4667 Pine Cone CirAddress: 4667 Pine Cone Cir Zip: 55123
Lot: 4 Block: 2 Subdivision: Piney Woods
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPF.CTION ON 03I1 H/OS
Yes No Comments
Final grade - 6" from sidin
Permanent ste s- ara e
Permanent ste s- main ent
Permanent drivewa
Permanent as
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fire lace
• Verify with your builder that roof test caps from the plumbing system have been remwed.
. Tum off water supply to the outside lawn faucets before freeze potenflal exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
urigarion system.
Y BUILDINC IIVSPECTOR: TC[fV ZelCI1k2
Cd/Bldg Insp/Forms/2004/Checlclis[s/Mas[er Checklist For C.O.
CONTRACTOR:
Manley Brothers Constructian
2113 Ctiff Drivc
Eagan MN 55122
Address: 4667 Pine Cone Cir Zip: 55123
Lot: 4 Block: 2 Subdivision: Piney Woods
Date: Inspector.
TfE FOLLOWING ITEMS WERFJWERE NOT COMPLETE AT THE TIIv1E OF THE FINAL INSPECTION
Yes No Yes No
_ Final grade- (6" from siding) _ ?- Porch
Permanent steps (garage) Lower level
Permanent steps (main entry) Deck
x
r? _ Permanent driveway Fireplace
Permanent gas
Sod/secded yard
TraiUcurb damage
a Ask your builder:
1. if roof test caps &om the plumbing system have been rcmoved.
2. to verify the location of water supply shut-off to outside faucets. Outside water needs to be shut off prior to freezing
temperatures.
. Prior to installing undc:rground sprinkler system or working in City right-of way, please call 651-675-5675 for information.
Occupancy check off list
Monday, Fe6ruary 28, 2005 9:57 AM Lofgren Htg & NC 6514601208
OitH,23.20Vi 10:23AY ERGRN EFG+CDH DEV a 94509391
p.03
N0.733 4•. 1093 002
s?ieaamass: 'I667 (? ve Co-.ve t,«? ??. swa..P'.veIc...o?5' -
pn April 15, 2000 f?ie Nbnneseta EM9Y Code, Category I Builbing Requirements for insula6on pmtecdon. air
09Atness, and ventilagon, was adopted. As a resutt, the Ciry of Eagan is requying Ihattne tollowing informa0on Ce
submiW prior ro issuance of a Ceitificate of Occupancy.
-X Th1s SWCNe hconeuvclgdto meM mbtimum roqWfWnents d Lne Mn FiMgy Gode. ChOPter 7670
OR
,-(ryg yCyyoRrW. rnriB 6e eon4lrutleltomeatmOre reslAcMw l6auItemanu of Cneplers 7672 a767d
q?J? 6/1y ELEC MANI?AC?UHEfl OpE?
joo BNS
o vENTINGr'PE
11 ' 7'11<-
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on+nUST srsrort LocanoN rrv6 nrooEL cFm9
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atction M?z'3b?tF s 1
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FlfEPIRZ LOC TIDN
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htODEL
BN5 VENTING
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I heeby xknowledgq ihat dhg ybpvg in(amaWll le caract ari0 a9me 10 wmply wllh tlio Mrnmota Enargy Ccde end Cib cl EMon
l0Q114aq1Blltb.
? ,/a F612 fol? Oale
Campenyamna
' T?is lortn li ?he reeponslotib d iM Generei Conliauw-
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sa c?,?
? Monday, February 28, 2005 9:49 AM
%FEB. 23. 2J05 10:23AM
Lofgren Htg & A/C 6514601208
EAGFaN EhY':+CpM DEV -s 945493?1
p.03
No. 733 P•.. ?e?t oea
Sitoadmess: 11667 P,'.ve Cowe- Loti Blaq,? SuDd
/
On April 13, 2000 1he N6towoto EMt9Y Code, CRmgory I Bui" RequiremeMS fa insul24nn pmtecBon. air
69Mness. md veMiladon, was adoPted. As a reswC the Ciry of Eagan is requidng Mat tne taWmg information De
subrntted Pria b issuance o{ a Cotificate of OccuoanaY-
? Th?s euven,? ? aonmruelae ro meetmm?um ro? d me Mn Ewrgy Coda CnePtff 767o
OR
, TNyouLlom MgLbs eonwudotp„m more msWtmmWhwaft afCnyreis7672a7Gra
AMCE 6115 ELEC AC M L BTUS vENlkIGM6
YYa[ariOa[s
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DW ; ooa
E701AUST SYST6ct LOCA710N TYPE MO?I. 6M's voo No
&Wn u ef, Ya
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9eniroom2 .,dF/ /r )1 -7?0
&tlxaan3 a 1cr 'C1
9a#raom4
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1 hereby ednoWedge Oia1 Ne abwe W40maW le carecc aio aWss fu wmqY wllh IM Mnraecm fner9l Owk and Cib d Fs9d+
te*Arwkerfts.
,?...1 ?
Compa?y Neme
a-a.9.o(.r
Da
' 7N3 tam k 4g reapaa*N W tl» Geiwai CaN/actw-
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VJc-C) &
2004 RESIDENTIAL BUII.DING PERNRT APPLICATION
City OfEagan m p-
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenls 1-7 S?L
3 registered site surveys showing sq. ft ot lot sq. R. of house: and all roofed areas
(20% maximum lot coverage allowed)
2 copies ot plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculatbns
3 capies o( Tree Preservatbn Plan N bt platted afler 711193
Rim Joist Dehail Opfions selection shcet (61dgs with 3 or less unAs
Cert of5une? Rectl?. ? -Y" IJ
TreeQ2sPlan_Re
TreeRxesEteqyired
QMS?teSepHIticSYs?L!±.._.e :?'?,?.N.
0.0-rh oR a?- j ?-?rf.i?,d. Z-Ct °`
cl; / <i o
I
U i C 0YQL- J` ontrucon Cost
Date
Site Address !
'
I UniUSte #
l
Description of Work `I 1'
MuIH-Family Bldg _ Y_ N Fireplace(s) _ 0/-, 1 2 ?
L, A^ Property Owner I " ,-? 1? elephone ? 1? I?
Contractor
Address
State
Zi
ph
..X
A NEW BUILDING
Energy Code Category
(J submission type)
Ventilation Category 1 Wwksheet
Energy Envelope Calculations Submitted
Have you previously con!
fee applies. /
Licensed Plumber?
Mechanical Contractor
Sewer/Water Contractor
a building in Eagan with-a•simitaSr
L?-, L '?-j ?
r
Minnesota Rules 7672
• New Energy Code Worksheet
\ Submitted
? Y _ N If so, 25% plan review
e # 44 -7 - (?7 3?l
e#vil)
Telephone # H6q? lap
GF
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.
?,V?-W-tp-
Applicant's Printed Name ApplicanYs Signature
RemodeUReoair Reouireme
2 wpies of plan
i set ot Energy Calculations for heated addifions
t site survey for additions & decks
Adddion - iiMkate iI onsite septic system
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16•plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea .) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) . ? 36 Multi Misc.
? OS 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 ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) • Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code ? Q/ Zoning City Water
SAC Units (9( Stories Booster Pump
# of Units J Sq. Ft. D PRV AdZZ2_
# of Bldgs f Length ? Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) _ Piumbing
? Foundation _ HVAC
Drain Tile Other
Roof Ice & Watei
Framing Final
_ Pool F s Air/Gas Tests Final
Siding Swcco Stone _ Bnck
Fireplace _$ R.I. *Air Test %?, Final _ Windows
Insulation Retaining Wall
/l
Approved By: `
/ , Bu ilding Inspector
Base Fee ?,J O
Surcharge ? t/
?.
Plan Review
MClES SAC
City SAC
Utility Connection Charge S&W Permit & Surcharge (
Treatment Plant ??6?
License Search
Copies ?/ c)
Otner
Total , 553?-?'• ?" ? 1/' 7/ LP /?
d
O UC a b P `0 -4 to 5 57 `j , 7 5?
P1 Yl(L% ? vU" RESIDENTIAL BUII.DING PERNIIT APPL CATION q?? po . S 0
' Ci ty Of Ea gan P?° ?° `??6 7 y? ?
3830 Pilot Knob Road, Eagan MN 55122 5 1? SS: 7?
Telephone # 651-675-5675 FAX # 651-675-5694 ?
Sk1 b?F??
NewCunsWdionReouiremenls - RemodeVReoairReauiremen4s fMic?'317s2?i
3 regisle2d sRe surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan ??fiSl4 . ?` ? H
(20% mazimum lot coverage allowed) 1 set of Energy Calculations for heated addipons 7A?i' RY ?? M???
2 copies of plan showing heam & window sves; poured found desgn, etc. 1 site survey for additlons & decks T#?[ES?Ra?st?ir
1 set of Energy Cal?vlatlons Adddion • irMicate ifon-sile sepHc system 63'fte?,?S? ????' ?
3 mpies of Trce P2senafbn Plan if bt platted after 711193
Rim Joist Defail Options selection sheet (bldgs with 3 or less units
Date
Site Address
P/ /e
t dc;? Constr ction Cost ?1?/ Doo to o
Con ? rG/ C_? Unit/Ste 3t
a / (?j e-\,4 w o0 os
Description of Woek (\? uj??S
Multi-Family Bldg _ Y K N Fireplace(s) _ 0? 1 _ 2
PropertyOwner 1"lc t-l`? t e-u ^k7 ?C5 Telephone#
Co¢tractor ??
L
?']
7
Address ry??'7
State
Ll?
City
Zip Telephone # ?all ) ??' ?? I Cl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission[ype) Submitted Submitted
• Energy Envelope Calculations Submitl?k..
e
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed 'S[hc_r r- ?
Mechanical Contractor L?r e- ?
--?
Sewer/Water Contractor
Telephone 415"14y-1-&150
&o- 8313
uu ais I hereby apply for a Residential Building Permit and acknowledg at the in or tiomp lete and accurate;
that the work will be in conformance with the ordinances and co _ 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 worlt which requires a review and
approval of plans.
Mic r?? ??slt-
ApplicanYs Printed Name
/ ?I (L?_4 el?1?-/?.?t'2??
ApplicanYs Signahue
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
x 02 SF Dwelling ? 08 06-plex ? 16 FirepVace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Ga2ge ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
x 31 New
"
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation 1/Y 4?/O
Census Code /O/
SAC Units 4'/
# of Units O/
# of Bldgs O/
Type of Const '74)
r
a ?
i
? 30 Accessory Bidg
? 31 Ext. Ak - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) - Give PCA.handout to appliwnt
Occupancy /2-3 MCES System
Zoning / -! City Water -
Stories ? Booster Pump --'
Sq. Ft. 31 PRV ?
Length y?! Fire Sprinklered -
Width 70
Footings (new bldg)
_ Footings (deck)
Footings (addition)
Foundarion
Drain Tile
Roof ? Ice & Water -je Final
.? Franung
? Fireplace :)t R.I. k Air Test ,?f Final
Insulation
?
Approved By: _
Base Fee v ?
Surcharge
Plan Review
MC/ES SAC
cty sac
Utility Connection Charge
S&W Permit & Surcharge
Treatmant Piant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_
_ Plum6ing
_ HVAC
Other
_ Pool Ftgs AirlGas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
? Retaining Wall
Building Inspector
15?zo 11
vlIr-;;? i4?i 0 ep 15 ?
J
?'
/3?P '2?
/? 3 0-3?
a
Pernut Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Softwaze Version 3.3 Release lc
Data filename: C:IENERGY CALCS1mbc0129.rck
7TTLE: MBC0129
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DAT'E: 04/26/04
DA"IB OF PLANS: 3/22104
PROJECT INFORMATION:
spec
L,ot 4, Block 2 Piney Woods
4667 Pine Cone Circle
Eagan, MN
COMPANY INFORMATION:
Manley Bros Consiruction
COMPLIANCE Passes
Maaimum UA = 561
Your Home = 480
14,4%Better Than Code
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised oz Energy Tmss
Wall 2: Wood Frame, 16" o.c.
Window 3:
Abwe Grade, Vinyl Frame, Double Pane with Low-E
Door I: Solid
Wall3: WoodFrame, 16" o.c.
Window 4:
Above Grade, Vinyl Frame, Double Pane with Low-E
Wali 4: Wood Frame, 16" o.c.
Window 6:
Above Grade, Vinyl Frame, Double Pane with Low-E
Basement Wall 1:
Solid Concrete or Masonry, A.g' ht/8.2' bg/8.8' insul
1466 44.0 0.0
1582 19.0 0.0
196 0.350
41 0.350
1408 19.0 0.0
zqZ 0.350
301 19.0 0.0
120 0.350
1036 11.0 0.0
32
79
69
14
69
85
11
42
57
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage ws with slopelgradient °/,
• Proposed/existing ewe and water services 8 invert elevation
• Street name
• Driveway (grade & width - in R!W and back of curb, 22' max.)
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existina
? ? ? • Sewer service (or Proposed)
? ? 0 . Property corners
?? 0 . Top of curb at the driveway and property line e#ensions
? 'K ? • Elevations of any existing adjacent nomes
.611 ? • Adequate fooGng depth of structures due to adjacent utility trenches
;d ? ? • Waterways (pond, stream, etc.)
Prooosed
'00 ? • Garage floor
? ? ? • Basement floor
'e ?
, ? • Lowest exposed elevation (walkouf/window)
0
'El ? • Property comers
'4f 11 ? • Front and rear of home at the foundation
PONDING AREA (if aoplicable)
? ? ? • Easement line
?" ? ? • NWL
? ? ? • HWL
J2( ? D . Pond # designation
? 0 ? • Emergency Overflow Elevation
? ? ? • Pond/Wetlandbufferdelineation
' 0 t • Lot lines/Bearings & dimensions AAEld OfOfi?pg oh $. ?. tjnlr
?' ? • Right-of-way and street widih (to back of curb)
?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. aIl structures requiring p/aslde'4 ' gs)
? 0 ? . Show all easements of record tiiities within those easements
.? ? 0 • Setbacks of proposed structusetback of adjacent existing structures
0/Zl ? • Retaining wali requirements, ?
Reviewed:
•IFORMSIBuilding Pertnit Application Rev. 12-16-03 Nam ?
G •f/?f t?
** *
* PIOIW
? 5 =n- o=Tn-'
T * * ?
Certificate of Survey for:
I
+ AC°sAN
V
1?' scb
'
I1?,,,.1K£f °R ?
? ?
BENC?H ARK ?y3Z?ELEV.=934.70 ------ 932.9
(q3s s)
BENCH MARK y`r-
TOP OF SPiKE N
EIEV.=931.87
.: r41? l
(VACANT) +0 .1y33,s? 9?
h
V- ? 931.8 •Ot
9a
/q3S5? n ?. ,.i
? 2 ???;5 ? r
/
lqz3o? i
? 9ais x
s?
Cq3Z?? - - -
(c
2422 Enterprise Drive
Mendota Heights, MN 55120
LWD SURYEYptS . GM1, ENqNEERS (??) 681-1914 FAX3881-9488
LAND PLWqEpS• LANUSOUPE ARCHIlEC15 625 Highway 10 N.E.
Blaine, MN 55434
(783) 783-1880 FAX:783-1883
MANLEY BROTHERS CONSTRUG-11nN
4667 PINE CONE CIRCLE BUYER: KNIER/REUDER '
EAGAN, MINNESOTA
???S SS•
PROPfR'Y
? C?RC?.? _
JJ c.e. ?' Psr£?&? SE TYPE: OTWO OKOUORY
LOT AREA = 14,213 sq. ft.
HOUSE AREA = 1,473 SQ. FT.
GARAGE AREA = 876 SQ. FT.
PORCH/PATIO = 142 SQ. FT.
DRIVEWAY AREA = 871 SQ. FT.
COVERAGE = 23.7%
SERVICE INVERT
ELE4.=922,2 (PER PLAN)
1G, 931.8
? ,?? ?le. ?OCkrr:/-}9' BASEMENT
9 ??` °??'?. /
9326 (q
N / BENCH MARK .
f rne nr cnrvr
' 33.4"O \
32.9 O / ?\
_20??1.? \1
?°I35.''? \
oaoPOSEO --
', 3)
Assf.a 32:Oq3K y ?0X 4
937.2 x
N 931.1
931.7 M rq.Lq 57
-?l-a-S---
\
\
931.2?
x
\ 80'
C
» \
aaa.o
» -e > »
M.H. ?11 EST .
STORM- SEWER
? o??oVo MD
NOTE: PROPpSEp GqqpES SHONN PER GRApiNG PLAN BY: PIONEER
NOlE: BUIIDING DIMENSIONS SHOWN ARE FOR HORRONTIIL AND VERTICAL I.OCA710N
OF SiRUC7URE5 ONLY. SEE ARCHITEC7UAL PLANS FDR BUILUING AND
FWN
?t?tv.=y3U.94 ,r
. 1
PROPOSED L1o05 E
? (STAKED) i
?ls• ?932?7?? ?
?
?,,.E4F
POND --?-
STORM SEWER L.P. 28.1
NWL=918,0
OUTLET=915.5
?
aza
?O
\
\ •?? (918.0)
X HWL
PER CITY
+/?-- - L 7 cG o)\ ?..
p» )> 0,
192.83 M.H.
0 ? sl?? ?
PROPSE? HOUSE ELEVATION
IOWEST FLOOR ELEVATION: '?Z? 8 ?
TOP OF BLOCK ELEVATION: 67 3 IF,
S
OAl10N DIMENSIONS. n
l C?I yS ?
GARAGE SLAB EL
p
NOTE: NO SPECIFlC SOIlS INVESTIGATION HAS BEEN COMPLETED ON iH15 LOT 8Y iHE
SURV ?
EVATION:
+
(? ??
EYOR. THE SUITABIUTY OF SOILS TO SUPPORT 7HE SPEqFlC HWSE
PROPOSED IS NOT T
Q3i a?
,1 TOB O LOOKOUT E
??vanoN
IE RESPONSIBILIiY OF THE SURVEYOR. :
NDTE: THIS CER71FlCA7E DOES ND7 PURPORT TO SHOW EASEMEN75 07HER THAN
THOSE SHONN pN THE RECORpED PLAT. X 000.00 DENOTES EXIS7ING EIEVATON
( 000.00 ) OENOTES PROPOSEO ElEVq7I0N
NOIE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. --- OENOIES DRAINAGE AND U11UiY EASENENT
NOIE: BEARINGS SHONN ARE BASEO ON AN ASSUMED D
IU ? DEN07E5 DRAINAf.'E FLOW DIREC710N
A
M --?- DENOlES SPIKE
B DEN01E5 OFFSET HUB
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 29
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT
UNOER MY DIRECT SUPERVISION THIS 22ND DAY OF JANUARY, 2004.
PINEY WOODS
(7HIS LEGAL DESCRIPTION 1NLL BECOME VALIDUPON FlLING THE PLAT PINEY WOOpS)
SHOHM, AS SURVEYED BY ME OR
REVISION:2/02 04 TO L.O. S ?
SCALE : 1 INCH = 30 FEET REwsion zjioa cin Rev?ew ?Io?O¢
_REVISION 4/2 ?/04 NEW HOUSE Q
ro7 1 103327001 TJW/(:RH /N.IU RESTAKED 430/04 S/07/0?(
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.
4??1
Date
Site Street Address u?tD7 PuA1? ro V,-E G-?cb Unit #
Property Owner C-VP 1-V ? ?EJINDJA Telephone # 163a
Contractor Q?iJN15 W?'?[?[ Telephone# (ln\a)$Dt - rJatOD
Address 61? 31' f-N\1t v\-?j CityHV.'E?jVNteOvk StateN-Q Zip?53..JU
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling
_ Add plumbing fix[ures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5!8" meter is required)
Other: $ 50.00
Water Softener Water Heater
_ new _ replacement $ 15.00
V Lawn Irrigation _RPZ ?PVB ?ew _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 3p , 50
I hereby apply for a Residential Piumbing 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,an'd work will be in accordance with the approved plan in
the event a plan is required to be reviewed?and approved.
?
1 ti? L c? -
.,
ApplicanYs Printed Name ApplicanYs Signature
i=
l
?? ?HCA
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reouirements
3 registe2d site surveys showing sq. fl of IoL sq. R of house; and all ruofed areas
(200/6 maximum bt coverage albwed)
2 copies of plan showing beam & window sizes; poured fouM design, etc.
7 set of Eneyy Calala6ons
3 copies W Tree PreseNation Plan'rf lot platted after 711193
Rim Joist Detal Options selecCron sheet (buildings wifh 3 or less unils)
Minnegasco mechanxalvenWationform
RemodeVRe airRe ui menk
2 copies of plan showing footings, beams, jois6
l1 setof Energy Calculations for heated additions
t? 1 s%e survey for additions & decks
Addfion • Indicate if on-site sepfic system ,
4) 15?1. a5
Otfice?Use-:Oniv
C?rt ofSLrvey?tecd '+ ? ;? `N
Tree0 resPlan?%ecd,?r W .YK °ry
keePresReqwre3- Y ?N
Onsde?ep9c5ysVert?_ ,_..=1?.=N
c-elw- C'oi-Q a d2 .-,1Iv
Date 6 / I L4 / 6 6 ConstrucGOn Cost Oo 0
SiteAddress (466`7 R+JL CUn1r- Cl+ctc, UniUSte #
Description of Work SC+e.? { Pu rc? ?- j p? c,( (,
Multi-Family Bldg _ Y 1[ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Sw4 , Mle 431c. Frite,/,44,i Telephone#(651 ) o76SJ
Contractor 1411 SCAsa«.i ?vud'1 `°•
Address lYa64 £wrNe, o4Jc S, City
State Inc cat r- , Zip S5 3a6 lephone#(-?St) dol -??Y'?
D e (a a2 ? ?l ,,- -
uu ... v? UL9
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
(?l submisslon type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Caiculations Submitted
A NEiIY Bt71LDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In fhe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # f
Telephone # (
I herehy apply for a Residential Building Permit and aclrnowledge 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.
vNi7 (),?M 15p%4U-j
Applicant's Printed Name
2006 RESIDENTIAL BUILDING rERMIT arrLicaTioN
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
e . !
Sub Tvqes
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of_plex ? 09 07-plex
O 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Tvpes jA''V7-hi-
0 31 New ? ? 35
32 Addition ? 36
?
? 33 Alteration ? 37
? 34 Replacement
D65CrIDtl011: WaterDamage_Yes
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 LowerLevel
?j l7?LK-
? 20 Pool
? 21 Porch (3-sea.)
A 22 Porch/Addn. (4-sea.)
? 23 Porch (screenlgazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - MuRi
? 33 Ext. Alt - SF
? 36 MultiMisc.
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building` ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to appiicant
% l. ._1 ,
Valuation +/ 0 Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
Footings (new bldg)
? Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Fina]
Framing
_ Fireplace _ R.I. _ Au Test _ Final
Insulation
REQUIREDINSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: , Buiiding 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
?
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717Gv
-,
2422 Enterprise Drive
* * Mendota Heights, MN 55120
p?ONEEp LAND SUNVEIDR3 • GML ENqNEERS (851) 687-1914 FAX:881-9488
? ang neer ng UND PLMNERS • UNOSCME MiCN17EC75
7f 625 Highway 10 N.E.
Blaine, MN 55434
* ? * * (783) 783-1880 FAX:783-1883
Certificate of Survey for: MANLEY BROTHFRS ONSTRII(`TInN
4667 PINE CONE CIRCLE BUYER: KNIER/REUDER
' ?r EAGAN, MINNESOTA ,
LOT AREA = 14.213 sq. ft.
HOUSE AREA = 1,473 SQ. FT.
y+„ ? nn1' ? ' GARAGE AREA = 876 SQ. FT.
PORCH/PATIO = 142 S0. FT.
DRIVEWAY AREA = 871 SQ. FT.
q?.5 ?ey COVERAGE = 23.7%
Ew+S?
.? ,L,?:
R '
? q lUS SS' ??' /D ?/?
SERVICE INVERT
G i r1p?`,UNE ELEV.=922.2 (PER, PLAN)
{r 0P i ?,1 Vif? g
uan) JJ 9c?ee '???£?8OUSE TYPE: TWO-STORY
ail- fa_ ? r)K?' 9b 0341 q?,q\ /`(12. ROCk F:/,fFl? . 9o BASEMENT
B?"' ? . g Y
? ?- 9326 (q /
BENC?H ARK N-
` ? •7 93z ° / BENCH MARK
ELEV.=934.70 "-- 9529 _ 33.4p Ae TOP OF SPIKE
Et,EV.=930.94 ?
R'?' ? i<<1 PROPOSED L-IouS E
(G35S) ro
_ . ?
BENCH MARK r _? (STAKED) ?
TOP OF SPIKE
ELEV.=931.87 PRRIVE'NAp 50.tt t-\e
E4F
? P9 33s ? 93y2 .? q'SS a.?.i7 y??
(vneANT) p ) (Zq - 42 - ,N.zo• 7a roap+ ?
131,1 / ° 14.1 POND --?
5 ^? eai.i ?ARAGE/ 51.3 \\ -STORM SEWER NyL=918?0
?2 ry335 ? ?` ? ROP?S j \\ OUTLET=915.5
? ea?(t.2 \ o
? / •? 21.0 1 .o , O / 0931.2 \ qt??
s?. a 8? \ 15.00
610 E.O.F.
36? / $?? r •T2 `X1HWL
?Q3 ' ?ssa 32 Ot x ?,? \ ??
! o. ,O• PER CITY
937.2x x 931.2 lq3 go) ?
- x 9Z. o)
Cq3Z4? - - - - 93X.7 - - °IZ •q5?
?
- - -?
o ?xq3ao . ?
, -a- - -
_., L-LI-3q EASEMENT PER PLAT??„ ° I,9?cq
»-- » -e >WEST / » -??
M.H. STORM SEWER 192.83 M.H.
L-'`?L?ova pil 2 4=;?' ?l I?t`J ?fil? DG? S?'Yl?p
v xl? •`/
. NOTE PROPOSED CRAOES SHpµN PER GRADING PLAN BY: PIONEFR PROPOSED HQ(LsL_LqVATjON
LOWEST FLOOR ELEVATION:
?
No?: eulsiauciu S ? ONLY. 9EE ARCHIIECNAL PLqNS A pn?
5NOA710N DIMENSIONS. FOR BII4DING ANO TOP OF BLOCK ELEVATION:
FIXI °?3 S
\)
NOIE: NO SPECIFlC SOIL$ IryyESTIGAlION HAS BEEN COMPL[h,p qry 7ryIg Lp7 BY 7HE ({? R?? • GARAGE SLAB ELEVATION: ?
SURVEYDR, iHE SUITABWTY OF SOILS R1 SUPPORT 7HE SPEGFlC HOUSE //,' TOB 0 LOCKOJT ELEVHTlON:
PROPOSEOIS NQ7 7HE RESPONSIBIUTY OF iHE SURVEYOR. Y , y?? ?. w ? ?
ND7E: THIS CERTFlCATE DOES NOT PURPWtT TO 5NOW EASEMEN75 OTHER THAN ?(? -?? ?" `'?' "" "
00 0 OENOTFS FYICTUr nevwnn.i
iuner cunwl ...? ..?. .......?___ _.-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115097
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 4667 Pine Cone Cir
Lot:4 Block: 2 Addition: Piney Woods
PID:10-57700-02-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Scott C Freedman
4667 Pine Cone Cir
Eagan MN 55123
Integrity Restoration Inc
6360 Sunfish Lake Ct
Ramsey MN 55303
(763) 506-0200
Applicant/Permitee: Signature Issued By: Signature
166 7 Pi '4e CONC. - rc cy
=z
WALKING SURFACES GREATER THAN
30" ABOVE AREA BELOW REQUIRE
GU."-‘,77,D2AILS MINIMUM 36" IN
HEIGHT AND DESIGNED SUCH THAT
A 4 DIAMETER SPHERE MAY NOT
014 STAIRS OF FOUR OR MORE RISERS,
A GRIPA : HANDRAIL EQUIVALENT TO
1-1 " a = AMETER U TED
B4=TWEEN " TO 38" ABOVE TREAD
NOSING IS REQUIRED ON AT LEAST ONE
SUE Of THE VANS
TREATED WOOD MAY REQUIRE SPFC'AL
HARDWA I (; r STEN:7.C, t -!A �; : _ AND s / Ili Gd
FLA,SH:NG . CONTACT YOUR L . ;�� 73 9 gq
. PPL,,ER FOR MORE INFOR ION.
rDECKS SHALL NOT BE SUPPORTED BY
CANTILEVERED I -JOIST HOUSE FRAMING
T SPECIFIC ENGINEERING.
PASS THROU6MSTAIRS S ALL BE PROVIDED ITH ILLUMINATION
THE IMMEDIATE VICINITY OF THE TOP LANDING.
1/
LED - MUST BE ATTACHED WITH
MINIMUM (2) 3/8" X 4" LAG SCREWS.
WITH ERS EVERY 16'
Sr is .&.,1
/6 yiz
iDc�-PC
/6",e
ds'
S r(d/ rese��
BY:
forAw-64,Arsv. pvm
e.111. `{`% iArtP.•la o�Ys
vn LAY. `
4 thei s Pfhovie
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vrv�giscit;
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136836
Date Issued:06/01/2016
Permit Category:ePermit
Site Address: 4667 Pine Cone Cir
Lot:4 Block: 2 Addition: Piney Woods
PID:10-57700-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Scott C Freedman
4667 Pine Cone Cir
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143295
Date Issued:06/12/2017
Permit Category:ePermit
Site Address: 4667 Pine Cone Cir
Lot:4 Block: 2 Addition: Piney Woods
PID:10-57700-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Scott C Freedman
4667 Pine Cone Cir
Eagan MN 55123
(651) 792-5107
Capital Construction Llc
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145396
Date Issued:09/08/2017
Permit Category:ePermit
Site Address: 4667 Pine Cone Cir
Lot:4 Block: 2 Addition: Piney Woods
PID:10-57700-02-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Scott C Freedman
4667 Pine Cone Cir
Eagan MN 55123
(651) 792-5107
Capital Construction LLC
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159386
Date Issued:12/12/2019
Permit Category:ePermit
Site Address: 4667 Pine Cone Cir
Lot:4 Block: 2 Addition: Piney Woods
PID:10-57700-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Scott C Freedman
4667 Pine Cone Cir
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature