4929 Pine LaneAddress 4929 Pine Lane
I.ot ' Blk
THESE ITEMS WERE / WERE NOT COMPLETB AT THE TIME OF THE FINAL INSPECI'ION.
Date: lolgl?? Yes No Inspector.
Final grade (6" from siding)
Petmanent steps (garage)
Permanent steps (main entry)
Permanentdriveway
Permanentgas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engiueering division at 681-4645 before working in right-of-way or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Zip 5512 3
Sub Pinetree Forest
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
? 8tf. 7s
3jzV10_3
New ConsWCtion Reoui2ments RemadeVFteoair Reauiremenls Otfice Use Onk
3 registered site wrveps showirg sq. R of lol, sq. @. of house; and all roofed areas 2 copies ot plan Cert of Survey Recd
(20°/a marimum lat coverage allaxad) 7 set of Energy CakulaGons for heated addiUons Tree Pres Plan Reod
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree P2s Not Reqd
1 set of Energy Calalatlons Add'N'on - irMicafe il on-site sepfic system _ On-site Septlc SyShan
3 copies otTree P25ervation Plan'rf lot platted after 717/93
Rim Joist Oetail Optlons selepion sheet (hldgs with 3 or less units
Date 3 ! 19 ( 03 Construction Cost Z5-00
?
Site Address `f9 279 ?? P CA/?-P & E4Ct y-) UniUSte #
Description o[ Work 1ePla ttte 4?f24LL0 f N' Tl'61'7f d FJ+6(t SP 0 ROOF/wa Il fv1 kv Sfltr np?l
Rtld Kie_Kout i-i4sv11'?-?
Multi-Famity Bldg _ Y ? N Fireplace(s) _ 0 2 3
Property Ow¢er V 6{l Yl L a nq-, Artd T6 l(eri (py'LTelephone #(?i51 )32 Z I W63
Contractor C..Or? PZlaqlpjol
Address ??
wood?nd e$ ??,Q
CitY GY,? ri
-z
State Zip 12 Telephone #((al ?- )&-16 bo;?? J
(?Sl 1919y0 9C{
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Ca[egory 1 Wwksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. • Energy Envelope Calculation ? V ?
?1
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Z043TEhMlhone #(
#(
#(
I hereby apply for a Residential Building Pemut and aclmowledge 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 appZAppfic7t's in the case of work which requires a review and
approval of plans.
YU/?? ? ?OA (?Ph Applican's Printed Name Signa
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (A-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 PI6g_Y w_ N g 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multl
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move 81dg. ? 42 Demolish (Foundat'ron) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
"Demolidon (Entire Bldg) - Give PCA handout to applipnt
Valuation Z sp0 , o?
Census Code ?
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const V Vl
Occupancy 1-3 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Fina]
? Framing Siding X Stucco _ Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
ssa o ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Constructian Reauiramenh
. 7 regislered site surveys shcwing sq. A. of lot, sq. ft. of house; anA all mcfe0 areas
(20°/, rnauimum lot coverage allowed)
• 2 wpies of Man showing beam 8 window vzes; poured found tlesgn, elc.)
• 1 set of Enertgy Calculations
• J copies ol Tree Preservalion Plan if lot CIaCeE after 711l93
. Rim Joist Cetail Op6ons seietYion sheel jGidgs with 3 orless units)
DATE G I(Q I C)2-
SITE ADC
TYPE OF
?ULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS T' CITY ATE _
TELEPHONE 6oSI) CEII PHONE # /lSJ7?? b?.. FAX # ??F
PROPERTY OWNER TELEPHONE ??9Ia?I Gn`?n - ?(rl? ?
COMPLETE I "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \[IN\"t:S<)'1'.1, RULk:S 7670 C:\"l'EGORY I MPINESO"t'A RULI'.5 7674
(e'submission type) • Residentlal Ventilation Calegory 1 Worksheet Submi[ted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations Submitted
Plumbing Confractor:
Plumhiug system includcs
Mechanical Coniractor:
N[cch.micsd syslcm includc;:
Sewer/Water Contractor:
:1ir Condiuoniitg
-- Hcat Rccovcr}• S}stcm
I hereby acknowledge ihat I have read ihis application, state that
with all applicable State of Minnesota Statutes and City of Eagqr
Signature of
OFETCE USE ONLY
_ Watcr Soltcner
Water Heater
No. of Batlis
/a g aS
Remode1lReoair Reeuitaments
. 2 copies of plan
• 1 set of Energy Calculations for heated adGitions
• 1 sife survey for ezlenor adEilions 8 decks
• indicate if home servetl by septic system for additans
VALUATION 691i&ZTU
PflOill #
_ I.awn Sprinkler Fec: $90.00
No. of R.I. ?{
SEP 0 g^/ II'II
? l00 I-
Pcr.i-. i0A0
Phone #
information is correct, and agree to
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessary Bldg
? 02 SF Dwelling ? OH 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt- Multl
? 03 01 of _ plex C3 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt • SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mul4
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Afteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Daors
? 34 Replacemant 'Demolition (Entire eldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
Building Inspector
7999 BUILDlNG PERMIT APPLlCATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55922
651-681-4675
New Conshucilon Reauirements Remodel/Reoalr Reavirements
A 3 registered sNe surveys showing sq. tt. of lot, sq. fl. of house 2 copies of plan
and all roofed areas (20% maximum lot coveraae allowed) 1 sei of energy calculations For heofed addilions
2 coples ol pians (show 6eam 6 window sizes; poured fnd. design; efc.) 1 sHe survey for exterior addMians i decks
: 1 sef of energy cakWaflons
> 3 coptes of tree preservatton plan M l01 plaHed aRer 711/93
DATE: qJZ.;i -c7ej CONSTRUCTION COST: ?SO • Qb U
DESCRIPTION OF WORK: P lil) 4ioY1'1-E
STREET ADDRESS: 79zq ? 1?'I ?`fY?2 LG Y1 C ?ap-r-?
LOT: ?S- BLOCK: SUBD./P.I.D. #: ?; n e-fY2 e? r?S ?"
I ?+
Name: ?duQ1 ? Q E'1!',1 eO(z l? ?GYbC Phone #: q-SCe 9 3 Z(.G
PROPERTY Las1 Ftrn
OWNER ap3 Q_ ??1? L???
SheetAddress: Oa T
City State: M V- Iip: 4;?I Z?
Company: Qci ?C?l•'iQ? ? L?1'1t??S J'hC
CONTRACTOR
ARCHITECT/
ENGINEER
StreetAddress: ???
CHy 'fi?k ? A",r-- State:
Phone #: ?2,_ l?'10 6ZZ'
(area code)
license #aOb S 1 CP p. ?
zip: Ss? ? Z
Company: \)muP kmPS Name: A-'?Q lLI?t)6,?'ffom
Telephone #: area code ( )
Street
City
State:
Zip:
Sewer 8 water licensed plumber (reauired for new construction onlv): -i(J Lk+h YV 12-e LI?1 l??sC
Penatty applles when cddress change and lot change is requested once pe rmiffis issued
I he;eby acknowledge that 1 have read this appllcatlon, state thaT the
State of Minnesofa Sfatutes and City of Eagan Ordinances.
Slgnature ot Applicant:
Certificates of Survey Received Yes
Tree Preservation Plan Received aA---yes
OFFICE USE ONLY
No
No - Not Required
Registraflon #:
is conect, and ogree to comply with all
u `(/_
< . ..
5 ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
,X 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of ^ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
C] 33 Alteration ? 37 Demollsh Bldg ` ? 41 Wood Stove ? 45 Fire ftepair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA hando ut to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft . 13 Census Code 0 f_
(Allowable)
? Main level sq. ft . SAC Code O<
UBC Occupancy sq. ft . No. of Units ?
Zoning sq. ft . No. of Bldgs ,L
# of Stories sq. ft . MC/ES System
Length sq. ft . City Water
Width ? Footprint sq. ft . Booster Pump
PRV
Fire Sprinklered
APPROVALS
4
Planning Building 9 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
city sAc
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI:
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation:
YC
SL°GUNdI 1Sy 5 X
?ur ? ? yx
soa
/S z J, /
s? 7G? 3a?
a
M
% SAC
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czrv [;r- r::.AcAN
CA'.iiii.[li".IRr S 1'EIif5Ii,7Al...NCl. 668
DA'1ti::a 04f23199 'i:[P4[a 1506:50
tU o
Nh=s+'if:::e !-!C?Fdt>I...AhJIJ I"F7'?NFT.r; .TNC;
205 s:!c;;,i. 49R9 r-InF_ LANE
CCU.??)
??('?f:1?? ,,:.?
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? ??-
.F?I.`I::.
3743 `_'ai;'.i:i0 4929 'r 7'.NFi: I_hNF:
370 9220 4929 F`:i:A!1i LANE
3866 , 9379 4929 Pi:R!_. I_ANE.
3716 . 3220 4929 f 7.Pd!,. l.F1NL.
386F3 92Et1 4929 !±.LPdIE Y..AiVE
3,
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LANE
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L!51'r:F. .CI!: ftANC`r'
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[:i'tY nr' t:.n.r.,AN
i;fdSI-f.f.[:R' c; CE:Ri'iIrliyl.. PIO, 669
TiA'fli"; 04/29;99 1:[Mii:; 006a51.
SIi ;;
idAl'(E: HClAG,I...AND f-'I;.FlMf..:F::S 10l'.
:3446 gf+4:11. 49e9 F'7.NE: I..RNE 1.C.L50
9i3.50 ? gr(J1.
3c.1.0 1 4929 . I;T. ?!F Lr= ?-
d\I].
1,531.15
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995.38
Q039.50
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Y?:7?I:L.t.L I:.t? .C(?21j:)1'. Er ??
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rF't:11.075 4.r:,
?c9n C;tR,?Tl.N1.lE_ Li51:'.:I?' Il:r: ?(?RNt:Y
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YF:kM? g:: i,; 'atX:? ?>kNW>X i?%;;_/.Y,::Y,?i:?::h:.u>k:'r sRikik:?r?:>? ?X:?:%k•1„%? ??K
TREE PRESERVATION ORDINANCE
Pick Up Permit
Application
Determine If:
Vegetadon
Perform Inventory
Ka
O -APPIIeentReaponsbiliry
= = Ciry Sla%Responsibility
Re-Design to Preserve
Vegehation
st Meeting with
Forester
Re-Design Plen
Preservalion Plan with
Preservatlon Plan
Allow 5 Davs
Tree Preservation Plan
Forwarded to
Inspection Depertment
Building PermR
Issued
Plan Approval
istall Tree Protectio
Fencing
Notity Forester for
Fencelnspection
Protection Fencing
Plan Recommendation
to Re-Design
Tree Protection Fence Not
Installed as Indicated;
Appliwnt Natified by Forester,
and Re-Inspection Required
I:13pmlTree159.vsd
Development
Lot Number
Address
Builder
(SEE ATTACHMENTS)
e FvKJ?-
? Bloek Number ?
-c.ft cr,-C-
.v,e?!
Tree Protection Reoulrements:
x Tree Fencing -p? ?? ? P?^-J 7'ru?l -r4<o I
Oak Tree Pruning (Seal wounds during April 15 to July 7)
Therepeutic Pruning
Retaining Wall
Other:
Reolacement Trees:
?
Attachments:
?
Additional Notes:
Not Required
As Follows:
Yes
No
By ?
DAM
S
EASM
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A
cimt imc,ats op supe
FOR: Cory Hoagland ,.•r
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D1AG: 42.3 x 84.0 = 94.05 PROPOSEA E! EVA?IONS:
GARA LO a 9?8.3
>- DENQTES SANITARY SEWER TOP OF BLOCK - 9?81
--30- DENOTfS STORM SEWF.R LOWEST FLOOR = 969.9 AREA COMPS
? DENOTES CATCH BASIN TOP OF FOOTING = 9(9-b HOUSE AREA = 2,175 sq.ft.
G31,1'?7 DENOTES PROPOSED ELEVATION. PORCH AREA = 32 aq.ft.
x1011.2 OEN07ES EXISTING ELEVATION. L0T AREA = i2.383 sq.ft.
r' DENOTES DfRECT10N OF DRAINAGE.
¦ DENOTES WOOD HUB AT 11 FDOT OFFSET. Z?Zp7 ? ?y363 =.16R
Lat 5, 81ock 1, PINETREE FOREST, Dakota County, Mlnnesota.
Scafe 1"= 3' • Denotes Iron Monument Bearin Dotum: Assumed Job No. 89207HS Drw BER?
I hereby certity that this plan, survey or report was prepared b y me E. C!• otu? 4 GON6, IN
r under my direct supervision and thot i am a duly Licensed Land L,qNp 81,IRvSY01@8
o
Surveyor under the laws of the 5tate af Minnes ta. ii18w I.RXINbTON AVM NO.
E. D '
0II@CI.6 PINO, MINtlN060TA
6y. ' 5804-30S TIIL. 186-Sbbb
Dated thisZ??f day of AsR'L- 1999 Minnesota Lieense No.-:53 1
_ 454 7969 V'OGliE HOMES INC.
ci'rr qF Z-aGnN
. ExTfiRtOR ENV[LQPE AVEWAGk '!1' CCIWPlfi'ATrpN
lt7'AWL} 4N 1894 S'['ATE ENM6Y CqDq
t]WNER: -LQf-
SfTE ApDfiESS: - ?'="J.
C?
•
CUN7RAC7aRt _,. - - -- --.? i]A7E: WFIuNE:
C], rnti e wa??i?4 squa?e ? 1' i f
7, Total axpased wailit'aqndatlon dnia ddOYe gw.tde _Z75Z sq, ft_ X_71
2. Total expaspd raat/cafllny area . . . . - - • . . . . . sq. ft x .626
3_ Total expasad flaurlcuntifrnr.sred aseu . . . . . . . „W-fSal?sF1. 3t, a .tl4 =
Apa?,n-rmine s?uarQ ?aaw e? s a?e tllYeu datFum a "50
a 'FU[ainuimiwmdowarers .......... ............... •••-•---
b- '"atai daar aresa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • -
c. 7'araisliainggiassarea .................................
a. Totat fireqjace watl ama . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • - -
e. Toml waff fratrnng (&tfeYagB 1056) - 5P.9 Fig. 1 . . . . . . . . . . . . . . . . .
r. Total Rq? walf ar?a ahoae ftcwr (dm jn;st) - Ses F'?g. 2 . . .
Qt
g. Total rim jaist area - 5sa Eig. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . .
ratal expased wa!l area ofoove faunGaHon m • • . . . . . . . . . . . . . .
h. Ta1a1 f[ruixlat(an wh7d1W sM . • - - • : . . . . . • • - - • . . . . . . . . . . . . . . .
i_ Total n?Sn faututatian area ahove grade - See F'ig. 4 . . . . . . . . . . . . . . .
ToG7laxposedfeunn0affan&re8=................. ..---•--_•
ta. 2 1
?. Y It
d. 25
@J 0 O 1
tu,
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x
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4. Tataf ar.ttrai '(J' vT€ue fnr oxpoSed wallffiJUqdatfnn 3rea
(!f Itc3m 94 is tha sarste as, ar iess than -item 97, yau Paavp lnat fha irtYHnt af tha Stata Ertcr,yy Cade,}
9002
• ?y? eaefr exposed r 4ffceilia ?r?Q?'?!?'
t?
- ..are2 ............................... ?,?9 4
?cai rar,r/ceiling [rammg area laveT?9e 10%1 - See ?9. 5i?
. . .
I. Tocai c?,?3 insulaced raarlceifing area - See Fig. 5i6 - . . -
..- - •
Yaia1 exposed rauflceiling area . . . . _ . . . . . . - •
, %
L
X x 'U'
J ---- - ??
, T I t?_ U
Tncat actual 'U' value fur raaflceiliflg a t ?a httL
tha S?? ?or? eade-3
(1f T6 is the Same as. nr fess than 021 You hS? masrs. T?rrcantilevsred framing area (avera9e 7o'Ya) - See Fig. 6
.
.
Tccal ? ins?slatad floorfCeili?9 area - See ?g. fi . . . . . . . .
Tctai exposed ilaar/cantitevered atza . . . . . . . . . . . . . . . . . . .
?
f?. --
?? .?
x -U* , c?Ll ? ??-
;t. ---' -
(evered
6. Tatat aCtnai 'U' vaiue far fTnartcanti afea a Cade.}
(if ? is the same as, ar lass tksan #U. Ydu have mot tha inte?st af tftA StatB Ett?r9?f
A{ternat2 13uildin9 EKVCinAe I9esigp
lished bY Ih0
Ta utilize me ?tal envztope system rraethad. the values estab sunt af itefi #??.#5. antS ?3 5ha{l
grzater tnan'trie sum af item ana 43 '
`1
+Z. Ll._+? -?---
+5.
?
+6
?,?Q?y., ce?i'ry that 1 wave CalCUtaCed ?? ''factors a+?? 'R' values
meets, ar exceeds, ?e 1s?k State afi M??^?SD? ??$?gy ?ade.
- ?--
?
!hat tne [suiidir9 rtavoin de
1'atal exposed reoflceiling area . . . . . . . . . . . . . . . . . . . . . L ' &
Determiae 'U' vafue of aach exnased raofleei(ina area "seclment":
XU' _? ' ?- •
?
• .?f? -
x °U'
x ,u,
S. T4ta1 actual 'U' value for rnaflcQiiing areil -.
`TO
(if 4C#5 is Lfta same as, ar less than 02, you have me# the interrt af the StatE E
oet$rmina square 3001:29e nf egc Mnased ftaarlc?t(leversd
m. i otal flenricantilevered framing ar? (average 'ta%'o) - 5?e Fig_ H.
n. i ctal let in5ulated flaorlceiEing area - See Fig. 6 . _ . _ . . . . . . , .
Tctai exqased floorlcantlevered aiaa . . . . . . . . . . . . . . • - - . . . .
M. x 'u'
x'U'
6. Tota1 aciua1 'i]' vaile far flaorlcantileVered Osa
(tf #S 'ss the sameL as, ar less than 113. you havip met the inmat af tfts State E
Alternate Building Enuelaqe I9esign
-ra utiiizp the teral envalqpe system rtiethod. the values established by the sum of €ter
greater tiipn. the sum of ttem #'t, #2.. and #3.
?
, . ? ??` ; --2. L1 J +3-
+6
mll 0
I hereb;r ceRify that l hav8 Ca#CUlated the 'U' faetors and `R' values herejri thai I
meets, or exceeds, the 1994 State af Minnesota Energy Cade.
, ? : ??
??Ci'?RiUtc t+?n + ,? ..
oTHER
TaYAL'rV VALuE
IUB = i1R =;
0
FIfJNG -"C'Y13N:
? iNTE.RlOR Alii Ft1.M
oRYWALL
? ? SHF??FIiNG {lr NG A
?, IN5tJL
VF?jIOR AIR F1Lfu9
il ?SdFT UkfOK]tS
pTHER
T0TAL 'W VA
,V' m 1/R =
gX'pCS5En FL.Ot7R1CANZ'• St
1} iN'TERtOk AIR F16M
• °' Ft..00 N?
f?J e'
3? ?4/8. t
4) IrasuuA11ar,
D
61 E?CTE?RIOR A4Ei FlLM
? t]TEiER TOTA,R; VA'
-V = i!R =
F7CPOSE0 FLOQR(GANZ'.
?N-MRtOR AIR FIl.M
2) FLODR
? sua-Ft
41 7-? saFr wooo
sj pLYWO?D
pCTER{OR AIR P{Lh
• ??? TOT ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL ??
DATE OF SURVEY
U
LATEST REVISION:
d ?
?
N
N
? m DOCUMENTSTANDARDS
Q
n
¢ Z 2
.-'o ? • Registered Land Surveyor signature and company
? • BuildingPermdAppUcant
B' ? o • Legaldescrip6on
? y O ? Address
?y ? North arrow and scate
o : House type (rambler, walkout, spf'd w/o, spfd entry, lookout, etcJ
8?y ? Directional dreinage arrows wMh slope/gredent °.6
?? o • Proposed/epsfing sewer and water services 8 inveR elevatlon
B-'Cl ? • Street name
a?a ? • Driveway
?y ? • Lot Square Footage
? a ? • Lot Coverage
ELEVATIONS
Z
Existina
? ? • Sewer service (or Proposed)
.a'c M • PropeM1y cromers
ff- o ? • Top of curb at the driveway
e a--?a • Elevations of any epaCng adjacent homes
Prooosed
a--'o ? • Garege floor
a?p o • Frst floor
? o c • Lowest exposed etevatian (walkouUwindow)
.a'o ? • PropeAy comers
a- ?? • Front and rear oi home at the foundation
PONDINCa AREA (if aooGcabie)
? 2-?o • Easement Ane
? o' a . NWL
? ¢l? • HWL
? a' ? • Pand # designatlon
? a-'a • Emergency OveAlow Elevation
DIMENSIONS
0-'? ? • Lot BneslBearings 8 cimenaions
¢fy ? • Righto}-way and atreet width (to back of wrb)
e? a? • Proposad home c8menaions indudng any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all struetures requidng permanenttootlngs)
e- a ? • Show all easemenffi of record and any Cily utlfiUes wiThin those easements
p-"o y • Setbacks oi prapased structuro and sideyard setback ot adjacent e?dsdng structures
a?a • Retaining vra0 requirementa, if any
Reviewed:
/ Date
March 1999
crwaietnonaMr FM
` ?ra • d??iol
P
?
FOR: Cory Hoagland '
?aN70%?RS ???oM Cnun?T? M.vr°S
- Ti766 uN&5 ?
I ? I 9
6
? l I NORTH
A90'r, B'5,2"?' o
- A.+-1- - -'? L - _- -? w
27.
) ?
10 ? -- - ?? o .A. m IY.5 I ??. Z.
I Y y N
20
? p? I I .°cw° • ? \, ? ~ ,?° " r- - "' ? I
? 0 ?x i 11.0 3p,5 p . LU
d o P?opoa?ed 4 ?
Q Drlv? Z
? `?f Y ?•°f ? C7° 2.
N
22-3 q
h
,\ y +TD
?T ?t1\lOfgenc Wror ii
N u ' .. • ?
W8 4'f?5?*lr
?' , ,. -,- ,• ? o
6
??
?
i ..?_
DIAG: 42.3 x 84.0 = 94.05 P ?T?g 3
CA"AGCL
>- DENOTES SANITARY SEWER TOP OF BLOCK m 9181
-??- DENOTES STORM SEWF.R LOWEST FLOOR = 9L4.9 l ? DENOTES CATCH BASIN 70P OF fOOTING = L DENOTES PROPOSED ELEVATION. x1011.2 DENOTES EXISTING ELEVATtON. AREA =12.383 eq.ft.
= DENOTES DfRECT10N OF DRAINAGE. ?. 07 ?y383 -.16X
r¦ DENOTES WOOD HU8 AT 11 FOOT OFFSET. ?/ g
Lot 5, Biock 1, PINETREE FOREST, O?kota,?,C}? otc: --_
Scale 1°= 3Z • Denotes Iron Monument Bearin Oatum: Asaumed Job No.99207HS Drw BER\
I hereby certify that this pfan, survey or report was prepared 6y me ?. G. MuD 4 SoNib, IN
or under my direct supervision and that I am a duly Licensed Land ?A `?T??? NO.
Surveyor under the laws of the State of Minnes ta. D INCy/ GIRCI.Q plN1116, MINN180tlw
E.
8y. 55014-3626 TNI.. 106-6666
DaEed this2lst day of AvR,i-- 1999 Minnesota License No.-ZS3 1
L ? gL CITY USE ONLY
SUBD. G ,Y,4?? . ?"-?
RECEIPT #: 1 NnO
RECEIPT DATE: 3"
PERMIT # ,3
1999 i'LUM$Ible f'ERMIT (f{EStDENTiAL)
CCfY OF EAfiAN
3$30 PILOT KNOB {ZD
EAfiAN, MN 55122
(1551) 6(31-4675
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
Bath tub $ 3.00 x $ 3, e-n
Floor drain 3.00 x 1 = $ 3. Cb
Ges i in Outlet ` minimum - 1 - 3.00 x $ 3_ oO
Hot tub/s a 3.00 x $ 3- e*-)
Kitchen sink 3.00 x $ 3. ez??
Laundr tra 3.00 x $ an
Lavator 3.00 x ,3 = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' 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 x = $ f- - a
Shower 3.00 x = $ oe)
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 ,;3 = $ 9 dZi
Water heater 3.00 x = $ eli?
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Waterturnaround 30.00 x --- _ $
State Surchar e .50 --> ----> ----> $ 50
rotal --> --> ----> ---- > $ av
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------------•?---------------------•----, ----------- -------------------" -------_.----------
1 hereby acknowled8e that I have read this application, state that the informatlon is conect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanCS responsibility to nofify the property owner fhat the City of Eagan assumes no liability for any damages caused 6y the City dunng its
normal operational and maintenance activities to the facilities constructed under this permit within City property/rightof-way/easement.
SITE ADDRESS: v? /5?7- 10-1-C
OWNER NAME: : !4' ? Qf'/?- TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ?Ac TELEPHONE #: lnro-2 " yy0- STREET ADDRESS: e?!? -52? (AREA CODE)
CITY: /-? STATE: f`'c".`- ZIP: S?-??o2
SIGNATURE OF PERMITTEE
L BL
suso.
APPROVED BY:
INSPECTOR
RECEIPT #;
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 M£CHANICdkL f'E4t1131T (COIHAIERCIAL)
CITY OF EAHAN
3$30 f'lLOT KNO$ ItD
EAflAnl, trtN 55122
(651)6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE:
DESCRIPTION OF WORK:
NEW CONSTRUCTIrJN INTERIORIMPROVEMENT
FEES: 1% oF contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
-------------------------------
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CIT'Y:
ciTr use oNLv
PHONE #: -
(AREA CODE)
STATE: ZIP:
($.50 per $I,000 ofcermit fee due on al] permitsJ
PHONE #: -
(AREA CODE)
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT S BL 1 RECEIPT #:
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL PEf{MIT (RESIDEN1'1AL)
cmr oF EAs,aN
S$SO PILOT KNOB RD
F-AfiAN MN 55122
Date• (851) 691-4675
O?' f
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas ouUets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
ZO : an
.50
$ V-"5v
Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
? New Alteration Repair _ Other
Reminder.• Ca11681-4675 for inspections.
_ Furnace _ Air conditioning
_ Air exchanger _ Other
SITEADDRESS: ??ze
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
OWNERNAME: PHONE#:
INSTALLER NAME: ?-4 PHONE #ARE. A CODE)
(AREA CODE)
STREET ADDRESS:
CITY: /c-e STATE: "?? ZIP: SS-3.?aZ
SIG ANRE OF RMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140244
Date Issued:12/05/2016
Permit Category:ePermit
Site Address: 4929 Pine Lane
Lot:5 Block: 1 Addition: Pinetree Forest
PID:10-57650-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen D Miller
4929 Pine Lane
Eagan MN 55123
(651) 262-9937
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature