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4183 Pond Wynde S. ? ..? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: • INSPECTION RECORD PERAAIT TYPE: Permit Number: Date issued: 1 0 i; 1 i{i ?1 ? 7; : I'll?+Il+ lJYNUF `:. PERMIT SUBTYPE: , APPLICANT: WC, f 1 MAhI H1.1N11 ?. I NI ( f:. 1.' ) si <J4 v80i TYPE OF WORK: 011, 1 l 111 Mo$ O. A S t . arsl0 ?il(ia INSPECTION TYPE D. ON TYPE D• , r01 ! I'li, i? illti?l! I li !I t??, ?•?Itl?i? ? if ;i I?i i! i'!, .1 I I lit, I 1 IIf11 Fll ri1fl10, %: ;) & Ld F'I. ttR ut Nc*F L P l. NC. ? ? Permit No. Permit Holder Date Telsphone M S!W PLUMBING 9 Q ? HVAC ELECTR ELECTR q,0 Inapection Date Insp. Comme?Its Footingsl Y Foundation " Framing p -. rd?? gj RooPing Rough Pibg. ROUgfI Htg. r Isul. G? F,replace ?119 l i??y-9Y Final Htg. Orsat Test Final Plbg. J Pibg. InSpeCtvr - Notiiy Piumber Const. Meter Engr./Plan Bldg. Final DeCk Ftg. Deck Final L? Well Pr. Disp. ??? ?Y/Y? ? ? l vil ? .0 a.4.;,,` Wertcficate vf cccupanc? - cvttv of Cfagan 4Cpartmeat ef ZrO* an#?cction This Certifecate issued pursuant to the requirements of the Uniform Building Code certifying tftal at the time of issuance this stnrcture was in compliance with the various ordinences of the Ciry regulatirtg building corestructivn or use. For the following: Use Cisssification: $r' DWG 8ldg. Pemut No. 24312 O-Aq-CY TYPC R3R`! I Zoning Di.wict R I iype Conxt. Vn o.Ynwof awwfing HCFEMAN HQMES ItC wa*,,. 2214 E! 171H ST. B'%1ll8 swWM Aaamn 4183 PQM WYNBE 904TIH L..w;qI, l, B I, Dffi3JUCD PUNIDS a.u: su"ng officiALI Pos-r iN a coMSPIcuous PLacE Address 4183 Porm wYrmE SouBi Zip 5512 2 I.ot 1 Blk 1 Sub DEERSxbD PMs THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Peananent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch ? Basement 5nish Deck 'V' Please verify with the builder the removal of roof test caps from the plumbingsystem and the shutoff of watet supply to the outside lawn faucet before freeze potential exists. Cantact engineering division at 681-4645 before working in rightrof-way or instaping underground sprinkler syscem. ? Whitc - City Copy Yellow - Residenl Copy . Pink - Contractor Copy y as s G17 J aJ4(j- O??70 "° Reaues11)ate Fire No. Rough-ln Inpsection Repulre0 (VOU musl cell Inspeqor when roetly) Vas ? NO I?spec6on OMer TM1an Rough-In ? Reatly Now ? W i0 Natlty InsOatla Dale Reatl licensed contractor D owner hereby request inspection of above electrical work at: Jo0 Atltlress ISlree , x or Foute o.) City <f Sec[ian No. t wnship Name ar No. Range No. ' Co Occu antlPqlNT? r 1?m Phone No. - 0'1 Pa r upPlier Y\AY- Atltlress ncal Gont clor ICo{n08 Y Name Va r5 M iling Fo 5 1 nVact or Owner Making 1 1 allation, A horize Slgnalur I onVactor/Owner a-ng Ins?all tionl P 9 umper MINNESOTA STPTE BOARD OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. - Room S179 6E ACCEPTED BV THE STATE BOARD 1821 Ilnlversity Ave.. St. Paul. MN 55104 UNLESS PROPEF INSPECTION FEE IS vhone (612) 642•0800 ENCLOSED. P?/as/N N.74906 i.REl FOR ELECTRICAL INSPECTION ? See Inslmctions for completing iM1is form on back oi yellow copy. "X" 8elow Work Covered by This Request ffyaM? €a E8-00001-OB . eN Aou M. 7ypeolBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heeting Apt. 8uiidinq Dryer LoaA Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Oiher Isuecify) ConVactor§ Remarks: Compute Inspecfion Fee Below: # Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 t0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SI(JOS Inspecior5 Use Only: TOTAL ' Irriqation Booms ? (J ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Elecirical Inspector, hereby if Rouqn-rn ? oace cert y that the above inspection has been made. Finai ? ?l_ ? oeia? OFFICE USE ONLV This request void 18 monihs from 9?G?$fl e /2?3 f -/ 115d f ? 35 f 'V C974897,C/ 2 ? 7 ReQUest 01 Fire No. ROUg?-In Inpgecfion Requiretl (VOU mue call inspactor wlien reatly) Ves Ins IXion Other Than RougM1-M peaEy Now ?, WIII Nolfty Ins?r OateReatl -0)'L llicensed contractor ? owner hereby request inspection of above e trical rk P° Job ApOress (Streel. or Foute No.) City S? \No. ? Towns ' Name or No. Occu ntIPqINT) Prona No n PO upplier AOtlress ? • Eleclnc I Gonvaclor ICOmpany Namel Contraclor§ Licensa No. Q ?A06 $? Mail n Aptlress (COnvac?o Owner Making Ins?ailalionl e p 1??y J 1w ? /\J?1J.JV Au ?onEeo S?gna[ure (Conlracror:Owrar Makinq Installation) Phone Number -v. r" .5b ?ay iii-13a- boz?o MINNESOTA STATE BOAHD OF ELECTflICITY TNIS MSPECTION REOl1E$T WILL NOT Gtlggs-Mltlwey Bltlg. - Room S173 BE ACCEPTED BV THE STATE BOARD 1821 llniverslly Ave., St. Peul, MN 55104 UNLESS PPOPER INSPECTION FEE IS Phone(8/t]l 662-0900 ENCLOSED. REQUEST FOR'. =CTRICAL INSPECTION ? See Instmchons lorAr9 this lorm on back ol yellow copy. ? EB-0WOt ?i 074897 "9C" Below Wak Covered by This Request e Add Rep. Typeof8uilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Waler Heater Eleclric Heatlng Apt. Building Dryer Load Managemant Comm./Industrial Furnace Other (SpecHy) Farm Air Conditioner aher (syeciryl Conttector's Pemarks: Compute Inspeciion Fee Below: # Other Fae S Service EntranceSize Fee # Circuiis/Feedars Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps . Above 100? Amps SIJnS . Inspactor§ Use Only: TOTAL Irrigation Booms y ? 7 Special Inspection 3 r674 o t 7 THIS INSTALLATION MAY BE OR IN40T CONN??S1 Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby iif th t th b i i h Rougn-in oate cer y a e a ove nspect on as been made. i OFFICE USE ONLY This reQUest witl 18 monIDS fmm 41?1 -city of eagan MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 26, 1993 SUBJECT: STREETLIGHT ENERGY COSTS - 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. ?7.,.? Edward J. Kirscht Sr. Engineering Technician cc: Michael Foertsch EJK/je PI,EASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. Ai:SO, FOR TOWN°HGOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH-UNIT. ' --- - ----------- - - - - - ------ SI'I'E NO. FIXTURES SHOWER ? WATER CLOSET BATH TUB LAVATORY ? KITCFEN 3INK LAUNDRY TRAY HUT TUB/SPA WATER I-tEATER ? FLOOR D12AIN GAS PIPING OUTLET • minimam -1 ,?3 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. = oetch: uc-_ U.G. SPRINKLER • eome unckr om,,. ALTERATIONS • w adaune, W.4TER TfJRN AROUND STATE SURCHARGE TOTAL: OWNER F EH TUTAL , 3.00 3.00 3.00 100 3.00 3.00 3:UQ 3:OU 3.00 3.00 1.50 5.00 20:00 3.00 20.00 20.00 ' CTTY PHONE #: (t/p 4?5- a ? /?5"'(o S STATE: /y/ /P/ ZIP CODE: ?? ?-°• ???-? SI NATURE OE' PERM ITTEE 1994 PLiIMBING PERMIT'ARESIDEN.TIAI:) _ C1TY OF E-AGAN 3830'PIIA`I' ?KNUB RD EAGAIY N[N 55,122 (612) 6814675 FOR:. _ _ CITY OF EAGAN APPT.ICAIVT 1994 YLUMBING; PER1kIIT' (CQIVIMERCIAI,) CITY OF EAGAN 3830 PlH T I{N,OB RD _ __ FAGAN MN:-55122: (612) 681-4695: PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION _ ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE %"/c?- '?l LI HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMLIM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExisTiNG CoNS'rxUCi'ioN) STATE SURCHARGE TOTAL SITE AD OWNER INSTALI FEES $ 24.00-? 6.00 -' $ 20.00 .50 ? ? TELEPHONE #: 91y' 9 CITY:_MnL S, STATE: M ZIP CODE: 67s7l?z I z TELEPHONE #: 82 S" 19 b Q t??-?`?? / • SIGNA RE OF ERMITT E 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMYLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ISATE: CGNTFcACI' rRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ?;".FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF r: ?'W FEE. TOTAL $ S'TE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLI) INST. ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PERMIT --kCITY,OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: Permit Number: Buz?orNs 024312 Date Issued: 0 8/ 0 8 f 9 4 SITE ADDRESS: 4183 POND WYNDE S LOT: 1 BLOCK: 1 OEERW00? PONDS JL.'bp?o I p?q? DESCRIPTION: R?u'i,lding>?Permit Type Buildzrrq 46,rJc Type UBC Occupancy'^?, Canstructian 7yp•e Zoning -'? Building LengtM / euilding Width J Eiuilding s.tories t SF OWG NEW R-3 M-1 V-N R-1 54 36 2 ?? REMARKS: S S W PLBR - WENZEL PLBG FEE SUMMARY: VALUATION Base Fee Plan Review 5ureharge SAC SAC % SAC Units Subtotal $825.00 $536.25 $76.50 $800.00 109 i $2,237.75 $153,000 MISCELLANEOUS $1,828.50 7ota1 Fee $4,066.25 CONTRACTOR: HOFFMAN HOMES INC 2214 E 117TH ST 8URN3VILLE MN (612) 894-9807 - Applicant - ST. LIC 18949807 0009284 55337 OWNER: HOFFMAN HOMES INC 2214 E 1177H 57 BURNSVTLLE MN 55337 (612)894-9607 I hereby acknowledge that I have read this 3nformation is carrect afld agree to comply StaCut.es and Gity 6f Eagan 0rdinances. ?. Z.11'1IC /P RMITEE 51 NATl1RE applicatian- and staCe that the wzth all applicable State of Mn. ? ISSUEO Y: SIGf RE -1 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 1 BLOCK: 1 4183 POND WYNDE S HOFFMAN HOMES INC DEERWOOD PONDS (612) 894-9807 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILDING 024312 @8/08/94 INSPECTION FOOTINGS .. . FOUNDATION .• FRAMING ROOFING INSULATION FIREPLACE RpUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S& W PLBR - WENZEL PLBG I_ J t43 I CITY OF EAGAN I 1994 BUILDING PERMIT APPLICATION 681-4675 ?G { A1 ,; ?_r ?, r? .sn rt= n e e w nS. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si surveys, 1 copy f energy calcs. AUG 0 3 1994 COMMERCIAI 2 sets of architectural & struct ra1_p1aris.,_1_sat.n specifications, 1 copy of energy . 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) lot change is requested once permit is issued. Date Ax+aus} Yaluation of work l95% 000 Site Address: y??3 po?lO WjtJOE 5V,,,Tw STREET SUITE k Tenant Name: (commercial only) 1.11A LOT ? SLOCK 1 SUBD. D"R4A06 '?O?3t?y Fp - I' D' # Descri tion of work: The applicant is: ? Owner Contractor ? Other (Describe) Name Ho1'piMytJ Phone 8q4-4%O"} Property LAST FIR:r Owner qddress ZziN E. l i`N'1" SVtieEf STREET STE # City $?.1b?+WL State Mr.l Zip 5S331' Company ???'+r?1w? r'6MESj '1aJC. Phone $94-q$fll Contractor Address ZZ14 ?- ll'?TN S-04C-1 License # W"E''f Exp. 31M(4 City gwari?i???. State m?I Zip 5533't: Company Phone Architect/ ' Engineer Name Registration # Address City State Zip Sewer & water licensed plumber WF*ZEL, ?LiwY?A.06 Processing time for sewer & water permits is two days once area has been 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. VAGyAE5%=141. Signature of Applicant: ? OFFICE USE ONLY '? - I a? ' BUILDING PERMIT TYPE ? OI Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish p 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 3wim Pool ? 03 SF Addition ? 08 8-Plex 13 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Ueck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE p 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 'Repair ? 36 Move GENERAL INF ORMATION Const. (Actual) 1/1%1 Basement sq. ft. /o Y MWCC System (Allowable) lst F1. sq. ft. /aef, City Water ?c UBC Occupancy ;- ( 2nd F1. sq. ft. ? PRV Required Zoning p-7 Sq. Ft. total. . Booster Pump # of Stories 2 Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ?o Depth 7 On-site sewage SAC Code ?L Census Bldg APPROVALS Census Unit ? Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? 5ite (D Footing I,3 Framing ?ff Insulation ? Wallboard 19 Final ? Draintile ;1P Fireplace Permit Fee veims;a,: g 15..3 C)!?G Surcharge Plan Review & License 33, ? x aG.y' fy MWCC SAC t3? bx?y, 3= ? City SAC «?9 ,y'bQ ' 7S186 Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge ,z,7 = liSG bS?i' ? Y Lry 01 Treatment P1. ? Road Unit Park Ded. ? Trails Ded. Copies ?r,,?X 3d??{ = '156XrL 7??f(o Other Total: 5AC % 5AC Units 1 Sa? ?l 66 ?9.06? v 9Q13 /P I VT` ? 8sa.,e °v?°" , Z ? ?'' ? ?x?,n? ? ? . ? ? db os CERTIFICATE 0F SURVEY FtJR:WC?FFMAN HOMES oa.ao? ? ? EP??`jEp w 4A'? 90210? 00.70 Poe . 00? . i yState0.90 ?? q?d1a ? ?? %+?/ ? 7SI9o/ S. .' ? os tt e?`?Zs EAGART DEP'l: 9r?s? LEGAL pESCRiPTl4N;LOT 1, BLOCK 1, DEERWOOD PONC}S, DAKOTA COUN7Y, MINNES07A. IuiERILA & ASSDCIATES ENGIJEERWG SIAiVEYRJG PLAMG 8467 73RD AVE NORTH,$IATE $'J BROOKLYN PARIt. MMINESOTA 55428 7E1.. 872-533--7595 FAx 612--s33-1e37 SCALE 1°-30' ''I? 0 o?NO'rES PoN uoN. I x uMres exisrnuc ELEVarIoN 0M07rLS q120PO5E37 ELEVATION 912 70P OF FOMA7ldJ 904.7 SA5p0h7 FLOb12 9177.9 Loou our IS IS A 7" AND COpREC7 Y OF THE BOUNDARES OF 7tE OF THE LOCA710N OF AlL BUA.UNGS. dRf F EWCROA04JETTfS, Y' ANY, AS SURVE Y 3? ,.,,_DAY OF ? 7,g ?' ,FwftEC. NO 74888 LAf? SURV a2 `? ? 94-012 ?v/?? S?/Ay/4d JQB NO 8-979 612 533 1937 08-04-94 11:49AM P002 1$36 ?.. LOT SIIRVEY CHECRLIST FOA RESIDENTIAL ? BDILDING YERMIT APPLICATION $ S2 $ROPERTY LE6AL• Data of Survey: 2 DOCLJMENT STANDARDS ? 0 • Registered Land Surveyor signature and company ? 0 • Building Permit Appl3cant 0 • Legal description p? 9 0 • Address ??FJ 0 • North arrow and bar scale p' ? ? • House type (rambler, walkout, split w/o, split entry, ? lcokout, etc.) C? 0 ? • Directional drainage arrows with slope/gradient 8. 0 0 Proposed/existinq sewer and water services CY? • Street name Li? 0 0 • Driveway ELEVAT20N8 6 0 0 • Existfnq i Sewer Berv ce P0 • Lot corners ? ? • Top of curb at the driveway - D?? • Elevations of any existing adjacent homes Provosed GY D 0 • Garage floor ? ? 0 • First floor I?,D ? • Lowest exposed elevation (walkout/window) 0 • Property corners GY ? 0 • Front and rear of home at the foundation pONDING AREAS (if aDnlicable) 0 [Y ? • Easement line 0 [Y D • NwL 0 C---0 • xwL D CY 0 • Pond # designation ? 0 • Emergency overflow Elevation DIMENBIONS 8;? 0 Lot lines • Riqht-of-way and street width (to back of curb) Ci'? 0 • Proposed home dimensions fncluding any proposed decks, overhanqs greater than 21, porches, etc. (f.e. all structures requiring permanent footings) 0 0 • Show all easements of record and any City utilities within those easements D p • Setbacks of proposed structure and setback of adjacent existing homes D 0 • Retaininq wallygquirements, if any October 1992 3 B. M. 4 • ?v /83 E HMARK: TN.H. ELEV= 893.15 (7 ,Z D REMOVE AN` REPLACE STREET AS NEEDED. 611 GATE VALV? 6"-I/32 BEND ? 15'DRAINAGE & I UTILITY EASEMENT-? J\ ( r I 5 t' 7 ? tH.9 / ? REMOVE' -STUB ? io' NOTE: ? Ti n[.i? wA?? g "T ?. , ? ?, ? '? \ ? 16 8EI 2r5 I/8 & !I 1o, 1f ? 1 I I ??. ? 1 ?? L' '-: I L L_ r, i? . , ?? ?v i ?r ?r C?F {=P.GRIt1 DOcS No7' CUARAi' i Yi.:'1 •; ;-,;; (."L ! ? ;!1CY OF UTILITY LOCA70im+; 1_''r:TIOfL'S. THIS DATr1 l; ??•G?11 i PUR?OSFS G'?4'; [:: -_ . , . -.. .-• IT ?,,..• ?r?? _ 'rii? _ . . .:,.:. ,.r, .,_. . . il . .. . .. :??, _. ?i i? v YPICAL SERVICE 1 JER- 4" P.V.C. SDR 26 .11 _..,.,? 1? rnD17p7R ?i li I " ?? ;i t I i ? ? ii I? ?i = I 611 X6" TEE 6°-I/8 BEND ? ; 6"- /168E -- L -i5' DRAINAGE & ? H. 13 / i 1 2 6"-I/S BEND IM. 14 3 O J H ? O VE TREE ?T ??--6" PLUG TOP OF WM , ?. c ,. ? L' J r 1 G? ali san_ A and B. by the RET. WALL ? / 4 ; o'MH.I? ', _ I . I ? 3 ? MH ! 9 MH 0 I IV1H, 11 . i ,. , : • ? i _ MH? 12 - , ? 9078. I..... i I ? I _ ? 60 4? . ? ? f PROROSED 10. CL:52 _. M. .. ?... . ___ ... ... .. ... .. .. ..... ... 994.5 I.. I i , _ _ _._. h ... - y? ._ .... .. ._ ._ ? . . ... . . . .I .. I. ... i . 8.91.7 ? ... .__ _ ... ._. ._.. .... .. ?p .? . ..? . ... ... .. . _ . _ ..u ?r?..?` Q u. G .. . .... .... _. ..._._ 890.2 .. . _Q. ? ? ... ..... .... . ..... ._....._?? . .. .. ......... , _ f?.....? .. ..._. _..... ......_ ... _. ....N ? _... ... ... ... _. .. .... rr? . . __ .I .? ,... .co /...1. . f".__.. .... .... .. ...... 1 .., ... ..... . . ..... .. . _... .. .... ..... ..... ....... ... ...... . ,.... ? ._ _ ._.i q {? . ?. 1 (? ... I .... ... I . .. ... . .... ... . .... .... ...t n .., 1 I ? rw .. E? XIS?.. 24 1.25 LF1 . . .. 8" .. . . .. . ? . . , } .. T ?. ... ._ _ _ ... I . .. . T.SE.W. ... PVr:- f N D Zd ? ?aunni.,i .? ti. . _ .. ... ... .. ? . I .. i ..._. .., n ,,. _.. .. . ? .. i - ? ? ? ? y; .. \is 1 k 1g ? ..}!V n M ?? r . u .. .. . .. .. ... ... .. .. ...{ ? ?- ? !? .. li i .. Gp/ . .. J o .... ... ... ... / . , . 1 ' t ??. , j.I'eV ?? n ? I;..I?F l}Y . . . .... I . ? ? i .. . ?MOVE I ? . PL-UG . ... . ? ? . . ......_ i i N ? 1? < .. . ? V .. _..? ... . .... ... . . ,.. . .. ?,XIS7.20L ? ... ? ... ...'. ?T , i - _. 8 Df 1 I ?.. ' ....,Z .!..' . .....:........._.................... ... . .................................. .............. ? ,. _.. i .. _ . _ _ _.,. _ _. SDR=: 5 SDR=:26 _:: SDR 35 _. _, 77_.. _ _ 7 7_ .... .. i. . . . .. .. .. .. .... ... .._ ...., J ? . ,. _ _ ... . . .... .. . . _, y .: .I ? . ......... y., .. , ... ._ . . . .. ... .. .. . . . .. . . .... . _ . .. ... .. . .... . . ..... . _ ? . .. . . .. , . . .. ... .. .. . .. . ._.. . .. ... .. ... .. .... .. .. _ .. . .. . 1 ? . . . . _. . ,. _... _.. .. _ ....................... ........_... ..,................_,....._ ...? _..........__................. ... ..................................._. ... .... ................................ _ ........... ..........._ .... .. .... _ ..._........... . ........................... . __..._...... X . .................... ......_....._......__........... ..................._...._.............. ..... .. _.. ? ? .. ...: ......... ? ? . ?? ?-: . .... ?.. ? ? ? ? 0 0 ? .: -: :. : : ? .. ........ :_ -: _::: . . ..... .. .... .... . . . ... . .. . . .m. . . . ... . ..... . 11 .. _ 031113/1994 OS: SLl F12534 4 ::10 5 P1Ii•1HETGFlRK:; GESIGfJ F'::GE 02 •? EXTERiOR ENVELOPE AVERIIGE."U"_COMPUTA;fION OWNER: nnrro q? SITE ADDRESS: • PHONE: CDNTRACTOR: 14ofFt-?1J ?koN6S,XNC. pIAN fl C10????KP?o? Determine workiny square foota9e of each 1. Tota1 exposed wall area.:..- .32+77-.3?1 sq. ft. x.11 = 35°I ???P 2. Tota7 roof/ceiling area..... 1332.1Cp sq, ft. x .0162 3 Total exposed wall area above.floor=n?15l•?A a. Total wall window area ........................................... 2-70• 8S b. Total door area ........................... ..,.................. , ?. 3l ?1 c. Total ...................... . slidin9 91ass door area ............. 84 d, Total fireplace wall area........................................ e. Total wall'framing area (average 10p) ............................ 2 f. Total rim joist area ............................................. g. net walt area a6ove floor ...............:..................... h. wall area above floor ..................................... i. wall area a6ove floor .................... .................. i , frame wall area at foundation ......................... 7otal exposed foundation area= ^I? k. Total foundation window area ....................... 1. Total net foundation area above qrade .............. ? Determine "u" value of each wall seyment (e.g, w9ndow, door, each separate wall section) a. Z`?3,`? X = ?? b. 3? ;117 X „u„ C. x "u" •4? = 3q,z d. X "U" e. x 'lu„ ,d°1 = z-zt +? f. 31?..-? 1 X ltU„ ,??A = 1Z'5 9. x „u„ o? = $q ,Sg h. i x ,,up, _ J. x 1-Ull _ If item 83 is the 5art k, r "U" = as, or less than iteq 1. 1a- r "U" V0al(p - N1, you have met the intent of SBC 6006 (c 3 . .......... .............. ..... .... Total = 3Z?. \ 2 03?1011954 03:50 6129344305 hqI1JNETUhII<A DESIG'N PAGE 03 4. TO7AL &XPqSEp ROOF/CEIIIriG CALCULATIOHS: • Total cxpnsed roof/ceflinp area........ 32 I Co sq ft ,J) 7ota1 skyilnht area......, sq ft x"U" ? k) 7ota1 roof/ceflinq framinq area (Averaae )63,),.,. sq ft x"U" 1) Total net insulated roof/ceiling area....... sq ft x"U" 10'Z .. Z3, T07'AL j ) thrv 1) ?•?? If total oF #ti is the same as, or less Chan R2, yau have met the fntent of 2 ?tCA,R 1.16008 :^, ar.d 0. ALTERt1A7E BUILpING EPfVEIOPE DESIGN To utiltze [he total envelope system method, ehe values established by the sum of Items {'3 and k4 shall no[ he oreater than the sum of items K1 and N2. 1. -r 2, _ 3. `_ + 4. ? / susn ?;v? ? t,t,? ?o???. NEW RECEIPT ./ RECEIPT DATE 1'0 JOB ouN] IIAT'E /27 - ' 9 FirASE Br: ADVisEll 1'HAT 2'}ME IS A FEE SHORTAGE ON TME ABOYE d ELECTRICAL IHSTALLAITON IN THE AMOI7NT OF $S-7,e SHORTAGE MUST BE PAZD WHITHIN 14 DAYS. REl7ARK5 0[0 30 amn. circuits= /? cd ? 31 to 100 amo. circuits= °E?tM::l1 ORIG. RECEIPTlf 3132 ?2ECEIPT DATE '??- lro ?7r RETUkN A COPY OF THIS FO?tM WITH REMITTANCE. 0 to 100 amp service= 101 to 200 amD. service= TOTAL FEE DllE= $ + `1 vz -, ?). SO 2007 RESIDENTIAL PLUMBING PERnniT APPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. uo nor combine inside ana outsicie plumbing on the same application separate applications and pgrmits are required Date ?! v u I G? / - ? ? Site Street Address Unit # Property Owner ??Crom Telephone # ?? l?, Contractor Anuliance Connectians Inc Telephone #( Address 1313 DatllttQ[ State •' Zip --- ? : The Applicant is: _ Owner & Occa§flt445-4803 icensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee - E 100.00 Per as-built $ 10.00 Fire Repair (replace burned out flxtures, etc.) $ 90.00 This fee a lies when extensive lum6in re airs are made to a buildin . AI*eratians to existing dwellFng $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a wafer softener and/or water heater, do not complete this section; ? move to the next section and place a checkmark next to the appliartce(s) you are p installing. ?1 'V _Septic System Abandonment ? ? ? 1V D _ Water Tumaround (add $136.00 if a 5/8" meter is required) _Other. ? - - `. ? ? ? Water Softener Water Heater $ 15.00 _ new _ replacement _ Lawn IMgation _RPZ _PVB _new _repair _rebuild $ 30:00 State Surcharge $ 50 Total ? .y ...,, . - .. .. . . . i ???D..? =rrr ?-- a?•.z?uc?ium rlumo?ng rermic ana aacnowieage that the in(prmation is complete and accurate; ihat the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start witnout a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. So•Sv ,-----------------, .??u5e ? ? D Jc?P ? ? Permit #: ? ? 5o . -?n ? ? Permit Pee: I j Date Receiu ad?? I ? ? Staif: ? '---- JUL 0 7 2?1??J 2008 MECHANICAL PERMIT APPLICATION Date: ld o75/ O'ed Site Address: ?O J4C> 1! Tenant: Suite #: Name: Ge?-jL /?oB??LTS Phone:oS/-452'I216? RESIDENT/OWNER Address/Ciry/Zip; qIg3 ?CNa W?sV(p jT CONTRACTOR ?/?? Y?1R se?k? :^RL1Sc9Sfl62 Name:di(!C t`??ceo2 4i?'c.<i1k25 Licen Address: 190c+ ?¢rLdt l f-?-i CYN sr City: t-?FtST? ? ? 5 State:MN Zip: Phone: ?o S?-?f`57`YI ?7 Contact Person: d>• kFst.aD?4-t-?-- TYPEOFWORK -New -xReplacement _Additional _Alteration _Demolition ? r? !? l /P Hl?'" w . i tQ r Description of work: e. 9C 04 NOTF: 8qfh r,oo/mounted and ground mouni? mgchanfcaf equl?rmeR# is required,to ; be screened by City Code, Please contact tha Mectianical Insp?Ctar oc ane,of the Planners for information an 9rmFHed sareenin (rtethods. ? RESIDENTIAL COMMERCIAL PERMIT TYPE Interior Improvement New Construction Furnace _ _ _,LoAir Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit . " HVAC units must 6e screened _ Heat Pump Under! Above ground Tank ? Install!_ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FIfB f8P81f (replace bumed ouf appliances, duchvork, etc.) (inClUdes $.50 State SurCharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) - $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State 5urChafge $1,000 Permit Fee (i.e. a$1,001-$2,D00 Permit Fee requires a$7.00 surcharge). $ TOTALFEE i nereny acknovneage mat mis mmrmanon is compieee ana accureee; mae me work vnn oe in conrormance vnm me ommances ana coaes oi ma Uny oi oayan; maL I understand this is not a pertnit, but only an application for a permit, and work is not to start wi[hout a perrnk; [ha[ the work will be in acwrdance vnth the approvetl pian in the case of vrork which requires a review and approval of plans. x Appl canYs ?f? Printed Name ApplicanYS Signature POR OFPICE USE .,? x, Reviewea BX: ?'' Qateo, RequiredlnspectionstlUnCe(Grpu,nd ?"Roughi,ln'? AirTest- 'GaSSaruiCeIn-floor?.N#at PERMIT City of Eagan Permit Type:Building Permit Number:EA112775 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 4183 Pond Wynde S Lot:1 Block: 1 Addition: Deerwood Ponds PID:10-19975-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie 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 - Gerald F Weiszhaar 4183 Pond Wynde S Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature Date: City of Eke 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 792O1i Use BLUE or BLACK Ink r L For Office Use Permit #: Permit Fee: -.L? L) Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION \\an Tenant: Site Address: 4 !'6 3 70 1 a L&.) tj i1 Resident/Owner Contractor Type of Work Permit Type Name: Cip.., d Cue.+S7 I\ aa,✓ Address/City/Zip: 41�}�� Name: e c) 21J*k\ Address: 300 `' er, 1V(e State: tk3k Zip: 1 Li Suite #: Phone: LoSf 4S; /Q(pq Phone: License #: (0L4 j q--7 City: Ood,Soll 7/S 3-t 9 $'lptv7 Contact .J t yvl ,Ci(l©to.g..( Email: New ( Replacement _ Repair — Rebuild Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / ___ PVB) Septic System New Abandonment Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround 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 $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ LeO CALL BEFORE YOU DIG. CaII 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.gopherstateonecali.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. x AckM2S Scnv Applicant's Printed Name x Applic t's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Under Ground _Rough -In Air Test Gas Test __Final PERMIT City of Eagan Permit Type:Building Permit Number:EA120778 Date Issued:03/03/2014 Permit Category:ePermit Site Address: 4183 Pond Wynde S Lot:1 Block: 1 Addition: Deerwood Ponds PID:10-19975-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Gerald F Weiszhaar 4183 Pond Wynde S Eagan MN 55122 Polar Builders Inc 49 Riverwoods Ln Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121031 Date Issued:03/10/2014 Permit Category:ePermit Site Address: 4183 Pond Wynde S Lot:1 Block: 1 Addition: Deerwood Ponds PID:10-19975-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - 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. 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 - Gerald F Weiszhaar 4183 Pond Wynde S Eagan MN 55122 Polar Builders Inc 49 Riverwoods Ln Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature � ' � ' � Use BLUE or BLACK Ink � �------------------i I For Offlce lJS,e�� �^ � � I I d ! � �������� N�� j Pennit#: I � � .. _ . I � �a �:, � � -�/„ � � �-_.� ' ` � �� � Permit Fee: ���' � I 3830 Pilot Knob Road � ' � " � Eagan MN 55122 '�� � �C� � � 20�4 j Date Received: � � � � Phone: (651)675-5675 ET & � I Fax:(651)675-5694 ��,,. � � Staff: I , ___._ __.._. �--------- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � �'� !',,,,� � � ZS �y NI$3 P01�/1,1""�N�J7�- .J�W T� Unit#• � Date: Site Add�ess: Name: ��}$� �l�'�ON Phone: ���IC��t'�� ` � ��� �>: Address/Gity/Zip: ���3 �0�� w�l�Q�y �'�i�' ���J�� ����� f,�� Applicant is: Owner �Contractor .�,������� �� Description of work: �.OkJ4�1� �ii,(1�L �/A/I$1� 5 :° Construction Cost: Z� 0�► � Multi-Family Building: (Yes /No�) , Company: �I�iN1'/� l�O�l�{�fC�i/I�2 (.o�l�l�@'wN Contact: ��Lt1L CT�AL� � �� Address:�3SS r�I JQ(JI� �U�� �1/. ��� _ City: 1��i V��'� �� 51 Phone:7�'Zl�' ,�ZIZ Emaii: S�'L�k..°1�' '}'f•�1�7h'"�G.Ca� State:�� Zip: 5 �3 �=°�� License#: ������,3 Lead Certificate#: �1��" ����H�' � � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /( "f pH�� �r�r�2 I�i?g � �o �x�5r��u� QA�� i� G�n,a l�v�� 9� 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 Co�tractor: Phone: Sewer 8�Water Contractor: Phone: �����'�+���#��+�7t�`l�1�����'���� ��t���aE��l'�� � � , ���II��� ��� , �" � ��t#��1't����a'��;����1���►��`����,�'�K����5���������������,�,+��5���" „ �� � ��� � �� � �t��1l;�� ,.. ,. d ��.�. _. � ; r 5 .. . _�: �'h � .� � �. ��,�..:, x._ `...��...,, .v .:� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. CaII 48 hours before you intend to dig to�eceive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this infortnation is complete and accurate;that the work mrill be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not tq start without a permit; that the woric will be in accordance with the approved plan in the case of work which requires a review and approval of plaris. Exterior work authorized by a building permit issued in accordance with the Minnes a S Building e must be completed within 180 days of permit issuance. x ���!'7it/(i �""�' �C Applicant's Printed Name Appl nt's Signa Page 1 of 3 � ���n� � � a . : �--( 1�'� t�o nd �. o�c: DO NOT WRITE BELOW THIS LINE , � ��7� SUB TYPES _ Foundation _ Flreplace _ Porch(3-Season) _ Exterior Aiteration(Single Family) _ Singie Family _ Garage _ Porch(4-Season} _ E�cterior Alteration(Multi) Multi Deck Porch(ScreeNGazebolPergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool � Accessory Building WORK TYPES _ New _ Inte�ior Improvement _ Siding _ Demolish Building* Addition ` Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair � �ndows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retai�ing Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation O C�'J Occupancy --I MCES System -- Plan Review � Code Edition o07 SAC Units -- (25%_100% ) Zoning �� City Water � Census Code � Stories -.-- Booster Pump -- #of Units / Square Feet PRV "' #of Buildings ) Length _ Fire Sprinklers `— Type of Construction � Width --� REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_B�ckfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls — Other: Reviewed By: Building Inspector RESIDENTIAL FEES p��„� � � ��'� f � („�O � Base Fee ����� ._.- Surcharge �� '' Plan Review �'�� � --�-�--- MCES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant Copies TOTAL �� Page Z of 3 _ _ 1 ��Pr�S . .f�`� �l/8'3 �o�✓A G+/�/.vp:c S ����-���'� ° ��o�►�m�r���.�r�:����c��� �CT � 1 ��,� � . s � . � � �������:���� � � /``� ,E��t«�d: i%Fa�A�sis[� ��3i�t V�nf ��i���BttNiir � ([doi�a�s as�isfet� &Ptv�er Ve�t I 1�a �ea�r- ��t��i _.,_�� _.3�ir�t 1f�t )n�+u� ��'�Sft�k�` �A�#a��SS�dJ �,�P�rer�# � . � �v�e:c,Fit�Co:r�a�tx� � . ' �e tG�rz�itairr�g�rr�n�� . � ) . � .. Tf�C���i:��,to�e at�the�tsy tx�cari��t�, t�S vc�l�' �t�fl� . ��e�ir C���t�taaa��kt�i�� , , ����i vat��ave��e�a�d�a'tabie E-1 fa�t�e��#���C�i��€�. �the ye�raf coc�c�n tr�ACt-�i��[a'ib�im,ttse m�i�d 4a(5�rd�d�- � �ne F����e•€t�Ca�t�tiat R�: : ' �ta. Standa�� ��jJl}c�� "��tt�r in�t of� " 'ai ap�ces�3t3�#'��I,S1d7[T�R��T VE�,tl"l�.IA�tGES} I � Btuifir � �S#�i�`fi�isc�c�f�i ut T�e E'i te�d�1 Requi�V6Etir�� �:,�,�� 1�C�S tto3�me(f�n S�2�is.�naa#er t6an lRV-�S i��i�w operta�s are needed: � ���4��2}�������a���. � � �4b �Au i�twn�a{�CRdRI� �� '�ofi�Btt�ttir��if�Ea�-a��t�an3 p����s ��� (t�t3 N{3T�€#Ul.��11�i`l�'CRPE�t.�ii�C�S� ir;��---�-.,-Btt�}ir i1�Fa�-A��ed A�?c��olt�n li�Tai����a'�nd . �1�i�ie Fa�sAss�d�R1tf�j RVF�,�C�� t� Tt�St�i�r�ipu#of a�t�t-fa�t�d ap�iiari� I�p� �� Btt�tftc [�t�ore-Fa�r A�S#ed A�`t�s:cttha�h�t 3`a�ie�-i�a fit�f � �uir���ne i�rs-�arr��i?yh�A) �tNEA��� � � �� �(t� :�� ` �'��Vo��ttne�t'R�j:=R��t}t�{s; 7€t����� � � ,���fl��itt������*���'�ti��tf0 i,�1b�II�Ct���R2�3�: tFG�S Yolu�(i��2��s t��TFtV��ta ST�':� " C�f�e�he tz�n c�-ava�b��n�'v�lu€�ta�#ci�teq�i'ed vo�r�e. t�l fi�`�1S V'���n�2}c�i�i 6y'fRV{�rot�t��tsr�4Et} R�=�1�� r�� ��a€��n�a�'�. ; . , ' � � #�=i minas€� RF=�-��� = � �ate su�te oeatd�r op.�g as�ail c�ambu�iQi:a�r is��de, T��'i��t t'sfi a��it�n Ap�ia the'sa�CAS(EXC�t'�'t31R�GT 1�#'j 6npu��_��_.�_..�t�" . � �ort Ac.di�r ded'����t�ftr�per§� CAflA-�'���3��u1Hr pe�in��� r` � Ga�ab�i�i'�n€mt CAUA. , . �1�ri�zt�A{3A-Cf�'}�4�t#ipt�e�by R� #�C��tn GAOA=�� x____� it�2 � ; �a�.�i�fit�iy l���fliar�'�� E ; CA�=4..t3�usi�C��y#�sc�uar2 r+��f tu�tim�tm CAt3A �i{3�=f.i3 x.A�riu�cun t+AO�=�„�,� � 4 t��€re�i,ACii c��e tfetert���y ASHR�calt�lati�xi t�#1�d�c#`#es� Fo�ow pr�d�s��ection 3f�4. � 382 Use BLUE or BLACK Ink r----------------- I For Office Use � � � Permit#: ����� c' � clty of �� ar� � t,✓ ; � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: j Phone: (651) 675-5675 I � Fax: (651) 675-5694 I Staff: I �-----------------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �� ��'�y Site Address: �{ � � 3 �0�� L✓�/'/V�� ,S�LI� � ' Tenant: Suite#: �I Resident/Owner Name: Pnone: Address/City/Zip: ��`� � Pa"'� �"yN�r �DuTN Name: �jCl� �f�} �(''/� p/u�t 6���y License#: �C' � 4-t n Contractor Address: 5 �Z � /�-lP�f � c�ty: P/�•�GPTo� � State:�_Zip: �5 J 7� Phone: 7�3 - Z 1� y �3�» ; Contact: EmaiL l P l�y-'C Dd. Lo"'7 'Type Of WOt'k �New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work:_ � /v�S f{ �f��'eN�P!J / � RESIDENTIAL Water Heater > Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type �Add Plumbing Fixtures(_Main/�Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround''(includes$5.00 State Surcharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 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.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. �1 D �5�� �� X ,� ._ . App icant's Printed Name Appli ' Signa ure FOR OFFICE USE Reviewed By:, - Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manomefer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129074 Date Issued:01/06/2015 Permit Category:ePermit Site Address: 4183 Pond Wynde S Lot:1 Block: 1 Addition: Deerwood Ponds PID:10-19975-01-010 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. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Mary E Hanton 4183 Pond Wynde S Eagan MN 55122 (651) 888-2989 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature