4171 Pond Wynde SControl
INSPECTION RECORD ? No.
CITY QF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. 0e 1 b!?i
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i or: R, H?OC APPLICANT:
41 7! P014C3 4J`/MiilE: 5 .)EIL fK & ALILFR Gl1KST
DIEFRw000 ru"oS i612l e60-7209 '
`PERMIT ?,I?BTYPE:
TYPE OF WORK:
NrW
111 MARK5: S b 1.1 [ 0NikAC. i'rik -l+1Af< F?EH[• -_::'.-
POmk No. Permft HWtlW Do6e Tsisptwne #
S/V1!
PLUMBING O a2 ??y?
HVAC
ELECTRIC
ELECTRIC
Inopsctbn O0e insp. Cannfwitt
Foatings I ?-
Foundation
F.aml?g al12?/C •?il'??
Roofing
R°ugh P'bg.
Bough "tg
isw.
? l /f3
rr??
F"plm ?/? 3 fil - 0
FriW Htg.
Orm,T"
Finai Plbg. „? ..? Plbg. Inspector - IVoti(y Plumber
Const. Meler
EnprJPlen
8k1g_ Firtal
Dedc Ftg,
Deck Flnat
YVep
Pr. Disp.
? -
(I r ,?,? _ .r
?r
?
wemlicate nf ccc"anq
Mtv nf Cfa??
Toartneat oi Issilbixg 38#0aHoK
This Certiftcate issued pursuant to the nequirements of the Unifornt Buildirtg Code
certifying that at the time of issuance this structure was in conrpliance with the various
omfinances of the City regulating building construction or use. For the following:
"
use ciassirwation: SF DC Bwg. Pennit No_ 1215
o«uv-cy TYpe R3/M1 zon;a n;sa;a R i COWL VN
J[E IIC & AIM ?b'IlIQd ? PA1N, F.A('?AN
Owoer of Building
4171 Addms FCNID , s UMMM POW
B Address Locality
? ? --
Dste: 04/23/Q3
/ i
Building Offici
POST IN A CONSPfCUOUS PUiCE
C1TY OF EAGAN
3830 Pilot ICnob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: -
. , I , ;4 ri iI i i , M;,1
rI l i ?iI .t iI il + i+rdli
PERMIT SUBTYPE:
1 ?1 I r .ii
INSPECTION RECORD
PERMIT TYPE:
Permit Number: • • '
Date Issued: APPLICANT:
?..I , ? .
TYPE OF WORK:
INSPECTION .• . ..
t2FM/1RRSs Sk:F'AtZAIt ('FRM) 1'S AtiE 1+E:QIJIIfFt1 VL1R ANY Pt.UMfiINIi iaK f_ 1 f.r.lFtll Ai LJI)p;t; ....,..,..,.•?""'?
i
?
Permft No. Permlt Holder Qate Te{ephone N
SI1N
PLUMBING
HVAC
ELECTRI 5
ELECTRIC
Inspectlon Dete Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. J
X/ S ?9
!-!J
Isul.
Freplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
v?
DeCk Ftg.
Dedc Final
weu
Pr. Disp.
INSPECTION RECORD
CITY 4F EAGAN PERAAIT TYPE:
3830 Pilot Knob Road Permit Number: •"•
Eagan, Minnesota 55122-1897 Date Issued: '• •
(612) 681-4675
SITE ADDRESS; APPLICANT:
f'I)Nfl t•tYN[l F 41 1 1 11IN'. I1N d%I I fih I
[IF t' f.'11111lt) I'(3P1t1,?`, (fil;?) 4 4>4 - ,ffH',
PERMIT SUBTYPE:
TYPE OF WORK: ?
; •,Fn :t?N PCIkcII I0N cK
INSPECTION . . .
Pl MkFtKS: •f'fAN RFVTFl.JFV EPv mJlct: NARf:r
f1 %F ['AftATf f•Fkblt i I+ {tf-Ull1 ixf"i:l F(1ti; 610'1' rt f! 1 1F' I
?. .
?
; <<
?
,
.,..,. .
?
'
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING ,
HVAC
Inapection Date insp. Comments
FOOI'INGS "?/,?.4;e ?iJQ
v'2J
FOUND
FRAMING jJ4b
'? l
?lY
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
,NSUL
GYP BOAfiD
FIREPIACE
FIREPLACE
AiR TEST
FINAL PLBG
FINAL HTG
0 ( o
dV! ?
ORSAT
TEST
BLDG FINAL
d a?
BSMT R.I.
BSMT FlNAI
DECK FTG
DECK FINAL
Address 4171 nxm wsME s Zip 55122
Lot '' 6 Blk 2 Sub Damcnfl rmos
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 04 23 93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanentgas ?
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck
Please verify with the 6uilder the removal of roof test caps fmm the plumbing system and the shut-off of warer supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 651-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy s
Repuest Date
r Fira No. Roughln InpsacYbn RepuireA
?1'ou must call inspector wlren matly) inspeqion Olher Tnen Roagh-In
0 ReeEy Now ? Will Notlfy Inspettor
Ves ? No Dele Reatl
Wicensed contractor 0 owner hereby request inspection of abova electrical work eC
Jo0 AOtlress (SVeeI. Box or Route Nod
4l?1 Poj Ciry
Section No. Township Name or No. enge No. County
?
Occupant?PRIN I?
? Phone No.
Y? d ?1
Power Supplier Atltlre55
Elecvicsl Conrtacto? tC m0any Neme)
.s m447t,
Conimc?org LicBnse No.
t?s
Mailing Aatlress IGOnVactor or Owner Making Insy? Ilatipn)
30S
Au1M1Or2eC SignaNre ICO actor?0 er aking Installationl Ph NumOer
2- e51^-2Y!
MINNESOTA STAfE BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlgpe-Mitlway BIEg. - paam S•173 BE ACCEPTEO 9Y THE STATE BOARD
1921 Unlvarsity Ave., SL Paul. MN $5104 UNLE55 PFOPER INSPECTION FEE IS
Phane(614) 6CY-0800 ENCLOSEO.
Jjs/9?
C9 02510
REQUEST FOR ELECTRICAL INSPECTION
? See mstmcnons br completing fiis form on back of yallow copy.
"X" Below Work Covered by This Request
EB-00001-08
ew ._
ltld Rep. 7ypeof6uiltling AppliancesWiretl EquipmentWiretl
Home Range orery Service
Duplez Water Healer Heating
Electric
Apt. 6uildin9 Dryer Management
Comm./Industrial Furnace t
(SpeciTy)
Farm Air Conditioner
OtM1er (syeciy) Coniractor5 Remarksm ,u
w !nl
Compute Inspection Fee Below:
# Other Fee # ServiceENrencaSize Pee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Tran5lormers Above 200 _ Amps Above 100 _ Amps
61 Inspector's Use Oniy: TOTA
' Irrigation Booms ?'f -50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical InsPector, hereb Y
f pough,in oare7
'??Y /y
J
certi
y that the above inspection has
been made. F;?,i oate
--
OFFlCE IISE ONLY
•
This request wie 18 monms lram
/085?? 7
685
?
?
/i oa
16
?
Repu st Oa1
No. Rough-in Inspectiron
ReQUi?etlP ? Reatly Novy'Wiil N.otiAty Inspector
aa??
,e_ C W
I D licensed contractor ? owner hereby request inspection of above electrical work at:
Joto FEGress (5Veet Bpx or Route No.)
'71
y
0
d CM
5
l
0
0 ? 141 a
2
$action No. Townsliip Name or No. RangB No. Cwny
Occupanl(PFINT? Phone No.
POwer $upplier
?
?
?1
f Atltlress
r r ?
a
a
?
e e.
Electncai Camradw ICompeny Namal 7
?-Tyi cDntractor8 Licensa No.
d'f o 3? 3
Mailing qaaress Iconlractor or Owner Maki^ng Installation) . J
l1v?
AuIDOnzetl Si naN louOwne? g In tan P?ona Num?er \
MINNESOTq STATE BOARD OF EIECTFICITY THIS INSPECTION REQUEST WILL NOT
Gdggs?MMway Bldg. - Noom S173 BE ACCEPTED BY THE STATE BOARD
1821 Univerolly Ave.. SL Paul. MN 55100 UNLESS PROPEfl INSPECTION FEE IS
Phone(81])6C2-0800 ' ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION eaooooi-oe
85 See instmclions lor compleung this form on Cack of yellow wpy. ?/D8?
a
•
626?
"X" Below Work Covered by This Requesf
e d Rep"i TypeoiBuiltling AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
f Omer Ispecilyl Contrector5 Remarks:
,g c, G_ 3a Y
Compufe Inspection Fee Below: ;7, 3/-l a D ?
# Olher Fee # ServiceEniranceSize Fee M Circuits/Feetlers Fee
Swimming Pool 0 to 20D Amps 0 ta 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs msoemorg use amy. TO AL 5-?j
Irrigation 8ooms /??, Q ?.z
Special InSpection
Alarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT
Other Fee COMPLETED WITHI MON (
I, the Electrical Inspector, hereby Rou9h-in
certify that the above inspection has
been made. p;nai , ? ?ry
OFFICE USE ONLY
This request voitl 18 months irom
,5+?yq
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction ReauiremeMs
• 3 registered site surveys showing sq. fl. af lot, sq. R. af house; and all roofed arees
(20% maximum lat coversge allowed)
• 2 copies of plan showing beam 8 w(iridow sizes; poured found desgn, etc.)
• 7 set of Energy Calculations
• 3 copies of Tree Preservalion Plan'rf lot platted aRer 711/93
• Rim Joist Delag Optiore selection sheet (hldgs wBh 3 or less unBs)
DATE ?__ +d 9 6 2
SITE ADDRESS
TYPE OF
STREET ADDRESS/"/ J! y/_,q-2 e 7-' i u
TELEPHONE # .S ' LL PHONE #
f ?sb-
RemodeVReoair Reauirements
. 2 copies of plan
. 1 set of Energy Calculations for heated add'Aions
• 1 sAe survey for e#erior additions & decks
• Indicate'rf home served by septic system for additions
aS
VALUATION
Sd kA MULTI-FAMILY BLDG _Y (2?0
FIREPLACE(S) _ 0 2
,?3 3 ?
FAX #2? ' "7 Y,/1/
PROPERTYOWNER?G?_gqrJ ?) [Lh /U-S' (/as/ TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CA'1'EGORY 1 _
(-J submission type) • Residentiai Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calcula6ons Submitted
Plumbing Contractor: ___
PlumUing systcm uicludes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
Phone #
Phone #
FE? 7?2 ?
Worksheet Su
14 2002
Fca $90.00
Fcc: $70.00
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ance
Signature of Applicant 1nn? ?aD-?"Y w??
OFFICE USE ONLY
Water Soflener
Water Heater
No. of Batlis
_ Phone #
L.awn Sp:ir.kler
No. of R.I. Baths
_ Air Condilioning
Hcat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
r
O 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 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 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolltion (Entire Bldg only) • Give PCA handaut to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
l7'S7Y Ci; LAGAN
CASH:C[".R: J:i f'EFMTNAL NOc 875
LATE:a 03117/99 T7:M'=: 08a41e40
ID;,
t?FlM,Fc hLTEC F:C!Oi-:C?!G Y (:ONS7RU.r,T'IC]N
10
3c^ gQ01. 38f3F3 CAN'iF'..R (:,L.N 09.25
.
205 9001 3088 cAra'tEr< GLN :3a50
32ill 9001 4i£38 f'EACQN hlL.l_ 05.25
205 =9001 4788 PEACO^1 PII_L. 3,00
3c 1.0 9001 4171 F'OND WVNDi3 c0`.i?.2:,
2155 9001 4171 PONIi NYNTiE 6et:10
,
7ia'?;a7. Fieceipt Anmun+" 486o25
Gi:l.15534
uSe:R :r.D: ;iaN
;'FX(7X1k7X1;(?Y?yF?FM!XR(X(mY,t"??CY,t?S?C>kYn>F%n?Ma<??k'??M?YF?n M#7}:?
3 735 iz) 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) `
CITY OF EAGAN ?UZI
3830 PILOT KNOB RD - 55122
651-681•4675 ?
New Conshucifon Reauiremenis Remodel/Reoair Reauirements
? 3 regidered aRe suneys ahowtng sq. k. of loi, sq. H. ol house
and gD rooted areas (207, maxfmum lot eoveraae allowed)
? Z copies of plans (show beam 3 window shes; poured fnd. design; Mc.)
? 1 sel ot energy calculailons
D 3 coples M hee preservaflon plan M IW plaMed after 7/1/93
DATE: ?-?)-I 1 ?
DESCRIPTION OF WORK:
2 coples of plan
1 set M energy ealculaHOns for heafed addMions
1 site suney fw exterior addkions 3 decks
COSi: T o k
STREET ADpRESS:
LOT: ? BLOCK: Z SUBD./P.I.D. #:
v k 7
Name: 1! /f ll !,Y 1,LW fiwl Phone #: !y; /? ?'?f"f7'• /??
PROPERTY Lan Fur
OWNER SireetAddress: 'TI // !"!///Y ?????• ?
City State:
Z,p: ?5?22
Company: Azko- TwLq Phone #: 1012,_.
(area code)
?95 ?DD?
CONTRACTOR Sheet Address: ?(?J IIrJQ2 c //C/ ??W ?'L ?Q/?t Li ense q /?/?• ? /,?r,
#0?? ?.??i
City State: Zip: ?..7.3?57
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street
City
Sewer R water Iicensed piumber (reauired for new construcHon onNl:
State:
PenaNy appiles when address change and lot change Is requesied once permtt is izsued.
Zip:
! hereby acknowiedge ihat 1 have read fhis applicaMon, state that the information Ia cortect, and agree to comply with all cpplicabl
S}ate of Mlnnesota Statutes and City of Eagan Ordinances.
kECEIVED
AUG 1 6 1999
Certifica Tlf_Survey Received Yes
Signature of Appllcant:
OFFICE USE ONLY
_ No
Tree Preservation Plan Received _ Yes - No - Not Required
RegisfraNon #:
??s 4j'q v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower level ? 24 Storm Damage
? 05 3-plex 0 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas insert ? 44 Windows/Doors
? 33 Akeration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
^ 34 o iepsir C] ?.8 D8m:,lish (t? ?:?;?f) ^ 42 !2emcf
' Give FCA hanr;ou[ to applicani far Jemciition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building
Engineering
Census Code
5AC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/VII Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
I> UTY-OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
Control No. 11137
PERMIT TYPE:
Permit Number:
Date Issued:
4171 POND WYNpE S
LOT: 6 BLOCK: 2
DEERWOOD PONDS
8u'lild'ih
g Permit T.YPe SF DWG
Buildin$'.Work Type NEW
URC Clccupat5ay ii-3 M-1
ConstruCtion'Type V-N
i 24nang ? R-:1
?Bui lding iength 80
Building W3dCh 30
; . ?
? r
,
µ
fl L;
. "1 , .
REMARKS: (; d?J J( I
S& W CONTRACTOR - STAf? PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Wnits
Subtotal
VALUATION
$891.50
$579.48
$66.00
$760.00
100
$2,256.98
$172,000
BUI1.pING
901515
10/01/92
MISCELLANEOUS $1.610.50
COPIES $1.00
Total Fee $3,868.48
CONTRACTOR: - applicant - sr. Lz pWNER:
JULIK & ADLER CONST 16887209 009173 JULIK & RDIER CONST INC
1426 pEERW00D pfl7H 11433 DEERWOOD PATH
EAGflN MN 55122. EAGAN MN 55122
(612) 688-7209 (612)688-7209
S herc>hy acknowled-ge that I'have read this ap
informat'aon is oarrebt and agree to comply wi
StaCutes antl Ctty af Eagan Orslinances.
I
tation and state that the
all applicable State of M'n.
I
gt,L- 0-
APPLICANT/PERMI E SIGNATURE
PErMIT- # • CITY OF EAGAN
REACTIvATE _ 1992 BUILDING PERMIT APPLICATION
681-4675 SEP Z Z nco,
,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ?/ZZ / Yaluation of work / 70 0C0
Site Address:_ y/7/ t4,4 W,u4 Sc,,?I
SiREET ?
SUITE M
Tenant Name: (commercial only)
LOT ? LBLOCK o_ SUBD. 00- 7S P.Z.D. k '
Descri tion of work: N?,,)
The applicant is: 0 Owner [1tontractor 0 Other (Desertbe)
Name Phone
Property LAST FIRST
Owner
Address
S7REET STE N
City State Zip
?ve v4
Company ?l„I?Ic.+ Phone?8k7ac`i e??-??6y
Contraetor Address iY33 1)ee,?cj.f License # 6Zi736 Exp.
City C-?? u- c, a State GLIGI ? Zip
r
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber <-r 4. . Processing time for
sewer d water permits is two days once area as bee approved.
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.
Si
t
f A
l
z
gna
ure o
pp
icant:
fi
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
" 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex O 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex O 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
woRK rrPe
igr 31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
?
0
aiatt F'inish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
D 20 Public Facility
0 21 Miscellaneous
? 37 Demolish
Const. (Actual) y? N Basement sq. ft. MWCC System ?"-C5
(Allowable) Ist,Fl. sq. ft. City Water - r
UBC Occupancy M_1 2nd fl. sq. ft. PRV Required
Zoning rz"1 Sq. Ft. total Booster Pump
/ of Stories Footprint Sq. ft. fire Sprinkler
Length So On-site well Census Code lot
Depth 30 On-site sewage SAC Code p/
/1PPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTION S
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.iuacsa,: S 172,OOO
Surcharge ?ARp?
Plan Review
License
32x26=
83Z
MWCC SAC 2 x !20 C24)
C i ty SAC ,
a % 16 = 12
q 2$
Water Conn. Bstn t
Water Meter
Acct. Deposit ?lS?tgo ; 14uo
S/W Permi t Ak'7 =
S/W Surcharge 7 X ?j -- (2g)
Treatment P1.
Road Unit 1349 XIS'= 2 oct7n .
Park Ded. IsT?
Trai 1 s Ded. 'i uo qq
CoPies
Other (eO
Zrvp F.,wr7. '
Total:
3o xvt?
? ? 20o tt la 0
SAC % 100 t, 579^c-
SAC Units ?
SURVEICOR'S CERTIFiCATE
• ,.
JULIK 5 AOLER CdNST„ INC.
R
F
-4 i
?
reore:
?I ? ?1 ,. , ' 1` P, /- . . ,
ARE C ?;\J?'l
A
NOTE: NO SPECiIC SOiL5 INVES7GATiON NAS BEENI"t GMPLETEO
ON THIS LOT BY TNE SURVEYOR. TFE SUITA81LIlY Of
SOILS TO SUPFpRT THE SPECIFIC FSOUSE PROPOSED IS
ND7 THE NESPOH918141TY OF THE SuRVEYOH.
," DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTE$ IRON MONUMENT FbUNp
XQ00.0 DENOTES EXISTING EIEVATION
(000.0) DENOTES PROPOSED ELEVATION
SCALE: 7 (NCH - 30 FEET'
PROPOSED GARAGE FLOOR - !joG C, FEET
PROPOSED LOWEST FLOOR = 898• 3 FEET
PROPOSED TOP OF BLOCK =?p6 e? FEET ,
U
WE HEREBYCERTIFYTO JULIK 5 ADLER CONST., INC. THAT THIS IS A TRUE ANp CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot6, Block 2, DEERWOOO PONDS, occording tothe recorded plat thereof, Dakata
County, Mimesoto.
I7 DOES NOT PURPORT TO SHOW IMPRpVEMENTS OR ENCROACHMENTS. EXCEPT A5 SHOWN. A5
SURVEYED BY ME OR UNDER MY DIRtC7 SUPERVISIQN. THIS 16TH DAY OF SEPT. .1992.
PR6P0SE0 ORADlS lIIOMIW Wl11E tANEN
FIIdA THR ARAWN9 A ON[LWMRNT
PIAN MqV10L0 IlY McCOMbs PR?NK
ROOS A"OCIATE9,INC.
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R. HILL, INC.
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JOHN C. LARSaN, LAND SURVEYbR
MINNESpTA LICENSE NUMBER 19828
James R. Hill, inc. -
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-680-6044
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SOTAsBNERGY CODB MA%IMOM THIB, BiIILD ? G BSTIMATSb
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PLAN SERVICt '
I .
iQALL-AND CSILING AREA COMPUTATIONS
Rb Pigure Stafl Wall Area
5
..
;
?
Stsn8er8?stud:•aall inol..plate-aq. ft./lin. ft. xlin. ft. wall. ft. wall
Knea,`,stnd vall':inol.,platee? sq. ft./lin. ft. x lin. ft, wallm , sq.•ft. wall
.Other.;etud_wall inal. pldtes?? sq. ft./lin. ft. x?lin. ft, wall- • eq. ft. wall
<Otheretud wall incl. platea= eq. ft./lin. ft. x lin. ft. wall- aq. ft. wall
' TOTAL 31[I. =7
Stud And Plate Area
# •
Total sg, Ptr etud wall area includinq knee wall area A I, sq. ft. 1s
l0t total stud wall area 3'X? Q 311 sq. ft. stud and plate. ThiQ percent"allowed by state.
Rim Joiet
Lin. ft. rim joiat 2L<. x sq. ft./lin. ft. rim joiat = 29b,fo sq. ft..rim joiet
Lin. ft..rim joiat x eq, ft./lin. ft. rim.joist - sq. ft. rim joist
Lin, ft. rim joist x aq. ft./lin. ft. rim j4st s sq. ft. rim joiet
Sxp oaed Sasement Bloak
- Inchea:above grade x .0833 x!Ga lin. ft. wall'm
,. ,
`;inchee,;,bove
grade
x
.0833
x'
lia,
ft.
wali =
°'-2nc2iee;4b0ve g'rade x .0833 x lin, ft. wail -
•.inches°above qrade x .0833 x lin. ft. wall m
Iriches:a5ove grade x. .0833 x li,n, ft. wall ?
inches above qrade :.x .0833 x lin. ft. wall =
Inchee above grade ,. x .0833 x lin. ft. wall ?
Net Wall Areas
2bta]. 9tu8 wall area
Lese viadows
r.ese'8oore
Lese patio doore
:Lees'etud and plate
" Lesa fireplace
'rarAr,
ZO eq. ft.
.vi
eq. ft.
aq. ft.
eq. ft.
eq. ft.
eq, ft.
sq. ft.
z? ev Sa. Q.
? Basement block area
? Plus area well .
Leee windowa
IL!!•au ' Lesg doore
31Nv0 Lees fireplace
TOTAI. SASEMENT BLOCK ARFA
Ceilina Joiet or Cord
block
block
block
block
block
block
block
? r.3Sz.v
,.
/ ?•2 U
t3s'2 0
"' .' '
N?mber of cords or Joiete x?-,*rlenqth* a tOt81 11n. ft. X .125 a ' 8q• ft.
Number of corde or jolsta -IF x 3t) _ length a ?
Number of corde or total lin, ft. x.125 a • aq, ft.
joiste xZ?_ length - total lin. ft. x.T25 m sq. ft.
Sv1.pr/GyLri?lz> , %?Xo
• • Cei1Sn9 Area
'???'!p3dth "^''"°1C'deY2in'qY?7tgtA '. .?
Ceilinq width " x ceiling lenqth
I6e1, sq. !t. ooYd
?-?Sqtfte-, ,oeilinq less aq, ft. cord ?
e ?w! eq. !t. ce111nq •
?? .. •? 'ft eq. it. . 3tsulatP3d ceil3ng
. n ?. sq. itt insulated ceilinq..
. , . . . , . . , ..wr•..w
FIREPLAC6
Opeainq widtti ?'- x?openinq heiqht • m
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NAMI:: SLISAN A JOFIN5f7N
300 9001 41i'i I'QND !AIYNDC 07.?5
3422 3001 4171 POND WYP,!fit 121.7:L
205 900:I 417i. I'-`UNIi WYNDE E„00
,
To+,a:t Recn:i.p+, Amount. 3:t4.96
CFi087357
tJ::if.::n .T.D: M(-1PiLYNN
I
??ITY:OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031599
93/20/98
SfTE ADDRESS:
4171 PONp WYNOE S
LOT: 6 BIOCKz 2
DEERW000 PONDS
p.I.N.: 16-19975-060-02
DESCRIPTION:
4-SEASON PORCH/DECK
erm3t 7ype 5F ADDI7TON
PgrTYpe NEW
?Bf 434 hLT. RESIOENTIAL
?? ? eu
? ? an
REMARKS:
PLAN REVIEWEO BY MIKE BARCK
!i SEPARATE PERMI7 IS REQUSREO FOR ANY ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
Total Fee
VAl.UA7ION
$187.25
$121.71
. $ 6.00
$314.96
$12,000
CONTRACTOR: OWNER: _ ppplicant -
? 30WN50N ROBERT
4171 POND WYNOH 3
EAGAN MN 55122
(612)454-7089
?tI°fGP,ArAa`'G?bn 3±
PERMIT
APPLICANT/PEFiMITEE SIGNATURE ISSUED BY: SIGNATURE
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) t ?+gF[ Q?'
CITY OF EAGAN cQ,tJrd-JS -I ? .
t? q ? 3830 PII.OT IM011 7 RD - 55122
New Construction Reauirements RemodeUReoair Reouirements
? S registered ske suneys
? 2 copies of plana (Indude beam 6 window aizes; poured Mtl. design; eta)
? 1 energy calwlations
? 3 mpiea of tree preservation plan 'rf lat plattad after 711l93
required: _ Ye6 _ No
DATE: _3-(a-9 g
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ? BLOCK:
• 2 eopies of plan
? 2 site surveys (exterior eddttions & aecks)
• 1 energy catwlations for heated addkfons
CONSTRUCTION COST; ? 20,1000
loV nae Sa
SUBD./P.I.D. #: L&g? ?f1-Y1? ?i
PROPERTY
OWNEK
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ?JZ ? V1 S6 t? ?0? w- 5?50M phone #: 4S 4- 70$ /
Last Fust
street
od
City ? QN) State: M N Zip: SS fZ z-
Company: -s'e- ? ? Phone #:
Street
City
State:
Company: se- ? -'S- Phone #:
Street
City State:
Sewer & water licensed plumber (new construction only):
and lat change is requested once permft is issued.
License #
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the iafortnation is correCtand agree to camply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. „ A 11
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ,_ Yes _ No
Tree Preservation Plan Received Yes No
Zip:
Registration k: _
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
Er03 SF Addition 0 08 8-plex
? 04 SF Porch ? 09 12-plex
? OS SF Misc. ? 10 _-plex
'
r
O 11 Apt./Lodging 0 16 Basement Finish
? 12 Multi Repair/Rem. ? '!7 Swim Pool
O 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
WORK TYPE NM1?,T i?? a ?GC?
? 31 New ? 33 Alterations ? 36 Move
J3'32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
I:ength
Depth
APPROVALS
Pianning
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Treils Ded.
Other
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
s% ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code. y 3s?
Footprint sq. ft. SAC Code p/
Census Bldg I
Census Unit U
Building Hn??j Engineering Variance
valuation: $ 12 , o vu,
?
/-??d ? ±i =-
?{I L ?l v db $ 5 c( _ 1 odo t5$V. ?
?ec?
?---
1? 2vd,?
l( / 7'P191.s
4MA"d a
SAC Units
C E R T 1 F 1 C A T E J ULIY, 8 ADLER CONST., INC.
? - • -.- .. l? / ? ?
'
LOT ?16
.C'
?
11 15
f '
a? ? ? , vFa f
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z
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m !
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i
PLEASE COMPLETE FOR SINGLE FA1v1ILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS A1tE REQUIRED FOR EACH UNTI'. '
NO.
?
-?
FIXTURES
EACH TOTAL
?
?
SITE
OWNER NAME: cS7e/e-- '*?;'
INSTALLER ?;F -
%?a&- ?
.50
e,fs.? 5'i
-?? -
ADDRESS: /F67.6&-Aa-7-GITY: STATE: ?iJ' • . ZIP CODE: s? Sd
PHONE #: f-?a-3 -
SNQWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3
.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3:00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OLTTLET - m;,,im„m - i 3:00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNATE DISP. • Dak.Cry. lia 20.00
U.G. SPRINKI.ER •'trome under const. 3.00
ALTERATIONS • 20.00
WgfER TLJRN AROiJND 20.00
STATESURCHARGE
TOTAL:
S ATURE OF PERM'ITTEE
1994 PLUMBING PERMIT (RESIDENTIAL) ;
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SSI22 ;
(612)'6814675
PLEASE COMPLETE FOR ALL COMMER'CIAL/INDUSTRIAL BLJILDINGS.. ALSO FOR MLJLTI-
FAMILY BUILDINGS WHEN SEPAT2ATE pERMITS ARE NOT :REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTiON:
CUNTRACT PRICE: $
FFG: 1% OF CONTRACf FEE.
STATE SURCHARGE: $.50"FOR EACH $1,000 OF,PERMrt FEE.
AiINd117UA1 FEE: $ 25.00
CONTRACT PRICE X 1% $ .
,
STATE SURCHARGE $
TOTAL $
I
SITE ADDRESS:
TENANT NAME: .? ? ?STE. #
? ? . t . .:
OWNER NAME:
? , ? -. . . . ?
I>NSTALLER:
. ? >. . . ``. ? ? • ?"k.
dDDRESS:
CITYt .
PHONE #:
STA`fE:
F'OR:
CITY OF EAGAN
ZIP CODE:
APPLICANT :
- 1994 PLUMB3NG PERMIT (COMAMERGIAL)
CITY OF EAGAN
3830 PII:AT KNUB RD
EAGAN MN 55122
(612) 6814675
? 6'ITY60F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
aurLozNG
023085
03/14/94
SITE ADDRESS:
P.I.N.: 10-19975-060-02
4171 POND WYNpE S
LOT: 6 BLOCK: 2 ^
DEERWOOD PONDS
DESCRIPTION:
Batilding?Permit Type
B`uildzng W"pkrk Type
>
f...: ?. ? ?. ...
i,. _.. . . T?
\? v . .
BASEMENT FINISH
AL7ERATION
? ???? ?? ? a ?
n
REMARKS:
SEPARATE PERMI7S ARE REQUIREp FOR ANY PLUMBING QR ELECTRICAI WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR:
OWNER:, - Applicant -
70HNSON ROBERT
9171 POND WYNOE S
EAGAN MN 55122
(612)454-70$9
I ?? '
I hereby aoknowledga that I have remd tFr3s appiiat3on and, state th'at the
informatiprr is correcC and agree to compl,? with all appl:[cable State pf Mn.
? 5tatutes and City ofi Eagan Ordinanaes. ?. ?
°' APPLICANT/PER EE SIGNATURE ISSUEO B: 51 NATUFtE
0t5
CITY OF EAGAN J,
1994 BUILDING PERMIT APPLI CATION
681-4675 1
?.3? • ?? r n?L,.G 1- 11
`^ MaR 10 1994_
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & struct ral plans, 1 set of
specifications, 1 copy of energylcalcs.
7-77
Penalty applies: 1) when permit is typed, but not picked
up by last working day of month
in which request is made, 2) address is changed or 3) latjchange is requested once permit
is issued. i
Date 3 / q / Cl` Valuatian of work?
Site Address: I P6I-tc, (1? 1'Y12 ?? ll
STREET SUITE M
Tenant Name: (commercial only)
q
LOT __Q_ BLOCK ?- SIIBD. pee.1/'1o00? ?Bylq P•I I'ID. #
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Deseril
Name ?0?v?SVn K(6 v.r`? ? ?; Phone
Property LAST FIRST ?-
Owner pddress pCvlc? K)Vvtje ,gU
5TREET 6TE k
City C=tAf?1?.?"` State Yi' Zip 22-
Company i Phone
Co ntra ctor
Address I?
L?cense # Exp.
City State II Zip
If
Company Phone
Architect/ G
Engineer Name egistration #
R
Address ' l
City State ii Zip
Sewer & water licensed plumber I? Processing time for
sewer & water permits is two days once area has been approvid.
I hereby acknowledge that I have read this a pplication and s11 tate that the information is
correct and agree to compiy with all applica ble State of Mid'nesata Statutes and City of
Eagan Drdinances. Ili
Signature of Applicant: f I
p
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ,0 16 Basement Finish
? 02 SF Dwg. El 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
O 31 New J8 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Staries
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
El Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
H Final
,@ Framing
? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
i
i
?
121 Insulation
? Fireplace
Permit Fee
5urcharge
Plan Review
License
MWCC 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valvat;on: $
5AC %
SAC Units
pu? ?
-city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 26, 1993
SUBJECT: STREETLIGHT ENERGY COSTS - DEERWOOD PONDS (28 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in the Deerwood Ponds
Addition.
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
/A- ?
Edward J. Kirscht
Sr, Engineering Technician
cc: Michael Foertsch
EJK/je
?oZ 73 U
L & 'B o2 p MECHAHICAL PERMIT
SUBD. (612) 6814675
RESIDENTIAL
xECEirr # a 895 s
DATE
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMII.Y DWELLiNGS. AISO, COMPLEI'E FOR
TOWNHOMFS/CQNDOS R'HEN SEPARATE PERhIIT3 ARE REQUIRED FOA EACH DR'ELLING i7NIT.
OWNER: L ADD-ON A/C ADD-ON FIIRNAC
SITE ADD
5:
ADD ON/REMODII. (E)ISTING CONSTRUCTION ONLI) El
INSTALLER: HVAC: 0.100 M BTU
PHONE #: ?p ADDITIONAL SO M BTU 6.00
ADDRESS: 3Q? ?r, o J rc? t!E l11. GAS OUTLEI'S • bIINIlVi[TM 1@ $:? /a.2. o 0
CI1'1: 6 ?jv 1,14 J,4 E ZIP: S?Y?7 SURCHARGE $ .50
SIGNA ` TOTAL: 3 (p, sa
NO PERMIT kEOUIRED FOB DIICTWORK 0 .
COMMERCIAI.
PLEA5E COMPLEI'E THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR
APAItTMENT BUII.DINGS OR OTAER MULTI-FAMII Y BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRID FOR
EACH DR'ELLING UNTf.
WORK DESCRIPTION: II CONTRACT PRICE: I FEES
1% OF CONTRAGT FEE. ?
STATE SURCHARGE IS $.50 FOR EACH
S1,000 OF PERMTf FEE. $
PROCESSED PIPING - $23.00
MIIQIMUM FEE • $25.00
CITY OF EAGAN
3830 PILOT KNOB ROAn
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: -
D
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQQIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON `
REPAIR _
OWNER NAME :
SITE ADDRESS:
LOT:_SP BIACK ? SUBD. 1?
/i
INSTALLER: ? L v". ?
ADDRESS: )OC38' f7 `lL
CITY: CnonJ Koxg?$ ZIP: ?s yla
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 pa
? WATER CIASET 3.00 .Oo
cZ' BATH TUB 3.00 4,00
? LAVATORY 3.00 00
I KITCHEN SINK 3.00 4.00
( LAUNDRY TRAY 3.00 ao
HOT TUB/SPA 3.00
? WATER HEATER 3.00 Qo
I FLOOR. nRAIN 3,00 ' on
GAS PIPING OUT.
t (MINIMUM - 1) 3.00 co
9 ROUGH OPENINGS 1.50 Y•So
OTHER
( WATER SOFTENER 5.00 .oo
PRIVATE DISP. 15.00
? U.G. SPRINKLER 3.00 ?.oo
SUBTOTAL S !? 31 ?_o
ST. SURCHARGE .50
TOTAL: S (O7?00
L"bt3?EEt,GTt?'a?iNISE73"1'A`I`?Y.y PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQt1IRED FOR EACH
DWELLING UNIT,
_____---..-______-______________-__-__---__
CONTRACT PRICE:
OWNER NAME;
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
SIGNATURE OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4171 Pond Wynde S
Lot: 6 Block: 2 Addition: Deerwood Ponds
PID:10- 19975- 060 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Robert A Johnson
4171 Pond Wynde S
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA084585
07/23/2008
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116845
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 4171 Pond Wynde S
Lot:6 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Kelly Meyer
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 -
Robert A Johnson
4171 Pond Wynde S
Eagan MN 55122
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139841
Date Issued:11/10/2016
Permit Category:ePermit
Site Address: 4171 Pond Wynde S
Lot:6 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert A Johnson
4171 Pond Wynde S
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156557
Date Issued:07/08/2019
Permit Category:ePermit
Site Address: 4171 Pond Wynde S
Lot:6 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robert A Johnson
4171 Pond Wynde S
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167926
Date Issued:04/02/2021
Permit Category:ePermit
Site Address: 4171 Pond Wynde S
Lot:6 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tara F Rosenberg
4171 Pond Wynde S
Eagan MN 55122
Gv Heating & Air Inc
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature