4800 Avery Ct - Outlot SCA
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1 For Office Use
i Permit#: e3Z z2
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I Permit Fee:
EAGAN
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Date Received:/OI
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ` I
(651)675-5675 1 FAX: (651)675-5694OCT 2 $ 20 i Staff: 1
buildinginspectionsaC)citvofeagan.com ——————— ---------J
2021 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: qzo
0IN , Unit#:
Name: pt/ - t io+M�S — r_� r. �V�Sq c;r� Phone:
Resident/
Owner Address/City/Zip: IZ q IP('c;,rj z, M,r)
Applicant is: Owner J(_Contractor Owner Email: n
Type of Work Description of work: k a,+Cx in i✓N q UJ��I l (Aym Y f h,e--A
Construction Cost ko 000 Multi-Family Building: (Yes /No )
Company: YT�J cin Ceram V(JA�� �i'Y1ti t rPSi�hCContact: 1 'rT-,/ 1,,,n'C JJ
Contractor Address: J 6.5a 5 g r V t ew L.aJ City: �ri o r
State:MN Zip: SS �7 - Phone: 6i 2 BI-g747Email: S-�-rVW6 ka , Guvt,
License#: N A Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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 Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE.,Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be
classified as non-public Nyou provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gooherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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 erry x
Applicant's Printed Name Applica t' ignature
FOR OFFICE USE ONLY
Site Address: q060 Permit#: 175/0/
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Miscellaneous
_ Single Family _ Garage _ Porch (4-Season) _ Accessory Building
Multi _ Deck _ Porch (Screen/Gazebo/Pergola)
01 of_Plex _ Lower Level _ Pool
WORK TYPES
�\New _ Repair _ Siding _ Retaining Wall
Addition _ Fire Repair _ Reroof _ Move Building
Alteration _ Water Damage _ Windows _ Demolish Building*
Replace _ Egress Window _ Solar *Demolition of entire building-give PCA
handout to applicant
DESCRIPTION
Calculated Valuation 0 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%0 Zoning City Water
Census C de Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings —Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings 4Backfill Final
Sheetrock �°- Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control Stormwater Management
Shower Pan Other: Permit Required:
Reviewed By: �, Btjildling Inspector
RESIDENTIAL FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Utility Connection Charge V!
S&W Permit&Surcharge /
Treatment Plant
Radio Read
Other:
Copies:
TOTAL $0.00
LOT SURVEY CHECKLIST FOR RETAINING WALL
BUILDING PERMIT APPLICATION
4800 �� yj
ADDRESS.. Avery Ct. /
APPLICANT NAME: Pulte Homes
DATE OF SURVEY: 9-24-21
LATEST REVISION:
m
"Permits required for Retaining Walls 4 feet high or greater.
t
V
�[ g DOCUMENT STANDARDS
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❑ ❑ [D Registered Engineer signature and company
❑� ❑ ❑ Building Permit Applicant
❑� ❑ ❑ Address
❑✓ ❑ ❑ Legal description
❑ ❑� ❑ Lot lines/Bearings&dimensions
❑r ❑ ❑ North arrow and scale
❑✓ ❑ ❑ Street name
❑✓ ❑ ❑ Show all easements of record and any City utilities within those easements
❑✓ ❑ ❑ Setbacks of proposed structure and side yard setback of adjacent existing structures
ELEVATIONS
❑✓ ❑ ❑ Property corners
❑ ❑✓ ❑ Top of curb at the driveway and property line extensions (only if wall is within 30 ft. of curb)
❑ ❑✓ ❑ Elevations of any existing adjacent homes
❑✓ ❑ ❑ Adequate footing depth of structures due to adjacent utility trenches
❑ ❑ Waterways (pond, stream, etc.)
❑ 0 ❑ At the foundation of the building and/or nearest structure
PONDING AREA (if applicable)
❑✓ ❑ ❑ Easement line
❑ ❑✓ ❑ NWL
❑ ❑✓ ❑ HWL
❑ ❑✓ ❑ Pond #designation
❑ ❑✓ ❑ Emergency Overflow Elevation
❑ ❑✓ ❑ Pond/Wetland buffer delineation
Fo--J Shoreland Zoning Overlay District
FN—o -1 Conservation Easements
RETAINING WALL INFORMATION
❑✓ ❑ ❑ Location of Retaining Wall on property
❑� ❑ ❑ Top & bottom elevation at each end of wall and any change in elevation in between
❑r ❑ ❑ Type of material (i.e. modular block, boulder, etc.)
❑✓ ❑ ❑ Directional drainage arrows with slope/gradient%
Reviewed By: Dave Westermayer Date 10-28-21
G:/1 Engineering/Forms/Building Permit Application-Retaining Walls Rev.03-17-21
FORESTRY BUILDING PERMIT PLAN REVIEW
E A G A N
Date Building Permit Application Received 10/28/21
Development Avery Pines Lot N/A Block N/A
Site Address 4800 Avery Ct
Builder Pulte Homes Contact Chad Onsgard
Telephone 612-396-2694 E-mail
Project Description:
Installation of development retaining wall structure. Expansion of existing boulder wall central to the site.
Office Plan Review/Impacts To Tree Preservation—Date 11/1/21 Notes This work will have
no impact on existing trees and not require modifications to the approved Avery pines mitigation plan
Site Inspection—Date 10/29/21 Notes Location of new retaining wall is a sufficient distance from
previously preserved trees, no other significant trees are within the grade/excavate limits.
Additional Tree Preservation Plans Required - Yes / No
Approval Recommended - -/ No
EAGAN FORESTRY DIVISION
REVIEWED BY: A. SCHNAIBLE
DATE: 11/1/21
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