1507 Pinetree TrL? ? C< (,?1 o c? 1 ?i- W?$U ?
g? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsUUCtionReouiremenh ??,,? RemodeVReoairReauirements
• 3 regotered site surveys showmg sq. ft. of bC sq. ft. ol house; anM all roofed areas • 2 copies of plan
(20°k maximum lot coverage allowed) . t set oF Eneqy Calculations for heated adddians
• 2 copies of plan showing 6eam 8 window saes; poured found desgn, etc.) • 7 5@e survey for exterior additions & decks
• i set of Energy Calculations • Indicate if home served by seplic system for addihons
b-D-sq . 19
-!V. 570
1 V • L_O
I ? "-ASO . 1c1
• 3 copies of Tree Preservation Plan if lot platted afler 711f93 I
• Rim Joist Detail OpGOns salectlon sheet (Wdgs wAh 3 or less unifs) CcAliri:I
DATE VALUATION o2 c/?.7G??
SITE ADDRESS 160-7 /"/?rtO?D??, ?G.Lf' MULTI-FAMILY BLDG _Y ZC N
TYPE OF WORK FIREPLACE(S) _ 0 X 1_ 2
AP
STREETADDRESS ?5???)22Tt2
TELEPHONE # '7Sa.?4aD99?CELL PHONE #
PROPERTYOWNER
FAX #
TELEPHONE#
zia 5539
--------------------------- ------------------------------ °------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MINNESO'CA RLJI.ES 7670 CATEGORY 1 MINNFSOTA RliLES 7672
(J submission type) . Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mittt
Plumbing Confractor. r?g/L?Phonc # ???'7`?T?
Plumbing system includes: _ Water Softencr _ Iaivn Sprinkler Fec: $90.00
Water Heater No. of R.I. Ba[hs
No. of Baths
Mechanical Conhactor. Phone # 5' ? (a
Vlcchanical s•ystem includcs: Air Conditioning Pcc: $70.00
_ Heat Rccovery Syslem
Sewer/Water Contractor. Phone,#
G-UI i l,iC^,7
-------------------- -----------------°------------------------°---------------- --- .
Ct S a Ea th ion is correct, and e t comply
fl
y ack ag h taTe of Minnesota ltu Sta ' application,
wth ab aPp icble Y o 9an Od naces
Signature of Appiicant
OFFICE USE ONLY
? U S
Certificates of Survey Received ?Q__ Tree Preservation Plan Received._ Not Required _
?L 5?e?3
;?-,c_ S b b-li
PL Su?7 S
Updated 4/02
OFFICE USE ONLY
.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) 0 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
1? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation -04 OuPn Occupancy 3 -14- MC/ES System
Census Code Zoning _a City Water
SAC Units (9 Stories _1: Booster Pump
Nbr. of Units Sq. Ft.
? PRV
_? ?
Nbr. of Bldgs ? -
?
Length ? ? Fire Sprinklered
Type of Const Width d-,3!
REQUIRED INSPECTIONS
?C Footings (new bldg) ? FinaUC.O.
_ Footings(deck) FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain "f ile Other
Roof _ Ice & Water _ Final
Pooi
Ftgs
Air/Gas Tests Final
1( Framing _
_
_
_ Siding Stucco Stone _
_)iL Fireplace ? R.I. V Air Test ? Final W indows (new/replacement)
Y
Insulation ? Retaining Wall
--------- -------- -------------- ------- Approved By T 7 , Building Inspector
----------- ---------- --------------------------
---°----------------------
----------------
Base Fee ?
?
Surcharge n??f J"r
e p ?
291 y
.
Plan Review
MC/ES SAC
e"}l p??
City SAC
Water Supply & Storage
?P/1K'1, / v
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit ! ?
Mechanical Permit ? ? _ I
License Search ?
/?' ?7
?
Copies a.? ,?
y/ 7/V /
Other
Total
s?t? 2dc'e5s f 5? `7 /Jj,)EMEC lagi? Lot -?o &o?k -L su b d. J? 7Etj?6 o--? f'flss s*
On Apnl 15, 2000 the Nlinnesola Energy Code, Caiegory I Building Raquirements ior irsuialion prorsc[icn, air
;ightness, and ventdaticn, was adooied As a result, lhe Ciry or Eagan is reqwnng that the feilowirg informahon be
submitted pror to issuance of a Cernficzte ef Cccupancy
_ This sirucNre: is consUUCted to mest minimum reqwremenls of the 41n Energy Cedz, Chapter 7670
OR
X This structure: will 6e constructed to mz°I more reslrc[ive requir2ments of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOOEL BTU'S VENTING TYPE
Waler Heater ADSmi-ro ?Rs tTo 440 ()o d C1 vL,
? _.
Furnace X - 3E--U V42 0 12-7 0 120 DOd ? U(!/
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTEO
YES Na
Kitchen kitchen
Bathroom 1 w J6i-' 0 C? 50
Bathroom 2 7-r' 2 ? ?3 F
Bathroom 3 fy-li 2 A F M
eathroom a ?14 5 Q 5 ?
Other
FIREPLACE S
L6CATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oiaecr arMOS ?
! F.- dk m p V 3(0 30000
MAKE-UP Alfl MODEL TYPE CFM's
E -- -- 1'f G-- Z, lo Y?AtiA uG? ':?
I hereby acknowledge that the above informatwn is correct and agree to comply with 1he Minnesota Energy Code and Ciry of Eagan
requirements.
Sig ure
- .,?o
Company Nam
/ D-a2
Date
' This form is the responsibility ot the 6eneral Contractor.
MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Permit #
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-27-2002
DATE OF PLANS: 8-13-02
TITLE: Sundiata Menelik Residence
PROJECT INFORb']ATION:
1507 Pinetree Trai1
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Cons.
545 Indian Mound E.
Wayzata, MN 55391
NOTES:
9 ft. Foundation
2 ft. Bump to Entire Back
Oversized Window Well
COMPLIANCE: PASSES
Required UA = 793
Your Home = 662
16.5% Better Than Code
area or Cavity Cont. Glazing/DOOr
Perimeter R-Va1ue R-Value U-Value UA
____________________ ________
CEILINGS ______
2420
44.0
0.
0
65
i9ALL5: Wood Frame, 16" O.C. 1614 19.0 2. 0 94
WALLS: Wood Frame, 16" O.C. 1563 19.0 2. 0 88
WALLS: Wood Frame, 16" O.C. 50 19.0 2. 0 3
WALLS: Wood Frame, 16" O.C. 240 12.0 2. 0 18
wALLS: Wood Frame, 16" O.C. 216 12.0 2. 0 17
BSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 1813 10.0 0. 0 111
GLAZZNG: Windows or poors, Above Grade 43 0.350 15
GLAZING: Windows or poors, Above Grade 322 0,350 113
GLAZING: Windows or poors, Above Grade 306 0.350 107
DOORS 56 0.350 20
FLOORS: Over Outside Aii 57 30.0 0. 0 2
FLOORS: Over Unconditioned Space 403 30.0 0. 0 13
HVAC EQUIPMENT: Furnace, 90.0 AFUE
--------
------
----
------------
-----
--------------------------------------------
COMPLIADTCE STATEMENT: The proposed building design described here is
consistent with the building plans, specific ations, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requireinents of the Min nesota E nergy Code .
Suilder/Designer ? r-jy6V?{1/L. _ Date 9 '2-7'0Z
_ ?
LcjV ('t,L6 Co?Y
"._ °
? TREE
PRES ? VATIONf PLAN SUMM?i
R .
?
' FQRESTRY DI?(ISIQN Fv?;?'
CtFY 0F EAGAN a??
` _
651 681-4300 "
?:
`? f
: ? : ?,?`
, ,,
.
.:
. a .
(SEE ATTACHMENTS)
t:
Development plWC -T2jFC Vf3s? ? ikD
Lot Number 41 Block Number ?
Address
Builder LUNh(3?CN sY OS CDNS L LNC
C(?tv?+$?_?321 ? C?t?2.iS161tl?'SGtv Tree Protection Requirements:
? Tree Fencing
Oak Tree Pruning (Immediately seal wounds during April 1 to Juiy 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
as FonoWS: ? c? ?LC?rOR--t 3 Tiz - s
Attachments:
Yes I
No rEIAGAN RCSIE?Y [IVIS{0 (d
Additional Notes:
E
?
H:\ghove12000Fl1e1treepres\Tree Preservatlon Plan Summary-2000
BEVISED "FINAL" PINE TREE PASS 8th LOT 6 BLOCK 1-'10-30-02
Development Type = Single lot residential
Existing Allowable Actual Actual
Trees Removal Removal Preserved
Required Cash
Mitigation Eqillvalent
6 Trees 20% 5 Trees 1 Trees 8 B trees $2,400
1 Trees 83.3% 16.7%
(Applicant to mitgate:
Category of Tree
Specimen Trees
Hdwd Deciduous 21-30"
Soft Deciduos >24"
Conifer > 24" (12" dbh)
Hdwd Deciduos 6-20"
Soft Deciduous 12-24"
Conifer 12-24' (<12" dbh)
IVryJ
4 Trees)
Number of
Trees Removed
0
0
0
0
0
0
4
total = 4
Mitigation
6
4
4
4
2
2
2
TOTAL MITIGATION =
Total
0
0.
0
0
0
0
$
8C
B Trees
MITIGATION SUMMARY
Number of Mitigation
Number of "B"
Tree Requirement
Cash Equivalent
Trees Required Trees Provided Balance (B Trees) Balance
8 0 8 $2,400
NOTES: Mitigation to be taken out of on-site credit. Total on-site mitigation now = 260 Cat. B trees.
]fl 15 0 ?5 m ?
SCALE IN FEET
LEGEND
O$ OENOiE5SN1RhRYM1'ANHOLE
? OENOiESHVORPNT
? DENOTES CATCH 8451N
$ DENOTESSINRMVSEWER ?
R
w DENOTES WATEftMAIN o
ST DENOiE55TORM SENER Z
? DE1,10TESSTOiGIM1NNMOLE
n DENOTESSTORMAPRON
SETBACKS
MEN. FftONT YnRD SET&4CK - 30'
MIN SIDE YARD SEfBRCK= 5', tO BOIH SDES
MIN RFAH VARO SETfl4CK =15'
PNOPQSEDTOP OFFDUNDATIONELEVATON=922A
GROPOSEOGAMGEFLOOItELEVATION= 9210
PftOPOSEOLOWESTFlOORELEVQION= 91325
TREE SUMMARY
E%ISTING TflEES OF SIGNIFICANf SIZE IN
OUIIOING AiEEA= 8(a5 of 1014ro3), t(as M tN610I)
OENOTESTREEttPE.
SIIE, ANO LOCATION
AILOFFSETIRONSNREMEASURED TO HUNOREDTIS
OF A FOOT ANO CAN BE IISED AS BENCNIMFKS
p DENOTESIRON
MONIINENT
X OD0.0 DENOTESE%ISTNG
ELEVATON
(OOO.O) DENOiESPROPOSED
ELEVPTION
DENOTES DIRECTION
OF SUFFACE DRAIIUGE
908.0 DENOTESSANRHRY
SEWFR SFAVICE ELEVAiION
PTITLE OPINION Wl1S NDT fURNISHEO TO1HE SU0.VEYOR
NOR WAS A SPEGFIC TTLE SFARCH F00. TXE EXIffiENLE OR
NON-FXISTENCE OF RECDROED OR UNRECORDED
EASEMENiS CONDULTED BY THE SURVEYOR A$ PAfIT OF
TMrs suavEr.
i hereby ceNfy thal lhis is a We and cortect representahon
of a survey ot lhe bountlanes oC
LOT 6. BLOCK 1. PINETREE PASS 8TH ADDI'f10N
DAKOTA COUNTY, MINNESOTA
And IDe locahon o( ail buildings. H any, Mer¢on, and all nstble
encroachments, if any, hom or on said land. As surveye0 by
ma this 19th day of September, 2002
Gary R. Gerrtwntl
Licensed Lantl Surveyor, Mmn Lic No 24764
EXI,S"CLK6?t?'
? - lr" ?lt? ?' PL?SE(LVE
Z .? ?Z,•• PtNF, - tt.?ovs
3- lo" e1N16 - K?v?
C'- 1-t?" PIN?r- Rb W1pv6
(, - ct " Yr+pc'r.ie - Rveo ve'.
REVI51 NS
MEVISEDBLOGYOFIIPS
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DATE
10lOB(02
SCAIE
ASSHOWN
JOB NO.
Sd02-]14
REQu.?r?p ?.ttils*cto K = $ c?T ?o2Y Q -M;?s
Cscc a,lta,cl.et vovLslK??-?
LOT SURVEY CNECKLI3T FOR RESIQEPITUIL
BUILDWG PERMR APPLICATION
PROPERTY LEGAL: ?- d'? ?o BIDL k f /-'/v?G-f'sY.P?
ea
l
DATE OF SURVEY:
IAFEST REVISION:
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DOCUMENTSTANDARDS
?? ? • Registered Land Surveyor signature and company
/0 ? . 8uilding Pertnit Applicant
16'?t] ? • Legaldescriptlon
?9?/ ? ? • Address
?7/ ? ? • North arrow and scale
?1? ? ? • House type (rambler, walkout, split w/o, spli[ eMry, lookout, etcJ
Fd ? ? • Directbnal drainage arrows with slope/gradient %
v'D ? • Praposed/ewsGng sewer and water services 8 invert elevation
e' ? ? • Street name
v ? ? • Otiveway
d?o o • lot Square Footage
?? ? • Lot Coverage
ELEVATIONS
/ ExristMa
aV o ? • Sewer service (or Proposed)
? ? • Property comers
??P ? • Top of curb ffi the driveway and properry tine exdensions
• Elevations of any existing adjacent homes
? ? • Adequffie toobng depM of structures due to adjacent utifiry trenchea
? ? • Waterways (pond, stream, etc.)
Prooosed
V'? ? • Garage floor
Fa, ? ? • Basementfloor
4/ ? ? • Lowest exposed elevation (walkout/window)
? • Property comers
?? • Frortt and rear of home at fhe foundation
PQNDING AREA ('rf aoplicable)
o ? • Easement line
? /0/? • NWL
GY t7 7 ? . HWL
? &_?/ ? • Pond # desgnation
? • Emergency Overibw Elevation
? • PondNVefland buffer deAneatbn
fy,0 ?
I}?p ?
r? ? a
q?o ?
Cy C]
? r.,
• Lot IineslBearings 8 dimensions
• Rightof-way and street width (to back of curb)
• Proposed hame dimensions includinq any proposed decks, overhangs greater than 2', porches, etc.
(i.e. a0 structures requiring pertnanent footings)
• Show aA easements of recorcJ and arry City uLides within those easements
• Setbacks of proposed shucWre and sideyard sei6ack of adjacent existlng sUucfures
• Retaining waN requiremen
Reviewed:
G:/FORMSBuilding Pemid Application
Address I ?a 0 I Pi n-E:
L.ot (I Blk i Sub
Zip 5512 ?
F?4`-
TI-IESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" from siding) 'A
Permanent steps (garage) X
Pertnanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass x
Trail/curb darnage
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps &om the plumbing system and the shutoff of water supply to
the oubide lawn faucet before freeze potential exists.
Contact engineering division af 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow • Resident Copy Pink • Contractor Copy E)
?
T
OC ? Is REC'?
s'k?-,
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(90J
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7 pRP?NEpS
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- - - HWL 905.7% ?
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MENj ?6, 2? / ?RP\NF.PS M?N'(
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21.5)ASP10 925.3?5_ /
_ 1 S?„
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EI.aAill?t`g 41`X
4 ? ?N
pROPOSEo FULL BASEMENT ^.
o
1507 PINETREE TRAIL / h
STOOP Zg ? 7pj
6.5 P ST00 919-5 X ?>?
iz 12
' x 920 3 (g21.5) /
a« ?
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908.0 ?
t 5
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I hereby certify that this is a true and correct representation
of a survey of the boundaries of:
LOT B, BLOCK 1, PINETREE PASS 8TH ADDITION
DAKOTA COUNTY, MINNESOTA
And the location of all buildings, if any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by
me this 19th day of September, 2002.
?
0
Z
/ LOT COVERAGE
? LOT AREA = 21,586 S.F.
? HOUSE AREA = 2,188 S.F
COVERAGE = 13.4%
h
30 75 0 75 30 60
SCALEIN FEET
LEGEND
QS DENOTES SANITARY MANHOLE
? DENOTES ITYDRANT
? DENOTES CATCH BASIN
$ DENOTES SANITARY SEWER
W DENOTES WATERMHIN
5T DENOTES STORM SEWER
QD DENOTESSTORM MANHOLE
n OENOTESSTORMAPRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5', 10' BOTH SIDES
MIN. REAR YARD SE7BACK = 15'
PROPOSED TOP OF FOUNDATION ELEVATION= 922.0
PROPOSED GARAGE FLOOR ELEVATION= 921.0
PROPOSED LOWEST FLOOR ELEVATION= 913.25
TREE SUMMARY
ry tn EXISTING TREES OF SIGNIFICANT SIZE IN
p)
UILDING AREA = S(as of 10/4/02), 2(as of 1018l02)
B
O
O
DENOTES TREE TYPE,
SIZE, AND LOCATION
ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS
OF A FOOT AND CAN BE USED AS BENCHMARKS.
p DENOTESIRON
MONUMENT
X 000.0 DENOTES EXISTING
ELEVATION
(OOO.O) DENOTESPROPOSED
ELEVATION
DENOTES DIRECTION
OF SURFACE DRAINAGE
908.0 DENOTES SANITARY
SEWER SERVICE ELEVATION
A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR
NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR
NON-EXISTENCE OF RECORDED OR UNRECORDED
EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF
THIS SURVEY.
IREVISED BLOG 9f27A2 RS I
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CHECKED
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DATE
10/08/02
SCALE
AS SHONM
JOB NO.
5402-714
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
r C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: /03 / 3 ; (16" -
32-1 ,'341
Permit Fee:
DatetReceived:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: I G 11 ck. , � Unit #: LA/11 iV
Name: ty ill /ji✓ D
Address / City / Zip: 1 cO,3.
L)L L -
,4 1,
i'�1 rJ.�Y2�G
Applicant is: -Owner Contractor
Description of work:`) "Y\S L J
Construction Cost:
SCG
o Q
Phone: / 1 -710
ti, .jtiN
Multi -Family Building: (Yes / No v---)
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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. www.00pherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x u m -A PL'
x. t -L_.,
Applicant's Printed Name
x
Applica' 's Signature
Page 1 of 3
/ Cb .7 /`ei / DO NOT WRITE BELOW THIS LINE
/Q3`770-14111
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
_ Interior Improvement
Move Building
Fire Repair
Repair
/0 060/rev
hl341
113
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
tieFraming
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Air Test Final
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Zhc
joo7
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
TOTAL
Page2of3
Date:
City of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
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Use BLUE or BLACK Ink
For Office Use
Permit #: /03 7 7 ?
Permit Fee: (t/C/ - w
Date Received:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
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Tenant:
Site Address:
Suite #:
Phone: to 12-"
Address / City / Zip: ( `Y\Q W 1 � t E-0 ^ al4A)
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work: i11 i L o vt-
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
/Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
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 $166.00 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)
TOTAL FEES $
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. www.gopherstateonecall.orq
1 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.
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Applicant's Printed Name Appl nt's Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155179
Date Issued:05/01/2019
Permit Category:ePermit
Site Address: 1507 Pinetree Tr
Lot:6 Block: 1 Addition: Pinetree Pass 8th
PID:10-57667-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 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 -
Kumar Dulla
1507 Pinetree Tr
Eagan MN 55122
(612) 770-5740
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166839
Date Issued:02/09/2021
Permit Category:ePermit
Site Address: 1507 Pinetree Tr
Lot:6 Block: 1 Addition: Pinetree Pass 8th
PID:10-57667-01-060
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 -
Kumar & Sudha Dulla
1507 Pinetree Trl
Eagan MN 55122
(612) 770-5740
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169539
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 1507 Pinetree Tr
Lot:6 Block: 1 Addition: Pinetree Pass 8th
PID:10-57667-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Kevin J Leja
1507 Pinetree Trl
Eagan MN 55122
(612) 384-4081
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature