4635 Pinetree CurveAddress 4615 PinPtraP Ciirva 7.iP 5$12_2_
LAt 4 $1$ 3 SUb Pinetree Pass 4th Addition
THESE I'TEMS WERE / WERE NOT COMPLEfE AT THE TIME OF THE FINAL INSPECITON.
Date: ,?T_ p d Y Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway X
Permanent gas ?
Sod/Seeded grass k,
TraiUcurb damage
Porch
Basement finish j?
Deck ?
Please verify with t6e builder the removal of roof test caps from the plumbing system and the shutoff of water supply W
the outside lawn faucet before freeze potential exists.
ConfaM engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?O\ 2005 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.
Date 6 I ? I
`U : v e
Site Street Address L Pe Unit #
Property Owner Telephone # ( )
-? d
M
CoMractor i &e- nl?M! r.,?i Telephone#
Address 21G a.4 'Z"r9n ,?Icti??City 0I??c?t7l?c State ?''l,v Zip
The Applicant is: _ Owner ?Contractor _Other
-4-
Alterations to existing dwelling $ 50.00
??Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If rLou are insfallinc onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5I8" meter is requi red)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
i here6y 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 approved.
ApplicanYs Printed Name ApplicanYs Signature
00y 070 dO
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons[ruction Reauirements RemodeVReoair Reauirements OKce Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ceri of Survey Recd _ Y_ N
(20°h maximum lot cove2ge allowed) 1 set of Energy Calculations for heated addiGOns Tree Pres Plan Recd Y N
2 copies af plan showing beam 8 windowsizes; poured tound design, etc. 1 sile suNey for addNOns & decks Tree Pres Required _ Y_ N
7setofEnergyCalculations Adddion - iMkate'rfon-sResepficsystem On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 717193
Rim Joist Detail Options seleclbn sheel (buildings wilh 3 or less unils)
Date V / 7 / LS
Site Address tf (,? 3h A 1`L ?
CoostructionCost ?
AZ e- C ,t.4" L,?J LL•71i??_
uylyo; Uv?
Unit/Ste #
Description of Work
Multi-Faroily Bldg _ Y? N Fireplace(s) _ 0 1 _ 2
Pro ert
P Y Owner ?"'?vr? t
?
/
Tele Cpho`ne # ( ?e'Sl ?t ?'l'rh??
f? -
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Telephone # (
Telephone fl .
Sewer/WaterContractor Telephone#( . .)
q22
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approyal of plans.
b-1LaI/01 `?_ ?Y ??1 ?? G'...13'_.,-? y?tt%c?'C /?/? J?/ ?Il O O5
Applicant's Printed Name Applicant's Signature f
BY ,_ `J
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Paol ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex p 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 (screeNgazebo) ? 36 Multi Misc.
? 05. 03-plex ? 11 10-plex PP 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
WorkTypes ? C1@5
??"?--J JjLoo I?--
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code H3 ?J Zoning R -t City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? / 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 _ AidGas Tests Final
4?1 Framing Siding _ Stucco _ Stone _ Brick
FireplacG. ? R.I. _rAir Test ,LO Final _ Windows
? Insulation Retaining Wall
Approved By?` , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC.,
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
L I
T
SUBD.
BL
CITY USE ONLY
i Y4 Pa,GS kl?n
PEceiwr #:
RECEIPT DATE: Id 7 ?d
PERMIT# 3 q"I 71
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD
EAGP.N, MN 55122
651-661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ =
Floor drain 3.00 x J = $ 3--
Gas piping outlet ` minimum -1 3.00 x °-
Hot tub/spa 3.00 x $ -
Kitchen sink 3.00 x = $ 3°=
Laund tra 3.00 x 1 = $
Lavato 3.00 x 57 = $ g.n / g o
Septic System newnefurbisned ' requires MPC Ilc. 75.00 x - _ $
Septic System abandonment 30.00 x - _ $
RPZ new installatfoNrepairhebuild 30.00 X - _ $ --
Rough openin 1.50 x 3 = $
Shower 3.00 x I _ $ j°O
Underground sprinkler if dwelling is under construction 3.00 x - _ $ -
Undergroundsprinkler if existing dwelling 30.00 x - _ $ -
Water closet 3.00 x 3 = $ `-'
Water heater 3.00 x = $
Water softener If dwelling under conshuction 5.00 x = $ -
Water softener If existing dxrelling 30.00 x $
Waterturnaround 30.00 x $ -
State Surchar e .50 -> -> -> $ .50
rotal -> -> ---> ---> $ 1 &0
Reminder. Call for inspections of alterations, i.e. water heaters, water soiteners, etc.
.•------------•-------------------•----------------------------------•---•----•----•-----•--------------------------• -
It is the applipnYS responsibility to noti(y the property owner that the City oi Eagan assumes no liability for any damages caused by the Ciry during ds
nortnal operational end maintenance activities to tha facilkies construGed under this pertnN within City propertylright-of-way/easement.
SITE ADDRESS: ?(p? S
OWNER NAME: : S 61V S j, TELEPHONE #: (v! Z -?/
(AREA CODE)
INSTALLER NAME: ?( a w BI4i ?Q cl.?aK i c..+C-TELEPHONE#: lv12-Y?f
STREET ADDRESS: SQ ? Cc d-<, (AREA CODE)
CITY: S? l?-CcA??'?? STATE: f01-i ZIP: S S,37 S
-SIGNATURE OF PERMITTEE
LOT ? BL `-!
CI1'1' USE ONLY
PERMIT #: 39I ? O
SUBD. pint?rte ?ASS ?? RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
. 3830 PIIAT KNOB RD
EAGAN 2IId 55122
? 651-681-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
consWction and not owner/occuoied.
?-
• HVAC: LA
50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.) if"
State Surcharge
Total
$ 30.00
6.0
?L o°-
.50
$ 5-0
??.
Complete this section onlv if you are remodeline, addine to, or repairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
_ Fumace
_ Air exchanger
Reminder: Call for inspections
_ Other
Au conditioning
Other
Fee
State Surchazge
Total
SIT'E ADDRESS: `T ?
$
$
30.00
.50
30.50
OWNER NAME: C ?t n??'/LG?? /??O"S ?--? S T PHONE #: ? l y - v 7? ?4 3?
P?-
INSTALLER NAME: 'r(/a V. a n r L i'4--L PHONE #:
/I' (AREA CODE)
STREET ADDRESS: ? l [iL 4- 4o ?
CITY: STATE: J-,411Al ZIP: S•? ? 7/
SIGNANRE OF PERMITTEE
_ Repa'v
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMAERCIAL)
CITY OF EA6AN
3830 PILOT 1Q10B RD
EPaGAN, MN 55122
651-681-4675
Please complete far ail commercialfindustrial buildings
multi-family buildings when separate permits 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 underground tank, call 651-68I-4675 for inspection by fire marshal and
p[umbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaViustallation = minimum fee
Contrac[ price: $ x 1°/a =$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: PHONE #:
(ARF,A CODE)
TENANT NAME (IIvIPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE: ZIP:
CITY USE ONLY
PHONE #: -
(AREA CODE)
SIGNATURE OF PERMITTEE
? 2000 BUILDINC PERMIT ApPLICATION (RESIDENTIAL)?
i CITY OF EAGAN L:G
3830 PILOT KNOB RD - 55122 ? .J r?? L L.
651-681-4675 1
New ConshucHon ReaWremeMs Remotlel/Renair Reaulremenis
D 3 reglstered sife wweys showing sq. B. of lot, sq. R. of house
antl g?l rooled areas (20% maxtmum lot eoveraoa allowetl)
? 2 copies of piana (ahow beam & wfndow sizes; poured Intl. deaign; efcJ
? 1 aei W energy calcWaMau
? 3 coples ol l{ee presenation pian tl lol plaMed afler 7/1/93
DAiE: ? //
/
2 copies ot plan
1 aet Of 6n6tgy cdIwlONan51w h9afed OtldiHOnS
1 sNe wrvey for exfedw atltllMons & tlecks
CON5fRUCTION COST: 3; 6P 3 3
DESCRIPfION OF WORK:
STREET ADDRESS: 1-1ln Y,! //7e,(/L
LOT: 41 BLOCK: 3 SUBD./P.I.D. Y:
zw-,
Name: Phone #:
pgOpERTy lasr FIM
OWNER
Sheet Address:
City State: Zip:
Company: C?1?4? 2) Ej /e?G ti/?i(SQ<S Phone #: /oZ1 q7 '.-
(area code)
COMRACTOR / /, / /
i1 License ri l'Y 1 ? Exp. `3 ?
Sheei Address: `7?? .?J? ? C.C//,li ?
CMy (.CJ/,l_!/lZC2 _ ?? State: 7L Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Sheet Addreas: Reglshalion M:
Ci1y Sfate: ' "?..?,ZI`/_
SeweNwater licensed plumber (if Installino sewarlwater) . Phone #: ?(V?/?
I he"y acknowledge ttwt 1 have reud this applicolbn, Mate Hwl the Infomxlion onecf, and agree to comply wHh all appiicable State
of MlnnesoM Stafutes and Cify of Eagan Ordinancea
; Signaiure of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Tree PreservaGon Plan Recelved _ Yes No ?+lot Required ?
OFFICE USE ONLY ' '+
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
03 01 of _ plex p 09 07-plex
? 04 02-plex ? 10 08-plex
? OS 03-plex 0 .11 10-plex
? 06 04-Plex ? 12 12-piex
15'C•]:7:i 0;2 ?
? 13 16-plex ? 21 Porch (3sea.) ? 31 Ext. Ait - Muttf
? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF
? 18 Deck ? 23 Porch (screened) ? 36 Mutti
O 19 Lower Level O 24 Storm Damage
Plbg _Y or _ N 0 25 Miscellaneous
O 20 Pool ? 30 Accessory Bidg.
31 New ? 36 Move Bldg. ? 43 Reroof
O 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
13 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
• Give PCA handout to applicant for demotition permit
GENERAL INFORMATIO?I
SAC Code _f) # of Stories &9A&&-Aq. ft. UY-
No. of Units _j Length "sq. ft.
No. of Buildings Width ? Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy 9. sq. ft. ` City Water
Zoning
t-T J-M'U.sq. ft. Booster Pump
PRV ?
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ? Qtg v
? J! Q ? ?
Surcharge ? ^,?7
Plan Review ? ?
MC/ESSAC
City SAC 34?
Water Conn. 7C? ?
water Meter ,n '?J ? = ! a/
Acct. Deposit a' N'J
S/W Permit
S/W Surcharge .f?,e? `t
Treatment PI. U ?°
Park Ded. 7
6/ ? /' ?,? r a•?
Trails Ded.
aher m "
Copies ? ?
Total:
SAC'Units
% SAC
?+ w 39s CCINI iNUE
CITY QF EFlGAN
CASH:tF.R: _1S TEFM.[NAI_ N0: 676
I1A'iE:: 02/02/Qp TI:ME.: 09:4:1 e45
ID:
MriNiE° I_UNLIlyfif_:N Ii'fiC.Ji CDNfiT'RUf: T:f.Jt1
3i 16 9220 4635 PINETREE C 04
00
303 9220 463:5 f INF'iREE C .
50
00
3865 9220 463:i PINETREE (:: .
040.00
Toi:a]. Rr_+r.:eip+, Flinoun+,. 5a566.0i
CkJ.22997
USf::f: IOa JAN
G:[TY UF EFlGAN
CASH'.f.FR: :Ig TF.::R.MINAI_ N0: 676
IiATE: O2/02/00 T7:MI_: 03:41:44
ID"
NpME,^, LUNDGRI::N Rfi05 COPlFiTFiUCTION
2252 9220 4635 F'TNE'iFEI= f.; 50.00
3210 9001 4635 PINETREE C 17626.55
3866 9379 4635 PINETREE C 100.00
3422 9001 4635 f'INF_TF<EC. G 17057•i6
2275 9220 4635 F':iNETREf.:: C ty08:3.UC1
3146 9001 4635 F^SPdEI'RLE G J.i.DCI
055 9001 4635 F'SNE=T'RF_E C 0.50
3743 9220 4635 PINETREE C 50.00
W55 9001 4635 F'.T.NETfiF_6i C 106.50
3868 9220 4635 F'ItdETH;EF l:; 492.00
Cfi:1.22997 (:ONT:f.PlIIE
USE:R IDa JAN t'!:1NTINUF
'M?b?k??k7K1KYF???k??YF?X7k?tYF#5K>F?A??%?K1K M:K1kYF9n?k'M?XXCXO'?1X1F
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
?
SS TJI
? ?-`N?'I?E? 7'H
PROPERTY LEGAL: L?9T 4 ?L LG(' ?? -ti `I ? AOO ,
h DATE OF SURVEY: P- I I' OO
H
?
W
LATEST REVISION:
cz
C
0
DOCUMENTSTANDARDS
0
og a
0 ? • Registered Land Surveyor signature and company
?o o • BuildingPermitAppNCant
V?? ? ? Legaldescription
p- ?o a Address
? • North artow and scale
o. House type (rembler, walkout, spfR wlo, split entry, lookoA etc.)
a ? ? Directional drainage artows with slope/gradent °.6
/a ? . Proposedlexdsting sewer and water services & inveR elevation
: ? ? • Street name
¢-`? ? • Driveway
m/ ? ? • Lat Square Footage
?o ? • Lot Coverage
ELEVATIONS
Existina
?a ? Sewer service (or Proposed)
0'A ? : Properry comers
?? ? • Top of curb at the driveway
p?o ? • Elevations of any ebsUng adjacent homes
? d? Adequate footing depth oi structures due to adjacent utlCdy trenches
Prooased
IV ? ? • Garagefloor
r,? ? ? • Firstfloor
? • Lowest exposed elevatlon (walkouVwindow)
? • Property comers
W/o ? • Front and rear of home at the foundatlon
PONDING AREA (if acolkade)
? 0?/ ? • Easement Gne
a 0/? . NWL
? &' ? . HWL
? ca?p • Pond # designatlon
o m/ ? • Emergency Overflow Elevation
DIMENSIONS
? • Lat GneslBearings & dmensions
?? ? • Right-ot-way and street width (to back of curb)
?a ? • Proposed home dimerreions induding arry proposed decks, overtrengs greater than 7, porches, etc.
(i.e. all structures requiring permaneM footings)
?? • Show aU easemenffi of record and any Ciry u0litles within ttiose easemenLs
m1? ? ? • Setbacks oi proposed structure and sideyard setback of adjacent ebsting structures
? e-? • Retaining waU requirements, if any
Reviewed:
Name I 0ate
Mareh 7999
cRAK6SLncawr.crn
/ .
'•? ?? , . • ' .
i ? . • . _
Lu! 1DGREFI .
? R05
' EXTERIOR ENVCLOF'E AVERIIGE U COMpl1TATI0N DENBY
CoNsIaucnoN
?
INC. Site Address kp)
(
tyal
lyx
?
_ .
. o
o c
' R& U Caclors R U
Opaque Walls
.043 .
935 E. w,y»i, uiva. -
yyaY/aia 41a11 rraming Rreas ,09
Minnr.;ola55301 Ceiling Insluation Area .023
(r,iz)473 Izal Cei l i ng Frami ng Area ,027
, Rim Joisl: _ .04
Masonry 41a11 .469
41i ndows .35
, Doors .31
SkylighCs , .55
1) Lotaer Level (daseinent)
Total Exposed Wall Area
S/ ?-
Opaque Wall Area '' 11 I X(U) .043 =
Wood frame Area la. X(U) .09 =
Rim Joist 183 X(U) .04 = 73a,
Exposed fSlock a j X(U) '08 -_ ?Q .
Wi ndow Area X(U) .35 =//? 35?'
. Slidinj Glass Door 4O X (U) .35 =
Door Area ? X (U) .31
Total
? ? -
?
. .. ? .- . . .
LuftDGREn
RO5
""
' 2) firsi: Or Main ('loor
CONSTRUC110N
Total [xposed 4lall Area
1(o9?-
INC.
Opaque Wall Area
X (U)
.043 =
lJood frame Area /-2/ X (U) .09 =
, Rim Joist X (U) .04
Window Area X (U) .35 = 115?
sss E. wayr,i, uivd.
Sliding Glass Door
?.? X (U)
.35 =
Wapala
3? X (U)
.31 =
-7d'
Minncsola5i391 DoOr Area -
(G 1z)47Z-t z;l I To t a 1
3) Second Floor If Two Story
Total Exposed llall Area 1722,
Opaque Wall Area ,S0 X (U) .043
Wood frame 61rea X (U) .09
Windovi 11rea X (U) .35 = ??3
Sliding Glass Door -- X (U) .35 = -'
Door Area X (U) .31 =
Total
4) Total Ceilin9 Area o2-6 .
Wood Frame 11rea X(U) -827
?2
ue Ceiling Area
a
O X (U) =
, q
p
Skyligftt ? X (U) .55 = -
T
L
l
a
o --T-
N
.. ~?. ?.. . '. . . .
- . . • .. - .
LunDGRE! M .
6N R'OF S.
CONSiRUC110N
wC. ' MINNESOTA U FACTORS Total Exposed 41a11 Area X.11
MINMESOTA U FIICTORS Total Exposed Ceiling
Area 1-1167 X .026
, (ll) Total
935 E.4Y7Y1.1l7 BlVd.
way»ll, I Cem 1_ S/• SL + I tem 2/Z, 7, d r I tem 3/A/ -iI Cem h 3/ 57= s3 ?/a •??3
Minnusola 55391
(612)473•1231
If Total OF Items 1-4 Is Less Than Item (ft), Quildiny Canplies With
SaC 6006 (C)s
r
1
?
PRoll LLo\'!e REEMU?u ?+EU
r,
ti
?J
-Z?i t-T
FENe6:
\ 'ot,
C?
1tza
? (???/f?C
i` ? L?
1"J U I? 3
4
-;
, ?
NE?:GP&7 ENv^,Ir?EER.iNG D??T. ?
' LEGEND
0 oao,M SANTARY M,?OLE
U DENOIES ITYDRANT
Gi DENOTES CA7CH BASIN
S DENOTES SANITARY SEWER
W DENO'fES WATERIAAIN
ST DENOTES STiDRM SEWER
? DENOiES 51'ORM MANHOLE
? DEN01ES STORM APRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5'GARAGE, 10' HOUSE
MIN. REAR YARD SETBACK = 15'
ROOF AREA = 2,490 S. F.
LOT AREA = 13,151 S.F.
f ROOF AREA 96 = 18.799L
Proposed Top of Foundation Elevation=945.50
Propoaed Garoge Floor Qevationm 944.5
Propoaed Loweat Floor Elevation= 937.0
Lowest Allowable Floor Elevation- 938.5
O Denotes Iron Monurtrent
+ 910.0
+(910.0) Denotes Existtng ElevaNon
Denotes Propoaed Osvation
Denotes Direction of SurFaca
910.0 Droinage
Denotes Sanitnry Sewer Servke
Elevation
I hsrsby cxrtify that thia ie a true ond correct repreaentotton
of a survey o# the boundcries of:
LOT 4, BLOC K 3, PINETREE PASS 4TH ADDRION
DAKOTA COUNiY, MINNESOTA
Md the bcation of atl buildfngs, if ony, thereon, and aU vieible
encroochmeMa, Tf arry, from 2? id land. As aurveyed by
me this„ 117H day of JAIJ?JARY
RECEIVED JAN 18 2000 GaryR. Gsrmond -
Licenaed Land Surveyor, Minn. Lic. No. 24764
1?
x 0
ag?u
U. z ?
18
U?qz
Fo?a
I ?S a
DRAWN
DE,S
CHGRECGED
DATE
01-11-00
'*SCI O
JOB N0.
5402-567
PERMIT# 7
RECEIPTDATE: 5 IC -o(
U.SIMENTIAL PLiJM$INH PEiiMIT APPLICATION
crrY oF EasAx
s83o Paor xxos Rn
EA&AN, MN 55122
6si-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: 4`C ?? ?? x --rr e& C""' V V
OWNER NAME: : Lfil.Wr?i I v& r;t'n TELEPHONE #: ??OIL/?"C L/'C? i
(AREA CODE)
INSTALLERNAME: CQYIim r TELEPHONE#:?4?F-. /v
STREET ADDRESS: WJ4D ? k -P, A (AREA CODE)
CITY: Lw(fil?UU STATE: I?lk ZIP'Tj-v_
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or alteration to existina dweiling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: ? o?
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
n ?
FEE
State Surcharge
I ? 50
fI?i U
'sb ?
Totai
? $
Reminder. Be sure to schedule inspections of alterations, i.e. wat$-liea eraterso ers, etc.
I hereby acknowledge that I have read lhis application, stale that the information is correct, an agree to complywith all applipble Cityof Eagan ordinances. It
is the appliranCs responsibility to nolify the property owner that Ihe City of Eagan assumes rJ6 liability For any damages ca{ysed by the City during its normal
operational and maintenance activities to the facilities constructed under this permit withi ,doperjylri9ht-of-wayfesrylment.
TURE
Updated 1l01
JUN-27-01 15=33 FROM: . ID: PAGE 6/6
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Clty of Eaiafl
3830 Pilot Kno6 Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657) 675-5694
? -
FaOfficeuse --?
' <
? Permit #:?
? Pertnil Fee:
I 11?
? Date Received.
i i
I Stalf: ?
L ____--°'-------
2009 MECHANICAL PERMIT APPLICATION
Date: '7I IqI Gq Site Address: qU(J1E5 YI A f??TX \ Jl ll UQ
Tenant: ??vInA R&I u.t),??n7 i SuiteC
Name: Wm $- ?dri Lwm Phone:
RESIDENT/OWNER
Address / Gily / Zip: LOG POMU
License tt: lg??
Name: ?'
CONTRACTOR -
Address:
city: 't-l)rt')?1.? 11P , state: zip:
Phone: Contact Person:
TYPEOFWORK _.New ?Replacement vAdditional _Alteralion _Demolilion
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipmenf is required to
be screened by City Code. Please contact the Mechenical Inspecfor or one of the
Planners for informa[lon on ermitted screenin methods.
RESIDEMTlA! COMMERClAL
PERMIT TYPE f Fumace _ New Constmction _ Interior Improvemenl
? Air Condilioner _ Install Piping _ Processed
Air Exchanger _ Gas _ E#efiof HVAC Unit
Hea1 Pump _ Under 1 Above ground Tank (_ InstalV _ Remove)
_ When Installing/removing tank(s), call For inspection by Fire
Otber Marshal and Plambing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes 5.50 State Surcharge)
$90.50 FIfB f2p21f (replace bumetl ou[ appliances, ductwork, elc.) (IRCIUd05 $.50 Sl3fE SUrch8rg0)
TOTAL FEE
COMMERCIAL FFES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Pennit Fee is less than $1,000, surcharge is $.50.
- I/ Permi[ Fee is > $1,000, surcharge increases 6y $.50 For each =$ Stale SurChafge
51.000 Pertnit Fee (i.e. a$1,007-$2,000 Permil Fee requires a$7.00 sumharge).
$ TOTALFEE
I hereby acknowledge that Ihis informalion is complete and acarele; that the work will 6e in conformance wilh the ordinances and codes o! 1he City oi Eagan; Inat
I undersland Ihis is not a permit, 6u1 oNy an applicallon Im a permi[. and work is nol lo start vnthoul a permil; Ihal the work will be m'accorEance wilh the approvetl
plan in the case of wark whicn requires a review and appmval of plans.
ApplicanYs Printed ame
Ap ' ant's Sigoature
FOR OFFICE USE -
Reviewed By: Date:
Required Inspections: _Under Ground _ Rough In _Air Test _Gas Service 7est _In-floor Heat _Pinal Exterior HVAC Screening Inspection ?
RESIDENTIAL
` BUILDING PERMIT APPLICATION
CITY OF EAGAN ?O !
3830 PILOT KNOB RD - 55122 $ o e
651•687-4675
Called
New Construction ReauiremeMs RemodellRemir ReauiremeMs
• 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximum lot covemge allowed) . 1 set of Energy Calculatbm for heated additiore
• 2 wpies ol plan showing beam & window sizes; poured found design, etc.) . 7 sfte survey for exteriar addNOns & decks
• 1 sef of Energy Calculatioia . Indicate if Iwma served by seplic system far additions. '
• 3 copies o( Tree Preservation Plan'rf bt platted aker 711l93
• Rim Joist Detal OpGOm selection sheet (bldgs wifh 3 or less unifs)
DATE P,
JOB SITE ADDRESSA
IF MULTI-FAMILY B111L0
PROPERTY OWNER_?
TYPE OF WORK
APPUCANT ZeJ?u"
ADDRESS _, ?Ib b
PAGER #
HOW MANY UNITS?
t
FIREPLACE(S) /_ 0 _ 1 _ 2
PHONE#lf?-l•SU/ 762-6
ZIP CODE 1T9'/
_ FAX #. .?50 l ??
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNE50TA RULES 7672
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Rccovcry System
All above Information must be submitted prior to processing of application.
Phone #
Phone #
I hereby acknowledge that I have read this application, state that the inforrr
with all applicable State of Minnesota Statutes and City of Eagan Ordina ?
Signature of Appllcant
Certificates of Survey Received _ Tree Preservation Plan Received _
OS
CELL PHONE # l!?Iz
_ Water Softener _
Water Heater _
No. of Baths
1-q-0 f
nYV'
VALUATION /l / 7,10
Phone #:
I,awn Sprinkler Fee: $90.00
No. of R.I. Baths
U1
Il lO
n
n,?
-?
?° ? ?
?
yrXct.-I nd agree to comply
Updated 7101
OFFICE USE ONLY w ,
? 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 ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 37 New ? 35 Int Improvement ? 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 81dg only) - Give PCA handout to applicant
Valuation oOp u Occupancy MC/ES System
Census Code All? ?Lll Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs / Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg)
? FinallC.O.
Footings(deck) FinaUNo C.O.
_ Footings (addition) 7' Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
_ Frai171Ig _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By 4L+C ) , 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
HVAC
-
For Office Use 761
Permit
4 City of E
Permit Fee:
3830 Pilot Knob Road d9 'PAR 11) Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: _ , . _
i t 2009 MECHANICAL PERMIT APPLICATION
Date: `I! l q ? CA Site Address: ~ tx l f t V
Tenant: ~i li 1 s x 1 r' 1 Suite
RESIDENT! OWNER Name: f or) $ B I LA, , t./1 Phone:
Address / City /Zip: r
~a C }gip r ¢ G' ~ 0(-Y ,
CONTRACTOR Name: License t_f~t 17T
~ ~
Address: LLY t ' 1 1 17 City: State:.. ZiA S- C. 3
Phone: Contact Person:
TYPE OF WORK New ? Replacement Additional Alteration Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
' Furnace New Construction Interior Improvement
? Air Conditioner Install Piping Processed
Air Exchanger _ Gas Exterior HVAC Unit
Heat Pump Under/ Above ground Tank L_ Install/_ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Pumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
-if Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 wfrich requires a review and approval of plans.
x CJ~y l`1U?1 h x 4- 4
Applicant's Printed Name Ap ant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground - Rough In --_-Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121851
Date Issued:04/16/2014
Permit Category:ePermit
Site Address: 4635 Pinetree Curve
Lot:4 Block: 3 Addition: Pinetree Pass 4th
PID:10-57663-03-040
Use:
Description:
Sub Type:Garage
Work Type:Overhead Garage Door
Description:
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lauren L Larsen
4635 Pinetree Curve
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170596
Date Issued:07/12/2021
Permit Category:ePermit
Site Address: 4635 Pinetree Curve
Lot:4 Block: 3 Addition: Pinetree Pass 4th
PID:10-57663-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Lauren L Larsen
4635 Pinetree Curv
Eagan MN 55122--370
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature