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3656 Pinecrest CtSEWERA 4YiTER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMfTDATE 03/26/4C WATER PERMIT # SEWER PERMIT # 11286 METER # 4,63 7S 77S B.P. RECEIPT # C 6912 READER # 0 / 3`?S 2- B.P. RECEIPT DATE 03 23!90 METER SIZE fjo?K- n ecv ISSUE OATE &-//`V'a _ PRV - BOOSTER PUMP SITE ADDRESS LOT ' ` BLOCK SEC/SUB N rc ? ?p APPUCANT: ADDRESS: 960 U22tEr cf 1)r. (.U• CITY, STATE ??'Szr• GZ/.c ZIp >: %? Z PHONE: PLUMBER: ` ` % 4 u S r?? !P r ADDRESS: /016 CIIY, STATE ,"•, : ?? ZIP PHONE: OWNER PERMIT REQUESTED SEWER - WATER _ TAPS - COMM/INO X RESIDENTIAL v NEW _ EXISTING I AGREE TO CUMPLY WITH CITY OF EAGAN fJRDINANC6'S: ,-' i ?? / ? `?Ci"c?. , ADDRESS: SIGQTURE WHEN METER ISSUED CITY. STATE ZIP PHONE: 7 ? ' • • . . •-F. ' . . . PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ? SEWER & ?AIFATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # METER # B_P. RECEIPT # C 6912 READER # B.P. RECEIPT DATE Lj! i'' METER SIZE ISSUE DATE - PRV - BOOSTER PUMP (? f SITE ADDRESS - LOT BLOCK SEC/SUB APPUCANT: ADDRESS: CITY, STATE ' ZIP PHONE: " PERMIT REOUESTED - SEWER - WATER _ TAPS - COMMlIND Y RESIDENTIAL NEW EXISTING PLUMBER: ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: _ ADDRESS:_ CITY, STATE PHONE: ZIP SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. e, ?14"- DATE: 03/26/90" RE: 3656 PINECREST CT x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the folfowing reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMU DEVELOPMENT QEPARTMENT FOR WATER TURN ON POLICY. Inspections Dept. p. : ".. DATE: RE: 3656 PINECREST CT 03/26/90 x YQUr Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons; Your Sewer & Water Permit far the above property has been completed, but the meter cannot be issued or occupancy allowed untfl further notice. CQMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON PQLICY. Secretar}F,,I?uilding Inspections Dept. ,. • .. .i . ...e ? r . . . ? ? .?sis?•i Q CASH RECEIPT ` CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 ? REcerveo ? J f vnw `? , ? • AMOUNT $ & DOLLARS wo ? CASH XCHECK MR 17 ,,?, ;, S F FUND OBJECT AMOUNT Thank You Bv C 6 912 V"---Pay- Copy Yelbw--POS? Capy Pink-File Copy I _W _ , ...-?.,,,o:;^n?s.z?r?fn:K.?`F.• ?.?a"?r-?^. ` REs'`TIVAJLD FM' LBCZC 05/09/91 R0?M Ix?7C'.?t 683-0911 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GU Est. value $103,000 Receipt # 17626 Site Address Lot 13 Block Parcel No. Sec!Sub. ¢ Name uI LLIAt1 HU'[YNER CQlOST o Address 9? WATERFORD DR W City EAGALN Phone 452-3088 Name SAM Address _ Phone City I hereby acknowlege 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. ? •. Signature of Permitee - A euilding Permit is issued to: Vn1'1'IAM NU'I"I'NER COlIS'I on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 144 FEFS Zoning R-1 VN 650.00 (ACtual) Const Bldg. Permil (Ailowable) Surcharge 51.50 # of Stories Pl R i 423'00 Length an ev ew Deplh f - SAC, Ci1y 100'00 S.P. Totai - gAC, MCWCC G?.oo S.F.Footprints - 625.00 On Site Sewage _ Water Conn On Site Well Water Meter 90•00 ? MwCC System ? ?t. Deposit 30. ?0 Ci1y Waler 3o•oo PRV Required - S/W Permit Booster Pump - SrW Surcharge • 50 252.00 Treatment PI APPROVALS Road Unit 3 55. 00 Planner ncil C - park Ded. ou BIdg.OH. ? _ Copies 3????•? Variance - TOTAL Permit No. Permit Holder Date Telephone k WATER t3 (0 Q SEWER PIUMBING //4419 ? ? gC7 H.V.A.C. aD?J ? O ELECTFIC Inspection Date Insp. Comments Footings I Foundation Framing Ya Rooting Rough Plb9. 6) ? L Rou9n Hc9. Isul. ?iZ?/QG? CLC Freplace Final Hig. Fnal Plbg. , -?d ? Const. Meler Plbg. Inspector - Notify Plumber Engr,lPlan Bldg. Final l? QG w Deck Ft9. g? (,J Deck Final ? Well Pr. Disp. N a?-a •r"4 : "? . • 1' ??erttftratP of (Orrupaury titp of Olagan , lopparwPltt Df I1dldlt* 3wPIfTDtt This Certifrcate issued pursuaru lo the requirements of Section 306 oj lhe Uniform Building Code cenifying tliat at the time ojissuance this structure was in compliance with the vanous ordinances of rhe City regulating building conrtruction or ure. Far the following.• SF DWG/GA& BWg. ft„„;, No. 17626 0-up,-y rya R-3 M-1 ZDai% DWrict R-1 Type COWL V-N Owna of BuMng WM HUTTNER CONST Am, 960 WATERFORD DR iJ BWkgnBAdd= 3656 PINECREST CT L.Lty LL3, Bl, PIIERFST CF FACa4N r - ; ' Daw. JUNE 14, 1990 BuiWing OHiaal POST IN ACONSPICUOUS PLACE • ? ? w.? -. -,.' ' -? - . - _ --- . r..?ri? ??? r=.5u?. ??.a?r•?+Fi ?i ? n. .. . .?.. .- . ..:? ? • • ? ? ? ' • CITY OF EA6AN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT; PRICE PHONE 454-8100 DATE: _' S ite Res. ^ Mult. Comm. Other WORK DESCRIPTION New X Add-on Repair ? Name /l Ic?tr/I'[,U 4U ral )1 Cls ? = Addres,s City/'as? Phone Name n" Address qk'%J b? City t-uiU", Phone FEES - 1% OF CONTRACT FEE MINIMUMvRESIDENTIALFEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) FOR: CITY OF RES. PLBG. ONLY - COMPLETE THE FOLLOWING: . FIXTURES NQ TOTAL ? T Water Closet - $3.00 ? $ `? • J' Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 - ? KitcFien Sink - $3•00 . ?.?? UrinaVBidet - $3.00 ? Laundry Tray - $3.00 - Floor Drains - $1.50 ?? / Water Heater - $1.50 /• ? - Whirlpool - $3A0 - ! Gas Piping Outlets - $1.50 ?• ?J (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 PrivaDe Disp. -$10.00 ?- Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 PERMIT FEE: STATES SJC: ? GRAND TOTAL: 33, Jn ? .. , . + PERMIT# , MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAH 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: p PHONE: 454-8100 , Site Address -21=?e ' BLDG TYPE WORK DESCRIPTION Lot? Block ? Sec/Sub . Res. NBw " ,- MuPt Add-on Name ' ? - Comm. Re air P ?c Address ' Other c City fJ „7A ? rL-7 's Phone • - -.: z 40 FEES Name T r J ST RES HVAC 0-100 M BTU -$24 00 c Address ` . ADDITIONAL 50 M BTU . - 6.00 p City Phone - - (RES. HVAC INCLUDES A/C ON NEW CQNSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ? M BTU OtJ APT. BLDGS. - COMM. RATE APPLIES T TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M B U MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # ?- ? BEYOND $1,000) Other FEE ? ~ . ,1l( ,(? ' J ? S/C: TOTAL• Z4,,, SIGNATURE OF PERMITTEE I ? FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , „j F i t,i ? ?•i ? i ?„ W. INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i„?. ? ? r; :?i?,1 I F L ? PERMIT SUBTYPE: TYPE OF WORK: r11 Ll ,ll ,1; 11 ; l",l t Mn'.iINAkY ) Permit No. Permit Holder Oeta Telophone M S!W PLUMBING HVAC ELECTRIC ELECTRIC Inspection DaEe Insp. Commsnts Footings I Foundation Framing Roofing Fough Plbg. Rough Htg. Isul. Flreplece ? Fnal Htg. Orset Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Finai weu Pr. Disp. ? 04- -4 7 7 ,e/ (,V`?50 Reques[ gote Pire No. Rougbin In ' q ' ? ? Reatly Naw ill Notiy Inspeclw Ves ? No When Ready? ?ensed contractor ? owner hereby request inspection of above elechical work at: Jo0 Atltlress (Slreat, Box ar Route No.) - Ciry 3 (? il" 'ti C_jr. ?- ? ?-?- Seclion No. Township Name or No. Range No. Cou? OccvParl (PRI Phane No. Power Suppller Atldress . / 77- C ?- EIecM ' hador ( mparry Name) ' Con nse No. MaliiqA ess(COnitacWr ot r Making InsielWiion) ??? / Nhonzatl nal re (COntractor/Omner Making Installetion) Phorre Number/ e MINNE'SCITh STATE BOAPD OF LECTRIGT' THIS INSPECTION REQUEST WILL NOT Griggs-Midway BWg. - Noom S173 8E ACCEPTED BV THE ST.4TE BDARD 1821 Unlversity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phaua (812) 5112A800 ENCLOSED. S/&'140 P. 04477 REQUEST FOR ELECTRICAL INSPECTION ? See Instruclions for completirg Mk torm an 7ack oi yHlow copy. `X" Below Work Covered by This Request Es-aoooio7 9 9i5?- e A ? TypeofBUilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Olher (Specify) Comm./Industrial Furnace Ferm Air Conditioner Other (speaty) ConVadwS Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEnirenceSize Fee # Circuits/Feedars Fea Swimming Pool 0 to f00 Amps /? f(/ 0 to 100 Amps Transformers Above 200 _ Amps Above _ Amps Signs Inspecmns use Ony: 70TAL -.6b Irn9ation Booms Special Inspection AIarMCommunication Olher Fee I, the Electrical Inspector, hereby if h t h b i pO1gn-i" • ' D8? ?/,'j yt cert a t ea ove nspectionhas been made. F;nai OFFICE USE ONLY ? This request wid 18 moMbe lrom CITY OF EAGAN NO 17626 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-810D (a ?/?}r '1 BUILDING PERMIT Receipt # L% 7o be used for SF DWG/GAR Est. value $103, 000 Site Address 3656 PINECREST CT Lot 13 Block 1 SeciSub. PINECREST OF Parcel No. EAGAN w Name WILLIAM HUTTNER CONST 3 Address 960 WATERFDRD DR W ° City EAGAN Phone 452-3088 o N3mB SA? ?¢ Address ? City Phone Name F Address Z City Phone I hereby acknowlege that I have read this application and state tha[ Ihe information is corred and agree lo comply with all a icable State of MinnesoW Statutes and City of Epoan Ordinan Ks. Signature of Permitee _ A euilding Permit is issued to: WILLIAM HUTTNER CONST on Ihe express condition thal all work shall be tlone in accordance with all applicabla State of Minnesota StaWtes and City ol Eagan Ordinances. Building Otticial li•-.G.?' OFFICE USE ONLY Occupancy R-3 _11 FE FS Zoning R--1 (ACtual) Const V=N Bldg. Permit 650.00 (Allowa6le) V-N Surcharge 51.50 # o( Stories 53' PlanReview 423.00 Lenglh Depth 48' SAC, Cily 100.00 S.F. Total - SAQ MCWCC 600. 00 S.F. Footprinis - 625 00 On Site Sewage _ waler Conn . On Sita Well - Water Meter 90. 00 MWCCSyslem -XX xx Acct. Deposit 3()- ?0 Ciry Water PRVRequirea _ S/WPermil 30_n0 Boosler Pump - S/W SurCharge - 50 TrealmentPl 2$2.0o AP7ROVALS Road Unit 355.00 Planner - park Ded. Cauncil Bldg. Oit _ Copies Variance - TOTAL 3,207.00 ?071/. 2007 I2ESIDENTIAL BUILDING rERMiz arrLicnTiox City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 registered sita surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (200/a marimwn lat coverage allowed) t Sals Repat if proposed building is ta he placed on disWr6ed soil 2 copies of plan shawing 6eam 8 vnndmv sizes; poured found design, etc. t set of Energy Calculations 3 copies of Tree Preservafion Plan it IM platted after 711193 Rim Joist Detail Options selectlon sheet (buildings with 3 or less umis) Minnegasco mechanical ventilation fartn RemadeVReoair Reauirements 2 copies of plan showing faotings, beams, joisfs 1 set af Energy Calcula6ons for heated addNans 1 site survey for addiUOns 8 decks AtldiM1On • indicete if arrsNe sepfic system Telephone #( oi..,c nrc rnneirlnrnrl nnhlir i.,fnrry,atin., unipsc vou state thev are trade secret and the reason. Date /D 0-7 Construction Cost _ Site Address 3 (n S? 6 p? /1-?-C-?? S ?' 1 ? ` I . Unit/Ste # Z Description of Work ? Multi-Family Bldg _ ? Y V N Fireplace(s) _ 0 _ 1 _ 2 Property Owner So--- Telephone #( ) Contractor Y( Address Z Al -?'?r'r•? ? 51-4 D?c l 'S Z" I City State Zip S_3 (7 Telephone #(7t 3) L(?d I' 7 ? b I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the lasi 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 Building Permit and Telephone #( Telephone #( ? C OfliceUsebnN Cer( of Survep RecO . _Y _ N Soils RepaA _ Y.: _ N Tree Pres PlanRecd _ Y ? _ N_ TreePresRequired,-. Y _N On-Site SepGi 5ysfem - _X-; _ N that the information is complete and accural e; that the work will be in conformance with the ordinances and codes oY the City oY Eagan ana tne mate oi miN 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 a p ' the case of w rk hich equires a review and approval of plans. _ 2`t ApplicanYs Printed Name A licanYs Signature DO NOT WRTTE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04plex Work TVpes ? 31 New .? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 08 06•plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex .D25CrIpYlOf1: Water Damage Valuation Plan Review 100% or Census Code SAC Units # of Units # of Bidgs Type of Const ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 PorchlAddn. (4-sea.) ? 33 Ext Alt - SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ' ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslOoors "Demolition (Entire Bldg) - Give PCA handout to applicant Yes 25% Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 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 REQUIREDINSPECTIONS _ Sheetmck Final/C.O. Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _Siding _ Stucco Lath _ Stone Lath _Brick Windows . . Retaining Wall Building Inspector 69 Z2`l 2005 RESIDENTIAL BUIL,DING PERMPf APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 0-V 0 4tj New Construction Reauirements Remodel/Fteoair Reauirements Oftice Use Onlv 3 registered site surveys showirg sq. ft. of lot, sq, tt. of house; and all roofed a2as ? 2 copies of plan . Cert of Survey Recd Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_N 2 wpies oT plan showing beam & window sizes; poured found design, etc. ?/9 sfte survey for additions & decks Trea Pres Required ": . Y-_ N 1 set of Energy Calwlations Add'Non -indicate HonsBe septtc sysfem Onsile Septic Syslem _ Y_ N 3 copies of Tree Presenation Plan It lot platted aRer 711793 Rim Joist DefaD Optbns selectipn sheet (buildings wifh 3 or less unib) s Constnction Cost ,390p ? Site Address 3656 ?1N66?i591_ CG u 2f n?ilSte #, (?T^??/ ? II^ ? ' In ? 1l ? ? - (J I? Il ?'. ?_- \? Descriptioo of Work L?C(G - i ii, ? Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 Property Owner StAr'mr Si?MU?"tSG? Telephooe#(65/ ) ? `fS Contractor [??'NCC?TLC.?`- 1)e5i?ti Address 8`7`f'e- No sr/- ?ueST' City eg ?l xe -ilRi i State /II N < Zip Telephone #(g5'2) Y31-3-323 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submissiontype) Submitted SubmiBed • Energy Envelope Calculations Submiqed Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor SewerJWater 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 oniy 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. n G N •'"?j Applicant's Piinted Name Applicant's Signature OFFICE U5E ONLY Sub Types _ ., ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplece ? 27 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 07of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex p( 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damege O 06 04-plex ? 12 12-plex PI6g_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding IN 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demoiition (Entlre Bldg) - Give PCA handout to applicant Valuation aot? OccupanCy R -3 MCES System - Census Code IY3 1! Zoning City Water - SAC Units ? Stories Booster Pump ' # of Units ? Sq. Ft. PRV - # of Bldgs Length Fire Sprinklered ? Type of Const ? Width ! 8 REQUIRED INSPECTIONS Footings (new bidg) FinaVC.O. ? Footings (deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water _ Einal _ Pool _ Ftgs _ Air/Gas Tesu Final _ ? Framing _ Siding _ Swcco _ Stone _ Brick _ Fireplace _ R.I. _ A'v Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: _Y ? Building Inspector ----------- ? ------- --------------------- --------------------------------------_-_ ____--------------• Base Fee U Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total O ? 5('? 5(,4 TRl-LAND C0. SURVEYING SERVICES CERTIFICATE OF SUR U W-C > . Y FOR: HUTTNER CONSTHIJUCTION 1875 PLAZA DRIVE EAGAN, MINNESOTA 5512 LEGAL DESCRIPTION: LOTJi,eLocKI, • ACCORDING TO THE RECORDE PLAT THEREOF DAKOTA COU Y,MINNESOTA scaLE: r",30* LOT 12 ;Iq"S89049'37"E d - OS tL) oA CO I to Lo-r 13 ?N a? ? N 145.00 ,)i1ao I ? ?nxN 40 .? PROPoSED 5' F{ouSE r- , .3 i t?aR. Zxll 1•'- ? DRAINAGE 9 UTIL EASEMENT I 46. 34 - -? - 31 ? ? • S89949'37"E -„ A I45,00 ? LOT 14 IEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTE5 EXISTING SPOT ELE VATI ON DENOTES PROPOSED SPOT ELEVATION ? OENOTES DRAINAGE DIRECTION I hereby certify that thfs survey,plan or rsport was prapared by me or under my diroct suparvision and fhat I am a duly Reqistered Land Surveyor under ths Laws of the State of Minnesofc. PROPOSED`'/C BASFM INVERT ELEVATION AT f PROPOSED GARAGE FL PROPOSED FIRST FL( PROPOSED BASEMENT ELEVATION NOTE'• VERIFY ALL FINAL HOUSE `Brodley J. Sv? DatE ' A ea°? C) 0 ? w U 30 -N WALKOUT 'IC EkTENSION= i EVATION= ?k 'EVATION p =&Z9.s MEfGHTS WI7H ? ('.i_.?, ..__-._. Rsq. No. 15235 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 51TE ADDRESS: Lor : 13 B l 0 C K: 3656 PINECREST CT PINECREST pF EAGAN ? 1 APPLICANT: DUNCAN (612) 683-0911 RO6ERT BUILDING 025018 01/06/95 7 L J PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW pESCRIPTION (MASONARY) _ 6i ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERM?? PERMIT TYPE: Permit Number. Date Issued: SITE ADDRESS: \ 36§-&tVZ PINECREST CT ?• LO`Tt:? 3 BLOCK: 1 PINECREST OF EflGAN P.I.N.: 10-57600-130-91 DESCRIPTION: (MASONARY) Bqilding'Permit Type FIREPLACE ? suilding Wo.rk Type NEW ' ; - ..;..?./r ,..-?..?" 1 -- cuL6 3 q z BUILDSNG 025018 01/06/95 t ?71 ??Cq -1 : ce-] II REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - DUNCAN ROBER7 3656 PINECREST CT EAGAN MN 55123 (612)683-0911 I hereby acknowledge that I have read this application and state that the informati.on is correct and agree to comply with ell applicable State of Mn. Statutes and City of Eagan Ordinances. ? I ,J1@L??,1? R?.??,I frnt^ APPLICANT/PN?EE SIGNATURE IFSS?' UED 8 SI ?,,TURETT • ' oil CITY OF EAGAN 1995 BUILDING PERMlT APPLICATION (RES{DENTfAL) 681-4675 New Construetion Reouirements ? 3 rcgislered sHe surveys ? 2 copies of plan ? 2 copies of plans (include beam 6 window s¢es; Poured fid. design; etc.) ? 2 sde surveys (exterior adddions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated adtlkions ? 1 tree preservation plan if lot platted atler 711193 required: _ Yes _ No DATE: , ?-'n 4P I9gy CONSTRUCTION COST: b D D, O o DESCRIPTION OF WORK: STREET ADDRESS: LOT -L5_ BLOCK RemodeVReoair Requfrements re o i a ce - SUBD. 7'.1MfY9.1??Y?lUJ P.I.D. # U ? PROPERTY Name: ?unG40 Rn?o?r+`?-J-re?ne phone#: r owNeR ?. /? Street Address ?? S? P+ne eres-F l..Gkri City: Eli 5i a n State: -n #0 Zip: 5 s CONTRACTOR Company: Phone #: Street Address: ARCHITECT! Company: ENGINEER Name: License #: Phone Registration Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies if address change or lot change are requested once permit is issued. 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. Signature of Applicant: ?-c-??- OFFICE USE ONLY Certificates of Survey Received - Yes _ No Tree Preservation Plan Received Yes No CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 BUILDING PERMI7 TYPE OFFICE USE ONLY ?. ? R?.? ?#• :? ? ,Y?• .•??. 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 5wim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility o 04 SF PorcFi o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) 0 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Buiiding Engineering Variance Permit Fee Suroharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ? ? i? 1991 ILDING VIT APPL ATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS COMMLRCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. AIAY O 8 RECD ab To Be Used For: Oe,L ?? Valuation: ?-B?'? Date: ,S 9 - g/ Site Address aL s(- P.`Ae Cre-s A &?- Loc 12 slock f Parcel/Sub f INEt.tQES' e>R E•abs.P) Owner 92 der-"f A. Du.neail Address 3L,57Z PiReef'eS-l el. City/Zip Code e aq 7 A SS/ -z3 i Phone ` g 3- 6 9[/ Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY Occupancy M-Z Zoning Actual Const Allowable # of stories Length 10 ? Depth /0' S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. =S--f 9/ Variance FEES ? Bldg. Permit N G Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change ? TOTAL ? agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. TRI-LAND C0. SURVEYING SERVICES 1875 PLAZA DRIVE EAGAN, MINNESOTA 5512 CERTIFICATE OF SURVEY FOR: HUTTNER CONSTRUCTION LEGAL DESCRIPTION: LOTJ3,BLOCK.JPINECREST OF EAGAN ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA SCALE; I"=30' i LOT 12 ? ` .11"'IS89°49'37"E s ? 143.00 9 46.34 - -- 6 5F- pA ryl ? ?°D ? 0.10 I i°y tn ? ? ( 3 ?i?o?SED No?S? s I L 0 T 13 N I U,e,R. m N O 9G/7? I 11? O 5 0 xp 0 DRAINAGE 9 UTILITY a ? 0 EASEMENT Z ?O N q?'I S89049'37"E -? ? LOT 14 LEGEND o DENOTES IRON MONUMENT a DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATI ON DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hersby cerfify that tAis survey,plan or raport wos prepared by me or under my direct supervision and that I am a duly Repistsred Land Surveyor unMr fh• Laws of the State of Minne:ofa. __j 10 14?5.00 ? v 30 ? . W ? U Z PROPOSEDSIC BASEMENT-NO WALKOUT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLDOR ELEVATION = PROPOSED FIRST FLOOR EIEVATION = PROPOSED BASEMENT FLOOR = t3 79 S E LE VAT t ON NOTE'• VERIFY ALL FLOOR MEIGHTS WITM FINAL HOUSE PLANS , -,,'? -- `Bradley J. 5en , 9.; ?Mn. Rep. No. 15235 Oate 1 ? (??/? ?J , 30 ? op' ? I ? 0 I 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN . SINGLE FAMILY DWEL_L_INGS MULTIPLE DWELLINGS COMMERCIAL Z SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS , # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WNICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED, PERMIT MOST SHOW A LICENSED PLUMBER. AIAR 2 0 RECD To Be Used For: 7 yt G' .3++fily Valuation: Date: /Q Site Address 3G S (o (/,hG? ef'eSI (_.( Lot 13 Block ? Parcel/Sub Owner Address City/Zip Code Phone Contractor C..oa'-r/ Address f ?0 City/Zip Code ??t•'?1 , ?? ?S?Z Z Phone Arch./Engr. Address City/2ip Code OFFICE USE ONLY ooc? - /a 3 , FEES R-3 M-I Occupancy Zoning R -I Actual Const V- N Bldg. Permit Allowable V - N Surcharge # of stories Plan Review Length 53 SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System ? Treatment P1. City water ? Road Unit PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner _ TOTAL Council Off Bld ? . g. Variance ? ?DJr?. DO 5)•50 y 23,Ov oo, OD 60DIO A ZS,OJ O.Oo 3a46.0 30,po .5? 2520? Oo Phone # • TIO GARAGE 28xZ2= 92W0 'P?SmT X y4 = ?ly y !y nlu = Iti? yk ?= 3t? f9 3ZX114 = ZOOy? ?-- 6S?wT= Iw3Z- r3? ? l4N+9 X 5/ = r734yo ?--- lo Zr? . 41 . ,. t , o•? 65J•OOr 51'S0* 423•00+ Z,0'32•50t 3,2U"7•p0*t 670• 00+ 51 • 50+ 423•00} Z, 08?•501 3,`LO?•60*} I TRI-LAND C0. SURVEYING SERVICES 1875 PLAZA DRIVE EAGAN, MINNESOTA 5512 CERTIFICATE OF SURVEY FOR: HUTTNER CONSTRUCTION LEGAL DESCRIPTION: LOT_!3_,BLOCKl-, PINECREST OF EAGAN ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA scaLE: i°=ao' LOT 12 +19 S89°49'37"E ? F- I LOT 13 ll ? a S89°49'37"E LOT 14 LEGEND ?a ; N 14 ? oe't o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINA6E DIRECTION ?F,.00 -7 - o 1 ?? IDN td 40 I 3 PROPoSED }{oUSE , I o 25.l07• 0 !D 145.00 ? 9) ? ,: - _ . - -- - ?, .. ? ._. . . -. .._ . _ . -?- {.,..` a:.l'tlJi• 'E !?d :. ?a.i... . ? ? ? LLI U L1J Z PROPOSEDS/C BASEMENT-NO WALKOUT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = kw; .'? PROPOSED FIRST FLOOR ELEVATIQN = t3Fi'> -? PROPOSED BASEMENT FLOOR = B 79. S ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS l hereby cerfity that this survey, plon or report wcs preparad by me or unCer my diract supervision and ihaT I cm a duly Raqistered Land Surveyor under the Lows of the State of Minnesota. radley J. S en Mn. Req. No.13233 Dafe 1 iop, A . ? 1. (Fo:m Dcvcloped by tic S[a:c of Nimeso[a iuilci:z:9 Cocc 1)ivlsion) TO EE SU9:SITiED NITSi IIUILAING PiPSffT AF'PLICATIOy EXTE•^.IOR E?1VF.LOPE AV?'RAGE "U" CO:i?UTAiION OS.:i ER: S?TE ADDRESS: CONTRACfOR:??c?]TV='!?^ . DATE: 3 I?/?a F110NE:_ 7z3 Y/,G/ Determine vorking square footage af each 1. Total exposed wall area......... -L2 3 1 e4•ft. x?° ZS?,6•2 2. Total roof/ceiling area......... sq.ft. x t oZ6 ? 7. S1 3.- Total exposed wall area calculationa: Total exposed wall area above floor - z15r/ a. Total wall WindoW area ............................ / 9o ..? b:"' Total door area ................................... c. Total sliding glass door area ....................... - d. Total fireplace wall azea ........................... - e. Total wall framino area (average 107.) ............... L/S- f: Total aet wall area above floor ..................... t7?0 S. Total ri:i joist area ................................ // L Total exposed foundation area h. Total foundation vindov area ........................ '- i. Total aet foundation area above grade ............... Determine "U" value of each wall segment . x fovl$ ? b. s7 X "U" ? c. - x "u" d. X "U" , , . e. Z g .luts • f. ? 7 ?? X flUn . 8• 1(Z $ n(Tn R 14Ull g uun 3. • A I ASS _ -- •___. ? ? os ? o ?F _ y 5?8 TOTAL . • ?/?'I ., If item 03 is the same as, or less than item 01. you havc met the intent of SBC 6006(e)2. • Total ex,osed zoof/cciling calculations: Total e;cposed roof/cal2iag area J. Sotal skylight area ................................... -'. k. Tota1 roof/ceiling framing area (averay,e 107.)......... /`f6- 1. Yotal net insulated roof/ceiling area ................. ) 3 0l Deternine "II" value for each toof/ceiling segaent -? j . L, . x nQu k. / `f5' R „U„ , o ?? . 2 - ? ?. 13ol x,,,,,, z6/1 1 6 Z ' 'TOTAL Z Z 4. If total of L`4 is the saiae as, or- 2ess than 02. you have net the intcnt of SBC 6006(c)1. Atternate Building Envelope Desiga '{t.'....:. . : . . . To utilize the total envelope system method, the values establislied by '- the sum of itens #3 and D4 shall not be greater than the sum of items O1 and C2. 1. + 2. ? 3. + 4. • ?: C E R T I F I C A T I O N I hereby certify that I have calculated the "U" factors and R values herein and that the building hera described meeta o= exceeds the State of • Hinnesota Energy Conservation Act. . • (Signature), . ? -?r=YO . (Date) ' "??:. 1JA1.L Sil"I':C:::$ . ,. . tn c 70. of nl.ayur tii:1 arca for _r.amc cwu:tructiun FRT.F:E Y;r.LL Construction R-Valuc l..?Ll? 1. Xntcrior aiz film 0.6E3 2 .- .. ' _, 3. inches sofr wond 4. 5. 6. Exterior air film = 0.17 Total 1/t ,.. y.. , _.._. l. Intcrior air filn 0.68 2. i;.: _. , . . 3. 4. 6. Esterior air filn 0.7.7 Rbtal ?{,9? J= .'? !\ i . 1. Interior ai.r film 0.68 2. 3. 4. 5. { v - 6. Er.terior air f-ilm 0.17 Total ; ? - 1. Interior aiz film 0.68 2. V, 7i 5. ' ' 6. Exterior air film 0.17 'Potal ., , $1AB O:'J Ca]'v1U:s : = IG. N3 ?JtJ ` • •0 , b t?-? • u . ' ii. • a ? 6 • ?' • ? . 4 ?: ??/ ? w ? • ?6 i „ . ', . /!? ? , , •, >? ir? ? = k •. ? : r _. ??? FIG. 84 fft a o ? / .< • ? x ?t ? ? (?/ NOTE: Tndicate typc, "F." valun, denth Znd , placenent of insulat.ton. . ? -_ ? Conetr.uction R-Valne 1. Interior air film 0.61 2. 4.• 3. !V` 4. T:xtcrior air film (sti21) 0.61 - •tatal Q' , ? t:eated FIG. #5 L'cat flov up v+.. .r.?ev.: -+.e?•+?.1.^,....:i/.o.•?S.^}c??•<ti.rt.i _l.._ _.?__ =?--__`??---_= _--•? f 1?eat floa up „FIG. gG' • ' 1. Intcrior air film 0.61 2. 3. 4. Er.teriur air film still 0.61 7'otal 1. Iricidc air fi].m 0.61 2. . 3. 4. S. Outside air Eilm 0.17 Total Not-c: Us:c addit•ional ::hects if morce space i_ ^- needed for drtails aiid calculations. , Roor/cLiLi;:c ? . vented ti r , • }?CIIC LJ flov up ? FTA, p7 • 6_4511? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?I5.50 Ck. ko, i0-7l8 10 DateI A ! 'Z_? ?f ? Site Street Address n 'JllT J?o 1' 1n eC,/'e2t C7 • Unit # P O hone #(ps() Tele wner roper[y p S Contractor-Op PI ' Telephone# (?I ) 306- 1ggo D? Address .X5id I?-U - Citv F- CQ 4l4,V1 State rn ra Zip "?JS1 ' .? The Applicant is: _ Owner ?Contractor _Other AlteLations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (edd $121.00 i ? f a 5/8" meter is required) Other: Water Softener DEC Water Heater r 2 7 2004 $ 15.00 ? replacement additionai, y? Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00 State Surcharge $ .50 15-50 Ta?? $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be seviewed and approved. il _P .. II 2 ' . n. - Applicanf's Printed Name Applicant's Signature Jl ?o City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 3 1 2014 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: ( 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !'3 ('/'1 Site Address: ?/95t, fl t6+ C 4 f„, c„,„ itI Resident/ Owner Type of Work Contractor Name: Meli` Address / City / Zip: 3 65? ,te-,crtfjA(4 r Fa, 444.1 Applicant is: Owner Contractor Unit #: Jc� �►n.c Se Y\ Phone: 5(` ,i 'SIG( Description of work: T7 %5 ft D vV\ Construction Cost: iCo' t2(2 Multi -Family Building: (Yes / No Company: C G \ ocncA✓sw,(.--iw# ' F o3eAt^ Contact: (. S &yn Address: 't3 1 c l Lc, _ if/ City: y � cc.F►-�-�._. State: W) Zip: S 5 u 3y Phone: License #: 6C 63 7.1-ct - 743-74,1--c,cG Lead Certificate #: if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) m� 5� t 5 v „,C, I' 7 (—A 1 6161 0 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 the 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 days of permit issuance. x Applicant's Printed Name x App icant's Signat e Building Code ,, be completed within 180 Page 1 of 3 (� C� , kmac. /-.e5Y'c-Y DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3 -Season) Single Family Garage Porch (4 -Season) 1�3 Exterior Alteration (Single Family) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Plex te Lower Level Pool Accessory Building WORK TYPES New Interior ImprovementSiding Demolish Building* _ Addition Move Building Reroof Demolish Interior 4 Alteration Fire Repair_ Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ,G, Valuation 010a9 Occupancy $o 1 MCES System Plan ReviewCode Edition lag? SAC Units (25% 100% t/) Zoning g—/ City Water Census Code 171 3y Stories Booster Pump # of Units / Square Feet PRV # of Buildings i Length Fire Sprinklers Type of Construction yla Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 1_ Final / No C.O. Required rY Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath Brick Insulation Windows Sheathing Retaining Wall: Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEE'S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73%,- if7It 6/4'Q1/4 /,2a Page 2 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use %,, Permit #: 1 r [ Permit Fee: Date Received: Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION L) "' Date: - "'(14 Site Address: ✓ (o-P/1665T Tenant: /) A erI F J SSM \-50/3 Resident/Owner Contractor Type of Work Permit Type Name: m4/51 64M U SL. S Suite #: Phone: Cog ; (4-1y 57 1 Address / City / Zip: 3(0 5 o /' /J 601-657 CT' F,A L A A) Name: C.AP(r4L f LUMts1/vG-/ LLC License #: lJ ' (5 O Pm Address: ( 1 JoA)ArNrtJ h& City: 4PA-6 (IACL_E,y State: ✓ 1iJ Zip: 55 I 4 Phone: q5a- &Og _ Contact: )f0,44-1 S. J0�1 0.) Email: ,A -T- X85 kohxv4.- C6� kNew Replacement Repair. _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: 0\151:44-1-/ (A V ' S7ool- / SAIo'/6& RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 1 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 approvgI of pla.. x °Ail _ J o 1..w S 010 Applicants Printed Name x Appli nature FOR OFFICE USE Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: Date: Reviewed By: PERMIT City of Eagan Permit Type:Building Permit Number:EA123283 Date Issued:06/03/2014 Permit Category:ePermit Site Address: 3656 Pinecrest Ct Lot:13 Block: 1 Addition: Pinecrest Of Eagan PID:10-57600-01-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Jaime A Samuelson 3656 Pinecrest Ct Eagan MN 55123 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature � ,�� ,,�, „� ,��,`��,��„� <� �ti Use BLUE or BLACK Ink �y,J�-� � r----------------j L • ' ` � For Office Use � c�-�-�-, �,�y '�.,4.,,.�.... � � . � � ,�l� C16� Ol ��11 .�.� I Permit#: ��j�S � ( ��y � � � Permit Fee: � 3830 Pilot Knob Road � I I Eagan MN 55122 RECEIV�'�7 � Date Received: "/ � � Phone: (651)675-5675 I �- I Fax: (651)675-5694 �OV 1 O �0,�� i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �,� .�.w,.��»��.�. ��.....�.,�..�„ �...�,�..�.� .�� ,/�n �. Name: � r��.e� ��tJ-e� �..�x�-� Phone: �� f z. � �f S l`i� Y � R�.'S IC��11't/ s - ' UWt��I' Address/City/Zip: �� 5� � ��"'� �I �--i �f1 t�Rc,J , Applicant is: Owner 1�Contractor �' ' Description of work: N��3 1��-- TYp� of Wc>t�#c Construction Cost: �C? 1 C�t.,l� Multi-Family Building: (Yes /N�_� ' Company: ,. �,�t� \� ��J� _� Contact: '� � � / �u1(�� i�v�- P�V t'��' � l�' e--�R�C.� CQt�'�1'��t41' � Address:�� City: � � State:� Zip:� Phone: �f7_ Z37 9`�S,)Email: �VIn- �� 1��,,.,,,...-... Pc-�� License#: 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: : °Nt?T�;F�ar�s a�ad s�pparting doc�en�that�tr s��ar�cc�n��red�o�e��t�c i��r�at�or�: �rt�ar��af' tf�e Jn�'arrnation may be c�asse�etl a��on:pcab��i�',,�bc�prc�r��ec�,�ic reasat��irat w�tt�d perr�rt t�e C�y�r� c�t�ctt��e th�#t�ae �r�t��e s�cr�±��., 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.org 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 rmit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issua� ,�-' f �....._ �� X ' X Applic,�frit's Prin ed Name ApplicanYs Signature ,��`�,� �,�.�� Page 1 of 3 � . � �-�' � ' � j�� -�� r -� �,�� DO NOT WRITE BELOW THIS LINE � C-C,�C-�s t � SUB TYPES � Foundation Fireplace Porch(3-Season) _ 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 _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION �' Valuation -�� U Occupancy MCESSystem Plan Review Code Edition SAC Units (25%_ 100%�J) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 �o�i7�/.� ��►?�� ;e�'�n . ' POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS , / -��/ Address: _'3�S 6 �;n� G('CLZ`�` �-'�`- Applicant Name: s �,;L.� � � � � � GENERAL INFORMATION x Q � o z ¢ J� ❑ ❑ Applicant name and contact information �' ❑ ❑ Property owner name � ❑ ❑ Address of property � ❑ ❑ North arrow, scale (1" =30' or 40') � ,� ❑ f� Site Plan, drawn to scale showing location of house,pool, and other existing or proposed structures, including retaining walls and fences. S/��/�✓� o��'��°r/��j� � Jd" ❑ ❑ Location and name of all streets adjacent to property ��,�6,-� o�' �pp4/ e Quo�0��,� .� ❑ ,,� Directional drainage arrows (existing and proposed) 0 ❑ � �oK Lot Square Footage ❑ ,� ❑ Lot Coverage ELEVATIONS Existinq ,J� ❑ ❑ House corners ,,� ❑ ❑ Property corners ❑ � ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed '�,J�l ❑ � Finished pool deck corners (8�2.��%�� 'rn'1 ��°c��I1�°!'J �� ❑ � ❑ Top of proposed retaining walis (if any) and at each different elevation(if it changes) fZl ❑ �' Pool bottom (or max. depth� DIMENSIONS Existina � ❑ ❑ All property/lot lines � ❑ ❑ All Easements on the property Proposed � ❑ ❑ Pool ,� ❑ ❑ Pool plus integrated deck/patio � -� ❑ � Shortest distance from outside edge of pool lot lines and house Reviewed: ///� s'' Na Date G:FORMS/Pool Permit ChecklisUl1-20-12 ,/��/�J� � =�� Special Conditions for Pool Permit 3656 Pine Crest Ct. The City of Eagan operates under a permit issued by the State of Minnesota (MS4) which requires us to manage storm water runoff throughout the City and allows us to discharge storm water to waters of the state. Many of the requirements within the MS4 permit necessitate the following requirements for the pool permit. 1. All work associated with the Rain Garden must take place in the 2016 construction season. 2. Final restoration must take place as soon as conditions allow in the spring. 3. All erosion control best management practices (BMP's)(i.e. silt fence, etc.) must be properly installed prior to the start of construction and must be maintained throughout the project until final restoration is complete. 4. It may be necessary to add additional erosion control BMP's during the project as conditions change and/or weak points are discovered. 5. Any damage to the erosion control BMP's must be repaired and any material that leaves the site must be removed within 24 hours of the initial breach. The City reserves the right to add additional conditions as the project progresses and new items are discovered that may not be known at this point in time. The above conditions may not be the only conditions associated with the permit. Other departments reserve the right to add conditions to the permit as they see necessary. � .�� ,�� -��PE C=�2�� ' � �� 4 � e�VVv�aV��V � v . r .�.. .•r-w....r�r . �. .. � THER�OF .l'�AK�?IA`� e4UNTY,MINNESt�TA SCALE: I"=30' � �y `. �� L�T 12 � . �� sgs•4��7„E �� t��►.00 �,.� � � � A f� � a�, _.._ — $1•pp --� d 0 � ' � � � 1 _....._.J a�� ,� ±� iv` � � I �p �" � � � �� . .�z..- , � CC� . �� `-� �if. f�sar� � S �'�' r9�G" i�sa � � � � �. �-- ! , � � � � " ' � N t!r Q t ` , �' .�,,,� �� 0 Lt.l � � � � Q ' x t �a► � �' ar .� '� O C,� a '` o�►wn�� s�� '� ��N� � �d C7► � � EA8EMENT C`� .,... 1.ao•- �Q. �� s��E � � ia�.ao � . � � � -,, .� F�N�r..�. . �' __ _ � _ - � _� . . .�� . . � . � I�C�T l4 . � �� . . :. .. . A �,.,', . . . . . . - ._ _.. .�,��r,�`�� . ... �� '.�..:�f.iti �.iti;.:K:...��..�til�.�tt� �.'s-'�.'�1 :+1 1� ti N D �s/E' . ��T-�IQ WA�.KCtjT —�.—.. INVERT EL.EVATION AT �R'VICE EX7ENSIaW — o� OENOTES �tRQN MONUMENT PROP�SED GARAGE FL.40R ELEYAI'1�N= H�'• ' � OENOTES 1KCQD NUB SET PRaP4SED FIRST k'L.OGR ELEVIITtON = ��E�� t+�TES EXtSTtNG SPQT Pfi�iPOSED dASEMEKT FI.GQR ;� EI.E Y�TION ELE VAT 1 aN DEt+K)TES FROPtiSED SPOT ELE VAT I ON � DEN()TES DRAINAGE OIRECTI4N NOTE: YERIFY pLL FLaOR MEIGHT�a WITH FINAI. Ht)USE PLANS ► h�r+�it c�rrt�tY thot tAi: surw�t.Plon or f � � �` r .�-.,�.,._._... .____ ��pext wos prap��d bY � ort �r my •• 1''�G= E�.;� _,_._� 1 � - :�.�� ;<�c�c��s{ �'� /�y�� s�-o�a : TR! —LAN D C C�. . SURVE�'�NG �ERTlFICATE t�F SURV�Y F�JR. SERVICES HUTT R CC�NSTRUCTI+QN N� l875 PLAZA DRlVE EAGAN, MiNNESOTA �5512 . LEGAL QESCR I PT IQN: L.OT_!3_,a�oc� .�, �C��T �F EAGAN ACCORDlNG TQ THE RECORDEO PLAT p THEREQF ��4IA. C4UNTY,MINNESOTA � SCALE: I"=34' � �� . �� LOT 12 � ' � � � ' �°�1�S89°49'37"E ��" t45�.�� ' � , a � ---- ,�.� .._ -- �,.� � �• � s � � �� ION � � � � � � � � � � �' '� , � rJ i� fl�o�►s�c � U a-r � �o� = � . 3 c r r y �.- � � = ��,�, o � �� " � � $ ��.�.�- � � � o .._ �x« � � . .— � �.�-� �' o ts � � DRAWA6E 8 UTILITY � � � eo � � � � �EASEMENT � Q 48� � --3ti.ov"'- �Q. �� S89°49'37"E � � ! t�S.OQ �' � . � � --s� .� �_� '. .� �. .`' ` �. `. f . `� ,' LQT !4 � . ,. . ... . _ �. -. - . . ,. _ �._ __. ..,�/�r�',�� _ _._ , Z.IA�.wwt«��ti �ilV1Jf.�iYa.sQdJ.��..l� NL.'•�� L E�� PRppQgEp s/�' . @�ITMNO M1p1.KfJUT INYERT El.E1�ATlQN AT SERVICE EXTENSIOIW o DENOTES IRGN MO[+IUMENT PROPOSED GARAGE FLQOR ELEVATICIN= �'�• �� o DENOTES WGCD HUB SET PROPGSEt? FIRST FLt?GR ELEVATIQN = � => DENOTES EXtSTING SPQT PROPOSEp 6ASE�AENT FLGOi� - ELE VATION ELE VAT I OM DEhiOTES PROPOSED SPOT ELE VAT I ON �- DENOTES DRAINAGE DIRECTION NQTE: VERIFY ALL FLAOR MEIGHTS WITH FINAL NOUSE PLANS ^ �', `J l h�r�b!► certify tAat thi� surr�y:Plan ar �,� �L�, ,��`.�--- --------- _ �spart was pcepa�sd by ms oc ut�dsr my dirsct saparvisian and t�at i am o duly rodley J. S �if �' Mn. Req. No.13�35 � Raqistered Lan� Surr�yor a�d�r ths -� : Low� ot ths State ot Mi�nesata Qate�� 1.�,��-� w .�� ,ec��c�=�� '� / ��i / EAGAN, MiNNESQTA 5512 . LE�AL DESCRIPTIC�N: ��..t3..,B�ocK _..I_._, ��r o�c,a� QGCORDING TO TNE REC4RpED PLAT � T�fER�4F..�..�T,q._. COUNTY,MINNE�JTA SCAL..E: 1"=3C1' � � � i f , a I. , � LQT i2 � � �� ` ' i � �1�58�•49'3?"E � �� ,� 14S,t}t7 �,. � � .. u.. �,,.. '� '� �p � �,,34' -- -- �1,co --- ��.. ! 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BA�T� WALKQIrT INVERT EI.,EVATICMi AT SERViGE EXTENSI4t� o �ENOTES �IRQN MONUI�NT PR�►PO�p G�ARAGE FLDOR ELEVAYION= �'�..,,�;�,,,,,�,,,, o OENOTES WOQD l�JB SET PRpPQSEO FIRST FL4QR ELEVATION = ��.� �NOTES EXlST{Nti SPOT PI�pPpSEp S,ABEMEMT FLGOR � ELE VATI OM E LE VAT 1 OM DENOTES RRQPOSED SPOT E'LE VAT I ON � DENOTES DHAINAGE DIRECTI�?N NQTE� V�RfFY AL.L FL�i�R MEIGHTS WITH FINAI, HOUS�" PLANS n��i.r�a�v srr�wa�s �3ivn�+u -- � NQl1dA3'13 1QdS G3SOdOtld S310N30 NC3 t 1dN 313 NQt1VA313 "5��= b001� 1N31M�81�Q3SOdGdd lOdS 3Nl1SlX3 S310N30 = I�iO11VA313 �100"'1� 1S21i� 0350dC�ld 133 6f1ti t�00M S310t�i30 e "��■NOl11fA3'1� �t001� 3�1i►b� 03SOdOtld 1N31MAI�lOM1 MO!!1 S310N3�0 a ""'=1V015N31X3 �IAH3S ld NOLLdA3'�3 1�13ANI �� 1110�1'1VM 4N�'.L�B' .��OdOad � � �.r�w�rvX,�!,* �:=�j`��'1'�� ,:;?(.� �` T .�_.. ... _J- _. . •M � ' �� .._ • , • � � ; � - �� .; • . � . . . . � �►i lU1 �� .,, , _:i . . . . ` w � 1� r...� � � �+ � � � � . �1 L . � �C�'�tr! �' � 3..L�.f�.685 �� "'� ��.dD� �- � � Z � � e� M� � t►�.rtit � p C� O �,"' .�"'`� �`� � o 0 � � �'rt +Q - .� ru'�' N -�'1'� � I � � � � 1 � �►r °" 1 C� � � °�� G qa • � � c�a � � � �at �; �' � �71 ""� p �. _____C_` � � O � ----------- Q 00•��E � � M'� 00'S�f �� 3..L£.+6�b.68S�;r� � � � � � ' � � z� �o� : , . � �,� '`''�-��''� � �1�� '� '"� i � � ,. .O�s..l �3"iti�S . � tf10S3NN1W`Jl1Nf10� �032l3H1 � ld"1d 030a0�3a 3Nl Ol 9N�o2��tt •-T��o�e`-�-io� :NOI ld I��S3Cl 1ty�31 • Z 1.33 t/lOS3NNNNW `NtlJ1�►3 ' 3A�aa vzn�� e� �oil�n�.�s�vo� ��NlInH 3�IA�3S S � - � �ti r►� � � 7 w .�.,,, J I��. � � � �5��.��ce� ��%�� f�' City of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY 242016 Use BLUE or BLACK Ink For Office Us `� Permit #: r3 `e6 U c Permit Fee: 119O Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 5/17/2016 Site Address: 3656 Pinecrest CT Tenant: Maggie Samuelson Suite #: J Name: Maggie Samuelson 651-214-5198 Phone: Address / City / Zip: 3656 Pinecrest Ct. Name: K & S HEATING AIRCONDITIONING & PLUMBING INC 43689 License #: Address: 4205 HWY 14 W City: ROCHESTER State: MN Zip: 55901 Phone: 507-361-2332 Contact: HEIDI BROWN Email: hbrown@ksheating.com New ✓ Replacement Additional Alteration Demolition Description of work: Furnace & AC replacement RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$60.00 COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge TOTAL FEE Contract Value $ x .01 _$ _$ _$ Permit Fee 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 BRIAN KEEHN Applicant's Printed Name x Ltd:, Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172977 Date Issued:10/25/2021 Permit Category:ePermit Site Address: 3656 Pinecrest Ct Lot:13 Block: 1 Addition: Pinecrest Of Eagan PID:10-57600-01-130 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Jaime A Samuelson 3656 Pinecrest Ct Eagan MN 55123 Wild Construction Co Llc 222 Monroe St Anoka MN 55303 (612) 598-1422 Applicant/Permitee: Signature Issued By: Signature