4897 Pine LaneCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA096907
Date Issued: 11/08/2010
Permit Category: ePermit
Site Address: 4897 Pine Lane
Lot: 1 Block: 1 Addition: Pinetree Forest
PID: 10-57650-010-01
Use:
Description:
Sub Type: e-Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Amek Construction
9555 James Ave S
#228
Bloomington MN 55431
(952) 888-1200
- Applicant -
Owner:
John D Freund
4897 Pine Lane
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
-- - =?.
KertifiCQte nf CCC1tpQnCv
wim of Cfagan
zcvtrtment of 13x??? ?oecrion
This Cenifccate issued pursuant to the nequirements of the Uniform Building Code
certifying that at the tune af issuance this structure was in compliance with the various
ordinances af tha Ciry reguEating buifdirtg constnution or use. For rhe foffowing:
Uu Qusifiation: SF DWG Bldg. Prnnic Mo. 34116
Occupancy Type R-3 Zoning District Type Const. _3Vn
o..reuiwi.g MAid.EY RRVMS nadres 1n?78 eTT Taw Wev t,,AAvo rM BEIGEiIS
Building Addres5 48(.)7 LaWiry
Dm:
a?u?n8 ar? ?
PbS fN A CONSP1C130US PIJ+Cr=
?
INSPECTIDN RECORD
.ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651)681-4675
SITE ADDRESS:
..f F. I
Nf:'7t?FF Pn?zF
PERMIT SUBTYPE:
Iflir i F<Irli F
APPLICANT:
TYPE OF 1NORK:
INSPECTION .. . ..
Rf M??fJ? ?, • PF AN IiF VTFIJ! t.s RY r.r.A16 Ml?VAc7Yk _
.`. ?. L.? 11 I 11 p I"e f i? i?; r 1117 1; f R 1` N r71V ! #4+4 (, 4?; ?:' _ ?`?'; ?',' ?
? J
PermR Holder Date Telephone q
SEWER/
WATER !
PLUMBING
HVAC •5 ?1 &/3-
Inspection e Insp. Comments
FOOTINGS °r/8 Q p ? ---
O
FOUND a/$? ?19
FRAMING
ROOFING
ROUGH
PLUMBING
..3? ?
PLBG
AIR TEST
)IT
ROUGH
HEATING
GAS SVC
TEST ?? yf
INSUL
6
GYP BOARD
FIREPLACE
FIREPLACE
AIRTEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
MEfER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDRDSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DEGK FINAL
Address 4896 PIIM LANE Zlp $$12_1
I.ot 1 I Blk -2 Sub Pgcnu rrotTsr ?9 1/ yd 17
THESE PI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: 5TI9 99 Yes • No Inspector:
Final grade (6" from siding)
Permanent steps (garage) VI"
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gass
TraiUcurb damage
Porch
Basement 5nish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before free2e potential exists.
Contact engineeriug division at 661-4645 before working in rightof-way or installing underground sprinkler syscem. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
` RESIDENTIAL
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
QC 651-681-4675
NewConstructionReauiremeMS RemodeVReuairReauirements
• 3 registered site surveys shovring sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan
(20% mazimum lat coverage allowed) • 1 set of Energy Calculations for heated addNOns ,Cj ?-
. 2 copies of plan showing beam & window saes; poured found design, etc.) • 7 site survey for exterior addifions & decks
• 1 set of Energy Calculations • Indicate if fwme sened by septic system for additions
• 3 copies of Tree Preservalion Plan if lot platted aker 711193
• RimJoistDelailOplionsselectionsheet(bidgswith3orlessunits)
Y/
DATE VALUATION / z ? oo a
JOB SITE ADDRESS (?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? 52?
PROPERTY OWNER Qti,L?. "-e-u.v?-d?
-a
TYPE OF
APPLICA
ADDRES:
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Vantilation Category 7 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RUI.ES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
PluinUing Syslem Includes:
Mechanical Contractor. _
Mechanical Systc:m Includes:
Sewer/Water Contractor:
Air Condilioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
? cJrr
/zo
Fee: $90.00
P'ee: $70.00
I hereby acknowledge that I have read this application, state that the inform ? , e to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces.
Signature of Applicant
?/ .
Certificates of Survey Received ?-34 /Tree Preservation Plan Received _ Not Required _
Updated 2002
BUILDING PERMIT APPLICATION
Wa[er Softener
Wa[er Heater
No. of 13aths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY ? +
? 01 Foundation
O 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
x 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30` Acces:,ory`t31dg->
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
x 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Repiacement •Demolition (Entire B ldg only) - Give PCA handout to applicant
Valuation /Lj oou °`'O Occupancy MC/ES System
Census Code 32-?1 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const - Width
REQUIRED IN SPECTIONS
_ Footings (new bidg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HypC
_ Drain Tile Other
Roof _ Ice & Water _ Final ? Pool Ftgs ? Air/Gas Tests _ Final
- FraminB Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
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
.
Building Inspector
y" iP10TVE?R
* ?c k?
SURVEVINtS • CINI ENCiNEERS
UNO PUNNENS• UNOSGPE ARGHIIELIS
Certificate of Survey for
2422 Enlerprise Urive
Mendoto Heights, MN 55120
(612) 681-1914 FAX:681-9488
625 Highway 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
MANLEY BROS: CONST.
4897 PINE LANE
B[NCH MARK
TOP OF PIPE
ELEV.=964.42
_ SPRUCE STREET
- o
?
95e.a 59.06 0 962.6
S?p=04'53'20" S89'41'52"W
42.02 l
?
959.5 961.9 i i
r
S
?
J`L? ?
\
- -{-?`P - -?
?
o I
Z 965.8 i
9u,6
; ) ?'i
O ? WQ _?
,
.------ ........, I .
I
r
a? i? 10
0
° ? C.B. i
n ,o
a ;
a° rn
c° I
?
I
9 .0 ?963. ( J(i?! 65.5
N
3
`
4\I ?? ... j ?O Q Z
?T Q
J
2,0
W ---
J-? ?'.? .?j 1 I I I
? W
OD 2.67o i
°
? T
pp Z
?
+ \9 Jr) 0/ v, i
oN v,? SER ? CE
??
' p
00 I a
M
7"
O •
° ? i2.0
a??0o = `
/po c? ?. E?..vx9?58.8
•
?
?= 1 p° p\h
'
r
O
I Z
,
!x a
?
? I av,
? Z ?
4 -,;-965.5 31.00 -? 967.530A? 10
10 -? -
L'? -- ---bi.--'-----p(3--
?
58.4 965.7 aa.00 36.00 969.1 -
968.3
I
? S$°> N89'41'52"E 137
15 (q 6,8'°
.
I
?.
I I o
?
?
BENCH MARIf? A' ll. ?
?
TOP OF Plf? r1
ELEV.=96N?
?1' , ?' S? . r' ;4 i [ i .' '• #.':' !.. ? ? . . '
NOtE: PROPOSED GRADES SHOYM PER GRADING PLAN BY: E.C. RUD PROPOS ED HOUSE A N
NOTE: BVILOWC DIMENSIONS SHOwN ANE FOR HORIZONipL AND VERiICAL LOCATION
OF SiFL1C1URE5 ONLY. SEE ARCHITECTUAI PlANS FOR BUILDING AND LOWES? FLOOR ELEVATION:
? 3• 5
Four+onnoN oiuer+swr+s. ?
177
TOP OF BLOC K ELEVATION: .
NOTE: NO SPEGFIC SOIlS INVESTIGAiION HAS BEEN COMPLETED ON TIIIS l0T BY THE
SURVEVOR.
ME SVITA61lITY OF SOILS i0 Sl1GPORT THE SPECIFiG HOUSE GnRaCE SLnB
ELEVaiiON: ?
PROPOSEO IS N0T THE RESPON$IBIUTY OF THE SVRVEYOR.
NpTE'. iH15 CERTIFICATE DOES N07 PURPORT TO SHOW EASEMEN7$ OiHER THAN % 000.00 DENOTES EXISiING ELEVATION
iNOSE SHOWIJ ON TNE RECORDEO PLAi. ( 000.00 ) DENOTES PROFOSED EIEVATiON NpIE: CONiRACTOR MVSi VERIFV OFIVEPIAY DESICN. --- DENOTES DHAINACE AMD UTILITY EASE4ENi
' OENOTES DRAINAGE FIpW DIRECTION
NOiE: BEARINCS SHOWN ARE BASED ON AN ASSUMEO DAiUA1 0 DENOtES MONUMENT
E3- DENOTES OFFSET H116
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 1, BLOCK 1, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY pIRECT SUPERVISION THIS 6TH DAY OF NOVEMBER, 1998. ? ,
51 NED:) ;PIONEER ENGWEE/RING, P.A.
SCALE : t INCH = 30 FEET ?
Bv: _.., ?
81 98275J2 SWK i ohn C. lorson
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
d
?
GENERAL INFORMATION
v
¢
o z ¢
??? Applicant - name, address, phone & fax numbers, signature
? D Property owner name
? 0 O Legal descriptioa and address of property
?? North arrow, scale (1"= 30' or 40') and date
?? Location and name of all streets adjacent to property
?? Site Plan drawn to scale showing location of house, pool and other existing or pmposed
structures
?? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existina
d/ ? ? xouse comets
@ ? ? Properiy comers
?/ ? On property lines at point of ineasured dimension to pool (see below)
?? If applicable, ground elevation at each end of retaining walls and at wail's greatest height
Prooosed
? ? Finished pool deck corners
d `? ? Top of retaining walls (if any) and at each different elevation (if it changes)
Cj j ?? Pool hottom (or max, depth)
DIMENSIONS
Existinc
a ? ? AIl pmperty/lot lines
I
Prooosed
W/ ? ? Pool
? ? Pool plus integrated deck/patio
O? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
6- q-nl?
Date
G:/fECHAR2002/Pool PermitChecklist
't? iP10NEER
? engTaering ---
•
JUN 0 4 REC`U
Certificate of Survey for:
S11??
iiqulred
S 1 Ll
FgNGC
,4/
'Poa --L? i
1M0 WNNNCAS.
2 681-191 , ,
- um c?a+ccs II (61 ? 4 FAX:681-9488
625 Highwoy 10 N.E.
ploine, MN 55434
(612) 783-1880 FAX:783-1883
MANLEY
4897 PINE LANE
SPRUCE
A'?GS
BROS: CONST.
S'
0[NCH MARK
TOP OF PIPE
ELEV.=964.42 ?
STREET
------?--?
o '
2.6
41'52"W 78.02 I
02 - 36.0 965.8 1
S? - ^ 9"6 966.3 I
;3---;? -
,o c.e. ?
e? ?"? Of I
to ? fD
65.5 ? N
. i ? . O i
u Z
.a N i =. q
? Q
? W
z.67o 1 , 0 z
W i ?; I 0 ?
o? SER?ICE OO a
I
??Oo x "
'po / o c? h +`?m_9158.8 J-
?= 1.0- p ?1.. O
,?j?i.. Z
a ?
.3? t,pp 9675 10
N I I
I
) 36.00 '969J 968.3
?y5 ?1Ga i o 1
N01E: PHOPOSED CRADES SNOMN PER p1ADINC PLAN BY: E.C. RUD
NO1E: BUROIHG DINENSIONS $NONN NRE FOR HOR120NTpl AND VERTICAI. LOCATIpN
OP STRULIUFES ONLY. SEE ARCM/EC7UAL PLANS POR BUILOMG M7D .
iWNDnT10N OIMENSIpNS.
NOTE: NO SvECIPIC SOIlS INVESTICA710N HAS BEEN COMOLETED ON THIS LOT BY TNE
SURVEYOR. TNE SVITI191UT'/ Oi SOiLS TO SV7PORT THE SPECIfIC HpUSE
oR0VO5CD IS NO7 M[ RESPONVBIUTV Of THE SURVEYOR.
NO7E: THiS CERnfItn7E DOES NOT PURPORT TO SHOw EASENENiS O7HER THAN
TviOSE SNOWN ON nlE NECptOED OLAT.
NOIE: CIXJ1RACiOR MUST VERIFY DRIV[WAY UESiGN.
NOTE: BEARINGS SNOWN ARE BAS[D ON AN ASSUMED DATt1M
WE HEREBY CERTIFY TO MANI.EY BROS. CONST. THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
iI 1'i
1 N
LOWEST FLOOR EIEVATION: G 3• S
TOP OF BIOCN ELEVATION: C>? ?7?2 `-
GARACE SLAB EIEVATION: L(dS^.- 91
% 000.00 OENOTES E%ISiING ELEVATON
( 000.00 ) DENOTES PHOVO5E0 EIEVATp+
--? DENOTES ORAINAGE ANO UTLITY EASEMENT
? DENOTES DRNNAGE FIOw DINECTION
0 DENOTES MONUMENi
9 DENOTES OFTSET NUB
TRUE ANO CORRECT REPRESENTATION OF A
LOT 1, BLOCK 1. PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
iT OOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS. E%CEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MV DIREC7 SUPERVISION THIS 6TN DAY OF NOVEMBER, 1998. / \I /? ?
51(RJFD:1 /:'PIONEER ENGINEERIN?. P.A.
SCALE : 1 INCH = 30 FEET
`,zg:51p-04'
959.5 r----7,?
-+ ?l Fr
Larson, L.S. Reg. No.
?
LOT BL ?
SliBD. yAlz(iLT
1999 MECHANICAL PEfiMIT (RESIDENTIAI)
crrY oF eneALK
3830 Paor xxos gn
EfIfiAN MN SSl £Y
Date• 7 (651) 6$I-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) 6,00
• State Surcharge: .50
• TOTAL: ya,30
CITY USE ONLY
RECEIPT #: /O? G 3 7
RECEIPT DATE:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New
_ Replacement
_ Repair _ Other
_ Fumace
Air exchanger, i.e. Vanee system, etc.
Re»tii:der: Ca11 681-4 6 75 jor inspections.
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: ?l D /' YJ/J'C AJ
OW?v'ER NAME: I VYW JvI
/
I\'STALLER NAME:
STREET ADDRESS: b
CITY: iAL)U1/Il
JS. FORJ15 BL D, b7ECH PEfLNIT (RES) - 1999
PHONE #:
PHONE #: (jsI' ?I?D-a 3I3
_ STATE: IP: ?
Ild
1,1tv4-
SIGNKTURE EE
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
1999 M£Ci1ANICikL PERMff (CQMMERCIAIa
CITY OF frkfiAN
S$SO fl[LOT KNOB fiD
EAflArt, Mrt 55 122
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
(F.50 per $1,000 of p,?t fee due on all pemilts.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
1NSTALLER`
PHONE #:
ADDRE55: PHONE #:
CITY: STATE:
ZIP:
SIGNATURE OF PERMITTEE
? V L BL CITY USE ONLY
?
SUBD.(/?! s e A s?
RECEIPT #: 104,9C19
RECEIPT DATE: C y Ir
1999 PLUM8IN? PERMIT tRE,51DEVTiAi.)
CfI'1' OFf.AfiiAN
3830 Pu.oT tavos ttn
EAIfiRN, MN 55122
(651) 6$1-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for undergro und sprinklersystem
-------------------------------------- -'-----------
FIXTURES - - - --- --
EACH ----- " ___-
#
Shower 3.00 x
Water Closet 3.00 x ?
Bath Tub 3.00 x
Lavatory
3.00
x ?
Kitchen Sink 3.00 x ?
Laundry Tray 3.00 x I
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x I
Gas Piping Outlet ' minimum -1 3.00 x ?
Rough Openings 1.50 x
Water Softener ' for dwellings under construdion 5.00 x
Water Softener ' for existing dwelling 30.00 x
U.G.Sprinkler ' fordwellingunderconst. 3.00
U.G. Sprinkler ' for exis6ng dwelling 30.00
AItCrdtiOnS ' to existing residence 30.00
Water Turn Around 30.00
Private Disposal System ` MPC iic. 75.00
(new and returbished systems)
Private Disposal Systems ' ,4bandonment 30.00
RPZ (new installation/repair) 30.00
Reminder: Ca11681-4675 for inspections of water heaters,
water softeners, alterations, etc.
TOTAL
= 1?,Lb
= t?, OD
TOTAL
STATE SURCHARGE
, 06
_ 3, Oo
,3, OD
LI, So
.50
'u'-?00
°-••----•--------•---•------------------------------- - - - --------------------------------------------------------
I hereby acknOwledge that I have read this appliration, sfate that the informaUOn is cortect, and agree W comply with all applipble Ciry of Eagan ordinances.
It is the applicanYS responsibiliry to nodfy the property owner that the Cily 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/righFof-way/easement.
SITEADDRESS: 4%qn PtC12 LQ(v..
OWNER NAME: RrQ6- 11O0SAI"UC"vipn
INSTALLEF2 NAME: 6Y,lQ1 I' 1U(\1biO TELEPHONE #:
STREETP,DDRESS: 'I900 1-1driQf1 CirCic JcZ.
cIr,r: 4cioi- LAe. STATE: MN ZIP: ?JCJ.3(IZ
PERMITTEE
CD/PERMIT FORMS/RPIBG PERMIT (RES) • 1999
U:t74' 07 Er,r;AN
?ASiri:l'.c:fi. S T'"R,,i;Y;(-ll_. \0. %fic?
n,i'Et: Lr'.!07!98 Y 7'.^5k:.: '.5:3946
T. Li ".
!'A71E.^ liUll'F:RSFlI._ TI'i;_I_ L'fJ
,.,._ . 9001 4897 ?::f NF_ ? ?...A? ? i ??. 4r972.71
c_r,?..iP?
T]t;A.I. I{E'Cf.:•:i.;74 F9I'!O':i`'1; : 4,072.71
rr:r.:t00330
USc.R :I:Cia idr_,,;rY
:M:Y>"?(:',<y,;:ICM>?;Y,t4::?;;t:K,YbeCY?Y??:)XS(hCm ::??r.?:Fv?.. n..??l••;r t,M<i?
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: bu??i?s??
Permit Number: 0 3 41 15
Date Issued: 12 / p? a j9 a
SITE ADDRESS:
4857 FSNE LAI+IE
LOTc 1 ELLlCK: 1
PII4ETREE FU<<.EST
DESCRIPTION:
SuAldirtq k'-?,rmit 7yps 5F DWC
B?ti.td.inq WofYc_ Tvp e MEW
'013G' t?ccupancy R-3
?ConsCructinn Typc\, VPI
Zrin.inp F2-1
$Gitdlnq Lertqth C.? 62
Bti ildinq. Width 31
?e ; ,B41 e3tna stories 2
Cade 101 1 - FAM. DE7ACH
a `? 7•; _
?
REMARKS:
PLAN REVZEWED
S & W F'LUMBER
FEE SUMMARY:
tJY CRA]:G N011ACZYK,
TS SCHEREf2 FHONE #445-4692.
VpLUATZGhd
8ase Fee.
Plan t3eview
SurcMarge
SflC
wAG o
sRC unit5
SWbtO'Ca.L
$1 .382.25
$898.4&
$99.50
$1, 000 .00
10U
a
$'s,s8 0 .2 1
$199,0qVi
MZSC. FEES
Tutal Fee $4,972.71
CONTRACTOR: - Applicant - sr. I.IC. OWNER:
NLE:Y BR05 CONS7 11544933 20054327 MANLEY BRO`(MERS
1 775 ALLISON WHY 10778 ALLI:S01'd WAY
INVEt? GRqVE HG75 MN 55077 INVER GROVE HG1'S MN 55077
(412) 454-4933 (651)386-3359
I hereby aeknawlodqe that T iiave rp5d thi>
informatian is aqrrect and aqree to cpmf>Lv
Statutes arrd Citw of EaAan Orclinanees.
?
APPLIC /PERMI E SIGNATUR
aaplication and stats t}tat tFFa
with all applicak+le StaCe of hfm»
c
ISSUED ' SIG R
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
V
` 3830 PII.OT KH B ? 55122 cs
1+' I? 681-4675 (?n ?^J
New Construction ReauiremeMS RemodeVReoair Reauirementsn `"'?? 1y V? `'iq`-'
? J registereO ske surveys
? 2 copies of pfans (inGude beam S window sizes; poured fnd. design; etc.)
? t energy caleulations
? 3 copies of tree preservation plan A IM plaGetl after 717193
required: _ Yes _ No
DATE: 1!_
DESCRIPTION OF WORK
? 2 eopies of plan
? 2 Site Surveys (eMeriOf adddi0n5 &deck5)
? 1 errergy calalations for heated addkions
CONSTRUCTION C05T; ? ????OL -o
STREETADDRESS: "T'B91 1ne.
LOT: ? BLOCK: I SUBD./P.I.D.#: 01'nbr?re
Name: Phone #:
PROPERTY Lazt Fvst
OWNER
Street Address:
Ciry State: Zip:
qS4-
Company: 1 r(Q.nI.?.LV -I"S ? l??'• Phone#:
CON7'RACTOR Sveet Address: 10--IT5 I! sGY1 Ww4 License 11 Of005?32-1
City Jher _ roLici 464*s State: N10 Zip: 5k777
U
ARCHII'ECT/
ENGINEER Company: Phone #:
Name: Regisu'ation #:
StreM Address: ? > `? ?? ?512/ ?G?74)? b-
City State: Zip:
Sewer & water licensed plumber (new construction ony): 3e17el1Tr Penalry applies when address chang
and lot change is requested once permit is issued. iN S_ y_ L 9 ?
1 hereby acknowledge that I have read this applica6on and state that the infortnation is correct and agree to comply with all applicabl
State of MinnesoW Statutes and Ciry of Eagan Ordinances.
Signature of Appiicank
OFFICE USE ONI.Y
Certificates of Survey Received L14es
Tree Preservation Plan Received _ Yes
No
,CNO ?j
OFFIGE U5E ONLY BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
$,02 SF Dwelling O 07 4-plex ? 12 Multi RepaidRem.
? 03 SF Addition ? 08 S-piex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex ? 14 Fireplace
? 05 SF Misc. ? 10 __.:-plex ? 15 Deck
WORK TYPE
A 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Ptan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
? 16 Basement Finish
? 17 Swim Pool
O 20 Public Facility
? 21 Miscellaneous
9asement sq. ft. MC/WS Sysiem
M in level sq. ft. City Water
sq. ft. 01 Fire Sprinklered
2-I iTKttS sq, ft . PRV
4v C3±k?e sq. ft. ?/7S Booster Pump
(o2 " sq. ft. Census Code. o(
3,1 Footprint sq. ft. SAC Code
Census Bldg
Census Unit
Buiiding
I3?s? .a5
`1°i-':? C7
lOUC).Uo
1 ? Engineering Variance
valuation: $
+3??x
13?ix S? _
I'S o i x 5-"? _
208K 5 4=
?7 ?-x re? _
?
14 i9 -7 1
rVl ? S C ?-?-2<1
'Lo) 3BS'=?'
I I , 23 7-?
/ 2-, y?oa =c.
! 5'? a S-?D
% 5AC
SAC Units
SITB
}
i
ENER(UY CODE
' if
FOR 1& 2 FAMILY DWELLINGS
CITY
' OATB
- BOILDINO CLA3SIFICAT,iONs 13 cate o 1
9 tY (etandaid)or ? aategory 7(muet include veatilati
MIt7ZilUM CRITSRTA ' ` '"il':' , . .
Foundation Ineulation-R10 Walla i Windowa
Slab on Grade Ineulation-R10f foteallowable percentagea)
Floor over unheated epaces-R24
Foundation Windowg 1/2"
ineulated Clase, -Wood or Vinyl Frame
8T6P 1 Wiadow & Door Area
A., Total Window E Door Area 1n 9q. Feet
. WINDOW3 (Including Foundation Wiridowe)i
WItiDOW MANOFACTURE NAMHt
WINDOW t3ANUPACTOR6 TYpgi CSM rT 'JD. .
I WINDOW MAINPACTURB U FACTOR: 1J CO
R. O. Quanti[y eq.fl•.AYea
Dimehsione
7.? lDMx 4-a0 '1?11 '.- T/7
ZiVN X15Ei. ?
Xlp.?" /Zi 144
r-o• X ,y,? ? 1 '7
I•o? X !'7' (1 ? 40f''11,4'& _ r ! •
X
X
x
X 08
l2° X & I/ :
?c=
1'utal Area of
Wlndowe & Door
s - ---
T= aq,£!.
B. Total Wall Area in Sq, Ft. .
Wall Sotal
Perimeter Height Area
3?
?7o GLo
I ? lD,lo7 ? Z' ?
2on
,Q?3 -
17 (P!o
9_otal Area of Walls 0=Nw,,Et
. ? . . , > , ..?t,,..:.
i ..
RooE Attic Ineulation, '
R44-With Attic No lleal
R38-With Attic Raieed Ileel
R38 fi R5-9olid Raftere
8T6P ] Calaulate area ae n percent o£ wall
C. From Step 1 divide box A(Hindow 6 Door
Area) by box B(total wall area) timen 100
equals the window and door atea ae a
pereent of wall area (box C).
92X A v39 X 100 m
C =
Box B 4f, jr,A?
y .
sTgp 3 Deeign Featuree
ASSEDIBLY
PRAMZNG TYPH? ' •
STANDARD FRAMIN(i X etude 16" o.c.
ADVANCED FRAMINC3 ntude 29^ o.c,
CAVITY INSULATION R ? i
8H6ATNZNO TYpB,
LES3 TIIAN < R-5 X .
R-5 > OR MOR6
U-FACTOR ' p From the table, (reveroe eide) detezmina the
maximum percent wlndow & door area for.the
deaign opEione eelected and enter tha k value
!n Box D below baeed on thewindow mfg. U-
factor: _
??a
The k value fram tlie table in Box O sliall bu
oqual [o or graatet tlian the k in Box C
•
ONE- & 'ryVp_ppMILY RGSIUENTIAL DUIWING YRESqt(p7iyE (COOK-DOOKj
APPftDAQi
MAXIMUM WINDOW qND DOOR AREA AS A PERCGIVT OF OVERALL WALL
AREA
From Mlnn Ii ?1 s part 7670 0475 e, p?rt 2 item F
Cavit gxterior Window U•Faetor
Frsmin [nsufatlon 5healhin 0.49 0.36 0.31 0.27
STqNDARD
ST R-13 Z R- 7 13.47's ]7.8% 21.3°a 24.3%
ANDA[ZD R-13 R- 5 12.4%s 16.4°a 19.7% 22
5%
STANDARD R-15 R- 5 12.996 17.1% 20.1% .
23
qo/a
STANDARD R-18-19 < R- 5 12.I9'e 16_096 lB.e% ,
22
0%
STANDAR4 R-1e_19 (2 - 5 14.096 18.6°o 21.8% ,
15
3%
ADVANCEO R-]8-19 c I2 - 5 12.99L 17.1yo 20.1% .
I3
4'/v
ADVANCED R-18 -19 Z R- 5 14.59'e 19.29'0 22.5% .
26
1°/
STANDARD
R-21
<R- 5
12.8%
17.0%
19.9% .
v
23
1%
STANDARD R-21 7R- 5 14.5°/e 19.396 22.5% .
16
1%
ADVANCED R-21 < R- S 13.6% 18.1% 11.2% .
24
6%
AbVANCED R-21 R- 5 15.OYa 19.4% 23.2g'o .
26.9%
Notee:
Wlndow area equals rough opening minue InalallaNon ciearantes.
Window U-factor must be deterntined by elther lhe National Fenestratlon Rating
Councii standard 500-91, or ASHRAE 1993 Handbook of Fundamentals. Chapier 27,
Table S.
I
vo¦t•n• Fax Nota 7e71
,
Additional alcWawjv-L ? e
` 4 *" ,i
WIONEEF!
* eng neer
?
9
Certificate of Survey for:
ess.a ,_, 59.06
SPRUCE STREET
959.5 r'
r?
O
O
?
aW
oC)
M
r
O
O
V)
'S3
LnNO SVRVEYORS •
tANp N.ANNERS• lAN
MANLEY
4897 PINE LANE
0 962.6
°om S89'41'52"W M 78.
? a? 42.02 36.
961.9 i . i .
0
r--
----
-C
,o I °
IN
,
1
tJ
OZ
aW
ow
0
1
L
N
- ?
i ao
1963. ( L(.G%
?-- 3 .
i N
1
- -'
.0 o /
?w'
T112. 0 ?
/a
o0
=
?
w m//
0
2422 Enlerprise Drive
Mendota Heights, MN 55120
(612) 681-1914 FAX:681-9488
>11TEcis 625 Highway 10 N.E.
8loine, MN 55434
(612) 783-1880 FAX:783-1883
BROS: CONST. / "W
BENCH MARK
TOP OF PIPE
ELEV.=964.42
5,.,
d
?
?
? o I
965.8 i
,s
10
o I
i
l' 65.5
?
i ?
i?
I
I
I ??
I
i I
?
i
? ?
SERVICE
? U I? ?v:9G5S.8
o
i a
?
i . 96
7.5
d 10
,
o
o
io- .
J
3
-
-_
1,958.4 ? 965.7 YY.VV
q s(6 ° N89041'52"E 137.15 (Ci (?8i
I ?
rn
t0
(V
O
?
OD
r
0
O
Z
) ;. )
B.
LJi
Z
J
Z
a
3
BENCH MARK T??? r? ,? ?
TOP OF PIP,E' '
ELEV.=964;6:' ? '-?-
VAU.bti
T7 70A- -
NOTE: PROPOSED GRAOES SNOWN PER GRADING PLAN BY: E.C. RUD PROPOSED HOUSE ELEVATION
5
NOTE: BUILOING DIMENSIONS SHONN ARE FOR HORIZONTAL AND VEFTICAL LOCATION LOWEST FLOOR ELEVATION: G 3-
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILOING AND
r
oiMeNSior+s
97Z2
ion
.
rour+on TOP OF BLOCK ELEVATION:
NOTE: NO SPECIFIC $OILS iNVESTIGAIION HAS BEEN COMPLETED ON THI$ LOT BY THE yG
ARAGE SLAB ELEVATION:
SVRVEYOft. THE SUITABILITY OF SOILS TO SUPPORi THE SPECIFIC HOUSE G
PkOPOSED IS NOT THE RESPON5161LITY OF THE SURVEYDR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISPNG ELEVATON
iHOSE SHOWN ON THE RECOROED PLAT. ( 000.00 ) OENOTES PROPOSED ELEVAPON
DENOTES DRAINAGE ANO UTIIITY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESICN. pENOTES DRAINAGE FLOW DIRECi1ON
NOTE: BEARING$ SHOWN ARE 0ASE0 ON AN ASSUMED DATUM • DENOTES MONUMENT
-^o- DENOTES OFfSET HU8
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SUR VEY OF THE BOUNDARIES OF:
LOT 1, BLOCK 1, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 6TH DAY OF NOVEMBER, 1998. / . 1 n
PIONEER
SCALE : 1 INCH = 30 FEET
?
P.A.
o. 19828
+.J
.
?
?
J
F ?
W ?
V F
s °z
0??
?
H'° O
0?' ?
o-'?
ur'?
/
H ?
0 ?
P--'?
t LOT SURVEY CHECKLIST FOR RESIDENTIAL
ILDING PERMIT APPLICATIO
PROPERTY LEGAL: I . ZY4
S
?
?
?
?
?
?
?
?
?
?
?
?
?
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyorsignature and company
• 8uilding Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/ebsting sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
F?? D
ur' ? ?
e ? ?
? e' ?
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any existing adjacent homes
Prooosed
?? ?
? ?
H? ? ?
2'-`O ?
0---o ?
? O1? ?
? ff? ?
? ? ?
? ??
? 01?0
0--'o ?
2r? ? ?
ur?? ?
e' ? ?
Er, ? ?
o e-- ?
• Garage floor
• First floor
• Lowest exposed elevation (walkouUwindow)
• Property comers
• Front and rear of home at the foundation
PONDING AREA Cf aoplicablel
• Easement line
• NWL
• HV1lL
• Pond # designation
• Emergency Overflow Elevation
DIMENSIONS
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater fhan 2',
porches, etc. (i.e. all structures requiring permanent footings)
• Show all easements of record and any City utiliGes within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing sVuctures
• Retaining wall requirement?ny
Reviewed: ?,?
l?nmw / D?te
January 1996
CRAIG7 WBlBLDGPRI.R.FM
/
_, ?
City of
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ECE4VED
FEB 1 6 2012
r
Use BLUE or BLACK Ink
L
For Office Use /�
Permit #: / 0 30 3'
Permit Fee:
Date Received:
Staff:
ob
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: —1 t t 1, 1
Tenant
Site Address: L (S \
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) � C -5-L)
TOTAL FEES $ V
Name( -b\c\ � n
Address/City / Zip: 5Cy— QLRP
Suite #:
Phone: —j,tTh, I,(
inn
Name 5\ c n 'OW pf` t oLLicense #: Lc l 71 L
Address: 2,14 to run /
State: 1,LA Zip: 3_tt LL+ Phone:
Contact 0)''\ Email:Q:1)1e2.- e
New PO Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
City:
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main /_ Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
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 pia
Applicant's Printed Name
2
x
Ap
447 ---
ant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: _Under Ground ^Rough -In Air Test _Gas Test __Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166268
Date Issued:12/24/2020
Permit Category:ePermit
Site Address: 4897 Pine Lane
Lot:1 Block: 1 Addition: Pinetree Forest
PID:10-57650-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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, Pete DeGrood at (507)
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 -
Todd Schmit
4897 Pine Ln
Eagan MN 55123--491
Kb Service Company
430 E. County Rd. D
Little Canada MN 55117
(651) 748-4933
Applicant/Permitee: Signature Issued By: Signature