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4623 Pinetree Curve4w ` RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-6874675 NewConsWctionReauirements RemodellReuairReauiremend l • 3 registered sde surveys shovring sq. R. of lot, sq. ft. of Iwuse; and all roofed areas • 2 copies of plan (20% mazimum IM coverage allowed) . 7 sel of Energy Calculatbns for heated additions • 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site survey for exterior additlons & decks • isetofEnergyCakulaUons . Indicate'rfhomeservedbysepficsyslemforaddWons • 3 copies of Trce Preservation Plan'rf lot platled aRer 717193 • Rim Joist Delail Oplions selec6on sheef (bldgs with 3 or less unKs) DATE h I b JOB 51TE ADDRESS t-1&,4,7 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OP WORK ? e, tor J? l APPLICANT ADDRESS `-f iv tv SPAGER # CELL PHONE # fIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE#6Ja-)Cd FAX # NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Category _ MINNESOTA RLJLES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNE50TA RULES 7672 - New Energy Code Worksheet Su6mitted D ? ? , Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $9( Water Heater No. of R.I. Batl y _ No. of Baths ??? Mechanical Confractor. Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read ihis application, state with all applicable State of Minnesota Statutes and City of Ec Signature of Applic VALUATION Ob 0 Phone # Fee: $70.00 Phone # is correct, and agrep to comply ./ Certificates of Survey Received _ Tree Preservation Pla Rec ed _ Not Required _ Updated t/Dt OFFICE USE ONLY ? - • T: ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage w 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF O 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous p 31 New ? ? 32 Addition ? ? 33 Alteration ? ? 34 Replacement 0e Valuation [ Census Code ? SAC Units ? Nbr. of Units Nbr. of Bldgs ? Type of Const Occupancy Zoning Stories Sq. Ft. Length W idth !?=!- REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) ? Footings (addition) _ Foundarion Drain Tile Roof Ice & Water Final ? Framing Fueplace R.I. Air Test Final ? Insularion MC/ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By 4{/Q , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ? ??s?,? City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tatal 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors `Demolition (Entire Bldg only) - Give PCA handout to applicant Fina llC.O. ?J FinaUNo C.O. Plumbing HVAC AddteSS 4623 Pinetree Curve Z1p 5512 2 LAt I Blk 3 Sub Pinetree Pass 4th Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: Yes No Inspector. Fiaal grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod(Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of rodi test caps from the plumbing system and the shut-off of water supply to lhe outside lawn faucet before freeze potential exists. Contact engineeting division at 681-4645 before working in right-of-way or insplling underground sprinkler system. ? Whice - City Copy Yellow - Resident Copy Pink - Contracror Copy ****#******t* CITY OF EAGAN CASHIER: SS TERMINAL NO: 003 DATE: 03/30/00 TIME: 13:25:22 ID: NAME: LUNDGREN BROS CONSTRUCTION INC 2252 9220 4623 PINETREE C 30.00 3210 9001 4623 PINETREE C 1,732.95 3866 9379 4623 PINETREE C 100.00 3422 9001 4623 PINETREE C 1,126.42 2275 9220 4623 PINETREE C 1,089.00 3446 9001 4623 PINETREE C 11.00 2155 9001 4623 PINETREE C 0.50 3743 9220 4623 PINETREE C 50.00 2155 9001 4623 PINETREE C 116.00 3868 9220 4623 PINETREE C 492.00 CR125448 ** CONTINUE USER ID: JAN ** CONTINUE x***t*x*x***x*t+?****r***t**t*******?*t L4 *t****************?**********+* CONTINUE CITY OF EAGAN CASHIER: JS TERMINAL NO: 003 DATE: 03/30/00 TIME: 13:25:23 ID: NAME: LUNDGREN BROS CONSTRUCTION INC 3716 9220 4623 PINETREE C 114.00 3713 9220 4623 PINETREE C 50.00 3865 9220 4623 PINETREE C 840.00 r Total Receipt Amount: 5,751.871 CR125448 USER ID: JAN . RESIDENTIAL BUII.DING }$ ? h oa Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reauirements RemodeVReoair Reauiremenis Office llse Onlv 3 registered site wrveys showing sq. ft. of lot, sq. ft of house; and alt rooted areas 2 wpies oi plan Ced of Survey Recd _ Y_ N (20% ma)imum Wt coveraqe allaved) 1 set of Energy Calculations for heated additlons Tree Pres Plan Recd _ Y_ N 2 oopies of plan showing beam 8 windax sizes; poured found design, etc. 1 site survey for additions & decks Trce Pres Reqd _ Y _N isetafEneigyCalcuWtions Add'Non-indicafeiion-sHesepficsystem On-sHeSepticSystem _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Defail Optlons selectlon sheet (bldgs wiN 3 or less units Date (0 y(9 2,3 Construction Cost L)• % Site Address ? pAbl 2? AJ?i? / ' ( ili °a'ILr Unit/Ste # Description of Work Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1G Property Owner J ?)L, CTQeX4'15 Telephone #((S7 ) G? ? 3'" ???Jr Contractor ! ? Address 39Sa l.J, llL ?'7 /.3 City State /t2"J Zip 5-53)? Telephone # COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (^I submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a fee applies. A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted a similar plan? _ Y _ N If so, 25% plan review Licensed Plumber /uv O?T 2??v? Telephone #( Mechanical Contractor Sewer/Water Contractor 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 permit; that the work will be in accordance with the approved plan approval of pJans. jo?I? ks ApplicanYs Printed Name Applican : for a permit, and work is not to start without a case of*rk which requires a review and Signature , . OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 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. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Pibg_V 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 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire 81dg) - Give PCA handout to applieant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES 5AC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) L? O ?? /\ ? -^i 3830 PILIOT KN B RD - 55122 ? J t O? ? 851-681-4675 New Canttnicflon Reailremenh Remotlel/Reoair Reaut Y 3 reylateretl tHe wrveyt ahowiny tq. fl, OI bf, sq. fl. ot house 2 capie8 of plCn and guroofed areas f2116 maxlmum lot covemae dlowadl 1 ael of energy adeWaHa» lor heafed aWtlona D 2 coplec ol plans (ahpw beam & wlndow dzes; poured Intl. dealpn; etc.) I sife wrveY tor oxledw additlone & decks > 1 sel of enerpy Cc9cWaXOns Y 3 coptes d iree preservatlan Plai H 4pt plcKetl aMer 7/1/93 DATE: 2-14- 0 L02 CONSIRUCTION C05T: DESCRIPf10N OF WORK: Sr D SiREETADDRESS: Al (Pe'?1A)E rQ6j? &uj2 VE LOT: 1 BIOCK: % 3_ SUBD./P.I.D, t: PROPERTY OWNER laat Street Address: CNy Zip: Company:1,HW D l;Rrjy2 6QOS . Phone t: 7fg :5 `l -1231 29 (area code) flrst State: Phone C CONTRACTOR Street aadress: g.35 E ji()AVZRT/F ,LVd ucense # 4Q2&B--Exp.03-3/ •DA ci+y L(A.yzArfy stare: zip: 5539).J ARCHITECT/ ENGINEER Company: Name: Telephone i: ( ) Sheet Address: Reglshation M. CNy SMte: ZIP: P I b h. ?ia y/ y ? Sewer/water licensed plum6er (N installina sewerlwater) : (L- _ Phone #: (? I hereby acknowiedpe Ihar I have read this appitcaNon. slate Ma! Ihe IMonsmlion is cortecS, and agree to comPN wilh oN appNcabla s1aFe of MiR9iesota StaNfes and Cily of Eayan Ordirwnces. : Signulure of ApPlicant OFFICE USE ONLY ? O Certificates of Survey Received Yes _ No Tree Preservation Plan Received _ Yes _ No ? Not Required 1"' ` OFFICE USE ONLY BUILDING PERMIT SU BTYPES p 01 Poundation O 07 OSplex O 13 16-plex ? 27 Porch (3-sea.) ? 31 6ct. Alt - Muld 13?02 SF Dwelling O OB 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 03 01 of _ plex p 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 Muki O 04 02-piex ? 70 OS-plex ? 79 Lower Level O 24 Storm Damage O 05 03-plex O 11 10-plex Plbg _Yor_N ? 25 MiSCellaneous O OB 04-plex 0 12 12-plex O 20 Pool O 30 Accessory Bldg. WORK TYPE ,tl!31 New O 36 Move Bidg. O 43 Reroof O 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair D 34 Repair 0 42 Demolish (Foundetion) O 46 Windows/Doors * Give PCA handout to applieant for demotiHon permit GENERAL INFORMATION SAC Code ? i # of Stories a, sq. ft. No. of Units t Length q (sq. ft. No. of Buildings I Width E7 k; Footprint sq. ft. 2s ti 3 Const. (Actuai) Basement sq. ft. rss4 3 Census Code )01 (Allowable) ? Main level sq. ft. /ti 0 i MC/ES System UBC Occupancy E -3./V -I 2?J ie?i sq. ft. I66 ? City Water Zoning 2 - ? fP? '?_ sq. ft. ti? z Booster Pump PRV ? Fire Sprinkiered MISCEI.LANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building iz C, Engineering Variance Permit Fee Vaiuation: $ 231. NUC) Surcharge Plan Review License Lo K,? I? ?? f I1y 3 6yS /AC C C tY SAC M..;r I<?„1 /?ol kSH ?IDa,6Sy WaterConn. ?..ol 1,,1 1667 4 -xSG,oiB Water Meter Acct. Deposit ?..-?.5 ?e- 69z .r?/y z? l l,o '7? 5!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies rotat: ? SAC Units % SAC C. • ?•l? I ? ' _ ? ? ? ? / y'?I? -" f ? ? ???JI ? "'"" R05' EXTERIOR EMVELOPE AYCRAGE lf COMPq7ATI0N COtISIRUCIiON INC. Site Address lotj_Block3 R & U Factnrs !Ci!i E WayM Itfyd. Opaque Walls ,N,ryrft Wal l Frami ng Areas Miixmzola553g1 Ceiltng [nsluation Area (612)473 i231 Cei 11 ng Frami ng Area Rim Joist Masonry Wa1T Windows Uaors 5kylights 1) Lawer Level (Basement) Total Expased Wall Area ppaque Natl Area Wood Frame Area Rim Jofist Exposed 8lacic Window Area Sliding Giass Door Door Area r R ,?j ,? .45 *Z?'4I•g z (u) 66 " X (U) ?.44•5 z (U) x (u) X (U) ?}D X (U) ? x (u) Totai u .043 .09 ET - b2I .H` 'vM .04 _? • ?? .31 .55 .043 = 7i2'?5 .09 = J5?, 2 .04 = fii ' ;P .35 .35 = ( ? .31 ? LLIf1pGR(n BRO5' 2) First Or Main Floor COhI51RUC(ION INC Total Exposed Wall Area . 935 C. WaynLi Blvd. war7,141 Mirnmsala 55301 (6I2)173-1231 Opaque Wall Area Wood Frame Area Rim Joist Window Area Sliding 61ass Door Door Area : 3) Second Floor If Two Story Total Exposed IJall Area Opaque Wail Area Wood Frame Area Window Area Sliding Glass Door+ Door• Area 4} Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skylight i ? /? j X (U) .043 = X (U) .09 = X (U) .04 = ?D?• ? X (U) .35 = I O ?4 ? x (u) .s5 ?1 •? X (U) .31 Total ? ?'v/ X (U) .093 = "Tli•? ?? •? % (U) .09 1 57'?2:?5 35 1 X (U) . ? X (U) .35 / X (U) .31 Total ? ??•? i?10 x (u) X O2 = (U) ??' I ? X (U) .55 ? ?? Total LUnDGREn BRaS. CONSiRUCTION / /' iNC. MINNESOTA U FACTORS Total Exposed Wail Area?' ?v i1 X.11 = rJ?"I' MINNESOTA U FACTORS Total Exposed Ceiling Area X.. 026 (A) Tota1 = ?•3 M [. Wayrala ofwt. wwah Item Item 2;W4+ Item 3 S Item 4?'??=""1??' ? Miimrsnfa 55391 (6I2yt73-1231 If Total Of Items 1-4 Is Less Than Item (A), Buildiny Compiies With SBC 6006 (C)s r . S'O Depar[ment of Administration ?. . MEMORANDUM Date: November 15, 1999 To: Buiiding Officials ll From: Thomas R. Joachim `4 • State Building Officiai I ? Subject: Stucco applicatlon oo wood frame structures It has come to our attention, through our investigative section, that some code requirements for exterior plaster (stucco) application are not always being met We want to bring this to your attention, as it is not a required inspection. When making application for a building pertnit, which indudes stucco application as part of the project, information to verify code compliance should be included with submittal documents. Building Code requirements related to stucco inctude: . UBC 1402.1. Vertical joints in paper shall be lapped at least 6 inches and horizontal joints shall be lapped at least 2 inches. . UBC 1402.2. Exterior openings shalt be flashed to make them weatherproof. • UBC 2506.4. Weacher resistive barriers over wood base sheathing shall include 2 • layers of grade D paper. (See Unifortn Building Code Standard 141). . lJBC 2506.5. A coFrosion resistant weep screed with a minimum veRical attachment flange of 3'/: inches shall be provided at or below the foundation plate line on all exterior stud walls. The screed must be placed a minimum of 4 inches above the earth or 2 inches above paved areas and shall be of a type that will allow trapped water to drain to the exterior of the building. . UBC 2508.1. Stucco must cover, but not extend below, the lath and paper for slab on grade construction. . UBC Table 25 C. Fasteners for metal lath must be 6 inches on center at supports- . UBC 108.7. The building official may require additional inspections. [OVER FOR ADDITIONAL IMPORTANT INFORMATION] BuilJing Cadex and ScanJards Oivixion. 408 Metro Syuue Building, 121 7th Plue East. St. Paut, btN SS 101-2181 V0u:e:.6J 1.296.4639: Fax: 651.297.1973: TCY: 1.800.627.3529 and ask for 296.9929 . Type 15 or 15# felt is not grade D paper. See Uniform Building Code standard 141 and table 141-A. . Paper must be installed on the entire wall, including within the soffits framing. . All paper must be installed shingle fashian. . Nailing flanges on windows shall not be accepted for fiashing unless the manufacturers installaGon insUuctions are provided stating that the flange is acceptable as flashing. . Exterior penetrations shall be weatherproofed (.e., windaws, deck ledger(s), pipe and vent penetratIons, etc.). Weatherproof by definition; that can withstand exposure to wind, rain, snow, etc., without being damaged. This is a critical area that needs detaled attention before being covered by stucco. • Kickout flashing needs b be instailed at walUrnof iMerseclions where the roofline does not extend past the wall. • • Some municipalfies have begun handing out stucco infortnation packets with pertnit applications for stucco houses. Should you have any questions or need further information, please feel free to contact Doug Nord at 651.205.4708 oc Michael Happ at 651.205.4709. 612 404 1909 612-404-1909 LUNDGREN BROS ? Your Nstghborhood Builder I he:eby Oettifq thst eation, or e+eport was pY ancler m? dirert suosn piino ?' fi+ pared by mt nz don and dtat I omted undkr ow eqpta. . BTSt@M Q PLAN Dxte ?fbn No. 2M F1EdISTERED ARCHITECT i ? ?` •... 1 lTW 2x6 BILl F'L.d7E W/ 91LL 6E.oLER W/ MIN. (21 AA. WIT14 ONE WITFIIN @A. ENP ? iI ' 2X4 STLlPB " . l •24 O.C. •?ti? ? R-II BATY . ? ? IN9uL. 9EtU1. ? 6TUD8 ? VAPOR .i gAIER •4-24" DOILEL e y,_0" OA. ' C17NC.9L ? . ?AddreSS: 5uysr Name: Development 195 P02 MRR 22 '00 11:03 MATERIALS GpNG%T@! 3m?7m?O P81 0 78qD?ATS AGdsREGdTE+ IVAlLB I 3/4rMAX REINFORGIhiCs, ABiM A616 GRADL 60 pRAMA,Al2 a LIGHT GLAT ( fiROl7P II ) S,4C"ILL! EQUI? ddg ? UID PlWSBURE 51MPSoN - AW'3?s{ aFlp?CW'RIL ? N+86GNS8? I/7° f31A x 10" AhfGHOR BOI,?T AT 17" O.C. HIW 7 EMBEPHENT ? GqApp, MRL e' BELGW 80.1. . ` 36" O.C. .? !47 04•FlpRI7 ON TIE9 WATER PROf1FfNC+ g" T. POl1RED GOhiG. fpl,l40GT10N WAl.F. , 70" x 8" CCNC .. . ?. . . r. . •e.i .- i Addendum Number:4e A? Lot: t Block:_ Da te: 11 •`U1i-x Addition: -gF- ?.?,..w, DATE: T0: SEE DISTRIBUTION FROM: BARB WILLEFORD RE: WE ARE APPLYING FOR PLi RiVIIT! Two plans for permit (Tamarack cequires 3 plans) and dle survey for. LOT4-, BLOCK_-, SUBDIVISION ADD `t CITY: ADDRESS: PURCHASE PRICE: ?TR /3S LOT SELLING PRICE: :71F 000 cc: Job Supervisor F" 0 Salesperson Pat Marohn File Iim Weaver Tickler (one week) 'ZI RENIINDER ASSOLLTTELY NO TREE REMOVAL AND NO EQ[JIPMENT CAN BE ON THE LOT PRIOR TO CHICAGO TITLE TAKING THEIR PRIORITY PICTURE. NO DISTURBANCE TO THE LOT OTHER THAN STAKING IS ALLOWED!!!!!! Date Survey signed Date Priority taken DATE FILE RELEASrD TO CONSTRUCTION DATE PERMIT READY DATE PERMIT I2E, LEASED TO CONSTRUCTION _ PERMIT NUMBER PERMIT COST cc: Job Supervisor Satesperson Pat Marolui Jim Weaver File Permit.doc 411I97Revised 5114198 Revised 1212/99/Revise4 2/8/00 . LOT SURVEY CHECKLIST FOR RESIOENTIAL BUILDING PERMIT APPLICATION U n N ? W X C 0 O ?- a ? o g c rp? p ? ?p o o/ ? ? ? ? ? ? ?? ? p/o ? m/o ? 9/? 0 PROPERTYLEGAL: DATE OF SURVEY: IATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • BuildingPermitApplicant • Legal descripDOn • Address • North arrow and scale • Fiouse type (rembler, walkout, split w/o, split entry, lookout, etc.) • Directional dreinage arrows with slopa/g2dient % • Proposedlebsting sewer and water services & invert eievation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS EasOna ?o ? • Sewer service (or Proposed) ? o ? • Property corners y?? ? • Top of curb at the driveway s?? ? • Elevations of any exasting adjacent homes e' c ? Adequate foo6ng depth of structures due to adjacent utility Venches Prooosed 10/0 ? • Garage floor p? ? ? • First floor ? ? o • Lowest exposed elevation (walkouNwindow) [j/p ? Properrycorners rl ? ? : Front and rear of home at the foundation PONDING AREA (if aodicade) / ? ? R • Easement line ? ? • NWL / ? q o • HVUL ^ F ? / • Pond # designaGOn 0 o m • Emergency Ovefiow Elevation ? 0 ? o ? ?o aff, R? ? ? o ?? DIMENSIONS • Lot IinesBearings 6 dimensions • Rightof-way and sVeet width (to back of curb) • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanentfootings) • Show all easements of record and any City utifides within those easements • Setbacks of proposed shucture and sideyard setback of adjace wsting sWdures • Retaining wall requirements, if any Reviewed: .9- / Date Mareh t999 CRAM+/BLOGPRMf.FM Y?. u? t9u?? ?o? ??? `v%???a ? " ? . / I ? ? ? 0 r ? $ $ ? ff ? N ? ETREE CV PINw ?? /rn Q _ ? - v X 950.9 S (950.8) . r a ? Q 0 \ ~ Q ? S N n V, % X \ ? S ;R•AO ?O? . ? v0OO c ? ?y 7 N t:) 95 ? S ? 1 ? 601 BENCHMARKELEV - 941.51 X °39.3 (938.8) Roof Area = 2,672 S.F. Lot Area = 17.088 S.F. Roof Area X = 15.6496 RtCE1VED? KW ? g, Proposed Top of Foundation Elevation= 954.0 Proposed Garage Floor E{evation= 853.0 Propoaed Lowest Floor Elevation- 945.0 O Denotes Iron Monument + 000.0 Denotes Fadsting devation +(000.0) Denotes Propased Elevation +- Denotes Direction of SurFace Droinage 940.0 Denotes Sanitary Sewer ServTce ?BVOt?Of1 I hereby certNy thaf thia is a true and correcE representafion of c survey of tne bounaariea of: LOT 1, BLOCK 3,, PINETREE PASS 4TH ADDRION DAICOTA COUNiI', MINNESOTA Md the lawtion of all buildings, if arry, thereon, and oll viaible encroochmeMa, if any, from or on said land. As aurveyed hy me this S,th day of March.,,2000. Gary R. Germond Ucensed Cand Surveyor, Minn. Uc. No. 24784 ? 2 ? 3 Y+ ? ' A 'Z (953.0) =l ?95 GARAGE L. Miz 3.82 13 o S M 947.6) ? , -? 47.fi T -? ? I ? I ?' rn ? r ? ? 14.9 - T i X 947.0 i2sa X 9` m ? ? ? N ? O ? I z X 949.7 mg PROPOSED WALKWT II 4823 PINETREE CURVE n ? f ? ? p 0 II 5Mti . 14 X 944.1 .(94J.?? ° ? 28 I - L D? X 943.7 943.2 X ? 8. 1 (s4a.s) y ? v X 943.9 X 9R2.4 Q I RAINAGE & U1ILITY I EASEMENT x sa3.s X 943.0 J x ea5.z S.r/ T ? /? ? h ? S89'29'27"W L- 97.32 15? r I ??NG HSE TFDN m 948.2 , z ? k ? ?EV E ? E a BY ? ? ? `? ?^ ?-?a D'6 r.':.n teG JE " LEGEND ? ? Q DENOTES SANITARY MANHOLE V DENOTES ITYDRANT lifil DENOiES CATCH BASIN S . DENOTES SANITARY SEWER W DENOTES WATERMAIN ST OENOTES STORM SEWER ? DENOTES STORM MANHOLE ? DENOTES STORM APRON SETBACKS MIN. FRONT YARD SETBACK = 30' MIN. SIDE YARD SETBACK = 5' GARAGE, 10' DWEWNG MIN. REAR YARD SETBACK = 15' 114 1 A t81e opinioa was not fumished to tha aurveyor nor was a 2 apecific title aearch for the existence or non-existence of recorded or unreco?ded easemeMa conducted by the aurveyor O8 PGrt (yf tI1T8 8UNBy. I hereby certify that the propoaed site grodes shown confortn to the drainage pattema established on the devebpment plan approved by tho dty. ?¢o )- ? t?np?? ?LL. z? OCZ QQ?E-4? F?z?a ? ::) U a D ?WN CHEqCm GRG DATE 03-09-00 SCALE JOB NO. 5402-s91 CITY USE ONLY LOT ? BL ? PERM[T #: I a U rl?. SUBD. l I 1JTf.P, 1 C! SS RECEIPT #: ?3/ 7?"r RECEIPT DATE: (o 'Y, oo 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN hID7 55122 ?1 ?? ?? 651-681-6675 Date: ?? J Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimucn of one required @$3.00 ea.) ? State Surcharge Total $ 30.00 6.00 ?s .50 $57 5-0 Complete this section onlv if you aze remodeline, addine to, or repairin¢ an eacisting single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Furnace A'v exchanger Reminder: Call for inspections Repair _ Other _ Air conditioning _ Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 SITEADDRESS: `T/9d"S /';,/'ZCT?I?? ( I, v.v.p/ OWNER NAME: G Gr v[ q' C PAONE #: lO/d ?/ " ??! (AREA CODE) INSTALLERNAME: PHONE#: G<e? _ YYS-76/? (ARHA CADE) STREET ADDRESS: J y/ Lf?`f!? ?9 U//!/?L CITY: /OgGO/??i? STATE: Zo!?/ ZIP: s SJ 7/ SIGNATURE OF PERMITTEE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECSANICAI. PERMIT (COMbdERCIAL) CITY OF EAGAN 3830 PILOT FQ108 RD EAGAN, AN 55122 651-681-4675 Please wmplete for. all commerciaUndustrial buifdings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK 1'YPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Pipmg R'hen installing/removing underground tank, call 651-68I-4675 jor ixspectiort by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Undergaund tank removaUinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State swchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SI1'E ADDRESS: OWNERNAME: PHONE #: (AREA CODE) TENANT NAME (IIvIPROVEMENTS ONLS): WAS 7'[-IERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - ' (AREA CODE) CITY: STATE: ZIP: CITY USE ONLY SIGNATURE OF PERMIII'EE 7 CITY USE ONLY l 7j l 7S L ? BL 7 ? RECEIPT#: SU80. 1 RECEIPT DATE: tO' g'Oa PERMIT # ?j.j l;I D --? 8000 PLUM$1Nfi PERMTf (MID£NTIAL) crrYoF snsax 3$30 PILOT KNOB RD EA6AR, MN 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x 2- _ $ p° Floor drain 3.00 x = $ == Gas i in outlet ` minimum - t 3.00 x y = $ o° Hot tubls a 3.00 x - _ $ Kitchen sink 3.00 x Z = $ Laundr tra 3.00 x / _ $ Lavato 3.00 x S = $ ! 5- S@ tiC S StBfT1 new/refur6ished 're uires MPC lic. 75.00 x $ Se tlC S Stem abandonment 30.00 x $ RPZ new installation/repair/rebuild 30.00 x $ Rou h o enin 1.50 x 3 = $ . 5-0 Shower 3.00 . x Z = $ •00 UndergrOUfid S rinkler if dwelling is under consVuction 3.00 x $ Under round s rinkler irexisun dwelling 30.00 x $ W ater closet 3.00 x = $ i z-u° Water heater 3.00 x 2- = $(o °- Water softener If dwelling under construction 5.00 x - _ $ Water softener if existing dwelling 30.00 x - _ $ Waterturnaround 30.00 x ---- _ $ State Surchar e .50 --> ---> ----> $ .50 Total --> --> ---> .-.> $ ? BD Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------------------------------------------------------------------------------------------------------------•--------------- I h ereby acknowledge that I have read this appliption, state that the informaUOn is cortect, and agree [o comply with all applipble City of Eagan ordinances. It is ihe applicanCS responsi6ility to no0fy the property owner that the City of Eagan assumes no liability for any damages pused by ihe City during iLS normal operationaf and maintenance activitles to the facilities consVUCted under this permit within CiTy property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: h ?tvs ?v?s T. TELEPHONE #: 61L / (AREA CODE) TELEPHONE #: (AREA CODE) STREET ADDRESS: ? 7/ CITY: STATE: ZIP: ?? 37 19 / SIGNATURE OF PERMITTEE r . - w T e????IC America's Deck BuilderSM ? ---- . Tom Resek Backyards Minnesota Inc. 464 Otiver Ave. South Minneapolis, MN 55405 ATTN: Terry Permit for Screen Porch 4623 Pinetree Curve Here are the copies of engineering you requested. Thanks, Tam Kesek 464 OLIVER AVENUE SOUTH MiNNenPOUS, MN 55305 PHONE 612 377 UECK FAX 612.381,1607 MPLSOARCHAOEGK.NET 'IJVJW.AI2CLIAD_'C ,K CGM 1 0 "d LOSI I:?:•2 ."[9 SI"lud!>3NNIL1 dij Y034"HOaH WH ;2:0I TE0zr-4Z--1fi1' .:09T T82 EL9 + ABgO1•T, ItOB1NSON & ASSOCIATES, I-NC- _ --- -- - ------- - ? 8 U ? D N G A N o E N G 1 M E E R I N G C O N S U L T A N T S GOOE JUne 7. 2000 ? d the Twtn CiGts MN 55305-2829 ?Upn ? RE: Allowsbk Bearo CantilewPer tsn9th the ? ? Bil: mq?d tl+at we Pravtde ?l U1arE e ? anaM? NDS). vn?s baSRd an Uhe ? a?? ac10 beam ? poL Naho?? Desqn Spedfk? 1997 Uniform 8dldhq CAOe r"ho had adoD? the 1441 ,? T1ie a? %sed in deO?G d? '?? for bc1?0? a dwdttkftn aed I?lof 0 Po+ ? s9? foot, and a tNe ? `i4' ?'Per CgodaMm Our aaaNsis "a based °" a beam tl? ?fmd OM wlth an varap poW knpth of 14 fad. The tvro foot can4kve? a doubk bc10 DuiR?P ?m was weY w?hin tl?t ??^? and ?? d the 8uiidhn9 C?- U°?' ??? vrdi wHhin tl?e eqowable ddkcijoi+ of UM' We ?eooarne'?d tle a00?^0? ???5 ?? ard i?dudirg iwo teet tor tl+e sP?'? °f wood ilsftd abOiNe• smce". Cene 7• Aehdt, PE eertifY th xed h? ? a ? wu p?eP ryen?isiol sat tAat 1 am a du:y ed Pro[ess%md EugMm ander ? ot tie vwte of AM/ No. ZZl ZO'd L475T IE:i 7-T9 SI10d"3N14IlJ dJ >IZ)3QHH0?'JH W!y 9£:2T SNOZ-bZ.--Ifif AABQ)TT, ROBINSON & ASSOCIATES, INC. ? lu1LO1N¢ COOE AND QNB.IMEERJNC Cp.NSl1L.iA•n7S Am 7i 2000 Artradedc aahe Twin ctues 12030 Mayeor+er anie MYnrKGOnlv !AN 55305-2M RE: Nlawble ]oist Csrw%w I,ao . Oesr 8r1: You hsd neQueaDed d1rt we Pncrlde e atrucUwsl analygs d the dbe+Qes asMdebed Mth OntlWM?n0 dedc Asts throc feet. Our anaNsis wa6 Cased On the 1997 lh?Hbrm BvikNnp COde whkh had aOoP?ed tlk 1991 Maqonel DesWe SPec111catlM (NDS? The elbvrabk deslpRVelues Ibr bdA 20 and 2[10. *2 soutlwn Y'dlow PMe joigts wa? ueed in de0erminltg aUowabk stresees. CalMatl" 11a desd bad d!0 poWdc Per sqwro fboC Nd a Nve bad d 60 vounds ver sqwre tbat. 1110 1bOt mmkver uaMp W fk+or fpbls st 16' Ok Or 2x10 AoOr jokft at 24" ek em weA witlNn ft adowadie bCfdinp tad Sto9r SO'I "9e5 Gf dle Bi+IIdft COda ln bOfh Cdsei, ft ddlectlm s+e weM rr?thYi the allowable delleMon af 1/N0. wWeno?d NMMVnW eted abmc ?? of ?evers up Do srd indudUg Grae 1`et fbr tlie spefks af . / CarlQ . AbbM PE l" tnat ehk vhm eo.ctncad10. w1' Preven0 y mg or undW luy Pe?viWon and that i am a av:y ?d ProfestlortalErt?inaa nqder of trw c?. ... --- • ??R?atratlen 1(0.??ZItY? ` 4,1048 52 0 1 d L99T Toz: ZT9 SI10dy3NNIlJ dO ::103Qk4H:721H 14 y 9F=CaT L90Z-bZ-1111' ? ? ? ? N C .:.:Y. ? ??; r ??Rm, REQUIR` 0 1 / / 951.2 ? ?1. voh, S X 950.9 (950.8) ? 0? S \ ? V% S O ` ?? O?? 'C \ ? . .. ?? \ N `L 170 1 ? < ?i . ? txjI 2 ? ? NREE CUR Pjw ?- OOT- - x s .? - a.zx „L1 18. I ? LkzJ,?. \ V X 943. ' X 9 2.4 DRAINAGE & U71UTY I EASEMENT x eas.s 943.0 -?`,---_J t1l-r. ? o 3 s ???V ? LEGEND M ? OO DENOIES SANITARY MANHOLE ls -5/ - -ii-O S DENOIES ITYDRANT ?D?O ? Z? DENOTES CATCH BASIN ,947.6) S . DENOTES SANITARY SEWER 47.s -T w DENOTES WAIERMNN ? ST DENOiES STOR61 SEWQZ (D) DENOTES STORM MANHOLE DENOTES STORM APRON o?i SETBkCKS r LO MIN. FRONT YARD aSETBACK = 3p' T MIN. SIDE YARO SETBAqC = 5 GARAGE, 10 DWEWNG ? x 947:0 MIN. REAR YARD SETBAq( = 15' m ? a ? N ? 0 d' O Z BFNCHMARK;. E1.EV e 941.51 S89029'27"W L- 97.32 I EASTING HSE ; ? 7FDN = 948.2 ? ?I 17 . N Roof Arec ? 2,872 S.F. i Lot Aroa ? 17.OB8 S.F. i 60' Roof Area 7i - 15.847i I RECEaVEOMO a` Iff7flitl) ? l A title opinTon was not fumiahed to the surveyor nor was a 2 apecific ?Itle aearch for ths ezistence or non-exiatence o/ recorded or unrocorded ecaemerts conducted by the aurveyor as part of this aurvey. confwm? to t?he drocia the. W'?P?ed aite gradea ehown devebPment plan approe vetl Pattem eetabRehed on the city• Propoaed Top of FoundoHon pevotlonm954.0 Proposed Garvge. Floor ElevaUonm 953.0 Proposed Loweat Floor Sevatbn- 945.0 o Denotes Iron Monumer?t + 000.0 Denotes Exfsting Elevatton +(ooo.o) oenotes Pror?ea Elevation Osnotea Direction of Surface Droinage 940.0 Denotes 4 nn Sswx Servke i nOeer cowr enat tnrs re a tr„e ana co?? reproseManon of a survey of the bounaaries of: LOT 1. BLOCK 3, WNEIREE PASS 4TH AODITION DAICOTA COUNTY. MINNESOTA Md the locatfon of all buiklfnga, ff any.}heroon, and all Wstble encroochments, if crry, from or on seid Icnd. As aurveyed py me thts 8,th day of March._2000_ Gary R. Gertnond u?ensed Cand Su?veyor, Mfnn. Ltc. No. 24764 i 13 ?p ? ?¢b I ? a). ? O LL. ?p w FazUa ? a (05057 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. 5D1 5V Date ?Q ! Q? / Site Street Address Unit # v Property Owner Telephone # ( ) Contractor ?c, Telephone #(-?G3 ? ab$?C9'l`7 CP Address _???"l$ 1?(,z Lchc: +'U?- City A`?dlkj? State Mr Zip SS3?,`1 The Applicant is: _ Owner XContractor _Other Alterations to existing dwelling tx Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $127.00 if a 518" meter is required) Other (?>0.9-C_+Mzj- 1::? vn.i -_,J0, $ 50.00 Water Softener _ Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rehuild $ 30.00 State Surcharge $ 50 T otal $?S ? 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 reviewed and approvepd. & , Sc?`t? S?r-e?i l?d15 M__ ??? ApplicanYs Printed Name ?- Applicant's Signature '"" 2004 RESIDENTIAL BIIII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nevr Construction Reaui2menLa RemodeVReoair Reauirements 3 regisle2d sile surveys showiig sq. R of lot, sq. R of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy CalaNations for heated additions 2 copies of plan showmg beam & wlndax sizes; poured (ound design, etc. 1 sife survey for additions & decka 1 set of Energy Calculafions Addition -mdxete Hon-site septic sysfem 3 copies M Tree P2servation Plan'rf lot plaHed after 7/1193 Rim Joist Detail Optiais seiection sheet (bidgs with 3 or less unifs Date 6 I oZaz I GY Construction Cost ' $??a22 SiteAddress ? Pw-?e iCP CU,e(/e UniGSte # ) (? / Description of Work .Se /Yle-h ,V ? S Multi-Family Bidg _ Y _ N Fireplace(s) _ U(r 1 _ 2 Property Owner fi46 Vle Telephone # ( ) Contracror ?? w5?12rnc^? ?osv Address Gc's"y 75" AV 7? City o - State AI?L Zip Telephone #(6s) ) 7 7 5-6 9V41 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Coniractor I hereby apply for a Residential Building Pernut and aclmowledge that the i that the work will be in conformance with the ordinances and codes of the md accurate; 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 e case work which requires a review and approval of plans. ?Applicant's Printed Name Applican 's Signature Telephone # ( N If so, 25% plan review T9 #JuN OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex ? 79 Lower Le vel ? 24 Storm Damage / ? 06 04-plex ? 12 12-plex PlbgS[Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34ReplaCement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?1 a 4 ? Occupancy MCES System Census Code Zoning City Water SAC Units `r Stories Booster Pump # of Units ? Sq. Ft. PRV # of Bldgs / Length Fire Sprinklered Type of Const 7 Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Tes[ _ Final ? Insulation REQUIRED INSPECTIONS FinaVC.O. ? FinaUNo C.O. ? Plumbing _ HVAC Other _ Pool Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: ',1?? ? '3'?6, 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 Total _ a-?. ?? ?? ? ? ?q'-3-7 I ?----------------- ? I ; Pem„#?:n . ? Permit Fee: ? ? Dale fleceived: I I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ` 2 d V Site Address: 4tJ0 -Z Tenant: RESIDENTIOWNER I Name: r /J Sulte A`: 71c5-57?_- 6271 Address / Ciry! Zip: / Applicant is: _ Owner X_ Contractor TYPE OF WORK Oescription of work: ?eU v- o f-?" ti Construction Cost: ? Multi-Family Building: (Yes No CONTRACTOR Name: Q H License #: XIDRQ 4caq Address: :)lp'"1 I 1 rIP(YI(7('iCvI fCVC' iV• Ciry: =&? I 'CKI-XIFer State: WI? Zip: SS08? Phone:&Vl '-1'M •`13aQ ContactPerson: K(%?ffi COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv t Minnesota Rules 7672 Eneigy Code • Resideniia) Venfilation Category 1 Worksheet • New Energy Code Worksheet Category 5ubmitted Submittetl (4 submission type) • Energy Envelope Calculations Submitted . In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: licensed Plumber: Mechanical Contrector: Sewer & Waier Contractor: Phone: Phone: Phone: I hereby acknowledge that ihis infortnation 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 5tar1 without a permit; that the work will be in ?ccordance with llie approved pl?he c e of vrork which requires a review and approval of plans. ? l 1 ? ApplicanYs Printed Nan e ApplicanYs Signati e Page 1 of 3 City of Eatafi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CI SEP 2 1 2fl11 9331' Use BLUE or BLACK Ink) Date Received: 2010 RESIDENTIAL PLUMBING PEltMIT APPLICATION Date: C),1—erbl 1,1 Site Address: LLPine ~_ ) ftfl Tenant: L I �tkSuite #: ' RESIDENT /OWNER Name: 1)II �4((,l'" ! U51'-457/It ; Phone(:,,�� Address / City / Zip: Z ri♦ I .41 f .' ' , C,f2 1 Y U� Ic CONTRACTOR 1 I Name: - Alt .. + 'cense #: (O 7 QC,/ Address: D�� City: y ��''' State: Zip: � ' Phone: 0 1 Contact: (1(\. anbber Email: TYPE OF WORK New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Q -t 6 f LAh e r-- — / Description of work:.: I nail J I PERMIT TYPE RESIDENTIAL ii Water Heater . , - Water Softener Plumbing Fixtures (_'Main /. Lower Level) I , Add. Lawn Irrigation.(. RPZ / _ PVB) Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Heater and Softener (includes $5.00 State Surcharge) (includes $5.00 State Surcharge) State Surcharge) State Surcharge) TOTAL FEES $ UV I I $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace Water Turnaround* (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.0d (includes $5.0ti burned out appliances, ductwork, etc.) 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 onformance 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 wor 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 o x I 1% Applic ewe. �'-tu „gar Applicant's Printed Name FOR OFFICB USE Required IniRections: _ PERMIT City of Eagan Permit Type:Building Permit Number:EA178094 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 4623 Pinetree Curve Lot:1 Block: 3 Addition: Pinetree Pass 4th PID:10-57663-03-010 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 - Daniel W Youtt 4623 Pinetree Curv Eagan MN 55122--370 New Life Contracting Inc. 9050 Highview Lane Woodbury MN 55118-5512 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature