4175 Pond Wynde S` INSPECTION RECORD
ClTf 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
ca,trol No.
SITE ADDRESS: , 01, r%
411t. PVNp WYNbv 9
f1F E RWfli1lr 1100407,
PERMIT SNBTYPE:
?
IN'aI1lATIlIN
l-IREPIAtF
iti APPLICANT:
:lUl Ilc & AOLE R CONST
(612) 688-7209
TYPE OF WORK:
NEw
fRAMiMC
F IIIAL
PfNAlt1!1; r !, !6 W(. rlMfltAt'1-0114 SIAR Pl HW
P.m,n nio. Pw,?,n nower oan roMpnor,. a
snnr
PLUMBING
HvAC O .? °SSE? ` ?G
ELECTRIC
ELECTRIC
Inapectlon Datr Yap. Commants
Footings I 2
Foundatwn
Freming ? FL f? c,??'« - ??
Rough Plbg ?
Rough Fkfl. . ?
W.
Rreplaoe ? ? .,# ? i •
?4C
Fnal Htg.
Orsat Test I
Final Plbg. ?. Plbg. Inapeclor- NotKy Ptumber
Const. Meter
EngrJPlan
eag. RnW 93 s
Deck Ftg.
Dedc Final
Well
Pc Disp.
Wertificate of Cccupanc4
Witi) of Wagatt
20"Itnew of 138"" 3MAI"*"
This Certi,ficate issued pursuant to the requirements af the Uniform Building Code
cenifying that at the time of issuance thu structure was in compliance with the various
ordinances of the City regulating building co rrstructioR or use. For the following:
SE' IlfdG 1341
Ux Classificatian: Bldg Flyn't No.
OccuPancY 7ype ` n
LM.
Owner of Buildin 1433
W
Address
Bui ' iAddresc " r s IaatitY
Dwz
POST IN A CONSPICUOl1S PLACE
Address 4175 P(M WS'MIE A Zlp 5512_9
I.oj '' S Blk 2 Sub nEE&tooD PONIDS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 7 7A3 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply ro
the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing undergmundsprinkler system.
White • City Copy . Yellow - Resident Copy Pink - Contracror Copy - ,?
!ags?
?
84
e
K s s
R uest Dale fire No. Rough-in Inspeclion
qapuiretl?
? Reatly N ill Nolily Inspeclor
I/ - y-?? es G No When ReaAy7
IWensed conhactor ? Owner hereby request inspection oT above efectrical work at:
Job Aatlress (Sfreel. Bat ar R le NoJ ?
S
j
q
? Ci
?
O -
2_57 .Ovl.?( "`-i ??
L
/ 4
Section No. Township Name or No. Ramje Na.
1 Co?un1y
k-/ Q R 6?
^
Occupanl IPRINTJ
:
J Phone No.
1 0
1 v i /'
Y Le SN ti 4!
Power $vppfer
ko+ .rIe d_+0i? Atltlress
Elactncal Connactor (COmpany NName,
Y'Cl c_ C/ c e,?r "? -t h? Controclw5 License No.
C) Ll 03 4 3
Mailing qtlaress ICOnVactor or Owner Making Inslallation7
AWlwnzetl Sign omracroriOw r InstallaLOn Phone NumDer
r
W
a - Qo?
MINNESOTA STATE BOAPO OF ELECTRICRY ? THIS INSPECTION REOUEST WILL NOT
Grigga-Mltlwpy BMg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
18T1 Universly Ave., 51. paul. MN 5510C UNLESS PqOPER INSPECTION FEE IS
Plwne (812) 642-0800 ENGLOSED.
/1 9 904-
2684
REQUEST FOR ELECTRICAL INSPECTION
? Sea insrrvclions fa compiebng Nis lorm on back of yelbw copy.
",W`Below Work Covered by This Request
?,.?..
ew dtl Rep. TypeoBuilding AppliancesWired EquipmemWired
Home Range Temporery Service
Duplez Waler Heater Electric Heating
Apt Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (syecityi Conttactor5 Remarks: 8.O
-Z a o - 3 7)
Compute Inspection Fee Below: ;Z 31 - 1 O
8 Other Fee N ServiceEntranceSize Fee # Circu05/Feeders Fee
Swimming Pool 0 to 200 Amps ,QlJ 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
$ign5 hnspector§ Use Only: TOTAL Sjj
Irrigation eooms /?
G 1 a
Special Inspection ,
D
Aiarm/Communication THIS INSTALLATION MAY BE ORDE NEC7ED IF NOT
Other Fee COMPLETED WITHIN ONT .
f, the Elactrical Inspector, hereby
ti
h
h Roupn-in oata ?u`y?
?
ry t
cer
at t
e above inspection has
been made. ""°' f
OFFICE USE ONIY
This reQUest voitl 18 manMS irom
PERMIT C°n` °' "°. 1086
AcfTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: euzLoznG
Permit Number: 001391
Date Issued: m g/ 2 2/ 9 2
SITE ADDRESS:
4175 PON[] WYNDt S
LO7: 5 BLOCK: 2
bEERW00D PONDS
DESCRIPTION:
.-,8uiid'ing PermiY. Type SF DWG
? BUilding-Work 7ype NEW
' kIBC Oecupancy R-3 m-1
GtrnsCrueT,iQn =Type V-N
Zoninq ? - PD R-1
Building Length? 76
+ BuiZding Wi.dtM 46
??-
.-{
tr ^i ?' j`
•e i
C -__? ?. 2Y E?f
REMARKS: C'- o Z-()Ca S I
S& W CONTRACTOR - STAR PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
5ubtotal
VALUATION
$881.00
$572.65
$84.50
$700.00
100
$2,238.15
$169,000
MISCELLANEOUS $1,610.50
Totel Fee $3,848.65
CONTRACTOR: - Applicant - sT. Lz OWNER:
JULIK & ADLER CONST 16887209 000173 JULSK & ADLER CON3T INC
1426 DEERWOOD PqTH 1433 DEERWOOD PATH
EAGAN MN 55122 EAGAN MN 55122
(612) 688-7209 (612)688-7209
S hereby acknowledge Chat I have read this appiication and state that the
informatipn is carrec'C anci agroe to comply with a)1 ap-plicatrle State of Mn.
Statutes and C3ty af Eagan DrdYnances. r
? . _
1 C '- (.? - lr '?1M1.0 3! ! I ,d{?1
APP CANTlPERMIT IGNATUFE /i$SUE B SI NATUR 1
? V INSPECTION RECORD Control No 1086
CITYOFEAGAN PERMITTYPE: euzLoiNa
3830 Pilot Knob Road Permit Number: 0 013 9 i
Eagan. Minnesota 55723 Date Issued: 09 /Z 2/9 Z
(612) 681-4675
SITE ADDRESS: Lo r: 5
4175 POND WYNDE S
DEERWOOD PONDS
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
FOOTING .. .
FRAMIN6 .,
INSULATION FINAL
FIREPLACE
REMARKS: S& W CONTRACTOR - STAR PLBG
aLocKe z APPLICANT:
JULIK & ADLER CONST
(612) 688-7209
? ?
PERMIT #
REACTiVATE _
tCITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION ?' , ?
cavad 44
SEP C 1 RECD
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered stte surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies when typing qf permit is requested, but notpicked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date /9f2- Valuation of work q0 c1o0
Site Address: `//7.S_ gpw a )yv?cCa ?o y-?..
STREET SUITp ?t
Tenant Name: (cammercial only)
TAT ?_
BIACK ?
I
SUBD??,_,,,
7'Url(M?
P.I:D. M
Descri tion af work:
The applicant is: p/Owner ErContractor ? Other coea«cne>
Name ?F, I,'K *- AA, Phone
property LAST F1R57
Owner
qddress
STREET STE N -
City State Zip
Mp a
Company ; t j '„4,? 17;„ Phone K&t-726"? y
C011tf8CtOf Address /Y33 ,leP-ww,,/ License # nori i736 Exp.
City Ec?jq? State ''N dl 1 Zip ?.?7ZZ
Company Phone
Architect/
Engtneer Name Registration a
Address ?
City State Zip
Sewer 3 water licensed plumber Processing time for
sewer & Nater permits is two days once area has en approved.
I hereby acknowledge that I have read this application and s'tate that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: e, •
OFFICE USE ONLY
BUIL DING PERMIT TYPE
? 01 foundation p 06 Duplex ? 11 Apt./Lodging
IK 02 SF Dwg. O 07 4-Plex O 12 Multi. M1sc.
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
lg 31 New ? 33 Alterations ? 35 Tenant Finish
01 32 Addition ? 34 Repair ? 36 Move
CIENERAL INFORMATION
Const. (Actual) Y- &i Basement sq. ft.
(Allowable) V.N lst F1. sq. ft.
UBC Occupancy jt..Pj M-1 2nd F1. sq. ft.
Zoning PI Sq. Ft. total
f of Stories Footprint Sq. ft.
Length On-site well
Depth ? On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REGIUIRED INSPECTIONS
? 5ite
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Mater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Capies
Other
Total:
SAC 96 I on
SAC Units 1
? Footing
? Final
?.
46M 1 tment Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
[1 20 Public Facility
? 22 Miscellaneous
? 37 Oemolish
MWCC 5ystem YES
City Water Y?s
PRV Required
Booster Pump
Fire Sprinkler
Census Code I o 1
SAC Code 01
? Framing
? Draintile
? Insulation
? Fireplace
vatuetian: S .1(o9. C)tZa.
?iAQA6E ? 32? `_ ?IbB G N? V?/2°? ?X/2= 77
)2xz: (zy) 32x3z= loZy
RSbvct?
32?c 34, 67 =
? x ao _
Iio9
l60
12.X.16= IqZ
kK ?,67? ( 35?
1i? .; Z I 39 0
I sT Fionrx
I?I?lO X53= `76,?Z0
r144 X16s 11,90y
Assessments
6X(7- (ln2)
14 X (.= 9(l
%kK?
r-
iilyx
59,b y 2
I G81(0St?
P.02
.`?b.. '? °• ' . ,.7.a Mi (, N<??N31t1. ?"??( rSt--?(6I??.a?;
5EP-18-'92 PFkF 14:15 ID:JWE5 R HILL INC 1EL N0:612 990-6244 #531 P61 1.;
, a
VEYUR'$ GEI?TIFIGATt JUI.IK 9k AULURCUNS'L, In?c.
p?y?g Eu
LbCAT10N19?1q?gt? .
L. ?? ? l:? ???42HAURB LAc
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HQTQI BV 1O ?' ??t„5:.,' • `-?,
1 MGM
q : a•',y;.. ?..F: .
NOTfc' IIG TarIC $OII+S WMTOATIaI, MAS'.NV?'Y'•.• •• a7
?? i •A
oN 'ni18 4oT 9Y 'Im !{MREYOR:,' Y1?a ?.OF. `;+? 3. SOLB 7D 9UPi11R1' 711E' ifEdrlC Y/ !3 +;`?':' a
-.r .'10- DENOTES pqC1PO5ED SURFACG QRAIMARE NOT TNE qESPClHSIafU'tY Ol THC.BU .. ,-..'.:'':•:.::;srs? '?..
Q DEIVp7'ES IRON MONUMEh(T SET • SCAI.E; 1 1NCA
# pM1'ES IRON MONUMpJT FOUND PROP08E17 GAAA(iE fLp4R
.:' S(QUQ.D DENQJE6 E7qSTING ELEVATICIN PRQPQ3e0 WWEST FLOOR =
'(bpO.p) DM07q PRGF'OSFP Et.EVA71ON Pi/OPOSED TAP OF BLOCK - 9'Dt.;7: Fft7.
,.'.?:?
• ; t• y'I
HFR@6Y CEIi'ryFYTQ JULIK 8iAQL.ER CON51:, IkQ THAT THIS IS A TRUE AND CdRREGT
'•.?., ?;AEPFfiESENTATION flF A SUIiVEY qF TH@ BOUNDARIE5 0F:
' Lat 5 Bloa& Z, OMWUOD PqNp3, nccading totha reccrdedplpt 1Mreof. Dokofa .'
•:r,. r 09U.;WYp' MlminviA. " •. E<`: ic?"
m! :..; . ?
IT OOES NQT Pl1RPbRT TO 5NOW IMPRpVEMEMt$ ?1R ENCRI]ACHMENTS, FCCEpT AS $HpVyW,:}?
'.;. ?`..SURVkYED. BY ME QR UNDFA MY DIRECT SUPEFiVlSION Th11S Jl SY DAY OF AUOUBT ,1992,.'.. .. .••. ?
81GN : JA . HILL, INC.
?p IIRAOEB 81'K1'AM! 1? TA%ICkI '-. ?;
?:?;,lqbM ? owtiaHa e orv? ' -
,?;PI:AN M'MDVIDlO !Y IdecoMas F?iNx r r? '?
':: qu[ss msexlare9, ?NC. ' JAHN C. LRR$pN, UINp SVRVMR
- MINNE3ATA LIC13VSE NUMBF.R 1N28
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p4.ANNERS I ENGINEERS / SIJR
.
,'
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;:.
2b00 W. CTV. RD. 42+ Bl1AN8VIl.LE. IJN. 8$07
??s12-??
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,
-R=96% 09-16-92 03:08PM Y00
/// • K t?`?x._ .. . : r: . . . _ .. . . ?. • . ' . .
/ ' . 1 I F.: . , ... : . .. .. ' . . .
/ `?:_.- .. . . '. .
.,,.'• * " EXTERZOR ENVEIAPE AVERAGE "U" OOMPUTATION .
, • (TO be submitted with building permit application) . 1One or two family, dwelling ' ?.. Ownez•" _ • _ _ _
.• All othez
. slte Address LoT S, Z T?
. ,, PhonT
Contzactor- . Date
4
LINEAL FT. OF .,, y •.
MOSID WALL 't t + 4 + t + + above gr8de a 13n. fY.
- - - - - TOTAL E7POSED WALL AREA ?
OPAQUE WALL CpIvSTRt]CTION: "U^ value x area
"U" x sq.
t' LA_"U" to9f x sq.
Detail reference hKo'4. _"U"?DyY x sq.
from "U" ,Dy z.x sq.
attached sheets AA 1, 1JA" "U" ,eti x sq.
"U" x sq.
' "U" x sq.
WINDOWSs "U". value x area
Make & type "U" x sq.
"U".yS x sq.
n o .- K ^U".47 x Sq.
w n . nOn X sq.
ft7, ? (Uf (A)
ft. 332.nG m-3) Sy (U) (A)
ft. cag.y - (o) (A)
ft. -V c144 = 13.07 (v) (A)
ft.WAX9-1 2 (U). (A)
ft. ? (U) (A)
£t. ° (U) (A)
ft. _ (U) (A)
ft. (U) (A)
ft. !DT (U) (A)
ft. _ (U) (A)
DOORS: "U" value x area
Nake•& type x sq. ft. a (U) (A)
.. n u S "CT° .
Q1'
X sq. fC.r-f° (U) (A)
w n . . ?
?
nU° X sq. ft• ° (V) (pl)
TU 9
TALS
tlj Sq. ft.
925 i` (U) (A)
To1'rw (U) (A) Var.tES t5?1 =
DIVIDED BY TOTAL WALL AREA 3?2?,Q ?OS •
AVG. ,
^
.
°U^ : .
.
r• AVg. nU,.Value, St8te OOde
ROOF/CEILING: . '
TOTAL AREA: ?rZ4(O ? ?U sq. ft. ' .' .
Detail reference "U" x eq, ft. ? (U) (A)
from ? "U" .qt L % sq. ft.L SEU (U) (A)
attached sheets. 0. n ia '"U" tIL x
us5 odp sq. ft.Wf7S-° Z. (U) (A)
Describe openings _
"U" x sq. ft. ? (U) (A)
in roof x sq. ft, e (U) (A)'
, TDTAIS 1 Z44 (r, DU sq. ft. 3 7,37 (IT. (A)
mrar. (U) (A) vr,i,cEs 37.3 et- e
DIV2DID HY TOTAL %JOF/ 2, ?pV 1(}?j AVG. "U" . .
CEILIIiG AREA , .ft6Avg. °U^ Value, State Oode, Vented
.10,Avq. "U" Value, State Code, Vnvented
. • r . •
MINNESOTA ENERGY CODE MAXZMUM THI5 HULL'DING BSTIMATED ?•?
8TU TASS THIS BUILDING 8TU LOSS
. .
3 2,5' sQ: Fr. oPnnUE wara. @ .3; ' _ ?fb9'. ?6 ? ?adtke s (0, ou SQ. FT. CEILSNG !WE! - ? L • ? 0 . ?J .
. SQ. Fr, vtavENT CLG. l,lo ? • HOME DESIQN
. ToTAr, szv noss/xx./sQ. Fr./
DEGREE OF TE[+P. DIFFERENTIAL •? Z ? I G • & . .. .
PLAN BERVtCE
ROOF/CEILING
VI:Nf .
W ReRt Flow Dp
Yented. 5
FIG. # 15 _ (?1rJ?
FIG. # 16
-q
` 3
?Uw a ?
donstruat4on R-Value R-Value
1. Inteiior air film 0.61 0.61
2. 9 r,?
3. ?A.ou? N uso 0 y. aa
4. Exterior siz film (at$ll) 0.61 0.61
Total 40d,98'
1 w?w ?: 1 e
?CD' ° 1 T. .
?U° °qs ? a
1, in rior air film 0.61
3. C?odY DePth3 '%ht!S if.I ^ 543fS
4.
5, Exterior sir film (still) 0.61
7bta1
0.61
0.61
~U~ a 411(O . 11V , "(T" e 1 a
1. Interior air film 0.61 0.61
2.
3. . ..
4. Sxterior sir film (atill) 0.61 0.61
4bta1
1 .
?pa . m
1.
AUM O C
?
.
.. . ,
?. ?
1. Inaide air f11m 0.61
2. .
3.
4.
5. Outeide air Eilm 0.17
Total .
1 •• 1
•O° a a •ti? ° ?
: . ..
. . ' . ? '
• _ ._? . _.?__ .,.?...-',:•••-.?-------
. ... 1
FIa. # 8
NOTEt
0.61
0.17
Use aSditional sheete if more epace ia
needed for details and caleulations.
• ..
. ..., .
,
•----?`_.._... . _. .._ .r.
.
.
U Heat Flow Up 9ented
FIG. # 7
Hary ?
• Flaw Up
WALL SECTIONS
NOTE: Use lOt of opaque wall area for
frame construction
- --?;/
HASIC
R/WL
T6P4CIE.1N OF
FRAM YYALL
~Un a ?
Conatruction
1. Interior
2.
3.
4.
5.
6. Exterior
l.
2.
3.
4.
5.
6.
0.17
0.68
0.17
0.68
Peri]
Floor
FOMMATION
NALL i
FIG. #
e . ' • ° . . . . n
. ? • . L n , ° •O ' o '
t
.
0.17
"V° a 1 e,/YV wjJn v 1 e ' . .
t3.q? ?`?-
1. interior air film 0.68 0:68
z. OCi 3. 2«L?pw? N?. • h2s
4. • '
5.
6. Exterior air film 0.17 0.17
Rbtal 13 113
a0K ° 1 a 1? ?na ° 1 e
13,?3
SLAB ON GRADE
E I i e.• : - j., ?-? p? ?• I, p-. t
.=?1?.°? - ? • 'o C? , • ? , •?.
- 1??? ' . • . . ? : o ? ? a
. ` • j
??? , , '.• ? ? _ . •
o .
? .. , .
NOTB: indiCate type, •R" value, depth and
placementi of iasulation.
Z
R-Value R-Value
0.68 0.68
NUN lG•Hv M?u" ° . i = IdfM
eUu a 1 d???Uw e 1 .e
? u5L
/.; , .
? ? . Window
QTY
?
?
?
?
?
<
as, Door Lite Il18II18ted Glass Arna. Sor±eiat To;i„tateA.r_t5e
NuTt;: onit Quantity-Number of units in group
DESCRIPTION UNIT Ty
9 1
I VA
M .. „ ..? ?. , ,?
1- 7
? :tll
C3aytl / ?
?2rdGa-3
Z ?
,'mulhr2;'eta:
SQ FT/UNIT
AJ?
- JL2,83
4?.03 `
G.y'Y
p?e3
I?.S il
TOTAL SQ FT
TOTAL WINDOW SQUARE FEET I
^U" Rated @ 1 .?? .
' Entry Doors
Doors With Insulated Glasa Figure Glass Area With Windows
Entry Units With Side Lites List Side Lite Only Separately-DOUble Door Equale 2 x Singla
4'Y DESCRZPTION UNIT TY SQ.FT/UNIT TOTAL SQ FT
_L ?3d,ta?Srrs?Dn. • ••
ROTAL DOOR SQUARE FEET S'r SS
Door "U" Rstin4 •"G9
51de Lites
QTY ?ESC?R?IPTION? SQ FT/UNIT TDTAL SQ FT
2? I?JC'Ld A7 ?CtS.Vl/l.r.?? ?..DV /2?00
.Side Lite ^U"
Rated
TOTAL SQUARS FEET
Patio Doors '
4'1'Y -DESC-RIP-T?I-?ON UNIT TY SQ FT/UNIT 1VTAL $Q FT
? /m,??g I?ian n ?.J/i[err.??LEVS Z LeDO _ ?lU,OQ
Zz,rU . l &7 -slo
"U" Rated _ TOTAL PATIO DOOR SQUAREZFEETI> p
?.
n
•
. .
?-- ,
i ? Q ?,,v • t $,,e 0?044 y?
xo p
-_. . .__ . _ .._. : 410 ' • ? ?y4 ?,j?
/"_•?.
0
? sv 2 x'?
' ;??1. . _._. . ? .?'? • %?? ri1 e a'?y4 ?,?4
?F
4?bay??x? 0
by qi??:
4e
:r?,' ° s4,? ;d? ^ e
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RESIDENTIAL "
BUILDINC PERMIT APPLIC?ATION
CITY OF EAGAN 11
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construction Reauirementg
• 3 registered sAe surveys showing sq. 3. oCOt, sq. k. of house; and all roofed areas
(20% maeimum lot coverage anowed)
. 2 copies ol plan showinq'oeam 8 wincow;rzes; pourea fcund desgn, etc.)
• t set of Energy Calculations
• 3 copies of Tree Preservation Plan if tat plarted aRer 711l93
• Rim Joist Delail Options selecfion sheet (bldgs with 3 orless unils)
DATE MD -g
SITE ADDRES
TYPE OF WO
LTI-FAMILY BLDG _Y 3GN
'IREPLACE(S) _ 0 _ 1 _ 2
APPLICANT D
STREET ADDRESS AIAIL- CITY OQWI? STATE?`??ZIP 7"D
TELEPHONE # ' S3' (I CELL PHONE # FAX # S1- `J'(1611
d9fl
PROPERTYOWNER ! I /YV TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
i
Energy Code Cate9orY _ 1II.N'\'tS0'C.1 RULf:S iGiO C:1'fE.GORY l 1, NIIVNk:SO'f.1 RUL1iS 7672
(J submission type) . Residen[ial Ventilatlon Category 1 Worksheet Submitted li • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Su6mitted ,
Plumbing Contractor: ____
Plumbing sys[ein includes:
Mechanicai Conhactor:
Mcch:mic.il svstcni includc,:
-- :1ir CondiUoning
-- Efc.u Rl Systcm
_ Plionc #
Lawn Sprinklcr
No. of R.I. Baths
_ IlPhone #
Fee: $90.00
Pc ?: :$?70
StP 0
uu
Sewer/Water Contractor: Phone # ?
I hereby acknowledge thai I have read this application, sfate that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin 1' es /
Signa}ure of Applicant
OFFICE USE ONLY
Water Soltcner
Water Heater _
No. of 13adis
1 %-2s
RemodeVReaair Reauiremenh
• 2 ccpies ot plan
• 1 set of Eneryy Calculatbns for heated addilions
• t site survey 1or extenor additions 8 decks
• Indicate if:home serveC hy septic system `or additions
VALUATIONp I D'rDOO
Certificates of Survey Received _ Tree Preservation Plan Received p_ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? OH 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 l.ower 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 Sidfng
? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaWi o C.O.
_ Footings (addicion) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & W
Roof arer Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_
_ Framing _ _ Siding SNCCO Srone
Fireplace
R.I. Air Test _ Final _ Windows (new/replacement)
_
_
_
_ Insulation _ Retauvng Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Buiiding Inspector
.. ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
namomm
FOR CITY QSE ONLY
PERMIT #
RECEIPT #
DATE: O ao? !?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME: H,k
?EY` IDNCV?'vG?(
SITE ADDRESS:E/ 7S-- SooV Z
LOT: r BLQC?C ?_ SUSD. kfLQ./P147ffDd ??.1DsLLCA
INSTALLER: .3G_0 tV-'h,d1i tic
?
ADDRESS: J9?3e' NOY?Va?,C?Y?- BI1rd.
cITY: ziP: sSYY?
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 ,oo
? WATER CIASET 3.00 9.00
.2 BATH TUB 3.00 G•uo
?o LAVATORY 3.00 /$:0-
( KITCHEN SINK 3.00 $,oo
1 LAUNDRY TRAY 3.00 co
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ,co
/ FIAOR DRAIN 3.00 ao
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 ' un
? ROUGH OPENINGS 1.50 k So
' OTHER
? WATER SOFfENER 5.00 .00
PRIVATE DISP. 15.00
? U.G. SPRINKLER 3.00 00
SUBTOTAL $ 4 ve. <p
ST. SURCHARGE .50
TOTAL: $ 447 0"
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BI7ILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
- - - - - - - - - -- --
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 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)
.y
CTTY OF EAGAN
L.1r ? B MECHANICAL PERMIT RECEIPT # ..30?
SUBD. _,?tjpj,? (612) 6814675 DATE /O 3a ??-
?o? 7 3 / xESIDErrrraL
PI.EASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSO, COMPLEl'E FOR
TORNHOMESJCONDOS WHEN SEPARATE PFAMn'rc ARE REQUIItID FOR EACH DR'ELLING UNIT.
OWNER: ADD-ON A/C ADD-ON FURNACE?
SITE ADD S: ADD ON/REMODEL MIIS1'ING
CONS1'RUCCION ONLl) $ 15.00
INSTALLER: HVAC: 0-100 M BTU 24.00 `
PHONE ak: SX.,? /?lQ ADDITTONAL SO M BTU 6.00
ADDRESS: ?p 3 Tf?" ?/t/. GAS oUTLEI'S - bMA7[rM t@ S3 EA. ?, a a
C11'Y: Q CA) cL SURCHARGE $
SIGNATU • r TOTAL: ?a2 ? 1.4c
v -
NO PE?tMIT REQUIRED FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMhiE1tCIAIIINDUSTRIAL BUII.DINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLiNG UNIT.
WORK DESCRIPTION: CONTRACI' PRICE FEFS
196 OF CONTRAGT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. a
PROCFSSEII PIPING • $25.00
$
MINIMiJM FEE - $25.00
OWNER TOTAL: $
SITE ADDRESS:
1'ENANT:
SUITE #:
INSTALLER:
ADDRESS:
CI1'Y: ZIP:
PHONE #: CTiT SIGNATURE:
SIGNATURE:
IL_
4)0
- ciiy 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 singie
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.
Edward J. Kirscht
Sr. Engineering Technician
cc: Michael Foertsch
EJK/je
Date:
City orBaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
12
Use BLUE or BLACK Ink
For Office Use
Permit #:
/()
117, si'
Permit Fee:
Date Received:
Staff: leo
2012 RESIDENTIAL BUILDING PERMIT APPLICATION,
Site Address: Unit #:
RESIDENT />
OWNER
i' --$31C V6,511 v7c .5 Ey Phone:
Name:
_15(/
p
Address / City / Zip: / 7 1" 8 o& Ui
Applicant is: 'Owner Contractor J
TYPE OF WORK
Description of work: ig�f Ke 1 it,
Construction Cost' Multi -Family Building: (Yes / No )
CONTRACTOR
Company: Rhscle. i Zyd 4540E4- ContacixL)6 ,j
Address: "9' / zn 6 TA !). 112E City: ��a�
State: Zip: ' C 1/ Phone: h51_ % —,A 7
r�
License #: 'C 3 75, 7' 6 3 Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are cons red to bar public info ion Portions of
the information may be classified as non ,tic if you providespecific re, sons that would p rit the City to
conclude t►at they are tri cr
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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S
days of p,rm€t issuance.
x 6 G4eri
Applicant's Printed Name
'ng Code must be completed within 180
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 1) IPZ 2-
_ Porch (3 -Season) _ Storm Damage
Porch (4 -Season) — Exterior Alteration (Single Family)
SUB TYPES
Foundation _ Fireplace
Single Family Garage
Multi 1- Deck
— 01 of Plex — Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
4 Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%4.)
Census Code �°
# of Units
# of Buildings
Type of Construction
Interior improvement
_ Move Building
— Fire Repair
_ Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (Screen/GazebolPergola) _._._ Exterior Alteration (Multi)
Pool _ Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Air Test Final
Siding
Reroof
Windows
Egress Window
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
-x Final / C.O. Required
Final I No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air/Gas Tests Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings Backfill ^ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
• . ' To
SEP -16-'92 mi 14:15 I D: JAMES R HILL INC 1EL. NO: 612 890-6244
P.02
#531 P 1
k �.
SURVEYORS CE TIFICATE
•
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1
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L.,
JULIK • ADLER CO, INC. '.., .:;
pl.
h $rimt
MUSE LOC.5
9166 I OP 02140 il W `'. ,' '
463+IR70••9Q
45)
/2
Q1 f til ,r
\\A-4<ry.ml.486G1 \...;./ Lj
NQTR e' UU • 143
\11
•
• NOTR: NO 9'SCY1c SOLO tWerneATION. HA$ .
snits "ID '$1I�SO1! TNN' I •' 1
NOT 7'11E RESPONm0IR1?Y Of THiA .8
.wr.91---- i)E3r117Ti?$ PROPOSEDtSURFACE DRAINAGE- ,
EA Aid
ENGINEER.IN
0 DENOTES IRON MONUMENT SET
• DENQI'E$ IRON MONUMENT FOUND
• X000.0 DENCtTES EXISTING ELEVATION
, : ' f0.004 DeNorse PROPOSER ELEVATION
SCALE: 11NcH- . gQti �;• FIST:: ::
PROPOSED GARAGE FLOOR
PROPOSED LOWEST FLOOR = 9:0rr• ; PEET.::
PROPOSED TOP OF BLOCK — �,fa.•:' •ST;'.'.
w1NE HEREBY CERTIFY TO J ULIK a ADLER CONST INC. THAT THIS ISA TRUE AND CORRECT . .
' ,. - REPRE$ENTATION OF A SURVEY OF THTa BOUNDARIES OF:
Lot 5 Block 2-, D FRWOOD PONDS, according totho recorded Oat thereof, Dolota
i' ouotir t• Mut •
*IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHAWN. -AS
'...SURVEYED BY ME QR UNDER MY DIRECT SUPERVISION THIS 31ST DAY OF AUGUST ,119 • . s. -
SIGN
. -
SIGN
PSD U1%ADES BMtIINRC TAKEN
,PN'S TNR WOWS0 WVr'
PLAN M VIDED IT MCCOMBS HANK
ROQB :A590CIArES, 1140.
HILL, INC.
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•
JamesR. Hill,
PLANNERS /ENGINWRp 1 L11.3
MO W. DTI. RD. 447• MANVILLE MN. 6 e t ;ai 9
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA115230
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 4175 Pond Wynde S
Lot:5 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-050
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.
Jamie Rippel
12850 Chestnut Blvd
Shakopee, MN 55379
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William C Doneshefsky
4175 Pond Wynde S
Eagan MN 55122
Appliance Connections Inc
1313 Danita Circle
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124850
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 4175 Pond Wynde S
Lot:5 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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 -
William C Doneshefsky
4175 Pond Wynde S
Eagan MN 55122
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137484
Date Issued:07/07/2016
Permit Category:ePermit
Site Address: 4175 Pond Wynde S
Lot:5 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-050
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.
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 -
William C Doneshefsky
4175 Pond Wynde S
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145995
Date Issued:10/04/2017
Permit Category:ePermit
Site Address: 4175 Pond Wynde S
Lot:5 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
William Tstes C Doneshefsky
4175 Pond Wynde S
Eagan MN 55122
(651) 905-9003
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155028
Date Issued:04/24/2019
Permit Category:ePermit
Site Address: 4175 Pond Wynde S
Lot:5 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
William Tstes C Doneshefsky
4175 Pond Wynde S
Eagan MN 55122
(651) 905-9003
Twin City Fireplace & Stone Company
6521 Cecilia Cir
Minneapolis MN 55439
(952) 529-5797
Applicant/Permitee: Signature Issued By: Signature