4952 Pine Lanei 1N SYE(.:'1'lUN
CIY-Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
KEUUKI)
PERMIT TYPE:
Permit Number:
Date lssued:
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . ..
1- 4Jf fl ftY, 4JAYl'4F M I II 1!
F 1 -
, _..
1? _
L
" .;- : ?w I
_.J
? ,.?? ,0 ? OWN.;
Permit Holder Dffie Telephone #
SEWER/
' WATER
PLUMBING
HVAC I n5x?? ?
Inspectlon D Insp. Commenta
FDOTINGS l1?f
a
FpUND
FRAMING
ROOFING
ROUGH
PLUMBING /j/SaA L
PLBG
AIHTEST
-G -?
ROUGH
HEATING
?..
GAS SVC
TE5T
INSUL
s
??
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
-
FINAL PLBG
C.l? !
FINAL HTa
ORSAT
TEST
BLDQ FINAL ?
METER DOMESTIC
IRRIGATION
METER
FLUSH
MAINS
coNOUCriviTv
TEST
HYDROSTATIC
TEST
BSM7 R.I.
BSM7 FINAL
DECK FfG
DECK FINAL
.?.-?••• '?!
?1.`tiftCQtc df rCCItpQ)iC?
%itv of Cf agan
Meparhatut ? ????? ???oteden
This Certijecate issued pursuant to rhe requirerrtents of the Uniform Building Code
certifysrtg rhat at the fime of issuance ihis structrere was in compFiance with the various
ordinances of t/ee Ciry regulating building coRStruction or use. For the followrng:
Use Classificstion: 'F , ? Bldg. Permit No. 33qO2
pccupancy Type R3' U/? ' 7vning Dis.troct Ri Type Const. I'VN
Owner a f Bwldin?IArII?,'Y RUIIRERS „ddmss 10778 ALLI90N WAY, IQi
Buoding AdLt ; 052 PIlaE LANE LAcaJih, L 18, B3, PIIEIREE FURFST
. ,i
'_ - Date:
auilding offwial '
P05T IN A CONSPICUOUS PLACE
Address ; 4952 rim LANE Zip 5512 2
IAt 18 Blk 3 Sub PINETREE FDREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECf[ON.
Date: ,;?// 99 Yes No Inspector.
Final grade (6" from sidinp,) ,
Permanent steps (garage)
Permanent steps (main entry) 1i
Permanent driveway
Petmanent gas
Sad/Seeded gass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the ouuide lawn faucet before freeze pountial exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system ?
Whitc - Ciry Copy Yellow - Residenl Copy Pink - Contraclor Copy
n i
RESIDENTIAL BUILDING
PermitApplication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtlon Reaufrements RemodedReaair Reauiremenfs Of)ke Use OnN
3 registered site surveys shawing sq. fl of lot sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey ReW
(20°h meximum lot coverage allowed) 1 sel of Eneqy Calculations far heated additlons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & dedcs Tree Pres Not Reqd
1 set of Energy Calwlatlons Addltion - indicate il onsde sepNc sysfem _ On-site Septic System
3 copies oF Trce PreservaGon Plan if lot platted after 711193
Rim Joist Defail0pfions selection sheel (bldgs wiN 3 or less units
Date ? l a? l 03
Site Address yQ5_2 an.el Construction Cost
UniUSte #
Descriptionof Work K'L/!Y1('y1'Pb rY t4& GF. ('GfY24 OOrlr JA /?'llirn
Multi-Fatnily Bldg _ Y _?-, N Fireplace(s) _ 0 _ 1 _ Z
Property Owner m !1 ?? If ? CjS hvl? Telephone # (6.s1)
,rt%(11 ( (1
Con[ractor ' 7/p
/
Address ?,,I . 4?
State At p??
. ?{.!i City
Zip 55q,;2_0 _ Telephone #(,Sa-) dlpU
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesora Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code CategOry • Residendal VenElation Category t Worksheet • New Energy Code Worksheet
(+l submisslon type) Submitted ? Submiltetl
. • Energy EnvelopeGalculah-bmitted
W ,
Licensed Plumber 1G ' on ?'?,',?% Telephone #(
u ?pR 1, ?-` U
Mechanical Contractor n , Telephone #(
Sewer/Water Contractor 1 Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge that the information is compiete 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 pla?n in tbe?case of work which requires a review and
approval ofplans. ^
k knq 1nnCLc ?
ApplicanYs Printed ame Appli,
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi
? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PocchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Mulfi
? 33 Ex[. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement . •Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning 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) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundaaon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace ^ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
? CITY USE ONLY
LOT O BI. ? RECE[PT #: I D l g`??
-S[,'E3D-4,x?RECE[P"C DATE: IL1S / 9
1999 MECHAIVICAL PERMIT (fiESIDENTIAL)
CTCY OF EAfiRN
3$30 fILOT KNOB RD
£wsax Mrr 5512E
` /?
Date: (651)681-4675
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction 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.)
• State Surcharge: .50
• TOTAL:
-?M-
Complete this section onlv if you are remodeling, adding to, or tepairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New
_ Reptacement
Repair _ Other
_ Furnace
Air exchanger, i.e. Vanee system, etc.
Reminder: Call 681-4675 for inspections.
_ Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS:
OWNER NAME: /9' ? ?• PHONE #:
INSTALLERNAME: "9Afsl5-AJ ?/ • PHONL- #: CpSI -v6G4sa
STREET ADDRESS: P?- d? •
ciTY: sTwTS: Ak, ziP SSQ??
I
STGNATURE F ER$ftTTEE
JS/FORMS [3LO/M6CH PERMIT (RES) - 1999
L BL
SUBD.
APPROVED BY:
RECEIPT #:
RECEIPT DATE:
($.50 per $1,000 of permit fee due on all permiu.)
199914iECfIE4NICAL PERMtT (COMMEitC[iRL)
CIN OF EAfiAN
3$30 PILOT KNOB fiD
F-Afilklv,lNN 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: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1°/a
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS
CITY:
PHONE #:
STATE:
ZIP:
PHONE #:
CITY USE ONLY
INSPECTOR
SIGNATURE OF PERMITTEE
CITY USE ONLY
?L I? BL RECEIPT #: 1191971
SUBD. i.r?Xiro1? ?N RECEIPT DATE: ? ??/ ,9
1999 PLUM$INfi PERMIT (RESID£NTtAla
crrY oF EneAx
S$SO PILOT KNOB iiD
EA6AN, MP 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 ______-
1. - --------------
p -----
TOTAL
Shower 3.00 x 2- _ (,o.C3(?
Water Closet 3.00 x '0 3 = ? cP. Co
Bath Tub 3.00 x
Lavatory 3.00 x ? 14 pp
Kitchen Sink 3.00 x A_ _
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
-
Water Heater 3.00 x 7
Floor Drain 3.00 x I
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x :S_ _
Watef SoftellEf " for dwellings under construction 5.00 X =
Water Softener " for existing dwelling 30.00 7( _
U.G.Sprinkler ' fordwellingunderconst. 3.00 =
U.G. Sprinkler ` tor existing dwelling 30.00 =
Alterations " to existin8 resldence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' nbandonment 30.00 =
RPZ (new installation/repair) 30.00 =
Reminder: Call 681 -4675 for inspections of water heaters,
- water softeners, alterations, etc.
STATE SURCHARGE .50
TOTAL $ qI •elJ
---------------------° -° -------------° ----------° ------ ------ ---- ------..... - -------------- ----------------- --.... ---- • ° ° -------- --- -
I hereby acknowledge that I have read this application, state that the informaGon is corted, and agree to comply with all applicable Cily of Eagan ordinances.
ti is the applicant'S responsibii:y to ncEfy J's pro;eity cwner thai fhe Ciy ot Eagan aswrnes ro IiaSility tor any damage^o caused by the Ci:r durr,g its normal
aperational and maintenance activities to the facilities constructed under this pertnit within City property/right-of-wayleasement.
SITEADDRESS: ?qc?7j'rA y1C1R..LaC1L
OWNER NAME: ? ?`Ql..??COS . C-coSAYL\Ck\o'Cl
?
INSTALLER NAME: Saywla: PlUrnbm
STREETADDRESS: ??00 £-
CITY: PnOr Lav,-P- STATE:
TELEPHONE #:
M'N Z1P:55372.
CD/PERMIT FORMS/RPLBG PERMIT (RES) • 1999
-? CITY OF EAGAN
3$30 Pilot Knob Road
• j Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT
PERMIT TYPE:
Permit Number: B U I L D I N G
033902
Date Issued: 1 1/ 0 2 j 9 8
SITE ADDRESS:
P.I.N.: 18-57650-180-03
4952 PZNE LANE
LOT: 7.8 BL(JCK: 3
PINETREE FOREST
DESCRIPTION:
--
BuJi'lding-l?ermit Type
B?a ldinq Wok Type
i18C Oocupancy~'°,.
/COnstruction 7ypa"
? Zoninq ?
ewilding Lenqth
Building WidtM
Bujldinq stories /
Fset
C e n \ Ek `ICjo e' ?
v
SF DWG
NEW
R-3,U-1
VN
R-1
70
46
2
2,117
101 1 - FAM. DEl'ACN
REMARKS:
PLAN REVIEWED BY WAYNE MILLER.
S& W PLUMBER: SCNERER PLUMBIIVG PHpNE #447-6734.
FEE SUMMARY:
vai_uaTZOn
Base fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
5ubtatal
$1,277.25
$830.21
$89.00
$1,000.00
1@0
1
$3,196.46
$178.000
MISC. FEES 592- 50
Total Fae $4,788.96
CONTRACTOR: - flpplicant - . ?zce OWNER:
MANLEY BROS CQNST 14544933 20054327 MANLEY BROTHERS
J-0778 ALLISON WAY 10778 ALLISON WAY
.INVER 6ROVE HGTS MN 55077 INVER GRQVE HGTS MN 55077
(612) 454-4933 (651)454-4933
I hereby acknuwledge that I have read this applzcation and state that the
information is correct and agree to comply with all applicable State nfi Mn.
Statutes and City ofi Eagan Ordinances.
?
APPLICAIVT/PERMITEESIG TURE
?
? %IJED BY?. SIGNl1Tl7RE \
I
?k?' `k?t;kY(?'.tF {::S:YF:?%'F%;t::?F;;?:X(:'k:i:??.zk„?,r`!;ypMi!';M'?rii}':?_?i:Xf:1? 'M•1,<Y,::,"
„..?
iDi;
NAr?F? Mr-It:it.E'v ,:t:Jrd
,..,,,.
, ... ,.
,
,
.
4 R. h. ??-
,?
1.i>,.,...
,n.,Nc"
,..
.
. Ff,. a., .
,..._:.,?
:
a
c r"O'?.`?l[;?:',3 42
n..
It::;: NANr11
• t,
?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? cirsr oF F.nQax
•-?? ? ? ? 3830 PII.OT KNOB RD - 65122
681-4675
New Construction Reauirements RemodellReoeir Reauirements
? 3 registered sRe suneys ? 2 eopies of plan
? 2 copies of plana (inUude beam 8 window s¢es; poured fid. design; etc.) ? 2 ske surveys (exterior adddions 8 decks)
? 7 energy wlculations ? 1 energy calculations for heatad adtldions
• 3 eopies ot tree preservation plan if lot plaKed after 717193 -
required: ,t_^es _ No
DATE:
Street
City
Comp
Street
City
DESCRIPTION OF WORK:
STREET ADDRESS:
.
LOT: IO BLOCK: ? SUBD./P.I.D. #:
CONSTRUCTION COST;
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Lut
La?
Fvst
Sfate:
Zip:
#: ??-l-W93? ,
any:
ll s5?"?1 L??License t! ?/?-??J7?7
Address: IC?lI71? 4
jAVU C.`?my. .wzk5 , Stzte: 11410 Zip: 5?M?
Company: VIwl.'tJ Phone #: '7? -ou (J
Name:
Phone #:
Registration #:
City a" v State: // l!U Zip: ?,55423
Sewer & water licensed plurnber (new construction ony):?,?,rPf'" Penalty applies when address chang
and lot change is requested once pertnit is issued. ?'4 4--?
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE OyLY
/
s
Certificates of Survey Received t?Yes
Tree Preservation Plan Received _ No
_ No _ Not
`??t5U1J
11 OCT 2 0 I0
OFFICE USE ONLY
$UILDING PERMIT TYPE
• ,,
? 01 Foundation
7
, 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finisli
)
1(
02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex 0 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
*31 New O 33 Aiterations ? 36 Move
O 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ?P Basement sq. ft. 1 Awg MC/WS System ?
(Allowable) 1/N Main leve l sq. ft. lvN?d City Water
UBC Occupancy -dl ?2-0-D sq. ft. 9 -3,q Fire Sprinklered
Zoning
?
sq. ft.
'i69
PRV --
# of Stories 2 sq. ft. Booster Pump
Length 7 a sq. ft. Census Code. /O 1
Depth yh, Footprint sq. ft. ?kl 17 SAC Code O/
Census Bldg ?
Census Unit
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building Engineering Variance
l a`? ?. as Valuation: $ 7
T
3,1 x 30 = iOAo
UUU .U? ?
6
x
= a
a,7
?5 X /a: /5U
.
/$7av
i ay
7 x /h =
e.n
YY?CSc l2?fSf X 5q
_ x 30 - lO ?U
? ?6 u !3 - aos
ya x Jo0
`6
uPP??t u,UFiois iY
13= iS6-
= 673`/.Z
_ ?:w ?112. ? I 77? N6?
TotaL• Ltlw-?? 9 ?- ? l76 X.7U
6Pr2 6? \
%SAC -g6 x i(?1=
SAC Units ?A X
3 = 2 -7
? X r--_-7-
X/6 ? l 34D?1 -'
? 64
ENERGY COD.E'WORKSHEET FOR 1& 2 FAMILY DWELLINGS
*SITSADDRESS
??? _ ? . i .. l? _? _ .., ., ? .. .. • CITY
:
oViLU1NG cLASSIFICATION: ? cs
MINIBUM CRZTSRIA Foundation Insulation-R1o
Slab on Grade Ineulation-R10 Ploor over unheated epaces-R24
Foundation Windowei/2"
ineulated Glasa. -Wood oI Vinvl Frama
PItONB,? µ
? 1 (a[andard):or it category Z
Walla i Windowa
(See table on reveree eide
for allowabla percentages)
8T8p 1 Wiadow & Doar Area
A. TotalWindow 4 Door AYea in Sq. FeeC
WINDOW3 (Including Foundation Windowe)i
S'WIHDOW MANtlFACTQRH NAMBt
WINDOW HANUFACTORB TYPHt1>04)3Le Nv.u&i .
WINDOW MANOPACTURB Q FACTOR:_ 13160
R. O..` Quantity eq.EC.AYea
Dimensions !o? x(O?QN ?-_
z .?"X q-0" n
Z Co" x 1,l.
X
x
'. ,. x
V ? l
X
X
oooR? k ? g 1
B. Total Wall Area in Sq. Ft..
Wall Total Height
Perimeter
-
G ° X CO ) ,
Tutal Area.oF
winaows e ooora ,
O
ZO
?
?Rd
Area
RooE AtEio IneulaGion,
R44-With Attic No Ileal
R38-With Attic Raieed Ileel
R38 fi R5-8o11d Raftefe
STSP ] Calculate area ea a peroent o£wall
C. From Step 1 divide box A(471ndow 6 Door
Area) by box B(total wall area) timea 100
equals the window and door area ae a
percent of wall area (box C), '
@oK 4 X 100 = C .
aoX B 321
526p 3 Deeign Featureo
ASSGPIBLY PRAMINa TYPBt .
STANDARD FRAMING - X etude 16" o.c;
ADVANCED FRAMING etude 24" o.c.
CAVITY INSULATION RL_ 9N6ATHING TYPHi
LESS THAId < R-5
R-5 > OR MORI3
U-FACTOR q
Frvm the table, (reveree sida) determine the
maximum percent window 6 door area for.the
deeign op[ione eelected and anter the t value
in Box D balow baeed on the window mfg. U-
factor: .
aaD D
The } value from tlie table in Box D eliall be
equal to or greator than the t in Box C
66y,?5 ?pv
? qff 3.3
1bta1 Area oE Walls I Et
,;
,'.
j
I;
,
•
ONE- & TWO-pqMILY RF_S[DENTIpL DUII,i)RdG PRFSqRp.l.ryp (CppK-HOOK)
APl'ROACIt
MAXIMUM WINAOW qND DOOR AREA AS A PERCGNT OF OVERALL WALL
AREA
Notee:
Window ares equals rough opening minue Inetallation clearances.
Wfndow U-faclor must !x determined by either the National Fenestratlon Rating
Council standard 100-91, or ASNRAE 1993 Handbook oE Fundamenlals, Chapter 27,
- Table 5.
,. PbaI•M• FaM Note 7671 DaN
0
FCQm Mlnn it?lee yart 7670 047??p?ft 2 item fi
A"WguLnkWakd v
vFPCcu- Cp ?Y
.
* * *
* PIONEEI4
* ang neer
* **
*
Certificate of Survey for:
BENCH MARK
TOP OF PIPE
ELEV.=978.06•\
?
13 I (??5 21
EAQAN FOREStRY DIVISION
974.9
Wi
Z I 975.2
?
?
W I
Z
a?
975.8
976.1 N
io f -,
O
O ?
°wQ
00 I ?3
°
00 ay`'
? o?
, a
UNp AlRVEYOFS • dNl ENQMEERS
IIJN PLANNENS• lANDSLME ARGNIlECTS
976.9 9/
-?----
O
GO
ao
MANLEY BROS. CONST.
4952 PINE LANE
REVQEWED
(VACANT)
17 sY .r ...?.
DATE A I
5
'S2"W 135.50
i
i 10
--i° -
--1 ?
---
?n
--r
? io
i I
A'V?
I ?a
F
I
i ?13 ?w
?a i
1
1g Wz
?
? 9^8.6 . .
a? ?
x
a
' J
t? 979.3
I
) ow
U
-
O
,
? ?
i
?
.
?
,?
? P7
7
978 °L
.
,
0 x
979.7
,o
?
I J
n
31 ? s71., -F
t
OD 1
? ? M
I ^
O ? 30 0
6
?
.
e.1
C) Up?
S II
?
O
Z W L i N
IV) Z
-
io L- -co' sn
30.00
,a
,
,
i
?
BENCH MARK
TOP OF PIPE
ELEV.=978J6--?
-*----,.--- ----,,n
8
(VACANT)
('an• ?s -? 19
? wwvG?
6 1 bw<<1.a/
NOTE: PROPOSED CRAOES SHOWN PER CRAOINC PLAN BY: E.C. RUD
NOTE: BUILOING DIMENSIONS SHONT! ARE FOR HORIZONTAL RNO VERTIGAL LOCATION
OF STRUCNRES ONLY. SEE AftCHITECNAL PLANS FOR BUILDINC AND
FOUNDATION DIMENSIONS.
NOIE: NO SPECIFIC SOILS iNVE571CA710N MAS BEEN COMPLETED ON 7M15 LOT BY nHE
SURVEYOR, ME SUITABILITY OF SOILS TO SUPPORT THE SPECIFlC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SVRVEYOR.
NOIE: THiS CERTIFICRTE DOE$ NOT PURPORT 70 $HOW EASEMENTS OTHER 7XAN TMOSE SHONTI ON iHE RECOftDEO PIAT.
NOTE: CONTRACiOR MVST VERIFY DRIVtWAY OES{CIl.
NOTE: BEMINGS SHOWN ARE BASEO ON AN ASSUMED DANM
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
LOT 18, BLOCK 3. PINETREE FOREST
3
GD
0
00
r
O
Z
<9??•S?
136.54 '
1 2
- .
1 rt? P?e c
2422 Enterprise Drive
Mendoto Heights, MN 55120
(612) 681-1914 FAX:6e1-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION: q7o•
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION: 9?Q'a
X 000.00 DENOTES E%ISnNG ELEVA710N
( 000.00 ) DENOTES VROPOSED EIEVAPIXd
OENOTE$ DRAINACE ANO Ui1LITY EASEMENT
' DENOTES OBAINAGE FLOW OIRECTION
0 DENOTES MONUMENT
8 OENOTES OFFS[T HUB
TRUE AND CORRECT REPRESENTATION OF A
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 81H DAY OF OCTOBER, 1998. ?? /J /^? /
CAT,NFD?! /?pIONEER ENGIN IEERNG. P.A.
SCALE : 7 INCH = 30 FEET
e?
C. Lorson,
:•
/
a c? ? ' L;,?? ? ?rr?b•,-E, i
--t3. _??? n `n?*? ?,.?,?,C?o_
?-
?
r? - --
_
?
3 o,
3D/ a.-?-
'?i
P
?-?
14-
14,'
3b' 4.
> 30'
5?--e--
?9?Q 1 s:.z?: I o
I
* PIONEEFI
* * 7? *
2422 Enterprise Drive
Mendoto Heights, MN 55120
lNlD $uRKY0R5 • qNL ENGINEEItS (612) 681-1914 Fnx: 681-948e
Certificate of Survey for
uxo vuwncas. LumscArc ueanhcn 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
MANLEY BROS. CONST.
4952 PINE LANE
974.9
W ;
Z I 975.2
?
?
WI
Z
a?
I
i
975.8
BENCH MARK (VACANT)
TOP OF PIPE '? 7
ELEV.=978.06,\ .
.
I \
13 589'410 52"W
976.1 ? i
- 976.9 y?
10 F
? ?/24.3
?
Gp N3 i
? I ?, 2.0 a/
? a? i
? ¢? j
a ? o Q ?
? ?
/?/
c? /
3
03
O
OD
0
O
Z
97i.1
1
1\03D "'in 1o
0 6.0 aS
j°- 6%0/?x o
o
?Sli °o a
/^+
W
w? 30.33
10 L--C 977-9-----
N ?I
,a
i
i
i
I
,
,
BENCH MARK
TOP OF PIPE ?
ELEV.=978.16' ?
977.2
136.50
5 i ° 'n
--'a--
--1 ?o ---- -?
i yr
1
I
18
? FZ ?
? 978.6
iA r x 979.3 aN
o
/ ?
?a
? ? aW ?
.o% L ?
? X,
.
? ?
,'978.7 ¦ I
-- 979.7
i
-? o '? --
---
--
I
I 976.7
io
O
O
OD
?
co
0
Do
0
O
Z
4
3
10
L(W8.9
9(VACANT) . I , . , . ?
19
:...?- j
- - -??--- `-?-? ,
_ . ,`.?,?^ T^?•-+
NOTE: PROPOSED GRAOES SHOWN PER CRApING PUN BY: E.G. RUD PROPOSE D HOUSE EL EVATION
NOTE: BUILDING OIMENSIONS SNOMiJ ARE FOR HORIZONTAL RND VERTICAL IOCA710N LOWEST FLOOR ELEVATION: ?70'
OF STRUC7URE5 ONLY. SEE ARCXITEL7UAL PlANS FOR BUIIDING AND
Four+onnon aMer+sIons. , TOP OF BLOCK ELEVATION: ?i7R.4
NOTE: NO SPECIflC SqLS INVESTIGATION NAS BEEN COMPLEtED ON TNIS lOT BY THE 9"7q 0
$URVEYOR. THE SUITABILiT'/ OF SOILS TO SUPPORT THE SPECIi1C HOUSE GARAGE SLAB ELEVATION:
PROPOSED IS NOT THE RESPONSIBIUT' OF iME SURVEYOR.
NOTE: THIS CERTIflCATE OOE$ NOT PURPORT TO S/IOW EASEMENTS OTHER THAN % 000.00 DENOlES E%IS71NG ELEVRTION
7HOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVA710N
DENOTES ORAINAGE AND UT1U7Y EASEMENT
NOTE: CONTFtACTOR MU57 VERIFY ORIVEWAY DESICN. -? OENOTES DRMNAGE FLOW UIRECTION
NOTE: BEARINGS SHONM ARE BASED ON AN ASSUMED OAIUM , 9 DENOTES MONUMENT
-a OENOTES OFfSET HUB
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 18, BLOCK 3. PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES N0T PURPORT TO SHOW IMPROVEMENTS OR ENCHROACFfMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS STH DAY OF OCTOBER, 1998.
ONEER
SCALE : 1 INCH = 30 FEET
978.8
'S2"W 136.50
r
A.
Larson.
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
PROPERTY LEGAL: ?
DATE OF SURVEY:
> IATEST REVISION:
?
t; DOCUMENT STANDARDS
i ?
a E
p?q ? • Registered Land Surveyor signature and company
C?0' ? • Building Permit Applicant
? • Legaldescription
p ? • Address
ra?p ? • North arrow and scale
p?/- ? • House type (ramhler, walkout, spiit w/o, split entry, iookou4 etc.)
C3 ? • Directional drainage arcows with slope/gradient %
?p ? • Proposed/ebsting sewer and water services 8 irnert elevation
% ? • SVeet name
? ? • Driveway
.
ELEVATIONS
'stin
? • Sewer service (or Proposed)
p ? • Properiy corners
e?/? ? • 7op of curb at the driveway
?? ? • Etevatlons of any ebsting adJacent homes
ro ed
CY ? ? • Garage floor
t??p ? • First floor
? • Lowest exposed elevation (walkouUwindow)
' ?
v • Property corners
?? ? ? • Front and rear of home at the foundation
pONDING AREA fd aoplicablel
? • Easement line
:
? ? • NWL
? Cf
? • HWL
/
? e1/ ? • Pond # designation
Elevation
rfl
O
o ? ? • ow
ve
Emergency
? DIMEN510NS
o • Lot IineslBearings & dimensions
?
? • Right-of-way and street width (to back of curb)
/
0' a ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
ur' O ? • Show all easements of record and any City utiliGes within those easements
0-1? • Seffiacks of proposed sVucture and sideyard setback of adjacent exassting structures
? ? Retaining wall requiremen if any
Reviewed:
January 1996
CRAIG797d81.00PRMT.FM
?
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(65Y)675-5675
Fax: (651) 675-5694
?-----------------
? Foromcs,use I
I D 1 ? ?? I
? PertnRik:
? PermitFee: ?I ?</• OO ?
j Oate Received:
1 Staff: C_.T1 1
i
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L- a - 6 g Site Address: qqSa ?; ne- L Q?.e•, EQ-5Q n,+'t1. rU S51 a 3
Tenant: ly_c1iw * ?+?- 0??., Suite#:
RESIOENT ! OWNER Name: bp1 i Sl- ? wLt 1?0 -- ID6-? Phone: (n5 1 - q a.3 - 15
Address / City / Zip: q cl 5a ?; A.e- cQ-"e, l E9?na-'t. j ss / a 3
Applicant is: ? Ownar _ Contractor
TYPE OF WORK Description of work: Lot.^Q''' Lp vj q1 i SSk4z:?o cfS + z?6- C.-+"' ?-'
Conshuction Cost: Multi-Family Building: (Yes _! NoXj
CONTRACTOR Name: License
?l 2r- Address:
Ciry: State: Zip:
Phone: Contact Peison:
COMPLETE THIS AREA ONtY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VeMilation Category 1 Worksheet • New Energy Code Worksheet
C8t890fy Su6mitted Submitted
(4 SUbmission type) • Energy Enveiope Calculations Submitted
M the last 12 moMhs, 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 Contrecror: Phone:
Sewer & Water Contractor: Phone:
NOTEr Plans and suppaKing documents that you submlt are considered to be. public information. Portions of
the informatlon may be classlfled as nort-pubfic H you provide apec)/ic reasans that woufd permit the Cfty?o
conclude that the are trade secreis.
I hereby acknovAedge that this infwmation is complete and accurate; that ihe work will be in conFOrtnance v+'?th the ordinances and codes of the City of
Eagan; that I understand this is not a permit, 6ut oNy an application for a permit, and woAc is not to start wiNiout a pertnR; ihat the wwk will be in
accordance with the approved plan in the case of work which requires a review and apprrnal of plans.
xbp-Yii SQ. P S ? D.:]¢y-ci x I? A!?'"?SY
AppllcanYs Printed N e Applica gnaNre r i I??:?CJ\?I?D
Page 1 of 3
?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Faundadon ? OS-plex ? 78-plex ? Accessory Bullding ? Pool
? Single Family ? 06-plex 0 Freplace ? Porch (3sesson) ? Ext. Att. - Multi
? Ot ot _ Plex ? 07-plex ? Garage ? Porch (4-sesson) ? Ext Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Pwch (screeMgazebo/pergoia) ? Multl Misc.
? 03-Plex ? YO-plex ? Lower Level ? Storm Damage
? 04PIex ? 12-oex ? Mlscellaneous
WORK TYPES
? New ? InieHor Improvement ? Siding ? Demollsh Bullding•
? Addftion ? Move Bu llding ? Reroof O Demollsh Interlor
? Alteretion ? Fire Repair ? Windows d Demolish Foundatlon
? Replacement ? Egress Window CI Water Damage
' DemolNvn (eMire building) - give PCA handout to applicant
DESCRIPTION:
Valuation ? aDD • oo Occupancy MCES System
Plan Review Code Edkion SAC Units
(25%100% 2oning CityWater
Census Code L)3 6/ Srories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type ot ConsL Width
REQUIRED INSPECTIONS
Fuodngs(new Wdg) Sheetrock
Footings (deck) Final/C.O.
T Footings (additlon) ?c FinaUNo C.O.
FouMladon HVAC
Drain Tile Other:
Roof: _Ice & Water _Flnal PooL ,Footings AiVGas Tests _Final
,0 Freming Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Wlndows
_?O Insulatlon _ Retaining Wall
Reviewed B? Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
UNlity Connectfon Charge
S&W Pertnit & Surcharge
Treatment Plant
Copies
Fotal
Page 2 of 3
FROM : FRX N0. : Jdn. 24 2008 04:21PM P1
My of Eakan
3830 Pilot Knob Roed
Eagan MN 55122
Phone;(B51)675-5675
Fex: (651) 675-5894
- - - - - - - - -
I 7 C./
Permil #: . ... i
? Permll Fea:
I
I Oate Received:.... ?
? ?ff•
-------------- I
J
2008 AAECHANICAL PERMIT APPLICAT{ON
Oate: ?- ?t a UB glte Addrass: -1 / J,_?_- PlNE , L ANf
Tan.nt: -----Su,te „:
T
?'
?ec
5
`
RESIDHNTlOWNER Name:
t
C7
S
, Phone:
)
-. .. , ..
Address / City / Zip: __(,.,/._sQ... ...Pi N E ? AA1 F
C4NTRACTOR Name:? j?2? /?"IEC(JAAJl?6? .License#:........ ..........
Address:,PC?.S W 1?6Q76 -6.-
Clty: S7t YR tJC ____. State: / v!A/ . Zip:
Phone: t "' 5" 04! Contact Parson:
TYPE OF WORK - New Replacement _ AddRlonal _ Alteratlon _ Demolliion
Qeecrlptlon of work: . .. ..
N07E: Both'roo/ mounted and pround mvunted mcbhenicel'rqu/pmenf fs requlred to
br screened by Gty Code. P/esse confact the MechaMcal lnspector or onst of the. .
Planners /ar Inlomiarlan on oermitted screeni» merhnals.
PERMiT TYPE FIES/DENTfAL COMMERCfAt
Fumace _ New Consiruction _ Intarior Improvement
Air Corditianer _ In51711 Plping _ PrOCB559d
Alr Exchangor EMefbf HVAC Unlt
' HVAC unBe musf 8a scraenetl
Haat Pump
g Install /_ Remove)
Under / Above tOUnd T9Mc
plhw '• When instxllinglremOVing tank(7), CaP fw inapedian by Fire
-- -'-----' MarahalandPlumdnItor
RES/DFN77AL FEES:
$50.50 Mlnlmum Add-on or alteration to an existing unit (Includes $.50 State Surcharge)
$90.60 Fire fePaif (raplaco 6umod aut appliances, dudwork, elc.) (inClud86 $.50 State SUfChdfg6)
? TOTAL FEE
??
$
. ?7
COMMERCfAL FEES:
$70,50 Underground tank installationlremoval OR Contract Velue $ x 1%
$50.50 Minimum (includes State Surcharge)
. - $ Permi[ Fee
- If Permil fim is lose Man $1,000, auroharge Is $.en.
- If Permll Egg Is >§t,0p0, surcharge increases by $.50 for each =$ State SUrchaige
S1,000 ParmN Faa (I.e. a$1.00152.000 Permh Feo reqWrns a 87.00 surcharge). r' .
J0TOTAL FEE
C3
-0
$
e
4
1 haraby acknowledpa tfiat this Informatfon Is complete aM eccurata; that Ihe wark will be in confonnance vAlh tho ortllnances antl cotlaR ort ma city or e en; niat
I underetand thix iF no1 n parmit, hut only an epplicatbn for a pwmlt and work Is not to slatl wifhout e parmit: thul the work will a In accordancu wl Wroved
plan In tha nnax of wark which requirea a raviaw urW aypwval of plan5. -
? ? 7
z ?_AAIi ?4, ? WILc-S__._?...
AppllcanYa Prlntad Name pllcanC9 Slgnature
FOR OFFICE USE Reylewed By . Gdte
Raqulred-lnspedtbna: ?_Under Ground ? Rough In __„Air Test ___Qas Service Test: _In•floor Heat' ?Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4952 Pine Lane
Lot: 18 Block: 3 Addition: Pinetree Forest
PID:10- 57650- 180 -03
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Denise Sjoberg
4952 Pine Lane
Eagan, MN 55123
651- 423 -2539
Total:
Manufacturer
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
Owner:
Michael F Sjoberg
4952 Pine Lane
Eagan MN 55123
Serial Number Remote Number
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA081975
02/19/2008
ePermit
Line Size
- Applicant -
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