4651 Pinetree CurveAddress 4651 Pinetree Curve
Lot $ Blk 3
Sub Pinetree Pass 4th
Zip 5512 ?
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ?
Final grade (6" from siding) ? ;
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the romoval of roof test caps from the plumbing system and the shut-off of water supply to
the outside Iawn faucet before freeze potendal exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sys[em. ?
While - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
A RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
'??qq (
New Construction Reouirements
• 9 registered site surveys showing sq. ft. ol lot, sq. ft. of house; antl all mo(ed area;
(20%maaimum lol coverage ailowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 sel of Eneryy Calculatbns
• 3 copies of Tree Preservation Plan if lot plattetl after 711193
• Rim Joist Detail Options selection sheet (61dgs wilh 3 or leu uni4s)
DATE Is 0 Z
651•681-4675
-5- --? 0.(:) c)
RamadellReoair Reauirements Q "? ??LLA-?-q ?.
• 2 copies ol plan ?S
• 7 set of Eneyy Calculations kr heated additions ?- ? S-U ?---
• t site survey for extenar additions 8 decks
• Indica[e if home served by sepfic system for additions
VALUATION
SITE ADDRESS 465 1 e, nektpA lltknJt- MULTI-FAMILY BLDG _Y ?
TYPE OF WORK_ 't" FIREPLACE(S) _ 0_ 1_ 2
APPLICANT?r k _G.O
STREETADDRESS 4 6S) C.tnc0-e- CITY CrA ,.A _STATE?Ma.?LIPSS?2?
TELEPHONE #hSl-l1S4- "2 CELL PHONE # Q7 -?-( S -b?/ `l S FAX #(.ylZ -P6/ - 46/7-
PROPERiYOWNER L cL O TELEPHONE# G?,?-?. a? alL.il
------------------------------------------°-----------------°°------------------------------
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ 'MINNEtiO"C:1 RULI;S 7670 C:YI'EGORY 1 M1\\CSOTA RliLI•:S 7672
(d submission type) . Residential Venlilation Category 1 Worksheet Submitted • New Energy Code Workshee[ Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing systcin includcs:
Mechanical Contractor:
'Mcch.mic.il st'sicm includcs:
Sewer/Water Coniractor.
Watcr Sottcncr
Water Hcatcr
No. of Baths
Air Conditiouing
Hcat Recoccry Systciit
_ Phone #
Iawn Sprinklcr
No. of R.I. Badis
Fec: $90.00
Phone #
ikcli? .00
n .tUl 0 2 2002
---------°------------------------------------------------------- --------------- --°-?---
I hereby acknowledge that I have read this application, state t e information is ect a
wiih all applicable State of Minnesota Statutes and City of Eaga O' ances.
Signature of Applicanf I
.?/' \
--------------------------- -------------------------- -----......................................................... °......... ____......
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
A '
? 01 Foundation ? 07 OS-plex ? 13 16-piex ? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF
? 04 02-plez ? 10 OS-plex 1/? ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
)!,- 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation E(?LJ?? Occupancy MC/ESSystem
Census Code 7
:;, q
Zoning
City Water
SAC Units () I Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?0%_ Width
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaVC.O.
Footings (deck) ?
' Final/No C.O.
_ Footings (addition) Plumbing
Foundation HV.4C
Drain Tile O[her
Roof _ Ice &\Vater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/teplacement)
_ Insulation _ Retaining Wall
Approved By TZ , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
W ater Supply & Storage
S&W Permit 8, Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
A _?
? ?/G / J
Total
,
k
SETBACKS
MIN. FRONT YARD SETBAq( = 30'
MIN. SIDE YARD SE7BAqC = 5' (GARAGE), 10' (DWEWNC)
MIN. REAR YARD SETBACK = 15'
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932.s ?E 160.0 xai.3
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78 05- 56
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/(929.8) e? 931 ?
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fIN _-i4
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DRAINAGE & U1IL
ITY ?
? ?EASEMENT ? $ W I
• m ?c
B o
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sy, ? 93L3
S ?
p ? ? ? q
U ?n ln 3E 936.0 I
pp .
aJ1
7 /1^ Y
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Proposed GoPogs Flooore ?
Elsvote?efon, 939.5
Pre
ProOOeeA Lawesl Floor flevotlan. 931.6
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95.97 ?
30 15 0 15 30 60
" SCALE IN FEEi
11 1 A
$ `Y
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11 -
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5
55
- 30
LEGEND
S DENOTES SANITARY MANHOLE
XL DENOTES XYqtANT
0 DENOTES CATdI BA9N
5 DENOTES SANITMY SENER
W DENOTES WATQiYAIN
ST DENOTES STd2M YNEN
0 DENOTES STORM MANHOLE
^ DFNOlES 510HM APRON
? DENOTES MAILBO%
000 DENOTES KEYSTONE FETNNINC WALL
? DENOlES 500
LOT AREA - 13,175 S.F.
ROOF MEA ? 2,520 S.F.
tor atea x - iex
I I heroDy certHV thot Uk le a We and eomct npnaariWtlon
d
N a aurvey the boun0arbe of:
. lAf S. BLOCK 3, PINEfNEE PA55 47N ADDIIION
o
+ 000.0
Denotae Iron Monumerit
De
?wtaa ExielOg Ebvollon
p tkle opinlan woa not fumiaAed W the eurvayor nar wae o
speclrte Utls eeorch for the ezletu?ce or mn-erfalenca of DAKOTA COUNff, MINNESOTA
Md the IowWn af all bulldin a It a?y, fhereon, and oil Weible
u,eronchmenb
It an
from w?on eaid I
M
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+(000.0) Denotea Propoeed pevotbn
Damtee drsetbn of Surtoes rocoNad or unrocoMSd easemanN conducted by Ne surveyor ,
y,
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s surra
mp Wh st d of Ssptamber, 2000. ? Y
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ninaqe
D us part o/ lhle eurvay.
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928.5 Denaks
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5ewer SerWu
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, Gory R. GermonE
. ' Lfcsnsed Land Survsyor, AIMn. Lle. No. 24784
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REN90N5 BY
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SCAIE
AS SMOWN
JOB N0.
SW2-82B
%, PROPERN LEGAL
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDING PERMIT APPUCATION
? ?/11/?X 3 R?c7.?-. 4-TN
n DATE OF SURVEY:
H
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W
LATEST REVISION:
A.'
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0 DOCUMENTSTANDARDS
0
4? Q
X
a .
Registered Land Surveyor signature and company
W/
'er ? . Building Permit Applicant
?fi ? • legal description
m? ? Address
? • North arrow and scale
?y- ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
m/0 ? • Directional drainage artows with siopeJgradient °.6
? Proposedlebsting sewer and water services & invert elevation
K ? : Street name
ra??7 ?
o •
• Driveway
Lot Square Footage
m/ ? ? • Lot Coverage
ELEVATIONS
? Existina
? • Sewer service (or Proposed)
? ? Property comers
p ? : Top of curb ffi Ne driveway
e? ? ? • Elevatlons of any epstlng adjacent homes
?V" ? Adequate footing depth o( structures due to adjacent u6'My trenches
Pro s
/
m' o ? • Garagefloar
m/? ? • Firstfloor
p/ a o • Lowest exposed elevaGon (walkouWvindow)
2'/ ? ? • Property comers
?r ? ? • Front and rear of home at the foundation
PONDING AREA (M acdicable)
?j
pT, a /
d/ • Easement line
? 0 0'
? • NV4/L
? ? tr • HWL
o ? u?/ • Pond # designatlon
? ? d • Emergency Overflow Elevation
?a ?
a ? ?
m?? ?
a
0
? ?
DIMENSIONS
Lot fineslBearings & dimensions
Right-of-way and sVeet width (to back of curb)
Proposed home dimensions induding arry proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent foa6nga)
Show alt easements of record and any Ciry ud6tles within tfiose easements
Setbacks oi proposed structure and sideyard setback of adjacent exfstlng structures
Retaining wall req
Reviewed:
Mareh 19BB
caAtvetDCVaMt.Frn
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-2-2000
DATE OF PI,ANS: 08-02-00
TITLE: DEVONSHIRE "C" 2 STORY FAMILY
PROJECT INFORMATION:
DAR and RYNA LAO RESIDENCE
4651 ?INETREE CURVE
STONECLIFFE, EAGAN
COMPANY INFORMATION:
LUNDGREN BROS. CONSTRUCTION
COMPLIANCE: PASSES
Required tiA = 547
Your Home = 462
15.5o Setter Than Code
Permit #
Checkeu by/Date
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value
---------------------------------------
CEILINGS -----
1632 -------
44.0 -----------
0.0 -------------
WALLS: Wood Frame, 16" O.C. 264 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1476 19.0 2.0
WALLS: Wood Frame, 16" O.C. 1312 19.0 2.0
BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 109 10.0 0.0
GLAZING: Windows or poors, Above Grade 52 0.350
GLAZING: Windows or poors, Above Grade 182 0.350
GLAZING: Windows or poors, Above Grade 414 0.350 1
DOORS 38 0.350
HVAC EQUIPMENT: Furnace, 90.0 AFUE
-
-
-
-
-
- - ---
-----------
--------- ---
------ - -
-
----
-
-----------
-------------
COMPLIANCE STATEMENT: The proposed building -
design described here is
consistent with the building plans, specific ations, and other calculations
submitted with the permit application. The propose d building has been
designed to meet the requirements of the Min nesota Energy Code .
Builder/Designer Da te 12-a)
Siteadtlress: Lot O Block 3 Subd _&4?04%
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This siructure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OA
X This structure: wlll be conshucled to meet more restridive requirements ot Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
WaterHeater x e?O,ooO P1??'.
Furnace x T OM /Z.o 00o P vG
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
Kitchen kitchen
Bathroom 1 a x
Baihroom 2 ! 46 a S ? x
Bathroom 3 ? S
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oiAecr ATMOS
I X Z?000 X
MAKE-UP AIR MODEL TYPE CFM's
2.o uLe g
I hereby acknowledge Ihat the above information is correct and agree to comply with ihe Minnesota Energy Code and Ciry of Eagan
requirements.
W,
Si na1
Company 1Jauz
g ao-oo
Dale
7his form is the responsibiliry of the General Contractor.
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5' (GARAGE), 10' (DWEWNG)
MIN. REAR YARD SETBACK = 15'
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E)OS71N0 2 STORY WALKWT
cuFt. FLoort - 941.3
_'_. X?1
NVS° 37f1; s
Proposed Top of Foundation EJevation=939.5
Proposed Garage Floor Elevationa 938.5
Proposed Loweet Floor Elevation= 931.5
o Denotes Iron Monument '
+ 000.0 Denotea Exiating Elevatfon
+(000.0) Denotea Proposed Elevation
Denotes DirecUon of Surface
926
5 Drainaqe
. Denotes Sanitary 5ewer Service
Elevotion
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A__r
FEvcE
EaVg
\
A title opinion wos not fumiehed to the eurveyor nor wae a
apeeiflc title aearch for the axistence or non-existence of
recorded or unrecorded easementa conducted by the surveyor
ae part of thfa survey.
RECE1VED SEP 2 1 2000
30 15 0 15 30 60
SCALE IN FEET
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? RE 6 ED ?
By
nate
? EAGAN ENGINEEItING DEPT.
LEGEND
?S DENOTES SANITARY MANHOI.E
?% DENOTES ITYDRANT
Wi DENOTE5 CATCH BASIN
S DENOTES SANITARY SEWER
W DENOiES WATERMAIN
ST DENOTES STORM SENlER
(D) DENOTES STORM MANHOLE
n DENOTES STORM APRON
El DENOTES MAILBOX
000 DENOTES KEYSTONE RETAINING WALL
E] DENOTES SOD
LOT AREA - .12,775 S.F.
ROOF AREA ? 2,320 S.F.
LOT AREA % m 799L
I hereby certify that thla la a true and cortoct representation
of a aurvey oi the boundariea of:
LOT 8, BLOCK 3, PINETREE PASS 4TH ADDITION
DAKOTA COUNiY, MINNESOTA
Md the location of all buildinge, if any, thereon, and all viaible
encroachments, if cny, from or on aoid land. As eurveyed by
me this 11tt day of September, 2000. .
Gary R. Germond
Licenaed Land Surveyor, Minn. Lic. No. 24784
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SCALE
AS SHOWN
JOB N0.
5402-829
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*******??**************************?***
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 695
DATE: 09/27/00 TIME: 13:47:00
ID:
NAME: LUNRGREN BROS CONSTRUCTION INC
2252 9220 4651 PNTREE CUR 30.00
3210 9001 4651 PNTREE CUR 1,536.95
3866 9379 4651 PNTREE CUR 100.00
3422 9001 4651 PNTREE CUR 999.02
2275 9220 4651 PNTREE CUR 1,089.00
3446 9001 4651 PNTREE CUR L.00
2155 9001 4651 PNTREE CUR ?9.50
3743 9220 4651 PNTREE CUR 50.00
2155 9001 4651 PNTREE CUR 98.50
3868 9220 4651 PNTREE CUR 492.00
CR137924 ** CONTINU]
USER ID: JAN ** CONTINU]
*****+?*???***?******??x***xx****x**+**
*********xx***?x***********tx** CONfINUE
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 695
DATE: 09/27/00 TIME: 13:47:03
ID:
NAME: LUNDGREN BROS CONSTRUCTION INC
.;
3868 9220 4651 PNTREE CUR 114.00
3713 9220 4651 PNTREE CUR 50.00
3865 9220 4651 PNTREE CUR 840.00
Total Receipt Amount: 5,410.97
CR137924
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'
? 7
;L- ol 3830 PILOT KNOB RD - 55122 0
651•681-4675 '
New CanshucHan ReaWrenfenh .. R /Reoalr Reaulrsmen?t
y 3 reglstered Yte wrveya ahowlny ao, ll. of bt, aq. rt. ol houae 2 coWes ol plan
cnd 92 rooletl areas (4D76 mmclmum lot eovaraae albweN 1 set of eneryy cWculatlons for heatetl additlons
D 2 ooplea ot plans (elaw beam & wlndow sizea; poured Md. design; ete.) 1 sIfe wrvey tor exterbr addiHOna ! decks
> I te101 eneryy Ca1WIOtlom
> 3 coples of hee preservaHOn plan H Id plaftd afler 7/1/93
DATE: 9'aD-0 ? CONSTRUCTIONC05f: cw?OS (03.Z
DESCRIPTION OF WORK: S?D
. A • A
STREET ADDRESS: _
LOT: ---- BLO,CK: _3 SUBD./P.I.D. #: t??,0 _Z6D NQ.Ge 4t r? -AJ Name: Phone N:
PROPERTY Lasf Firsi
OWNER
Sheei Addreas:
City State: nP:
Lf
. company: ?.f1 .d7 ??I?e t: 9,56; 413 -/.'2 3/
(area code)
CONTRACTOR Q C Q? , O
Sheet Addreas: %J?S G. llcense M?LYL,_ExP.
a+r /.(144axA I srate: ?n np: 5 5 3 9/
ARCHITECT/
ENGINEER Company: Name:
Telephone g: (
Slreet Address: RegishaHon i:
Gjy
State:
Lp:
?1-
Sewedwater licensed.ptumber (H Insfallina sewer/watarl:Phene #:
I hereby acknowledye fhat I have read this appllcaNon, aFafe tlwf 1he infomwlbn is eo ffect, arxi agree to comPb wHh ee app6cable State
of Minnesota Stalutes and CNy of Eagan Ordinancea
Signature of Apptlcant:
OFFICE USE ONLY
Certificates of Survey Received X Yes No • ?R\?
SE
P 2 i 2000
Tree Preservation Plan Received _ Yes _ No ? Not Required
8:?.
i
OFFICE USE ONLY
I
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 OS-plex ? 13 16-piex ? 21 Porch (3-sea.)
0 02 SF Dweiling ? 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 03 01 of _ piex O 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 OB-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 71 10-plex Plbg _V or_ N ? 25 Miscellaneous
? 06 04-Plex ? 12 12-plex o 20 Pool ? 30 Acxessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) 0 46 Windows/Doors
` Give PCA handout to appUcant for demolition permit
GENERAL INFORMATION
SAC Code 4L # of Stories 1- sq. K.
No. vf Units ? Length 415 sq. ft.
No. of Buildings ? Width -5-6 Footprint sq. ft.
Corfst. (Actual) Basement sq. ft. i63.2 Census Code
(Aliowable) ? Main level sq. ft. MC/ES System
UBC Occupancy aj&e?sq. ft. City Water
Zoning ? Ga.ra sq. ft. r AS Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review •
? S lz
License C ? ?a x L t
MC/ES SAC
City SAC
Water Conn.
ao
W ater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. J-SV
Park Ded.
Trails Ded.
Other ? ?ra e
Copies Z
?
? ?
Total: 5`? l 0, 9-1
??=?e
SAC Units
% SAC
? 31 Ext Alt - Multi
? 33 Ext. AR - SF
O 36 Multi
a7a
.
:•.
6 B CITY USE ONLY
.duso. (?L IrY"e?'{?CG PqSS K6,
RECEIPT #:
RECEIPTDATE: -VO
PERMIT# "1?Dz?
2000 PLUNIDING PERMIT (RESIDENTIAL)
CITY OF.EAGAN
3830 PILOT KNOB RD
EAGAN, tII-I 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES '
EACN !f
TATAI
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x Z. _ $ 60_
Floordrain 3.00 x $ 3 e_
Gas piping outlet " minimum - t 3.00 x ! _ $ 3
Hot tub/spa 3.00 x = $ -
Kitchen sink 3.00 x $ 3
Laund tra 3.00 x -dp- _ $ -
Lavato 3.00 x = $ / Z
Se tic S stem new/refurbished • requires MPC Ile. 75.00 x = $ -
Septic S stem abandonment 30.00 x $ -
RPZ new installation/repaidrebuild 30.00 x $ --
Rough openin 1.50 x 3 = $ J"O
Shower 3.00 x / _ $ 3
Undergroundsprinkler ffdwellingisunderconsWCtion 3.00 x $ ,
Under round sprinkler if existing tlwelling 30.00 x $
Water closet 3.00 x 3 = $ °s
Water heater 3.00 x $ 3°=
1Nater softener If dwelling undar eonstructlon 5.00 x $ -
Water softener Hexisting dweuing 30.00 x = $ -
Waterturnaround 30.00 x $
State Surcharge .50 -> -> ->
$ .50
Total
->
->
->
.->
1
g 7 00
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby adcnowledge that I have reed this application, stste that the iMOrmstion is corred, and agreree to comply with sll appliceble Ciry of Esgan ordinances.
It is the appliwnPS responsibiliry to notify the proparty owner that the City of Eagan assumes no IiaOility for eny damages ceused by the City during its
nortnal operational and maintenance activities ta lhe faciilties construded under this permd wkhin City propertylright-of-way/easement.
SITE ADDRESS: Z/6 .S-z e; ?Zle
OWNER NAME: :`A4n dC/;? &dS I?a5 T" TELEPHONE #:
? (AREA CODE)
INSTALLER NAME: Gi. ?cOY+G ????%?t 6 G*f- TELEPHONE #: 7S_ol" y?r y6?a-
STREET ADDRESS: S/r ? CG o?1 // de, (AREA CODE)
CITY: S4 STATE: ZIP: sr.S'3 7 f
SIGNATURE OF PERMITTEE
C1TY USE ONI.Y
LOT ? BL PERMIT #: ? ?7 1
?D. VinP,htP. Yp:SS ?th RECEIPT #:
RECEIPT DATE: { 2-G-0U
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date• / L f ed00
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-]00 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required Q$3.00 ea.)
State Surcharge
Total
~30.00
/ Z uo
.5U
$ Yp S"n
Complete this section onlv if you are remodeline, addina to, or reoairin¢ 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 Surchazge .50
Total $ 30.50
Reminder: Call jor inspections
SITE ADDRESS: f16 S'? //i?/ TiZ.?'? (, " rr/.e,
OWNER NAME: Lu rn.llS/?P.I ?io S Lah'v5 T PHONE #:
(/+PEACoDE)
L `
- ?.T 7 L SdL
INSTALLER NAME: ..
d Q ? /K" a.ci a.a. ? PHONE #: 9? y
STREET ADDRESS: ?7 l 4?? >`/e''I /? / / r/< (AREA CoDE)
CITY: STATE: /P4? ZIP: S? 3 7?
SIGNATURE OF PERMITTEE `
CITY OF EA6AN
3830 PILOT KNOB RD
EAGAN M 55122
651-681-4675
CITY USE ONLY
L _ BL _
SUBD.
APPROVED BY: INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECAANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT IQN0B RD
EAGAN, I+N 55122
651-681-4675
Please complete for: all commerciaUindusVial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK 1'YPE: New consWction tnstall U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When ins[alling/removing underground tank, call 651-681-4675 jor inspection by fue marshal and
plumbing inspectar.
Description of work:
Fees: 1% of contract price OR $30.00 miuimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: S x 1°/a =$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: PHONE#: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACET Y N. NAME:
INSTALLER:
ADDRESS: PHONE #: -
(AREA CODE)
CI'CY:
STATE:
ZIP:
. `
SIGNA7TJFtE OF PEFtMITTEE
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
dL
NewCOnsWCtbnReauirements RemodeVRenairReauirements Off llse0nl
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 coples of plan Cert of Surve ??_ Y- N
(20%maximumlotoaveregeallowed) 1 setofEnergyCalculationsforheatedaddl6ons TreepreSSPIgrtE?eo,= 14_Y 'N
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions 8 decks Tree P2sRequired Y, N
isetofEnergyCalculations Addifion - indicafeilon-sitesepficsystem On-siteSeplicSystem " -_Y _',N
3 wpies of Tree Preserva6on Plan if lot platted aker 71153
Rim Joist Detail Options seledion sheet (bldgs wilh 3 or less units
Date 5 (__3_?/ +0
Site Address 49J/ /(/?t 1
T Mt C Constructiou Cost 49.7 ?a
oc 6l rf??t UniUSte #
Description of Work /to T M IO T
Multi-Facnily Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
ProperTy Owcer Telephone # t/Z ) p 1C 4 1 ? Z
Contractor r N
Address A do ko*6 54 9
State M N a y~ J T IS
Zip tS4? ? City 13 IIQO M% µ?' 04 _
Telephone #(5iL) v8 /a d2L O.T -r
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
(4 submissiontype) 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
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informatio is complete and accu te;
that the work will be in conformance with the ordinances and codes of the City of -?n -t e'StaY
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 wil] be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
STC toc -000003
Applicant's Printed Name Applicant's ignature
OFFICE 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 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18. Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Ptbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* M'OE Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (EnHre 81dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning 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) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4651 Pinetree Curve
Lot: 8 Block: 3 Addition: Pinetree Pass 4th
PID:10- 57663- 080 -03
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Topside
6140 Morgan Ct
Minneapolis MN 55419
(612) 869 -1177
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Reroof & Siding Construction Type:
Census Code: 434 - Occupancy:
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
$132.75
$3.00
$135.75
Owner:
Darauvth C Lao Tste
4651 Pinetree Curve
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090860
08/25/2009
ePermit
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151925
Date Issued:09/18/2018
Permit Category:ePermit
Site Address: 4651 Pinetree Curve
Lot:8 Block: 3 Addition: Pinetree Pass 4th
PID:10-57663-03-080
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 -
Darauvth C Lao Tste
4651 Pinetree Curve
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature