1449 Ponderosa Cir. . ? .. . -..+ - ?aw . ? . .;?vY?'/rC"'Q". -a?r+ .. ..._ . '?4•'E
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PEPOJR). Receipt #
To be used for REp?C?T? Est. Value $7?'? Date A
11 ,,, 91
Site Addr ss 1449 POl1D?O?w CIR
MRMU P?
i? O FFICE USE ONLY
Block Sec/Sub.
Lot
P8fC21 N0. Occupancy - FEES
DMIRL iiIERM zoning - 29.00
s
Name
(Actual) Const
Bldg. Permii
W
;
Addf@SS
(Allowahle)
- Surchar e t/?
. ?"
0
City Phone
# of Stwies 9
-
Plan Review
Lenglh _
AL•3 lINISHIIIG IlIC
¢ Name oePn, - snc, ciry
to Addre s
-
YU6--
? S.F. ToWI = SAC, MCWCC
-
thone 451
City S.F. Footprints
S Water Conn
On
ile Sewage _
U¢
Name
On Site Well
- Water Meter
y? W
? Addf@SS MWCC System -
a Acct peposit
i W City Phone Ciry Water
i
R
d -
S11N Permit
PRV
equ
re _
I hereby acknowlege that I have read this application and state that the Booster PumP - 51W Surcharge
iniormation is correct and agree to comply with all applicable State of
Minnesola Statutes and Cit
ypi Eagan O?dlinances. , •
? Treatment PI
/
L-r • ,,.=
? 1 ? ``
Signalure of Permitee
APPROVALS
Road Unit
A 8uilding Percnit is issued to: ?"s?NISi1Il?G Il?? Planner - park Ded.
on the express condition that all work shall be done in accordance wilh all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies
19.50
Building OHicial - Variance - TOTAL
PsrmR No. Permit Holder Date Talsphone #
WATER
SEWER
PLUSABING
H.VAC.
ELECTRIC
Impmtion Dste Insp. Comments
Footings I
FamdaGon
Framing Y/« q u")Q1"'
Roofing
Fiao Plbg.
Rou9h H8•
W.
Freplace
Final Htg-
Fnal Plbg.
Const Meter Plbg. Inspector - NoGfy Plumber
EngrJPlBn
Bldg. Final ! 7 1f J- d
Oeck Ftg.
Dedc Fnal
Well -
Pr. asp-
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE: { I 11 i
,? ,.
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?•„rifI i ;'4f lk i?f N l rtv t,l.ttvl i{•.
,
I.`1 I??,i;l i td t•r?l;t, l+•i.'1 ??'=-1 i?ii:)
PERMIT SUBTYPE:
. ,
TYPE OF 1NORK:
nl CFRATi«N
INSPECTION DA . DA
RFMJAF?Ki:v CrENVU !=T ?iAR AAF INi0 F AMIt Y i+f)(1M
? . ?
? ?
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND _ q
r-
.
FRAMING
? i
ROOFINC3
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD '
FIREPLACE a,(,qG ..L
i-E3-
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL ,
UECK FTG
DECIC fINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i„ i" APPLICANT:
,.?; i?i i: r' ??.I, f .. ? ? .; r l i•rt, l
PERMIT SUBTYPE: TYPE OF WORK:
, i . ,I ,
INSPECTION
, ?, . i . n . . D• •
. D•
t INA1 ! }v
. J(
?_.
? J
Permit No. Permit Holder Date Telephone k
ELECTFiIC
PLUMBING
HVAC
Inspactlon Date Inap. Commenta
FOO7INGS
FOUND tq ?
FRAMING
cl'G-4?
w?K
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPIACE
FIREPIACE
AIR TEST ?
-
--
FINAL PLBG ?
FINAL HTG
ORSAT
TEST
BLDG FINAL r ? ! rjG /i!!??
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
Addition Evergreen Park Lot 13 B,k 5 Pefcei 10 24880 130 05
owne??-, ,?.?-Sz- :I - ! _, -6 - screet 1449 Ponderosa 5tate Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STFEET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 221 197-4 179.00 8.75 2
SEWERLATERAL
1
Sew conn c.
974
7
• 00
8.00
Paid
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 41Y"
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 20. DO 7523
BUILOING PER. 2 2 2-72
sac 37 .oo 7523 - 3-3-73
PARK
REQUEST FOR ELECTRICAL INSPECTIONIp
Rm f SI gicity
I IIII II III I I I II I I I I I I I I II II IIW?! I fl ` Minnesota
821 Univesity Ave Paul MN 55104 QA?
?y??(v
* 0 2 2 2 1 2 3 2 * Phone (812) 642-0800
Home Duplex Apt. Bldg. 01her: New Addn
H
ommercial Industrial Farm Remad Re air
ir C
ond. Htg. Equip. Water Htc Load Mgmt. Other.
D r
ry
Ran e
g
Elec. Hea}
Temp. Service
'X' above the work covered by this request. EnMr remarks in fhis space and on Ihe back of the white copy only.
wpllr-k. fMOjnoa
Calculote Inspecfion Fee - This Inspection Request will nof be amepted without the conect (ee:
ONwr Fee ¥ $ervice Enhonce $ize Fee # Circvifs/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps 0}0 100 Amps
Streef Lig./rraHic Sig. Above 200 Amps Above 100 Amps
Transformer/Generotor INSPECTOR'SUSEONLV
Tr
A
/L
Sign/Outline Ltg. Xfmr. _
,
Alarm/Remote Con}rol
$wimming Pool
Irrigafion Boom ? ha?6 <em ih i m: av. ?a .d bee.n? o?
Ro?9h.ln the dob::m?ed
Dek
eciol Ins
ecfion
S
p
p
Investigative Fee
.
Fiiwl D.
?
THIS INSTALLATION MAY BE ORDERED DI D IF NOT COMPLETED WITHIN 18 MO THS.
22 2-12 3 0 OFflC USE NLY This request void 18 monlhe lram volidafion dak pnnhd in Ais box
9 ra--1?'?
PLEASE PRINT OR TYPE
Reqeest Oab
?
'? Rough.in inapedion required2
Y
ll
h
h Y N. ImpMion OtharThan Roogh-In: ? Rmdy Now Will Call
R
d
t
d
D
,
sp e inspecbr w
(
ou m?xt m
I a
e
eo
y:
rea
O
I, 'censed conkodor ? owner hereby requesf inspedion of }he above eledrical work af:
J Pddmss (SM1eep Box, or Rook No.)
lYi PQrJ (u<asA cXc-k Ciry
It/+b-riiJ Zip Code
SsEa";k-
Sedion No. Township Nama or No. 2ange No. Fim No. County ^v-?
( T^?
T
O¢opam '
L)14rv wli Phone No.
sy-Z4i??
Power Supplier Pddress
Elennml Comratlor (Compoiry Name Cantmcror Llarvse No. Maskr lic. No. (Plont EIM. Only)
GA,AXwE "uT4 c. CA00215' 143
MaillnpAddnss(ConlmcbroiOwnerPerfarminglnzaliclionj -
3 3 606dz. WYn?A ?t12+4t2, fc??*HtiJ /1Yn> S?f a.
ll
nz igm re ?Co P g Insmonon)
Po -? - -
Phone No.
yes"?. -6I3 f
E9-00007M10 6/95 ? Sf TE'BO MUCOPY•SEEINSiIiUCT10N50N8ACKOFYELLOWCOPY
CITY OF EAGAN Np 18885
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt # ?? 1 1
WINDOW
To be used for ggpLACEMEN Est. Value $700.00
Date APR
11
, 1g 91
Site Address 1449 PONDEROSA CIR
LOt 13 BIOCk 5) SeGSub. FV .R(:RF. .N PARK oFFICE USE ONLY
PBfC@I N0. Occupanty - FEES
Zoning _
w Name DANIEL WERM[JS (ACtuap Const _ Bldg. Permit 19_ nn
o Address 1449 . PONDEROSA CIR (Allowahle) - Surchar
a .50
City EAGAN Phone :v of Stories - g
h Plan Review
_
Lengt
o Name AL' S FINISHING INC oeptn - snc, city
$` Address 1225 80TH ST E S.F.TOtal - C
MCWCC
? City INVER GROVE htPhone 451-2486 S.F. Footprints - SA
,
'Nater Conn
On Site Sewage _
ww Name On Site Well - Water Metar
e3 AddfeSS MWCCSyslem
c Acct. Deposil
?d W City PhOnB Ciry Water -
i
d
S/W Permit
_
PRV Requ
re
I hereby acknowlege that I have read ihis applicalion and state that the Boostar Pump - gMl Surcharge
inlormation is correct and agree t a ply with all plic le State of
d
Minneso[a Statutes and City ? E 03
' nce5. Treatment PI
Siqnature of Pefmitee APPROVALS Road Unit
A Building Permit is issued to: ' S FINISHIN Itkl Pla""ar - vark Ded.
on the ezpress condition ihat all wo shall be done in accordance with all Cauncil -
and City of Eagan Ordinances.
applica6le State of Minnesola Stalules Bldg. Ofl. _ CoDias
1
Building Oflicial h ?1 A- I 71? Variance - 7O7AL 19.50
(IL6AOE lis EAOAN
1795 Piloe Knob Road
cagon, MN 55122
Loning: R-1
Jwner:
Address
?'ite Adi
SEWER SERVICE PERMIT
PERMIT NO.: 2011
DATE:
No. of Units:
Number: -" *' Tuecken Excavatine
I agm ro eomply wirh the Villoga ef Eayon Connection Charge: 375•00 pd 3/3/.
Jrdinanws. Account Deposit:
Permit Fee: 10,00
c?n
BY:
Date of Insp.
insP.: -
Surchazge: -
Misa Chazges:
Total:
Dace Paid: _.
(oS&77
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
t?30 , 50
Date L 1 :Ze. I 0?
r
c nt c•", n5?.
Site Street Address Unit #
Property Owner Dp" , c I e /,c.?''T u S Telephone #(?,,l) S40S-fy1S
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ? Owner _ Contrector _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures (excludes water softener a nd/or water heater-complete next
section if installing these appliances).
_Septic System Abandonment f
l
0
,
Water Turnaround (add $125.00 if a 5/8" meter is req ?J
pR
?
Other: 2
Water Softener Water Heater $ 15.00
_ new _ replacement
Y
i
RPZ T? P
? L
ti h
ild
i 30
00
awn Irr
ga
on _
new
VB r _re
u
_repa .
$
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that 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 without a permit and work will in accordance with the approved plan in
the event a plan is required to be reviewed and approve .
2:)A nt I£ Lh L(J E ,C' ryr1-/ S
ApplicanYs Printed Name ApplicanYs 5ignature
65850
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?5-So
DatelJ,1? '
Site Street Address /WQ Unit #
Property Owner ?$ Telephone #
Contractor /f7 ' ?.lJ P?'' Telephone # (jA-O `7 % -?9J64
Address ?i?C%z?r AW A/Ir/ cG? City State'4?nv Zip ?
?
The Applicant is: _ Owner X Contractor _Other
Alterations to existing dwel4ing $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
I? Water Softener _ Water Heater $ 15.00
? replacement _ additlonai
I ?
?. ?
_ Lawn Irrigation System RPZ_ new t``2 ia r b
? ??
$ 30.00
State Surcharge
?. $ .50
Total ' $
I liereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wili 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 without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approvec /? , /,7
/
7
AppliEart's Printed Name ' A15plicant's
,?Fign6tur
EAGAN TOWNSHIP
BUILDING PERMIT
Ownet ......... ?""?.^?y...?...-" .................. ..................................
Address (Preseni) ...................
Builder
Address
..............
DESCBIPTION
N°
Eagan Township
Town Hall
2942 ?/
Dele -----`?- ........ 7- Z3
Sfories To Se Used For Fsonf Deplh Heigh! Es2. Cost ! Fee Remacks
I ? ? a
iF
-7 cE 3 0 / U LOCATION y°' `Z. `
3lreef, Aoad or olher Deseripiion of Loca3ion I Lo! Bloek Additioa ox Tract
Thls permit does not aulhorize !he use of sireels, roads, alleys or cfdewalks nar doee it giva !he owaer os his agen!
!he righ2fo oreale anp sifualion whieh is a nuisenee ar which preseals a hasard !o !he heallh, safety, tonvenience and
general welfare to anqone in !he aommunilp.
THIS PERMIT MUST BE K T CLFi THE PREMISE WHILE THE WOAK IS IN PROGA SS.
This ia !o cerlify' !hal-.-----_E_------ ?....-:?_-...?..........hespermissfon !o esect a ..... .........`::-?':`?... . . ............... - upoa
!he above desesibed premise subjeef !o !he psovisiona of the Building Ordinance for Eagan Township adopted April 11,
1855. ,f.,
......'_'_'-"'......)?[Z._./,'._:?_s..Per ..................... 4'1?::_-`......:".Cu°' _. ^..?....._"' .......................
' Chairmaa of Tnwn Board ? V ? Suildin Iaa eclor
MASTER CAAD
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Qwner
BUILDING
PWM8ING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING S j y.77
GAS INSTALLING
SANITARY SEWER
OiHER
07HER I
I}ems r+Fay??vcu
(Initial)
Date
Remarks
Distance From Well
FOOTING '} - 30 `7 SEPTIC
FOUNDATION 3 `30-73 CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
ELECTRICAL
'
HEATING
^3 _ 70.-7 DEPiH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
pRAINFIELD
PLUMBING -30 -?
WEIL
SANITARY SEWER y-3•1 :0
^v-
-
:/l -
--,
Violations Noted
on Back
COMMENTS: -
u•.
COMPLIANCE INSPECTION REPOR,TS
TO BE USED ONLY IN EVENT OF OBSERVED VIOIATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECitON
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO GOMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
DATE Of REINSPECTION
REINSPECTION REVEAIED
CE RTI FICATION - I certify that I have carefully inspected the above in which 1 have no interest present or prospective, and that I have reported herein
all significant conditions observed xo he at variance with ordinances of the Town of Eagan, approved plans and specitications, and any specific require-
ments for otf-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
euaoiNG
COMMENTS:
aa
BW
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-24880-130-05
PERMIT
PERMITTYPE: suiLoiNG
Permit Number: 0 2 8 4 5 6
Date Issued: 0 8 J 0 5/ 9 6
1449 PONDEROSA CIR
LOT: 13 BLOCK: 5
EVERGREEN PARK
DESCRIPTION:
Permit 7yps GARAGE/ACCE5SdRY
rk Type NEW
?ti6 . R-3 U-1
,iUfi, e V-N
' R-1
r ,
438 ALT. GARAGE
REMARKS
FEE SUMMARY:
Base Fee
Plen Review
Surcharge
Total Fee
VALUATION
$174.75
$87.38
$5.50
$267.63
$11a000
CONTRACTOR: - Applicant - ST. LIC.OWNER: ,
QUALITY CARPENTRY SERVSCES 18941961 0009073 WERMUS DAN
1504 E CLIFF RD 1449 PONDEROSA CTR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 894-1961 (612)454-7961
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
i%4s4i •
681-4675
? 3 rapiatered sHe aurveye ? Y eopks ot plan
? 2 capiea oi ptans (Mdude beam d window eizes; poured fid. dealpn; etcJ ? 2 sile surveys (exterlor additiona 6 decks)
? I emryy plculatyry ? 1 energy cekulafiona for heaMd adddions
? 9 aptea ofhee"preaervaHon Ptan X bt pleked aRer 7/1/93
requhed: _ Ven, ?._ No
DATE: CONSTRUCTION COST: ? ? ? OC)' C>C)
DESCRIPTION OF WORK:
STREET ADDRESS:
lOT I4 BLOCK ?
SUBD./P.1.D. #:
A,Ui "fian ai- n2ia
PROPErt'rv ~ Name: Oey, "11As b°L^ Phone #:
OWNER _ . ?... .,.,
StreetAddress,
- City: EC?c ar, State: M k)- Zip- 55 ! Z2
CONTRACTOR
ARCHITECTI
., ENGINEER ,
Company: Q? C??u`'?"ry ' SP.rJ ; ces Phone #: 822-15L
Street Address: i So q License #• 9073
City: 3urwsv? l4e State: Zip. 55337
Company:
Phone M
Name: Registration #•
Street Address-
City: State:
Zip:
,. ;
Sewer 8 water licensed plumber. / U ?0 e_ . PenaHy applies when address change and lot
change are requested.once pertnit is issued.
1 herehy acknowledge that t have read this applicatlon and state that the InfortnaGon is correct and agree to camply with ail
appiiqble State of Minnesota Statutes and City of Eagan Ordinances.
„.,
F'
OFFiCE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
5ignaWre of Applicant:
R EGC?wm ?
Yes No .Illl. 2 9 1996
--------°---?--
_ Yes ^ No
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-plex
? 03 SF Addition o 08 8-plex
0 04
? SF Porch. 0 09 12-plex
05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New
m"32 Addition
Wk?e -
0 33 Alterations
0 34 Repair
OFFlCE USE ONLY
? w
0 11 Apt./Lodging ? 16 Basement Finish
0 12 Multi RepaidRem. ? 17 Swim Pool
0 13 Garage/Accessory ? 20 Public Facility
a 14 Fireplace o 21 Miscellaneous
a 15 Deck , .. _
o ?36 Move
0 37 Demolition
GENERAL INFORMATION
Const (Actual) ?/N
(Allowabie) V A1
UBC Occupancy Z-3, v a
Zoning ?-?
# of Stories
Length
Depth
APPROVALS -
Planning ' =
Basement sq. R.
Main level sq. ft.
- sq. ft.
sq. R.
sq. ft.
sq. ft.
Footprint sq. ft.
Bufiding " `? Engineering
y_
?` 3v? fd
. .?? ?<, ?,? . ?
? ?? 4-
MC/WS System-
City Water ? ••'Y,,,!.•``-
Fire Sprinklered -
PRV
Booster Pump
CensusCode. w4s'#-? y3$
SAC Code g I
Census Bldg ?
Census Unit v
Variance
Permit Fee
Surcharge- - - -
Plan Review
License .
MCNVS SAC
City SAC .
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
S/W SUrch9rg6
Treatment PI.
Road UnR
Park Ded
Trails Dad.
Other
Copies
Total:
Vaiuatfon: $
; ? _ ? . .. ? 4??-? ?+ =i/=• o ??
_-?
??? 2?( x z8 = G 72 1(? - t o? 7 S2. -
V ? ?-
K710 yp. -
% SAC
SAC Unita
:+m.
y:V
•-?
?
1:S ?1
?
I ?
a ?
I
?
?
Lb4po1e. - 1-.
?
?
yW\
V
Z
v
?
?
0
.
?
-?
?
?--
i':y?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: B u a Lp x NG
Permit Number: 0 2 8 4 5 7
Date Issued: 0 S/ 0 5/ 9 6
SITE ADDRESS:
1449 PONDEROSA CIR
LOT: 13 BLOCK: 5
EVERGREEN PARK
P.T.N.s 10-24880-130-05
DESCRIPTION:
Permit Type
kork 7ype
E
<<'Gei?&us Cad.? , s
a
??
SF (MISC.)
ALTERATION
R-3 U-1
V-N
R-1
434 ALT. RESIOENTIAL
Kit.^" 3S3t E4fi.FU ?'?`"wCi ki.Y"Y jv= k ?. ?
V16 qaW
REMARKS:
CONVERT GARAGE INTO FAMTLY ROpM
FEE SUMMARY:
VALUATION
Base Fee $457.75
pian Review $228.$8
Surcharge $18.50
Tntal Fee $705.13
$37,069
GUNIFiAGIVK: - Applicant - si. L lc.pyyNER:
QUALZTY CARPENTRV SERVICES 18941961 0009073 WERMUS pAN
1504 E CLTFF RD 1449 C'ONDEROSA CIR
BURNSVTLLE MN 55337 EAGAN MN 55122
(612) 894-1961 (612)454-7961
T Mei"eta?,
r i n1'a rma°ti
Statu'tes
I'g ?kraC 1° Havei. r*,ed .thii5 and 5tata:`that 'the I
»Oct carrd` ta camply w3:th a11 apPXi.calyid S:tats nf Mn.. -'
r'F ?a'?an o,rctinan"ess;
,
r
??;CR?
r1550 D BY: IG TURE
164Sq CITY OF EAGAN
3830 PILOT KNOB RD - 55122
99fi B UILDING PEi2MIT APPLICATION (RESIDENTIAL)
681-4675
r
? 705.13
GAjf,4L6-.Z
? 3 registered stte surveys ? 2 copfes of plan
? 2 copies of plans (indude beam 8 wMdow shes; poured fid. desfgn; Mc.) ? 2 sMe surveys (exteAOr additions 8 decks)
? t energy calculetfmre ? 1 energy calculatlons for heaMd addNions
? S oopies otlree pseseweHon Wen H bt platted efler 311/93
mquhed: _ Yes ^ No
DATE: CONSTRUCTION COST: ? ? ? o C)` C)o
DESCRIPTION OF WORK:
e a ?'i;? m [ 1M
STREET ADDRESS: ? nA `` C' r`'le'
LOT BLOCK n SUBD.IP.I.D.
PROPERTY IVame: b°L^ Phone #: q50-721- )
OWNER
StreetAddress- 1N9 `"`T
Poadevosc C
???[E
City: EC?4 an State: 69 k)- Zip• 55 I 22
CONTRACTOR Company: C??Osrkry 'Serd,ccs Phone#: 87 y -L?
Street Address l So y E. License #• 90 Z 3
City: '3c,.rwsril,e State: Y?1M Zip• 55331?
ARCHITECTI Company: Phone #
ENGINEER
Name: Registration #-
Street Address,
City: State: Zip:
Sewer & water licensed plumber: / V°Penatty applies when address change and lot
change are requested once permit is issued.
I hereby acknowtedge that I have read this application and state that the information is oorrect and agree to comply with all
appiicable State oi Minnesota Statutes and City of Eagan Ordinances. ,
Signature ot Applicant:
OFFICE USE ONLY
Certificates of Survey Recaived _ Yes No itiS `t JS36
Tree Preservation Plan Received _ Yes _ No
.
BUILDING PERMIT TYPE
OFFICE USE ONLY
Y4 A
0 01 Foundation ? QB Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Pubiic Facility
13 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
e05 SF Misc. 0 10 = piex a 15 Deck '
WORKTYPE rf..
ww e. . • •,, .._:.:r? . •.,..:. ?si t,
0 31 New o 33 Alterations o 36 Move
M"32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATIOM
Const. (Actuaq ?/nj Basement sq. ft. MC/WS System
(Aliowable) Vn/ Main level sq. ft. City Water ?--
U8C Occupancy 2-3, v-? sq. R. Fire Sprinklered •.
Zoning ?-? sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ti 3 y
Depth Footprint sq. ft. SAC Code c? r
Census Bldg t
Census Unit v
APPROVALS
Planning Buitding lN?? Engineering Variance
Permit Fee Valuation: $__ 370 tl 00
Surcharge
?
Pian Review ,q-Jo(J: ? Zq u 2 S ? y-7 zkto Sy z S g. -
License ----
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge -
7I'Z
Treatment Pl. -
Road Unit , ? ---?
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
. 1
EAGAN TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephoae 454-5242
PHRtaT POR WATHR SERVICE CONNLCTION
Date: 3/28/79
Billing Name: rilsen Construction Co,
Owner:
Number: 1137 ?? - -5 ?51 *0?
Site Address: 1449 Ponderosa Circle
Billing Address
Plumber: L. Gallati - Luecken Eccavating
of Connection
?
NO ITotal Chg.
BS* :
Luecken Excavating
Building is a:
Residence xx
Multiple t,*o,
Cammercial
Induatrial
Other
Meter
3/3/73
44//?7/ -
Meter Nor°??G'fg/ Permit Fee 70.00
tfeter Reading Meter Dep. •50 s/ ?
Meter Sealed: Yea Add'1 Chg.
Inspected by
Date
Remarks:
$25.00 RF-!?\IS'1P1-CTfnP+,FFE fOR
r.`r. • ? ' "'?n
By:
Chief Inapector
In conaideration of the ieaue aad delivery to me of the above permit, I
hereby agree to do tte proposed work ia accordance with the rules and
regulations of Sagan Township, Dakota County, Mianesota.
Please notify the above office whea ready for inspection and connection.
I lij APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MIJLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - fi STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. ?
p J i 7
Date
Vt N?p'"/ ?a1S
o
B
U
d F
:
se
t
n:
To
e
or:
Site Address ?on/DEIf c, 59 6 OFFICE USE ONLY
Lot 13 Block ? FEES
Occupancy Bldg. Permit lq.
Zoning Surcharge
Cn
Parcel/Sub (.O',?J(aA, {!p4 Actual Const Plan Review
/ Allowable
? SAC, City
.
Owner
Qr/ ;' E'? l1/ t"T /hi C'e j # of stories SAC, MWCC
Length Water Conn.
Address ?A ',l?.. Depth Water Meter
- ?, / S.F. Total Acct. Deposit
City/Zip Code Zl? ' Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ Treatment P1.
On site well Road Unit
Contractor ?'? J ?/' jg?? e'• MWCC System _ Park Ded.
City water Trail Ded.
Address PRV _ Copies
y?Booster Pump
T77
6
5
UBTOTAL
L
, S-
City/Zip Code 1 S
APPROVALS Penalty
Phone Planner _ Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
Contractor)
State of Minnesota Statutes and City of Eagan Ordinances.
76o 75
r?
' 2006 RESIDENTIAL BUILDING rEiumrr arrLicanox ?
City Of Eagen
3$30 Pilot Knob Road, Eagan MN 55122
Telephone # 631-675-5675 FAX # 651-675-5694
rJew conswcfio, Rawiretnenls
eau
3 registered site sunreys showing sq. ft. of iot, sq. fl. of house; and ?t roofed areas
(20%maximum lotwverage aNOxed)
2 wpies ofplan showing beam & wirrcbw siaes; poured kwnd design, ek.
1 xt of Emrgy Calculetions
3 mpies of Tree Preservalian Plan if loi plalled after 77793
Rim Joist Detail Options selekbn sheet (buildings vrith 3 or less units)
Minnegasco mechanical ventilation frnm
RemadeYReoair ReouiremeMs
2 copes ofplan showing footiros, beams, joisls
1 sei of Energy Calwlatbns fw Ieakd additions
1 site aurvey for addi6ons & dzclm
Addition • ind'xsfe ifonsife sePW sysfem
,- ?
/'4-a. 7S
orrm ue Onw
CertofSurvey ftecd -Y _N
Tree Pres Pian ReW _ Y _ N.
TreePresRequired _Y _N
On-site Septic Syslem _ Y _ N
Date -LD / Z? / 1?? ? ,.? tC?onst?rnction Cost$?Z S7 Z?
Site Address /??f 9 PoNDE205f? ?Unitlste #
Descriphoo ofworkCi ?`57???-rk NLeW hrrfieNe?b 3 s646m) R?2ctf-
Mnki-Family BWg _ Y _X N F'ireplece(s) ? 0_ 1 _ 2
PropertyOwner pAp 1 UJ60vs Telcptionc#(&s1)q6y-M1
Contrsctor
fCL£/? ?r 5o/J C?N??i2v ?/'r0? - 1N?ICE ?-1-E?'1?
__
aaaress /2Z52-
State N SAINT ?U& L SD cily
Zip 550&3 Telephone#(651) 32 5-6qR0
ao?9?-,?e
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeory I Mmmsota Rules 7672
Energy Cotle Category . ResideMial VentileNon Category 1 WbrksFieet ? . New Energy Code Worksheet
(J submiasion type) Submitted Submitted
. Energy Envebpe Cakulatioris Submittetl
In the last 12 months, has the City oP Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
?
Mechanical Contractor ? Telephone #( )
sewer/waterContractor NQN: 2006 Lu) Telephone#[ 1
I kereby apply for a Residen6al Buiiding Permit and acknowiedge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pennit, 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 wozk which requires a review and
approval of plans.
lC..t /??
AnnlicanYc Printed Name
!
Annlicant's Sinn h?re
/
DO NOT WRITE BEI.OW THIS LINE
Sub Tvpes
O 01 Foundetion O 07 05-plex ? 73 76-plex
? 02 SF Dwelling q DB OB-pleu ? 16 Fireplace
? 03 01 of,plex ? 09 07-ptex O 17 Garage
? 04 02-pieX O 10 08-plex ? 18 Dedc
? 05 03-piex ? 11 10-plex O 19 lower Level
? 06 04-plex ? 12 12-plex
Work tvpes
? 31 New
. 32 Addition
Q 33 AkBreUOn
? 34 Replacement
?
Ci 20 Pool ? 30 Aa.
)K- 21 Porch (3-sea.) O 31 Fact. Alt ,'u
? 22 PorctUAddn. (4-seaJ ? 33 Ext. AR - SF
0 23 Porch (screenlgazebo) ? 36 MuHi Misc.
O 24 Storm Damage
p 25 Miscellaneous
? 35 IM Improvement ? 38 Demolish iMerior ? 44 Siding
? 38 Move Building 0 42 Demolish foundation D 45 Fire Repair
17 37 Demolish 8uildfng" ? 43 Reroof ? 46 Windows/Doors
'Demoiftion (Entire Bldg) • Give PCA handout W applicank
DC$Cfipt1011: Water Dernage _ Yes
ValuatiOn 0.0
Plan Review 100°,6 or 25^/0
Census Code ?
SAC Units
# of Uni4s
# of Bidgs
Type of Const v 6
OccuQancy
Zoning
Stories
Sq. Ft.
Length
Vifidth
_ Footings (new blas)
Footmgs (deck)
?C Footings (addition)
Foimdation
Drain Tile
Roof Ice & Water Final
? Framing^
Firep(ace _ R.I. _ Air Test _ Final
? Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinkleted
REQUIRED IIVSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
HVAC
- Otlia
_ Pool Ftgs _ Air/Gas Tes[s Final
_ Siding _ SNCCO La[h _ Stone Lath _Brick
_ Windows
T Retaining Wall
?
Approved 8y: 4 L , Buitding Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
3&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
(3ther
T_/Odix
5??)"o
A"u¢
f 69 y iq 0' y 2'0
%? f
?
0
?
-v
a
?
PonJerc5'i c iPCI&
/_ ?
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r .d.'L?K?ld'1 ? ?'?°!'a ,? •l:1:+:-.nrlv.?? s?..:n;4.3 ._i?+R:?..;
? ?.r .l°,,'' x M' `v +? '!? ?? ?
6
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W79/
2007 RESIDENTIAL MECHANICAL rERMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete tor. single family dwellings &[ownhomes/condos when permits aze required for each unit
???
Date '5 / / / 0 7
5iteAddress /`/ Y9 1,?20,7 q/
6,12 05 0.. 6/ZC/e__ Unit#
Property Owner Iq f) riI/ E? 2/Y! C(S Telephone #( (0-T1) y s y- 7961
contractor ANGELL AIRE, INC.
Street nddress BUrI1SVilleA MN 55337 ? Ci?,
State Fd)C 952-746-5202Lip Telephone # ( )
Bond #: 0 s U g a 7.3 Expires: 9bO LO
The Applicant is Owner ? Contsactor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) s 90•00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or al[era[ion to existing dwelling unit $ 50.00
?
Z
furnace _Additional
Replacement _ New
air exchanger
air conditioner
v'?' heat pump
other
State Surcharge
` ?' C???%L? $ .50
Totei MAY 10 2007 $So,,-o
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the wark will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 ca e of work whieh requires a review and approval of plan
Gl.c? .'2n?4hn
Applicans Prin ed Name Applicant's Signature
?- q0,m
5 - Lq 6.74s
Cit? of Eatan
3830 Pilot Knob Roed
Eagan NfN 55122
Phone:(B51)675-5675
Fax: (651) 675-5694
? sa ao
?---------------- ;
; pemat._.?? ?
I permft Fee: L 35?75?
?
1 pate Received: I
I I
i Sp+L ?
I ?
I --------- J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
o?e: site aadress:
Tenant: Suite #:
RESIDENTIOWNER Name:_DAr1` ?h4 I !ss e- NIUS Phone: qS?q'jq6I
Address / City / Lp:
ApplicaM is: _ Owner ? Contractor
TYPEOPWORK oescriptionofwak:Tl"cA1Z OG'F T Re(ZiN%P L54 AEA2 oFF =??5i0?
. (f.30C•' rt?x,?
Constructlan Cqst: '?? u ?T_ Mui6•Family Bulding: (Yes_/ NoX
CANTRaCTOR Name: tioertse dv?R?LiN
w
Address:
crty: stace:Zip:
Phone:G61'(1'A1•`13qJ ConlactPerson: k/In
, COMPLETE TH15 AREA ON Y IF CONSTRUCTING A NEW BURDING
_ Minnesota Rules 7670?,tggorv 1 _ Minnesota Rules 7672
Energy Code • pesida+Gal venu'Iation,Camgory 1 w«kaneet . • New Ener9y Code warksneet
Qftgory 5uhWited : Subrt(itted
(4 submiSSion type) • E^w9Y Emie" Calaletiaro SubmiCed
In the mst 72 moMhe, has the City of Eegan issuad a permh for a 8hniler plan bsscd on a rtutster Phn?
_Yes _No If yes, date and address of master plan: . .
I.icensed PFumber: PhOrte'
Meehankal Cont2ctor: Phone: 3ewer & Water Conuecwr . Phona:
,,-
t rtere6y aOu?owAedge Mat 17ds iMOrmauon is wmpble arid maire¢e: Naz tlie xrork wAA be in eoMOnnanc6 witlf the oWlnances ernl co0es ot ft qty d
Eagan, nwt 1 uncerstana mis is na a pwmit, wt onry an appllcauon tor a perm¢, ana wak is rwt m:scan wromu[ a parma: mat mo wak wm ne m
axortlance with the aWoved Wan in Me cm M wodE wtdch requires a review and approval W Pkm .
x ti? - C{'?i?l F?l 4l.Cq- x? r 1- l"6??vwnrn,?•? -?__
APPlicanYs Printed Name ApplicanYs Signature Pege t of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120573
Date Issued:02/20/2014
Permit Category:ePermit
Site Address: 1449 Ponderosa Cir
Lot:13 Block: 5 Addition: Evergreen Park
PID:10-24880-05-130
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 -
Daniel A Wermus
1449 Ponderosa Cir
Eagan MN 55122
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature