Factor
0.370
Date OS - J?- -;e 6 1
t
?
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1
TITLE: Cahill, 9' Ceilings, Full Basement, Eaton Version
COIJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 05/17/01
DATE OF PLANS: 05-17-2001
COMPLIANCE: Invalid Area(s)
Ceiling 1: Raised or Energy Truss
Wall 1: Wood Frame, 16" o.c.
Wa112: Wood Frame, 16" o.c.
Window 2:
Above Grade, Vinyl Frame, Double Pane with Low-E
Door 1: Solid
Basement Wall 1:
Solid Concrete or Masonry, 8.0' hU7.5' bg/7.0' insul
Floor 1: All-Wood Joist/Truss, Over Outside Air
Fwnace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
Proposed and Maaimum U-Factor Averages
Above-Grade Windowsand Glass Doors 0.290
Includes Foundation Windows > 5.6 ft2
Builder/Desi L"A_
t;:
Permit Number
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factar UA
1496 44.0 1.2 33
2957 19.0 3.4 154
268 0.0 10.1 -29
497
43
1628 ll A 1.2
42 38.0 0.6
0.290 144
0.667 29
93
1
Proposed Maacimum
Average U-Factor Allowed U-Factor
0.370
Date OS `/ ?' _ZA?'0
07;'12 20e1 08:38 EAGRN MAINT FpC 4 CITY HRLL DNSTR
551g52°072
0; ::'OL 08:47 TEL 8015529072 mITTELSTAEDT BRO
MITTEL&TAE6T
enoTHeRs
coHarnuc?tON, iwc.
Gr?a,,.sl.aue. ?Gew.q
2416 BBtT SGVet Esat
i? a? HwerKe. MN sson
N0.518 Da2
001
Phone: 6511562-1771
Fax; 6511552-9072
Email: don-mittalstaedt@mediaone.net
See Qur Site: www.mittelstaedtbros.com
Fax Transm itta 1 Form
Tn:C ", ?
Name:
Company:
Phone number: I I 3GO
Fax numbsr: (p'S)
?Urgent
For Fteview
D Please Comment
? Please Reply
From: DONMITTELSTAE'DT
PFZOJECT MANAGEMENT &
CONSTRUCTION COORDINATOR
Date sent; 17 7'- j Z"0 ?
Time sent: a g o?
Number vf pages including cover page: ?
RE: (4?
r-
?
Message:
?r13
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07i12i2001 98:38 ERGRN MRINT FRC 4 CITY HALL DNSTR
03:47 T'EL 8515529072 Pl1TTELSTAED'I BRO
E7/11??00t 1I:25 E?iPN MRINT Fa;, + 95529072
,,,_ [ipOTEAgaa
MaSatmasec FACSUt7
X TRAN$N1I'Y"I'4L
-TO: FAXK: _ w` -55Z-RO-7Z..
CQMPANY: ?"•?4 ? l?e? e?r0?- ?< N0.518 D03
?rr?Nriorr: :? ?
pj0i
N0.516 oQ:
9501 COACWGAN POIIN'T
EAC,u+t, 3biA4n80TA 55I22
DnTE: '7 - l I -al
t0 OF PACr6S L'+TCLLMING COVER
FR C2M c ?
m1IIlE0L8:
?.
Fer epprova 1 --tf, For yatia use
pxorrE #- 6 st l? 3
Aa requesRd For rev'rew and conmnente
Forpubliritiron - Higlt ptioriry
For YourInfmmation
r`y p'LEASE PYdT6 NEW AR,F•A CODE ,y:
? f{: MB,iu? Fecili:y (551) 681-4364
?"Mt to TAD ?intenance (65i)454-SS15
pcgmaLS forvrarded
pi;p,ipmle not torpaidod
Ite to seslmtlS OAeca eeI tCy?..
cz,? dG1ivcr dcts fax ?lsion m tl+e nbove bddl?eusee. If yau did nnt rcecive %ll of ?hc paSe z in g? ?diaon, p
n tae: us. Thaniyou.
"i'H'E L.UNE OAK TREE...TFM SYM841. OF STRENGTti ANri GRONTH EY p[1A COMMVr4M
Equal OpportuaieylAtriraiaslve Aeeloa Broptoer
tan - Mair,t fec
Tbese ere be?ng nrausmlaed as rhecked bekw:
97i12/2001 08:38 ERGRN MRINT FRC 4 CITY HRLL DNSTR N0.518 D04
a7?12'01 08:47 T6L 6515329072 NITTELSTAEDT BRO T)o:
AtOMIlTtL3TAEDT
gR4THERS
JIILY 1 Z. 2001 - REV'ISION 1 0 I'b1UN05AL 5U5MIT7ED JUNE 6. 2001
TREE PH,-":ilHVa'I'IDN T?LAN'^ LO,f Z, BIOCK 1 IN PFEiFER ADDI7iDN
°ROPER7V OWrvLR: MI'f'fELSTAEOT BROTFIERS CONSTRUCTION, ING
F3U7lDEFI' MITTELSTqEOT BROTHERS GONSTRUCTION. INC
CON'i'AC7: DON MiTTELSTAEP7'
TELEPNUNE: (651) 552-1771
FAX: (651) 552-9072
SI GNA7URE :
EX15T(NG l REES- "Z'"?. NOYED ON PINAL PLAT. "jEE LEGFNO FOR OETAILS.
PROPOS£O REMOVAt: PRESEN7ATION SUMMARV 14IF.VisEO ns picrnrEO Br F+ELo ContUn•iUrlS AS FOLLO W5;
• rxi5'nrvG SIGNIFICAN7 TREES = 25
• S:GWFiCANT TREES REMOVED = 8 (32%)
0 ALL"JWA!)LQ REMOVAL (FER ORDANGE) " 2096 = S
• RECUIRED REPLAC:F.b(FNT = 3
• rHcl 70 aE Rk"PLACED ? 24' OAK = 4GATEGORV B TREES TO REPLAC?'
• TREE 70 BE REPLACCD = 20" CJAK = 2 CAT. EGORV B YREES TO RcPLACE
• TRFF TO BE REPLACEO = 20" OnK = 2 CA7CGOPY B TREES TO REPLAGE
• ACTUAL REPLACEMENY2 CATEGORY'A'C_ONtFERSTREES (SEEATYAGNCO
MAP FOR MIACcMEfY7)
• ACYU4:REPLACEMENT=ZCATErORY'A'DECIDU0U3TREE5(SEFqTYACHED
MAP FOR PLAGGMENI')
ATTACHMEN7S:
Z) SURVfV DATFO MAV 2, 2001 . LO7 Z OLOCK I 1N PFEiFER AODITION
2} TREE PRE5ERVATION PROP06AL hiISTORiGAL, PREVIOU3 OWNZRS - PAGE 1
3) TREE PRESERYATION PROPOSAL HISTORICAI„ PREViouS OWNEaS - PnGE 2
4) CllRRLNT TREQ PRESERVATION PLAN WITH THAFF. Af]DITiONAL 7REE5 REMOYEO
0?'12i2001 08:38 ERGRN MRINT FRC 4 CITY HRLL DNSTP,
07 12;U1 08:47 TEL 6515529072 1IITTELS7.lEIs1T_SRO
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651 681 4360
9'?i12i2E91 06: 38 ERGAN MRINT FRC > G TY HALL DNSTR N0.518 D01
? Cicy of Eagan
Mainteaance FaCUIty
?kX TRANSMITTAL
TO: FAX 9:
arrFrrnox:
r
CQMPANY:
g'ItOM:
omments:
3501 COACHMAN POLNT
EAGAN, MINNESOTA 55122
DATE:
TIME:
# OF PAGES WCLUDING COvEA: _
PEIONE N:
These are being transmitted as checked below:
? For approval ? For your use
? As requested ? For review and comments
? For pubiication ? High priority
For Your InformaAOn
*w" pLEASE NOTE NEW AREA CODE
.A.X #- Maintcttance Facility (651) 681-4360
,PrICE Cenhaf Mainxnance (651) 681-4300
TpD (651) 454-8535
Originals farwarded
Originals not forwarded
'ate to Facsimile Operator:
tease detivcr this fax transmission to the above addressee, If you did not receive all oEthe pages in good condirion, please
Dntac[ u;. Thank you.
THE LQNE OAK "CREE...THE 5YLN[BdL OF 3TRENGTH AND GROWTH IN OUR COMrIUM'i'Sl
Equal Opportuufty/AfFirmative Action Employer
ifaY - Maint Fac
LOT SURVEY CHECKLIST FOR RESIDENTIAL
. ' BUILDING PERMIT APPLICATION
PROPERTY LEGAL: L a7 a ?S'I t ? K 1 ,
DATE OF SURVEY: 6/
? LATEST REVISION: s-3/- O t
?
-`+- DOCUMENT STANDARDS
J
d? ? • Registered Land Surveyor signature and company
d/ ?
' ? • Building Permit Applicant
L
l d
ri
ti
C3
? ? • esc
on
ega
p
e? ? ? • Address
g/ ? ? • North arrow and scale
2/11 ? • House type (rambler, walkouF, split wlo, split entry, tookout, etc.)
Fd" ? ? • Directional drainage arrows with slopelgradient %
?? ? • Proposedlexisting sewer and water services & invert elevation
C-? ? ? • street name
H(? ? • Driveway
13/?
W ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Ezis6n
/
[3/ ? ? • Sewer service (or Proposed)
C1'? ? •
/ Property corners
0 ? •
3 Top of curb at the driveway and property line extensions
??? •
? Elevations of any existing adjacent homes
[
?? • Adequate footing depth of structures due to adjacent utiliry trenches-
Proposed
M ? ? • Garage floor
W ? ? • First floor
C/ ? ? • Lowest exposed elevation (walkouUwindow)
D/ ? ? • Property comers
d? ? • Front and rear of home at the foundation
PONDING AREA (if aoplicable)
? f+d/ ? • Easement line
? d ?
?/ • NWL
HWL
? ? •
? [a( ? • Pond # designation
? 9' ? • Emergency Overflow Elevation
. ? 1
DIMENSIONS
/
[?' ? ? • Lot Iines/Bearings 8 dimensions
V ? ? • Rightof-way and street width (to back of curb)
fa? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/
[Y ?
? (i.e. all structures requiring permanent footings)
• Show all easements of record and any City utiliGes within those easements
0 ? • Setbacks of proposed structure and sideyard setback of adjacent existlng structures
0/0 ? • Retaining wall requirements, if any
Reviewed:
Site address: ?^ O,J ? LotBlock 1 Subd.
MA)
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insrilation?pfgtection,; air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiOng that the folfowi4g information be
submitted pnor to issuance of a Certificate of Occupancy. .
-/This structure: is constructed to meet minimum requirements of fhe Mn Energy Code; Chapter7670
OR , .
_ This structure: will be constructed to meet more reslrictlve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S- , VENTINGT,YPE
Water Heater ?
Furnace ?/ rl„?E.?.JO?G. ??? r??m ,?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's ' VENTED
Yes No
Kitchen kitchen
Bathroom 1
?
e
Bathroom 2??,
. w r s+
.
... . _ . ?- .. .? ,? 3
.
. . a
.r
Bathroom 3
rFnv r N ? ?? .
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
'MODEL
BTU'S? 'VENTING
pIRECT ATMOS
MAKE•UP AIR MODEL TYPE CFM's
I hereby acknowledge that the above informaUon is corzect and agree to comply with the Minnesota Energy Code and Gity of' Eagan
requireme .
. ?? -7 /o? -
igna?tu?r Date
f?'1? rf?L STi=??Y1r ??
Company Name ? -
' This form is the responsibility of the General ConVactoc
,._y?
RECEIVED
August 29, 2001
Dear Mr. John Gorder
AUG 3 0 2001
EAGAN
ENGINEERING DEPARTMENT
This letter is to confirm in writing the concerns I expressed to you by phone
after receiving your letter regarding the excavation/grading project going on at
4570 Oak Pond Road.
It is my feeling this project should not move forward due to the extreme
alterations necessary to create what would be at best, a questionable building
site.
The area where the proposed house pad wi11 be is underwater during spring
and after significant rains. The owner is planning to fill in this large low area
for a house to sit. I believe this idea raises too many structural concerns.
So not only is there the potential for foundation problems due to the pad being
composed of fill, but an additional potential for moisture problems as well.
There is a house that was allowed to be built within the last year just west of
Lakewood Hills Road in a low spot, which flooded the new owner's basement
this past spring. Why was a house allowed to be put there in the first place?
Do we really need to build in such questionable sites? I think not.
Sincerely,
Ronald M. Pavlak
,K
4555 Oak Pond Road
, .
t
INVOICE N0. 59482
F.B.NO. 894-64 ,
SCALE: 1 " - 20,
THE LAWS OF STATE OF MINNESOTA o Denotes Iron Monument
73rd,Avenue North (783) 560-3093 ri Denotes Wood Hub Set
Fax No. 580-3522 for excavation only
Minneapolis, Minneaota 55428 x000.0 Denotes Existing Elevation
3 u r v P gu r s(gP r t i f i r ttt P aEo Denotes Proposed Elevation
Eatabliehed in 1882
T OT SURVEYS COMPAN'Y, INC.
LAND SURVEYORS
REGISTERED UNDER
MITTF.LBTAEI7P 13ROS. CONSTRUCTION
Properly'localed in•Sectic,,n
26, Township 27, Range 23,
Dakota Coiinty; MinnesoCa
Address: 4570 Oak Pond Road
Lot Area
House Area
Lot Coverage 13,? '•?
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802.81 ' O
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t391.27 Q
Denotes Surface Drainage
NOTE: Proposed grades are subject
to results of sa il tests.
RECEIVED Propased building informakion
must be checked with approved
building plan and development or
.IUN O 1 2001 grading plan before excavation
?S p and construction.
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I The only easements shawn are from plats of record or information
provided by client.
We hereby certify that this is a true and correct representation of
a survey af the boundaries of the above descri6ed land and the
location of all buildings and visible encroochments, if any, from or on
said land.
Surveye& by us this Z nd day of MAY 20 O 1 ,
0_..C_9c,nl nnc., I.ife.Ahs?_ 1 17rrt. n...?..., o,.
Charles F. Anderson, Minn. Reg. No.2 1-75--1.r(
Gregory R. Prasch, Minn Reg No. 24492
Use BLUE or BLACK Ink
For Office Use
j Permit I
City of Eajan
I Permit Fee:
I
3830 Pilot Knob Road r
Eagan MN 55122 q~( j Date Received: -
~ Z I
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
-----------------J
2012 MECHANICAL PERMIT APPLICATION
Date:Ct--c(F_, 4 Site Address: USJ(~ C) 0 o ycl
Tenant: `B SL( C_4 _f Suite M
RESIDENT / OWNER Name: Phone: G l5
Address / City / Zip: CCI L- ► j Cf v ZZ
Name: Pi KION/16LE.HPAIINGs&A/C. INC, License
Address: 3451 W. Burnsville Parkway City:
CONTRACTOR vul.
State: _ Zip:Piarnsville, MN 55337 Phone: C1~-c
Contact: I I - Email:
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work: S
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Cade. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
- Furnace _ New Construction _ Interior Improvement
PERMIT TYPE - Air Conditioner Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank (e Install Remove)
Other np._ Vi
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) (n
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ LQ0 ° 0 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.aopherstateonecall,ora
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.
6x (-)L~ x 6~ i "/W&_j_/1
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In _ Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
F---ff-ice--se
For O UI
fu-t Eap i Permit f/7/
y I I
of
Permit Fee:
3830 Pilot Knob Road _
Eagan MN 55122 j Date Received: i
Phone: (651) 675.5575 I Staff 1
Fax: (651) 675-5694 dj1
E, } I - - i
2012 RESIDENTIAL BUILDING PERMIT APPLICATION I
Date: $ Site Address: '4 570 I< , Nck a `S / a3 Unit
"'I I
Name: 3t, ay\, FEn, Phone:
RESIDENT/
OWNER Address/ City /Zip: 0 A
Applicant is: Owner Contractor - - 9t5,=
Description of work: CF
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes _
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License* Lead Certificate
If the project is exempt from lead certification, pleas xplain why: (see Pa 3 for ad itional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 the are trade secrets.
CALL BEFORE YOU DIG, Call Gopher State One Cali 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.oot)herstateonecall.org
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 must be completed within 180
days of permit issuance.
x cAo x xax'~_
'-•'s Printed name Applicant's Signature
Page 1 of 3
DO NOT RITE SELO)Af THIS LINE
B TYPES
Foundation Fireplace Porch (3-Season) Storm Damage
Single Family ` Garage i Porch (4-season) Exterior Alteration (Single Family)
Multi _ Deck Porch (ScreenfGazeboifPergola) _ Exterior Alteration (Multi)
01 of _ Piex Lower Level Pool Miscellaneous
Accessory Building
WORK TYMES
_ 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 Walt *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ,,Z Oo a Occupancy 126 MCES System
Plan Review Code Edition 2 lW 7 SAC Units
(25%„ 100% Zoning f W 1 City Water
Census Code Stories Booster Pump
# of Units I Square Feet PRV
# of Buildings r Length Fire Sprinklers
Type of Construction Width
RgQUIREID INSPEOONS
Footings (New Building) Meter Size:
Footings (Deck) Final/ C.O. Required
Footings (Addition) _ Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: _,,,,,,lee & Water _Final Pool:. Footings Air/Gas Tests ^Final
Framing Siding: Stucco lath __Stone Lath _Brick
Fireplace: Rough in Air Test Final Windows
Insulation Retaining Wall: Footings Backflli Final
Sheathing Radon Control
Shestrock Erosion Control
Reviewed By: 1,(~2 rjW , Building inspector
tE$IDENTIAL FgES _ o 7vlf r
Base Fee
Surcharge _
Plan Review 7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use
I I
I Permit#:
City of Eaing~
I Permit Fee: D ~ I
3830 Pilot Knob Road i Z
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 L Staff: _ _ _ - - - _ - - _ -
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11 jZ112 Site Address: 0 `J-I y OQ~ f~0Y1G( (2Cr
Tenant: t✓ ~'J Suite
RESIDENT / OWNER Name: m Phone:
Address/ City/ Zip: 7D (Yk~ P2d
Name: M (I sicx- 0U WLlbXt-k SP I~ iI t C~J~ • (L L License eM D (o-2q3t f
CONTRACTOR Address: TO 6,-In 2g51 City: fouef &MVe R-eC ki-s
Staten Zip: Phone: (051- (4'S7)T--)/06
Contact: c of crn( 0-w Email: ok @ M V7 ",Qs . cal~
_ Rebuild - Modiify S_pace - Work in R.O.W.
TYPE OF WORK X New _Replacement -Repair
Description of work: r) (SQ ~YLQ ILA- t`2{/l l S~ - ~CLY~~( C1'\
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ / _ PVB)
PERMIT TYPE Add Plumbing Fixtures Main / Lower Level)
Septic System
! Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 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)
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._qopherstateonecall.org
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.
x ~eSSi c e 0 &.0-0 x 2ea~ 0)44S
Applicant's Printed Name Appli nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143582
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 4570 Oak Pond Rd
Lot:2 Block: 1 Addition: Pfeifer
PID:10-57100-01-020
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 -
Brian W Eaton
4570 Oak Pond Rd
Eagan MN 55123
That One Construction Company
18701 93rd Street SE
Becker MN 55308
(612) 381-7833
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175278
Date Issued:03/24/2022
Permit Category:ePermit
Site Address: 4570 Oak Pond Rd
Lot:2 Block: 1 Addition: Pfeifer
PID:10-57100-01-020
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Multiple
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Brian W & Cindy L Eaton
4570 Oak Pond Rd
Eagan MN 55123--199
Jw Plumbing Llc
14930 Dallara Ave W
Rosemount MN 55068
(612) 759-0691
Applicant/Permitee: Signature Issued By: Signature