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4960 Pine LaneAddress 4960 Pine Lane L.ot 19 Blk Zip 5512 3 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF TI-IE FINAL INSPECITON. Date: g 9 9 Yes No Inspector: ? . Final grade (6" from siding) v Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify wit6 the builder the removal of roof cest caps from the plumbing system and the shut-off of water supply m the outside lawn faucet before freeze potential exisfs. Contad engineering division a[ 681-4645 before working in righbof-way or installing underground sprinkler system. ? Whi[e - City Copy Yellow - Resident Copy Pink - Contracror Copy Sub Pinetree Forest RESIDENTIAL BUII.DING Permit Application ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConstruCGon Reauiremenls RemadellReoair Reouiremenis Office Use OnN 3 registered site surveys showing sq. fl. of l04 sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Real _ Y_ N (20% mazimum lol caverage allowed) 1 set of Energy Calculations for heated additions Tree Pres PWn Recd _ Y_ N 2 copies of plan shaxing heam S window sizes; poured found desgn, etc. 1 site survey tor addNons & decks Tree Pres Reqd Y N 1 set of Eneryy Calwlations AddiY'ron • indicaM i(onsife sepGc system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan it lol Dlatted aker 111/93 Rim Joist Detail Oplans selection sheet (bidgs wiUh 3 or less units D t PT„ x_ ? ? 3 7 a e Construction Cost 1 Site Address Unit/Ste # Description o[ Work 15-?UCC o r(n pziC rS See Multi-Family Bldg _ YN Fireplace(s) _ 0_ 1 _ 2 Property Owner 0 h? 1S CIQ ,` Q Telephone # G?-j ( Contractor Address c? l ?? l LIzT ?C' City State M'-A Zip'05 Te?ephone # ) U q- "2 ( -9 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Ca[eeorv 1 • Residential Ventilation Category 1 Wwksheet (4 submission type) Submitted • Energy Envelope Calwlations SuGmiNed A NEW BUILDING Minnesob Rules 7672 • New Energy Cade Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone Telephone Telephone # ( I hereby apply for a Residential Building Pernut 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 work which requires a review and approval of plans. "ICmye!? ApplicanYs Printed Name ApplicanYs?Signature OFFICE USE ONLY ? ` Sub Types ? 01 Fountlation ? 07 DSplex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 04 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgaze6a) ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Yw_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi El' 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors E? 34 ReplaCement "Demolition (Entlre 81dg) - Give PCA handout to applicant Valuation -734-13 - av Occupancy i2 - 3 MC/ES System Census Code 43 Zoning ` CHy Water SAC Units Stories ` Booster Pump - Nbr. of Units -- Sq. Ft. ? PRV ? Nbr. of Bldgs "- Length ? Fire Sprinklered - Type of Const -'Width --- _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation _ Drain Tile Roof _ Ice & Water _ Final ? Framing _ Fireplace _ R.I. ` Air Test _ Final Insulation REQUIRED INSPECTIONS / FinaUC.O. FinaUNo C.O. _ Plumbing HVAC ? Other LA-1-k? L w5 (2-e _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Mr k.¢ to-n oe-, Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totaf /S'7..5 r .i _:i'.{'... '.. . s C c REPAIRS TO HOUSE 1. Remove and dispose of stucco from the front two-story portion of the house left of the front door. 2. MSG wi13 perform moisture tests in other areas of the stucco. If there are readings above IS°k, MBC will open a small spot on the wall in that area to investigate the reading. We will repair any area where water damage is evident and the stucco will be brought back to the original state. 3. Kick out flashings will be in all pertinent areas. 4. All windows will be flashed to create a water shed and hold out moisture penetration. 5.'I'he cracked window frame will be replaced (3054-2 GIAS with Elliptical above GIAS) 6. Interior window jambs and casing that are damaged will be replaced and refinished. 7. Interior walls will be repaired and painted as needed. 8. Sfizcco will be reapplied. MBC will not be responsible for the following: 1. Moving furniture or taking pictures off the walls. 2. Exact match of paint/stain colors due to colors changing over time. 3. Sht-zbs and bushes on the exterior, minor damage to driveway, sidewalk and front stoop. 4. Any carpeting that is stained. 5. Any window treatments damaged or stained. 6. Maintaining the exterior sealant around the home. . ?_t?ar"? rn t-i SS ?a 2- !`-1 CC-o n-{Ya c+s_? CITY USE ONLY LOT ? BL ? RECEIPT #: SUBD. RECEII'T DATE: MECHANICAL PERMIT # 1999 M£CHANICl4L PERMIT (RESIDEN17A1a crrYoFEAsAx 3830 PILOT KNOB iiD EAfiAN MN 551 E£ c? (651)6$1-4675 Date: 1Complete this section onfv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occUied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outleu (minimum of one required @$3.00 ea.) $ 30.00 6.00 ..?? State Surcharge .50 Total $ 3? 0 Complete this section onlv if you are 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.• Ca11681-4695 far inspections. _ Fumace - Air exchanger Air conditioning Other $ 30.00 State Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: A D '12 PHONE #: (AREA CODE) PHONE #: 65L - ? -- --- STATE: YF? - OF L BL SUBD. CITY USE ONLY APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MECHAN1CAL PERMIT (COIHMERCIAL) CITY dF EAfiAN 3$30 PILOT KNOB ftD E4fiAN, bIN 55122 (651)6$1-4675 Please complete for: all commercial/industrial buildings multi-famiiy buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK'I'YPE: New construction Install U.G. Tank _ Interior Improvement ^ Remove U.G. Tank (Minimum Fee) _ Processed Piping (Minimum Fee) *'NOT'E: When installing/removing underground tank, ca11651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1°/a of contract price OR $30.00 mdnimum fee, wltichever is greater. CONTRACT PRICE x 1°/a PERMIT FEE STATESURCHARGE TOTAL -----------•---°--•--------°° SITE ADDRESS: OWNER NAME: TENANT NAME (IIvIFROVEMENTS ONLI): INSTALLER: ADDRESS: CTTY: ($.50 per $1,000 of e?anit fee due on all pemutt.) PHONE #: (AREA CODE) PHONE #: - (AREA CODE) STATE: SIGNATURE OF PERMITTEE ? 10 CITY USE ONLY 1 RECEIPT #: RECEIPT DATE: V ? PERMIT # ? L BL ? SUBD. E nn y,J,LP l? S-R LA ? 1999 PLUM$IAI& PERMIT (RESID£NTIAL) CfCYOf' E4fit1N 3$30 PILOT KNOB i{D Ensarr, Mr, 55 122 (651) 681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x $ . d o Floor drain 3.00 x = $ e)n G85 i in outlet 'minimum-1 3.00 X $ • oU Hot tubls a 3.00 x ! _ $ . o Kitchen sink 3.00 x = $ v Laund tra 3.00 x = $ • d Lavato 3.00 x 3 = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ RnU h npon'nr 1.50 $ - $ . SO Shower 3.00 x 3 = $ ?p•o'd 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 [it = $ 9,410 Water heater 3.00 x 1 = $ S water softener if dwelling under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Waterturnaround 30.00 x --- _ $ State Surchar e 10 --? ----> ----> $ 50 Total --> --? ----> ----> $ Reminder. Call for inspections of alterations, i.e, water heaters, water softeners, etc. Islab ---------------------------- ----------------------------------------- - ---- ------------------------------------------------------------ 1 hereby acknowledge that I have read this appliption, state that the infortnation is correct, and agree lo comply with all applicable City of Eagan ordinances. It is the applicanYS responsibility to nolify the property owner that the Ciry of Eagan assumes no liahility for any damages caused by the Ciry during its normal operational and maintenance activities to the facilities consVUCted under this pertnit within City property/right-of-way/easement. SITE ADDRESS: h -C- OWNERNAME:: ?fGAtgS TELEPHONE#: (AREA CODE) . ' WSTALLER NAME: SC {.Fele! ? 16j n? TELEPHONE #: ??' • s ?- " STREETADDRESS: k[pL>[) (AREA CODE) ? [??i ?? cirr: P r? ? r oCJ / C-Z STATE: ly7i`n-? ZIP: S5 3r1 "L ? ' SI AT RE F PERMITTEE ^ *#1Fi? . * PIONI * Bfler *4L ** Certificate of Survey for: BENCH MARK OF PIPE ?.=978.84 Top II 13 I 975.8 ? ? I 976.1 W I ? ? W I Z ? al ? . 20Y2 Enlerprise Orive Msndota Heig?ls, MN 55120 (861) 881-1914 FA%:881-9488 xa?aw.s • aa cwwn?s E-mall: GIONEER6PRESSENTER.COM ex??e. ixuunrt up.rtas 625 Highway 10 N.E. MN 55439 Bleine, (812) 783-1880 FA%:783-1883 E-mail: PIONEERYCPNESSENiER.COM MANLEY BROS. CONST. 4960 PINE LANE ? ? ? d ? ,o o i° Cd I w ?a 18 E%1571NG HOUSE 979.6 , 1 S89'41'52" 46.17 979.39 .17 ? 978.7 !2 ?6 1 ? s , /N , . I Y W CIEJ. 966.3 ? r ? s.o ? o ? ? N ? i d i? 0 d= -\ ^ N I ? ? 34.67/ io I e o? --- ?s.a L--°?------- 0- 979.4 , ? 136.50 I 979.0 =--? C97Q,.5? ?0 ' 10 . a.- o 5 y0 i"OI W }?J I ~J I n?w p ? 3 9. 00 ui ao ? p?? ? ro OW ' O Z ?.aA i?i', I J ,a I ?•V ? 977.9 976J 78 0 ElEC30.00 ,°? ?6.17 979.62 ?gg•41'52"N? 136.50 I C479.o) a Te? I % i CATV ? 979' EXISTING 9 13 9 9 OUSE ` I I BENCH MARK ZO TOP OF PIPE' ?+?P EIEV.=979.32 - ? ?Qp9<^r` C) J?Yeeo oku,8 ba.ckY-Qe wE HEREBY CERTIFY O SURVEY OF THE BWNOARIES 0F: ?n? LOT 19., BLOCK 3, PINETREE FOR S?N DAKOTA COUNTY, MiNNE50TA - ? IT OOES NOT PVRPORT TO SHOW IMPROVEMENTS OR ENCNR ACHMENTS, EXCEPT UNDER MY DIRECT SVPERVISION THIS 12TH DAY OF MAY. 1 9. .. ' -- 'S1GN64: 1 A?ONEEB ENCME NG P,A. ?yph; g[AmxCS 4HONN ANE BASEO OM ?M A SSUMED OANM op(/ ?0 5 O?SET MU6 ('' ? ? U -? T MANLEY BROS WNST THAT THIS IS A TRUE AND CORRECT R PR SEIC?AONZ A xOIE: BVILdMCTIUuEN5M15 XMN ARE fp1 Npill0xill NN VEFIICAI LOCAl10N LOYIEST y?IF,{1R??`??I Y.OI I Of S1MICRES OMYS. SEE ANCMIECNK PUxS fdl BURDWC uN fdM0ATp1 dYCN90M1 ? xOTE: HO SPEqnC SqLS MvESnGATW NA5 BEEN COwPlE?EO OM mm5 l i B ?q ELEVATION: ??0.'9' SUR4(YM. ME $1N??91L1TY Of SqLS 10 SIOPqtT THE SPECl11t N SE Pq0VO5E0 I5 NOT ME NE"SiWUTr pf ME SURKYqt. pp OENOIES E nHG ELEVATOri Nal[: M5 CEMMICATE OOES NOT PUNVq1i l0 SwOw EAYUEMn OT1ER AMw ENO1E5 D ELCVATdN iMOSE SqM1 ON 111E IIECOIOEU RAi. ?717UlS.mo. _ pExOlES MACE MO UtNtt EASEMEMI HOiC: Cd11NACidi MUSL VEHIfY DNIVEWAY OESIp1. [ i,E ? OiPE? N01C: PROPOSEO CNAOES 5110MM FE8 WAOiNG PLAN BY: E.G. FUD SCALE : 1 INCH = 30 FEET er: ? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ' •` CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4875 ? 13IR a'7 New ConshucHan RoaulremeMS •• RertwCel/Reoalr Reaulremenh G-13-Oa > 3 reylatered sife wrveys showlny eq. IL ol, bl, aq. H. of house antl gQ rooled areas (20X maximum lof coveraae alloweN > 2 coples of plans (ahow beam & wlndow alzes; poured Ind. deslgn: eMJ > 1 set ot energy calcuMona ? J eoplet of hee preaervatlon plan N lof pkMed odter 7/t/93 DATE: d- '? - dv 2 copieE ol plan 1 sef ol energy calculallons for heated addi9ona 1 atte aurvey br exfedor addltlona & decka CONSTRUCTION COST: yo o ? DESCRIPTIONOFWORK: V/e CK R/JVi?ioN STREETADDRESS: ? ?'Ge-> L .41V1L LOT: ? BLOCK: V SUBD./P.I.D.ri: 1'r'ncrP FvttjP Name: ?0 /?G V'bd?W 04- fL/=i£/J phonet: 6?;S/-- 32ot,7??3 PROPERTY tast Flrst OWNER !1 SfreetAddress: 7 ?1Gv g1161Z GAr-.'15 Clly /--'i9 64ri State: Zip: S S/as csl .,rF.vv I??2 ?- .? Phone?: L/L Company:./ ,? (area code) COPlfRACTOR Sheet Address: I/L.? 2. ,,?.c°'.eoti uce? r.? 7 Exa? CNy /M?/L2 G.envi£ ftiz'/??'TS Stafe: Zip: ?SO -7 7 ARCHrtECT/ Name: ENGINEER Company: Telephone C ( Sheet Address: Regishaflon ri: CMy State: Sewerlwater licensed plumber (if Instalflna sewer/waterl: Phone #: Zlp: I hereby acknowledge Ihat I have read Ihis applkafion, state lhat 1he infortnoNon b cortect, and ag?ee to eomply wHh aR appOcable Sfafe of Minneaota Sfafutes and Ciy of Eagan Ordinancea Signalure of Applicanh OFFICE USE ONLY Certificates of Survey Received ? Yes _ No Tree Preservation Plan Recefved _ Yes _ No Not Required r Y? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 13 16plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex Jq 18 Deck ? 23 Porch (screened) ? 04 02-plex 0 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? 05 03-plex ? 71 10-plex Plog Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE N 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowsiDoors • Give PCA handout to applicant for demolitlon permit GENERAI INFORMATION SAC Code of No. of Units ? 0 No. of Buildings I_ Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building ? Engineering Variance Valuation: $ /eZOo' •?.? ? 31 Ext. Alt - M uki O 33 Ext. Aft - SF ? 36 MuRi 3m::: SAC Units % SAC * ? .. # • Certificote of Survey for: TOP?OF ;b ? 'J 10 I O W 1{ 976.1 ? W ?I Z ? Bp o. ? r , 4 ELEV..g I 13 I ? ' C V 9758 9771 976.7 MANLEY BROS. CONST. 4980 PINE IANE ) -pr N BENCN MANEK ,' ELEV?979P32 ??/? 3U ?^? ?/??\J - OU-4 &&a"`x C) jmAa.o ??- uOTC: FN7VOstC GRA7Ei SMON1 Pp1 CIAWNC PL+N BY: 40. pUD Norz' O?i S1Y?UC1aWt?i Q4V.?.KE Cm RNn ?S Fdl BVIL?WM u0?nw !OWlWTqI DM(M90M5. n01[: x0 SPCMC SPlS, nrv[5Toa0? HeSIn?cuoOMtM [OSPCGi1C M T BV VPOVOYO 1$ NO} MF pE8PON40I111Y p TK NwK'Pon. PUNPOW, N01E: MIS SOM? AT W O MC RE t?PO[0 MAW SnCN EASfMMTS OIMEP TIDSC NOR: GM1NACIOR WSi Kpltv 020LNAY 0[9GM- rmrz: eEAaIucs Vowx A+a e.s[o a+ M+ •ssurao ana wE NfNEBY CERTIFY TO MANLEY BROS. GONST. TNAT T! wnver ov nre eour+ouerts or: DOO A C?OUNTY,e EMINNSOTA3' PINETREE FO ur+oFO S v OOttl Cpv 4UPERWS?ON W7N?5p 2MM DAYgOF MA` 579.0 (97Qr.:i,) ELC?AIWH D [UWIIOM ; MIO U11Utt [AXN[Ni gY PAP,,,,? ' s?au* Nue q? ? p lRU£ ANO CCYRRECT R PR SE?voN??A 1 DA1E >T aCHM?E%C6VT AS SNO . SCAIE : 1 INCH IN 30 FEET Bv: p d;F:,ra r .? _ ? i' <, ._, 7 ?:,f,•N?, , I ' Y ?`) ?' .... ' .... ?.. ?.? -?. ` !..i?t.?.y.'7.i { , i.l?j a:,a„fi`i .i_..?;. j.?]% ?...r..'.iJ7..... db.4.?i_IJ ? .? .. . ? r. .. . ; t ...., ,...........< ,,?::. , .......... c i r ,?:- r??^??;;=,r? ? 1 n "?I . r,?J... ?. i-..ol . .. .. .:. ....,.. ??. .. r?'':,?il. rq•:? I -..? a?.?'1;'' j? r,?i,?.-... „-r' D I.. . ? q144?0° ?tl!li. 4 9e! ' '!E 3i.1..00 ? 4?,.,f i.. -.'I l \ l1,r ri ? ..?..i [ ?. •.?r:. r.a `-n ..,,.. 1.•`1`:';.nn 4.960 `.;5 00 1 41,910 S _ .(:.., ic',; 4 11 ti f T??.I \'(-1(.;Y eY /„?$P '?Y( • ? M'';Y; ?r : ??'(,'iryd%i='M?;Sr.' . .: 7,:.r. ? . ? .,,.. .i ., 7?1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ?jUZ b CITY OF EAGAN 3830 PILOT IiNOB RD - 55122 (651) 681-4675 New Construction Requirements ? 3 registered site surveys • 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of Uee preservation plan H lot platted after 711193 required: _ Yes _ No DATE: DESCRIPTION OF WORK: STREETADDRESS: qq(OV LOT: iq BLOCK: / SUBD./P.I.D. #: RemodeVReoair Recuirements f 2 coQies of plan ? 1 site surveys (e#erior additions 8 decks) ? 1 energy calculations for heated adddions ?'a L/?/ os /a ll CONSTRUCTION COST: 4? -?Q? 0?10 ?e ?6 reS f PROPERTY OWNER CONTRACTOR ARCHITEC'f! ENGINEER Name: P6one i!: Gast First Street City Zip: e #: b1-} l- `1 S L1- L1 q.J "J License t/2jM ' 7 Exp` Z6dD City ?? t) v61'e? ! 5 State: M IU Zip: lJ?? ? Company: Phone #: (0-"? ( - cjs ? - ? 0199 Name: Okn a- ! Ja% 5 Gi= Registation #: Street Address: c5. /? I ?rI-?- Ciry . /nllCl'? L?1!/U? ?Ql?f'4.S State: Zip: Sewer 8 water licensed plumber (new construction only?,?9"1?Vzfr Pen Ity applies when.address cha?ge and lot change is requested once permit is issued. -1 --7 3?- I hereby acknowledge that 1 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 Ordinances. .I ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received ?es Tree Preservation Plan Received 7SOes _ No No State: Not 0 1999 : OFFICE USE ONLY BUILDING PERMIT TYPE I ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish K02 SF Dwelling p 07 4-plex ? 12 Multi Ftepair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE t?y 31 New ? 33 Alterations ? 36 Move N'??32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) V/V Basement sq. ft. 1,SQ Census Code 4-1--L (Allowable) Main level sq. ft. ? SAC Code UBC Occupancy / sq. ft.2 qd ? Census Units ? Zoning ? sq. . a7a Census Bldg # of Stories sq. ft. MCJES System Length sq. ft. City Water Width AE Footprint sq. ft. ?J Booster Pump PRV Fire Sprinklered APPROVALS ? Planning Building Engineering Variance Permit Fee Valuation: $ ? Surcharge Plan Review _ T l License MC/ES SAC /J,SG x ?? 1f= '?? 7Q? CiYy SAC water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge / I Treatment PI. Park Ded. ? Trails Ded. Other Copies i' Total: % SAC SAC Units ? .. * PIONEBR * Bne flBBI' ,k * * # 2422 Enterprise Drive Mendota Heights, MN55720 (851) 881-1914 FAX:681-9488 E-maii: PIONEEROPRESSENTER.COM LANO PWlNEAS. Certificate of Survey for: LOT AREA =12,012 SQ. FT. HOUSE AREA =2,349 S0. FT COVERAGE•=19.6% HOUSE 7YPE- Z STovy BENCH MARK TOP OF PIPE ? ELEV.=978.64 I 13 I f 3 ICATV I 975.8 977.1 ' c9x..I) r ' ,o 0 o I Go I ? 976.1 Go i LJJ Z J ' w Z a' I . ,. 976.7 BENCH MARK TOP OF PIPE' ELEV.=979.32 .: .'vy?_ _ •._.tl? 979.0 ? 147g,5) o- 0 06 ao 3 co c co r 0 0 z f 977.9 (A 7$,0) I _... , y? ...,_...?._.._G_... ._ .. . _ . _ .__ ....-,_._? ?' , . :. . ; . . . .. -..-t MANLEY BROS. 625 Highwoy 70 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 E=mail: PIONEER20PRESSENTER.COM CONST. 4960 PINE LANE 18 NOTE: PROPOSEO GRADES SHOwN PER GRADING PLAN BY: E.G. RUD NOTE: BUILDiNG DIMENSONS SHONN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCNITECTUAL PLANS FOR BUILDING ANO FOUNOATION DIMENSIONS. NOTE: NO $PECIFIC SOILS INVESTIGATION HAS BEEN COMPIETED OM TMIS LOT BY THE SURVEYOR. 7HE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT 1HE RESPONSIBILITY OF THE SURVEYOR. 79.6 S89'41'S2"W PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 47H./ TOP OF BLOCK ELEVATION: 98219 GARAGE SLAB ELEVATION: 9GQ•4p? NOTE: THIS CERTIFICATE ODES NOT PURPORT TO SHOW EASEMENTS OTHER iHAN X 000.00 DENOTES EXIS7ING ELEVATION TFIOSE SHOWN ON 7HE RECORDED PIAT. ( 000.00 ) DEN07E5 PROPOSED ELEVATON _-- DENOTES ORAINAGE AND UTILITY EASEMENT NOIE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. . DENOTES DRAINAGE ROW DIRECTION NOTE: BEARINGS $HOWN ARE BASEO ON AN ASSUTAED DANM -a DENO7ES MONUMENT -El OEN07E5 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 19., BLOCK 3, PINETREE FOREST DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT SH WN, AS ?llRVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS 72TH DAY OF MAY, 1999. SI NED: IONEER ENGINE ING, .A. SCALE : 1 INCH = 30 FEET o, f • LOT SURVEY CHECKLIST FOR RESIDENTIAL . BUILDING PE IT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: 5 LATEST REVISION: DOCUMENTSTANDARDS -/? ? • Registered Land Surveyor signature and company y?? o • BuildingPermitApplicant ? o ? : Legal descriplion V ? Address C3 ? • NoRh artow and scale cj/? ? • House type (rembler, walkout, ap6[ w/o, spit eMry, lookou? eLcJ ?? ? • Directional drainage arrows with alopelgradieM % ?? ? Proposed/exdsting sewer and water services 8 invert elevation c? a ? ? Street name m/? ? ? • Driveway ? ? • Lot Square Fooiege ;/? o • Lot Caverege ELEVATIONS / Exiatina ? ? • Sewer aervice (or Proposed) m' o ? • Property comefs ?? ? • Top of curb at the driveway ??? • ElevaOOrre of any ebsdng adjaceM homes 0 Ol a Adequate footing depth of atructures due to adjaceM utilly trenches PrODOSOd / YS S04 ? • Garege floor B( ? ? • Frst floor ? ? • Lowest exposed eleveton (walkouWuindow) ? ? ? • Property comers h? ?? • FroM and rear of hame at the Toundation -ia-99 PONDING AREA (if aodicablel ? [v / o • EasemeM iine a ra/ ? • NWL ? m/? • HWL ? V o • Pond # designation cM/ o ? Emergency OveAlow Elevation DIMENSIONS m/ o? • Lot IineslBearings 8 dimensions cy, ? o • Rightot-way and strcet vridth (W badc af curb) 9/ c? • Proposed home dimensions induding any proposed decks, overhangs greatar than 2', porches, etc. (i.e. aU structures requiring pertnanerrt footings) a/ ? o • Show all easements oi record and any Cily umitles wilhin those easemenffi d? ? • Setbacks of proposed structure and sideyard setback of adjacent eaasting strudures ED/ o o • Retaining wall requiremenffi, if any Reviewed: March ,? ??FM ,? . (n--J?tCE Co?r-f (SEE ATTACHMENTS) Development ???? 1 ree- Lot Number 101\ Block Number 77 Address Builder see Protectlon Reauirements: Tree Fencing Oak Tree Pruning (Seal wounds during Aprii 15 to July 1) Therapeutic Prunfng Retaining Wali Othee Reolacement Trees: IS Not Required As Follows: Attaehments: Yes No Additional Notes: C` ?i?c.?S ?LCQ pnotc-ici, l?c1cq, , I ??? ??? °? ?Iy,J?{? ? -l l?o -T4KC (0^c- 5 6?'g 2 G? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $Z o _oo. ?,ra,& A y?163 ? Z03 `e-sf ?nU40__2t NewCoreWCtlonReauirements RemodeVReoairReouirements OfficeUseOnlv 3 regislered site surveys showing sq, ft ef lot, sq. fl, of house; and all raofed areas 2 copies of plan Cert of Survey Recd (20% maximum bt coverage allowed) F 1 set of Enargy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan shaving beam 8 window sizes; poured fouM design, etc. 1 site survey for additions & decks Tree Pres Nat Reqd 1 set of Eneqy Calculatlons ' AddBion - irMicate Honsfte sepb'c system _ On-site Septic System 3 copies of Tree P2servation Plan'rf bl platted after 711193 Rim Joist Detail Options selection sheet (bldgs wifh 3 or less units Date I/ / g / Jy Construction Cost , 9 SiteAddress - ? ? UniUSte # Descriptlon of Work " Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2 Property Owner 2a Telephone # (60 Contractor 17 Address City State Zip Telephone # (9?a) -?,74 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (J submission type) Licensed Plumber Mechanical Contractor Sewer/Water Contractor - Minnesota Rules 7670 Cateeorv 1 • ResidenUai Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet Submitted \\\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 pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in cordance with the approved plan in the case of work which requires a review and approv 1 ofplans. ? L. (1S?r? ??Z?r? ?i? Printed Name '_ - ' I ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenJgazeba) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 'R 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair X- 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy 3 " Ot MC/ES System Census Code N 3??_ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units _ Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const if ,fy Width REQUIREDINSPECTIONS ' _ Footings (new bldg) FinaUC.O. _ Footings (deck) )K FinallNo C.O. _ Footings (addition) Plumbing _ Foundarion ?. HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final Y Franung _ Siding Stucco _ Stone Fireplace _ R.I. Air Test Windows (new/replacement) Final _ ? Insulation _ _ Retaining Wall Approved By 7 Z' , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? ? ? ?_ PLiJMBING (RESIDENTIAL) ? Permit Application City Of Eagan - 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pernrits are required for each unit s C) 1 v? Date / / Q \ ? L r-, U Sit Add it # e ress n Property Owner Telephone # ( ) Contractor Address 1p6?67 5G5QA`r s? P?o City ILQMSP`? State ? Sv Zip 'S5333 Telephone# (26S} 7S3 'U,21 The Applicant is Owner _ Contracmr _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additional consultant fees may apply. Al[er?tions To Eaisting Dwellin 't Including Addi f t t I l l ddifi l t ft d t h t di $ 50.00 ng ix ures er o eve s room a ons, exc er so ener an wa er ea er u ng wa _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: 7 _ RPZ _ new installation _ repair rebuild $ J , 30.00 _ Lawn irrigation system ` _- - - _ ? _ Water softener _ Water heater $ 15.00 _ replacement _ additional State Surcharge $ .50 T l ? $ S? ota I hereby apply for a Residenrial Pluxnbing Permit and acknowledge that the infoimation is complete and accurate; tUat the work will be in confomiance with [he ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requ'ves a review and approval of plans. -f rdei 13 (')'SL ;y) I-t? &6& ApplicanYs Printed Name Applicant's ?-i0 1 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Kaob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 00 t00537-- Pd. J.wo. New ConsWCtion Reaui2ments RemodeVReoair Reaui2menis Otfice Use Onlv 3 registered site surveys showing sq. fl. of lal, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20°b maximum lot coverage allowed) 7 sel of Energy Calculations for heated additions Tree Pres Plan Recd Y _ N, 2 copies of plan showing beam 6 window s¢es; poured found design, etc. 7 site survey for addRions & dacks Tree Pres Required _ Y _ N 1 set of Eneigy Calculations Addifion - indkate ifai-sde septic system Oncite Septic Syslem _Y _ N 3 copies of T2e Preservation Plan H lot platted aXer 7/1193 Rim Joist Detall Optlons selection sheet (6uBdings with 3 orless units) / ConstructionCost DateI k / 4 / 0 ? g ?,-AD ) Site Address LkCwiI' PpiE L^'? UniUSte # Description of Work 6y- A 5 I( 0r...?&+-6Z 46///?f ltif(N(Y Multi-Family Bldg _ Y? N Fireplace(s) _ 0?1 ? _ 2 `?j2f)'JM'5' ''24_?? T l ?I Z? -0' 7 h # 6SI PropertyOwner e ep ) one ( Fireside Hearth&Home Contractor 14399 Huntington Avenue 7 S naaress Savage, MN 55378 city 952.736.7761 State Telephone # - License #20512060 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) 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 lan i e case o ork which requires a review and approval of plans. jv`4?. ?bao 1wj Applicant's Printed Name Applicant Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (EnBre Bldg) - Give PCA handout to applleant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (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 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. _ Plumbing HVAC O[her _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123768 Date Issued:06/16/2014 Permit Category:ePermit Site Address: 4960 Pine Lane Lot:19 Block: 3 Addition: Pinetree Forest PID:10-57650-03-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Kathy Will 2609 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Christophe R Cairo 4960 Pine Lane Eagan MN 55123 Airic's Heating Llc 2609 Highway 13 W Burnsville MN 55337 (952) 345-0032 Applicant/Permitee: Signature Issued By: Signature • 4. \7' CEIVE D COi For Office Us� m i : 4 4 JUL 18 Z018 Permit#: /� 0 gV q .'" ''. 0,'' ,,,,A' E AGA N Permit Fee: l"/ -7. 0 Date Received: —1"1'-1'(8' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinciinspectionsa.citvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION (--1 Date: Site Address: V l CA L O \' \✓"<._ 1 01'. ‹._ Unit#: I Name: Vr tn� l S U2. .Yln l.�"``ce) Phone: DS —' �3^ 751 I Resident/ Owner Address/City/Zip: 1-19-(P 0 f n e I aY Applicant is: Owner \Contractor Type of Work Description of work: &- , 041 silt-is1-09, 1 (C-Yv..� Construction Cost: ©C)0 Multi-Family Building: (Yes_/No ) Company: (35t� a Contact: 14 )2277 ie - �rv-�. S City: bV vl1� Contractor Address:�x �, ` /� 1 State:!��Vv Zip: Phone:OS2 ?3�53dnail: ' ' `C't t./accx i Lop-) 1 License •#: bLrS 70 a' J Lead Certificate#: If the project is exempt from lead certification, please explain why: i , i gi\H j i 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? I Yes No If yes, date and address of master plan: Licensed Plumber: Phone: 1 s Mechanical Contractor: Phone: 1 Sewer&Water Contractor: Phone: i l 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-•ublic if •u •rovide s•ecific<reasons that would•erare trade mit the Cit to conclude that the de secrets. You may subscribe to receive an electronic.,. .., ,. .,.. ...� �.._ .. . ._ ,.. :..._ notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.aopherstateonecall.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 lans. x N ooAl Kf , x Applicant's Printed Name Applicant's Signature 7v Ole ( f ' / O o DO NOT WRITE BELOW THIS LINE 46? SUB TYPES Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi ,Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation LReplace — Repair Egress Window — Water Damage Retaining Wall Demolition of entire building—give PCA handout to applicant DESCRIPTION t ,- Valuation 7/5-49P--- Occupancy Ll-r2 6 - 1 MCES System Plan Review Code Edition j/J!n2OK- SAC Units (25%_100%Z(:)) Zoning 12-( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required VO Type of Construction Z3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) > Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 4 14/1 `/1 /fif ey-- , Building Inspector RESIDENTIAL FEES 3 e)a 59- /t Base Fee l/-e Cie- 4- 5 r_N; /Z Surcharge 44 i " Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA151187 Date Issued:08/13/2018 Permit Category:ePermit Site Address: 4960 Pine Lane Lot:19 Block: 3 Addition: Pinetree Forest PID:10-57650-03-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 - Christophe R Cairo 4960 Pine Lane Eagan MN 55123 (651) 230-2462 Shelter Construction Llc 7040 Lakeland Ave N Brooklyn Park MN 55428 (612) 849-8082 Applicant/Permitee: Signature Issued By: Signature