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4905 Pine Lane ?------?----------i ? Permit#: ?? 7 •? ? I i Pertnit Fee: Date Received: G I I Staff: C?> I I -? I ------------------ 2008 RESIDEMUAAL Date: -a a- 0 8 Site Address: q?O Tenant: PERMIT APPLICATION Suite #: RESIDENT f OWNER e,re.i-i a - Phone: Name: _& !- ?An/o D/-- Address / Ciry 1 Zip: 790 S? 49??ive L/?. Applicant is: _ Owner ? Contractor TYPE OF WORK Description ofwork: 8k13-f Melly ConstrudionCost: 0240v0. - Multi-FamilyBuilding:(Yes_/NoX? CONTRACTOR Name: S tv;[DP"a £.?a.? XJ?• License#: vZol36-XV17 i Address: City: 'lip -19vAp? State: )VA? zip: 55-36-;L- Phone: ContactPerson: .Td??'?.?Lvva,.? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateqoN 1. Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submiked (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: - Mechanical Contrector: Phone: Sewer 8. Water Contractor: Phone: hfarmation.. Portionshof .: .NOTE:'Pfans and supporfing.doaumenis that yo'u submit are consideretl fb be pu ' the iniorrriation may be ciassified as.non-publicif you proVide specific reason;"that.wduld permd?he,City jo •'conclude tha[ the are trade secrets. ?I hereby acknowledge that this information is complete and accurate; that the work will 6e in confortnance with the ordinances and wdes of the City of Eagan; that I understand this is not a permit, 6ut only an application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of wotk which requires a review and approval of plans. X To h.v T S',drH.WJt X ApplicanYs Printed Name Appiica Y ign re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex ? 04-Plex WORK TYPES ? New ? Addition ? Aiteration ? Replacement ? 05-plex ? 16-plex O Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? Exk Alt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? Ext Alt. - SF ? 08-plex ? Deck ? Porch (screeNgaze6o/pergola) ? Multi Misc. ? 10-plex '?` 9r Lower Level ? Storm Damage ? 12-plex ? Miscellaneous ? Interiorlmprovement ? Siding ? DemolishBuilding' ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ? ? Plan Review (25%_100%-ti . Census Code I i ?ZtA ;^ # of Units ? ? # of Buildings Type of Const. V6_ Occupancy pjjj?Y MCES System Code Edition aoixe SAC Uniks Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklere Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile . Roof: Ice & Water Final Y Framing -t Fireplace:_R.I. _AirTest _Final ? Insulation Sheetrock FinallC.O. FinallNo C.O. ? HVAC Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows _ Retaining Wall Reviewed By: Buiiding Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8. Surcharge Treatment Plant Copies Total /,,? FrJti'-1?"?s' /? Page 2 of 3 CITY USE ONLY LOT 7D" BL 1 PERMIT #: dC) SUBD. i?,LMJI??Ax ? ? RECEIPT #: (f I RECEIPT DATE: -24zPq;i4g& ? ' i -D ( 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT FINOB RD EAGAN MIII 55122 Date: 651-681-4675 Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one requ'ued @$3.00 ea.) $ 30.00 6.00 42 - 0 State Surchazge .50 Total $ aL Zd Complete this section anfv if you are remodeline, addine to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration _ Furnace _ A'v exchanger Repair _ Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: OWNERNAME: flI-IONE tk: (AREA CODE) INSTALLER NAME: PHONE #: S,REET ADDRESS: L C3 FGR E N (AREA CODE) _ Heating & ir on i ionmg CIT'Y: - 20108 Calpary T??A L 8L SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMII+tLRCIAL) CITY OF EAGAN 3830 PILOT RNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commerciai/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping R'hen installing/removing underground tank, cal[ 651-681-4675 for inspection by f:re marshaL and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstalla6on = minimum fee Conuact price: $ x 10/0 _$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITB ADDRESS: OWNER NAME: PHONE #: - (AREA CADE) TENANT NAME (IIvIPROVEMENTS ONLY): WAS TFERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY; PHONE #: - (AREA CODE) STATE: Z[P: CITY USE ONLY SIGNATURE OF PERMITTEE CITY USE ONLY 'J L . ? BL RECEIPT#: 'a r? °I ?J'I SUBD. ?IYLlLe'ei ?OY? RECEIPTDATE: I `N -OUPERMIT# )9 ? 7-1y 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQiOH RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backtlow preventer for underground sprinkler system FIXTIlRES EACH # TOTA! Atterations to existing dwelling - minimum fee Describe: ? ? $ 30.00 Bath tub - g 3.D0 x $ Floor drain 3.00 x = $ Gas pipin outlet ' minimum - 1 3.00 x $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Septic System newnerurbisned • requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new instellationlrepaidrebuild 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x $ OC) Underground sprinkler Hdwelling is underconstruction 3.00 x = $ Under roundsprinkler rfexistingdwelling 30.00 x = $ Water closet 3.00 x = $ 00 Water heater 3.00 x = $ pp Water softener If dwelling under consWCtian 5.00 x = $ Water softener if existing tlwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 Total -> -> -> ---> $ S Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --? r ifiii ---that -------------- is oorred, an -------------------------•-----•------nord----i----- nances. I hereby adcnowledge that I have 2ad this applicafion, s the infortnation d e W compty wiM all applicable Cily of Eaga It is the appliwM's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages eaused by the City during its nortnal operational and maintenance aGivities to the fadlities constructed under this pertnft within CHy property/right-of-wayleasement. SITE ADDRESS: y Cv; C ?R2 LQC1Z OWNER NAME: : wlon ?1 TELEPHONE #: Lo5 l- 45q - y933 --? (AREA CODE) fNSTALLER NAME: JU'?-? eY Plumb?m TELEPHONE#: UZ ` 4qq° STREET ADDRESS: ??? ?dr IQn C1?G? s? (AREA CODE) cirv: 1`a.4tz STATE: mN ZIP: S53 ?2 SIGIVA URE OF PEf2MIT'fEE ' ?DD cONrzNuE crrv oF eACaN CA3HIER: J s TERMINAL N0; 768 DATE: 12/29/39 TIMk: 07:37:47 ICi: 1+lAAfEq MAPlLEY AROTHEFiS CONSTRl1CTI0N 370 9220 4905 F'INE LFlNE 114.00 3713 9220 4905 PINE LANE 50.00 3865' 9220 4305 F'INE LANE 825.00 1310 ' 9QDJ. 4905 PINE LANE 52307 Total Receip+, Amnunt; 59757.48 Ck121.805 l1Sf.--R IU: JAN CITY UF 1=FlGAN CASNIEF:: J5 TFfiMTNAL N0; 768 UATE: 12/29193 TTME: 07:37:46 IL1: NANfE: MANL.E.Y Rf:OTFIERS CONSTRlJC71'ON 2252 3220 4305 PINE 1_ANE 90.00 3210 9001 4905 F'INF_ L.ANC: 17486.55 3666 3379 4905 PINE LANE 100.p0 3422 7001 4905 PINE LAPlE 366.26 2275 3220 4`?305 PINE LAIVE 1,039.50 3446 9001 4305 PINE LANF' 10.50 2155 9001 4305 PINE LANF (].SO 3743 3220 4905 PINE LANE 50.00 2155 3001 4305 F'INE LANE 94.00 :3E368 9220 4905 F'.T.NF IANE 468.00 CR1z7.805 CONT7NLIE USE:F IIi: lAN ?Xc CONTINUE ; 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) c,, a 3830 PILIOT KN B RDN 55122 -? ? r 9 ? 651-681-4675 JJ ?,, c?c?o New Constructlon ReaulremeMs Remodel/Reoalr ReauiremeMs l a / " ? 3 regisfered sRe surveys showing sq. fl. of tot, sq. tl. of house 2 copies of plan and gU roofed areas (20% maximum lot eoveraae allowed) 1 set of energy calculatlons for heafed addttlons ? 2 copies of plans (show 6eam R window shes; poured Ind. deaign; efc.) 1 sNe swvey for exterlor addllions 3 decW ? 1 set ol energy calculafioas ? 3 copies of hee praservaNon pian B lot plaHed after 7/1193 DATE: t 2 ) LP' 9 ? DESCRIPTION OF WORK: STREEf ADDRESS: LOT: a BLOCK: Name• ? li?? Phone #: PROPERTY Lan Flnt OWNER Street Address: City State: Zip: (area code) CONTRACTOR License # ExP• .? City State: m l?i Zip: ARCHITECT/ ENGINEER Company: Name: ?YY1 - Telephone k: area code ( a-0-7 43y Streei Address: RegishaNon #: ci{y "? State: flc) ti Zip: Sewer 3 water Ilcensed plumber (reauired for new conshuction onlv): PenaNy applies when address change and lot change is requested once permH Is issued. ? I?L-/ y 7-1 - C-7 3 I hereby acknowledge that I have read ihis applicatlon, state that fhe informatlon is cortecf, and ogree to c m ty wHh all applicabl Stafe of Minnesota Statuies and C(ty of Eagan Ordinances. - ? Signature of AppllcanL• kV- A"' OFFICE USE ONLY Certificates of Survey Received ?es _ No DEC J Tree Preservation Plan Received _ Yes _ No -?J Not Required ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool 0 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. ? Census Code l (Allowable) ? Main level sq. ft. SAC Code UBC Occupancy ?f o?-YVA sq. ft. No. of Unfts Zoning sq. ft. No. of Bidgs _L # of Stories sq. ft. Sl (a N MC/ES System Length f sq. ft. City Water Width ? Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building "'r Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment Pl: Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC Valuation: $000 r, 3 1 141 i 7o Gr4l o/ a- ;7,Yji `?O ,71oo v ? C6"7/ ( / d. ?=e x 6-y ? l?l?o,?'?`/° ' ?1( -/X` 16 ? ENERGY CODE WORKSHEET FOR l& 2 FAMILY DWELLTNGS 9TTH ADDRESS H CITY COHPLETED BY: P}IONB M DATE B'VILDING CLASSIFICATTON: ? cat egory 1(etandard ) or category 2(muet iacluda vantilation) HINILfLIM CRITERIA Poundaeion Insulation-R10 Walle G Windowo Roof Attic Ineulation: (See table on revErse side Slab on Grade Ineulation-R10 Eor allowable pe rcentages) R44-Wieh At[ic No fieel Floor over unheated spaces-R24 R38-With Attic Raised lieel Founda[ion Windowe 1/2" R38 & RS-Solid RaEtezs ineula[ed Glass. -Wood or Vinyl Frame STEP 1 Window 4 Door Area „ . STBP 2 Calculate area an a pereent of wall A. Total Window & Door Area in Sq. Feet . WINDOWS (Including Found3ti on Windows): KINDOW MANUFACTURE NAMB: C. From Step 1 divide box A(4lindow 6 Door Area) by box B(total wall area) timea 100 WINDOW HAtNPACTC7RE TYPS: equals [he window an3 door arza ac a percznc oE wall area (box CI. hZNDOW MAi7IIFACTURB O PACTOR: ?]?7N/y o- R. O. QuanCity cq.[C.Area POX A I IX 300 = F.ox 8 I Dimensions C, I ?QN X ?Jeif tir _- Dzeign Peatureo ST6P 1 I ? ?? I ? I v ?O ASSGId6LY . X ? .. 2? ^ X I d ? 4? ) :J PRAHZIlC T'!PE: \ i sCUds 16" o.c. STAtIDARD FRAMING ( ? X ?_ __ ( r1 ApVAtlCED FRNIING r;[uds 24" o.c. O X R? CAVITY INSULATION 2! vt X 1 6 ? H 275 SHBATHZtIG TYPS: 7 !6X 1 ? LESS THAN < R-S ? X R-5 a OR hIORE U-FACTOR x From the [able, (reverce side) determine the DOORS: maximum percent window 6 door area Eor the t valuc l d d th ecte an e enter design options se ? X ? in Box D below based on the window mEg. U- 2 ? I ? fac[or: - O I D X I !l0ld --y) 4btalArea of A? f'loq.ft. Hindows 4 Doors 11 Area in Sq. Ft. The k value Erom tlie cabla in Box D shall b-: cqiial to or greater ttian [he t in Box C Heigfit WallTotal Area * ? 79 E? f Wa118 • J IV ONE- & TwO-PAIr4LY RFSfDENTIAL DU1ZDfNG PRFSCftfY'INE (COOK-BOOK) APPROACH MAXJMUM WINDOw AND DOOR AREA A5 A PERCENT OF OVEftALL WALL AREA Psgm Mlnn ?ait 7670 047?, ou ?m F Cavit Exterior Wlndow U•Factor Fremtn Snau4ation Sheatfiin 0.49 0.36 0.31 0.27 STANDARD K-13 Z R• 7 13.49'0 17.8% 21:3% 24.3^/, STANDARD R•13 R• 5 12.41Y. 16.4% 19.7% 22.5qo STANDARD R-15 > R- 5 1219°h 17.1% 20.1% 23.4% STANDARD R-18-19 < R- 5 12.19'0 16.0% l$.$°/a 12,po/a STANDARD R-18 -19 R- 5 14.096 18.63', 21.8% 15.3°/0 ADVANCED R•18-19 < R- 5 12.9°h 17.1°/a 20.1%. 23.4% ADVANCED R-18-19 > R- 5 14.5°/a 19.2% 22.5% 26.1% STANDARD R-21 < R- 5 12.6% 17.0°!0 14.9°!e 23.1°h STANDARD R-21 > R- 5 14.5% 19.3% 22.5°Jo 26.7% ADVANCED R•21 < R- 5 13.6°h 18.1% 21.2% 24.6% ADVANCED R 21 R- 5 75.0Ya 19.9% 23.ZYo 26.9% AdditlQn¢1 calculate,?va(tea STANDARD R•ll c R- 5 11.9% 15.79'0 18.4% 21.5% STANDARD R•17 Z R- 5 13.89?0 18.4Yo 21.5% 25.09'0 ADVANCGD R•17 < IZ - S 12,6°!e 16.8% 19.6°/v 21.9% ADvANCED R•17 > R- 5 14.396 19.0% 22.2% 25.79'0 Notee: Window srea equals rough opening minus InetAllatlon clearantes. Window U-fACtor must be determined by either the National Fenestration Rating Council etandard 100•91, or ASNRAE 1993 Handbook of Fundamentais, Chapler 27, Table 5. f .h _ LOT SURVEY CHECKLIST FOR RESIDENTIAL " BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: LOT ZBGO Cf. I ?T.?VETA0?-=&-- n DATE OF SURVEY: H i j LATEST REVISION: Ge o DOCUMENT STANDARDS O O Q Ji p ? Registered Land Surveyor signature and company ?,? ? : BuildingPermRApplicant ? ? ? • Legal description ?? o Address y' ? ? North arrow and scale o. • House type (rambler, walkout, split w/o, sptl[ entry, lookout, etc.) a' ,Q ? • Oirectional dreinage artows with slope/gradient % R? q ? • Proposed/exdsting sewer and water senrices & invert elevation o • Street name 13 ? o • Driveway t F L t S o ra o age • o quare oo o% ? • Lot Coverage ELEVATIONS ExIstina ? d ? ? • Sewer senice (or Proposed) ? ? • Property corners ?g ? • Top of curb at the driveway o ? • Elevations of any ebsTing adjacent homes 0 2- 'o Adequate foo6ng depth of structures due to adjacent utility trenches Prooosed / 1 G fl 12 4 o • arege oor m/ ? V ? • First floor i d l tl lk W d o ? eva v n ow) • Lowest expose e on (wa ou ?p ? • Property comers ?? ? • FroM and rear of home at the foundation PONDING AREA ('rf apdicaWe) ? M/? • Essementline ? ¢?? . NWL ? [p? ? • HWL o ?? • Pond # designation ? m? ? • Emergency Overflow Elevation ?O ? m?o 0 &'?a a o?a ? e?o y ? m?o DIMENSIONS • Lot Iines/Bearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions induding any praposed decks, overhangs greater than 2', porches, etc. (i.e. all sVUCtures requiring pertnanent footings) • Sfiow all easements of record and any Cily utifdies within those easements • Setbacks of proposed structure and sideyard setback of adjacent ebstng structures • ReTaining wall reauirements, if anv Reviewed: March 1989 canKtieLoovnMr.Fn+ 0V?? ?e, C?J?``7 '---- ? J r (SEE ATTACHMENT3) Development ? t ite -TrC.Q C4-a V Lot Number ?? Block Number t qLc)S -F G % Address , ,C ,4_ 1 1 Vl Builder 1 .L _LLc. re S, l nY..f Iree Protection R euuirements: ? Tree Fencing ? Oak Trea Pruning (Seal wounds during April 15 to July 1) Therapeutic Pruning Retaining Wall Other: Reolacement Trees: Not Required As Follows: Attachments- Yes No Additional Notes: EAGAN FORESTRY D{VISION REVIEWE BY 6 DATE , _?.,?...J 6128234689 06i16i1999 21:39 6128234669 MANLEY BP,OS CDNSTP.UC PA6E 01 i ?- .. i , .. ?.? -._..__.-_-F?--------- ------ ---------------- I ___ i o? T-?-1 ? 1-d a?? . '1?a?.-? ?,1 ?.? "r? ?e_..? ?- ?_ _ _. ' -t?_?5 ?a ? ?= -Ta-lE- Z?.c?e- L_..?sT l_ ? ?, ? r?•a a ---;..-- ----- --- - - tiF?1?1? Sl L 1 ?L+JU N V ONLk... ? F-? ?- F?11-?.??E_ I? ?o --- --?? - -- ?--- - ?--- ' - -?-? ? --?- ------- ---------------- la,?.??5 ----- ----------?---- ---- --- -- - I ----- -- _---------- - - -- -- ? ------ , ; - ?_ - ---_ _---; ----- -------- ------- --..- --- - ? ? - -------- ? -- - - -- ;-----.----- ._.--. ----------- -- - t --- - - --- - ---- - -- ' - - _--- --- -------- --- - ---- _ ..-- - - .. - -- - --- ities Digital QualitX Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? 06i16/1999 21:39 6128234689 6128234689 n1ANLE1' BP.OS CONSTP,UC • R f_ F?'7Jl' , G? 1' C??y?1 ?P-i *,t * p10Nap ,.» ,?.,R.? • * imn t1ewP g uw w+MUS• w * # ** Certificate of Survey for lOT AREA 72.350 sq. fl. HOUSE AREA =2,699 sq. ft. ? 1 ? 1 ? ?'uN89041'5, 958.5 MANLEY 4905 PINE LANE I E%ISTING 962.2 NOUSE ? ?- 963 8 --- . 10 966.2 ? S ? 7C C1 ? .ya g Z. W ? =w i a < tn 12. i ? ? o a ? V i 962.6 964-4 " V) Y 10 -- ? 962.3 ? 4 PAGE Entxprisa Driw to Hoiqht?, YN'S5120 i sa?-1?+ FAx:e Bloina. Mn oZ4. (612) 7o3-t i E-moil: PIONEE CON ST. r---, ?- I I ^ ? !968.6 ? 8I Oi a= ELEv.r ?. .Q o ,; ? V y 17.67 2.0 \?- ? g???; g I OGf. C_ 77 fifi 21 I IZ 1g 'rx- 969-7 f 1970.4 BENCH MARK .TOP OF PIP .' EIEV.m968. 2 i' I I . . i `4&99J 13 0 I 5 cnTv 30.00 969.1 968.5 * PIONI * * * * L/+?0 91NVE'!OM • lMN RNIMEX9. LN+i Certificate of Surveyf.or: MANLEY BROS. 4905 l0T AREA =12,350 sq. ft. HOUSE AREA =2,345 SQ. FT. COVERAGE =18.8% z s?IrY 1 ? 0 0 0 rn w ? ? M O O N r 962.3 s? 5} f l ? i ? N89'41'S2"E S89'41'52" W sss.s I ..? ? ? ? I w ? z i Q J ?W I O.. 969.7 ? I ? C.T 970.4 FENe.? ,o ? I ononccp HOUSE ELEVATION -2-Q LOWEST FLOOR ELEVATION: y6e NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: E.G. RUU „ 973 ON NOTE: BUILDING DIMENSIONS SHOVM nRE FOR HORIZONTAL AND VERTICAL lOCA710N SEE ARCHITECNAL PLANS FOR BUILDING AND Y : ? 3¢ TOP OF BLOCK ELEVATI 7 . pF STRUCTl1RE5 ONL FWNDATION DIMENSIONS. GARAGE SLAB ELEVAPON: NOTE: NO SPECiFIC SOIlS INVESTIGATION HAS 6EEN COMPLETEO ON TMIS LOT BY 1ME THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFlC HOUSE R TOB ? LOOKOUT ELEVATION: . SURVEYO PROPOSED IS NOT iHE RESPONSIBILItt OF THE SURVEYOR• , O ?OW EASEMEN75 OTHER THAN NOTE: D T X 000.00 DENOTES EXISTNG ELEVATION ( ?00t) DENOTES PROPOSED ELEVA710N TMQ? SNOWN THE R CORDEO PLAT. ?N ___ DENOTES DRAINAGE AND U71LItt EASEMENT NOIE: CONTRACTIX2 MUST VERIFY ORIVEWAY DESiGN. - DENOlES DRAINRGE FLOW DIREC710N -T DENOTES MONUMENT N07E: BEARINCS SHOWN ARE BASED ON AN ASSUMEO DANM 13_ pENOTES OFFSE7 HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: , LOT 2, BLOCK 1, PINETREE FOREST DAKOTA COUNTY, MINNESOTA R ENCHROACHMENT EXCEPT AS SHOWN, AS SURVEYED BY ME OR S IT DOES NOT PURPORT TO SHOW IMPROVEMENTS O , UNDER MY DIRECT SUPERVISION THIS 7 DAY OF MAY, 1999. 23-99 NEW HSE D 8 IIOONNEEEERR ENG EERIN P.A. Si NED - REVISE REVISED 8-30-99 RESTAKEO Z SCALE : 1 INCH = 30 FEET REViSED 11-29-94 NEW HSE REVISED 12-1-99 RESTAKED BY. ! - 19826 N (?g?'FivE? DEC 0 7 o. '?9 John C. Lorson, LS. Reg. 2422 Enterprise Drive Mendalo Heights, MN 55120 (851) 881-1914 FAX:881-9488 PinNPFRDPRESSENTER.COM 625 Highway 10 N.E. Biaine, MN 55434 (812) 783-1880 FAX:783-1883 E-mail: PIONEER20PRESSENTER.COM CONST. ? BENCH MARK ? TOP OF PIPE ? ELEV.=968.52 EAGAN ENGIIVEERAVG DEPT.. _, 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) S? 3/ 7 CITY OF EAGAN 4 ,• 3830 PILOT KNOB RD - 55122 ?, 651-681-4675 ? !. New ConshueNon Reautremenh D 9 regbtered sBe funeys showing sq. R. ol lot, sq. R. of house and go roded areas [20% maximum lot coveraae allowed) D 2 eoples of plans (show beam a window sizes•, poured Ind. dalgn; efc.) > 1 set o1 energy calculaNona D 3 coples of kee preservaNon plan tl lot platled atler 7/1/93 DATE: 5j2-4 I - 19 . _ .? 4 e n . . DESCRIPTION OF WORK: STREET ADDRESS: _, 1 - LOT: Z BLOCK: ? ? ?n I SUBD./P.I.D. B: 2 eopies of plan 7set of eneryy calculaHons for heated addXions 1 sHe survey for exfeAor addlNons 6 decW CONSTRUCTION COST: ?ai oOO . 00 ?. a 5122 PROPERTY OWNER Name: M, ? G 1 last Firsi Sheet CHy #: ?4AA.At. ak 6dO(.J Zip: I "Phone#k: &12l ./ca?(G ,^ C:ONTRAGTOR ARCHITECT/ ENGINEER Sheet city Telephone #: area code Sheet cny Sewer 3 water Ilcensed plumber Registration ik. State: ./u N Zip: & u`;" 6ei?GQl Penalty apptles when address change and lot change fs requested once permM Is Issued. I hereby aeknowledge that I have read this appllcaNon, stafe thaf Ihe Info n Is eorrect, and agree to comply wMh all appdcobl Stafe of Minnesota Statufes and Cify ot Eagon Ordinanees. -jjj Signafure of Appltcant? ? ' OFFICE USE ONLY RE CE, ??7 7D Cedificates of Survey Received Zyes _ No Mqy 2F tco,g Tree Preservation Plan Received - Yes No _ Not Required nt,, . ??. 0eiVsQ'20D- 21Exp313I zooo 's st? Cyv ?5"zlp: g r--- ? Name• ? ? O YY1 ? OFFICE USE ONLY `• j BUILDING PERMIT TYPE ? ? 01 b( 02 Foundation SF Dwelli ? ? 06 07 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ng 5-plex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened) ? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 ? New ? 35 Tenant Impr ? 39 Gas Line Only O 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolftion permit GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. k -7 Census Code b ? (Allowable) S Main level sq. ft. 7 b 3 SAC Code o I UBC Occupancy ? 2LO ?a/ sq. ft, l 3S-o No. of Units ( Zoning sq. ft. 12y No. of Bldgs L # of Stories Length 75 V sq. ft. _ MC/ES System Width ? sq. ft. Footprint sq. ft. City Water Booster Pump PRV Fire Sprinklered APPROVALS - Planning Building ? Engineering Variance Permit Fee Valuation: Surcharge Plan Review License ??(c 3 JC ?? ? ?v? ? S MC/ES SAC City SAC Water Conn. Water Meter 14P, ? z Acct. Deposit S/W Permit S/W Surcharge TOM( 2 O°l ) -Z? 7 Treatment PI. ^ Park Ded. Trails Ded. Other Copies Totai: SAC Units % SAC 9527567002 9.6K 05/19/2008 10:52 FAX 9527587002 STASNEY MECH IM001/001 City of Eap 3830 Pilot Knob Road Eagan MN 53122 Phane: (651) 675-5675 Fax:(651) 675-5694 ? _ _ _ _ _ _ __ _ --_ _ _ __ ? I j Pennit#: g-3I E)q . I Pertnk Fee: I ? Date Received: , 5taff: L ---------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION „lV-?? Date: Site Address: Tenant: Suite #: RESIDENT ! OWNER Name: Phone: Address I City / Zip: COMTRACTOR Neme: .S-.GL.ioensa #: Address: /S7-f 3l d??-? S<? S? %?'4 ?1 . Clty: ?L `? ?y G? state: h7y zip: ?Go ?- v Phone: Contact Person: TYPE OF WORK ? New _ Replacement _ Repair _ Rebuild -Modify Space _ Work in R.O.W. Descrl tlon of work: PERMfT TYPE RESIDENTIAL Water Heater ? Water Softener _ Lawn Irrigatlon -4Add Plumbing Fixtures L_ RPZ 1_ PVBj (_ Main _X Lower level) Septic 5ystem _ Water Tumaround New Abandonment RES/DENTIAL FEES: Water Heater, Water Softener, or Water Heater and Softener (incEudes $.50 State Surcharge) $30.50 Lawn lrrigatlon (includes $.50 State Surcharge) $50.50 Add Plumbing Fixiures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Tumaround (add $136.00 if a 5/8" mster is required) $100.50 Septic SysYem Naw ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace 6umed out appliances, ductwork, etc.) (includes $.50 State Surcharge) 3-V TOTAL FEES $?? _ . . . . .. _..? ..?. ..?_ "'__?_...._.....u?. -w.....d:..snroe unA mAne nf !ho l:BU M t hereby acknovAeage mat tnis mmrmaaon is comprece ana accura?e; umi ??n .+v? ? wl!p u? "r, Eagan; Mat I understand thfs is not a percnit, but only an applica9on }or a permil, and work Is not to start without a pertnlt fhaf the wak will be tn accnrdance with the approved plan In ihe case Of work which requires a review and epproval of lans. x C?a/ /J ? c.c -? x •?--- ?!'y =`-= Applicant's Printed Name AppllcanYs t ure FOR (9????-?ls? R?? $0 h .TMi e -- st ?' ??a s? aiTe 2 ? ??i???,r .z ? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108628 Date Issued:12/26/2012 Permit Category:ePermit Site Address: 4905 Pine Lane Lot:2 Block: 1 Addition: Pinetree Forest PID:10-57650-01-020 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Renae Freinwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Patrick J Oberembt 4905 Pine Lane Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA133393 Date Issued:10/09/2015 Permit Category:ePermit Site Address: 4905 Pine Lane Lot:2 Block: 1 Addition: Pinetree Forest PID:10-57650-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Patrick J Oberembt 4905 Pine Lane Eagan MN 55123 (612) 850-7245 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141256 Date Issued:03/02/2017 Permit Category:ePermit Site Address: 4905 Pine Lane Lot:2 Block: 1 Addition: Pinetree Forest PID:10-57650-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Patrick J Oberembt 4905 Pine Lane Eagan MN 55123 (651) 324-1231 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142992 Date Issued:05/30/2017 Permit Category:ePermit Site Address: 4905 Pine Lane Lot:2 Block: 1 Addition: Pinetree Forest PID:10-57650-01-020 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 - Patrick J Oberembt 4905 Pine Lane Eagan MN 55123 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174573 Date Issued:02/04/2022 Permit Category:ePermit Site Address: 4905 Pine Lane Lot:2 Block: 1 Addition: Pinetree Forest PID:10-57650-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Patrick J & Sandra J Oberembt 4905 Pine Ln Eagan MN 55123--491 (612) 850-7245 Builders & Remodelers Inc 5301 East River Road Suite 110 Fridley MN 55421 (612) 827-5481 Applicant/Permitee: Signature Issued By: Signature