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rot Area = 41,367 square feet
House 6 Garage Area = 2,682 square feet
House Type: Full basement walkout
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Property Address: 1483 West Pond Road
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Proper I Description: Lot 11, Block 2, KUMAOOD PONDS SWUM ADDITION, according to.
recorded plat thereof, Dakota County, Mintlesota.
Also showing the location of a proposed house staked thereon-
Proposed garage floor elev.
Proposed top of block elev_.S
Proposed lowest level elev. F140, S
Bench Mark: TNEI near the northwest corner of
Lot 12, Block 2, KI[x3ST+100D PCNDS SMOND ADDITIM
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Property Address: 1483 West Pond Load
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Sanitary :;ewer, invert elevation = 837.0
Lot Area - 41,367 square feet
House s GaragelArea = 2,682 square feet
House Type: Full basement walkout
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Property pescrip icn:
Lot 11, Block 2, MCSWOCD PONDS SECOND ADDITION, according to
recorded plat there +f, Dakota County, Minnesota.
Also shmoi.ug the location of a proposed house staked thereon.
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lot 12, Block 2, KDCSKM PONDS SWEND ADDITICN
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RES ENTIAL
VV4/) uvNG PERMIT APPLICATION
PB
?J CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes, poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE C>(' vW- /-
JOB SITE
Be_+j9G_b ?145.?j
PP- u1y9G(" ao.t:?b
4-11 -0/
RemodeURepair Requirements
2 copies of plan
1 set of Energy Calculations for heated additions
/I - 1 site survey for extedor additions & decks
jJ Indicate if home served by septic system for additions
P #M70
VALUATION (EXCLUDING LAND) 275- nw
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER _7SOkos a- -Cerri Aenr,e,y%
TYPE OF WORK Nett Sw1aLe ?¢rn L y FIREPLACE(S) _Q _1 7X2 _3
APPLICANT SCha-4 1?pos. ?ans?p ?lwlC, PHONE# 425/- i1-13- J//5_a
ADDRESS -3'19y -/1'5' 4• 4J• nos?m6cch_- ZIPCODE 55-66F
PAGER #
CELLPHONE# ?P??-3?a'rQGZ2 FAX# Y-;Z3-V/SO
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: "11 ZeL- Phone #: 5_1 ?SoZ- 4345_
Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: _cro+-? A?rnq 4 A+r
Mechanical System Includes: -?6 Air Conditioning
Heat Recovery System
Sewer/Water Contractor: 0.0 V1 Z<,L
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and ClyieuFt,
all applicable State of Minnesota Statutes and City of Eagan Ordinanc s.
Signature of Applican
Certificates of Survey Received Tree Preservation Plan Received _ Not Required
Phone # 65/- 303 - 3 oOd -
2-Fee: $70.00
Phone# YID -I LS
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
>?('- '02 SF Dwelling
? 03 01 of - Alex
? 04 02-plex
? 05 03-plex
? 06 04-plex
31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessoey Bldg ,
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PGA handout to applicant
Valuation Jd
I`0000,00
Occupancy Z-S/tj -)
MC/ES System des
Census Code f U f Zoning 2- r City Water YC$_
T
SAC Units 01 Stories I Booster Pump
Nbr. of Units I Sq. Ft. I l! ly PRV
Nbr. of Bldgs II Length 6k Fire Sprinklered
Type of Const /
?V Width _
Z( Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Y Framing
k Fireplace _?L, R.I. _A Air Test _Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
_ Final/No C.O.
Plumbing
IIVAC
_ Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
Building Inspector
xS4 .X1GIIotSZ
(?„??Se 7q1 r011 (6 --fl-IG7Z
I/to?I F;•,sl•d 1650 k.2S '11125()
.•:,sk?j 2-Sq, Ar Ig z.A3'870
Address 14 8 3 West Pond Road Zip 5512 2
Lot 11 Blk 2 Sub Kingswood Ponds 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /0 1/1 Ag t Yes No Inspector: _ Z,
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
SCH.rpt
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Schafer Bros. Const.
Plan#0101-31J2
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-23-2001
COMPLIANCE: PASSES
Required UA = 419
Your Home = 413
1.4% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
---------------- Perimeter
--------------------
-
- R-Value R-Value U-Value UA
CEILINGS -
-
----
1888 ------------------
44.0 0.0 ------------ -----
51
WALLS: Wood Fram e, 16" O.C. 2014 19.0 2.0 113
WALLS: RIM 348 10.0 2.0 28
BSMT: Conc. 4.0' ht/3.5' bg/4.0' insul 112 10.0 0.0 9
BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 544 10.0 0.0 34
GLAZING: Windows or Doors, Above Grade 371 0.350 130
DOORS 137 0.350 48
HVAC EQUIPMENT:
---------------- Furnace, 80.0 AFUE
----------
-------------------
COMPLIANCE STATEMENT: The proposed building -----------------
design described ------------
here is -----
consistent with the building plans, specifications, and other calculations
submitted with t he permit application. The proposed building has been
designed to meet the requirements of the Minn esota Energy Code.
Page 1
SCH.rpt
Builder/Designer
?MNcheck INSPECT
Minnesota Energy
MNcheck Software
DATE: 2-23-2001
Date
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspectors to
use as a guide for enforcing the Minnesota Energy Code. The items apply to
Group R, Division 3 Occupancies, one- and two-family residential dwellings.
The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSULATION
- foundation wall insulation R-5 minimum
- foundation insulation extends from top of wall down to top of the footing
- exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSULATION
- slab on grade perimeter insulation R-5 minimum
- slab insulation extends from top of slab to design frost line or top of
footing
- floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
- average U-value is 0.37 maximum for windows and glass doors (excludes
foundation windows)
- window U-value consistent with building plan and MNcheck Report
- window and door area consistent with building plan and MNcheck Report
MECHANICAL VENTILATION ISSUES
- residential mechanical ventilation system provides adequate ventilation
per code requirements*
Page 2
I UuC
Version 3.0
SCH.rpt
- furnace efficiency is consistent with MNcheck or building design plan
- protection against excessive depressurization is installed per code
requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
- interior basement insulation R-5 minimum (if no exterior insulation)
- ceilings with attics R-38 or consistent with building plan and MNcheck
Report `
- wall framing and insulation level is consistent with building design
and MNcheck Report
INSPECTION ISSUES
CONCEALED INSULATION
FRAMING AND SHEATHING
- wind wash barrier installed at attic edge
- exterior wall corners framed so that insulation can be installed after
exterior sheathing is installed
- intersections of interior partition walls and exterior walls are framed so
that insulation can be installed between the partition and exterior
sheathing after exterior sheathing is installed
- gaps between framing less than one-half inch are eliminated by securing
framing together or are insulated at the time of assembly
- all penetrations between conditioned and unconditioned spaces made
prior to framing inspection are sealed
INTERIOR AIR BARRIER
- all fire stops are air sealed
- pipes, ducts, wires, equipment and flues and chimneys through the interior
air barrier are sealed
- a sealed continuous interior air barrier is installed on the warm side of
the building envelope at ceilings, walls, and floor rim joist areas*
- air barrier behind tub and shower is sealed and protected
- recessed light fixtures are sealed
Page 3
SCH.rpt
ENVELOPE INSULATION
- basement insulation R-5 minimum
- wind wash barrier on wall separating house and garage is sealed
- loose fill insulation is prevented from entering the eaves
- insulation on skylight shafts and walls exposed in attics is supported
on the unconditioned side
ATTIC INSULATION
- attic access panel insulated to R-38 for ceiling panel and R-19 for
wall panel
- attic card attached to framing near access opening
- notification of attic R-value and date of installation posted near building
permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota
Energy Code. Questions? Call the Department of Public Service Information
Center at 651-296-5175 or 1-800-657-3710.
Page 4
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION e
PROPERTY LEGAL: ZoT 9Je-t' 2 41M!?Sf dOl) RVA e ,-??? /I QD 1
DATE OF SURVEY: 21-22 0 f ??? 111
LATEST REVISION: 3 -CF -Oy
DOCUMENT STANDARDS
-
V
0 ? . Registered Land Surveyor signature and company
qr/?
fd' 0 ?
? • Building Permit Applicant
L
l
• ega
description
V/D ? . Address
j/ ? ? • North arrow and scale
Cj/p ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
l /?
M/ ? • Directional drainage arrows with slope/gradient %
? ? . Proposed/existing sewer and water services & invert elevation
G/ ? ? • Street name
?
? ? ?
? .
• Driveway
L
t S
F
t
y o
quare
oo
age
? ? • Lot Coverage
ELEVATIONS
Existing
&4E ? • Sewer service (or Proposed)
I /E ? • Property corners
G 0 ? . Top of curb at the driveway and property line extensions
R/ ? ? • Elevations of any existing adjacent homes
4/ ? 0 • Adequate footing depth of structures due to adjacent utility trenches
Prooosed
[?/? ? . Garage floor
? ? • Firstfloor
R?? ? • Lowest exposed elevation (walkout/window)
? ? . Property corners
6? ? ? . Front and rear of home at the foundation
PONDING AREA (if applicable)
M/ ? ? . Easement line
V ? ? • NWL
? • HWL
Pond # designation
? ? • Emergency Overflow Elevation
/ DIMENSIONS
U/111 U/111 0 . Lot lines/Bearings & dimensions
V/ ? • Right-of-way and street width (to back of curb)
13 ? F I . 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
? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
p? ? ? • Retaining wall requirements, if any _
A r
Reviewed: // - C7,1
SEVERSON,SHELDON,
DOUGHERTY & MOLENDA, P.A.
SUITE 600
7300 WEST 147TH STREET
APPLE VALLEY, MINNESOTA 55124-7580
(952) 432-3136
TELEFAX NUMBER (952) 432-3780
E-MAIL baueu,@sevemonsheldon.com
TO: Russ Matthys, City Engineer
FROM: Robert B. Bauer, Assistant City Attorney /n
DATE: April 16, 2001
RE: City of Eagan v. J. Gary Sander, et. al.
Project No. 784
Our File No. 206-17153
Russ,
Enclosed for the City's records regarding the above-referenced matter, please find the original
Partial Final Certificate and Order dated February 23, 2001, and recorded with the Dakota
County Recorder's office on March 22, 2001, as Document No. 1759172.
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p' LL STATE OF MINNESOTA 4
COUNTY OF DAKOTA
City of Eagan, a Minnesota
municipal corporation,
v.
Petitioner,
J. Gary Sander and Patricia J. Sander,
husband and wife; Premier Bank, a
Minnesota corporation; Frank A. Huml,
a single person; Vern H. Rosenberger and
Malvina T. Rosenberger, husband and wife;
Summit National Bank of St. Paul, a United States
of America corporation; RES Investment
Company, LLP, a Minnesota limited liability
partnership; John Doe, Mary Roe and all other
persons claiming an interest to the subject property,
Respondents.
Trwater Entered This _ --
dr/ of
?rocs du,dir0%
D 7
IN THE MATTER OF THE CONDEMNATION OF CERTAIN
LANDS FOR RIGHT-OF-WAY, DRAINAGE AND UTILITY PURPOSES
By authority of Minnesota Statutes Chapter 117, I hereby certify that the lands herein
described have been taken by the City of Eagan in eminent domain proceedings for purposes in
conformity with the requirements of Chapter 117 and of said statutes as amended; that
Commissioners were duly appointed by the Court to ascertain and report the amount of damages
:11F, DAKOTA 1,00Tt
' -1. `4OJ?PQAa. i;u." I rp..tistntor
FEB 2 8 2009
DAKOTACOUNTV 'Y-----?C-'?-?-.
TPSa:Lr":" • _p'r%r' OEFUTv
87ATE OF MWNESM COVIM OF DAINTA
CerflTied to be a trre acid mnw copy of the o ;
on Ne argil of r cod in vey Ofta [tis
day of . .29225?
VAN A. MSTROM, CQUAT ADfAIRSTAATM _
8Y - 42A n -C: / _ e i
DEPUTY
1759172
DISTRICT COURT
FIRST JUDICIAL DISTRICT
Case Type 2. Condemnation
COURT FILE NO.: 19-C9-00-8451
PARTIAL FINAL CERTIFICATE
AND ORDER
sustained by the several owners on account of such taking; that said Commissioners qualified
and made and filed their report of such damages; that the time for appeal from the awards in said
report has expired; that all damages, as determined by award, and by agreement of the parties,
have been paid by the City of Eagan; that the proceedings for the taking of certain rights in said
lands are now complete; and that said City now owns permanent right-of-way, drainage and
utility easements and temporary construction easements over said lands for the purpose of
maintaining the same for right-of-way and utility purposes and have the exclusive control of
same.
Said lands are situated in Dakota County, Minnesota, and are described in particularity on
Exhibit A, attached and incorporated by reference.
And notice is hereby given that the above-captioned condemnation proceeding has been
completed; that payment for the taking of lands above described has been made and that the
Partial Final Certificate was executed and approved on the dates shown and endorsed herein.
Dated: 2? 23 12000. SEVERSON, SHELDON, DOUGHERTY
& MOLENDA, P.A.
2, ? ??_ - 40?_
By: Robert B. Bauer, I.D. #227365
By: Michael G. Dougherty, I.D. 9134570
Attorneys for Petitioner, City of Eagan
7300 West 147th Street, Suite 600
Apple Valley, Minnesota 55124
(612) 432-3136
The above Certificate is hereby approved.
BY THE COURT:
NN t V - s0v?)
Judge District Court
EASEMENT DESCRIPTION - Easement No. 761
P!D No. 10-01300-010-06
Fee Owner: Frank A. Huml, a single person
An easement for right-of-way, drainage and utility purposes over, under and across the
west 30.00 feet of the following described property:
All that part of the Southeast Quarter of the Northeast Quarter of Section 12,
Township 27, Range 23, Dakota County, Minnesota, described as beginning at
the point of intersection of the west line of above described subdivision with the
south right of way line of Trunk Highway No. 55 as now established; thence
southeasterly along said south right of way line a distance of 147.5 feet; thence
southerly at an angle of 109 degrees 04 minutes with said right of way line, a
" distance of 449.3 feet; then, westerly at an angle of 90 degrees 17 minutes a
tl? distance of 138.4 feet to an intersection with the west line of the Southeast
Quarter of the Northeast Quarter of Section 12, Township 27, Range 23; thence
northerly along said west line a distance of 498.5 feet to the point of beginning.
Together with an easement for right-of-way, drainage and utility purposes over, under
and across that part of the above described property described as beginning at the
intersection of the east line of said west 30.00 feet with said southerly right of way of
State Trunk Highway No. 55; thence on an assumed bearing of South 70 degrees 56
minutes 57 seconds East, along said southerly right of way of State Trunk Highway No.
55, a distance of 28.13 feet to the point of beginning of a line hereinafter referred to as
Line "A"; thence South 19 degrees 03 minutes 03 seconds West a distance of 20.00 feet;
thence South 89 degrees 52 minutes 04 seconds West a distance of 20.00 feet to said east
line of the west 30.00 feet of the above described property and said Line "A" there
terminating; thence North 0 degrees 07 minutes 56 seconds West, along said east line of
the west 30.00 feet of the above described property, a distance of 28.13 feet to the point
of beginning.
Together with a temporary easement for construction purposes over, under and across
that part of the above described property described as beginning at the point of beginning
of Line "A" described above; thence South 70 degrees 56 minutes 57 seconds, along said
southerly right of way line of State Trunk Highway No. 55, a distance of 42.20 feet;
thence South 0 degrees 07 minutes 56 seconds East a distance of 70.00 feet; thence North
70 degrees 56 minutes 57 seconds West a distance of 54.45 feet; thence South 0 degrees
07 minutes 56 seconds East a distance of 412.38 feet to the south line of the above
described property; thence South 89 degrees 42 minutes 03 seconds West, along said
south line of the above described property, a distance of 15.00 feet to said east line of the
west 30.00 feet of the above described property; thence North 0 degrees 07 minutes 56
seconds West, along said east line of the west 30.00 feet of the above described property,
a distance of 459.51 feet to said Line "A" described above; thence North 89 degrees 52
minutes 04 seconds East, along said Line "A", a distance of 20.00 feet; thence North 19
EXHIBIT "A"
Page 1 of 2 Pages
degrees 03 minutes 03 seconds East, along said Line "A", a distance of 20.00 feet to the
point of beginning.
Said temporary easement to expire 6/1/02.
Page 2 of 2 Pages
40, city of eagan
10
Rim joist detail options
Below are options for the new energy code. Please indicate the number you planning to use.
Name: Sckag,- - -81`Dt C6,,J ?nc Date:
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Site Address: 144 3 L3e.5??DnJ ?J Phone#:
Number of option below: &
8 Other
Site address: e J'D/f) '4naA Lot Block o? Subd. '>\1/IgS- (A)ooj 74 we
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater X U) +
J?orA MaCT 75T/DC 75060 I
er t)e
Furnace e- 0 r 7D ga O r 'e
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
OAR e Air: F61 X -G - l? 0 oe-o
OA -e- ko'.er ft.Je X k? &-r - JO deg X
MAKE-UP AIR MODEL TYPE CFM's
Von .>17a5 0 0 o0
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
(?) q?L4 , j:,:? /'!) -Y/ - 0
SScVId??/ lrDS Cent -! nc Date
Company Name
This form is the responsibility of the General Contractor.
RESIDENTIAL BUILDING
?1 Ll Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReoair Requirements
3 registered site surveys showing sq. fL 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 8 window sizes; poured found design, etc 1 site survey for additions & decks
1 set of Energy Calculations AM(=- indicate it on-site septic system
3 copies of Tree Preservation Plan if lot platted after 7/1!93
Rim Joist Detail Option selection sheet (bldgs with 3 or less units
oo
Office Use OnN
_ Cad of Survey Recd
_ Tree Pres Plan Recd
_ Tree Pies Not Reqd
_ On-site Septic System
Date 4 / , gq- / Q Construction Cost /y A>"E,PMA4 - g/Sa3 - ? 9
Site Address
?NJ?? i
/QS? l
bt id RCL, Unit/Ste' #
G/
GLL ?L n
?
l r I
Description of Work DCyCl?-
Multi-Family Bldg _ Y 2?_ N Fireplace(s) _ 0- 1 - 2
Property Owner o k
n d, LeP-L (II "(- n
211 n M Telephone # (6,S1 9a S- 38 73
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 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
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.
v7yi? 14. /1,C1r^1z'-4 A
Applicant's Printed Name Ap ant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex 31( 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
)121 32 Addition
? 33 Alteration
? 34 Replacement
Valuation (7
Census Code 3.q-
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const /A)
Footings (new bldg)
y Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Frain ng
Fireplace _ R.I. _ Air Test _ Final
Insulation
Width
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By Z Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
s
70
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1483 West Pond Rd
Lot: 11 Block: 2
PID:10- 42051- 110 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Perm
Contractor:
Craftsmen Home Improvements
7455 France Ave #194
Edina MN 55435
(651) 430 -3706
Addition: Kingswood Ponds 2nd
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
closed without required inspection(s). Letter & correc
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on notice sent to applicant on 2/10/09. (pf)
Owner:
Andrew S Troth
1483 West Pond Rd
Eagan MN 55122 -2881
ith ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA080357
10/10/2007
ePermit