4937 Pine LaneINSPECTION RECORD
' EITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
• Eagan, Minnesota 55122-1897 Date Issued: •(612) 681-4675
SITE ADDRESS: , i - 4.," I?I ,, APPLICANT:
nNr- . ,
PERMIT SUBTYPE:
TYPE OF WORK:
!,; , i. I I i r:,'I
INSPECTION D . .
?r4 r,
.?? .. , i ???rtt
ftfMAHkS1 PIAN ft[VIEIJt(3 BY M[KF ftAPfK
t.L 1.1 nI iiarar o, rer'tus-1.1 nr.tJ rc:i
? : •.,; ?
? ?
Permit Holder Date Telaphone N
PLUMBIN
HVAC U005
Inspection Date Insp. Comments
FOOTINGS 1?aA
FOUND 71
?IQ
FRAMING
ROOFING I
ROUGN
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
§(
Tvj?
INSUL
GYP BOARD
FIREPLACE
OYJ?!
?j
FIREPLACE
AIF TEST
FINAL PLBG `
J
FINAL HTG ?
ORSAT
TEST
BLDG FINAL
(f
DOMESTIC
METER
IRRIGATION
METER '
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
14,
A
s?..«
r.
KertifCCate vf Ccc"anc?
wi" of Cfagan
?epart?acnt oF 8mi[bing 3n13pecrian
This Certificate issaed pursuant to the requirements of the Uniform Building Code
certifying that at 1he tirne of issuance this structure wns in compliance with the various
or+dinarsces of rhe City regulaling 6aildi?rg construction or use. For 1he jo!lowrng_
uxcla=r1cation: SF DWG BWg.PmniiNo. -12375
o,,,.,,r TYvc R- 3 U- l z..,,;,,g oi,,,i. R-1 rya c??. V N
Ownerofewb;,,6 MARK JOHNSON :;ONST,,,,,, P 0 BOX 21327. EAGAN MN
s?ikhng^ddnm 4937 P1NE LANE Lociiuy L6, B1, PINETREE FOREST
`- Dade:
sWimeg arcial
POST IN A CONSPfCUOUS PLACE
-.`
?
?
Address 4937 PINE LANE ZIp $$12-A_
a
LAt 6BI1C 1 $UbPINETREE FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ?Q 9 Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Pertnanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch VI"
Basement finish ?
Deck 17
Please verify with the builder the romoval of roof test caps from the plum 'ng system and the shutoff of water supply to
the ouaide iawn faucet before freeze potential exists.
Contact engineering division at 681-0645 before working in right?of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracwr Copy
I RESIDENTIAL
t:)15Y7 y BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-687-4675
New ConstrucUon BaoulremeMs
• 3 regMered sAe surveys showing sq. tt of bt, sq. k. oi house; and ?II roofed areas
(20% maximum bt coverege aWweE)
. 2 oopies of plen showing beam & windax sizes; poured found Aesign, etc.)
• lsetofEnergyCabulatbns
• 3 copies of Tree Presarvatbn Plan A bt pleqed eRer 711193
. Rim Jaisf Detail Opibns selectiai sheet (bWgs wRh 3 or less units)
DATE 410o?2'
SITE ADDRESS
TYPE OP
APPLICANT
STREET ADDRESS 6 1
V
TELEPHONE # 950-MV-993.2 C PHONE #
'L? l?r?? STATEL2LlLZIPL?l
FAX# W -Rg/ -eW
PROPERTY OWNER TELEPHONE # 9' 9.'2;2-2&9,:Q
COMPLETE THIS SECTION FOR %%NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(+l submisslon type) • Residential Ventilation Catagory 1 Worksheet Submitletl
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechankal Contractor. _
Mechanical system includes:
SeweVWater Conhactor:
Phone #
Phone li
Fee: $70.00
I hereby acknowledge that I have read this application, state thaT The information is correct, and agree to comply
wiTh all applicable State of MinnesoTa Statutes and City of Eagan Ordina es.
Signalure of Appiica o < ?\
?..._..?..?
........ ..._.................................................
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
JLTI-FAMILY BLDG /_ Y t/N
FIREPLACE(S) l/0 _ 1 _ 2
Phone #
_ Water Softener
_ Water Heater
_ No. of Baths
ysog
$.)sg. ?s
RemotleVHeoalr AeauiremeMs
• 2 copres ot plan
. 1 ut of Energy Celculetlons for heatetl atld'd'qns
• 1 stte survey for exAerior adtlitions 8 tlecks
• InCicale N home served by septlc system for add'Abns
VALUATION ? ? ? SW 3E 611,
MINNESOTA-&FTLES:9672 ,-I,? r7
• New Ene,rgy!Gode Wo7ksheet Submimd,
S!_P 1 0 ?002
_ Lawn Sprinkler -Fee:
_ No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6d. Alt - SF
O 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plhg_Yor_ N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addkbn 0 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicaM
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.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)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
---------------------------
Base Fee ---------- ---------------- ---------
2.S • ------ --------- ------------- ------------- --- ------------- -
Surcnarge
Plan Revfew
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ? $, 2,5
?Yyl,v
n?
?
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FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
`'Eagan,^Minnesota 55122-1897
(612)e681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUSLDIMG
032375
06/30/98
SITE ADDRESS:
P.I.N.: 10-57660-060-01
DESCRIPTION:
C
4937 PINE LANE
LQTa 6 BLpCK:
F'INETREE FORE5T
pECK FTS-FUT
kg;s,Permit Type
rtg 'Vbqrk Type
4eri, gtfi
Widtfi
1
PF2CW
5F DWG
NEW
R-3, U-1
VN
R-1
70
50
1
2,094
101 1 - FAM. DETACH
?- ra
tA>'??u gp.M .a?? tt@+??ya;t
§jai? ? #
r „ri
REMARKS:
PLAN REVIEWED 6Y MIKE 6ARCK
S&W PLUM6ER: MATTMEW DfiNIELS
FEE SUMMARY:
VALUATION
Base Fee
PLan Review
Surcharge
SflC
SAC ?
SAC Units
Sutatotal
$3,205.21
$179,000
MISC FFES $1,592.50
Total Fee $4,797.71
CONTRACTOR: - Applicant - sT. LTC. OWNER:
JONNSON CONST, MARK 14511676 0003288 MARK 30HN50N CbN5TRUCTIDN
P 0 BpX 21327 P 0 BOX 21327
EAGAN MN 55121-0327 EAGAN MN 55121-0327
(612) 451-1676 (612)451-1676
?rereisy ackraowledge that I have rBad` this apP-11cati6rr arid state that the ?
1i?'?i?r7nr?'t,i;nr? is cpr-r"t and,, a-gY`ee-t@ cvtttply 'with a11epplicalile St&te' Q? Mn.
•? '
$1,282.25
$833.46
$89.50
$1,000.06
100
1
APPLICAN ERMITEE SIGNATLIRE SU D BY: SIGN RE
98 BUILDING PERMIT APFLICATION
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Constructlon Reauirements
? 3 registered afte surveys
? 2 copies of plans (inGuda beam & window sizes; poureE fnd. design; etc.)
? 7 energy celculaHOns
? 3 copies oitree preservation plan N lot platted after 717/93
required: _ Ves _ Na
DATE: 9d
DESCRIPTtON OF WORK:
(RESIDENTIAL)
RemodeVReoair Reauirements
? 2 copies of plan
? 2 sile surveys (exRerior addkions & dedcs)
• 7 energy nlculations for heated additions
CONSTRUCTION COST;
? -77>
STREET ADDRESS:
BLOCK: SUBD./P.I.D. #:
Name: j)7 )1,o1J, 17?A-2-< c4- Phone
PROPERTY t%5t First
OWNER
Street Address:_1l')oQa?OSTO !U
City k-1h!!P '?-/V State:
/Y/ /-)
Zip:
Company:/ 'JD ?i/USO d Phone #: r ??2 'T 5: / l
?j ??
CONTRACTOR G/
S?eet Address:? 0 , ?4,L License # ??Q ?
city 4 ? state: zip:
ARCHIT'ECT/ ? Qry n
ENGINEER Compan?L1S?S?L?- Phone#: 29 ?/ / v
Name: t)/ /e ? IVIo Z .Q ! [> N? Registration t1:
StreM Address: L?/4)49, 222 42
City
State:
Zip:
Sewer 8 water licensed plumber (new construcdon 4--LT . Penalry applies when address chang
and lot change is requested once permit is issued. c urn AaiVG•
I hereby acknowledge that I heve read thi5application and state that the iniortnation is eorrect and agree to compiy wRh a!l applicabf
State ot Minnesata Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE NLY
Certifiwtes of Survey Received Yea
Tree Preservation Plan Received _ Yes
N???
`?No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
p- 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Firepiace ?
? 15 Deck
4z.i,.
.. , .. . ?.? ?. .
, .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORKTYPE pr?? rrc?s s17-45:& F?•,-?as
*31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) dnl Basement sq. ft. 2ot4 MCNVS System
(Allowable) VA+ Main level sq. ft. 2 iL)k,s City Water
UBC Occupancy R-3,J-i .a-rza- £ sq. ft. -77 Fire Sprinklered
Zoning iZ-i sq. ft. PRV
# of Stories i sq. ft. Booster Pump
Length 'to' sq. ft. Census Code.
Depth so , Footprint sq. ft. 204 5AC Code
Census Bldg
Census Unit
APPROVALS
Planning Bu ilding M& Engineering Variance
Permit Fee Valuation: $ i 7 y, vao. -
Surcharge
Plan Review ' Z"z `- 3' z
LICEflSB iv k24
3Y u;?C?
zqc?
MC/WSSAC vu?? 'z2y
City SAC w
v
Water Conn.
4x Iz. S
,
?
y
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. Y 4 ?
? Park Ded. 2" 8
?V
Trails Ded. i.sx? ?v.s
Other 1, 3 (-y3 _
Copies ---"J
3zxZZ y
Total:
?
% sAC
OL 7?}f?r.= iz
SAC Units ??4
?..,,,..J..,....r-
$7 -7. -
.,? I
o?
r
JUN-?6-98 12:37 AM P'02
' MARK
JoHNSON
CONSTRUCTION
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JUN-10-1998 15:54 JRhE5 R H:LL, INC. e12 39@ 5244 P.02i03
CERTIFiCATE OF SURVEY
For. MARK JOHNSON CONST. F-
-? ,.
AIIDRES5: 4937 PINE LANE [
oE, __G•!5-ti?
GUILDING INSPE
PROPERTY DE5CRIPTION: LOt 6 B1oCk 1, PINETREE FORF.ST,
Dakota Countv Minnesota
We hereby certify that this is a true and coRec: survey of the above descrbed property and that it
wos performed by me ar under my direct supenision and that I am a duly liaensed Surveyor
under the laws of the Stafe of IAinnesota. 'hat this survey does not purport to show ail
improvements, easements or enaoathments, to the praperty except as shown thereon.
Signed this lOth dcy of ,lune ?9?8 % For: J? s R Hlll, I11c.,
s?__ ?/?? .? n,_ ?"„ ??/,? ? /
Minnesofa L.S. No. 12294
-Notes:
0 Denotes set noil
O Denotes se't iron monument
• Denotes found iron monument
.927,6 Denotes exist:nq eleva:ion
(930.00) Denotes praposed elevccion
Denotes praposed drainage
1. Building dimensions shown cre for
ho!izantal & vertical of structure oniy.
See architec'turai plans for building &
foundation dimensions.
2. No specific soils investigation has been
complefed on this lot by dames R. Hill, inc.
The suitability of soils to support the specific
house proposed is not the respansiblity of
James R. Hill, lnc. or the surveyor.
3. No specific title search for existence a non-
existence of recorded or unrecorded easements
has been cpnducted 6y the surveyor os a part of
this survey. Only easements per the recorded plat
are shown.
4. Proposed grades shown were taken from
the grading &/or development plan prepared by
E.G. RUD t SONS, INC.
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Bench Mark
976.99 -TNH-Lots 17 k 18, Hiock 3 -
Proposed Garage Flocr= 977•3
Proposed Gorage Top Block= ?
Prooosed House Top B!ock= 977•7
Prooosed Lowest Floor? 968.9
Bearings are on assumed datum
Scale: 1°=30'
Page 1 of 2
Jarnes R. Hill, inc.
? PLANNERS / ENGINEERS / SURVEYORS
zeaa w. cn rm. az, stm 1,20, suean,r. uN 55M7
642/890-604d Fix890-6244
,,. _! SUhl-10-1998 15:55 JRhE3 R HILL, INC.
ol^c 890 6244 P.03/03
CERTIFICATE OF SURVEY
For: MARK JOHNSON CONST.
ADDRESS: 4937 PIIr'E LANE
P1NE LANE
_ _ - ----+
i ?- 90.00 N00°7 6'D8"W
974. 914.8 974.7 ?
? 974.? ?NyFp; o \J974.4
? T. V. ?
ci oTELE-? PROPO ED .=964.6 0 1
J o 5 ? DRIVEWAY ?
C
? = N n ? BENCH ?IARK
Ba ?P aF ?MARK ?I(E I A ' }" 977.0) ToP OF ?IKE
. ? ; < sn.o
ELEV=97206 'J , 21
E.O.F.? ??"972.22
ti1./ N- ad 76.33 ml ?
to.6
(975.5) I~ y GARAGE
6.33 rz C14 ? .,
Ll ) W Sv / 7p'RNES ? po r? -
N
tf) It? 10.0
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r ?d PROP0.5ED pi
e? E? n NDUSE o 0716 M) F-
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to es9.3 (9fi8.4? ?? r ,
? d DECK
_1 rm ( , I n7
tn f
j 469.0 LflT 6 967.0
1 pRAINAGE k UTIUTY-61
,%'EA5EMENT P"cR PLAT I
? J5 ?
1 5
°
(967.0?` 3.4-
! 967.0 J
90.00 S00°13'18"E . -'
Scale: 1"=30'
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•• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BllILDING PERCAIT APPLICATION
PROPERTYIEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor sgnature and company
• Building Permit Applicant
• Legaldescriptlon
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows wkh slape/gradient %
• Proposed/e)dsting sewer and water services 8 invert elevation
• Street name
• Driveway
ELEVATIONS
Exisdna
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any existing adjacent homes
Proposed
• Garege floor
• First floor ,
• Lowest exposed elevation (walkouUwindow)
• Property comers
• ? Front and rear of home at the foundation
PONDING AREA fA aoolicable
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Lot IinesBeadngs & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all strudures requiring permanent foodngs)
• Show all easements of record and any City utilities wi[hin those easements
• Setbacks of proposed struF77 ck of adjacent e?dsting structures
• Retaining wall requireme Reviewed: r
January 1988
CpN(`.1 9BBIBL06PRMT.FM
06%111`98 12:29 FAS 61: 627 0679 SBL RIVII2 Y=ARD
?
Eorm fvruse with Minnesota Rufes part 7870.0475, Subp.2
1& 2 Family Residential 'Cookbook" Method
Zoa21oo4
SITE ADpRESS ??N
? Pine TYail
EAGAN
BUILDER DATE
I
MARK JOHNSON CONST 5129/98
Minimum Criferia:
R'un Jo'st R-79 ftulsUen Feuntletian Windwvs InsuFMed giass, i!Z' alr spae2, wood or Nny1 frama
Ent doora: 1-3/4 inch wGd vrood w:th smrm v txtter
STEP 1 Window & Daar Area
Toial Window 3 Onor qrea Sq. Feet
WINDOWS (including foundatl0n windows);
Dlmensions Qty Area
F-8.300 5.300 1.000 431
S.
2_7
4
1
Total WlntlowArea
DOORS:
5.750 8,000 1.000
3.000 6.870 1.000
Li
Total Doors Area Total Area of Windows & Doers 464.200
BOX A
Total Wall Area in Sq. Ft.
Wall Totaf Perimeter Helnhr orn=
29.0001 1.000 6.000 174.000
239.000 1.000 9,000 2151.040
32,000 7.000 12.000 384.000
0.000
2709.000
sox a
ox A(window & deor area)divided by Box 8(total
wall area) times 100 equals the wlndow and
door area as a percent of wall area (BoxC)
BoxA 484.200 x100= 17,1
Box B 2709.000 Bax C
STEP 3 Design Features 1
ASSEMBLY ORTION
FRqME WALL:
STANDARD FRAMING ?
ADVANCED FRAMING
CAVITY INSULAl70N R- 19,G00
LESS THAN R-5 ?
R-8 OR MORE
IDOWS(EXCEPT FOUNDATION WINDOwS):
U-FAC70R U- 0.310
n the tabfe, detertnine the maximum percent
low & door area for ine tlesign options selected
eMer the vaiUO in box p below:
19.900
BOX D
Box C must 6e less than or equel to Box D
08,11-98 11.:28 FaS hc: 827 0679 SBL RIVER F,iRD 4003/004
Exterior Envelope Thermal Transmittance Worksheet
CITC nnr?o?en
?1 I L /lV VRLJJ f?lT/
xxx Pine Trail V11y
E
AGAN
FORM COMPLETED BY;
DATE
SCHERER 8R08 5129198
?.SSEMBLY FLOOR
AREA ARE4
$ . FE. U-FactoP U-Fador
x Araa
? Insulated Area 2046 1841.400 019 35.818
e Ffdntinq AfEB 204.800 Q17 3.414
? Sk i ht A0Q
? Other 000
.0OQ
Q' .000
= i aao
- o00
- oOG
_
0
c3 7otais
Average U-Fdctor B 3923191723 /A 2046
Required U-Factor (fmm Ener Cade): A 2046.000
C .019
p ,025 8 38232
I Insulatetl Area z 1837.880 044 90.072
Framing Area ? 270.900 .682 24.991
Win4ows ' 398.190 .310 123.439
_ 0rr 66.070 170 11.222
_ Rim Joist 208.000 .044 E.196
rirepiace Watl .000
3: AUove Grade Foundation W811 75.734 .057 4.561
I Founaatlon Windows .000
-o Patio 6oars 136.020 .360 48.867
m Other ,ppq .000
.0OO
° .000
? aaa
x ooa
W .?oa
Totals
Avera a lf-Fac'lor F 302.3879775 /E 298773
ReQUired U-Factor (from Ene Code): E 2997,730
G .701
H 170 p 302.388
If C is greaterthan D, or G is greater then H, revise the design as necessary to meet the envelope
criteNa of the Energy Code. Ii
i) U-fecinr Im "ight antl wntlow must no catoarined by 1he Natiwel FeneeNaEon Rd'ng ComcU 5pntlard 100-91
orASHRAE 1993 F42ntlheek of Fundamenlals, Chaptvr Z7, taNe S.
21 Thermal TransmitMance M opaq,ie camporwnts Qncluding inlegrely InnWated mesonry entl metal stud framing;?
Use p3R 767a,045p, subpWt 4.
-' 06/11/98 12:30 F9d 612 627 0879 SBL ffiVER YARD 121006i004
Assembly R and U-Factor Forms
ASSEMBLY ROOF AT FRqMI1VG
Material Desuibe Thickness R-Value
Interiar Film CoetTlclent .616
SheetRock _580
Geili Member 38.150
InsWaiion 19.000
Ederior Fitm CoefflGeM ,610
Total Assembly Thermal Resistance 59.930
Assembly U-Factor 1/TOtal R 017
AS8EMBLY ROOFATINSULATION
Material(Descrfbe) Thickness R-Yafue
interivr Film Coefficiam .880
Sheet Radc .5$0
InSUlatlon 50.000
Exterior Film CaefflCient
Total Assembfy ThelTfle! Resistanc@ g51410
Assembl V-Factar (1/7'otal ASSEMBLY WAlL AT FRAMING
MetOrlal DesCfibe) Thickness R-Value
InteriorFilm Coeffiuent .880
Shoet ROCk .q,Sp
Stud 6.870
Sheathi 2.060
Sidin .670
ExtenarFilm Coefficient 170
Total Assembly Thermal Resisiance 70.840
Assembl U-Factor 1rTatal R) 092
ASSEMBLY RIM
Material Describel Thielcness R•Value
Inierior Fiim GoBftlcleM .580
Insulation 19,000
ffim 1.&9C
Sheathi 2.060
Sltlin ,gqd
Extedor Film Coefticienf .970
Total Assembly Thertnal R05i5tance 24.410
Assembl U-Factar 1lrotal R} ,041
ASSEMBLY WALL AT INSULATION
Maierial (Descride) Thickness R-Value
Interior Film Coefficient 650
Sheet Rock ,qsp
In5u18tion 79.000
Sheathing ?,psp
8idin .610
EMerlor Film Coefficient .170
TOtal Assembly Thertnaf Resist.ance 22.970
P,SSemhl U-Fador I (I'otal R a44
ASSEMBLY BLOCK
Material escribe} 7hickness R-Vaiue
Interior Film CoeNicient ,680
Concrete Block 1.280
Optlanal fnsulation 11.000
StUtl 4.350
Exterior Film Coefficient .770
Tota{ Assembf Thermai Resis[ance l7.48Q
Assembl lJ-Pador 1lTatal R) E
057
L (.f /_ BL / CITY USE ONLY RECEIPT #: 95a p
SUBD. (2.w? ')OfUdt . RECEIPT DATE: / aT 1n
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQ70B RD
EAGAN, 2MI 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unil
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x :Z = 6.00
WaterClose4 3.00 x 4 = a.a
Bath Tub 3.00 x 3 = /R•UO
Lavatory 3.00 x I = ai•oa
Kitchen Sink 3.00 x Z = 6_60
Laundry Tray 3.00 x
Hot TublSpa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x / _ ?.lXl
Gas Piping Outlet ' minimum -1 3.00 x 3.cD
Rough Openings 1.50 x z- = 3.00
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' far existing dweiling 20.00 x =
U.G. Spnnkler `fordwellingunderwnst. 3.00 =
U.G.Sprinkler 'forexistingdwelling 20.00 =
Altefatlon5 'to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems'Abanaonment 20.00 =
STATE SURCHARGE .50
TOTAL a.9V
-------------------- that I hav--------e read this appl------------icat---ion, s-----tate ----the---t the i----nfortnatio--------n--is-----------° -------•.... -• ------------° ---ily of Eaga----------nord-------inances---.-
I hereby adcnowledge co?ect, and agrea to comply with all applicable C
It is the applicanYs responsibility to notity tha property owner that the City ot Eagan assumes no liability for any damages caused by the City during its
nortnal operelional and maintenance activities to the facillties construded undar this permit within City property/rightof-wey/easement.
SITE ADDRESS: -9/5137 ?a L
OWNER NAME:
INSTALLER PIAME: ?.rf}fi? ) y?>?b ? ,Ln . TELEPHONE #? ?.'S/?
STREET ADDRESS:
v
CITY: STATE: 22L) _ ZIP: .55-41,6y
RE OF PERM
JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
C[TY USE ONLY
' LOT 8L RECE[PT k:
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAI,)
?ITY oF EAGM
3830 PIIAT IINOB RD
EAGAN L•St 55122
? Q (612) 681-4675
Date• O
Complete this secdon onfv if you aze installing HVAC in single faznily, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00 '
ADDITIGIvA;, 50 M BTU 6.00 '
• Gas outlets (minimum of one required @$3.00 ea.) 91 cb
• State Surchazge:
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reauire d for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fumace _
Install air exchanger, i.e. Vanee system, etc. _
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SI7'E ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET P.DDRESS:
CI7'1':
Install air conditioning
Other
$ 20.?0
.50
TotaL• $ 20.50
cJ /}1,Q/ •' PHONE #: /!P (O
f ?1sJ „ PHONE #:
ZIP: ,5?53/ g
'SICSNATURE OF PERMITTEE
JSlFORMS BLD/MECH PERMIT (RE$) - 1998
CITY U3E ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DA7E:
1998 MECHANICAL PERMIT (COMMERCIAL
CITY OF EAGAN
3830 PILOT iQQOB RD
EAGAN, bIIJ 55122
(612) 661-4675
Please complete tor all commerciaVindustrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK T`fPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 of ep_it fee due on all permits.)
OWNER NAME:
PHONE #:
TENANT NAME (IMPROVEMEN'rS oNLY):
IN3TALLER:
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
3IGNATURE OF PERMITTEE
CITY INSPECTOR
cirv use oNLr
L? BL ? RECEIP7#: 9 9/ S
SUBD. RECEIPT DATE: ?? S
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQdOB RD
EAGAN, 2IlN 55122
(612) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permRs are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH #
5hawer 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Trey 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
y V?,Vater Softener ' for existing dwelling 20.00 x
U.G.Spdnklef 'fordwellingunderconst. 3.00 =
U,G. Sprinkler ' for ezisting dwelling 20.00 =
Alterations " 2o existing residence . 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
STATE SURCHARGE
TOTAL
TOTAL
?l
.50
-----• -------------------- • --------------icat---io--n, -------------- • ---------is --- cort---e - d-,----and-aa---- rae---[o---------w-it-h--all-------applicable----Cily---of--Eagan--------ordinan-----ce-- s.-
I hereby aeknowtedge thffi I have read this anpl state that the iMortnation eomply
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during @s
nortnal operational and maintenance activities to the facilRies wnstruded under this pertnR within City praperty/rightot-wayleasement.
SITE ADDRESS: "1231 PI NC- LA?J`J
OWNER NAME: 'D f}((?JhI I MARK d• -q)Pc u
INSTALLER NAME:
STREETAODRESS:
cirv:
SIGNATU
TELEPHONE #: -7C') I - -33lp-7
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
ATATE: ? 1' '? ' ZIP: JJiI??
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4937 Pine Lane
Lot: 6 Block: 1 Addition: Pinetree Forest
PID:10- 57650- 060 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
PERMIT
City of Eaan
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Mark John Dixon
4937 Pine Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090596
08/11/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
1110/
City of Eaton
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
joy) 3SSI�o v>
Use BLUE or BLACK Ink
For Office Use
Permit*: 1 l V 5 g Q
Permit Fee:
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 6! I ;J 1 (� %c UeuI Site Address: - l 0151 �
p�
V
Tenant: r\ r - c . c1
Suite #:
Resident/Owner
Name: Iib +Y1-41. n4 ret"'I Phone: 4152 - 4$ 1' 1 g`'[2.
Address / City IZip: LI 3 I L u
Contractor
Name: On Holm/. 1--kQJ1 V1 `4' fr License #: c� �j 2-2-02.0 51
Address: I9`` L 4 V vyl�(i t t i on_ �-1`" City: Ma ; � s
State: A. k\ Zip: S�7 (Y2-).-3 Phone: 6251- L-1-31 - 9 2 51 • -
t� t
Contact:rt.-11 Email: keirt(.VP1L lxr1-SOIn C»'lt! I.i� U4' CU Y. COYV1
Type of Work
Newt - Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods..
Permit Type
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
1 Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
_ _
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge) if) C
$5.00 State Surcharge) = $ CD (.-- . TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes
(includes $5.00 State Surcharge)
State Surcharge)
$1 million, please call for Surcharge
OR Contract Value $ x 1%
_ $ Permit Fee
*If the project valuation is over
= $ 5.00 Surcharge*
= $ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.
x K� V L P)L2. cavi
Applicant's PP
nted Name
x1
Applicant's
j�
attire � Z�
FOR OFFICE USE
Required Inspections:
Reviewed By: - Date:
Underground _ Rough In _ Air Test Gas Service Test In -floor Heat Final HVAC Screening
� r�r�.° �e�- � ��r 3
�C��-' � 3
� � Use BLUE or BLACK Ink
, � For Office Use j
��4y �! 11���� I Permit#: ����< �� I
� I
� Permit Fee: O• �`' �
3830 Pilot Knob Road �
Eaaan MN 55122 ,cy
Phone:(651)675-5675 j Date Received: V �5� I
Fax:(651)675-5694 I �
__ � Staff: �
...... ..... ...._.. ......_ ....... ...... . .. . . . .. .. . .... . ������� ���������J
- .. .. . .. ._ ....... . ..... ..._. _ ..... . ....... ...
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: U � I`" Site Address: `� a� r�,�1� LO��,
Tenant: Suite#:
°` Name: ���� �Wrr� Phone:
Resident%Owner . �
�� � ��� � b , Address/City/Zip: - � l� (�U,� `V 1� Cj � �
��.� ,
���� �
� � 2
� �� , Name: � � d- License#: � � � � ����J
� �� �°r C7`t-� \�2't�YY11 � �i � Y'1 S�` c�t � �
� ��Co�trac�or Address:_ y: C C��
\ � "�µ� State: �V�� Zip: �����Phone: LP� � ' � ��[- �� �
��..��
�, e��,;. i/ „
� .�` �°� � ���: Contact: �i Email: . (� ° C� (� �bl.�'C.lfl' �L�`�
� � � �,.;
������� ;
_New � Replacement Additional Alteration Demolition
��� ���. —
���; ����
�Type o#w�iV'�r� .;� < Description of work:
����
� �����.�.«.� ,«�� .
OTE oo moun ed an ground:moun ea mecfianical eqw mer,�is�equired to be sc�eened�i��ty_
� � � � ������1;�•�.. �- �.«� � � �.��
� � �.f 4Qc�e,�Pl�ase co�tactthe echamcaf Ins ec o��or nfio a ion� ermi .t�etl sc�eemng���me ods "�
��,��� ��E.�
��.. :��..x�..��I?>.�,,., �. ��:����, P.,�, b:.��,,� �� .� �.�.�,�_
� � ��� " � RESIDENTIAL
� COMMERCIAL
� .��.,..�.�
'� y�Fumace New Construction _Interior Improvement
� „�.� ��� , ����� —
Air Conditioner
Pe��t1�1��Typ2 — _install Piping _Processed
`` _Air Exchanger Gas Exterior HVAC Unit
� „�nr � � _Heat Pump _UndeNAbove ground Tank �Install/_Remove)
�- �Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteratio��to an existing unit(includes$5.00 State Surcharge) Uv
$100.00 Residential New(includes$5.00 State Surcharge) _$ �� � TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee �
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
**'If the project valuation is over$1 million,please call for Surcharge �-
_� " TOTAL FEE
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.
X�¢ G��S1�, ��V� X ��.;��.
Applicant's Printed Name ApplicanYs Signature
�FOR OFFICE USE ` �� ��� � �
�z.�.�#'�^ :�T�,a� ,� AF�� - ��"�^ y. �' '?� �, '" : < � '�.
I�equired Ins @GUOIIS� �,����.�� ��' � ` a s r:� m p.
- � � . ���� . eviewe�,By . � .� �,�,�� .�Date ��
�� �` ri�er�roun �`Rou�`�"n"" �,�,'�r� es w..a �� ��� � .�� :�� �, � ; � x�' ° � �
�;
— �.,�9� — �,,,�9. Gas ervice es�,�t floor �ea inal w<� iVA(��5cree i - ,
_ . ��,�
!"
#$%&'()' *+*,
-./$%'"&0-1N3$2=$,+
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#(//-,%<1
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5'3.0.?A'/%&, P$.*J.' 3/ '5'3/2.'0./*' 3+<'/BB$+%/ + ,'/,*'< / .' 3/ ' 3.'+,E 0I/ + ,'+<'% 00.% '/,*'/J0..' '% IB$A'P+ 3'/$$'/BB$+%/?$.'= / .'
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)BB$+%/, S4.0I+ .. '=+J,/ >0.5<<>.*'#A '=+J,/ >0.
Use BLUE or BLACK Ink
r �
For Office Use i j �
City of Eaaali Permit:e:
61Permit v
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#::
A J Name: 0 B rA�k )«�� t VV A U✓✓;.,..0 Phone:(aI C2) I S 7 ResiI Sl yL
Owner Address/City/Zip: Li \v\c- L "\ Ai V (4 s-3--/2 3
Applicant is: Owner Contractor
Type of Work Description of work: �\COO
Construction Cost:' ./6 00 b Multi-Family Building:(Yes /No -)
Company: _ 1 ,Q 6.".el.10 Tin-C--_ Contact: 'DA Ze- (Ai c
( 3 i v v r
Contractor Address: ' r City: �. j('e CI i I `�
State:1/0 N Zip: _CSC 4 Phone: tip S/2i)Er-1 cc mail: Ote,tvw �ckre•4utiodcl.. t r t
License#: C - SCj ay S Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans And supporting documents that you submit are considered to be public information..Portions 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 secrets.
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. c
frist
Applicant's Printed Name Ac)pp ant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147752
Date Issued:01/31/2018
Permit Category:ePermit
Site Address: 4937 Pine Lane
Lot:6 Block: 1 Addition: Pinetree Forest
PID:10-57650-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Robert Tstes G Murray
4937 Pine Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature