4904 Pine LaneAddress 4904 Pine Lane
I.ot 12 Blk
Sub Pinetree_ Forest
Zip 5512 3
THESE 1TEMS WERE / WERE NOT COMPLE'fE AT THE TIME OF THE FINAL INSPECfION.
Date: v7? 9 Yes No Inspector:
Final grade (6" from siding) v
Permanent steps (garage) i
Permanent steps (main entry)
Permanent driveway
Permanent gas i
Sod/Seeded grass
TraiUcurb damage f
?
Porch zl?
Basement 5nish
Deck
Please ve ' with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside awn faucet before freeze potential enisu.
Contact engineering division at 681-4645 beforo working in righhof-way or installing underground sprinkler sys[em. ?
White - City Copy Yellow - Resident Copy Pink - ConlraMOr Copy
, 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(esi) e81-4e75 New Constructian Reauiraments RemodeVRaoair Reauirements ?6:?,D-b ,q
t
? 3 registered site surveys
? 2 copies of plans (inGude beam & windaw sizes; poured fnd. design; etc.)
? 1 energy caiculations
• 3 copies of tree prg;ervation plan if lot platted after 711/93
required: y;I Yes _ No
DATE: S- 6 -.2 ?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: 12- BLOCK:
O
? 2 capies of plan
? 1 sRe surveys (exterior addRions S dedcs)
? 1 energy calcuiations for heated additions
CONSTRUCTION COST:
3 SUBD./P.I.D.#: Tl&?? 7"l"PQ /"vYe.S1
PROPERTY
OWNER
Last
First
Phone #:
Street
City
State:
Zip:
Company: Phone #: CO SI T?Z !??
CONTRACTOR -
Street Address: License # b?/? 3 Exp. 00
City State: h6w Zip:
ARCHITECT/
ENGINEER Company:
Street
City
Sewer & water licensed plumber (new construction only): ai' Y uil: ! iM . Penalty applies when address
change and lot change is requested once permit is issued.
. ?Ia/Fs
I heieby acknowledge that I have read this application, state that the information is corcect, and agree to comply with all applicable
Statj: of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ZoYes _ No
Tree Preservation Plan Received ?Yes - No
Phone #:
Registration #: _
State: Zip:
- Not Required
SS/L?
i,i1?
OFFICE USE ONLY
. ,
BUILDING PERMIT TYPE
? 01
Foundation
?
06
Duplex
?
11
Apt./Lodging 0 ,
16 Basement Finish
,X 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
g 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
? of Stories
_ength
JVidth
4PPROVALS
'lanning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
n? Basement sq. ft.
s?
?- Census Code
Main level sq. ft. SAC Code
`" sq. ft. '.?v Census Units
f2 • caA-e-, sq. ft.
F
780
Census Bldg
? sq. ft. MC/ES System
70_ sq. ft. City Water
a_ Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
, Building l ?V0.-?.9a
--CJ Engineering Variance
?
Valuation: $ 7 OO ?
(2-1S x « _
1225-K 54 =
- ? ?? Jt 5 eI- =
780 X L (? =
(q)
I?4ao=
?? ????1 L?f?
50'?t g . ?t?"1
?-
1
1
;
% SAC
SAC Units
f_7Tl'V 61' I.AGf1N
f:ASHIER: S 1I-FiMi1?F1L N(7a 691.
D; 7Ec 0`i/20l9`-J 1 ]:itc.N 0=e02
T.CI':
NaRr-.n Wsi_i...IAx HurTn:.R con!Sir;Ucr:[oN
?232 9R20 4904 P:r.nF:: Lr,h;_ :an.on
3210 9001 4904 r-.r.NF- LA>:E 0396e95
3EI66 9379 4904 ;-INE i_nNE j.ou.00
342e 900;. 4904 E•rNs_ i_.r,rlG 908„02
2275 9020 4904 F'.T.NE !...Ai.E. 1,050.00
205 90171 4904 f'IP?F._ I_Filw'. C).ESt:l
3743 9220 4304 r•:tNE i_.ANE 50„00
21.55 9007. 4904 F']'.NF !. AP.E. c1t::1.00
3868 9220 4904 I'':[tJ.E '_.ANf.-: 468.00
37i_E, 9220 4904 I'Si?'•E: L_6dOF- 10.07
CF;::L4947f:3 r;f1Nt T?JQII.-'.
USER 'D: P:RA!C{ Cf.)nf:f.NUE
f:r)t£7'J:AlUE:
t,:I:T<< C;F cne,r;N
!";ASH:f.Li;. _ 1"E:RMi.NAL ,\10:- E,19 i
liFi7Fa 75120/99 TIMii: 0^40L03
'.0 r,
na] MIF::? wr.I...L:rnr fiUrr;:,Ir, i;oN:,rr,UCrtnN.
303 9220 4904 PtNE i_FlNE. 50.0e
3866 '.c.'.i'f:l 4904 E'7:NE. LFtP!":: 825.00
t
Toi:a.l. f{sefa'_(;t Amourrtu 5,07E3.,47
009439
u9r_r, rn: NnNrY
Af y ENERGY CODE WORKSIiEET FOR 1& 2 FAMILY DWELLINGS
sxxs naaxass 6 4r? CZxY ?a arti
COMPLBTSD BYs AI PHONB # DATB
SIIILDIIi6 CLASSIFICATIONr oategory T (ataadard) or ? aategory 3(mustiaelude vsatilatioa)
MIttI2IDM CRITS&IA
Poundation Inaulation-R10 Walla G Wiadowa &oof Attia.Inaulatioai
(see table on reverae eide
Slab on Grade Ineulation-R10 for allowable peraentagee) R44-With Att1c No Heel
Ploor ovar unheated spacee-R24 R38-With Attic'Raised Heel
Foundation Windowe 1/2" A38 & RS-Solid Rafters
inaulated Glaee.
-Wood or Vinyl Prame
STBY 1 Window G Door Aroa BTSP 2 Caloulete area aa a porawt oi vall
A. Total Windour & Door Area in Sq. Feet
WINDDWS (Including Pouridation Windowa):
r
WnmoW MANIIPACTVRB NAMBs ?/nCaI1G
C. From Step 1 divide box A(Window & Door
i7 Area) by box 8(total wall area) timae 100
?
WaIDOW MANUBACTORB TYPBi
?- equale the window attd door area ae a
3? percent of wall area (box C).
WII7DOW MANOFACTQRB II BACTO8t •
R. o. Quantity eq.Et.Atea BoX A 3 ,f/P % 100 . C.
Dimeneions Box 8?ZJ6 ? Z t
p X91^ O STBP 3 Deaiga BeaEuros
2,-6 X 3`0 I" ASSEMBLY
Z'0 X -i-0 BRAMIN6 TYPSt
Z-D X?-6 STANDARD PRAMING x etude 16" o.c.
2-0 XY'0 /4?, y? ADVANCED FRAMING etude 24^ o.c.
3-0 X c1 ' 0 ( 11 ys CAVITY IN3ULATION R? P
2-6 X s-p ? lI J? Z
- BHSAT8IN0 TYPHt
.
Z X 7? I, ?l jrQ 1/
L&SS THAN < R-5 /"
-(7 X 7'0 (J L? R-5 > OR MORE
I t?
•/
X U-PACTOR
DOORS: . From the table, (reveree eide) determine the
maximum percent window & doos area for the
3-0
?-? design optiona eelected and snter the t value
X
Z'? 64 p in Box D below baeed on the window mfg. II-
Eactor:
6-0 X 6-e 1 1 Yo DEE D
Total Area of 7w3 ?? sg.ft.
Windowe & Doore
D. Total Wall Area in sq. Ft. The t valua from the table in Sox D ahall be
equal to or greater than the t in Box C
Wall Total Height Area
Parimeter
1-60
7?J
LOO
I
Imer Grove Heights
2ota1 Area of walle B. 32,3?s .ft j i,
05-28-1986 12:43 6124502502 1NVER GROVE I-E[GHTS
ONE- 6cTWp-FAI4QLY RFSIDENTTAL pUILDING PRX-SCR[P1T'VE (COOK-DOOiq
APPROACH
MAXIMUM WINDOW AND DOOR ARfiA AS A PERCHNI' OF QV$RALL WALL
AR$A
Notes:
Window area equals rough opening minus installation clearances,
Window (1-factor must be determicted by either the National FeneatraHoa Raling
CounciI atandard 100-97, or ASHRAG 1993 Handbook of Pundamentais, Chapter 27,
Table 5.
-o P.2
P.03/03
C
From M(nn- Ru,ga part 7670 0475 sUb art 2, itqm F
d!ti al ! u te yalues
. ?
VGz ?
(SEE ATTACHMENTS)
Development ` ty+C. ? reQ
Lot Num6er 1 Z Blxk Number 3
Address
Bullder
= ? ! S 2 ri
Tree Protectien Rnr,ua.e.nents.
? Tree Fencing
Oak Trea Prun(ng (Seal wounds during Aprtl 15 to July 1)
Therapeutlc Pruning
Retaining Wall
Other:
Reolacement Treas•
Not Required
-?_ As Fouows:
Attaehmen Q• •
--?. Yeg ? "-
No ?
-? 9dditioal Notes:
(J Z?sIz(t i•ea PvO-tojz,,.. gwC-p- a?
Sl.c,.,r Lle? cw-4t?,-L? 60 )
,?.f .
C6n)
P1 6F[-`(iuU) ?
See ?l
I ? T"?
crif
yy Cwfn ? G ?? Irtv ?ceX.?a?:.
? Ar1..?.+1?
E!lGAtd FOAE3TRY D61tIS10N
REVI6ElA?
OATE
-t--
O5/18/99 10:49
r
6124523088
128124523088 WM HUITNER CONST
7ee Vr
p;Tr+ee I?o ?eS?
br?a.e-r u
cd,?.?f t
1 cle,#vle ' . 651- ?fSZ` .?a88'
. -?
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3 470' C'edaY' te.worE
?f 36' fprae2 te?*ove
Sprac? re•ra.e.
6 I L ° aKE pOW¢.
B, i+r.E sa-llC
8' ? L `X rGk Ssc-2,
9 30 • P?? s?e.
30 f;Z sa.+e
/2 " 9,r4 fsK
i2 .70' p,?a Sa+e
/-7 ..30' l??e
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/L
g.re.l? Se«e
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PROPERTYLEGAL:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDAROS
i?
• Registered Land Suneyor signature and company
• Bulding Permd Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (ramWer, walkout, spfd wlo, spfit entry, lookoA etc.)
• Directional dreinage arrows wiTh slopelgredient %
- Proposed/exdsting sewer and water services 8 inveR elevation
• Streetname
• Driveway
• Lot Square Footage
• lot Coverage
ELEVATIONS
EwsCna
3-'a ? • Sewer service (or Proposed)
a : Property comers
?o o Top of curb at the driveway
a? ?? - Elavations of any epsfing adjacent homes
Prooosed
? ? ? : Garegefloor
Frst floor
?9 ? • Lowest exposed elevation (walkouthvindow)
?a ? • Propertycomers
Qi6 o • Front and rear of home at the foundatlon
PONOING AREA (i1 aoo6cable)
? a--?o • Easement Gne
? a?a • NWL
0 0/?
? • HVVL
e r
p • Pond # designation
? e? a . Emergency Overflow Eievatlon
DIMENSIONS
cr-'a ? • Lot Iines/Bearinge 8 dfinensions
e--o o • Rightoi-way and street width (to back of curb)
Q-?o ? • Propoeed home dmenaions indudng any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. a6 struclures requiring permaneMtootlngs)
s wRhin those eaaemenis
Cil
Nitl
d
?? ? y u
e
any
• Show an easemenb o( record an
0'?a g.
? • Setbacks af proposed structure and sideyard setback ot adjacent exdstlng structures
M
H
i
? ra
a S,
any
reme
• Retaining wall requ
/
Reviewed:
March19BB
CRAI.IBLDOPRMf.FM
, .- ._ _..
-- - --- --- . .. ?
i
. • 2422 Ente'priso Orivs
* * Yandoto MdqhSa. AIN 55120
# ?? (Odi) 881-1?14 FAXE81-9488
u+o vilil[mn . owl o'oxmis E-moU: PIaJEEROPRESSEN7ER.CON
*? uMD ""?°?• L"'l 825 Hlqbra 70 N.E.
BetZ? 7e3--1
t D FAx7ES-te83
E-mou: PIONEER20PRESSENTER.C011
Certificate of Survey for: HUTTNER CONST.
4904 PINE LANE
LOT AREA =72,012 sq. it. ?
HOUSE AREA -2,704 sq. (1. `
f?'? t?
BENCH IAARK
TOP OF PiPE,???1
? EV.=,971.18 `.`
F1 I
?
? 13 1 (9ani °° H'aisE ' N89'4152'E 136.50 i 10
3 970.4CATV.
I ? • - -
9?4 y? 30.00 972. 38.83 971. 971.4 972•7
T? ,n
o_r?_ - - - =n-? ?4 ?•O?
e?zs.? 9». ??
? 968.9 M ,2.06/ ?/N 1 1 J lO O
?{.) ? ? ? a 0 ? 971.4 % 971.8 ? A) ? ? •
z
? ?y • - ? N/ /? ? ' /?
? ,,.oo ? Q ? i
:5 *f - ',
?°• s72.,1 a M 12 ?< i 9
? . ,. _? W
z? w ?%?Laso.I I n /$o/?°o, i ? i O
Q-
co i ? M W=
' 7' I Sa ? Z? ? r
I O I i ° ?97Z• S? a? I ?
r i U)
01972.7` l x974.4
10' 97L7 88 5J7 o ?
?W I 10
L--4°------T---------J C97?A?
? 970.3 871.5 1;{EC,30.00 ^ 38.83 ~972.93 975.0
1 I 8
? a 3 !'?? ) N89'41'52"E 138.50
13 I
(VACANT)
t? . . _rlC A..?'?V"F?,/?.=t`TT+':_ .z ?, p'_..... .. _ •
..1.•,?G:'N:.,
Nme: nus ceaMWArt oaES HoT wnPaar ro sHOw EASIDuNIFs omEx TMAN x ooaoo oDgrrm aasirw ELEwmw
711OSE 910MN OM 711E fiECORDEO PLAT. ( 000.00 ) OEIq7ES PROPOSN EIEVATW
N07E: CON1RwCfOR YUST VERIFY DRI1£YfAY OESICN. ?-? OFNOYES ORAWMiE MID YittJ7Y EA431ENT
. OflpR3 ORAMAC! A.OY/ 0?
NOIE: BEANWCS SNOMN ARE BASED ON AN ASSNYED DATW --?- OEN070 MONUYEMT
9 . 0U47E5 OFFSET IIU9
WE HEREBY CERTIFY TO HUTTNER CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
NoTE, rnaaosM cRAoES smoir+ vEx caAowc rwi er. Ca pup PROPOSED HDUSE ELEVA'110N
LOIAEST FLOOR ELEVA710N: 4G49
NoM ewr»ic ooANsas swMn Aac rae Homza+iN. uro vMncu. LacAna oac el
EVnnoN: 9' ?•7
roP oP el
aF sTRUCTUrtES aar. sm ARMhcniK Puu+s saa eunDNc Awo .
.
rauxMnaN ooroSIowa
'
CARAGE SLAB EIEVAT1pN: 7 •
NOIE NO SBEQFIC SOMS MVES7IGADON NAS BEEM COMPLEIED ON 1W5 LOT BY 1HE
sumifK7a. nE aurAmUn as 90115 M wPPOai n1E svEaFlc IausE TOB 9 LOOKOU7 ELEVATION:
waavosEo 15 NOr n+e REPONsaun av na sumEroa
LOT 12. BLOCK 3, PINETREE FOREST
oacorn c:auarr, utNNESOTa
IT OOES NOT PURPORT TO SHOW IAIPROVEMENTS OR ENCHROACHMENTS. E%CEPT ;ASO*W. AS 9URVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 28 DAY OF APRIL 1999. 51 NEER ENP.A.
SCALE : 1 INCH = 30 FEET
• ? 97d88.06 JJS G lorson. LS. Reg. Na 788pb
T'd XHA 0E:6 66. b ReW
CTTY USE ONLY
LOT ? BL 3_ RECEIPT #: J I q07
SUBD. RECEIPT DATE: ?--V -t?
MECHANICAL PERMIT # 11 -)Q
1999 M£CH"ICAL PEfiMIT (ftESIDENTIAI)
CffYOF Ei4fi!!lY
S$SO PIL07' KNOB RD
i'r4fiAN MP 55122
-? 4
Date• (651) 681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuvied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
30.00
6.00
? .?
.50
$3b.Sd
Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
Furnace
Air exchanger
_ Air conditioning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITEADDRESS: I q d q ?1N.G 1-
OWNER NAME: N U 77"N L 1"L' ?Q yw.c; PHONE #: 1"t") - yS'2 -3 d&9
,/ (AREA CODE)
INSTALLER NAME: G? a?J`? /Y T? A I L 0 A/ L_ PHONE #: to S 1 -1111- 3 PD Z
STREET ADDRESS: I 3 1S T LN , TAREA CODE)
CITY: ?!? .5 2 ? D!/? ?''?N• STATE: /1111/V . ZIP: .SJrU6 ?
?lo?zd4k
,SIG+I ERMITTEE
CITY USE ONLY
L BL RECEIPT#:
SUBD. ' RECEIPT DATE:
APPROVED BY: INSPECTOR MECHANICAL PERMIT#:
1999 MECfANICAL PEfiMIT (COMht£RC1Ala
CITY OF EAfiAN
3$30 PILOT K1V0$ itD
EA6AN,14IN 55182
(651) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK T1'PE: New construction Install U.G. Tank
_ Interior ImprovemenY _ Remove U.G. Tank (Minimum Fee)
_ Processed Piping (Minimum Fee)
"NOTE: When installing/removing underground tank, ca11 65 1-681-4675 for inspection by fire mazshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, wlilchever is greater.
CONTRACT PRICE x 1°/a
PERMIT FEE
STATESURCHARGE
TOTAL
---------------------°--°-----
SITE ADDRESS:
($.50 per $1,000 of oemut fee due on all peimits.)
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER:
ADDRESS:
Cll'y:
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATCTRE OF PERMITTEE
1? 3 . CITY USE ONLY
suso?. L ??l
? fl,?,P??IU tX/A
RECEIPT #: IV / O v
RECEIPT DATE: 5 1d-1 9 /
PERMIT# J(-O (4
1999 PLUM$INC PERmIT (uStDENTTAL)
crrYoF ensAv
3$30 fILOT KNOB RD
£A&AN, 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 underground sprinkler system
FIXTURES
EACH #
TOTAL
? .? ...? _
Floor drain 3.00 x $ 3, 00
Gas i In Outlet ' minimum - 1 3.00 X $ .UD
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x $ .00
Laund tra 3.00 x = $ o
Lavator 3.00 x $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlrepair 30.00 x = $
Rou h o enin 1.50 x .3 = $ SD
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ O
Water heater 3.00 x $ 3. 100
Water softener if dwelling under construction 5.00 x = $ O
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total --> --> ----> ----> $ 3ff-oD
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------------------------------------------------- .---------------- •----
1 hereby acknowledge that I have reatl this applicatlon, state that the information is cortect, and agree to comply with all applirzble Ciry of Eagan ordinances.
It is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities consVuctetl under this permit within City propertylri9ht-o6way/easement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE #: 45-/ 40--'46a
(AREA CODE)
INSTALLER NAME: TELEPHONE #: 657_ 'S?Z -`3'X3rJ
„ (AREA CODE)
STREET ADDRESS:
V
CITY: STATE: ZIP: .,SS?(o9
SIGNA URE OF P RMITTEE
2007RESIDENTIAL BUILDING rERMIT arrLicaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis
3 registered sfle surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas
(20% maximum lot mverage albwed)
1 Soils Report i( proposed 6uildiig is to be placed on disturbed soil
2 mpies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calcwlations .
3 copies of Tree Preservation Plan H lot platled after 7/1193
Rim Joist Detail Options selection sheet (buildings wAh 3 or less units)
RemodeVReoair Reauirements
2 wpies of plan showing footings, beams, loists
1 set of Energy Calculations forheated addiGons
1 sAe survey for additions & decks
Addition - indicate iton-site septic sysfem
13D , 6D,
CWV?
Office.Use:Onlv
CeROfSurveyRecd _Y _N
Soils Report _ Y _ N
TreePres PlanReW _Y. _N,
Tree Pres Required _ Y _ N
On-Site 5eptic 5ystem _ Y _ N
Minnegasco mechamml venGlaGOn form
/?'d /?
Pians are considered nublic information unless vou state theV are trade s?cret and the reason.
Date '6- / Aa / 02`,0 7 Construction Cost ? ?Jo7, om
Site Address e;n Q, tqtl Q UnibSte #
?? a n /rl N
Description of Work ?C/Sem 2si f ?i;q i Sh
Multi-Family Bldg _ Y_K N Fireplace(s) V, 0 2
Property Owner ?eV7 /1 ?A/'$Q v1 Telephone # 3?O - sy? CS
?r
n
Contractor /UDrlh M f/'; e9
9H1c?trs ?
?nc-
/
Address lSQ y 7' SY ? 59- City //J45 eCA
State M /1) Zip ; 01,3 Telephone # ( (P/7_) 221- /3U 1o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted . Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan$
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor 1D
2 MAY 1 S 2007
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the infortnation 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.
Applicant's rinted Name App fic s 5ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
WOrk TypeS
? 31 New
? 32 Addition
XX- 33 Alteration
? 34 Replacement
30 Accessory Bldg
31 E#. Alt - Multi
33 EM. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroaf ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handout to appliwnt
DesCriptiOn: Water Damage _ Yes
valuation b 49"`9
Plan Review ? 100% or _
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const ?
Occupancy MCES System
25% Code Edition
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone La[h _Brick
Windows
_ Retaining Wall
r?,,
Approved By: , Building Inspector
Base Fee
Surcharge
Pfan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex ? 20 Pool ?
? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 09 07-plex ? 17 Garage 0 22 Porch/Addn.(4-sea.) ?
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ?
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
i
Address 4905 r;nP r.anP Zip 55121_
Lot z Blk i Sub Pinetree Forest
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: , IS.QV Yes No Inspector:
Final grade (6" from siding) x
Permanent steps (gazage) x
Permanent steps (main entry)
Pennanent driveway X
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch ,Y
Basement finish
Deck
Please ver' with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the ouLSide awu faucet before freeze potential exisu.
Contad engineering division at 681-4645 before working in rightof-way or instalGng underground sprinkler system. ?
Whik - City Copy Yellow - Resident Copy Pink - Con[ractor Copy
?Ib
2007 RESIDENTIAL PLUMBING PeRnniT,aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
.J..r..Ilinnc
Niease com iete ror moanicauunb w ox?????? ???1-1.1a1 ..••..•••„ ...
I 2 Ll !
Date 1;
?7
_
SiteStreetAddress Unit#
Telephone #( )
Property Owner
?J Telephone # (q53 ) 792 -753 J
`j- i
{k
1!
Pl[
,
y
1
2!
Contractor
Address QO gd X Sq? aty State ?-tl Zip -<5*-2
The Applicant is: _ Owner 8 Occupant v Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includ $ ?OO.OO?e
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
Add plumbing fixtures to main level lower level. This fee includes.
installation of a water softener and/or water heater at the same time. It you are
installing onlv a wafer softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
/
required) L
ter is
Water Tumaround (add $136.00 if a 5/8" me
L
?n
GY
YJS/7
/J/A
Other: a??l l /P? Q i9r'?[?i LJGYSfMPH7
_
Water Softener _ Water Heater $ 15.00
new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30:00
$ 50
State Surcharge
i ?
$ ?
-6
6U
Total
;t cor.,ni ete and accurete; that the
I hereby apply for a Resltlennai rwmoing rermn anu doN110w-uy= .l-a, •? ?? ..?,•••-••-•• - -- -?-
work will be in conformance with the ordinances and codes of the City of Eagan and the piumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to b iew
--
A
Ap icanYs Printed Name App' nYs Signafure
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CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 0 4 2012
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
/6 360F
Permit Fee: &C - 9 ?)
Date Received:
Staff:
2012 MECHANICAL PERMIT APPLICATION
,
Date:3-D- O't a- Site Address: AcioLi V') € 1
Tenant eiju-
LouvIsLo
Name: }l '# Sandi* 1.--00.101 Phone: LOSt-320--7321)
Address / City / Zip: CAO n
Suite #:
Name:
Address:
State:
BURNSVILLE HEATING & AIC, INC.
3451 W. Burnsville Parkway
Suite 120
ziAurnsville, MN 55337 Phone:
Contact: 1(\ x
Email:
License #:A 1. £as'113
City:
OCO
New X, Replacement Additional Alteration
Description of work: �I �? A Q LQ
RESIDENTIAL.
Fumace
/\ Air Conditioner
Air Exchanger
Heat Pum
tp
OtherAlam!
New Construction
Install Piping
Gas
Demolition
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
_ U10 - TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR
Contract Value $ x 1%
= $ Permit Fee
_ $ Surcharge
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.noeherstateonecall.orq
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.
App
man 's Printed Name
Applicant's Signature
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105887
Date Issued: 08/02/2012
Permit Category: ePermit
Site Address: 4904 Pine Lane
Lot: 12 Block: 3 Addition: Pinetree Forest
PID: 10-57650-03-120
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 12,210.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Elite Exteriors Kevin R Larsen
1513 Southcross Drive West, Suite A 4904 Pine Lane
Burnsville MN 55306 Eagan MN 55123
(651) 688-7808
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
Use BLUE or BLACK Ink
-For Of -fi ce--Use---------
I
j Permit / I
City of Eap I L
Permit Fee: - I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) RECEIVED 1 I
Fax: (651) 675-5694 1 Staff.
APR 15 41 RESIDENTIAL BUILDING PERMIT APPLICATION 5
Date: Site Address: Unit
Name: t t°1jj1 Phone: _
Resident/
-4 q
Owner g Address 1 City I Zip:
Applicant is: Owner Contractor
Description of work: De (
Type of Work pp _
Construction Cost: Multi-Family Building: (Yes 1 No d~ )
Company: A6e V&,& '-es
Contact:
Contractor !Address:& City: ~,/~2fL,C /'l 4-
Contractor
Phone: 291 2
a
I License 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) a
j-~
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
w conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gonherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Min esota State Building Code must a completed within 180
days of permit issuance. '
Applicant's Printed Name Applicant*s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of - Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace - Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy/ MCES System
Plan Review Code Edition SAC Units
(25%_ 100%-~-) Zoning- City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
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 HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit $ Surcharge
Treatment Plant 1 t-f
Copies
TOTAL
Page 2 of 3
2422 Enterprise Drive
Mendota Heights. MN $5120
411 (651) 881-1914 FAX OM
*
Pic~mI LAW 1140004 an . OW awrimes E-mcIP. PMEERBPRESSENTER.COM
* UM Pi LAIMMAM ""O'er 523 HIowa 10 N.E.
'Ii1 it * Slainfi. UN 55434
( 783-1 FAIL 783-1883
E--mall: PIONEER20PRESSENTER MM
i
Certificate of Survey for: HUTTNER CONST.
4904 PINE LANE
LOT AREA -12.012 sq. ft.
HOUSE AREA 2,104 sq. 1t.
f t
BENCH MARK
TOP OF 7 Pa`m`` % 1 13 ` I
% CO EXING • % 970.4CATV. . HOSTIUSE ' N89 4152E 136.50
3 30.00 972• 38.83 971. 971.4 972.7
968.4 _
14n 0
0
fill 71.5 I SS.33 s71. I quo-?
s
968.9 ICL -1/
•
W I CCU 10 m 4 0. 974 x 971.8
00 11.00 _ J 4 I
< I,
972.11 a 12
MIMI 011%
I W
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c°~ I ~,q7Z S) <in I
5.17 9727- / X974.4 ow
a+ I 10 L_ ~0 971.7 w 001 -°~--------J 10
970.3 971.5 E~C•30.00 38.83
972.93 975.0
3 1' :b) N89G4195rE 136.50
13 ~ 8
13
BENCH NARK,
TOP OF PIPE'
ELEV.-973.01
(VACANT)
S~
I .ter'
j~Y
PRQPOSED HOUSE ELEVATION
NOTE PROPOSED GRADES SIOWN PER GRADING PLAN IM. E.Q RUO LOWEST FLOOR ELEVATION: ~
NOTE.- BUXOM
Oll S7RUCTURE ~ AM FOR SST OR MO V~ TROP OF BLOCK ELEVATION: 925.7 .
Foup"TION GARAGE SLAB ELEVATION: _
fill NO SPECFFIC 90115 e11YBS11GAT104 HAS BEEN COMPLI ED ON THIS LOT BY THE
SlRA"ft . 11,E SWTABIUTY OF SOU TO SIPPORT THE SPEOnC HOUSE TOB • 0* LOOKOUT ELEVATION:
PROPOSED IS NOT THE REWONSOUTY OF THE StRVEIM
NOTE: THUS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMINTS OTHER THAN X OOMW OENOTES EXISTING ELEVATION
THOSE SWIM ON THE RECORDED PLAT. ( 0=00 DENOTES PROPOSED EMATCH
NOW- CONTRACTOR MUST VERIFY DRIVEWAY DESON. DENOTES OR WIN AND UMUT'Y EASEMENT
OEpOWS ORAMACIE ROw 11 IN N
NOTE. BEARINGS SHQMIII ARE BASED ON AN ASSUMED DATUM DENOTES MONUUGNT
--8--. DENOTES OFFSET "us
WE HEREBY CERTIFY TO HUTTNER CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 12. BLOCK 3, PiNETREE FOREST
DAKOTA COUN1TY. MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT ;ASOVM. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 28 DAY OF APRIL. 1999.
SCALE : Z INGH 3U FEET SI 4QLorson. ER ENGIN NG. P.A.
•
1968 97489.06 JJS Ls Reg. No. 19828
i 'd XUA 02:6 66. 0 ReW
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171662
Date Issued:08/25/2021
Permit Category:ePermit
Site Address: 4904 Pine Lane
Lot:12 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-120
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Andrew J Hesselberg
4904 Pine Ln
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179053
Date Issued:09/15/2022
Permit Category:ePermit
Site Address: 4904 Pine Lane
Lot:12 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-120
Use:
Description:
Sub Type:Gas Line
Work Type:New
Description:
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Andrew J Hesselberg
4904 Pine Ln
Eagan MN 55123
Mcquillan Bros Plumbing Heating & Ac Llc
1711 East Highway 36
St. Paul MN 55109
(651) 292-0124
Applicant/Permitee: Signature Issued By: Signature