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4921 Pine LaneCity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /()/ Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER TYPE OF WORK Name: 7;4119 4/9 y/ til / Phone: 677 —7/‘ -3 777 17/9.2444e Address / City / Zip: ! 9Z/ ' (40r4e CA 'iv 4 Applicant is: Owner `Contractor Description of work: 6e(9/4,-‘7- Construction Cost: l ai &d. Multi -Family Building: (Yes / No CONTRACTOR Company: 0e/7a Co'st/- 'Ct/d/1 Contact: 77' , £ti'i'Z. Address:o�•7Z ,/6W se. -X/#2,20 City: ntekt""A'T;01/7`ail State: V/fJ4 Zip: 1514.2 Phone: 6j X7—.2/6 - License #: � ‘.3 .5-ag/ 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: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: NOTE: Plans and supporting documents that you submit are considered to be public informationPortions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade Beets. 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 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 ,% , &' Z Applicant's Printed Name x Apn sSi•''atur Page 1 of 3 CITY OF EAGAN 383QPilot Knob RQad (/?an, Minnesota 55122-189 (651) 681-4675 , 1 SITE ADDRESS: ' t li. :';NI ' t ??I t i, 1 1 Stl-! . I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . DA ?ni ; i??;;,?i ? i,i t i ?:;; ???i?,?? i rJ a; ?• I i3l11 i'I {;?, t! rli,l RF MAftK S z PI AIV RF V L E4JE?13 ttY WAYNF M 1! t 1 I+ r, 6. L.i NI IIMiiFR iy F,/lII1N MEI HAMII J INSPECTI01`? RECORD PERMIT TYPE: Permit Number: ? Date Issued: a t+f tor k. APPLICANT: 1hl.'1 iFil.? ?wi?s ? ? i , Permit Holder Date Tslephone # SE ER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS ?aoeO l FOUND 7 FRAMING ROOFING ROUGH PIUMBING 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 CONDUCTIVITV TE5T HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . KCL`ttfiCQ.t¢ df cCC"liliC? Y 6i" of *agaic Tle* a?rtweut oF ZKilbing aaBoectian This Certificate issued pursuant to tke requirements of the U?ciform Buifding Code certifying tiwt at the time of issuance this srructure was in compliance with the various qrdinances of tlre City regu[atrng bui(drng constructian or use. For the followiRg: ux c,?ircaci: SF M ebg. rem,i, Nw.34416 ? 0--v-r Trve 93 1 zonins aarkt fl? Type const. VN owner oreuiiaina 'Y MCIfWS Addms 3338 FR@M AVM 90[ZIH Building AdNess 021 PIlNE LANE LT 4, BL ! PIlETfzEE EUM B,i,bng «r=W . POST IN A CONSPICUOUS PLACE Address 4agi rTrF TxE Zip 55122 Lot 4 Blk t Sub PIWTREE ED?M THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: (eh? 9 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gass TraiVcurb damage Porch Basement finish Deck Please ve ' with the builder t6e removal of roof test caps from the plumbing system and the shutoff of water supply fn the outside awn faucet before freeze potential exisis. Contad engineering division et 6814645 before working in righbof-way or installing underground sptinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracror Copy PERMIT C?kTY OF EAGAN ?3830 Nilot Knob Road Eagan, Minnesota 55122-1897 (651)681-4675 PERMIT TYPE: 8 u r i_ n I iv r Permit Number. 03 4 4 7. 5 Date Issued: 01127 /99 SITE ADDRESS: 4521 PS14c LAhJE L4Ts 4 BI.OCK: 1 PTNETREE F4HrST P.T..N.: 10-57850-040-01. DESCRIPTION: {r I. L`'3?^RYld:cQ'-„P81"ffllt TV'l7E !ilu.; intnn Obrk Tyoe leiHC Occuoaracl ; Constr uction Tit'3e j Zonina '-1 / F3uS ldanq LenoCM ` ?8u9, lding Width j S ?:. By,ildinq si:qrige FceL' Ct??,l:Y sF owr NIc 6J R-i /U--:1. U IV (2-1 70 64 L2,40 4 101 1 - I=1iM. JE'PAI'.H REMARKS: f-'UHiV ftEVIFl.lEU i'tY UIF."NF MLLI I,CR.. S & W PI.UMPER SS 50UYH MECHNNICAL Pfif)NC#(641).42c3-3733. FEE SUMMARY: vALurarroN $219.,000 Hase Pee $ 1„660 .15 hll^C. FEES 11,637.50 f>.1nY1 fteV1EW $1,E79e1.0 l'ot31 FC?e 05.536_25 Surcharqe $109.50 5AC $5„050.00 SAC % 1G5@ yAC lJnitg :L Subto'tal $35 83Se75 CONTRACTOR: - Noolicanr_ - sT. L7c. OWNER: i+7ANLEY 8R0S CONST INC 13863815 20054327 MANLGY eROI'HEkS 20E35 JUPIl'ER AVE 3338 FFiEI"IOiV1' AVE ..', LgKEVILLE MN 56041 MINNEflPOL1S MN 66408 (117) 386-3815 ( 6].?_) 3Sfi-387.5 ? L herobv acknow.tectqe that I have read this app.Licotion and stiaL8 tihat tiie in#nrmaYion is cGri-sct at?d darep tio compl.v wi_Ch a? i applicnblc Stzite c1 Mn. Statutes and C,itv oY Eaqan Oi-d;riances. / ? APPLICANT/PERMITEE SIGNATURE .l ,l ? /o --? ISSUED BY: SIGNATURIPq -1 CITY pF EAI:,AN CASNSFF: 5 f'EFMINAi.. N0: 774 DATEe. 0:1128/39 1'.7.ME:r, 15:1.9;1.8 111, NAMF: MANL.EY Bfi(7'1'HEFS CONS'(F'l1C:l'ZQN i.'.2`;F 9001. 4921 F'INf- LANE Sr`i36.?S Tn+,a]. fieceipt Amount. 5y5:36.25 CRi0P.256 t.ISF.F. ILi: NANCY ? : ? i 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) , • CITY OF EAGAN ` 3830 PILOT KNOB RD - 65122 681-4675 ? New Construetion Reauirements RemodeVReoair Reauirements ? 3 registered sde surveya ? 2 copies of plans (inGude beam 3 window s¢es; paured fid. design; etc.) ? 1 energy alcuWtlons • 3 copias of tree preservation plan N bt plaGed aRar 7/7193 reQUired: _Yes ? No DATE: 1 0 •a3•q?8 Name: m ta.4 L-" bR-o-rN %A-s CauSZ-V-u''oRkone #: (v' a? 3 L?L- 3`6 ? 5 Last First IZe...s?DE_..tr?raL- Ne-.-?C??+s-rx??c--noa DESCRIPTION OF WORK: STREET ADDRESS: `-I 9o1 I LOT: LA_ BLOCK: SUBD.lP.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER StreetAddress: 33'.SS vsJE. So. ciry rn?t?j "E4aFk, " s srace: mbj . zip: 55 140$ Company: 5 rar.nr- AS Phone #: Street City • 2 wpies of plan ? 2 site surveys (exReAor adtldions S decks) ? 1 energy alalatlona for heated additions CONSTRUCTION COST; a38i °O°• cmc:? State: Company: 2zp: Phone #: C` '-Z Name: TtD r"'N Registration StreetAddress:.3`I3-'M) cicy E.•?a..? srate: rv,\" Zip: Sewer & water licensed plumber (new construction only): MEc-*A ?....?.+? . Penalty appiies when address chang and lot change is requested once permit is issued. q a3-3-7 ?)3 I hereby acknowledge that I have read this appliqtion and state that thQ infortnation is correct and agree to wmply with atl applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Ll?yes No License # DEC 2 31992 Tree Preservation Plan Received _ Yes ? No - Not OFFICE USE ONLY BUILDING PERMIT TYPE r ? 01 Foundation ? 06 Duplex p 11 Apt./Lodging ? 16 Basement Finish )", 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 5F Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE 7?1131 New ? 33 Alterations ? 36 Move ?O 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) \//j Basement sq. ft. /5'7;? MC/WS System ? (Allowable) IIA) Main level sq. ft. ir7?Z- City Water UBC Uccupancy 3 U1 uPA sq. ft. i?y `1 Fire Sprinklered Zoning ? G sq. ft. PRV # of Stories y sq. ft. Booster Pump Length _70 sq. ft. Census Code. Depth 5'1 Footprint sq. ft. ?c-i ° SAC Code p? Census Bldg a? Census Unit APPRC)VALS - Planning Building Engineering Variance Permit Fee I(o (o C) - I15- Valuation: $ /,904f) Surcharge I oOt. " Plan Review f C) ?I 9. I ?? X 33 =?p 5 6 License x 3 MC/WSSAC tU? City 5AC r? N X $= y 71 Water Conn. ?o ° a4 `L Water Meter --- ? x ? a= $.nt- Acct. Deposit ?y 7a .?? = a 5I 4 z S/W Permit S/W Surcharge r?1n sa.,Gas 1??= is 7a X 5y = S? t?,5,or Treatmertt PI. 5 c- S? Park Ded. ?yAER ?°'e ? l ?7? Trails Ded. ?,•,?°? $y 7 x ra - = Other aSA +i6 x 16 ° ' Copies ?a6 x 6 ; J ??sk? 5?f = 9v y?6 Total: 3 f, x 30 = ?sr? % SAC x ;k- SAC Units 8' ?r 66 76, ?G = f 3 a,x /33J2 ?iCl IT. 33;-1V ,, . * * * 'k PIONEEFt * eng neer * * 7? * Certificate of Survey for: 2422 Enterprise Drive Mendota Heights, MN 55120 LAND SUpVEYORS .aIAL aQNEERS (612) 681-1914 FAX:681-9488 uxo rLMr+ves. unoswe uRaui[tn 625 Highwoy 10 N.E. Bloine, MN 55434 (612) 783-1880 FAX:783-1883 MANLEY BROS. CONST. 4921 PINE LANE BENCH MARK TOP OF PIPE ELEV.=973.11 3 (VACANT) -? ? Z. I ? ?60? 13 I N89041'52"E 137.40 o ? 6.7 9.9 46.33 30.00 4.0 972.7 I o ,O ni 971.8 28.33 ° 3.5 10 r /? -----4 ? p i°o a?.00 vv ? ? O JJ ??/ o? PROPO?D 973.2 I 970.3 n.7 p.O? p? DRIVEW Y ? ? .ya x .00.^ 1?0 I W ? ?Z /? oot .00? 974.3 I I Z ? '_ ? Zw T O N I 0 ?w3.000 i SERVIkE 3 J ? ? ?a 0^ ^ 1 / ao?.00 r ? ELG ? _ ? M ? ow o/ax o A q'i '?l64•g i ? I? /?o a ? r I o Z ?? L - - - - 97'?'-- 33.33 " 97?---? Z oi971.1 io 1 ^ oi ?o ?n 10 STM H. iLO C.B. 0 967.2 970.8 . 3 0.00 974.4 sse.o N89'41'S2"E 137.53 7-: ° ? ?e? 5f7'o r ,n-l '{?,°? I I 5-0 w.? n 13 (VACANT) '7TOPCOFM ?,ELEV.- 7 NOTE: PROPOSED CRAOES SHONN PER CRADING PLAN BY: E.G. RUD NOTE: BUIIDING DINENSIONS SMONN ARE FOR HORIZONTAL AND VfRTICAL LOCATOM Oi STRUCTURES ONLY. SEE ARCHIIECNAL PLANS FOR BUILDING AND FOUNDRTON DIMENSIONS. NOIE: NO SPEpFlC SOILS INVESTIGATIIXJ MAS BEEN CONPLETED ON THIS LOT BY THE SURVEYOR. THE SUIiABILITY OF SqLS TO SUPPORT THE SPECIFlC XWSE PROPOSED IS NOT THE RESPONSIBIUTY OF THE SURVEYOR. ..- PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 9711Z TOP OF BLOCK ELEVATION: 9%0'0 GARAGE SlAB ELEVATION: 77 NOTE: T715 CERTFlCATE DOES NOT PUFPORT TO SHOW EASEMENTS OTHER THAN X 000.00 OENO7E5 EXISnNG ELEVA710N THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION NOIE: CONtttACTOR MUST VERIFY DRIVEWAY DESIGN. --- DENOTES DRAINAGE ANp UTILITY EASEMENT ' DEN07E5 DRAINAGE FLOW DIRECTION NOTE: BEARINCS 5l10WN ARE BASED ON AN ASSUMED DATUM 0- DENOTE$ MONUMENT $ DENOlES OFfSET HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 4. 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 10TH DAY OF NOVEMBER, 1998. S SCALE : 1 INCH 30 FEET B. I NED: tPIONEER ENGIN RING P.A. = ? ?8? 98275.13 SN7C John C. Larson, L.S. Reg. No. 19828 ? ? ? U a z Q?O ?? Ci? ? O? ? e' ? 4-- 0 [r- ? G3,- ? o?o ?? ? > ? m ? O ? ? ? ? ? ? ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMI.T APPLICATION _ PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS 1? lyl46/g? • Registered Land Surveyor signature and company • Building PermitApplicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/ebsting sewer and water services & invert elevation • SVeet name • Driveway ELEVATIONS Existina er' ? ? • Sewer service (or Propased) 6?-- ? ? 0 Propertycorners [T- ? ? • Top of curb at the driveway cr' ? ? • Elevations of any existing adjacent homes Prooosed cr' ? ? • Garage floor E5, ? ? • First floor [a" ? ? • Lowest exposed elevation (waikouUwindow) GY ? ? • Property corners [3-,? ? • Front and rear of home at the foundation PONDING AREA (if apolicable) ? 4!r' ? • Easement line ? ra-' o • NWL ? [3'- ? • HWL ? c' ? • Pand # designation ? [a,, ? • Emergency Overflow Elevation DIMENSIONS J2- ? ? • Lot IineslBearings 8 dimensions Er ? ? • Right-of-way and street width (to back of curb) ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. Q.e. ali structures requiring permanent footings) er ? ? • Show all easements of record and any Cily utilities within those easements El, ? ? • Setbacks of proposed sVucture and sideyard setback of adjacent ebsting structures ? C3-"o • Retaining wall requirements, i ny z ,3G Reviewed:. me / Date a January 1998 GRAIGI BW/BI.OGPRAIT.FM 4: • ' FLL F Co PY (SEE ATTACHMENTS) Development f 11 v.c l rce Lot Number 4 Address Builder Y Bloek Number I Tree Protection Reauirements- X Tree Fencing Oak Tree Pruning (Seal wounds during April 15 to July 1) Therapeutlc Pruning Retaining Wall Other. Replacement Trees• Attachmants: T Additional Notes• ?N.i {t rt ?Lc ilw?l ? Not Required u asFalows: }?•??-? ??-.., ? `?ce, /?{:?dcu P- IZ' _t^;?s.111.4',z?rt ?l ?x! V?vW- .,?a??L l Yes No (br?-ESf-`t3w?6v-ej wLZw FEASM FORFMY DtvasIoN ROOEMB ? ? 6128234689 011105/1999 19:05 6128234669 MANLEY BROS CONSTRUC . a1Z08i99 15:01 EfM'?fIN MTGE FAG e 6126234669 a.n ts1«rm alw ? t ?? w?u He+ghu m sat7a (452) W-11114 fAA Ni'??? 677 M1?MrSNY ,0S?34M.i,. * . ?. * Mein?. W (612) 7.3..,..o FAx: 7.s-,..s Certiticote of Survey tor: MANLEY BROS. CONST. +u+ .s+c wrc 3 (rAcAwq ( I13 ? ? Nai'41'62"E 137.40 ip .. s .a • 4.0 01:.1 ` {.) ].5 tO ?i I p ? ? E_ _?1 ' 3 I.t &.00 ? DAIVEM+Y ? 9]?.2 ? i•~ '8 y ,?( ? x I O I 12 )4: ? • x? ?. ? "w I ?W n ? v Xo • sm, 04 ?--?-?? 71 ",E,? IT 10 8 ?7f.1 i8 = i Cb. 72 n 7Q? ?? 8141.4I 1 pZ'E 137.liy ? . Alt, 1} I fl?Nc? PAGE 91 N0.244 P003/00E. X. ? , M?+-w beos. Cd.,sr MDR' POVYAO amS ? oP a1/10111 -{W 1Ilyf 46 MI?q +0?1 ?? Ml?? M ?RVM? ?OI??Mwi w ? rm? r0 f?tWF MR? MRf?uei ?uf RY? tCM[RO M rr? lm ?? *R sirKw?. •s wuwn. s ru w fwo. W ssanc ?eu? ?.owwo r r' re +e.ssMUn s wc rrw??. ,?ert. s:c a..v?ewt :xe r? nx..r 7 n?ew e.nr,r.n -•.-. ..,,. ?OV Y?0'1i JM vR KCMp[0 0.-1 •OK-. C?M?LIO? VJP NMy PmInMe new w14 ar+q? wmit rr ww w r•twKe a.Mr ? •( MppV CEpTfY TO YMIIV Mlpf. CpMST, flfAT 1MS IS A fllU! 9URKY p 7M[ YpqqARq! 0(! l07 4 BLOCK 1 PHVETREE FOREST o1VtOTA f?RlYtr, rwMppl? ii pp(S MOi ryAQR/ /0 lNOA iMROV(M[NTS plt fNCMIt014pMCNi uwDlR rv pqEtT SV[aNSON nxf tOrM DAT OI iypKyy(A. 19M. SGALE ! t prCM - 30 IEET LOwsT lLODR RCVAApM; Tan a eLaR ncvA»oN; ''?O•° GMAO[ RM GIEYATON: ?/77 5 . ewa errr._r :?oaom -. A1 f?y `ow.w I M? CKc? 11?? , iGIORl OI?YI MI? 0 COqRFCT ?MEjW[ MTATpN Q• Yle`? \S' "t \ 1/' [ n -- ?E I NOIY[[R (MoW. ('NMI-f} , P A. ? .?:?ntq, Mw ? ???» ? ' M ?•?t_e?y [?a_.??-1 ?s C?.a a-s?+.?c? c? L-1?i ?1 ?.a ? L_?e. - ?.o,?c„?+a ? 3S, pt 1.1 - 3 3? ? t-?i ??t C.. ? ?- 5 IW msN - Q.?.rnavr? ( %.a C&:,p.x ---s Go?rr?_,.ss? T'L.cr=? 1-?+.l¢.. - ir ?Eo pi ..iC? - ,. „ CGTC_? t I N?. ^-,-S l-w-l ?t 1 0"? ? ? ?-•flT?d ?ia ? - .. ? ? jo E.o I?` v?.•?? ??i? ? ? .' . ? .. .? Ls. o? .? ? t ?.1 E, ? ?W. ,. ., Zl:m, ??r?nrn?aa..rJ ? 175 '"l'"?'?'?- Tt?.?-5 _ 3 ra? • r-?,.,,,?. ? r?? ?C ?-?> _. NE_.&S=> 7r-t=> V-L.PLPwc? -1- 3 -rT-LY--s = Ll Mlt-C-E-s M? -n ?ca'no? %r.t S'r-?e??a? wHe...? C?u??o "?'?-???•?S P?k- '[?s ras 5?.1o.?+N o+a 5.??.? e,•? P.- N_ mi-r, v?a-r-e-c--o C.p?--EC.oo" w% u. Fcr owv-**, 'f 9$-coz-{ . ? ENEI2GY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS - ? SYT6 ADDRESS S PK- Q I . . ;.'i''Y COMPLC.TBDHY, L-E BOILDIN6CLA33IFICATZON: ? cate o1y 1 9 (etaadard) 'or.* cat? . . HIt7ZHUM CRITHRIA ' FoundaCion IneulaGion-R10 . Walle r. Windowo - IS , lab onGrade Zneulation-R10 foreallowable rercentagese P 9 1`: Floor'overunheated epacee-.R29 [Foufidation Windowe 1/2" neUlatedGlase.Hood orvinyl Frame - eTHpl Wiadow 4 Door Area -- A. Total. Window t< poar Area in 3q. Feet ' . : WINDOWS (Including Foundation Windowe)t , . WINDOW MAN[7FACTURB NAMHt WZNDOWMA1T[iFACT[7R6 TYPHs GSM Y7INDOW HAtiDPACTURE U FACTORt • /?f R.-O. Quantity eq.fC.AYea Dimeneione 0-0 A X 31 N l? 14 7,!-c,"x4co' !!if IJII' /DI ZLu"x 9r-o" 1? Zo Z! CON X-51..pN _ II11 SO X'??-OM S-,-?" X --?--- Z?oN x;'1-C1~ " X 5? u" ? gZ. ytu" " INX I N ? -.--_ 7Z Y.o"+ X 10" DOORSt Q . -C9?42 - " (og / 4D ' za X • 1btay Atea oE n_ Q Et Windowe 4 Doore B. Total Wall Area in Sq, Ft. . Wall Total Height- Area Perimeter al Area oE Walle ft DATE t Roof Att1a Iaaulatiattt R94-With Attic No F[eel R38-With Attic Raieed lieel R38 & RS-Solid Rafte're STBP 4 Calculate area ae a pezcent o£ wall C. From 5[ep 1 divide box A(Window & Door Area) by box B(total wall area) l-imeo 100 equale the window and door area as a percent of wall area (box C). OR A Box 8 X 300 ° F i ? , ST2p 3 Ueeign Featureo ASSGMBLY FRAMING TYPES - STANDRRD FRAMINO >? etude 16" o.c. ADVANCED FRAMZNd ntude 24" o,c," • CAVITY INSULATION RLi_ 8fl6ATBIMG TYPSt LESS TNNJ c R-5 ? R-5 > OR MOR6 U-FACTOR p From the table, (teveree side) determine the maximum percent window & door area for thedeeign optione eelected and enter the t valuu in Box D below baeQd on the window mfg. U- factor: _ Lk =-? The t value from tlic Lable in Box O s11all bo equal to or greatur than the } 1n Box C -- ......_. '!..._. __!'.?._?._i.."??[---? -•- ' - . ONE- &I'Wp,pq*QLy RESIDF.NTIAL p[R(,pING pRESCRHpWE (COOK-800K) APPROAC}i MAXIMUM WINpOW q(.ID DOOR AREA AS A PERqENT OF OVERALL WALt, AREA 77 Fremi Cavit 8xtertor Window U-Fattot n lnaulation 5heathin 0.49 0.36 0.31 0.27 STANDARD STANDARD R-13 2 R- 7 13.49'. 17.89'. 21.3% 24.3% S1'ANDARD R-13 R-15 R- 5 12.4%- 16.4°a 19.7% 22.5% STANDARD R-18-19 R- 5 < R- 5 12.996 I2.19'e 17.1% 16 096 20.19'0 18 87 23.4% STANDARD R-18_19 R- 5 14.096 . 16.65'0 . 0 21.8% 22,0% 25 3'Y ADVANCED R-18-19 c R- 5 12,996 17.1% 20.15'0 . e 23 4"0 ADVANCED R-18-19 Z R- 5 14.5% 19.29'a 22.5% . 26 1% STANDARD STANDARD R-21 R-21 < R- 5 12.8°/. 17.019 19.9% . 23,1% ADVANCE > R- 5 14.5°e 39.3% 22.596 26.1% Q ADVANCED R-21 R-21 < R- 5 13.6% 18.1% 21.29'o Z4io R- 5 15.OYe 19.9% 23.29'0 ' Notee: • Window area equais rough opening minus Installatlon cleerancea. Window U-factor masl be determined by either the Nationa! Fenestratton Rating Couneil standard 100-91, or ASHRAE 1993 Hendbook oE Fundammtals, Chapter 27, Table 5. POMII• Fax Note 787t ?om n n Aslditlonal ealculaked vak•a, ' CITY USE ONLY L BL I RECEIPT #: C-Vl SUBD. RECEIPT DATE: 1999 PLUMBuvs PERMrT (REstnEv'rtAL) CffY OF £ItfiAN S$SO Pll.OT KNOB RD gAfiAN, MN 5518E (651) 6$1-4675 Please complete for: D single family dwellings ? townhomes and condos when perm its are required for each unit ? backflow preventer for underground sprinkler system - _- - _- _- - ------------------ ---------'-------------- FIXTURES -"------? EACH ?.?- --- ---- ----------- # - - - TOTAL Shcwar 3.00 x a = G.•to Water Closet 3.00 x 3 = 9• ?o Bath Tub 3.00 x Lavatory 3.00 x 3 = g. ? t> Kitchen Sink 3.00 x ? _ ?• OD Laundry Tray 3.00 x ?_ = 3• q? Hot TublSpa 3.00 x ! _ -?. aD Water Heater 3.00 x 00 Ftoor Drain 3.00 x 3-L'V Gas Piping Outlet " minimum -1 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under conSWCtion 5.00 x = Water Softener ` for existlng dwelling 30.00 x = U.G. Sprinklet ` for dwelling under const. 3.00 = U.G. Sprinkler ` for existing dwelling 30.00 = Alterations ` to existing residence 30.00 = Water Tum Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder. Call 881-4675 for inspectfons of water heaters, water softeners, alteraUOns, etc. , ? ,.?`e TCTAL ?J --•-----•---------•---• -------------------------•-------...----------•--• •---------------••-•-------------.......--------°---•----------.. I hereby acknowledge that I have read this appliption, state that the information is cnrrect, and agree to comply with all applipble City of Eagan ordinances. It is the applicanPS responsi6iliry to notiry the property owner tthat the City of Eagan assumes no liabiliry for any damages caused by the City during its normal apereGOnal and mainlenance activities to the faali6es constructed under fhis permit within City property/right-of-way/easement. SITE ADDRESS: ?zl g.Z? ? ? ? L? K-.?--' OWNER NAME: ?7 k-??L LSr'D4 .(e 11--S INSTALLER NAME: ?dGt VA TELEPHONE #: e/S257 STREETADDRESS: 11-"31g, SE ctrY: /?r. o r L aA:?e STATE: ZIP: ss?7? SIGNATURE OF PERM CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1999 ??? C) 3 `7 CITY USE ONLY LOT LI Q L ? RECEIPT #: C0- SUDD. l??'M.V.\? I v('e RECEIPT DATE: LI• ?-?? 1999 MECHANICAL PEMIT (ftESIDENTIAL) CCI'Y OE EAfiRN 3850 P1LOT KNQB RD £AfiAN ,MN 55 ] 22 3- 3D - 9,9 (651) 681-4675 Date: Complete this section onl if you are installing HVAC in single family, townhomes or condos under canstruction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 . Gas outlets (minimum of one required @$3.00 ea.) -3106 • State Surcharge: .50 . ToTar.: Complete this section onlv if you are remodeling, addina, to, or repairing existing single family dwellinas, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New _ Replacement _ Repair _ Furnace _ Air exchanger, i.e. Vanee system, etc. Reminder: Cal[ 681-4675 for inspections. Other Air conditioning Other $ 30.00 State Surcharge: .50 Total: $30.50 ? K--,e_ SITE ADDRESS: OWNER NAME: Q. PHONE #: ? INSTALLER NAME: PHOVE ,?: STREETADDRESS: /s C[TY: STATE: ZIP: Ss3 7? SIGNATURE OF PE ITTEE JSlPORMS BLD/ML•CH P[RMIT(RES)- 1990 L BL SUBD. APPROVED BY: INSPECTOR 1999 MECHANiCAL PERMIT (COMMEfZCIAL) CITY OP E4fiA1V 3$30 P1LOT KNOS }iD EAsA1v.1K1v 55 i 22 (651)681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOA IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: ($.50 per $1,000 of oemvt fee due on all pemuts.) PHONE #: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: CITY USE ONLY RECEIPT #: RECEIPT DATE: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE '7? 13 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constntction Reoui2men4s 3 registered site surveys shaxing sq. fl. of lot, sq. R of house; and all roofed areas (20% maximum lot coverage allaxed) 1 Soils Report if proposed huilding is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set o( Energy Calculatbns 3 copies ol T2e Preservation Plan if iot platted after 711/93 Rim Joist Detail Oplions selection sheel (buildings with 3 or less unils) Minnegasco mechanical ventilation fortn RemodellReoair Reauirements 2 copies of plan showing fooings, beams, joists 1 set o( Energy Calculations for heated addilions 1 si(e survey for additions & decks Add'N'on - indicate i(on-site septic syslem ?V. 4M Office Use Onlv 'CertofSurveyReal _Y _N SoilsReport _Y _N TreePresPlanRerd _Y - _N, Tree Pres Reqaired _ Y _ N On-sdeSepUcSyslem - _Y _N Date ?/ _ / 0 Site Address /V-/ (d,4 2? ,*Tz i Construction Cost ?Roob, 00 Al UniUSte # Description of Work a(?' Le? s?'T"1 % A r p Multi-Family Bldg _ Y_ NO . Fireplace(s) _ 0 _ 1 _ 2 Property Owner A u 44 6(9 h? ! f??'7? Telephone #( ) Contractor C (!,L44y ?.c,o L?4G Address N?'? Statem/v ?h t}"1?e'IJ ? ?? ..S Zip!S05q t 7 ' J City/????[?GS Telephone#(6tz)Q7A _ v_oq COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for 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 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 wark which requires a review and approval of plans. GR,AI(!?- 13 QAAy ApplicanYs Printed Name Applican's ign re DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex O 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 04 02-plex ? 10 08-plex ? 18 Deck ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 06 04-plex ? 12 12-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 30 Accessory Bidg ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding O,. 36, Move Building ? 42 Demolish Foundation ?, 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46.. 1(Vindows/DOars `Demolitfon (Entire Bidg) - Give PCA handout to applicant - • D25CflptlOtl: Water Damage _ Yes > . v Valuation Occupancy Plan Review 100% or 25% Census Code Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length , . ? Type of Const Width _ Footings (new bidg) _ Foorings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing? _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC Cify SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MCES System f'ity WaYer, ` Booster Pump PRV Fire Sprinklered . ? -. . . ` ' REQUIRED INSPECTIONS _ Sheetrock FinallC.O. FinaVNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Smcco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147852 Date Issued:02/12/2018 Permit Category:ePermit Site Address: 4921 Pine Lane Lot:4 Block: 1 Addition: Pinetree Forest PID:10-57650-01-040 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Thang Nguyen 4921 Pine Lane Eagan MN 55123 (612) 986-3978 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165863 Date Issued:11/24/2020 Permit Category:ePermit Site Address: 4921 Pine Lane Lot:4 Block: 1 Addition: Pinetree Forest PID:10-57650-01-040 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Thang Nguyen 4921 Pine Ln Eagan MN 55123 (612) 986-3978 Elite Restoration Pro 1120 E 80th St, Suite 201 Bloomington MN 55420 (952) 322-7773 Applicant/Permitee: Signature Issued By: Signature