4913 Pine LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(651) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION ., . ..
a q ,
tt ?'r?q?rFcr'inH Itt:VIt41EL1 HY ??kA ?6 NtlVqi r•rr
?; i: r.? i't li?airi ir 11; .1n11 rli 11o-IF: i wri
F -
L ?
1NSY?:(;'1'IUN KE(:UKI)
PERMIT TYPE:
Permit Number:
? Date Issued:
t 1?1 A Vl 1 fl ? r ?
= fi? ??? t APPUCANT:
Permit Holder Date Telephone i
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
/- Y
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDFOSTATIC
TEST
BSMT R.I.
BSMT FINAL
?ECK FfG
DECK FINAL
Address 4913 PINE LANE ZlP $512 3
IAt 3 Blk i SUb PINETBEE 'rOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE T1ME OF THE FINAL INSPECTION.
Date: 06-30-99 Yes No Inspector:
Final grade (6" from siding) v
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
t?
Sod/Seeded grass
TraiUcurb damage ?
Porch p?
Basement finish Lll
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut•off of wacer supply ro
the outside jawn feucet before freeze potential exists.
ContaM engineering division at 661-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
L BL CITY USE ONLY
SUBD. i 1 mx? I - bhut
RECEIPT #: I I U Llil?
RECEIPTDATE: 1YG??7- ?
PERMIT # 0
1999 PLUMSINF PEiMTT WSIDENTIAL)
CI7'Y OF £AfiAN
3$30 PILOT KNOB iZD
£A6AN, MN 55122
(651)681-4675
Please complete for. ? e famil dwelling
> townhomes and con os when permits are required for each unit
S- backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet * minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
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 a6andonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
nou h o enin 1.50 x = $
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 = $
Water heater 3.00 x = $
Water soener if dwelling under construction 5.00 x = $
ater soften if existin dwellin 30.00 x = $ O o
rnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
TOt81 --> --? ----> ----> $ D
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------------------------------------------- --- ----- ------------------
I hereby acknowledge Nat I have read this applicafion, state that Ne infortna6on is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicant's responsibility to notify the property owner [hat the City of Eagan assumes no liabilily for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: 7 9/3 V/yilr 1 t4vQF' Z?r,41v9itJ ?M/2J ?S/Z :3
OWNER NAME: : m41QJ To TELEPHONE #: eeg!o? S?Z3 '9QCo9
(AREA CODE)
INSTALLERNAME: N> nj){ 1 _ TELEPHONE#: !o/Z 7-,4Z
(AREA CODE)
STREETADDRESS: 73/9 -
?./.? •
CITY: ,n-i SjFX STATE: ?J7?v ZIP:
A : /z", /I/? .r4 `
SIGNATURE OF PERMITTE
41-0-
GTY USE ONLY
LOT _Z?_ BL I RECEIPT #: AD Cp 61 CO -2?
SUBD(C?? RECEIPT DATE: ?"? 9ZI7
MECHANICAL PERMIT #
1999 M£CHANICAL PEftMIT (fiESIDEN'f1AL)
• crrY oF E,rtsAx
3$30 r^:i8i IWG$ RD
- ? E1k8AN AtN 55122
(651) 6$1-4675
Date• Is
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
co.^.stn:c:icn a.^.d ::ot owner !o==uo:ad.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
,
i
posc
$ 30.00
6.00
JX3,Vo .3,a0
State Surchazge .50
f,SV
Total $ 4
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Ple?se indicate if it is a new item, alteration, or repair. ?
New Alteration
Re ' der.• Ca11681-4675
Fumace
_ Air exchanger
SITE ADDRESS: 41
l I?
OWNERNAME: P kI IZ-
N? LK t? e,
INSTALLER NAME:
STREETADDRESS: n1, a LO
aue-
PHONE #: /V?A -
PHONEnttEn Cp?? fl, 6o ? o? ,?
(p -t
(AREA CODE)
C1TY: r T`k(L/Wl I N ro 4u N STATE: M/i ZIP:
SIGNATURE F PERMIT7EE
Other
_ Air conditioning
Other
$ 30.00
State Surc e .50
Minimum To Due $ 30.50
CQ A./
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT#:
? : 999 M£C?iANlCAL PEfiMIT (COMM£RCIAL)
CI1'Y OF EAfiAN
3$30 PILOT KNOS RD
EAflAN, MN 55122
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
O WNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(ARFA CODE)
STATE:
ZIP:
($.50 per $ 1,000 of oermit fee due on all permiu.)
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
CITY USE ONLY
SUBD. LLL"?
RECEIPT#; ?0(?0905__
RECEIPT DATE: 9
PERMIT #
1999 PLUM$INra PEtMIT (ftESID£NTIAL)
CI1'Y Of £AfiAN
5830 fILOT KNOB 3iD
SAcFiAN, MN 55122
(651) 681-4675
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
Bacn [ub a 3.uu x 1= a ?7, o
Floor drain 3.00 x = $
Gas piping OUtlet ' minimum-1 3.00 X = $ 60
Hot tub/s a 3.00 x = $ p
Kitchen sink 3.00 x = $ aa
Laundr tra 3.00 x = $
Lavato 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 installation/re air 30.00 x = $
Rou h o enin 1.50 = Q , D
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 = 5
Water closet 3.00 x = $ , Q
Water heater 3.00 x = $
Water softener if dweuin under cons[ruction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
I State Surchar e 50 --> ----> ----> $ .50
Total --> --> ----> --°> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------?-------------------------------------------------------------------------------------------------------------
I here0y acknowledge that I have read fhis applicaGon, state that the informalion is correct, and agree to comply with all applicable City of Eegan ordinances.-
It is the applicanYs responsibility to noli(y the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City dunng its
normal operational and mainteryance activities to lhe facilities constructed under this permit within City propertyinghl-of-way/easement.
SITE ADDRESS:
OWNERNAME:: )IC/vOhA JA C?h j U 7i0 AhCI TELEPHONE#:
(AREA CODE)
INSTALLER NAME: K V P S/p (' )0//jy» ?Jh a ?&C TELEPHONE #: 6SI " / v Y_ &1?16
STREET ADDRESS: 2)9a yGel /A ?,V ? (AREA CODE)
CITY: r?/O_ //pqN-{^d V6) STAT ZIP:
_ ' 4i,
SI NATURE OF PERMITTEE
CITY dF F_AGAN
CA'3NZE'Rt S TkRMTNAI_ N0: 686
T1ATt; 03/08/93 7IM1::: 13:06;13
ID:,
NAt'iF: MCUCtNAL CGNG7RUCTIONV TNL;.
2256 9()01 4913 PINF t.ANF 5,214.83
!
7ota1 ReceiFt Amolent,e 57214.83
Cfi 10'3 i 0 5
UuEk ID" NANCY
-N?JCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
? .i.i4..; 7G)-57;>SQ-U?;?-N?
PERMIT
PERMIT TYPE: i_ n r N f?
Permit Numbec
Date Issued:
1 11 ).s P ? ivF iar!r
L or: :i ei.oci:: i
P rra,_rPec F oiae: ?
DESCRIPTION:
Bu? ; u _nu 'Perinit ivpe
PA?i o^
kl;;[. Oeeue,:nr.vA
? ?
/:.,.?i?'.rn,...,•n I??r,?
?
? C L^ a .10
i `
? ?iLi 1 ... i,. ? ,. . ..i. -
`. J inn tor i:???
?
C ('l`_Fvh"t-, C ? Cl ? -
SF OIdG
hlfW
R-'
VNI
fl-L
U F)
?a
?2,1U1
1 01 1 - r- nm. 1) t_-1 nci+
REMARKS:
PI I;P: t'fVTr'?!rn Y Crn.Triv il«;N C'7vh
S a f„I p%LUP18 F_k l.S STAR i->LUf41NG I'HOPlF 4;(612 1 8c^,4-91U9.
FEE SUMMARY:
V(il UF% T iUN
a r,se Fp e
Plon ReviF,w
Surcharqe
SAC
SFlC -o
? SI1C Unii';;
'ub*otal
X.11 0 I5 e:3 5
5;955.98
"93_00
:p1..050.00
100
].
$ 1e?,,e0e
i+1:CS(::, FFF ;
iotal Fcn
?1,637.5G9
LS 7i^.83
CANTRACTOR: A nnl.ic,irit - si. I 1c OWNER:
MCDONlaLU CQNSITNC 14:327601 0002376 hICUONIALD CpPd5TRl1GIti0N "
75 ?i1 1451 H ST W 7 a91 1 4Sfli s-i"f2CrW
FlPF'Lc VAl.I.tY MN ,?"i5124 APPLC VF.LI_EY I'IM 65?.7.4
f417) <132-7601 (612)932-/ 60 1 •
,rinwlc•da^ 'li _ ' _?F . . .,d :ti . .n:> _,_ . ?1 , ,. -. .li ,. 'i
_ (:1-OI'mc . i JIl i . COI'I'.'C i utl(1 -pl i , . nl
fiil
?nJ i t',.v u-- Lau„ri ?rC ir.?.Ica':.
I_ ? J
"If .
APPLICANT/PERMITEE SIGNATURE ISSUED %4.,SIGNWMRE
? BUILDING
?n \--+ 5?? t?
New Construction Reauirements
? 8 regiatered aite surveys
? 2 copies of plans (include beam 8 window saes; poured Md. design; etc.)
? 1 energy calwlations
? 3 copies of tree preservation plan H lot pletted afler 711f93
required: _Yes ! No
DATE: I ^ c2R- Q &
DESCRIPTION OF WORK:
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KlqOB 7RD - 65122
RemodeVReoair Reauirementa CC?.?tJLR.pr ? " ? ?
? 2 copies of plan
• 2 site surveys (exterior addHions & tlecks)
? 1 energy calwlatbna Tor heated eddkions
l ? l
CONSTRUCTION COST; '
?
STREET ADDRESS: Lirl L Z W.?„r .ko,,,,.,L
LOT: -3_ BLOCK: ? SUBD./P.I.D. #: kn-,r TiE'.s..c FoiP aC't
Name: / v/ @/?Jd n?PUr,s -7 \ Phone
PROPERTY Last First
OWNER
Street Address: • .
City
State:
Zip:
Company: / 1/ L'. 00 n 4, I?/ lp S* Phone #: 76 O?
CONTRACTOR n
Street Address: 7 ?o?/ % (-1 (?/ License # ? o' 3 7 ?
CitY State: Zip:
ARCHITECT/ q ?
ENGINEER Company: Aun CO Phone#: y?rf ?7?
Name: ; t,?? Registration#:
StreetAddress: ???st-, ?L/.'n./).. ,
City Stau: Zip:
Sewer & water licensed?plumber (new construction ony): S?,4 37 sv? -? ? . Penalty applies when address chang
and lot change is requested once pertnit is issued.
4 f
I hereby adcnowledge that I have read this appliption and state that the information is conect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _-I/Yes
Tree Preservation Plan Received _ Yes
0
_ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition 0 08 8-plex O 13 Garage/Accessory ? 20 Public Facility
O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
?f 31 New ? 33 Akerations ? 36 Move
a 32 Addition ? 34 Repair O 37 Demolition
GENERAL INFORMATION
Const. (Actual) $' Basement sq. ft. MC/WSSystem I
(Allowable) s• Main level sq. ft. !lo 11 City Water
UBC Occupancy R3 `Z DL--\l sq. ft. l 1'Z (o Fire Sprinklered
Zoning R• I CL ?k sq. ft. 4(oo
PRV
# of Stories 2 _
sq. ft. Booster Pump
Length sf 0 sq. ft. Census Code. O[
Depth 4A Footprint sq. ft. 1j:at SAC Code ot
Census Bldg ?
-
?
Census Unit
APPROVALS -
Planning Building ? Engineering Variance
Permit Fee 114 '7 Valuation: $ ? ?-7
Surcharge O
PtanReview 5 • ?b?lS?- ?',6???
License
MC/WS SAC
! 6SC? -op ?p
i(p'j J JC'`?{- r
ciry s,4c
WaterConn.
?
?,6p KIG _ 7546
Water Meter
Acct. Deposit ?4j?7 7 ? °-°--
S/W Pertnit
S/W Surcharge SO
Treatment PI. ? r(V,4 :? c ?
Park Ded.
Trails Ded.
Other
Copies
L-CT
Total:
21 r 7 2,?..?A-tLc wC-0
% sAC
5AC Units
%
C
?
C6
Developmant
(SEE ATTACHMENTS)
Lot Number 3
Address I's iC
Builder a,ti CCMS?
Tree Protactlon Requiremants•
Tree Fencfng
Oak Tree Pruning (Seal wounds durinp April 15 to July 1)
Therapeutlc PruNng
Retaining Wall
Other.
Replacement Trees•
Not Required
.?_ As Follows:
Attachments•
tx Yes
No
Additlonal Notes:
nowom
TV ?
??
Block Numbar I
? . . ... ,
anginaaring ?uu vimrverzs• uxosc?re evr?i?e?s 625 Highwoy 10 N.E.
* * * Bloine, MN 55434
? (612) 783-1880 FAX:783-1883
TREE CERTIFICATION
Certificate far: MCDONALD CONST.
LOT 3, BLOCK 1, PINETREE FOREST
EAGAN, MINNESOTA (DAKOTA COUNTY)
SIGNIFICANT TREES
TREB SI2P. PROPOSED
NO TYPO SYATIJS
A-A2=-.GREEN_li$H SqyE
.-12" GRFEN(y5?? ? REMOVE
E 1-3'AAIUR MAPLE=NOT-SIGN.-,., SAVE
ADDITTONAL NOiCS:
TREE INVENTORY, REMOVAL.S PND REPLACEMENT PLAN PREPAFtW
9Y SANDERS WACNER Y/[HRIAAN BERGLY, INC..
TREES WERE NSUFLLY LOCATED AND IDENTIFlED BY PIONEER ENG
REPLACEMENT TREES REQUIRED:
swa-(i?-z i/g' SWAAIP WHITE OPH pUERCUS BICOLOR
RAI-(1)-2 1/1 RED SUNSET AIAPAf,ER RUBRUM RED SUNSEf'
SITE SUMMARY
TREESSAVED: 1 (50%)
TRE6S REMOVED: 1 (50%)
TOTAI,IREES: 2 (1009)
00709M
v
I hereby certify thot Ihls plan wos prepored 6y me or under my direct
aupervielon ond thot I om an Urban Foreater.
SIGNEO: PIIXJEER ENGINEERIN6% P.A.
`BY: ?.? ,J DA7E:6 pATE:
Ken'Amdt, Urban Fweater? SIGNANRE OF OWNER
2
REPi.nCEAfiIJ'C
. •.:,? ? iREE
M;tN M1?
' ss+3 e
o
` xa? sss ? 'n I
1'
? s
e
I N
I $
$ I i
i ?? i
, /• ? I
? $ _ ?.rx
? W
3 ? 3
8
jv
q p vl
]]
p
I
972.0
I a
I
96%. 969.5 /$ I
;', I ` =
e s.?
( c7.o) N89'41' so.o
'E ...
137.46 v ?.o ovz.v
(9 .o)
?
SCALH:1"=qp- h'M4mn, - Ffte."'+n4C$.
n
SIT6 ADDRESS
• COlfpLETED BY:
ENERGY CODE WORKSHEET FOR 1& 2 FA2•fTLY DWELLINGS
G
027; ?
HIIiIH[JM CRITERIA
Foundation Ineulation-R10
Slab on Grade InsulaCioit-R10
Floor over unheated spaces-R24
Foundation Windowe 1/2"
ineulated Glasc.
-Nood or VinVl Frame
1 (utandard) or
Walle G Windown
(See Cable on reverse side
for allowable percentages)
2 (muut iaaluda ventilati
Roof Attlc Ineulation;
R99-With At[i.c No Ileel
R38-With Attic Raised Ileel
R38 & R5-Solid Rafters
STBp 1 Wiadow & Door Area
A. Total Window & Door Area in Sq. Feet
WINDOWS (Including Fowidation Windows):
NINDOW MANUFACTURE
WINDOW MAtNPACT[/RE TYPB: ?'-S
WINDOW MAtiUFACTURB U FACTOR:
R. O. QuantiCY r,q.IC.Area
Dimensions
21 (>" X42 CB" ti-i'f'-fNt" l
2 L,?M X ? LeO". I
Z? C? u X Ul-ON II
?. -0? X??
2.?'cr" X 5_u?' /
Q-1..
j X?! N
,
N ,
x'?,:o
?
?'-t? x51,'
X
' "C? ? I
"2 X C'?I?
1'utal. Area of
Windows & Doors
B. Total Y7a11 Area in Sq, Ft.
Wall Total Height
Perimeter
l0
STBP 2 Calculate area ae a perceat o£ wall
c. From step 1 divide box A(47indow k Door
Area) by box D(total wall area) Limeo 100
equals [he window and door area as a
percent of wall area (box C),
AOX A??? a 100 =
ox I3
A Fl?
!"",?
STEP 3 Deoign Featuroo
? A.SSGf-1BLY
PAAMING TYPE:
?7 STAMDARD FRAMING X, stttde 16" o.c.
ADVANCED FRAMING rtude 24" o.c.
?._ CA.VITY INSULATION RTIE
9HHATHING TYpB;
?D LESS THAN c R-5 _?X
Z2 R-5 > OR F10RE
U-FACTOR p
'? From the ta61e, (revcrce side) determine the
, maximum percent window 6 door area for the
deeign op[iona eelected and enCer the k value
7 in Box D below based on the window mf U-
fac[or: g'
n
aL??J
of„ _oq.Ft. _
Area
P
The 4 value from Lhe Cable in Dox D shall bn
equal to or greater than the } in Box C
7_otal Area oE Wulle . I?-AQlln.f[
If
.
C
ONE- & I'Wp_ppMpt,Y RESIDENTIqL plJIMING pRE$CRIp.Wp (COOK-BOOK)
API'ROAC7I
MAXlMUM WINDOW qND DOOR AREA AS A PERCENT OF OVEftALL WALL
AREA
crom namn. Kutee part 7670 0475 yUt 2 item E
Additional asulaFuLv uPo
? ? ArvUAKU R-17 < R- 5
STANDARD R-17 - 5
ADVANCL•D R17 < R• 5 0 W
ADVANCED
R17
R- 5 14.3% Q"-
Window ares equals rough opening minus Installatlon ctearances.
Notes:
Wfndow U-factor masi bc determined by either the National Fenestratlon Rating
Couneil standard 100-91, or ABNRAE 1993 Nandbook of Fundamentals, Chapter 27,
Tsble 5.
P09t4H' FoK Note 767t
• o„__ _ +
** *
PIONEEA
* Bn?
# * *
*
Certificate of Survey for:
O
O
0)
3
OD
?
0
O
Z
2422 Enterprise Drive
Mendoto Heights, MN 55120
5- tlVil ENGINEERS (612) 681-1914 FAX:681-9488
"aC"ITCcM 625 Highwoy 70 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
McDONALD CONST.
4913 PINE LANE
Slve?v BENCH MARK
2 ? _ `, TOP Of PIPE
? ELEV.=969.60
.
(VACANT) J?• ? i
13 II
%W°? N89'41'52"E
4 964.4
Ln r o?
?-? a--
? --- °i-
N
iQ
? 964.6 986.0
I r ?
f
w
a
? ZW 3 a ?
I ? <
I oW
;
967.
10
L - - - - - - -
U)
137.20
50.33 Y (CA
30.00
-1°- - ?
10
0 28.00 M 866? ?
I
N I? ? I
/ -
I ?
z.o
i
/
M n I
/EnN I
a ?
?0=
?
/a 971.6
r - 30 .
1 .33
waa ?
00 V
a 2.3 ` a?' ?
o? I
aO I?
n.ccs?
10
o - ,O
-1)
970.4
.
e
?
0
972.0
OD
O
2
I I'
?ERVICE
LEV.= 9bZ, i
I W
Q
? J
W
a
9 6.7 970.0 0.33 1 30.00 9 4.0 772'7
q I
&?°) N89'41'52°E 137.4d ?q-,3. ) ° ?
13 I
.
4 \\? BENCH MARK
(VACANT) ` TOP OF PIPE
ELE V. =873.11
LOT AREA =12,359 sq ft 'HOUSE AREA =2,376 sq ft
?-/
•' . q-i,`.? ... . .'-_
NOTE: PROPOSED GRADES SHOxN PER CRADING PLAN 8Y: E.C. RUD ? PROPOSED HOUSE ELEVATION
NOTE: BUILDING DIMEN$IONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCAiIDN 9??,,?
OF STRUCNRES ONLV. SEE AftCHITECTUAL PLAN$ FpR BUItDING AND LOWEST FLOOR ELEVATION:
rouNOnnoN oiMeNSoNS. TOP OF BLOCK ELEVATION: ??`•?
NOTE: NO SPEqFIC SOILS INVESTIGATION HAS BEEN COMPLETED IXJ THIS LOT BY THE C?-7 f? 0
SURVEYOR. iHE SUI7ABILITY OF SOILS TD SUPPORT THE SPECIFIC XOUSE GARAGE SLAB ELEVATION:
7ROPOSED IS N0T 7HE RESPON981LITY OF iHE SURVLYOR.
NOTE: 7HI5 CERTIi1CAlE DOES NOT PURPORT TO SHOW EASEMENTS OTi:ER THAN % 000.00 DENOTES E%ISTING ELEVATON
THOSE SHOWN ON THE RECORDED PUT. ( pp0,00 ) DENOTES PROPOSEO ELEVATIDN
NOTE: CONTRACTOR MUST 4ERIFY DRIVEWAY DESIGN. --- DENOTES ORAINAGE AND U7ILITY EASEMENT
DENOTES ORAINAGE FLOW OIRECTION
NOTE: BEARINCS SHOWN ARE BASED ON AN ASSUMED DATUM 9- DENOTES MONUMENT
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO McDONALD CONST. THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 3, BLOCK 1, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA ,
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERViSION THIS 11TH DAY OF DECEMBER, 1998.
REVISED 1-15-99 RESTAKED SIG E0: PIONEER ENGI ff P.A.
SCALE : 1 INCH = 30 FEET REvisEO PReO. Ecs?.
B ?'
? 98635.00_ __ ,. John C. Larson, LS. Reg. No. 19828
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PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signaWre and company
• Building PermitApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rembler, walkout, split w/o, spl'R entry, Iookout, etc.)
• Directional dreinage arrows with slope/gradient %
• Proposed/epsting sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existina
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• Sewer service (or Proposed)
• Praperry comers
• Top of curb at the driveway
• Elevations oP any ebsting adjacent homes
Prooosed
• Garegefloor
• Firstfloor
• Lowest exposed etevation (walkouVwindow)
• Property comers
• Front and rear of home at the foundation
PONDING AREA (if aooGpWe
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency OveMow ElevaGOn
DIMENSIONS
• Lot IineslBearings & dmensions
• Right-of-way and sUeet width (to back of curb)
• Proposed home d'unensions induding any proposed decks, overhangs greater than 2', parches, etc.
(i.e. all structures requiring permanent foodngs)
• Show ail easements of record and any Cily u6fdies wilhin those easements
• Sethacks of proposed structure and sideyard setback oi adjacent existing structures
• Retaining wall requirements, ff any /
Reviewed:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT AP LICATION
? o „ / .
AAarch 1999
caWcieLocaRntr.cM
? 41 L?•o 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshudion Reouirements
3 registered site surveys showing sq. f4 of lot, sq. ft oi house; and afl roofed areas
(20°k mazimwn lot coverdge aGowed) -
2 copies of plan shovAng beam S windovr s¢es; poured found design, etc.
1 set of Energy CakvlaLons
3 copies nt Tree Preservation Plan ii bt platfed after 711/93
Rim Jokt Defail Oplions selecUon sheet (buildings wilh 3 or Iess units)
Minnegasco mechanical ven4lation form
RemodelfReoair Reouiremenfs
2 copies of plan showing footings, bearrs joats
1 set of Energy Calculations for heated additions
1 s'rte survey for addifions & decks
Addifion - ind'¢afe if on-slfe sepfic sysfem
Date 6o /?-17 / LAlo Construction Cost?.SOOv
Site Address Ll9/3 Pne-- Lc? h UniUSte #
551
a3
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Description of Work DQCk TLtnC_(In
Multi-FamilyBldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 ?K w6?
Property Owner ?? ? ?G ry jO 1? Cl'lf? Telephone # (6,571 ) 1/a3 - 96Coq
Contractor W2n2v{ ?tiSTo^?c?-'ip.1 ?v,c. cc,
Address City ??..,'•n?TOvr
State /Ii(t/ Zip-5?9-0aN Telephone#((o51) y97-09C'3
?
COMPLETE THIS AREA ONLY IF COPISTRUCTING A BiEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Ru]es 7672
Energy Code Category . ResidenUal Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the lasf 12 monfhs, has the City of Eagan issued a permit tor a similar plan based on a master plan?
_ Y _ N If yes, daie and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Wafer Contractor
Telephone # (
Telephone # (
Telephone # (
# 1p`r'
Off ilse?
GEdoYSu?gY'J2ecd?? ?." Y_^ JJ
'(rce Pr?s P?an F?te? ?+ ti 'Y-? J?
I hereby apply for a Residential Building,Pemiit 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 MN
Statutes; I understand this is not a pernut, but only an applicarion 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 whic equires_a review and
a76-, al of plans. i ,,' _:
?,? ? G1./eN ? I i`I JUN ? 7 20C? ?
Applicant's Printed Name pplicant's Signature , " ' -
i
'?- - -?C? - --
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dweliing ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext Alt - MuIG
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ?;IK 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 StormDamage
O 06 04-plex ? 12 12-plex ? 25 Wiscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
iK 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Attefation », ?, ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
1s 4 a. , ?) .
C}4( 34 Repl2Cement
'Demdltion (Entire Bldg)
- Give PCA handout W applicant
Descriotion: Mater Damage Yes
_
Aal't: ' .
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code L'4_ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width -
REQUIRED INSPECTIONS
Footings (new bldg) Shee4ock
Footings(deck) FinaVC.O.
_ Footings (addition) ' :?C FinaVNo C.O.
Foundahon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ AirlGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wa11
Approved By: Building Inspector
Base Fee _"- -- ------- ---------- -- --
Surcharge C2UC?
Plan Review
MGES SAC ? p ?
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treafinent Plant
License Search
Copies
Other
Total
* **
PIONEEA
** **
2422 Enterprise Drive
Mendota Heights, MN 55120
LAND SURVEYOPS • qNL ENGINEENS (612) 681'1914 FAX:681-9488
LAND PLMNfRS• UNOSCME ARCHIlECTS 625 Highwoy 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
Certificote of Survey for
McDONALD CONST.
4913 PINE LANE
(VACANT)
,ip°? N89'41'52"E
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4
" (VACANL)
LOT AREA =12,359 sq ft
HOUSE AREA =2.376 sq ft „
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN 8Y: E.C. RUD
NOTE: BUILDING UIMENSIONS SHONN ARE FOR HORIZONTAL ANU VERIICAL lOCA710N
OF $TRUCTURES ONLY. SEE ARCHITECNAL PLpNS FOR BUILDING AND
FWNDA770N DIMENSIONS.
NOTE: NO SPECiFIC SOILS INVESTCATION HA$ BEEN COMPLETED ON THIS lOT 8Y THE
SURVEYOR. THE SUITABRITY OF SOILS TO SUPPORT THE SPEpFIC HOUSE
PROPOSED IS N0T THE RESPONSIBIIITY DF THE SURVEYOR.
LOWEST FLOOR ELEVATtON: `?? _7Y
TOP OF BLOCK ELEVATION: 9 74'l
GARAGE SLAB ELEVATION: 9-7 5 d
NOTE: THIS CERTIflCATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER MAN % 000.00 UENO7E5 EXISTING ELEVArON
THOSE SHONN ON iNE RECORDEO PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVATION
DENOTES DRAINACE AND UTIIiTY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. , OENOTES DRAINAGE FLOW DIRECTON
NOTE: BE/.RINGS SHOwN ARE BASEO ON AN ASSUMED DANM -C- OENOTES MONUMENT
$ DENOTES OFfSET MUB
WE HEREBY CERTIFY TO McDONALD CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 3, BLOCK 1, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA •
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF DECEMBER. 1998.
REVISED 1-15-99 RESTAKED
SCALE : 7 INCH = 30 FEET REvisED PRoV. Ecc.4
el
P.A.
SOr gENCH MARK
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6
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30.00 9 4.0 772'7
137.4q °
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,
\``\ BENCH MARK
?-TOP OF PIPE
EIEV.=873J1
4,111'
City of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use /� �f
Permit #: I b�v
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Name: Ji WV. )1 S 16-iz
Address / City / Zip: If 9) Pf k
Unit #:
Phone: (Psrt " -1 a 3 - 9069
Applicant is: Owner X Contractor
Description of work: 2 Ofc — refool pF.,e I`ns ()✓C C
Construction Cost: ) Z COO
Company: 021,0 M) &1 JiO f S by .S ,4
Address: I0 -)OI 41 t"- City:
Multi -Family Building: (Yes
/NoX)
Contact: coot I.5 -S
State: Zip: CScgfo q
Zvi
Phone: %3 3 1-c- ''100
License #: C Sq3 JS Lead Certificate #: rI ✓ t ,74(O'
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:
Phone:
Sewer & Water Contractor:
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
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 wor
days of per
by a uilding permit issued in accordance with the Minnesota State Building Code must be completed within 180
xI/S!(/SS
Applicants Prin • d Name
`��� T ass
Applicants Signature
Page 1 of 3
Date:
CityofEa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 6755694
OU 13 2016
Use BLUE or BLACK Ink
For Office Use
Penntik /39 o..5
Pem Fee:
(00.0 0
Date Received:
/o
2016 RESIDENTIAL PLUMBING PERMIT APPUCATION
1DAt'
Tenant -e_iS v'j ; rQ
: 'Stj YDS \C21(`P
Site Address: q 1 3 P; i1Q 1ct YIP
Address / City / Zip: Y`t 0, .: &±a44& . a 44 a1 5 .
•
Name: Croix Crystal Water Treatment License 6: 64997WC
Address 3440 Yoerg Dr City: Hudson
state: WI zip: 54016 Phone: 715-386-8667
contact Jim Ems: croixcrystal@a att.net
_ New ,Replacement Repair Rebuild _ Modify Space i Work in R.O.W.
Description awn*: Install Water Softener
RESIDENTIAL
Water Heater
Lawn Inigat on ( RPZ I_
Septic System
New
Abandonment
RESIDENTIAL FEES:
)
Y Water Softener
Add Plumbing Fixtures L Main / Lower Level)
Water Turnaround
$6000 Water Heater, Water Softener, or Water Heater and Softener (ncludes State Surcharge)
$60.00 Lawn Irrigation (inckldes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (imides State Surcharge)
'Water Turnaround (add $280.00 if a 3/4 meter is required)
$115.00 Septic System New (includes County fee and Stale Surcharge)
TOTAL FEES $ 60 • [/f1
CALL BEFORE YOU DIG. Call Gopher State One CaN 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.gopherstateonecalLorq
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 1 understand this is not a permit, but only an apphcatton for a permit, and work is not to start without a pem* that the work wa be kt
accordance with the approved plan kr the case of work which requires a review and approval of pians.
x Jim Schober
Applicant's Printed Name
licant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168757
Date Issued:05/03/2021
Permit Category:ePermit
Site Address: 4913 Pine Lane
Lot:3 Block: 1 Addition: Pinetree Forest
PID:10-57650-01-030
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 -
James M & Mary Jo Haire
4913 Pine Ln
Eagan MN 55123--491
Trinity Exteriors Inc
10179 Crosstown Circle
Eden Prairie MN 55344
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature