4632 Pinetree Cur?. ? g ) Pire?ree pqss ?Iiti RESIDENTIAL
BUILDING PERMIT APPLICATION
J? CITY OP EACAN C?II?? I???llC
3830 PILOT KNOB RD - 55122 ?' ?? 0??
657-681-4675 11.._
? n?n
New Constructian Reauirements RemodeUReoair Reauirements
• 3 registered sile surveys showing sq. R. af lot, sq. k. W house; a? all roofed areas • 2 copies of plan ey ?
(20%macimum lot coverage allaxed) . 1 setof Energy Calcula6ons for ' s
• 2 copies of plan showin7 beam & window sizes; poured found desi9n, etc.) . t site survey for extenor add'NOns & decks
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted aher 7/7193
. Rim Joist De}ail Options selection sheet (bldgs wiN 3 or less unAs)
DATE f` 07- , oZ 00 I VALUATION (EXCLUDING LAND) 7?cl80 e
JOB SITE ADDRESS q63 Z Curve f&2w4
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER T/-i+J yha s KeI
TYPE OF WORK J,L c1G FIREPLACE(S) _ YES t--?NO
APPLICANT ?-?6n?ra2 Cohs4rV c4a.0 PHONE# 9rz-yy0-_77s0
PAGER # CELL PHONE # B t z-3-7 e -az?PL p,qX # 9r1-7'{G - SS'6 7
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
Plumbing Contractor: _
Plumbing Systein Includes:
Mechanical Contractor:
blechanical Systcm Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All a6ove information must be submitted prior to processing of application.
I hereby acknowledge that I have read ttiis application, state that the information is correct, and agree to comply wiTh
all applicable State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of ApplicaitF---OC?- ? ?Grl' /
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
Water Heater No. oFR.I. Baths
No. of Baths
-- Air Conditioninh
Heat Recovery 5ystem
UDdated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16•plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-piex P018 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Oamage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 int Impravement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation ?
?_
Occupancy
/)?--S MC/ES System
Census Code y3y Zoning P D, City Water
SAC Units 0 ! Stories Booster Pump
Nbr. af Units / Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const Width
Footings (new Uldg)
?Q Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insularion
REQUIRED INSPECTIONS
FinaUC.O.
?j FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By (ia , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Address /,rig v;nPrree Curve Zip 5512 `
Lot e Blkl Sub Pinetree Pass 4th
TfESE TI'EMS WERE / WERE NOT COMPLLTfE AT TI-IE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector. /Z
Final grrde (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please ve n'fy with the builder the temoval of roof test caps from the plumbing system and the shutoff of water supply ro
the outside Iawn faucet beforo freeze potential exists.
ContaC engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - Cily Copy Yellow - Residenl Copy Pink - Contractor Copy
***********?*?*?***********************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 010
DATE: 08/25/00 TIME: 13:56:17
ID:
NAME: LUNDGREN BROS CONSTRUCTION INC
2252 9226•4632 PINETREE C 30.00
3210 9001 4632 PINETREE C 1,592.95
3866 9379 4632 PINETREE C 100.00
3422 9001 4632 PINETREE C 1,035.42
2275 9220 4632 PINETREE C 1,089.00
3446 9001 4632 PINETREE C 11.00
2155 9001 4632 PINETREE C 0.50
3743 9220 4632 PINETREE C 50.00
2155 9001 4632 PINETREE C 103.50
3868 9220 4632 PINETREE C 492.00
CR136502 ** CONTINUE
USER ID: JAN ** CONTINUE
CASHIER: AJS TERMINAL NO: O10
DATE: 08/25/00 TIME: 13:56:20
y
ID:
NAME: LUNDGREN BROS CONSTRUCTION INC
3716 9220 4632 PINETREE C 114.00
3713 9220 4632 PINETREE C 50.00
3866 9379 4632 PINETREE C 840.00
Total Receipt Amount: 5,508.37
CR136502
PERMIT# 51 d-
RECEIPT DATE:
2002 ftESIl}ENTIAL PLUM81Nfi PEl2MIT APP1.ICATIOLV
crrY of E&s,ari
3850 PILOT KN08 RD
EAfii41V, AiN 55122
651-891-4695
Please complete for:
SITE ADDRESS:
single Tamily dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
het?24?' l' Gt ?Ve-
OWNER NAME: :/YL aSA? e ?-- TEIEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
ZIP: sT-C ?- v
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
X Adding fixtures to lower levels or room additions, excluding water softeners and water heaters.
-? $ 50.00
r
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
? ? ? ? U ?
?
RPZ: new installation/repair/rebuild $ 30.00
_
0 2002
JUN ]
.
_ lawn irrigation system
By
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
SO ?
rotal $
I hereby acknowledge that I have read this application, state that the infortnation is wrrect, and agrce to complywdh all appliwble Ciry of Eagan ordinances. It
is the applicanPs responsi6ilityto noiify the property owner that the City of Eagan assumes no liability for any damages caused 6y the City tluring its normal
operatlonal and maintenance activities to the §cilities constructed under this permit vithinC, y pro?n?/?fylright-of-way/easement.
?../?fS i iw/J
b
IGNAT OF PERIyY EE 1l02
(
/?n12Gt?Y IbAs /qt
lac) pl7,Fc'Ac' Pc.
TELEPHONE #: c r-p? 1r-p6 d'' O
(AREA CODE)
STATE: awl
,--?? RESIDENTIAL
??? C;?_q BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651•681-4675
Naw Consuuctlon Beoulramanm
• 3 regislereG sde surveys showing sq. fl. of bt, sq. ft. ol house; end gll roofed areas
(20% maximum Wt coverage albwetl)
. 2 ooples of plan showing beem & window sfzes; poured lound design, etc.)
• lsetofEnergyCalCUletbns
• 3 copies of Tree Preservation Plan tl bt plettetl afler 7/1 /93
• RBn JoW Deffiil Oplbns seleclbn sheet (Didgs wHh 3 ar less unb)
DATE ,? lah7? a?
SITE ADDRESS Zb- Z ,27r,JQX f'F- C'u?1 J? MULTI-FAMILY BLDG _Y
TVPE OF WORK? ?8 f? FIREPLACE(S) _ O„J/ 1
APPLICANT
STREET ADDRESS /5-6/2 A
TELEPHONE # 'SoI - I 30"V-1Y99CELL
Bemoda4Reoalr BeautremeMe
• 2 wples ot plan
• lsetolEnergyCalculetionsforheatedadtlRbns
• isnesurveyrore#erbraAtlitions&decks
• Indicate tt home servetl by septb system lOr additbns
? cirvSTATE/,2?IP ?S3?IS
# G/2-703 -2z3/.Z FAx#
J 4L0L TELEPHONE#
PROPERNOWNER -?uNN ///A;S
----------------°------------------°---------------------------------------------------------
COMPLETE THIS SECTION FOR ^NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 aubmission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitled
Plumbing Conhacfor:
Plumbing system includes:
Mechanical Confracfor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
I hereby acknowledge that I have read This application, state That
with pll applicable StaTe of Minnesota Statutes and CiTy of Eagan
Signalure of Applicanf
comply
OFFICE USE ONLY
_N
_ 2
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
VALUATION
&4"`"`-,_
Fee: $90.00
?(??flUl'?
?1 MAY 2 1 2D02
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatad 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OS 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak- Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OS-ptex ? 18 Deck ? 23 Porch (screened) 0 36 MuRi
? OS 03-plex 0 11 10-plex Y 19 Lower Level O 24 Storm Damage
? 08 04plex ? 12 12-plex '
PIbgYY or _ N ? 25 Miscellaneous
0 31 New )4 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addftion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolltion (ErHire Bldg only) - Give PCA handout to applicant
Z
Valuation
Occupancy
? `3 MC/ES System
CensusCode Zoning CityWater
SAC Units Storles - Booster Pump
Nbr. of Units - Sq. Ft. PRV
Nbr. of Bldgs ' Length Fire Sprinklered
Type of Const _L/V Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final
? Framing _ Siding Stucco Stone
F'veplace it- R.I. 4 Air Test _y Final _ Windows (new/replacement)
? Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
-2d `
Building Inspector
Total
CITY USE ONLY
. L ? ? 8L RECEIPT #:
SUBD. hnPtree Pu&5 wh RECEIPTDATEb?17-b0
PERMIT #
8000 PLITM$IN6 PERMIT (fiESIDEN17AL)
crrYoF ensnx
S$SO PD.OT KNOB RD
EA6kN, Ef1Y 551 EE
ssi-681-4675
Please complete For: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x Z = $ pO
Floor drain 3.00 x = $ 3°?
G8S i ifl Outl2t ' minimum • 1 3.00 X $ °?
Hot tub/s a 3.00 x $
Kitchen sink 3.00 $ 3°=
Laund tra 3.00 x = $ ?
Lavato 3.00 x 5" _ $/ S°=
Se tic S stem newrrerureisned • re utres rnPC ne. 75.00 x -, _ $
S2 tiC S stem abandonment 30.00 X _ $
RPZ new installation/reair/rebuild 30.00 x $ ?
Rou h o enin 1.50 x = $ 6-
Shower 3.00 x = $ °°-
Under rounds rinkler ifdwellin isundarconstruction 3.00 x Y oO-
Under round s rinkler if exisnn dwenin
Watercloset
Water heater 3030
3.00
3.00 x
x
x =
= $
$
$ oO
Water softener if dwenin undereonstruceion 5.00 x ? = S
Water softener it existm dwewn 30.00 x $
Waterturnaround 30.00 x $
State Surchar e .50 -> --> ----> $ .50
Total -> --> ---? ----? E 7 0
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------•---------------------------•----------•-••---------------••------------•-••------------•----------••-----------•--••••-----
I hereby acknowledge thal I have read this application, state ihat the informaGOn is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanCS responsibility to notity the propert/ owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Cityduring its nortnal
operational and maintenance activities to the taalitles consWCted under this permit within Ciry propertylrigh[of-wayleasement.
SITE ADDRESS:
OWNER NAME: : G??b 6/l.?i+/ ?°S Lsv5 r TELEPHONE #:
(AREA CODE)
INSTALLER NAME: r? H il'P? ??/G Gr g,riC,qcTELEPHONE #: S-d-
STREET ADDRESS: (AREA COOE)
S
CITY: STA . 21P:
pr? ,
SIGNATURE OF PERMITTEE
CITY USE ONLY
. LOT ? BL I PERMIT
SUBD. pffl ee, RECE[PT #:
RECEIPT DATE: I O+ I7-O O
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQIOa RD
EAGAN MN 55122
Date: O Z3 651-681-4675
Complete this section onlv 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 (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
v
.50
So
$??-
Complete this section on! if you are remodeline. addin¢ to, or reairin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration _ Repair _ Other
_ Fumace _ Air conditioning
_ Airexchanger _ Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: 7 6 3? ?-?? 7-2 rr C- ? rl?r
OWNER NAME: GLl nWc 4 C? I?io 5 Ca•?5 T_ pHONE #:
/ ?eu.c...n,,.
INSTALLER NAME: ?( ?' K 1i ?e C ? n t G!?- L PHONE #: 5' S?z?
STREET ADDRESS: ?pe." 4, C (AREACODE)
? ir O/L d?
CITY: > G2 !?F'?LO ??? STATE: ??? ZIP: 7 S S? ?
? i SIG ATURE OF PERMITTEE
I
I
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#: RECEIPT DATE:
2000 MECHANICAL PERMIT (CObMRCIAL)
CITY OF EAGAN
3830 PILOT KbTOB RD
Er,cax, rN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-famity buildings when separate pertnits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!ling/removing undergroand tank, cal! 651-681-4675 jor inspectiox by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of cantract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMF'ROVEMENTS ONLY):
WAS THERE A PREViOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE#: -
(AREA CODE)
STATE:
ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
a-
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirv oF eacari
3830 PILOT KNOB RD - 55122 U
851-681-4875
New Conshuctlan Raaulremenh .. Remodel/RaoWr Reaulremenls
? 3 reylalered sEe wrveys ahovAnp p. H. o( bt, sq. rt. ol houae
and gQ rooled areas (40'b mmclmum bf coveraae albwafi
> 2 coples of plaro (ahow Deam 8 wlndow sizes; poured fnd. deslgn; etcJ
> t eef o/6neryy CalCUlaNOna
> 3 coples of tree prefenaHOn plan It lot plalfed aH6r 7/I /93
DATE: ?-.=- O D
DESCRIPTION OF WORK:
2 copiea of plan
I sef of energy calculaHOns for heated odditions
1 site wrvey tor exleAa additlona A decks
coNSTaucnoN cosr: '`?W.27, 872_
STREET ADDRESS:
LOT: 4 BLOCK:
Name: Phone #:
PROPERTY laat FlrN
OWNER
Sheet Address:
City State: pP:
. Company???-H? [?24??/i- Prione e:
carea c«,a>
CONTRACTOR
s ? UCense Y Qa/?/.3 ExP•? -?
??t naa??: 9 35 ?
ci+r ul...r?, stara: vp: 553 9I
ARCHITECT/
ENGINEER Company: Name:
' Telephone M: ( )
" Sheef Address: Regishafbn N:
, Ciy State: Lp:
(? ia BFs4 .`fl
SewerJwater licensed plumber (k installina sewerMratar):-=K3&Fhone #: (
I hereby acknowledqe that I have read thb applfeafion, state ttxf the intortnaNon ia cortect, and agree to comply wflh an apPOcable Sfate
of MlnnesoM Sfatutes and CNy of Eagan Ordinances. ?n ? •??A???
Signaiure of ApplicanY.
OFFICE USE ONLY RECEIVED
Certificates of Survey ReCeived =?es _ No ' • AU6 2 2pq0
Tree Preservation Plan ReCeived Yes _ No ?Not Required ' ??-
IBY:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.plex Plbg _Yor_N O 25 Mfscellaneous
? 06 04-plex ? 12 12-plex 0 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 Ext. Alt - Muiti
? 33 Ext. AR - SF
O 36 Mutti
0 31 New ? 36 Move Bldg. 0 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) O 46 WindowslDoors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ? l # of Stories ? S4• ft•
No. of Units _L Length _1L7 S4• ff•
No. of Buildings Width /, C? Footprint sq. ft.
Const. (Actual) # Basement sq. ft. 7,z 7 Census Code / o/
(Allowable)
5---
a Mairl level sq. ft.
ft
a
iS 7
F MC/ES System
Water
Cit
UBC Occup
ncy .P- 3 .
sq. . y
Zoning ?L 1LJAFrz,. sq. ft. 730 Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
?
Planning Buiiding Engineering Variance
?O B?OJ a°m
Permit Fee Valuation: $
Surcharge
Plan Review ?? ?f p o
License T 7.2?`? kCS = ?S rApS. '-"
MGES SAC
City SAC
Water Cann. ?
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge ?-7 % //J, ?
Treatment PI.
Park Ded. ?
Trails Ded.
Other
/ % ?O ?
Copies =
Total: '- ? U $. -1 •r?7/ `? ? Od/ °1? 7 420
SAC Units ''-
% SAC
f
br
h
H
?
w
tz
C
0
O
O g/a
a?
? a
?
?
?
ge 12 ?
Ga! ? ?
?? ?
?
? ?
DOCUMENTSTANDARDS
1111,4
G2r1'42,1
• Registered Land Surveyor signature and company
• Buildin9PermdApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split enVy, lookout, etc.)
• Directional drainage arrows with slope/gradient °h
• Proposed/existing sewer and water services 8 invert elevation
• Streetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
E?dstin
/
gY n ? • Sewet service (or Proposed)
p/o
? ? • Property comers
wa
d
i
b
t th
T
f
o ? y
cur
e
r
ve
a
•
op o
?D., ? • Etevations of any existing adjacent homes
u q/ ? Adequate footing depth of structures due to adjacent utility trenches
Prooosed
/o
? o • Garagefloor
.
?f ? ? • Firstfloor
? ? ? • Lowest exposed elevation (walkouUwindow)
p?/?
' ? - Property corners
ca
? ? • Front and rear of home at the foundation
PONDING AREA (if aodicaWe)
? ra' 0 • Easement line
? a? a • NWL
? ? ? • HWL
n ? • Pond # designation
? V? • Emergency Overflow Elevation
DIMENSIONS
? ? ? • -Lot lineslBearings & dimensions
?? o • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all sVuctures requiring permanent footlngs)
?( o o • Show all easemenis of record and any City utiliBes within those easements
66/ o0 • Setbacks of proposed sVucture and sideyard s j ack of adjacent epsting structures
? sa' ? • Retaining wall requirements, ifgny 11
Reviewed:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
PROPERTY LEGAL FwdK /
DATE OF SURVEY:
LATEST REVISION:
Maroh 1998
crenrra-oc;~.flu
' Site address: Lot ? Block L Subd. P",, TG+,do ?%M
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for?sulatio? air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is conslructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
This structure: wili be constructed b meet more reslrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
waterHeater ?( . AO-SenAk FPSN 5 NOooo p \/G
Furnace X BA N 35oMRdolnol2 0 zeooo f V Cr
Dryer I., rWE NLy
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves rvo
Kilchen kitchen
Bathroom 1 o q C? ?••( SD r'J D X
satnroom 2 ?0 ?AD60 C F M 50 5U
8athroom 3 M SrGR-?? F SU
Bathroom 4
Olher
FIREPLACE S
IOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT nrrnos
? h o0o T
MAKE•UP AIR MODEL TYPE CFM's
Uv°?1 1 ?AX S Id TO Z• O
I hereby acknowledge ihat ihe above information is correct and agree ro compty with the Minnesota Energy Code and Ciry oi Eagan
requiremenls.
? v v
Si nature
rJ S. N RadrYe'?-
CompanyName
2-22-OD
Date
This torm is Ihe responsibiliry ef the General Contractor.
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MATFPIAI A
GONCRETE: 3000 P51 g 28 DAYS
ACsGREGATE= FTG. -I I/2" MAX
WALLS - 3/4" MAX
REINFORCING: ASTM A615 GR4DE 60
GRANULAR < LIGHT GLAY ( GROIIp 11 )
BAGKFILL: EQUIVALENT FLUID PRESSURE
( )= 45 PGF
FL. SYSTEM
PER PLAN
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WATER PROOFINCs
8" T. POURED CONC.
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Aoldendum Number: Date: August n, zmmm
Lot: 4 ?IoGk: 1 ,4601ition: 4
Addreas:
t uyer Name:
pevelopment
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GONC.SLAB.
4C 32 Pinetree Gurve
1"laskel ?2esidence
Stonecl i f fe
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 5-17-2000
DATE OF PLANS: 8-17-00
TITLE: Hampton "B" LOOKOUT
PROJECT INFORMATION:
Maskel/Van De Walker
4632 Pinetree Curve
STONECLIFFE
COMPANY INFORMATION:
Lundgren Bros. Construction
NOTES:
Lookout
COMPLIANCE: PASSES
Required UA = 603
Your Home = 471
21.9% Better Than Code
Permit #
Checked by Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value
---- U-Value
------------
---------------------------------------
CEILINGS ------
2035 --------
44.0 ----
-
0.0 -
WALLS: Wood Frame, 16" O.C. 325 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1764 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1160 19.0 2.0
BSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 90 10.0 0.0
GLAZING: Windows or poors, Above Grade 100 0.350
GLAZING: Windows or poors, Above Grade 308 0.350 1
GLAZING: Windows or poors, Above Grade 145 0.350
DOORS 36 0.350
FLOORS: Over Unconditioned Space 832 38.0 0.0
HVAC EQUIPMENT: Furnace, 90.0 AFUE
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---------------------------------------------
COMPLIANCE STATEMENT: The proposed building --------
design d --------
escribed here is
consistent with the building plans, spe ifications, a nd other calculations
submitted with the permit application. The proposed building has been
designed to meet the irements of t e innesota En ergy Code.
Builder/Designer ( ?---i _ Date 8-17 oG
N 89°29'27" E 133.64
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LEGEND
Q DENOTES SANITARY MANHOLE
?% DENOTES ITYDRANT
Wil DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOIES WATERMAIN
ST DENOTES STORM SEWER
? DENOlES STORM MANHOLE
n DENOTES STORM APRON
SETBACKS
MIN. FRONT YARD ?SETBACK = 30'
'
MIN. SIDE YARD SETBACK = 5 GARAGE, 10
DWEWNG
MIN. REAR YARD SETBACK = 15'
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EAGAN ENGLqEEWLNG DEPT.
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LOT AREA = 19,042 S.F.
ROOF AREA = 2,464 S.F.
LOT AREA 9L = 12.9%
Propoaed Top of Foundatton Elevation= 949.5
Propoaed Gamge Floor Elevation= 948.5
z, Propoaed Lowest Floor Elevation= 940.5
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? + 000.0 Oenotes Existtng Elevation
, +(000.0) Denotee Propoeed Elevation
? f- Denotea Direction of Surface
5 Droinage
936
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. Denotea Sanitary 5ewer Service
Elevacion
A title opinion was not fumiahed to the surveyor nor was a
apecific GUe aearoh for the existence or non-exiatence of
recorded or unrecorded easementa conducted hy the aurveyor
as part of this eurvey.
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I hereby certffy that thie is a true and correct representation
of o aurvey of the boundartes of:
LOT 4, BLOCK t, PINETREE PASS 41H ADDITION
s
O HENNEPIN COUNTY, MINNESOTA
Md the locotion of all buildings, if any, thereon, ond all visible
encroachmenta, ff any, from or on said land. As aurveyed by
me this 20th day of July 2000.
\ e
Gary R. Gertnond
Ucenaed Land Surveyor, Minn. Lic. No. 24784
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CityofEaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: 93757
`
Permit Fee: ?o ()(-)
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S ? ` %D Site Address: I -e,
Tenant: Suite #:
RESIDENT / OWNER
Name: k ` IJ '\ G. YA Phone: 6 1.);-. Fos-- 7 F&s
Address / City / Zip: L16 3 c). Q I f `E sr -e Q c u ' U e, ECtp a v> MA/5
Applicant is: Owner Contractor
TYPE OF WORK
Description of work:, e..` O(4) ` II, S -e
Construction Cost: H9/0100 16° Multi -Family Building: (Yes / No
)
CONTRACTOR
Name:CG- V\ hO In UC9-`\ `e y k eyeR--" 1 G} License #: 0)-0 5-&'9 9 6 i.
Address: 1 "1 15 Q1`Y1 5 -- / City: 1.. �?�-�oD Ii --'6k LL -S
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State: 't Al Zip: .c 0 CI Phone: ,j d 7 c)(2,- o
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Cad -S--1 �- 6,4A 1 \»mail:
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE Plans anal supporting documents that you submit are considered to be pub119:11formationPort/ons o
the information maybe classiifiedas on-pu illc you provide specific that would permit the C.�ty o
conolo ale;,that they¥are trade -secrets , w .
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x(k. C- n 3k y vu.Ap„...) P
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120530
Date Issued:02/19/2014
Permit Category:ePermit
Site Address: 4632 Pinetree Curve
Lot:4 Block: 1 Addition: Pinetree Pass 4th
PID:10-57663-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory A Scholbrock
4632 Pinetree Curve
Eagan MN 55122--370
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122570
Date Issued:05/12/2014
Permit Category:ePermit
Site Address: 4632 Pinetree Curve
Lot:4 Block: 1 Addition: Pinetree Pass 4th
PID:10-57663-01-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory A Scholbrock
4632 Pinetree Curve
Eagan MN 55122--370
(651) 405-9871
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888-5550
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161337
Date Issued:05/19/2020
Permit Category:ePermit
Site Address: 4632 Pinetree Curve
Lot:4 Block: 1 Addition: Pinetree Pass 4th
PID:10-57663-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory A Scholbrock
4632 Pinetree Curve
Eagan MN 55122--370
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature