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4648 Pinetree Curve9 Z-) C), -/ a- RESIDENTIAL BiJILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reouiremenis 3 regislered site surveys showing sq. ff. of lot, sq. R. of house; and all roofed areas (20% maximum bt coverage allowed) 2 cppies of plan showing 6eam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 oopies of Tree Preservatlon Plan if lof platted aker 717193 Rim Joist Detail Options selection sheet (bldgs wAh 3 or less units RemodeVRenair Reouirements 2 copies of plan 1 set of Energy Calculations for heated addNons 1 site survey foradditions 8 decks Add'dion - indicate if onsife septic system /70, c 67 Co(;cl 2- Dc? LCO 1- MEss? ?c- Office Use Onlv Cert of Survey Recd Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Septic System Date 2, Construction Cost a"y) -? ,/? / Site Address G/b p'i?1e,PpGt?i UniUSte # ? J ??? DeSCription of Work ,[ }??pt[:ifJ L.? ??.. ??,?i,.? n L,+nwf- T Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 -?'' Property Owner -? `?C?¢.,yr", u\ Telephone # (?,5 j ) 6S(6?? ? Z Contractor Ttf?_ .1"L /S Address ?(`i ( 4?, 7e?' ?' 1 I,, City Z?Ka.Yi, 1 l:?- State MQ Zip ?S yZ-D Telephone #(? jZ) 3 2-P- 13 J5i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet •New Energy Code Worksheet (Jsubmissiontype) Submitted Subniitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Persnit 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 pernut; that the work will be in accordance with the approved plan in the case of work?r g}s U?r?i n and approval ofplans. , ? II FEB 2 7 2?08 ,..-.+E Applicant's Printed Name-7 -77?pplicant's`3 i ature , , OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 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/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Impravement ? 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 r.,, ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation (,i L'o 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 Sprink)ered Type of Const Width ? REQ IRED INSPECTIONS _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundarion Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final ? Insularion Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _ FinaUC.O. ? FinaUNo C.O. _ Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector ?? ??? ? ????? ? ?.::_. ? '"? City of Eatan 3830 Pilot Knob Hoad Eagan MN 55122 Phone:(651)675-5675 Fax: (651) 675-5694 Fw Office Use Permnif: Pe1mi[ Fee: ? • ? ? Date I Stah: L___________ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: qbqa Yj NL'I"v'pe CuA'Ue,- Tenant: ?Ca,vi ?ctt.K t QOAf? t Suke A: RESIDENT/ OWNER Narne: :S?-??x `i'GLK ( R0.55 cLicLt-,! t Phone: ?'05 1 bVt -8bqa Address / Ciiy / Zip: yb ?/$ Y' in? kee_ LLb? V G `J ? oZ-,j-. CONTRACTOR Narne: w2. 14-A! t ?I0.nf lUCik -j? License -)P??) C Address: a V ciri: A?.:.? rc?GC?•?- srate: '1tV zp: SLe07I Phone: 9J?a Contact Person: Jj''dJc. '1 CiT Ze,(- TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild XModify Space _ Work in R.O.W. Descri'onotwork: PERMIT TYPE RESIDEN7/AL Water Heater _ Water Sohener _ Lawn Irrigation Add Plumbi Rxtures RPZ /_ PVB) Main Lower Level) ? Sep6c System _ Water Tumaround New AbandonmeM RESIDENTIAL FEES: $50.50 Minlmum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround' (indudes $SO State Surcharge) 'Water Tumaround (add $136.00 if a 5/8' meter is required) $100.50 Septic System New ($10.00 per as built) (indudes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ??,? TOTAL FEES $ 1 hereby adcnowledge ihat ihis information 5 compEete anW accurate; that ihe wmk wll be in coMamance whh the ord'marces and codes of tlie City of Eagan; Ihat I urMerstanW this is rrot a permit, but ony an app6caliqn lor a permH, arqt vrork is ewt lo start wilhw[ a permit; tAa¢ ihe work will be in accordance wiM the approved plan in ihe case of work which requ"ves a review and approral of pians. x e^'\S q? }' z.e!' x Lia ? ApplicaM's Printed Name Appli nCs S a tu FOR OFFfCE ISSE Revieared By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Fnal RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PIL -R? 55122 o , C) j-1 NewConstructionReauiremenh RemadelfReoalrReaulremants ? o. X Y?_QCIy 3- b- • 3 regislered sde surveys showing sq. R. of IoL sq. R. W house; and ?II roofed areas • 2 copies af plan (20%manimum lot coverage allowed) . 7 setof Energy CakulaUans (or heated additians • 2 wpies of plan showing beam & window sizes; poured found desgn, etc.) • 1 sde suney for exlerior additions & decks • 1 set o( Energy Calculatiorx . trWicate'rf home served by seplic system for additiom • 3 cropies af Tree PreservaGon Plan if Iot platted after 1/1193 • Rim Joisl Defail Options seledi n sheet (61dgs wIN 3 or less units) DATE J OZ VALUATION JOB SITE ADDRESS p1Ka7Et:T-- C-?U.K- I ZZ . IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? PROPERTYOWNER RAsgL, TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 ?SC rf4,r_-71-R' • PNONE# APPUCANT PjW L E41 ADDRESS (?6 1($ Pik Er l;?E C' aZV? /_ e:? ijAl M M ZIP CODE -IT "2 Z- PAGER # CELL PHONE #((6i Z) g6 O r g3 t(' Z , FAX # NE1V RESIDENTIAL BUILDING OPJLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential VenUlation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Controctor. _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. ree: $90.00 Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the inforrr with all applicable State of Minnesota Statutes and City of Eagan Ordinang Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Water 5oftener Water Heater No. of 13aths Phone Lawn Sprinkler No. of R.I. Baths m ad comply Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New x 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGOn ? 36 Move Bldg, ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demoli6on (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy R' 3 MC/ES System Census Code 454_ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units ° Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const V'),j Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water ? Final Pool Ftgs Air/Gas Tests _ Final Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ _ Retaining Wall Approved By liW 4,% , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Address 4648 PinPrree Curva Zip 55129 IAt I Blk 2 Sub Pinetree Pass 4th Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: _ 1 _0 Yes No Inspedor: ? Final grade (6" from siding) Permanent steps (gatage) Permanent steps (main entry) X Permanent driveway x Permanent gas ? Sod/Seeded grass ? Trail/curb damage Porch Basement finish Deck ? Please verify with the builder the removal of roof test caps from [he plumbing system and the shuFOff of water supply to the outside lawn Faucet before freeze potential exists. Contad engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - Ciry Copy Yeliow - Resident Copy Pink - Convactor Copy Cities Dijzital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? ., ` 4 1 s-}7 3?i'i..''. lipt V ?/'-.B it 9 /'}? y? ??/?' ` r dbi-c:?3: ,(/J? Ti?'T1d _1?.,rw.?Age__,?.r?n+"y J!fir?:? ?u )n trtE ? ?-:;o a '-r iy y Cp?l,, r ;egorV ; uiin ;; Fey ,irf'nc:ntt }or inSUlation crit?ction air f?? h _t.S&, dfld Je(lt:i't1F0, ?OI.. A?4 a fP:Uit ?nF ClT?! C'J ? yv rc it? „.?T;i-Itlg f= c'?.. t;!u f0lifiNfllG Ir ,`O;ITIa'I'lCl bB ?. ia.."`,I.ld o i r r•???nrv.v tii!r niO?t'?.d tl! . iV . .1. ?. of a {"PmI?_Fi.,c , y ?- 1 - ? 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Qinctrtt Pasc 144, RECEIPT DATE: 2' IK-06 PERMIT# 2000 PLUIYffiING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, IMI 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits 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 z Floor drain 3.00 x I = $ 3`O Gas ipin outlet ' minimum - 1 3.00 x $ 3 Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ 3°-° Laundry tray 3.00 x = $ °D Lavatory 3.00 x = $ Septic System newirerurmsnea • requlres MPC Ilc. 75.00 x -, _ $ SeptiC S Stem abandonment 30.00 x $ RPZ new installation/repaidrebuild 30.00 X $ Rough opening 1.50 x = Shower 3.00 x 3'0!--- sprinkler rfdwelling is under construGion Underground 3.00 x - Underground sprinkler ff existing dwelling 30.00 x - 0 Water closet 3.00 x Water heater 3.00 x Water softener If dwelling under constructlon 5.00 x Water softener tf exiseing aweuing 30.00 x Waterturnaround 30.00 x $ State Surcharge .50 -> -> -> $ .50 Total -> -> -> -a e Reminder.• Call for inspections of alterations, i.e. water heaters, water softeners, etc. f eckii •------------------------•----•---•----•--------------------------------------------I hereby adcnowledge that I have read this application, state that the intortnation is correU, and agree M wmply with all appliceble Cily of Eagan ordinances. It is the applipnYs responsibility to notlfy the property owner that the City of Eagan essumes no liablliry for any damages caused by the Cky during its nortnal operational and maintenance ac[ivkies to the facilities constructed under this pertnk wHhin City property/righbof-wayleasement. SITE ADDRESS: TG? r Q i'/ iI B T? C? rV-C_ OWNER NAME: : ? N-?C 1Lr?t /YL?'S TELEPHONE #: -4"3 / -? (AREA CODE) INSTALLER NAME: ??4?^- ?AQC ua.i.c /Gh4'f- TELEPHONE #: G/ L S?Yf STREET ADDRESS: C, le, 4e?., /? ?{ (AREA cooe) ciTV: ST6TF,: '0_ ? zip.S?f'375' SIGNATURE OF PERMITTEE y CITY USE ONLY LOT I BL z PEMT #: ?I I ?b 6 SUBD. V117etTfP. PQSS "1 t? RECEIPT #: ???Sa 5 RECEIPTDATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IQIOH RD EAGAN MN 55122 651-681-4675 Date: Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occunied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one requ'ved @$3.00 ea.) / SL State Surcharge .50 Total Complete this section onlv if you aze remodelina, addine to, or renairin¢ an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Furnace Air exchanger Repair _ Other _ A'v conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: 7 6 T"f f ' "~ (. Le. rilo- OWNERNAME: liH- k.Olf?'f- "` )?? ° S_ `o^' r?- PHONE#: - INSTALLER NAME: % [ Lf v STREET ADDRESS: 5-5?/ CIT'Y: ? L PHONE #: (AREi lJ-) _ SC?I•S - ?6 S ? (AREA CODE) _ STATE: ZIP: 5757J?7 SIGN O I E Y L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COIyII+IERCIAL) CITY OF EAGAN 3830 PILOT 1Q70B RD EAGAN, MN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Pracessed Pipiug When installing/removing underground tank, cal! 651-681-4675 for inspection by fue marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallation = 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 (Ilv1PROVEMENTS ONLl): WAS TFIERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CITY: STAT'E: ZIP: SIGNATURE OF PERMITTEE ,:?) -t- W -9-- 1-4 I I a- ? 2000 BUILDING PERMIT APPLICATIO (RESIDENTIAL) ? aTr oF EAcAN 3830 PILOT KNOB RD - 55122 "13 651-681-4675 ?31 b?? ? t? -? ? D J roplatared tlN wneri dxwAnfl W. fl. of bl. sQ. f1. ol house Ub 2 coples ol plan antl pn roOled areat (20% rtimOmum lot coveraae albwefi 1 set o1 eneryy edcWallons la heafetl addtMoru ? 2 copies ol Pku (show Deam & wlrKbw tlrsr, Pourea 6id dedpn; efc.) I sife wney for axtedor adCilians a decks D 1 tet ol anerpy calcWaHOna a 3 eoples of hee Prmna6on phn tl lot p1aMeC alter 7/1/93 DATE: ?5"om -DC7 CONSiRUCTION COST: !,;wo DESCRIPTION OF WORK: S? D sTREErauDREss: LOT: I BLOCK: ? SUBDJP.I.D. t: Name: Phone #: PROPERTY lasl Flrar OWNER Sheet citY Sfate: Lp: Company??/,/ 'Phone #: (area code) CONiRACTOR ?p p Sheet Address:? --3 lJcense • _Qd-lyL?--ExP• ?'3-0/ Gty l?Q.rv:state: Zip: I_ ARCHCIECT/ ENGINEER Company: Name: Telephone S: ( Streei Regisirotlor? #: CHy Slate: Lp: ? ? ( - ?? g?q -4?/ko SewerAvater licensed plumber (N installina sewarhrater): Phone #. f? I hereby acknowiedpe ttwt I have read this applicaHon, slate ttwt the trMortraNon is cortect. and agree fo compry wNh aB apPOCOble State ol Minnesotu Slafufes and Cfly of Eapan OrdMances. Siqrmhire of Applieant OFFICE USE ONLY Certificates of Survey Received '?Yes _ No Tree Preservation Plan Received _ Yes _ No rNot Required ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 FoundaUon ? 07 05-plex ? 13 16plex ? 21 Porch (3-sea.) ?"2 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 PorohlAddn. (4-sea.) , O 03 01 of _ plex ? 09 07-piex O 18 Deck ? 23 Poroh (screened) ? 04 02-plex ? 10 OB-plex ? 19 Lower Level O 24 Storm Damage O 05 03-plex ? 11 10.plex Plbp _Vor_N O 25 Miscellaneous ? 06 04-plex p 12 12-Plex 0 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bldg. ? 43 Reroof 32 Addition ? 37 Demolish (Bldg)' 0 44 Siding O 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION O 31 Ext Alt - Multi O 33 Ext. Alt - SF ? 36 Muw SAC Code 01 # of Stories 2 sq. ft. No. M Units ? Length 6s sq. ft. No. of Buildings ? Width 5 S Footprint sq. ft. 22sFs Const. (Actual) Basement sq. ft. i s za Census Code 101 (Allowable) Main level sq. ft. is13 MC/ES System UBCOccupancy ?I 2-d?t?.l sq.ft. 146ti City Water Zoning sq. ft. 6 srs Booster Pump PRV V-e-s Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone ?TJ?:Z•]7•??? Planning Buiiding -66 Engineering Variance Permit Fee Valuation: $ l?1 ? Gua Surcharge Pian Review ? ?' 22 gNS License MC/ESSAC ,r...?, f513 rsv =&sr2?4? ib A Water Conn. 2-d ??w? , ?y xc ?4Cti r s y Water Meter ?4„3 ? 6?rs ,r r 6 410,,?6 p Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies rotal: 5'?I C 1. ?3 SAC Units 9'o SAC ? LU??RIE11 DEVoNsH )Re- B ROS' EXTERIOR ENVEL01'E AUERAGE U COMPUTATION COtISiRUCIION IN(: YL? ? SiCe Address ? o h?o ?? r2 LoL dlock c2 P,?;.?w /ioq O-A R & U Factors 935 E. Waytala ISIvU Opaque Walls w,y;h Wall Framing Areas hliiwmuln55391 Ceilin9 Insluation Area (eiz)•v:l iz:li Cei 1 i ng Frami ng Area Rim Joist Masonry Wall Windows Doors Skyligli ts 1) Lower Level (Baseinent) Total Exposed Wall Area Opaque Wall Area Wood Frame Area Rim Joist Exposed Block Window Area Sliding Glass Door Door Area R n 4v X (U) -- ?-?/ X (u) X (U) Ito_ X (U) --? X (u) X (U) ? X (U) To ta 1 u .043 .09 .023 .027 .04 .469 .35 .31 .55 .043 = i-A . l .09 = A-1 .04 = *.ICP .132 .35 = ??"l • .35 .31 ? -1 LunpGREr? ?RI05" 2) First Or Main Floor COI•ISIRUC110N Total Exposed Wall Area INC. Opaque Wall Area IJood Frame Area Rim ,loist Window Area 93'i I:. Wey111.1 UNd. w,lymh Sliding Glass Door Minnesu1ij55391 Door Area (fi 12)173-1231 3) Second Floor If Two Story Total Exposed Mall Area Opaque Wall Area Wood Frame Area Window Area Sliding Glass Door Door Area 4) Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skylight I-iiu ? X (U) .043 10 X (U) .09 = m•?O X (U) .04 = ?•? ? X (U) .35 = -7 ?d X (U) .35 ?d X (U) .31 = ?. d Total I 141 U X (U) .043 X (U) .09 = 11 • ?i X (U) ,35 ? X (U) .35 ? X (U) .31 / = Total I JV ,?! ? 6 v1117 lr/ ?-X (U) .027 = I ?/1 x (u) .023 = X (U) .55 = Total ,;? J?7• Y •=? LUnDGR(n BROs. corisrauciioN irAc MINNESOTA U FACTORS Total Exposed Wall Area/,WO X.11 = MINNESOTA U FACTORS Total Exposed Ceiling Area X..026 =?•? (A) Total °' 93; E. Wayzala [31vd. / ' + Item 2 Item 3Item 4??? _/ W,iy???i? I tem 1 (?( Mii inr.snta 553!] I (6 12),177-1231 If Total Of Items 1-4 Is Less Than Item (A), Duildiny Coinplies With SBC 6006 (C)s lOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ?J, PROPER7Y LEGAL: L.oT /_1SLXX Z tlN.FrDfE rHSt 7 n DATE OF SURVEY: 5- Ic H ? W LATEST REVISION: ? o DOCUMENTSTANDARDS Y a a? ? • Registered Land Surveyor signature and company ? ? • Building PermR Applicant ?" ? • Legal description ? • Address r? ? North amow and scale ? ? ? House type (rambler, walkout, splR w/o, spli[ entry, lookout, etc.) ? . Directional dreinage arrows with slope/gredfent °? ? p? . Proposed/e?dsling sewer and water services 8 invert elevation m/p ? . Street neme W?jo ? : Driveway o ?' Lot Square Footage ? ? • Lot Coverage ELEVATIONS E?u en ? mlp ? Sewer service (or Proposed) ? : Property corners dy? ? . Top of curb at The driveway ?? ,? • Elevations of any e?dsting adjacent homes ??? Adequate footing depth oT structures due to adjacent utilitytrenches Pro ose o ? • Garagefloor W? ? • First floor o? • Lowest exposed elevation (walkouUwindow) z/ ? o w/ • Property comera f d ? ? • Front and rear of home at the ation oun PONDING AREA (if aodicade) m ?o • Easement Gne ? o • NWL ? ?( ? • HWL ? ?o • Pond # designation ? ? • Emergency OveAfow Elevation DIMENSIONS o ? Lot flneslBearings & dimenaions v ? Right-of-way and sUeet width (to back of curb) ? • Proposed home dimensions including any proposed decks, overhangs greater ihan 2', porches, etc. ? • (i.e. all structures requiring permanent footings) ? Show ail easements of record and any Ciry utilides within thase easements ?? • Setbacks of proposed structure and sideyard setback of adjacent e' strudures 0 00 • Retaining waA requlrements, 'rf any Reviewed: -5-2?? le March 1999 CR/VCLBLDOPRMf.FM ? ? ? \ \1 \ s ? 1 ? ? C? ? > \ N? ?.?{ ?' J? L'? N+ \ -\ a B?p1H 0610"w 2?.82 Q ? I 0 \ \ \ \ ? nmE E u _ T' 4r it _TT ?S+NTC?RM, ERINEr 0 ST Z.T fiNCk? MATNtATN SWFjLE QSACK 09 l.oT ? ?°7o M=N, GRADE 1-- LEGEND ? _y 9? \ ? F9s F `N ? °o? ti ?o ' 4?- -- 6 \x 9392 y 9.y$,SO A p l i? ? To ? J \ 28. ? yA \ \\ ? ?{y •s?, t ryti c SrOT?" ?? v 9?90 Q^ ? ? ?ryVo 9 J8 e ry?. \ !?E'CEIVEO MdY 2 3 2M ? Proposed Top of Foundution Elevation= 944.0 ? Proposed Gamge Floor Elevation- 943.0 Proposed Lowest Floor Devation= 938.0 LoWe9t AIIOwGble Opening = 934.0 LOT AREA = 12,969 S.F. ROOF AREA = 2,208 S.F. ROOF AREA% = 17.0% O Denotea Iron Monument + 000.0 Denotea Ecisling Elevation +(000.0) Denotea Propoaed Elevation ? Denotea Direction of Surface Drainage 928•? Denotes Sanitary Sewer Service Elevation I hereby certffy thot this is a true and correct repreaentation of a survoy of the boundariea of: LOT 1, BLOCK 2, PINEfREE PASS 4TH ADDITION HENNEPIN COUNTY. MINNESOTA Md the locatton of all buildinga, if any, theraon, and all visible encroachments, if any, from or on said lond. As aurveyed 6y me this/l8th day of May, 2000. Gary R. Gertnond Licensed Land Surveyor, Minn. Lic. No. 24764 132.17 ? y ?y6 +\??oe / 'e ? X ?5 DENOTES SANITARY MANHOLE ?? ? DENOTES ITYDRANT iN DENOTES CATCH BASIN S DENOZES SANITARY SEWER w DENOTES WATERMAIN ST DENOTES STORM SEWER ? DENOTES STORM MANHOLE n DENOTES STORM APRON /ELEV SETBACKS MIN. FRONT YARD ?SETBACK 30- MIN. SIDE YARD SETBACK = 5 GARAGE, 10' DWEWNG BENCHMARK MIN. REAR YARD SETBACK = 15' = 933.80 9 9??,?0 ? S7bRY LOOKOUT - 940.4 ? ?19 / ? w ? ? ? ? ? il 3s , ? ``?'3 11?'`? ? 9 ? 0 Roa?iu z? ?? FaZ?a cr a U DRRASWN CH?G? os?9?joo SCALE 1's30' JOB d ?, ? ( I CIC RESIDENTIAL BUILDING Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 (A 1a.0Z 60_.G? 9/q/o3 New ConsWCtlon Reauiremenis RemodeVReoair Reaui2ments Office Use Onlv 3 reg'stared si[e suneys shaxing sq. ft. of bt, sq. ft o( house; and all roo(ed areas 2 copies of plan Cerl of Survey Reoi _ Y_ N (20%maximum lot coverage allowed) i setof Energy Calculations forheated addilions Tree Pres Plan Raod _Y _ N 2 copies of plan showing beam & window sizes; poured tound design, etc. 1 site survey for addiGons 8 decks Tree Pres Reqd _Y _ N lsetof EnergyCalculatlons Add'Rion - indicateifon-sitesepticsystem On-site5epticSystem _Y _N 3 copies of Tree PresenaUon Plan if lot plalled atter 711193 Rim Joist Defail Options seleclian sheet (61dgs with 3 or less unAs Date ? / ,2 Z / -3_ SiteAddress ?-'1'8 ?/L Construction Cost ev Q7_9,?? (2jJ?Q(J(? - Unit/Ste # Description of Work o S 0ll ? 1 Multi-Family Bldg _ Y N Fireplace(s) _LAO _ 1 _ 2 Property Owner ?0?_Sa? Telephone #?) los'? -?lO s'oZ Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope CalculaGons 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 Sewer/Water Contractor Telephone # ( ) s Telephone #( ?A? ?c 2 8 zZe? ? Telephone # ( , I ' ^v " 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 approval of plans. ??S?i?r2l C . ;?? ApplicanYs Printed Name ppl?cant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation a000 Census Code / 1 SAC Units ? Nbr. of Units D Nbr. of Bldgs I Type of Const 3;11- _ Footings (new bldg) _ Footings (deck) _ Footings(addition) _ Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test _ Final X Insulation Occupancy d2--?7 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. Plumbing ? HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By h P ?'' "g-" 3, Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total O 30 Accessory Bldg / O 31 Ext. Alt - Multi /0 33 E Alt SF t . - x ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bidg. ? 42 Demolish (FOUnda6on) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant e,?'-?; I yl?p RESIDENTIAL BUILDING Permit Application ?? -7 City Of Eagan i? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction ReauiremenGs 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas (20% mazimum lot cove2ge allowed) 2 copies of plan showing beam & window sizes; poured found design, 9fG_ lsetofEneyyCalculations AAA 3 copies of Tree Preservation Plan A lot platted after 711/93 rT I d Rim Joist Delail Options seledion sheet (bldgs with 3 or less unifs RemodeUReoair Reauirements 2 copes of plan 1 set of Energy Calculefions for heated additions 1 site survey for additions & decks Add'rtion -indicafe if onsRe sep&c system Office Use Onlv Cert of Survey Recd Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Septic System Date 0 ? onstrucUon Cost Site Add ?16 Y VC_ UniUSte # Description of Work lL' !D Multi-Family Bldg _ Y w?i ? g N A Fireplace(s) _ 0 X 1 _ 2 ? Property Owner v;h ra u? I?O-.S$ G4 Telephone 0 (?.5? k6 2 2 Contractor Address City?d ? tI State Zip 55`116 Telephone # (95'J. ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilatlon Category 1 Worksheet • New Ener9Y Code Worksheet (Jsubmissiantype) Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tliis is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plgn in the case of work which requires a review and approval of plans. 6 - ""?L ? l? Applicans Pruited Name Applicant' Signature ...... .;. ,:... . .. _ . . . ., , , . ., , . , ,. ,...,x .. . ....a „?_. .. . . . . , , __ . . . , .. . .. .. . . :... . . ... . .. ... . . .. _ . . . OFF'ICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage IR 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O'F 25 Miscellaneous ?. Work Types n C, ?.? ? e 5 D ? Lk ? 31 New ? 35 Int Improvement ? 38 Demalish (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 'Oemolitton (Entire Bldg) - Give PCA handout to applicant - Valuation a Occupancy MC/ES System Census Code y 3?f Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. 70 3 PRV Nbr. of Bldgs Length ?y • 6? Fire Sprinklered Type of Const Width Footings (new bldg) ? Footings (deck) ? Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing- - -LJ Fireplace JP R.I. _,eAu Test ?O Final lo Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. ?o FinaVNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By u , Building Inspector bec-l- Fl-t-r t=ee 3, oc)a.oa )`-(' X1q-,6„k-? q.78 =li?,14s.3`! ? ?????8V ??? „Ff? 0 4 2007 8030 Cedar Avenue South Suite Bioomin ton, MN 55425 Phone (?612) 854-4055 Fax (612) 854-4268 • Denotes Iron Monument Found O Denotes Iron Monument Set s ? ?. \ ? Survey For: Plekkenpol, Builders S 7 g• 06' 10"W 132•?? r-- ? \ J ox 4?SAI / ? i / //? o ? ? ?? President SCALE: 1 "=30' s RJ? O 0 X F, \. ?O ? s / :- •/ 1 ?tK r? 06 ls\/ •o ? . \ / /,y^ \ J ? \ nv C PROPERTY DESCRIP710N Lot 1, Block 2, PINETREE PASS 4TH ADDITION, Dakoto County, Minnesota. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. W. BROWN J;AND SURVEYING, INC. ?';•C;4'?? Dated: ?.. 38_07 Woodrow A. Brown, 12.L.S N0. 15230 105/32 . , . 1 of 1 < 1 Generated by REScheck-Web Software ° Compliance Certificate ? Report Date: 03/27/07 Energy Code: Location: Construction Type: Glazing Area Percentage: Climate Zone: Construcfion Site: 4648 PINETREE CURVE EAGAN, Minnesota 55122 2000 Minnesota Energy Code Dakota County, Minnesota Single Family 20% 2 ?. OwnedAgent: • -"' DesignedContractor: K ...,.i 7 hs CSz u. a.?? ,,r,a.rw::. . , Y. ';..; ' ?,:?;.1? ::.. t.? $a ? t i?+ , .. .,.PS, L ? ??,+a??" '?"c?d,.a;i,.'?LL .s?. Y t EA • R: .J, S ,. , . Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit applicatlon. The proposed building has een designed to meet Ihe 2000 Minnesota Energy Code requirements in REScheck-Web and to comply with ihe manda[oryrequi nts e REScheck Inspection Checklist. ?c .? O?s 1 T6 ? -???d 17 F Name - Title ? ignatur Date Paae 1 of 3 vvootl hrame, 1tiin. o.c.: 454 79,0 0.0 21 Wood, 2 Pane w/ Low-E: Above-Grade,: 81 0.350 28 Glass: 10 0.340 3 Raised or Energy Truss: 224 38.0 0.0 6 All-Wood Joist/Truss Over Uncontl. Space: 224 48.8 0.0 5 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstNCtion Reouiremen5 3 reqistered site survay5 showing sq. R. of lot, sq. ft, of house; and all roofed areas (20Yo maximum lot wverage allowed) 1 Soils Report if praposed builainq is ro be placetl on disturbed soil 2 copies of plan showing beam 8 wintlow sizes; poured found design, etc. 1 set of Energy Calculations 3 copies o(Tree Preservation Plan rf IM platted after 711193 PomJoislDetailOptlonsselectionsheet (buildingswith3orlessunits) Minnegasco mechaniral ventilation form I 490 RemodellReoair Reouirements OffiCe Usa OFlN 2 copies of plan shoxinq foofings, beams, jasls Cert M Survey Recd _ Y_ N 1 setofEnergyfalculationsforheatedatldi6ons SoilsReport _Y _N 7 site survey for addi6ons & decks Tree Pres Plan Recd_ Y_ N, AddNon-inaVcateNon-sifesepticsystem TreeResRequiretl Y N OMSi[e Septic SysOam _ Y_ N Date / a9 / c) -7 Construction Cost / Site Address 'qp yg ?/LL7Y?? C.( Lr?2? Unit/Ste # Description of Work Multi-Family Bldg Y N - - Fireplace(s) _ 0 'k 1 _ 2 ? Property Owner ,Q uUYl ?.?b1 I? ?t,C 10 °T ?4'S Telephone #('/a)?° a-a-a-0,5 Contractor r7ll(,c]iG?CI ?Vy-vl d'' ?'?Fn?Y7? Address l??y'QGlk> ? City ,Scn ?0 yn State rY) N? Zip Telephone l# RSD) COMPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene?gy Code Category • Residential Ventilation Category 1 Worksheet •New Energy Cotle Worksheet (?l submission rype) Submitted Submitted . Energy Envelope Calwlations Submitted In the lasT 12 monihs, has The Ci of Ea an issu d e d r RirpM ?I?In 6ased on a masier lan? _ Y _ N If yes date and ad s?r?sl d' II11 p Licensed Plumber 007 Telephone #? ) Mechanical Contractor Sewer/Water Coniractor 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 Ciry 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 ? rk which requires a review and approva] of plans. ? ' n Shr m?2 /L I litti ApplicanYs Printed Name plicanPs Signature 411' City of Dian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2ZTZ 1 10/30/1-- Cr) O-3a I2-) 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C6t Date: OCt o`/Site Address: 76Ye5" 'A% E WV G OQU E_ 6$ (/y/U 557 Unit #: e " ' 28 r Phone: Name: 39//Z JE/ !�7 �-5S C/"7'r7 RESIDENT / y £ FJ , AT OWNER Address; / City / Zip: `�6S .t� Applicant is: Owner A- Contractor Description of work: SS/ rt(/C/ URE CZo$873 /2V EV5774.6 /`'/'t'6/} 2C% " F06 L - TYPE OF WORK Construction Cost � 7 3D© • C° Multi -Family Building: (Yes / No ) ' ) * i 6Rga CONTRACTOR Company: /065/7iS2F /L©QS L L C- Contact: A1710 M LIZ gAl � �" a1 d ' Address: i15 -15-3J J2Y -7" Si - City: Peg 5 CO State: I Zip: 6-5102 l Phone: ‘5"/-3s7- 046 3 / / Ai/9r— 3/ — / � License #: � �(�� �� % Lead Certificate #: fL'�! If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 7/7/E �cat1SF &MS .'UJ/, T _7'4/ T/f e //G)s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING IIn the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? U4\ _Yes No If yes, date and address of master plan: 1 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 l the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition J L Alteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck At Lower Level Lilo Curv.R... Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair y3Y Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final _ Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant • 4- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings a Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES v Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /31 05-t0 P.Y46' Page 2 of 3 ate: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: — 1"etr 2-o 1.3 Site Address:l� (0 47,-n-c._�.--�,� Cv Tenant: . ����(" irk a C.—'T Resident/Owner Contractor Type of Work Permit Type RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surch $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Sur( *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ Suite #: Name: k." ?o- One: Cla U,Z Address / City / Zip: a- ,1 -C - Ci �^aJC3L► �L- Name: LA— X0.11.— (v1 License #: (..--(O -7 1 Address: ©L0q C --70" City: Ea—t State: PI 14 Zip: CS777.4r7e. Phone: �( '_1 S j ' // eZ Y Email: P a'k /71,,a,/ ,Cd Contact: )(New XReplacement _ Repair Rebuild Modify Space —1 Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Water Turnaround ork in R.O.W. _ Lower Level) rge) arge) 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 wit 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 cse of work which requires a review and approval of plans. x it bi t� Applicant's Printed Nam /AA( x Applic-nt's Signatur FOR OFFICE USE Reviewed By: Required Inspections: Under Ground Rough -In Air Test Gas Test Final City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use „ Permit #: i U ( i i t� Permit Fee: Date Received: LJ I (f � 3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L— , / I `-)(")/ Site Address: L L/ 1, / S /C2 -(G1/ l'c- d Unit #: Resident/ Owner Name: iC�e u I S JJl�Yl��ir ),) �i Address / City / Zip: 47- `f" ‘01CS/C<*—,i food Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: (iC-i rC�9(R� Contractor CcMulti-Family Building: (Yes Company: 1, )C4?"?,-"/�17v (�t.LC_55 s-/-<( Contact: Address: City: State: d%)/ki Zip: Phone: 7j License #: Lead Certificate #: No If the project is exempt from lead certification, please explain why: (see Page 3 for additional informatidn) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damagd. Call 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 an 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; th t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be com leted within 180 days of permit issuance. /-\ L-74 j&r,1.-., A Vs -Printed ptiti,lah ted -Name Applicant's -Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 311.i° lu Date Received: Staff:' 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /1—V-/3 Resident/ Owner Type of Work Contractor Name: Site Address: W? ' #'V TATs CURD` Unit #: pe/?`.S /9Z/fr-5 0b/006AUL Phone: Address/City/Zip: V7 /4Yf7Z ( .s"5 -/z Applicant is: Owner X Contractor Description of work: /���Sn 5 ? 'T 1r�/%%!L JIJZ4 L "LC t' N Construction Cost: 7` ; Multi -Family Building: (Yes Company: 7a '// Lf' L zz7t 5 &C Contact: Address: N553/ /Z YS_CT City: State: Wi Zip: _i D Z Phone: /NoXX) ,kYsco77 License #: tee.‘3 976 7 Lead Certificate #: AJ/r—/22)3/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &ij /4,z '< 197r ooO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: phone: 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 specificreasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x A. plicant's Signature Page 1 of 3 <17 L -1(04-1S/ � ill fru Cori' DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex At Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ,✓) Census Code # of Units # of Buildings Interior Improvement Move Building Fire Repair Repair /300o I Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final t Framing At Fireplace: 4- Rough In 14Air Test ,11 Insulation Sheathing Sheetrock �-- Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition 2a77 SAC Units Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System Zoning Stories Square Feet Length Width 1Z-/ City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required ,e Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick ,Final Windows Retaining Wall: _ Footings Backfill _ 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 TOTAL 3‘ 41 /53 " es As9' 601.0 /A 400 Page 2 of 3 12/17/2013 TUE 16:28 FAX 651 437 9745 HALEY COMFORT SYSTEMS 41' City of Ekall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675.5694 U001/001 Use BLUE or BLACK Ink For Office iUse Permit #: 1 el -05 Permit Fee: CL°3 Date Received: la! i i / a3 Staff: [� 2012 RESIDENTIAL BUILDING�PERMIT APPLICATION Date: �' ^ 13 Site Address: 3 4� ► [ 4 'e P (/iu' ve . Unit #: Name: `2-aSSC,liG-ertEs Address / City / Zip: 4'r 17/lL rqe Cary( igern SSSaa Phone: F 3 5 i -0(06S J Applicant is: _ Owner Contractor Description of work: y0 "R.> Construction Cost: (1 3, S13. 0 S Multi -Family Building: (Yes _ / No?<1) Company: Haley Com i^oV i' S y S f -M S Contact: J I COTe _ • ' > Address: 1 a W r a S+City 1-4 CA +I V► S State: MN Zip: 15-;-0Phone: (CCF" 1131 ; License #: M D 1 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One CaII 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.000herstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. _ • ICOlt Applicant's Printed Name • //ii/A Applicant's Signature Page 1 of 3 r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use .11 9 ct 310 Permit #: Permit Fee: U0 Date Received: 1@- /o/J 1)3 Staff: 993 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: bee, 03 )6 Site Address: /(ofg e CG�6V�' Tenant: Suite #: ResidentlOwner j A- bS- Name: e-1 O - t 'f� c7 �tr�. Phone: Address / City / Zip: Name: Vt.,(— IA kV 06, waxSAI Address:Ng 61 State:- 0 Zip: 63 ? G Contact: (inV( &..'- Phone: Email: License #: Z("/ (97 0-9 City: (Qs -7 SSS -=/!4 r New _ Replacement Repair _ Rebuild _Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Water Turnaround Lower Level) RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 Applicant's Printer Name x 6 'F Applicant's Signatu e FOR OFFICE US Required Inspections: Under;. Meter Related Items: Meter Size Radio Read,.. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155950 Date Issued:06/10/2019 Permit Category:ePermit Site Address: 4648 Pinetree Curve Lot:1 Block: 2 Addition: Pinetree Pass 4th PID:10-57663-02-010 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Lundgren Bros Const. Inc. 935 Wayzata Blvd. E Wayzata MN 55391 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159706 Date Issued:01/10/2020 Permit Category:ePermit Site Address: 4648 Pinetree Curve Lot:1 Block: 2 Addition: Pinetree Pass 4th PID:10-57663-02-010 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 - Lundgren Bros Const. Inc. 935 Wayzata Blvd. E Wayzata MN 55391 (651) 734-5800 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179145 Date Issued:09/20/2022 Permit Category:ePermit Site Address: 4648 Pinetree Curve Lot:1 Block: 2 Addition: Pinetree Pass 4th PID:10-57663-02-010 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Jean Paul M Rasschaert 4648 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