1519 Pinetree TrCity of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675.5694
?-----------------
' - I
; Pe??l M Tn O 3
? Pertnil Fee:
I ?
I
? Date Received: ? I
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i stan: i
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2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oase: 5=/5- 03 sn. aaaress: 15-/ , 6'`..a ds- ?e r ?9-- 6262
Tenant AI??AFlrrd _ Sulteii:
RESIDENT / OWNER Name: A'( y- A Phone:
fi v? • M-rr T
Address / Ciry / Zip: / C
^ --
,
Applicant is: _ Owner ? ConVactor ?
TYPE OF WORK Description of work: pu= ?g
Construction Cost: Mutti-Family Building: (Yes No X
CONTRACTOR Name: F r?4 9' )A erc r+:C' n'+N •r•c.. License #: ,2 017
Address: '7SmZ3 <-N Jv)
City: _ / , ?W ?? ?oLI.C
J State: _Nj n / Zip: ? M_;(n9
Phone: l C.;2-.,??J-7i ,2S Contact Person: 2" jr?il¢r.l-vj,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catesaorv 1 Minnesota Rules 7672
Energy Code • Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
C8"pry Submitted Submitted
(4 SubmisslOn type) • Energy Envalope Calculatlons Submined
In the last 72 moMhs, has the City of Eagan Issued a permk for a slmilar plan based on a master plan9
_Yes _No If yes, date and address of master plan:
Licenaed Plumber: Phone:
Meehankal ContreMOr: Phone:
Sewer 8 Water Contractor: Phone:
°.
.
NOTE: Rr9flSanQ44?YtdtlWnw? *W' PFirtfGtlB [if. .
.
,
m
the in/oemadon.?ef"be" *
?
I hereby acknowledge Iha[ this iMOrtnation is complete and accure[e; that the work will be In conformance vrith the ordinances and codes of the Ciry of
Eagan; Nat 1 understand this is not a permlt, but only an applicaUon for a permR, and work is not to start without a permil; Mat the work wlll be in
accordance with the approved plan in the case oT work which requires a revfew and approval of planu.
i
X re-r?Y ?v?.llFr+?TIn
AppiicanYs Prlnted Name
X ?-.-I?••ISTGIA,J
ApplicanY gneture
Page 1 of 3
RESIDENTIAL BUILDING
Permit Application M 0
City Of Eagan -f' ? ? 5;?3U (p
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-67?75675 FAX # 6=
O ? r`/New ConsWCtlon Reauirements I - -?-?R eVR 'v? wremen O
3 registered site surveys shavirg sq. R of lat sq. ft of house; and all roofed areas 2 copies of plan
(20% maximum Wt coverage allaved) 1 set of Energy CalcuWtions for heated additians
2 mpies of plan shaxing beam 8 window sizes; poured found design, etc. t site survey for addNons & dedks
1 sel af Energy Calculations Addition - indicafe ifon-sile septic system
3 mpies of Tree Preservation Plan rf lot pWtted aRer 711193
Rim Joisl Detail Options selecGOn sheet (bldgs with 3 or less uniq
`7 o ?L
9 c? 2
----
? (?-,a l (Q . ?(
6 Use ?
?ertolSurveyRecd ?-1 D??
?L Tree Pres Plan Recd
_ Tree Pres Not Reqd
_ Onsite Sep6c System
Date ?? /
SiteAddress 03) Construcdon Cost rq 5- c5l T
mA/L UniUSte # ?
Description of Work SgD
Multi-Family Bldg _ Y 3' N Fireplace(s) _ 0)< 1 _ 2
Property Owner Telephone # ( )
Contractor I-(q/)06- ?
12610
i?7at
?ST/1d('T/rti1
Address 5? rl
State M? d /
? )p1 q tii /"I ()u,Op .? City (,()_ ,¢ q 1-H-
Zip 5-53!?2/ Telephone # (61?) #73 - G j 4 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submilted
• Energy Envelope Calculations Submitted
LicensedPlumber ?/_,L)nF,?, /Lfrpr?AAJlGn? Telephone#(`1?? `fLf5-5?(a?T?
Mechanical Contractor 0E? IL(ECP µ r Teleophone (a5? •-14?/Cn9 =
Sewer/WaterContractor ? LIL / lT I r_„ 1Tele?honel? I?
ut1 Q?e-? I hereby apply for a Residential Building Permit and ackn g the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
&fa,M/Z,r7- W14-.tEF"o2P
Applicant's Printed Name ApplicanYs Signatu?Ye,
4514
OFFICE USE ONLY
Sub Types
. ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
)iir- 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ent. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screan/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storrn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
X-1 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entire Bldg) • Give PCA handout to applicant
Valuation 47a O MC/ES S
t
ccupancy em
ys
Census Code 101_ Zoning f7A, City Water
SAC Units 0 Stories A_ Booster Pump
Nbr. of Units Sq. Ft. J,,'? y'f PRV
Nbr. of Bldgs / Length ? Fire Sprinklered
Type of Const I/ A./_ W idth '/
6' 0
V Footings (new bldg)
_ Footings(deck)
Foorings (addition)
Foundation
Drain Tile
RooF Ice & Water Final
? Framing
Fireplace -)( R.I. -KAir Test Y Final
? Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinallC.O.
_ FinaUNo C.O.
_ Plumbmg
_ HVAC
Other
_ Pool _ Air/Gas Tests _ Final
_ Siding ?+ tucco _ Stone
Windows acement)
Y Retaining Wall
f Approved By T Z , Building Inspector
r a- ?y??- / `6 ? 67
?ffw-&-g, 7 3 a k / ? `
L?o P 5-D x 3D 2
9 ?? S"s a
NNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 12-4-2002
DATE OF PLANS: 11-15-02
TITLE: Aacelrod Residence
PROJECT INFORMATION:
1519 Pinetree Trail
Stonecli£fe
COMPANY INFORMATION:
Lundgren Bros. Cons.
545 Indian Mound East
Wayzata, MN 55391
NOTES:
Walkout
9 £t. Foundation
4 ft. Bump to Family Room
4 ft. Sump to Garage
Bay at Master Bedroom
Jack & Ji11 Bath
Custom Laundry
Custom Windows in Family Room
Custom Front Elevation
Custom Fireplace/Media
COMPLIANCE: PASSES
Required UA = 746
Your Home = 597
20.0% setter Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value UA
CEILINGS 2153 44. 0 0. 0
WALLS: Wood Frame, 16" O.C. 1466 19. 0 2. 0
WALLS: Wood Frame, 16" O.C. 59 11. 0 2. 0
WALLS: Wood Frame, 16" O.C. 1315 19. 0 2. 0
WALLS: Wood Frame, 16" O.C. 49 11. 0 2. 0
WALLS: Wood Frame, 16" O.C. 543 19. 0 2. 0
WALLS: Wood Frame, 16" O.C. 210 12. 0 2. 0
WALLS: Wood Frame, 16" O.C. 200 12. 0 2. 0
BSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 1119 10. 0 0. 0
GLAZING: Windows or ?oors, Above GYade 84
GLAZING: Windows or poors, Above Grade 195
GLAZING: Windows oY DoOrs, Above Grade 152
DOORS 38
FLOORS: Over Outside Air 49 30. 0 0 .0
FLOORS: Over Unconditioned Space 304 30. 0 0 .0
HVAC EQIIIPMENT: r^uYnaCe, 90.0 AFUE
0.350
0.350
0.350
0.350
58
82
5
74
4
30
16
15
68
29
138
53
13
2
10
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COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
suilder/Designer -}-?7'eli-`??V1??'?`??"1"'?? Date
?
` TRE PR
VATIO
PL°A
ESE SUM
ARY
w
E N
N
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M
N
CITY OF EAGA? ?ORESTRY DIVISIO
(SEE ATTACHMENTS)
Development
Lot Number
D ?S?(o
Block Number
Address 1 5t Ct 1' L(V C 1 RkC- Fi ((Zrl'l L
Builder LL.tNDL?ItG't,-? aIZ.US (O?.;jT.
Tree Protection Reauirements --
x Tree Fencin -L ?J?,Lcf
Oak Tree Prun ounds during April 1 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
? Not Required
As Follows:
Attachments:
?)f Yes
No
Additional Notes:
L?UU_l = kq-?
(Le CCE"l.Sf GV (?,, U°v ??t-ww?? ,
?M r-OREsTRY DIVoSBON
-?
` Ir'CJ-2 I 1'?1/-GLJ1? l"E.lv-c<<?. li...?lu?-P
Vl ( Cc'VvSdV?AC-GLch (S Ci.t,, n(0 i
n fI I
? {'Ui ??Cv`?i0.C?1?UIR?,,V i:rtd ?ep G??a,
H;\ghove\2002fileltreepres\Tree Preservafion Plan Summary-2002
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HARDCOVER
LOT PREA= 17,pp5 S F.
HOUSERREq=26155F
CO`/EftAGE= 15.a%
TREESUMMARY
EXISTING TREES = S iry BUILDING AREA
TREES REMOVEp =1
"')Yh
.TN9 ?° DENOTES ERISTMG TREE DENO ?,.'oir TO ET I
REMO,,o NGTREE
/
/
i ?
i \
?
i /
/
?
30 15 p 15 30 fi0
SCALE IN FEET
LEGEND
? oENOTESSqNrtARy MaNnoLE
? oEHOrESHrowNr
iN DENOTESCATCMBqSIN
5 DENOiE55ANITAftYSEWER
W OENOTES WATERMq,N ti
Si DENOTES STORM SEWER
{
? OENOTESSTORM MNJHOLE
? DENOTESSTIXiMAPRON
SETBACKS
MIN. FROM YAItD SETBACK =30'
MIN SIOEYAROSETBpCK=5,l0'
MIN REARYAROSETBACK=15'
PROPOSED TOP OF F W NDATION ELEVATION= 925.5
PROPOSED GFRAGEFLOOR ELEVHTION= 926.5
PROPOSEOl0VJE5TFLDORELEVATION= 91683
ALLOFfSETIFONSAREMEASURED TO MUNDREDTryS
OF A FOOT AND CAN 8E USEO FS 6ENCHMNiXS
p _ DENOTESIRON
MONUMEM
X 060 0 DENOTES EXISTING
ELEVATION
(OOO.O) DENOTESPROPoSEO
ELEVATION
-?--? OENDTESDIRECTIDN
OF SURFACE ORqINAGE
?25 OENOTFSSANITPAY
SEWER SERVICE ELEVATION
A TITLE OPINION WAS NOT FURNISHED TO THE SIIRVEVOR
NOR WAS A SPEpFIC TITLE SEARCH FOR THE E%ISTENLE OR
NON-E%ISTENCE OF RECAROED OR UNRECARDEO
EASEMENTS CONDUCTED BY R1E SURVEVORAS PPAT DF
TMIS SURVEV.
I hereby certi(y that ihis is a irue and correM represenia6on
of a survey of the boun0aries of.
LOT 3, BLOCK 1, PINETREE PASS BTH ADDITION
DAKOTA COUNN, MINNESOTA
And the loca6on W all bwidmgs, rfany, ihereon, and all visible
enaoachmenLS, rf any, irom or on saitl land. As surveyed by
me ihis 26th day of November, 2002.
Gary R. Germond I
licensad Land Surveyor, Minn. Lic No.24764
62 26
N7a°a?5?~? .: -t.
?
REVISIONS
Aoo ?ynocvy y?? D,
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ORAWN
RS
CHECKED
GRG
DATE
>>mroz
SCALE
AS SHOW N
JOB NO.
SdD2-]11
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: i-o-t 3 D! ? C-F I I"1_?c=????i DATE OF SURVEY:
LATEST REVISION:
m
rn
c
?a
r
U
Y
Q ?
O
z Q DOCUMENT STANDARDS
V0 ? • Registered Land Surveyor signature and company
D/0 ? . Building Permit Applicant
E!rl ? ? • Legal description
d ? ? • Address
? ? ? . North arrow and scale
Q/ ? ? • House iype (rambler, walkout, split w/o, split entry, lookout, etc.)
fEy ? ? • Directional draiaage arrows with slope/gradient %a
EK ? ? • Proposed/existing sewer and water services & invert elevation
?/ ? ? • Street name
CL ci ? • Driveway
[-1' ? ? . Lot Square Footage
Cr'? ? . Lot Coverage
,2( -p.?3
„Za_J3
ELEVATIONS
Existina
? ? ? . Sewer service (or Proposed)
P? ? ? • Properry comers
p? ?? • Top of curb at the driveway and properiy line extensions
Cy ?/? . Elevations of any exisfing adjacent homes
? C?i ? • Adequate footing depth of structures due to adjacent utility trenches
? ?? ? • Waterways (pond, stream, etc.)
Prooosed
? ? • Garage floor
G1 ? ? . Basement floor
? ? ? . Lowest exposed elevation (walkouUwindow)
Ul? ? ? . Property comers
W/?? • Front and rear of home at the foundation
PONDING AREA (if applicable)
?VO ? • Easement line
? ?? . NWL
9?0 ? . HWL
? Q/ ? • Pond # designation
? C+?/ ? . Emergency Overflow Elevation
? [a' ? • Pond/4Vetland buffer delineation
DIMENSIONS
? • Lot lineslBearings & dimensions
G3? ?? . Right-of-way and sVeet width (to back of curb)
p? ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
3?0 ? • Show all easements of record and any City utilities within those easements
v 1-1 . Setbacks of proposed structure and sideyard setbac adjacent existing structures
? • Retaining wall requirements, if any , ?
Reviewed:
Name
Date
iJ/I
G:/FORMS/BUilding Permit Appliption
Address:t 1519 Pinetree Tr > Zip: 55122
Lot: 3 Block: 1 ,5uhdivision: Yinetree Pass 8th
TIIE FOLLOW[iCG [TM:MS W b:1tE/W ERN; NO'P COMYLN:T6 AT FINAL 7NSPECTION ON O"Iio-l
Ycs No Comments
Final grade - 6" from siding
Permanent steps - garage
Permanent sCeps - main entry
Permanent driveway
Ycrmanent gas
Sod/Secded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
I
• Verify with your builder that roof test caps from t6e plumbing system have been removed.
•"Curn off water supply to the outside lawn faucets before fteeze potential exists.
• Call [he City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
I ffZ_
V 6UILDING 1NSPCCTOR: I .
CONTRACTOR:
Lundgren Brothers
935 Wayzata Blvd E
MN 55391
PLUMBING (RESIDENTIAL) J? JS?
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
DateJL /-2?/?
Site Address
Unit #
Property Owner v Telephone #
Contractor H.P. PIPEWORKS
Address EAGAN, NtN 55123 City
(J-J
State Zip Telephone # ( )
The Applicant is _ Owner Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consultant fees may apply.
Alterations To Existing DwelGng Uuit, Including
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener Water heater $ 15.00
replacement _ additional
State Surcharge $ .50
? DE a 2 nuzi
Total $
I hereby apply for a Residenrial Plumbing Pernilt and aclmowledge that tLe inf tioa is Eompkete-axd- ate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with e Plumbing Codes; that I understand this is not a
pemut, but only an application for a pemut, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the ase of work which requires a review and approval o lans.
???7r),b AMtj",
Applicant's Printed Name Applicant's Signature
. /
2004 RESIDENTIAL BUILDING PERMTI' APPLICATION
City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122 ? ? a • ? '?
Telephone # 651-675-5675 FAX # 651-675-5694 q
NewCOnstmCtionReouirements RemodeVRenairReauirements
3 registered site surveys showing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan -
(2(r/. maximum lotcovefage allowed) 1 set of Energy Calculalions for heated additions
2 copies of plan showing beam & window sizes; poured found desgn, eta 1 site survey for additions 8 decks
1 sel of Energy Calculations Addition - mdcate Rarsrte sep6c system
3 copies of Tree PreservaUon Plan H bt platted atter 711l93
RimJoistDetailOptlonsselectionsheet (bldgswith3orlessuniLs
Da[e
Site Address O L/
/`` /Gy -(?Z. Construction Cost
/ UniUSte #
Description of Work
Multi-Family Bldg _ Y P( N Fireplace(s) _ D _ 1 _ 2
Property Owner Tefephone # (uS i ) L$`s" 'Fs'SS ?b`
Contractor VOq ?Sb
--- -
Address I-?(? e ?51?.e?e-?
State Yl1 N
Zip 5-S'?jtfiP ? ? /
City ?A`(?`'
Telephone f/ (9S2) -7-6c-')t -Z-4
? b+N?
COMPLETE THIS AREA ONLY IF
Energy Code Category
(J submission type)
Have you previously
fee applies.
Licensed
Mechanical
Sewer/Water
- Minnesota Rules 7670 Cateeorv 1 _
• Residential Ventilation Category 1 Worksheet
Submitted
• EneWhEnvelope Calculations Submitted
A NEYY BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Suhmitted
in Eagan with a similar plan? _ Y _ N If so, 25% plan review
.?loo, v, ?
,?a Telephone # (
Telephone # (
Telephone # (
I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NiN
Statutes; I understand this is not a permit, but only an application far 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.
.?-- `
t P?A- --V w.
Applicant's Printed Name App icanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
Q 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ???
/// ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New
1171- 32 Addition
? 33 Alteration
O 34 Replacement
Valuation br ?
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const ?
Footings (new bldg)
X Footings (deck)
7 Footings(addirion)
Foundation
Dram Tile
Roof Ice & Water Final
_ Framutg
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
W idth
? 30 Accessory Bldg
? 31 Eut. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 WindowslDOOrs
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
/ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Au/Gas Tests
_ Siding _ SWcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment plant
License Search
Copies
Other
Total
? 35 Int Improvement ? 38 Demolish Interior
? 36 Move Building ? 42 Demolish Foundation
? 37 Demolish Building' ? 43 Reroof
`Demolitlon (Entlre Bldg) - Give PCA handout to appliwnt
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
?
owc-
;t I 49 C/'C/
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EASEMENT
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HARDCOVER
LOTAREA= 17,005S.F.
HOUSE AREA = 2,675 S.F.
COVERAf'iE = 15.4%
TREE SUMMARY
EXISTING TREES = 5 iN BUILDING AREA
TREES REMOVED = 1
?? r A N9 ;, -=DENOTESEXISTINGTREE
\
S?•?X ?
?La
W P?KDup ?
P SR
?o9 P ND?EE
DENO"fE5 EXISTING TREE
TO BE REMOVED
Q
O
OT3 ?
yP J ?
0j
. \ ?
OnQO h
p,l,
\`* \ exisnNC HousE
`9Z? 1 S TFUN=923.0
,s
o?
, %5I°?g2gol 11 ,? 3 0 /
GpRP?E » 5 ?- ? ?
aa, /
1
1g 5 ?a l ?"?.?
/
/
1
o g;o3??`'?IL
NETgEE ?
/
/
?ni?-' ?
FANS DCFT
30 15 0 15 30 60
SCALEIN FEET
LEGEND
OS DENOTES SANITARY MANHOLE
?y DENOTES ITYDRANT
? DENOTES CATCH BASIN
5 DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
Q DENOTESSTORM MANHOLE
DENOTES STORM APRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK= 5', 10'
MIN. REAR YARD SETBACK = 15'
PROPOSED TOP OF FOUNDATION EIEVATION= 925.5
PROPOSED GARAGE FLOOR ELEVATION= 924.5
PROPOSED LOWEST FLOOR ELEVATION= 916.83
ALL OFFSET IRONS ARE MEASl1RED TO HUNDREDTHS
OF A FOOT AND CAN BE USED AS BENCHMARKS.
p DENOTESIRON
MONUMENT
X p?Q 0 DENOTES EXISTING
ELEVATION
(OOO.O) DENOTESPROPOSED
ELEVATION
? DENOTES DIRECTION
OF SURFACE DRAINAGE
9?Z 5 DENOTESSANITARY
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 RECOROED OR UNRECORDED
? EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF
THIS SURVEY.
I hereby certify that this is a true and correct representation
of a survey of the boundaries of:
\ LOT 3, BLOCK 1, PINETREE PASS 8TH ADDITION
DAKOTA COUNTY, MINNESOTA
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And the location of all 6uildings, if any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by
me this 26th day of November, 2002.
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„/27102
SCALE
AS SHOWN
JOB NO.
5402-711
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
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HARDCOVER
LOTAREA= 17,005S.F.
HOUSE AREA = 2,615 S.F.
COVERAG?E = 15.4%
TREE SUMMARY
EXISTING TREES = 51N BUILDING AREA
TREES REMOVED = 1
? „-_-?FiN9DENOTES EXISTING TREE
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SCALEIN FEET
LEGEND
' OS DENOTES SANITARY MANHOLE
? DENOTES ITYDRANT
Wi DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
QD DENOTES STORM MANHOLE
DENOTESSTORM APRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5', 10'
MIN. REAR YARD SETBACK = 15'
PROPOSED TOP OF FOUNDATION ELEVATION= 925.5
PROPOSED GARAGE FLOOR ELEVATION= 924.5
PROPOSED LOWEST FLOOR ELEVATION= 916.83
ALL OFFSETIRONS ARE MEASURED TO HUNOREDTHS
OF A FOOT AND CAN BE USED AS BENCHMARKS.
p DENOTESIRON
MONUMENT
X 00p,;} DENOTES EXISTMG
ELEVATION
(OOO.O) DENOTESPROPOSED
ELEVATION
?ENOTES DIRECTION
OF SURFACE DRAINAGE
9725 DENOTESSANITARY
SEWER SERVICE ELEVATION
j/ 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 CONDUCTEO BY THE SURVEYOR AS PART OF
? THIS SURVEY.
I hereby certify that this is a true and correct representation
of a survey of the boundaries of:
\ LOT 3, 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 26th day of November, 2002.
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GRG
DATE
11l27/02
SCALE
AS SHOWN
JOB NO.
5402-711
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108711
Date Issued:01/04/2013
Permit Category:ePermit
Site Address: 1519 Pinetree Tr
Lot:3 Block: 1 Addition: Pinetree Pass 8th
PID:10-57667-01-030
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Renae Freinwald
2200 Hwy 13 W
Burnsville, MN 55337
952-767-1870
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Alexander A Axelrod Tste
1519 Pinetree Trl
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
r"" Use BLUE or BLACK ink
'� r------------------�
I For Office Use �
j / '� ���
� � Permit#: /�`�7�1��� ` /
Clty of ����� ; . . ..�. , � ,
� Permit Fee. 4 �� ��
3830 Pilot Knob Road �
Eagan MN 55122 � Date Receiv •�'���� �;�,�
Phone: (651)675-5675 �
Fax: (651)675-5694 , I Staff:
� ' �f c ---------�
2015 RESIDENTIAL BUILDING PERMIT APPI�ICAT N ., `n,��'L`
Date: Site Address:_ '��� K�, Unit#: ��e�
���, �r.
��, ��a `; ���.� tl,�t �`� � ��.��... I'� E.�E�(6/�-2 Ph ne: (l✓�r'fi �,�1' " �5,�'�
Name:
U C'�� ��� �`f"�.?L �i� � �``���1`v ,�� �,.�-
; Address/City/Zip: ( 7 .9• ���
- �
a
t
Applicant is: �Owner Contractor
. � �:
Description of work: �S t"�/�`�'Z /`+�� r . ; �
Construction Cost: ' �� c�'��2c� Multi-Family Building: (Yes /No
Company: Contact:
� - � �. Address: City:
.E�-
���` f State: Zip: Phone: Email:
:��
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:
�_. .� .. .
- x j . �.:. .._ _.. � -_ . .. - .-. , , . _�_ _ ... .
>:_ ..� .t. :� .._- ' .e.' ,� �.:.� . ,.- .._. _ .., ._ .,. ..
' ': . .- ,� a_-_� , . "��.�. , �- �...ai._ ,�. �� - .
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.aooherstateonecall.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 Ciry 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; tfiat 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 Buildi g Code mus e completed wi hin 180
days of permit issuance.
x � 1'l%d� .. � � �C.- � f�.
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
s� � —
/ �����- i,�� . .
DO NOT WRITE BELOW THIS LINE �����
SUB TYPES
Foundation � Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
�)(' Single Family _ Garage _ Porch(4-Season) _ ExteriorAlteration (Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES `F�:.�,�1^ �t��""`'� ��e '�� � .
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
�C 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 3 ��.d- Occupancy �CLC �- MCES System
Plan Review Code Edition �ols�s�L SAC Units
(25%_100%� Zoning -� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type af Constr�a�t�on �_ Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) �( Final I 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: ��`�T , Building Inspector
RESIDENTIAL FEES �
Base Fee �-( � 3� � �1 �S��
Surcharge
Plan Review " I�( X Z.� 3 S �
MCES SAC _ ,,Y � � � �,' � �rfj
City SAC 'f��
Utility Connection Charge -} �2 X I� _ �����
S8�W Permit�Surcharge .,.. Zo X�.� � 1 10 �
Treatment Plant ' � r-,/
� ���� � Z a _� �� �
Copies �
� TOTAL �3 �Z�
� Page 2 of 3
Use BLUE or BLACK Ink
.. r________________i
I For Office Use �
� ��y��.,�
Clt of �a �� j Permit#:
, / �
� � Permit Fee: !s'�- �7� �
3830 Pilot Knob Road � �
I
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 L Staff:______________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:____���.Z�IS Site Address: J.S /`� ��k�P '7�''PP / �
Tenant: Suite#:
`���� �� �� ���� /7 K�'d"�fl �° Phone:
�s �S. E3� i,�[ .'
Name:
Address/City/Zip: /�S�� /'f���'' �� ��
�. � _� Name: �P�r f �C,f�'°,`�t ��r G��i` License#: ���G J� �7�/ '�
, � r� �
t� � i � . �
b' � � ��� �� I
' Address: L���c� Fi���,Ql��D,�"E' � T''��'City: � �
� :�� � �
�
` , 'q r�
r ''` �� State: ��Zip: S��/� Z. Phone: �-S� ��3 S�—%/v�
Contact: �l-�c'`�'v Email: Gt,�'�'� /c'� €�-' .�v� �scr cc S�.�
r� � ���. . �,r � � �New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
� ���
������ � g�
����"'~� Description of work:
� � ��_ _ �..
� RESIDENTIAL
� °� ��,���`
Water Heater
� -� Water Softener
�� Lawn Irrigation�RPZ/_PVB)
�� �Add Plumbing Fixtures�Main/_Lower Level)
��}�� _- �� Septic System
������ � New WaterTurnaround
#�x _
�., � _Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'(includes$5.00 State Surcharge)
'Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 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.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 wor not to st a permit; that the work will be in
ac ordance with the approved plan in the case of work which requires a review and appr al f lans.
x ! i �� �v X
A plicanY Printed N e ApplicanYs ignature
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