4647 Pinetree CurveCity of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
0 0 RESIDENTIAL BUILDING PERMIT APPLICATION C/
Date: f /3—fra Site Address: 7aCt 7 A>t-f PCC% (-AP--
Tenant:
imTenant: Suite #:
RESIDENT / OWNER
Name: 09e4/7/ (>1V J rJ 4'c,-. fL/ i Phone: 40:37-40,I-27 07
Address / City / Zip: 44/,' 5/7 Ate T C✓nom flyq vi 5-3 / 2 i
Applicant is: Owner Contractor d
TYPE OF WORK
Description of work: ` / /4.^ SS¢,a r' /' 7'14- le'CJ7zt a .14'‘an
Construction Cost: //, 376P: Multi -Family Building: (Yes / No )
CONTRACTOR
--_5i
Name: //4 -.Z. License #: €X P ??
/&'c5
// __ --
Address: 110Z/ lS�� eAl 1--377 �,L7O 5 City: Z• 4-e c);
State: MS/ Zip:O // Phone: 5$2-%3 '-ems/C0
Contact:J5c,i 141A/,\`fr-41 Email: G�0,ch�A1/ y j7 ,Ta''t-Cc
COMPLETE
In the last 12 months, has
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:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
"conclude that they are trade'secrets.`ss "
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not
accordance with the approved plan in the case of work which requires a review and approv. •f
x
Ap icant's Printed Name
p[DEIZETY
JUL 1 5 2010
dinances and codes of the City of
art without a
ican s Signature
permit; that the work will be in
Page 1 of 2
q -tq
LG UE
DO NOT WRITE BELOW THIS UNE
SUB TYPES
Foundation
Single Family
Multi
01 of_ PIex
Accessory Building
WORK TYPES
New
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% V
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace
Garage
Deck
Lower Level
Porch (3 -Season) Storm Damage
Porch (4 -Season)
Porch (ScreenlGazebolPergola) Exterior Alteration (Multi)
Exterior Alteration (Single Family)
Pool _ Miscellaneous
_ interior improvement
_ Move Building
Fire Repair
_ Repair
111 314
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _lice & Water Finai
Framing
Fireplace: Rough In Air Test Final
1-• Insulation
Meter Size:
Reviewed By:
_ Siding
Reroof
Windows
— Egress Window
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
V6 4
2.09?
MCES System --
SAC Units
City Water
Booster Pump
PRY
Fire Sprinklers '—
Sheetrock
Final / C.A. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: — FootingsBackfill _ Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
V,/
/Y3!
TOTAL
Page 2 of 2
Address 4647 Pinetree Curve Zip 5512 ?
IAt 7 Blk 3 Sub Pinetree Pass 4th
THESE ITEMS WERE / WERE NOT COMPL.EI'E AT THE TIME OF THE FINAL INSPECTION.
Date: r 2 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass x
TraiUcurb damage ?
Porch
Basement finish ?
Deck ?
Please verify with tlte builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze poten[ial exists.
Coatact engineering division at 6814645 before wotking in rig6tof-way or installing underground sprinkler system. ?
W6ite - City Copy Yellow - Resident Copy Pink - Contractor Copy
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.
$ 1`S.50
Date ? / /! ns f
Site Street Address Li.kru-k- Unit #
Property Owner Telephone #(651) 69?1 _I 9
Contractor '/ G ?- Telephone#
AddressC?`7'??` N( I L, t ? cn7 A City _l1i I(o State ?t'J Zip
The Applicant is: _ Owner Contrackor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener andlor water heater-complete next
section if installing these appliances).
Septic System Abandonment
'Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ?Water Heater $ 15.00
new rePlacement
- ?
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ r5 5'6
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 ap roved an in
the eyent a plan is required to be reviewed and approved.
Applicant's rinted Name ApplicanYs Signature ?.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWCHon Reuuiremenh RemodellReoair Reuuiremenb
. 7 registered site surveys showing sq. ft, ol loL sq. k. of house; end all mofed areas • 2 copies of pian
(20% maximum bt coverage allowed) • 1 set of Eneryy Calculations for heated aCtlitions
• 2 co0ies of plan showing beam & wintlow s¢es; poured fountl design, etc.) . 1 site survey for exterior addi6ons 8 decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 7 copies of Tree Preservation Plan if lot platted aRer 711193
. Rim Joist Delad ODtions seleUion sheet (blCgs with 3 or less uniLs)
DATE Iv-Zl 0 Z VALUATION & -I(?o '40 ,
SITE ADDRESS PCAQ-41-? Cj-v-v4C- MULTI-FAMILY BLDG _Y _N
TYPE OF WORK iiA./a C? k il L-ro4,? cF- g fIREPLACE(S) _ 0_ 1_ 2
APPLICANT
SELA ROOFING 8 RFPAr-?, ;.' _ . ,
STREET ADDRESS ST. LOUIS PARK, Mh CITY STATE_ZIP
TELEPHONE # (2lZ-gZ3-?(? CELL PHONE # FAX #
PROPERTY OWNER MG?rfC r<?a-J C-?l a,rG TELEPHONE #?FQ
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNLSO"l-.\ Ri:LI:S 7670 C:\"fEGORI' t D(INNESO"C:1 RCLES 7672
(J submission rype)
Plumbing Conhactor: ___
Plumbing systcm includes:
Mechanical Contractor:
.VIcclruiic:il sp•slcut inrludrs:
Sewer/Water Contractor:
• New Energy Code Warksheet Submitted
_ NVater Sof[ener _ Lawn Sprinkler Fee: 590.00
_ Water Heater _ No. oC R.I. Baths
No. of Baths
Phone #
Air Condiuoning Fec: „570.00
--
Hc.U accovery system ?
J
- _J
Phone #
I hereby acknowledge ihat I have read fhis application, state that the informatian is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi/?ances. /? //
Signafure of Appllcant A A? / ?f w X /1 .
Y
•--------- ------------------ ----------- --------- __------ -----------....________._------ -__
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4l02
• Residential Ventllation Category 1 Worksheet Submitted
• Energy Envelope Calculalions Submitted
Phonc #
OFFICE USE ONLY
? 01 Foundadon ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ect. Alt - Multi
? 03 Ot 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 (screened) ? 36 Muw
? OS 03-piex ? 11 10-plex ? 19 Lowerlevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y ar _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bidg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O:
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ [nsulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply S Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
L%J1:; / BLOCK: ? SUBD./P.I.D#: ivle'I'VLC fASS 4}I,
. TM
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
??{?Z? 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaufrements
? 3 regisfered sffe surveys showing sq. ft. of lot, sq. ft. of house
and all roofed areas (20% maximum lot coveraae allowed)
? 2 coples of plans (show beam 8 window sizes; poured fnd. design; etc.)
D 1 set of energy calculations
? 3 copies of hee preservatlon plan M lot plaHed aifer 7/1/93
? Rim Jolsf Detail OpHons selection sheet (bulldinas wRh 3 or less unRsl
? 60
Cal ?ed
50
10 ,'.5-bC
?/? I
Remodel/Reoair Reauirements
2 copies of plan
1 set of energy calculaflons for heaied addRions
1 sNe survey for exterfor additions 8 decks
i Ov
DATE: /O - Zo - od CONSTRUCTION COST: ODo
DESCRIPTION OF WORK: OIGcfe f1.O.p i,Tid.? H muMi-family bldg., how many units? ?
STREETADDRESS: V&19'7 6U2vis
Name: l?u„cif.9?? ^74 RK4: /WRPhone#:
PROPERTY Lost First
OWNER
StreetAddress: ??,17 ;PJN/_=?RIL2 Cu,CVfL
CONTRACTOR
ARCHITECT/
ENGINEER
Ciry l?QG ?aN State: Zip: L
117L?zowiE c'<rGL _L rl?i
!/L-??-?X! /?
Company:?f£ ?Jl'?c?G ?q??r? r???2 r? - Jtiic Phone #: 61r/- Pvi- 31 9 i
(area code) Ad-$$ `6 Q
Street Address: //6/ 3 L License # 431f3 Exp. !/3?
City //iG(/G2 G2v?'?`- State: Zip: 77
Telephone #: (
SfreeT
Ctty
- Name:
_ Regisfraflon M:
State: Zip:
Sewerlwater licensed plumber (if installing sewer/water): Phone #:
I hereby acknowledge that I have read this application, state thaf the information is correct, and agree fo
comply w(th all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
-_,_,._._,--. ? ,•,.
''? • - '?-??,.?
_ Not Required DCT 2 0 2000
,
L?'.t.
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
0 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
VALUATION Occupancy
Census Code 0/ Zoning
SAC Units ? Stories
Nbr, of Units ? Sq. Ft.
Nbr. of Bldgs Length
Type of Const Width
INSPECTIONS REQUIRED
Footings: New Bldg
X Footings: Deck
_ Footings: Addi[ion
Foundation
_ Framing
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Park Dedication
Traits Dedication
License Search
Copies
Other
ToWI:
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ,W 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
? 35 Int Improvement ? 42 Demolish (Foundation) ?
? 36 Move Bldg. ? 43 Reroof ?
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior)
• Demolition (Entire Bldg only) permit - Give PCA handout to applicant
_ Insulation
FinaUC.O.
X FinaVNo C.O.
Fireplace: _ r.i. _
Pool: _ frgs _
Building ?
air test fmal
air/gas tesu _ fmal
Engineering
? .
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
45 Fire Repair
46 WindowslDoors
_ Windows - new/replacement
_ Siding
Stucco/Stone
Roof: ice & water final
Variance
?
,. ..
{{Hyyyll+++ , ? ..
.. _.._...,.. ._ .. . -.._--. . ;
a*
..\6
.414i FEnIcE elbii
"?L11
i
RECEI`r'cD AUG 1 8 1999
\ BENCHMARK
QEV 3 909999
?
?
?
?
LEGEND
Qs oaoTo snNRnrtr mnraaF
7X DENOTES ITYDRANT
Wi DENOTES CATCH BASIN
S DEN07ES SANITARY SEWQt
W DENO7ES WATERMIUN
ST DENOTES 5T017M SENIEF2
? DENOTES STORM MANHOLE
n pENOTES STORM APRON
SETBACKS
MIN. FRONT YARD SETPACK = 30'
MIN. SIDE YARD SETBACK = 5, 15' BOTH SIDES
\
?
?
\
\
Propoeed Top of Foundation Eevation3947.5
Proposed 6arage Floor Elevotion- 940.5
Proposed Lowea! Floor OevaUOrla 932.83
O Denotes Iron Monument
+ 910.0 Denotes Exiating Elevotion
+(910.0) Oenotes Proposed Davation
Denotea Wroctton of Surface
Dratnage
910.0 Oenotes Sanitary Sewer Service
Elevation
1 heroby certify that this is a Uue and comect ropreaeMation
of a survey of the boundaries ot:
LOT 7 BLOCK 3, PINEfREE PASS 4TH ADDRION
DAKOTA COUNiY, MINNESOTA
Md the bcaBon of all buitdings, N arry, theroon, and all visible
encroachmenb, if arry, from or on satd land. !V surveyed by
me thie 2,pfd day of AugusS, 1999.
Gary R. Germond
Liceneed Land Surveyor, Minn. Lic. No. 24764
?
?
?
?
?
?
,06??
H M?
?
M t\Q)(/ ?Q
? o¢ri
0
}
?
?z
L??
O?W -?
E?
Q?cn
V a ?
Z
WA ?
?aZ?D
w a
U
LOT AREA = 13.615 S.F.
1v?? ROOF AREA = 2527 S.F.
? ROOF AREA X = 18.696
c,
CITY USE ONLY
LO'f 1 BL ? RECEIPT #:
SUBD. Ckj? AAk 1• ?Cl?? ?? RECEIPT DATE: I I-((o??]
1999 M£CHANICAI. PEtMIT (RESIDF.NfIAI.)
crrYofensm
3830 PU.or Kxoa Ru
P.AHRN MN 551 EL
?J (8S1) 8$1-46T5
Date: ? `C i /
Complete this section anlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.) --
• State Surcharge: .50
• TOTAL: ?a ?
S
Complete this section onfv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement
Fumace
Air exchanger, i.e. Vanee system, etc.
Remiader: Ca11681-4675 jor inspections.
_ Repair _ Other
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: 7Fa 77 f%, 7/.ee C?dt'di/'L
ONVNER NAME: L ? ? u ?'/LC-H !?/OS CBW5 T PHONE #:
I'.YSTALLERNAME: 41e G4-*w /GOre PHONE#:
STREETADDRESS: S Olt," .dlLl?'C-
CITY: STATE: 1r? ZIP:
?
S[GNAT[JRE OF PERMITTEE
1J,FORJ15 BLDlMECH PERMIT (RES) - 1999
L ( BL
SUBD. ?M a AJ\ AJ..
CITY USE ONLY RECEIPT #: ?9 1::? -D" 1-
RECEIPT DATE: 11 " ? b ?
PERMIT #
1999 PLU14I$INC PER14IIT (RESIDENTIAL)
crrY of EAsM
3$80 PILOT KN09 IZD
EA&AN, MN 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkier system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x $ vj?L
drain 3.00 x - $
Gas i in Outlet ' minimum - 1 3.00 x 7- _ $
Hot tub/s a 3.00 x - _ $ -
Kitchen sink 3.00 x = $ oa
Laundr tra 3.00 x = $ °O
Lavato 3.00 x - $ a-( °
Minimum fee alterations to existin dwellin 30.00 x - $ -
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x $ -
Private Dis osal S stem abandonment 30.00 x $ -
RPZ new installation/repair 30.00 x - - $ -
Rou h o enin 1.50 x $ -
Shower 3.00 x Z - $
Under round s rinkler if dwellin is under construction 3.00 x - _ $
Under round s rinkler if existin dwellin 30.00 x - - $
Water closet 3.00 x = $ / s°-
Water heater 3.00 x 2- _ $ p°
Water Softener if dwellin under construction 5.00 x - - $
Water softener if existin dwelfin 30.00 x - _ $
Water turnaround 30.00 x ---- - $
State Surchar e .50 --> ----> ---> $ .50
! TOtdl --> --? ----> ..__> $ , .j-V
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----•--------••---------------------------------------------------------------------------------------------------.ry.
I hereby acknowledge that I have read this appliqtioq state that the intortnation is coned, and agree W comply with all applicable Ci ot Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no lia6iliry for any damages Caused by the City dunng its
normal operational and maintenance activitles to the facilities constructed under this permit within Ciry propertylrigh4of•way/easement.
SITE ADDRESS: 7 6 y7
OWNER NAME: : LGL HG? ?'/.( n?/pS 6s?S7-- TELEPHONE #: &471
' (AREA CODE)
INSTALLER NAME: (G'.c ?t (? ?4-'+'?/Gi¢qELEPHONE #: l° lL yYf '???0
STREET ADDRESS: 1-2 7 I j? (AREA CODE)
CITY: S(/l 11- LLO Acoz, STATE:
'11-J ziP: 5-5- ? 7 S'
SIGNATURE OF PERMITTEE
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• ? ' CITY OF EAGAN
+/ r? V /? V 3830 P l 51) 80 4RD - 55122
?-{- Q??.? I
6Q
New Construction Requirements RemodellRepair Reauirements ?? '`
? 3 registered site surveys
? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.)
?1 energy calcutations
? 3 copies of tree preservation plan if lot platted after 711193
required: _Ye; _ No /
DATE:
? 2 copies of plan
? t site surveys (ex[erior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; t ('C)'5:F 48 ?I
DESCRIPTION OF WORK:
STREET ADDRESS: ?
LOT: ? BLOCK: ° SUBD./P.I.D.
C?,/
PROYERTY Lut riisL
OWYL:R
Strrer Address:
Phonc #:
City ---------------------- --- Slatc: -- ---- --- L3p' -----------
-------
Cumpaziv? Pltone 6[_/'?j - .Z_? A--Y?? ? -
CON'172:1C1'OR ll??W?l?-- Om?
Stree[ Acldress:_ License #? Exp.?
lJ!/ 5?? p
L ------
C?iy - ?? ------ sc:u?: - ----- Z`?'; -
ARCHITECT/
ENGLNEER CoinpanY"----------- ------ ------------ Phouc ft: -----
N:mie: ---------------- ---- ----------- Rc&istr.LLiou #: ------- --------------
Street
City ------ ---------------------- State: ----- ------ LiP' ------- ---------
Sewer & water licensed plumber (new construction only): C._.,????j(?/???• . Penaity applies when address
change and lot change is requested once permit is issued. 14 (e 9 '?-
I hereby acknowledge that I have read this application, state that the inform ion is correct, and agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applican
?-
OFFIC ONLY L
Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
W 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
% SAC
SAC Units
Basement sq. ft. / 782 Census Code
Main level sq. ft. i,yo 41 SAC Code o/
sq. ft. i/ -a, Census Units
sq. ft. / ffA Census Bldg
sq. ft. MC/WS System
S6. S sq. ft. Ciry Water
6/1' Footprint sq. ft. 07?/76-" Booster Pump
PRV
Fire Sprinklered
Building 4_ Engineering
Variance
Valuation: $?
i80 v??l ksY ? gY, ?t6 =-G
a ? I el 5' a??•ks/?8'4 aoLF °l
.
&SeXY efe)" 5h &,4
11Q5- 4?- k 5' il
/?d5 erax.e ?X tGSV?i?.c5?°? ?
Sq z?y? k' /.5 = B?CF'U G a
v
(? O I 3.? 1.??.r-d9 e, te o?
C? ?5'%..??'•X l6 = !l? odJ' ._
r??a( sol?26f, oe,2-
uugiSi#*M*** S:r,.M%F.k
C:f.'rY (::} !:i]?r;,AN
CI'tSYI.I.I.:.il ° is I E4441 NAI.. I.:r1c 903
nfrr.r:=:: 08i31 /99 T!:ME:: 102302.
i.ii
td:?M!=.. i_;r;•aDG ltf: N c;F:ri'i>. C:r..1Nr;' rRUi:?"'TON
2252 q:;??•?-
...c..c_?..i . }} i.ri?:?' ?
?.,?..?rC?t::.:
!':1C t f..
. f:
30.00
320 cJ(l(.l:i. 4647 I''INEY'Fi[:
1i:
I
; ??:'
:i
9:?^;.
:
'
3fiti,6 '3';7':1 46$7 .
.
.
F'1t,?Ei:'iPY:!ii: f,:? .;
,
:
i'i
f)(3
„
? ?32
9001
4>47 ,_.._..,.,..
N':I:'r•!r i t,l,: ?. r
?
t,257.46
s:rr-,,:?
,..t.ra 9cir'i?
qdi,4i' .
I°.I.i4.l:i:-(l?:E_?ii C:
Yli]3%`jQ
3446 9001 4647 i':f.Alr'Tr;:E:la: C 1f},.50
2155 9001 464"r' ;':ffdei:`t'RFlz: f; 0..50
043 9c i'O 4647 i'1:i41i: Tfi1::li_ {:; t?(:i,fU-;
215;.`:7i:ltl7. 4647 I':I:t;L Cl"i i:Ei: C
. i.£i4. [?iJ
3c:F.n ; .'•_t.. a,:?,_?.;
,.,.., .
a c:. ,?G.?'
r>:r,•.i.=.: i r:rE s;
46r:3. r.,ia
Cf:11620,S g# r,ON1.?.f J _•.
I.IIii.
l.l;iliiTi il..i;; Jf-li'J h:M l.;liiVi.T.Wilii:
;.?;.;:' ..:.?,. ...,....,.,?,
0Y„010W.10;Y.u>8d<>k:t::FX:;s:.ac. :;;0rYY,t+:1r: C{;Iii''7:PJI.lF'
':;:f.TY r:ic I::(aG;f1N
CASHltcl'(1.
' .?si T1::.RMA.ilf?f_. NO, y
i:,
. ;
%!A
rl=:;; f?E'3•':ii./.'i95i 'T'1:t11_r, .
3 : t. M'S3
LAI.
ttiAM"_:: I..f.)NI?(;itl::N J"iR[1S,, C!?N5TftLIC:1.i0h!
MA .`i>c?i'p 464i i,,
-
li.?•.(3f
i
3113 9220
- 4647 P'INI_"Ift-.E: C .
W;:1
(7{]
,i.,-,
EhF c..c!"1 4647 I'lNl:i?R1::li_ (:: .
825
.00
T'131:7.I. Pir!.7rii31pt F?firt:?.,^i'i.9 ti, 013. 'i1. Gr?::L:tri,2c'r, '
II4Fgi .I.DIf 1ri:l
t 4"'k02'61ekAmn ?kR<?ct
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDiNG PERMIT APPLICATION
PROPERNLEGAL: Z? 7.F 6L4X?K 3 PINE746E NsS 4+'-
DATE OF SURVEY: B'Z-`}g
LATEST REVISION: 83-13- 9 9
DOCUMENT STANDARDS
yl? ? ? • Regqtered Land Surveyar signature and company
4"? ? • Building PermitApplicant
? • Legal descnptian
?? ? • Address
a/ o ? • North arrow and scale
c./ a? • House type (rambier, walkout, split wlo, spGt enby, bokout, etc.)
41 e o • Directional drainage amows with slope/gradient %
?ii/ ? c • Proposed/exasstlng sewer and water services 8 invert elevalion
U/ ? ? • Street name
ra/ ? ? • Driveway - --
21', ? ? • Lot Square Footage
e' a ? • Lot Coverege
ELEVATIONS
Edstin
Pl ? ? • Sewer service (or Proposed)
m,"? o
;/ • Properry corners
d
f
b
th
i
? ? • veway
cur
at
e
r
Top o
? 2( ? • Elevations oi any ebsdng adjacent homes
?02" ? Adequate footing depth of struclures due to adjacent utilily trenches
Prooosed
? ? ? • Garage floor
g', ? ? • Firstfloor
za/ a ? • Lowest exposed elevation (walkouVwindow)
M/ cl a • Property comers
s/ e? • Front and rear of hame at the founda6on
PONDING AREA (if aodicaWe)
? m? ? • Easement line
? ca' ? • NWL
a ra"? • FIVNL
? co/ ?
U/ • Pond # designatlon
El
O
O
fl
?
? • ow
eva
On
Emergency
ver
DIMENSIONS
4V ? ? • Lot lineslBearinga & dimensions
d? ?
;/? a •
• Righ4of-way and street width (to back of curb)
Proposed home dimensions inGuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structurea requiring permanent footings)
?? o • Show all easements of record and any City utilitles within those easements
?? ? • Setbacks of proposed structure and sideyard setback of adjacent eudsting sUUCtures
?v? . Retaining wall requiremenb, I any
Reviewed:
Name
?'il/f'i
Maroh 79BB
cruwYBncsvar.R.FM
• " Y
5' METAL POST
(MIN. Wf. 6.5 LB.)
POSTS AT 4 Ff.
ON CENTER
TO SUPPORT
SILT FENCE
?
4' T
2.5'
-4
2' MIN. 1.5'
?
I T
3 2.5'
I
2, 1.5' r6'
GRADING LIMITS &
SILT FENCE COMBINATION
REF. A1n/DOT 3886
6' IONG METAL CHANNEL PO5T5. MINIMUM POST WEIGHT IS EIGHT
(8.0) POUNDS. POSTS SPACED AT EIGHT (8.0) FEEf ON CENTER MAXIMUM.
4' HIGH ORANGE PIASTIC SAFETY/SNOW FENCING FABRIC. WIRE TIES TO
SECURE FABRIC TO POSTS SHALL BE CUT AND FOLDED SO THAT THERE
ARE NO Si-IARP EDGES POTENTIALLY HAZARDOUS TO CHILDREN OR OTHERS.
Mn/DOT 3886 PREASSElABLED SILT FENCE
BACKFlLL OVER 12" fABRIC APRON IN TRENCH SHALL BE COMPACTED
WITH MACHINE DRNEN VIBRATORY PLATE.
?T?I I 1=
6'
PUBLIC
WORKS
oEPARrMarr
Qlty of Eagan
SILT FENCE INSTALLATION
Revised
stondard
plate #
SILT FENCE INSTALLATION 1 3i99 1 801
Mn/DOT 3886 PREASSEMBLED SILT FENCE
R
[.UnDC?REti QD
_""' `5' EXTER[OR ENYELOPE AYERAGE U COMPUTATION
COFISIRUCIION
'"C. (,?SS
Site Address ?fOV17 _ Lot 9Block15
R R U FaCtarS
R
U
!M Emot Opaque ?1a11s
yY,r,b Ila 11 Frami ng Areas
M4mr0b55371 Ce111ng Insluatlan Area
(5??? 1231 Cellinq Framing Area
Rim Joist
Masonry Na11
111 ndows
uoors
Skyllghts
.043
.09
.AZT,.
AL'r - OM
_04
?? • O?
.31
.55 •
1) I,ower Levei (Oasement)
Total Exposed wall Area
Opdque 41ai1 Area
Nood Framg Ared
R1m .latst
Exposed Block
Wlndox Area
Slidln? 67ass Door
Door Area
f7(01 .1
--_+
461 * x (u)
rJ'd-f X (U)
1I (U)
'I D•? x (u)
1 % x (u)
x (u)
? X (U)
Total
_043 = t-I - "
-09 = -? • 4
.04 W
.35 = L/.2
.3J a ?/fT/• •
.31 . ?
IZ.?
£OO d 19Z£ £Lb Z19 13,L 'JA'I NOIS3Q/S31tlS 5Z:80 (a39)66,L0-'8dtl
. • R
LunpGREn
aRas.
2) First Qr Ma1n Floor
C01-151qUC f ION
INC Total Exposed pall Area
.
Opaque Nall Aree
Hood Frame Area
R1m Jo{st
935 E. Wdy= UIYd. Yindow Area
W-Wilh Slidlnq Glass Ooor
Mlur.caas5yi Door Area
(612)lT!-1731
3) Second Floar If Txo Story
Total Exposed liall Area
Opaque Nall Area
Nood Frame Area
N1odo?r Area
511ding Glass Ooor
Door Area
A) Total Ce11{nq Area
Wood Frame Area
Opaque CeiTlnq Area
Skylight
,;?.a5
I??I?x (u) .043 - 5?•?
% (u) .04 =
x (U) .04 = '?•?
A
z
(o) _
.35 ?
;
X (U) .35 .4te -?
x (U) _31 _
iotal Z? .?
IZ`}'x (a) .043 =
x (u) .09 = 4 v•
X {11} .35 e
? X (U) .35 = r
X (U) -.31 -
To ta 1
? 5q o o?
x (u) .ae - ?l• ?'
x (u) " ?
X (U) _55
?otal ?• ?
LtJnoc,REn
Btzos. CONSIRGCIION
nac. MIHNESOTA UFACTORS Totel Exposed Ip i l Ares A4J?10' X .11 NINNESO7A U FACTORS total Faxposed Ceiting
Area
(A) Total „ `,?. ??•7j
srsE.wneaqpMt '
V"'A' 1 tem 1? 2 2+ I tem 2? f i tew 3? I tew 9?? .. ?(.? '/ • ?
?:?4391
(G12F173-1271 . .
if Totai Of 1tems 1-4 Is Less Then [tew (A). Bullding Capplles Mith
5BC 6006 (C)s
Z00 d L9ZE £L7 Z19 13J, JH'I N9IS30/S3'IVS
DE:80 (a3M)66,L0-'NdV
?
i,,x
?
51,.T FErJcE ?•???6„?
A
?
7VV?
N?4
7L1
L7??
RECEIVED AUG 1 8 1999
191 - 01 ?
938i
N78.3?'55°E
\ BENCHMARK
ELEV = papq??
\
?
?
?
LOT AREA = 13.615 S.F.
ROOF AREA = 2527 S.F.
ROOF AREA X = 18.69K
?? °---?(l?f? .
?.? U:
,
Propoaed Top of Foundation Elevction= 941.5
ProPused Garoge Floor Elevation- 940.5
Propoeed Loweat Floor DevotTon= 932.83
O Oenotes Imn Monument
+ 910.0 Denotea Exiating Elevatton
+(910.0) Denotea Proposed pavotion
Denotes Direct7on of surtace
910.0 Drainage
Q Denotes Sanitary Sewar Service
Elevation
I hereby certify {ha} thie is tl true ond comect representation
of a au?vey of the boundaries of:
LOT 7 BLOCK 3, PINETREE pASS 4TH ADDRION
dAKOTA COUNTI; MlNNESOTA
And the bcotion of all buildinga, if arry, thereon, and ali viei6le
encroochmenta, if any, from or on aeid land. As aurveyed by
me this 2,p'd day of August 1999.
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
?
?EQ ?'L
a o o L
LEGEND
OO DFNOTES SANITMY AIANHOLE
? DENOTES ITYdRANT
iW DENOiES CAT(:H BASIN
S DENOiES SANITARY SEWER
W DENOTES WATERMAIN
ST DEN07ES STORM 5EylER
(9) DENOTES STORM MANHOLE
? DENOTES STORM APRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5', 15' BOTH SIDES
\
?
\
?
\
?
o-
4?y
'
'?y??M3 ibp?
?W
I ?
fr O
6
R0?z?
??
?°,CZ
E;W
cn ?
U?Az
?aZ ?a
U a
R- q q, 1,515'
s- ?
AII'Lu'l of EaQan
383U pi{ot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5N
a sM9
^---------------- ;
? PofnvA Fee: A
? Date Recaived: i
t Sqtf: ?
?--^-------------?
2008 REStDENTIAL BUILDING PERMIT APPI..ICATION
paw ID "7 0 SiteAddress: 4(o4-1 rt nSe??"
SuNe ?:
RESIDENT I OWNER
TYPE'OF WORK
CpNTRACTOR
nddressI cayI zp:
AppCcaM is: _ Owner C Contractor
pescription of wark:
Conshvc6on
Mu&Famity &dbirg: (Yes_1 No.IZJ
t uce??: 'a(9?R??14N
Anaress: ? • • -
_ 11Lk'!' _ stace:.MIN-z??: 55Q8?
CRy: 9.H
Phone: ??SI' `7Ai-,y30 --Contac[Person:
COMPLETE TMIS ARE/? ONLY IF CdNSTRUCTING ANEW BUILDING
Minnesoffi Rules 7670 Cateaorv 1 ? Minnesofa Rul 7 7
Emgy Cpdg . pgelrimmvealation.CaOegory iWaksheec • New EneWCodOwanohen
category SuWdnd Submme6
(J submission rype) • Ene9Y &w*p Calwietima &ibmittod .
M the bpt 12 mondhs, ho the City af Ea9an 7esue6 a ParmMior a Simller plan based on a nmster PIm?
_Yes _No If yes, date and address of master plan:
i.icensed Piumber: PhOn6:
µochenieal CattkaCtOr:
Sewor & Water COntrac[or:
-, P..:
t nereby admowledge tl?at tl?ts kfortnamai is eanpleteatW mcurme: ?haz ths xork wiB be in cINNOnmO? v?lh the arGtmuKes azd mlee W tt?e Cib ot
? wim 1?e ap?prwed ft q??xa" k ?? ??+?al ot aFans. ? ?? w?hwrt a permt umt,ro wak w? m m
PMne: jaS1-Z{sL4-1CW1
Applicant's Prmted Nartre APDlicaWs Si9VMre PeAe 1 ot 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123696
Date Issued:06/13/2014
Permit Category:ePermit
Site Address: 4647 Pinetree Curve
Lot:7 Block: 3 Addition: Pinetree Pass 4th
PID:10-57663-03-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
St Paul Plumbing Heating Air St Paul Plumbing Heating Air
640 Grand Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Damin C Hall
4647 Pinetree Curve
Eagan MN 55122--370
(651) 402-0193
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167006
Date Issued:02/17/2021
Permit Category:ePermit
Site Address: 4647 Pinetree Curve
Lot:7 Block: 3 Addition: Pinetree Pass 4th
PID:10-57663-03-070
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
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 -
Charles J & Margaret D Torbert
4647 Pinetree Curv
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature