1479 West Pond RdAddress 1 4 7 4 w e s t Pond Rd Zip 55129
Lot 12 Blk 2 Sub Kin¢swood Ponds 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: l0. -y<s, cc.t) Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb 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 to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?S -i- i .W --44 y U 9 (o U
n 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 9 11
"I L
40 b CITY OF EAGAN I
3830 PILOT KNOB RD - 55122
mac' o? 651.681.4675 l a'It? Ye 00
New Consfruclhxr Reaulremenh (1.\ Remodel/Repair Reauiremenh L?yV`
> 3 registered site surveys showing sq. f. of lot, sq. R. of house 2 copies of plan l'
and 2p roofed areas (20% maximum lot coverage allowed) 1 set of energy coiculaflons for treated additions
> 2 copies of plans (show beam R window sixes; poured Intl. design; etc.) 1 site survey for exterior additions & decks
> I set of energy calculations,
> 3 Copiies Of free preservation plan If 101 platted alter 7/1/93
DATE: L/'I7' O d CONSTRUCTION COST: O(w)
DESCRIPTION OF WORK: Nr:v_Cu?4?-r?TG?
STREET ADDRESS:
LOT: I Z BLOCK: 2 SUED./P.I.D.#: s, mod, mots = 2 04A JOW 4
PROPERTY
OWNER
-7S(
Name: nn.er (7 n Phone #: G I ' 9455 - 75`1-5-
Lost First
Street Address: 133 55 rlA i'n- Lo?Yr
City 57fiu,A-f"6= Stale: MN
Zip: 553 -78
1
75 75
Company. NN tr ? O ?5ur dn Mc-S Phone #: 12 -7S I
(area code)
CONTRACTOR 1
Sheet Address: A br v? Ucense # 3) 4 ? Exp. 313 //01
city
State:
ARCHITECT/
ENGINEER Company: 6v<-- Name:
Telephone C ( )
Street Address: Registration #:
City
State:
Zip:
Zip:
Sewerlwater licensed plumber (It Installing sewer/water): 5c, -it cal I ?? ( Phone #: 6 )2, 1211-7-7 7-70
I hereby acknowledge that I have read this application, slate that the Information Is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
??
Signature of Applicant:
/ OFFICE USE ONLY
Certificates of Survey Received /yes No J I A
Tree Preservation Plan Received Yes No V/ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
31 New
' ? 36
- Move Bld
' ? 43 Reroof
? `3{t_ a dd ?
°,?.?? ?S y1i,em,,is )flg)
.0 • • ? 44 Siding i
? 33Iterdtio7l : 18 Demolish nlerior) ? 45 Fire Repair
? ?ir 421- DP,(ngitsh (Foundation) ? 46 Windows/Doors
. ?
Give-PCA handout to applican t for dem olition permit
GENERAL INFORMATION
SAC Code __D1 # of Stories I sq. ft
? 31 Ext. Aft - Multi
? 33 Ext. Aft - SF
? 36 Mufti
No. of Units Length U sq. ft.
No. of Buildings Width Ci O r Footprint sq. ft.
Const. (Actual) Basement sq. ft. 1 7 7(. Census Code / D 1
(Allowable) VA/ Main level sq. ft. MC/ES System
UBC Occupancy (,Wn sq. ft. 7 City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building `? 2 l Engineering Variance
Valuation: $ / 4/ (n,9fw
r
-!3-6q k l5?
pin 4;?-l I77( )f"
G/?-*?
^a5
62114
? 0 c;L
I qsl
SAC Units
% SAC
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL ^?or /c7 ?` ?Z KZA?S!//Gi7OrON/15 Jt('ONII ???+
n DATE OF SURVEY: 4-/4 -OO
LATEST REVISION: 4 /8-
ry
lY
C
0 DOCUMENT STANDARDS
Y °
O Z
/? ? Registered Land Surveyor signature and company
e'/? ? Building Permit Applicant
m''c ? Legal description
akI 0 ? Address
? North arrow and scale
? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
p ? Directional drainage arrows wRh slope/gradient %
m?i15 ? Proposed/existing sewer and water services & invert elevation
? Street name
? Driveway
? Lot Square Footage
m? ? ? Lot Coverage
ELEVATIONS
Exit
p ? Sewer service (or Proposed)
? ? Property corners
/? ? Top of curb at the driveway
d ? Elevations of any existing adjacent homes
? a Adequate footing depth of structures due to adjacent utility trenches
Proposed
?
67'
? ? • Garage floor
/
O
' ? First
floor
0 ? Lowest exposed elevation (walkout/window)
M
/
? ? Property comers
?
/
CY ? ? Front and rear of home at the foundation
/ PONDING AREA (if applicable)
C3 d ? Easement line
? V,/? NWL
? a HWL
? Pond # designation
? V0 Emergency Overflow Elevation
DIMENSIONS
' ? ?
/ Lot tines/Bearings 8 dimensions
0 ?
9 Right-of-way and street width (to back of curb)
? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
*u / ? ? Show all easements of record and any City utilities within those easements
m ? Setbacks of proposed structure and sideyard setback jacent 'ng structures
r)P ra' ? Retaining wall requirements, if any
4
Reviewed:
March 1998
CRAKieLDGPRMr FM
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 4-14-2000
COMPLIANCE: PASSES
Permit #
Checked by/Date
Required UA = 357
Your Home = 344
3.7% Better Than Code
Area or Cavity Cont. Glazinq/Door
Perimeter R-Value R-Value
-- U-Value
----------- UA
------
---------------------------------------------
CEILINGS 1720 ---------------
38.0 0.0 52
WALLS: Wood Frame, 16" O.C. 2347 19.0 2.0 131
BSMT: Conc. 8.0' ht/7.5' bq/8.0' insul 89 11.0 0.0 5
GLAZING: Windows or Doors, Above Grade 345 0.350 121
DOORS 101
------------------
----------------- 0.350
----------- 35
------
---------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculation s
submitted with the permit application. The roposed building has been
designed to meet the requirements o he esota Energy Code.
e ®?
Builder/Designe Dat
Survey for: MERLYN_ OLSON HOMES
'Ifl1??J?J 1\\ ///J Y.
f J 'i
852.3
t? U ty' Dwy,
• 861.8 , • 857.5
mn_ I TGTG DES
Ivanti ? l.'
• 1f1
- r 853.6 ti
.
UtJity
r at
age
1 t
-, Drain
men
Q.- Eoge
00 858.9
000
O
I t
4
taa
M
t
N
48
857.3 .5
d
10L __ --
Q
s. 844.3
7
858
Iron , .
?f
CERTIFICATE OF SURVEY
N I
0 I
Existing Building Iron -q-
_ ,856.6 Iron x 1 .
850.2 "•
N 222 89' E Iron - 085
O ri
.00
848.2 .9
C>
J
•p50.7 648.4/
Pro?o3pd
Bull 9
:'No 147 °
4
644. O
j 846.4 / n
1 r"
84 .3
845.2 843. 1.00
I n
I 844.4 r6 uil 6
-222.19--
S 185'05' 12" W
I , 838.9
O > yr
847.5
1
' xl
'
20
3.
85
00 . 53.1
W
)rag Y I
851.9, 20.0 ? .
1. 853.0 Lr)
Proposed 1 Cure n b
I
Driveway Stoo ai V7
1 1 I
g5ta' I 620
--r-? m Q
i 1 U
2
r o; a 5_ 111:
Cable Box
Existing Water Main
Vacant
I
I
l
ALT PER dNf
cr_
N
0
Z
0
CL SCALE: 1" = 30'
LLJ • Denotes Iron Monument Found
O Denotes Iron Monument Set
DESCRIPTION: Lot 12, Block 2, KINGSWOOD PONDS SECOND ADDITION
I hereby certify that this survey was prepared by me or under y direct su pervision, and that I am a
registered land surveyor under the lows of the State of, inn o o. Doted • s I
/ day oAprill, 2000.
1 T
Revised: 4/18/00 CARLSON & CARLSON, INC. 3
LAND SURVEYORS Larry Couture, Land Surveyor
Tele. No. (952) 888-2084 Minns ota License No. 9018
Proposed Grades: Top of block 853.7 Garage Floor 853.2 Basement Floor 845.7
NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage.
• 328-75
NOTE:
Property address: 1479 West Pond Road
llfeo o Lot is 16,968 Sq Ft.
;:ea of Lot coverage is 2,492 Sq. Ft.
I,wo 9.1144 aas
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)-?5
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
6f51.681-4675
New Construction Reauireme ()k I y g 9 I Remodel/Repair Requirements
/Q7tT
3 registered site surveys showing sq. H. of lot, sq. ft. of house Q p 2 copies of plan
and,gli roofed areas (20% maximum lot coverage allowed) t set of energy calculations for heated additions
D 2 copies of plans (show beam & window sizes: poured fnd. design; etc.) I site survey for exterior additions & decks
a 1 set of energy calculations
D 3 copies of tree preservation plan if lot platted after 7/1/93
DATE: 7 . a ((' - o o CONSTRUCTION COST: S boo
DESCRIPTION OF WORK: q? -Gro sn? C,'r ak 1 If multi-family bldg., how many units?
STREET ADDRESS: 1 l I W, _ 54- 1"C)Y-)? AJ ACS • I
LOT: I BLOCK: SUED./P.I.D. #: YU n A?-WWA PO n d S n?
Name: !°1Prr1U NOl71RG Phone #:
PROPERTY Last First
OWNER
Street Address: ???? 5 nn CC?
City S5q State: IV l I U . Zip: ?J 7R
Company: P^?I 6Isv- 0,,PS Phone #: 2 ??"?c,a]
CONTRACTOR G7/5 ?C2'r rim( u?c Dr. (area code)
Street Address: License # Exp.
city SAv&?? State: A'-J zip: -S 537,F
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Registration #:
City
State:
ZIP:
Sewertwater licensed plumber (if installing sewer/water): Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 5:?', G V L'?
OFFICE USE ONLY
Certificates of Survey Received - Yes - No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
,*'31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21
? 17 Garage ? 22
? 18 Deck O /'3
? 19 Lower Level ? 24
Plbg _Y or_ N ? 25
? 20 Pool ? 30
Porch (3-sea.)
Porch/Addn.(4-sea.)
Porch (screened)
Storm Damage
Miscellaneous
Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code O 1
No. of Units O
No. of Buildings I
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
/ sq. ft.
I a sq. ft.
!O Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
? 31 Ext. Aft - Mufti
? 33 Ext. Aft - SF
? 36 Mufti
Lf 5It
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total
? -is
o,
Valuation: $
SAC Units
% SAC
CERTIFICATE OF SURVEY l
Survey for: MERLYN OLSON HOMES
861.8
i
tJiility
8502
.852.3 N X545'09,. E
?222.8g
8575
i
848.
T ;
i ,830.7 6
353.6 I
I
Draino9
t r
I
a
e
-
er"
10 ---,
' '
Eag d
M
?' 858.9
..••.
? i
g.
0 a 1
I 846.4
_
a o I
ra
`
"848.5
?®
I0 ra
C%J ;
t 857.3
10 1 .8444
L-
L - 50
I 858.1 844.3 __
-F-222-19
850. S t 8505' 12" W
i 858.9 I
841.5
328-75
Existing Building
Iro^
t
858.2 .856.6 iron 36 t 5
e t ti
N
d
1
n
Iro
9
0 1
853.0
853
20
O
.
„
1
5 3 .00 51
o n $2
.
--?
y .00 -
rag
W
I
I
J
. 46.4 849 51.9 20.0
Z
P as 853.0
Curb
r Oil g Proposed I
1
1 I b
I
a
SCALE: 1" = 30'
147 Driveway
1 Stop M
1
1
No I
0
8
2 to
nv.-
4
.
849,
00 1
4. [) t? g510 ?
O
- j • Denotes Iron Monument Found
0
8 12
O Denotes Iron Monument Set
2 845 t 00 8.5
• 0
2 1
Noil
r m
--/ of 28.
-
Il47.6
Qi o r'
59.0 rono --- q NOTE:
- I: Property address: 1479 West Pond Road
CebW Box -' Area of Lot is 16,968 Sq Ft.
I
ter Main
w 1 Area of Lot coverage is 2,492 Sq. Ft.
a
Ezietin9
1-
Vacant
DESCRIPTION: Lot _12, Block 2, KINGSWOOD PONDS SECOND ADDITION
I hereby certify that this survey was prepared by me or under y direct supervision, and that I am a
registered land surveyor under the laws of the State of/ inn o a. Dated s 1h7day o April, 2000.
Revised: 4/18/00 CARLSON & CARLSON, INC. BY r/rte/J _
LAND SURVEYORS Larry Couture, Land Surveyor
Tele. No. (952) 888-2084 Minne ota License No. 9018
Proposed Grades: Top of block 853.7 Garage Floor 853.2 Basement Floor 845.7
NOTE: Circled elevations are proposed, others are existing. Arrows denote direction of drainage.
Aevigre?.- 7//8/00
WO s141veYM
-L
SUED. 611swood ponds Inq
` Bi. f I CITY USE ONLY
l
RECEIPT 0:
RECEIPT DATE:
PERMITp Uq1
8000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAeAN
3830 PILOT KNOB BD
EAGM, MN 551 EE
651-681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
PIVTI IRFS EACH
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x $ • e5v
Gas piping outlet ' minimum -1 3.00 x = $ 3• ct7
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x $ 3• cro
Laundry tra 3.00 x = $ 49;)
Lavatory 3.00 x 3 = $ cro
Septic System new/refurbished requires MPc tic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/reair/rebuild 30.00 x = $
Rough o enin
Shower 1.50
3.00 x
x =
= $
$ L. 00
Under roundsprinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $ `/• °c
Water heater 3.00 x l = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x = $
State Surchar a .50 > ----> - > $ 50
Total --> > ---> ---> $ So
Reminder. Call for inspections of alterations, Le. water heaters, water softeners, etc.
- ---- -- - -- - -- ----- --- -
-I hereby acknowledge that I have read his application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
------ - ----------------
It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
} wms TELEPHONE #:
(AREA CODE)
INSTALLER NAME: {v/? /72n?aw. TELEPHONE* (AREA CODE)
STREET ADDRESS:
CITY:
_ STATE: A4--- ZIP:
SIGNATURE OF P RMITTEE
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL, NO: 060
DATE: 08
/10/00 T
,
IME:
13:52:21
ID:
NAME: 5OUTH MECHANICAL CONTRACTORS
3213 9001'1479 WEST POND
2155 900101479 WEST POND 36.00
3212 9001 1479 WEST POND -0.50
2155 9001 1479 WEST POND 45.00
!J.50
Total Receipt Amount:
CR135638 82.00
USER ID: JAN
`` CITY USE ONLY
LOT I? BL I PERMIT #: _
SUBD. _kIT 0 os? p foy Q S 2k7 d RECEIPT #:
l RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: 1 -7-Un
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
.50
Complete this section only if you are remodeling, adding to, or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration - Repair
Furnace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
651-681-6675
9 Gcl-Ps4
Other
Air conditioning
Other
Fee
State Surcharge
Totai
q/s 2v?
$ F130.50 S ?noi
OWNER NAME: PHONE #:
(AREA CODE)
`7
C- - 17-7-e
INSTALLER NAME: SJGc i-.-W C c ( PHONE #:
(AREA CODE)
STREET ADDRESS: ?/ C//lU S ?GL i, S
CITY: ? 7Or'd4 --- ---- STATE: ,_, 6vL 1 ZIP:_SS 3SZ
SIGNATURE OF PE ITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651_68L-4675
Please complete
DATE:
WORK TYPE:
When installing1r
plumbing inspecto
Description of work:
Fees: 1% of contr
Contract price:
State surcharge
TOTAL
CITY OF EAGAN
CASHI ER: JS TERMINAL NO: 060
DATE: 08/10/00 TIME: 13:52:09
ID:
NAME: SOUTH MECHANICAL CONTRACTORS
3213 9001 1479 WEST POND 36.00
2155 9001 1479 WEST POND 0.50
3212 9001 1479 WEST POND 45.00
2155 9001 1479 WEST POND 0.50
Total Receipt Amount: 82.00
CR135638
TTCCD Tit. TTAT
dwelling unit
marshal and
Base Fee
SITE ADDRESS:
OWNERNAME: PHONE#: _
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? - Y - N. NAME:
INSTALLER:
ADDRESS: PHONE #: _
(AREA CODE)
C171':
STATE:
ZIP:
CITY USE ONLY
I
SIGNATURE OF PERMITTEE
- 7 cA/ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelSeoair Requirements
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window saes; poured found design, etc 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate If on-sfe septic system
3 copies of Tree Preservation Plan if lot platted after 7/1!93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units /
5?0-oo
office usausa Onl°s
Cert d Stir-,y Recd;".':: .= ? Y, "SIR
Tree Pies Phh Redd is"4N. -?Y.t.c; N
Tree Pres`
OnsiteiSapti_c,Systerti;,j 3==Y?<_: N
Date , / Construction Cost // y s 2 U
`
Site Address / L/ 7 9 vk/ ? Q yr Q n -?
? a?1 Unit/Ste # (----
W
Description of
ork I l-e- I
Multi-Family Bldg - Y S?-N Fireplace(s) _ 0 - 1 _ 2
"
Property Owner 4 v u 9 6! D S !SkeTelephone # (? S ()
Contractor Schmidt Roofing- Ina
Address 138 West 98th Sir®et city
State Bloomington. MN ' 2 c C'
_ Zip Telephone # RS 1) is 8
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted
Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? - Y - N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
Applicant's Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153518
Date Issued:12/27/2018
Permit Category:ePermit
Site Address: 1479 West Pond Rd
Lot:12 Block: 2 Addition: Kingswood Ponds 2nd
PID:10-42051-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Steven E Rogosheske
1479 West Pond Rd
Eagan MN 55122--288
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165279
Date Issued:10/26/2020
Permit Category:ePermit
Site Address: 1479 West Pond Rd
Lot:12 Block: 2 Addition: Kingswood Ponds 2nd
PID:10-42051-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Steven E Rogosheske
1479 Pond Rd W
Eagan MN 55122--288
(612) 247-9224
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature