4868 Avery Ct 1704/75 -* 8?(oo- R 2
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��� p C7r -f (eO• 12 j Permit#: I _7S//7✓
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EAGAN I Permit Fee. tJ,-7
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Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-56751 FAX: (651)675-5694 I Staff:
buildinginspections cit fea an.com1---------------
F 2,
2021 W
S(DE NTIAL BUILDING PERMIT APPLICATION
Date: 11-12-21 Site Address: 4868 Avery Court unit#: 1
Name: Pulte Homes of MN Phone: 763-274-9345
Resident/ 7500 Flying Cloud Drive, Eden Prairie, MN 55344
Owner Address/City/zip:
Applicant is: Owner ✓ Contractor Owner Email: curtis.johnson@pultegroup.com
Type of Work .
Description of work: New Residential Construction
Construction Cost: 178,000 Multi-Family Building: (Yes X /No
Company: Pulte Homes of MN Contact:
Contractor
Address: 7500 Flying Cloud Drive City: Eden Prairie
State: MN Zip: 55344 Phone: Email. ellie.rogers@pultegroup.com
License M BC627723 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 1( No If yes,date and address of master plan:
Licensed Plumber: Sabre Phone: (763) 473-2267
Mechanical Contractor: Sabre Phone: (763) 473-2267
Sewer&Water Contractor: Ground Tech Phone: (651) 964-0006
Fire Suppression Contractor: FSS Phone: 651-775-3964
NOTE.Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified es non-public H you provide specific reasons that wouldpermit 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.citvofeaaan.com/subscdbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aopherstateonecall.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 Steve Brock X ,'t Sic 9SZ�9-oT�G
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
4868 Ave Ct 173475
Site Address: Avery Permit#: 'i
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Miscellaneous
Single Family _ Garage _ Porch(4-Season) _ Accessory Building
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola)
✓ 01 of 6 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 $209,368.56 Occupancy IRC-3 Townhouse MCES System
Plan Review Code Edition 2020 Msec SAC Units 1
(25%_100% ✓ ) Zoning PD City Water ✓
Census Code 101 Stories 2 Booster Pump
#of Units 6 Square Feet 2004 PRV ✓
#of Buildings 1 Length Fire Suppression Required ✓
Type of Construction Not Applicable Width
REQUIRED INSPECTIONS
✓ Footings(New Building) ✓ Meter Size: 3/4"
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_Backfill_Final
✓ Sheetrock ✓ Radon Control
✓ Fire Walls ✓ Fire Suppression: ✓ Rough In ✓ Final
✓ Braced Walls ✓ Erosion Control Stormwater Management
✓ Shower Pan Other: Permit Required: ✓
Reviewed By: Building Inspector
RESIDENTIAL FEES
Calculated Valuation $209,368.56
Base Fee $1,716.75
Plan Review $1,115.89
State Surcharge $104.68
MCES SAC $2,485.00
City SAC $122.10
Utility Connection Charge $1,592.90
S&W Permit&Surcharge $129.00
Treatment Plant $989.60
Radio Read $205.00
Other: 3/4"Meter $300.00
Copies:
TOTAL $8,760.92
Residential Permit Valuation Calculations
Site Address: 4868 Avery Ct
Project Description: New Townhome 1 of 6, Lot 1, Block 9
Space Type Square Feet Amount per Subtotal
Square Foot
3-Season Porch $ 60.00 $
4-Season Porch $ 76.00 $ -
Basement(New) Unfinished $ 16.50 $
Basement Finish Addendum (prior to CO) $ 79.23 $ -
Basement Finished $ 95.73 $'
Bathroom Remodel $ 20.00 $ -
Bonus Room Finished $ 95.73 $
Bonus Room Remodel $ 20.00 $ -
Bonus Room Unfinished $ 35.00 $ -
Crawl Space $ 8.00 $ -
Deck $ 15.00 $
Drain Tile ($135 set fee) NA
Egress Window($2,000 per pit) NA
Front Stoop 24 $ 50.00 $ 1,200.00
Garage(attached with footings) 404 $ 40.41 $ 16,325.64
Garage (detached with floating slab) $ 30.00 $ -
Kitchen Remodel $ 20.00 $
Lower Level Remodel $ 20.00 $ -
Main Level Finished 932 $ 95.73 $ 89,220.36
Room Addition $ 95.73 $ -
Rot Repair(per valuation) NA
Screen Porch $ 50.00 $ -
Screen Porch (aluminum frame) $ 30.00 $ -
Solar Array(per valuation) NA
Sport Court $ 16.50 $
Townhouse $ 87.40 $
Upper Level Finished 1,072 $ 95.73 $ 102,622.56
Upper Level Unfinished $ 35.00 $ -
Total $ 209,368.56
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Vacant i A
Denotes iron pipe House elevations (Proposed) As-built
1,6 2,3.4.5 Denotes service
Lot area = 4814 SF Lot area = 8016 SF Top Of Foundation Elev. :(944.0)
70 Denotes television box
House area = 2656 SF House area = 4924 SIF
Porch area = 46 SF Porch area = 96 SF 0 Denotes electric box Garage Slab Elev. @ Door :(943.5)
Sidewalk area = 98 sr Sidewalk area = 196 SF FE-1 Denotes telephone box
Driveway area = 364 SF Driveway area = 668 SF X 000.00 Denotes existing elevation
Patio area = 164 SF Patio area = 332 SIF ( 000.00 ) Denotes proposed elevation
Total Impervious Area = 3328 SF Total Impervious Area = 6216 SF -- Denotes drainage flow direction
Impervious Coverage = 69.1% Impervious Coverage = 77.5% A& Denotes spike I
Construction Notes: ENNEEME Denotes proposed retaining wall MY F D
1. Install rock construction entrance. • designed and built by others. 01
2. Install silt fence as needed for erosion control. 10' 20'
3. Sidewalks shall drain away from house a minimum of 1.0%. By
4. Contractor must verify driveway design.
5. Contractor must verify service elevation prior to construction. Date
6. Add or remove foundation ledge as required.
7. Retaining walls are conditional; Wall installed if the grade exceeds 3:1. EA A ENG 'VG I)L' r, Scale: 1" 20'
Wall will not be installed if the grade is 3:1 or less.
General Notes: Benchmark:
1.
Grading plan by Pioneer lost dated 4-2-21 was used to determine proposed We hereby certify to Pulte Group that this survey, plan or Top Nut Hydrant Elevation
elevations shown herein. report was prepared by me or under my direct supervision, and
2. This survey does not purport to show improvements or encroachments, that I am a duly licensed Land Surveyor under the laws of the
ex cept as shown, as surveyed by me or under my direct supervision. State of Minnesota, dated 11/08/21.
3. Proposed building dimensions shown are for horizontal location of structures
on the lot only. Contact builder prior to construction for approved construction
plans. Signe ring, P.A. Revisions:
1.)1140-21 Stake building4. No specific soils investigation has been performed on this lot by the surveyor.
The suitability of soils to support the specific house proposed is not the
responsibility of the surveyor. BY: ci�
5. This certificate does not purport to show easements other than those shown Peter J. Hawkinson, rofessional Land Surveyor
on the recorded plot. Minnesota License No. 42299 email-phawkinson@pioneereng.com
6. Bearings shown are based on an assumed datum.
PIONEER Lot 1,2,3.4,5,6 Block 9,
eneering,PA enAVERY PINES Certificate of Survey for:
C-11R.2ERI LAND PLAN\ERS LANDSURVEYORS LANDsC>PEARCI=- according to the recorded plat thereof
2422 Enterprise Drive Ph.:(651)681-1914 Dakota County, Minnesota Pulte Group
Mendota Heights,MN 55120 Fax:(651)681-9488 Address: 4868 4872 4876 4880 4884 4888 Avery Court, Eagan, Mn. 7500 Flying Cloud Drive Ste 670
www.pioneereng.com House Model: Ashton, Ashton, Bowman, Eden Prairie,MN 553"
Ashton, Bowman, Bowman Elevation: N/A
Project#:121194003 1 Folder#:8557 jDrawn by:CWM
@ Pioneer Engineering
--------------------------
For Office Use 1
EAGAN1 Stormwater Management Permit#: I
1 Building Permit#:
I Escrow Deposi ��d • D�
I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 IQY2I
(651)675-5300 1 waterres aC�.citvofeagan.com
Staff:
1 � I
L-------------------------J
STORMWATER MANAGEMENT PERMIT
Date: 11-30-21 Site Address: 4868 Avery Court Eagan, MN 55123
Description of Project: Avery Pines - Multi-family building #9 (5 residential units)
Area of Land Being Disturbed: 10,826 SF Start Date: 1-13-21 Completion Date: 0-19-21
❑ Please submit a Land Disturbance and Stormwater Pollution Prevention Plan with this application.
Name:
Pulte Group Phone: 952-229-0716
Address/City/zip: 7500 Flying Cloud Dr. Eden Prairie, MN 55344
Property Owner
Contact: Steve Brock Email: steven.brock@pultegroup.com
Applicant is: Owner Contractor
Name: Pulte Group License#: BC627273
7500 Flying Cloud Dr. Eden Prairie, MN 55344 Eden Prairie
Contractor, Address: City:
...
State: MN Zip: 55344 Phone. 612-865-1901
Contact: Steve Brock Email: Steven.brock@pultegroup.com
Erosion and Sediment Control Performance Security
The City requires an escrow deposit to secure performance of erosion and sediment control(ESC)requirements,including proper
installation and maintenance. The security shall pay for any City costs or expenses to bring the site into compliance with the
stormwater management permit, including any engineering, legal,or administrative expenses; inspections; and necessary work by
City contractor(s). The City may extract from the security escrow. The escrow deposit will be released only upon inspection and
written notice of conformance by the City.
The following escrow deposits include two(2)required City inspections, initial and final.
Existing Single-Family Residential Lot(addition,demolition, pool, retaining wall,etc.) $1,000/lot
New Single-Family Construction $3,000/lot
Multi-Family or Commercial Construction(new,addition,demolition) $5,000/acre'
'Maximum of$12,000
Erosion and Sediment Control Reinspection Fee(for as needed City reinspections after the two(2)included) $85/trip
Security Amount: 5000.00
l
The applicant assumes all responsibilities for installation and maintenance of pollution prevention practices on this site.
Any violations of City Code identified by the City shall be addressed within 48-hours of service of the notification.
The applicant understands that failure to maintain pollution prevention practices within the time allotted by the City
notification,will result in enforcement action to correct site deficiencies that are in violation of Sec.4.34.
The issuance of this permit constitutes a right-of-entry of the City or its contractors to enter upon the construction site for
the purpose of completing ordinance enforcement and/or completing corrective work.
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.
The undersigned accepts full responsibility for compliance with the Stormwater Management Ordinance of the City of
Eagan and agrees to comply with the Stormwater Pollution Prevention Plan or equivalent in full.
X Steve Brock X stu�
Applicant's Printed Name Applicant's Signature
Performance Security Release
The following information will determine to whom the escrow deposit will be returned. Security will be returned in the form
of a check.
Name: Steve Brock
Address/City/zip: 7500 Flying Cloud Dr. Eden Prairie, MN 55344
Phone: 952-229-0716 Email: steven.brock@pultegroup.com
Amount: Unavailable Permit Number: Unavailable
FOR OFFICE USE ONLY
SUB TYPE WORK TYPE'
Stormwater Management Permit Apartments Commerciallindustrial
Multi Family Public Facility
Single Family
DESCRIPTION
Addition Demolition Pool
X New Retaining Wall Other:
REQUIRED INSPECTIONS
X initial inspection
X Final Inspection
SECURITY
Erosion and Sediment Control Deposit(6501.2257) $5,000
Other:
Total: $5,000
Reviewed By: ymdeckw Water Resources Date: 12/01/2021