4655 Pinetree Curve? sIEN i AL# 'juH03-BP- ? 535q . ?7
? BUILDING PERMIT APPLICATION jy qq?H MP? ? 70SO
CITY OF EAGAN
ha?C h?. 6? 3830 PILOT 55122 ??qo5 P p 0
i1 I 7
?eceipf #51?? d p,
NewConstmctionReauirements RemodellReoairReauirements .D 55?? •C/?
• 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roo(ed areas • 2 copies of plan T
(20%, maeimum lot coverage allaxed) . 1 setof Eneigy Gakulations for heated additions /?
. 2 copies ot plan showirg beam & windrnx sizes; poured found design, eta) . 1 site survey for exterior additions & decks l, a ite d )I23 1 v 1
• 1 set of Energy Calculations ?
• 3 copies of Tree Preservation Plan if bt platted after 711193 (?"
• Rim Joist OeWil Options selection sheet (bldgs with 3 w less units) l q 1? ? P i he-Ye ' PQ S S ?(?? 11
DATE .2' /' O VALUATION (EXCLUDING LAND) aa?.3 Sp
JOB SITE ADDRESS VGSS v &ANP?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK !5frD FIREPLACE(S) X YE5 _ NO
APPLICANT . &Ma.rh49&01'!? PHONE# 95A)473-1a3/
PAGER# CELLPHONE# FAX#
935E. Wa yata g?v?. 53
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLET
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 - D
(check one) - Residential Ventilation Category 1 Worksheet Submitt ?
I Energy MINNESOTA Envelope RULES 7672 Calculations Submitted
,
- New Energy Code Worksheet Submitted
Plumhing Contractor: Phone #: 4qS "??7 Z
Pluinbing Sys[em Includes: Water Sottener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. oF Battis
s- 492
r2/
"
Mechanical Contractor: -
7
t
Phone # 7 J
Mecti-uiicsd Sysrem Licludes: Air Conditioning I'ee: $70.00
Hca[ Rccovcry System
r/Water Contractor:
w
S A4 6A4
n' Phone # 95.Z ) x g4• 4/ `i 9
e
e ?
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable Siate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf ?.iM&uAM //f?
154A 0-307`? ?
Certificates of Survey Received x Tree Preservation Plan Received _ Not Required
Updated 1/01
OFFICE USE ONLY
,
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
)d 02 SF Dwelling ? 08 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-plex ? 10 08-plex ? 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 PI6g_Y or _ N ? 25 Miscellaneous
tg 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 (Bidg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire B ldg only) - Give PCA handout to applicant
e
Valuation
Occupancy
bQ ? MC/ES System
Census Code ?d L Zoning /wd City Water
SAC Units Stories 0- Booster Pump
Nbr. of Units ? Sq. Ft. )a o /a PRV
Nbr. of Bldgs Length ? S Fire Sprinklered
Type of Const Width ?
`' ?"
REQUIRED I NSPECTIONS
Footings (new bldg) FinaVC.O.
_ Footings (deck) T FinaUNo C.O.
Footings (addition) Plumbing
Foundation ? HVAC
?
Drain Tile
Roof _ Ice & Water F inal Other
Framing _ _
_ Pool _ Ftgs _ AidGas Tests _ Final
r Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Srone
Insulation _ Windows (new/replacement)
Approved By ? , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
cay sac
Water Suppiy & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Y'
-c?
/ 4 ?
? S?L S y oL??S
?4W L,4f v.?L
/SO?Lsy z o
?aa ?1e-59, .?/?2,
18l???I. G?
/
Address
Lot Z Blk (3 Sub
zip ssia z
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE ?INAL INSPEGTION.
Date: (p • Z'l , 0 1 Yes No Inspectot:
Final gtade (6" from siding) ?
Pertnanentsteps (garage) ?
Permanent steps (main entry)
Permanent driveway
Pennanentgas
SodlSeeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the ouuide [awn faucet before fteeze potential exists.
Contact engineering division at 681-4645 before working in rightrof-way or installing underground sprinklec system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KN B RD, EAGAN MN 55122
651-681-4675
New Conatruction Reouiremenb
• 3 registered site surveys showing sq. R. of lot, sq. R. ot hause; and all roofed areas
(20 % maximum lol coverage allowed)
• 2 copies of plan showirig heam 8 window sizes; poured found de5gn, etc.)
• t set of Eneryy Cakulalions
• 3 copies of Tree Preservation Plan rf lot platted after 71193
• Rim Joist Oetail Option5 selec6on sheet (bldgs wiU 3 or less units)
DATE (a ' I I - o ;;-
403 7
RemodallReoairRaauiremants . /
• '2copiesofplan ?
• 1 set of Energy Calculations for heated additions
• t site survey for extenor additions & decks
• Indicate if frome served 6y sepGc system for additions
VALUATION 2(Z . U v
?c?2vn.-t i tcf £ ?ZiS25'
SITE ADDRESS `t(oS? &Q.? ef.i.?tl)-2.' MULTI-FAMILY BLDG Y N
TYPE OF WOR:: R2 -2O(o P FIREPLACE(S) _ 0_ 1_ 2
tCYM
STREET ADDRE5S IS? S ?• I7IN L{ 13 CITY
TELEPHONE # 4CELL PHONE #
ziP ,5-5 337
FAX #
PROPERTYOWNER a.(Za La rsC1YI • TELEPHONE#??l-
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJLES 7670 CATEGORY 1 MINNESOTA RLTLES 7672
(J-submission lype) . Residential Ventllation Category 1 Worksheet Su6mitted ?• New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system inciudes:
Mechanical Contractor:
Vlechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
---------------°---------------------------°-°-------•--------°----°-------•-------------------°---------°---------
I hereby acknowledge that I have read this application, state that the informati a ree to comply
with all applicable State of Minnesota Statuies and City of Eagan r' nces. ???? M 12
? LJ IS
Signature of Applicant ?
°-°-°'------- -------------- ---------- ------------------ ------------ ---------------- ___--------- ----- ---°---- ---------------- ---------
OFFICE USE ONLY gy ?
, . _... _ ,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Updated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait • 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 Parch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Y or_ N ? 25 Misceilaneous
O 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 WindowsJDoors
? 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. '
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC - ,
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT 6KNOB 5 668'I? 675 EAGAN MN 55'122 3 T-7
lJ I
NawConstructian Raouirements
• 3 registered sile surveys slawing sq. ft. of lot, sq. 8. of house; and all roofed areas
(20% mezimum tol tove2ge allowed)
• 2 cop'res oT plan showirig beam & window s"¢es; poured (ound design, efc.)
. 1 set of Energy CaIwlaGoiu
• 3 copies of Tree Preservatlon Plan if lot platted afler 7l1193
• Rim Joisl Detail Oplions selectian sheet (bidgs wdh 3 or less uniLS)
DATE 1 /Oa
SITE ADDRESS ?? SS
TYPE OF
APPLICANT J ?o?t (--oxfS e'n
MULTI-FAMILY BLDG _Y ,W
_ FIREPLACE(S) _ 0 LC 1_ 2
STREET ADDRESS y(oSS ?? h e{?c2 Gu?'Je- CITY 6?4STATEAjLAIP S'?l 22;2
TELEPHONE #?6E 9`lV- S'6 g(o CELL PHONE #&I Z g.?0 - qa l? FAX #? S`??9'(- S' 70 /
PROPERTYOWNER_ SGOI/ La?Se,? TELEPHONE# (CS1h9V-4!6?(0
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJI,ES 7670 CATEGORY 1
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor: _____
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contractor.
Phone #
Phone #
Submitted
Fec: $70.00
------°°-°--------------------------------°--------------------°----°-----------°------°---°---------------------
I hereby acknowledge that I have read this application, state that the infor tion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or 'Ran es.
Signature of Applicanf
OFFICE USE ONLY
Water Softener
Water Heater
No, of Baths
_ Phonc # 113Y
I.awn Sprinkler
No. of R.I. Baths
Air CondiROning
_ Heat Recovery Syslem
RertwdeVRenalrReaufremants _ (1 ? /1
• 2 copies of plan L9nx?A.Q.J
• 1 sel of Energy Calculations for heated additions
• 1 sAe survey for extedor additions & decks
• Indicate if hwne served by septic syslem (ot additions
VALUATION
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY ;
.
.
R
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt- Muki
? 03 01 of _ plex 0 09 07-plex 13 17 Garage ? 22 PorcNAddn. (4sea.) ? 33 Exl. Alt - SF
? 04 02-plex O 10 08-plex 1 18 Deck ? 23 Porch (screened) [3 36 Multl
? OS 03plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolkion (Entire Bldg only) - Give PCA handout to applicant
V
ti
l
a O stem
LZI -Md MC/ES S
a
ua
on
t"o ccupancy y
Census Code Zi
a 2oning City Water
SAC Units Storles Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const -V-[nl W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) ?i FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'v/Gas Tests _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By T 2, , Building Inspector
Base Fee
Surcharge
Plan Review
?C-S?-u 9170?
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharga
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
\
te.?e
n
30 sca.¢ iN ? ?o
LEGEND
(S) uDohs sµrcutr uANHOLE
oaaics WMRANT
? ooaores ata+ sASIN
s ooimEa sNarWtr sewEx
w oaoTes wOkmtMAx+
sT opWtES sraW sexrx
0 oEwotES sra+u uua+oLE
., nVOoIU sra+? Avrta+
SEIBACKS
MIN. fRONT YARO SETBAd( - 30'
MIN. SIDE YAIFD SETHACK - 5' (GARAGE). 10' (DWELUN6)
6 MIN. REAR YARD SETBACK m 15'
ALL OFFSET IRONS ARE MEASURED
TO HUNDREDTHS OF A FOOT AND CAN
BE USED AS BENCHMARKS.
\
^ LOT MEA . 14,448 S.F.
MOUSE AREA e 2.194 S.F.
L01 ARFa X - 15.18X
r
?
/
Propossd Top of Foundatlon Elevation-937.5
Proposad Gamqe Floor Ekwtione 9385
Proposed Wwast fbor Bsvation- 928.5
0
A tltle opIn(en wae not fumfahed to Ma Wrvryw nor was
epaeHk taM saarcM for the enrleterae a non-axhtena e}
racoNed w unroeorded eassmsMo oonduetsE by tlro surve
m patt d thie wrvey.
p Denotea 4on MonumeM
+ 000.0 Omioto Eidsltnq Elevoflon ,
+(000.0) Denotee PropoSed ElswUen
Omwtee INroatin o1 SuROCe
Drafnu9e
23. Denohn Sa.??o Serer SeMce
I haroby certih that this b a We ond wrtect ropreaenWf
ot o suney o{ yro pouMlorlae of:
lDT 9, BLOCK S, PoNETREE PASS 4TH PODfIION
DAI(OTA CEN1MY, MINNESOTA
And Uie IocotlOn ef all bulMi^pe. H anry, thereon, aM all vn
anaroaahmeMa, H a'ry, from or on eeM bnE. M surveyed
h 9N day of JanuoSy. 2007.
Oonlel R. MeGibbon
Ueanaed Lond Surveyor, Mlnn. Lk. No. 3
'
MNcheck COMPLIANCE REPORT i i
Minnesota Energy Code ? Permit # ?
hINcheck Software Version 3.0
? Checked by/Date ?
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-20-2001
DATE OF PLANS: 2-20-01
TITLE: Denby "C"
PROJECT INFORMATION:
Laraen Residence
4655 Pinetree Curve
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Construction
COMPLIANCE: PASSES
Required UA = 715
Your Home = 497
30.5% Better Than Code
Area or Cavity Con t. Glazing/Door
Perimeter R-Value R-Value U-Value
-
-
----- UA
-----
---------------------------------
CEILINGS ------------
1806 ----
44 -----
.0 ----
0. ----
0 ---
-
- 49
WALLS: Wood Frame, 16" O.C. 132 19 .0 2. 0 7
WALLS: Wood Frame, 16" O.C. 493 19 .0 2. 0 28
WALLS: Wood Frame, 16" O.C. 1406 19 .0 2. 0 79
WALLS: Wood Frame, 16" O.C. 1463 19 .0 2. 0 82
WALLS: Wood Frame, 16" O.C. 193 12 .0 2. 0 15
WALLS: Wood Frame, 16" O.C. 202 12 .0 2. 0 16
WALLS: Wood Frame, 16" O.C. 153 19 .0 2. 0 9
BSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 1116 10 .0 0. 0 68
GLA2ING: Windows or poors, Above Grade 83 0.350 29
GLAZING: Windows or poors, Above Grade 304 0.350 106
DOORS 27 0.350 9
HVAC EQUIPMENT: FurnaCe, 90.0 AFUE
'_'___"__'_"'______" '_'_'_"'__'___'_________"_'_'_______" "'___________'_
COMPLIANCE STATEMENT: The proposed building design described here is
consiatent with the building plans, epecifications, and other calculations
submitted with the permit appli ation. The proposed building has been
designed to meet the requireme s o/f? the Minnesota Energy Code.
Builder/Designer ?C Date 1_-Zo -401
hINCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
i
i
Permit # ?
?
?
Checked by/Date ?
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE; Single Family .
DATE: 2-20-2001
DATE OF PLPNS: 2-20-01
TITLE: Denby "C"
PROJECT INFORMATION:
Larsen Residence
4655 Pinetree Curve
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Construction
COMPLIANCE: PASSES
Required UA = 715
Your Home = 497
30.5$ Setter Than Code
Area or Cavity Cont. Glazing/DOOr
"'_'_" . Perimeter R-Value R-Value U-Value UA
____
CEILINGS "_""'_"__ __""' ___'______'_'
1806 _'___
44. ___
0 __"_
0. ___
0 ___""_"_" '_'__
49
WALLS: Wood Frame, 16" O. C. 132 19. 0 2. 0 7
WALLS: Wood Frame, 16" O. C. 493 19. 0 2. 0 28
WALLS: Wood Frame, 16" O. C. 1406 19. 0 2. 0 79
WALLS: Wood Frame, 16" O. C. 1463 19. 0 2. 0 82
WALLS: Wood Frame, 16" O. C. 193 12. 0 2. 0 15
WALLS: Wood Frame, 16" O. C. 202 12. 0 2. 0 16
wALLS: Wood Frame, 16" O. C. 153 19. 0 2. 0 9
BSMT: Conc. 9.0' ht/8.51 bg/9.01 insul 1116 10 .0 0. 0 68
GLAZING: Windows or poors, Above Grade 83 0.350 29
GLAZING: Windows or poors, Above Grade 304 0.350 106
DOORS 27 0.350 9
HVAC EQUIPMENT: Furnace, 90.0 AFUE
_______________________________________________________________________________
COMPLIANCE STATEMENT: The proposed building design described here ie
conaistent with the building plans, specifications, and other calculations
submitted with the permit appli ation. The proposed building has been
deaigned to meet the requireme s of the Minnesota Energy Code. .
Builder/Designer Date ? ? W -401
. • ?
?
. ?
Your Neighborhood Builder
MATERIALB
GONGRETE: 3000 P91 . 48 DAYS
ACaGREfsATE: WAGLS 11 3/4MMAX
REINFORGINCs: ASTM A615 GRADE 60
GR4NULAR t LIGNT CLAT ( GROUP II J
BACIffILL- ELMJfVALENT FLUID PRE55URE
( )= 49 PCF
&YSTEM
2 PLAN
SIMP90N
A34 ANCN'RIlL
S. II
EOAF J019EG N.554
I" ?lItia"IAX MSUL.
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0
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4X4 STl1D8-
•$4" O.C.
R-II BA7T
IN9UL. BETW.
STUDS
vAPOR -
BARRIER
DOWEL e b'-0" O.G.
CONC.9LA6,
• ? ' ? '
u' i?
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147+?D `
0
?.
I?o
I/I" qhA. x 10" ANCHOR
t
/ GRADE, MRd B' 9ELdU 51LL
\.?
?T\ e 36" O.C.
:
BOL? AT 1Y" O.G.
MIAI? 7 EMBEDMENT
(4) 04-HORIZ ON TIES
WA7ER PROOFIhYs
, 70" x 8" GONG.
8" T. POURED CONG.
FOIJNDATION WALL
ll ? , •
? •'?P. ? U ' ' .?'
4,.
(TR) 2x6 51LL PLATE
W/ SILL 9EALER
W/ MIN. (7) A8. WITH ONE
WITI-IIN EA. END
? Addendum Number: Da te: Feb, 20,2001
Lot: g Block: 3 Addition: 4
,4ddress: 18413 Overland Trail
Buyer Ndme: Larsen Residence
Development StoneclifFe
w
?
? RFOL ? ?r..
,
; By
?,?..Fi.C 3..
r J
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X?`C`v rC0J
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1 ? G HOIISE ? I
? 939.7 ?i
X 433.>
1e?? X 938.5
30
2 S7go2???9'83 5LT FEw
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9.71 < ?
LOT AREA = 14,448 S.F.
HOUSE AREA = 2,194 S.F.
LOT AREA X = 15.18%
.0. 9 ?.?
a
? 0?0
ti?? I
>^• v?
? ?
>
?
/
/
/
30 15 0 15 30 60
! SCAIE IN FEET
I
LEGEND
60DENOTES SANITARY MANHOLE
30 ? DENOTES ITYDRANT
12 r G?i DENOTES CATCH BASIN
S ? S DENOTES SANITARY SEWER
W DENOTES WAIERMAIN
ST DENOTES STORM SEWER
DENOTES STORM MANHOLE
? DEN0IES STORM APRON
SETBACKS
I MIN. FRONT YARD SETBACK = 30'
MfN. SIOE YARD SETBACK = 5' (GARAGE), 10' (D4VELLING)
MIN. REAR YARD SETBACK = 15'
V
AtL OFFSET IRONS ARE MEASURED
TO HUNDREDTHS OF A FOOT AND CAN
BE USED AS BENCHMARKS.
A title opinion was not fumished to the aurveyor nor was a
? specific title aearch for tha existence or non-exiatence of
recorded or unrecorded easements conducted by the survayor
as paR of this survey.
-s
/
O Denotes Iron Monument
+ 000.0 Denotea Exiating devotion
+(000.0) Denqtea Proposed Elevation
Denotee Direction of Surface
Drainaga
923.5 Denotes Sanitary Sewer Service
Elevation
I hereby cerGfy that thia is a trve and correct represantation
of a aunrey of the boundaries of:
LOT 9, BLOCK 3, PINETREE PASS 4TH ADDRION
DAKOTA COUN'IY, MINNESOTA
Md the location of all buildinga, if any, tliereon, and all viaible
encronchments, if any, from or on said land. l1e surveyed by
rp?this 9th day of January, 2001.
( \ ..-, ? I . .
? Proposed Top of Foundqtion Elevation= 937.5
Proposed Garage Floor Elevation= 936.5
Proposed Loweat Floor Elevation= 928.5
q
` _( / 1--.1 aAA C
, Daniel R. McGibbon
?'EB 21 R«PP,TLicensal Land Surveyor, Minn. Uc. No. 18883
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5402-662
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lar 9 g:ffcK 3 71,MFT4EL-' !'A55 47N AL1blTIDlJ
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
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ra'--[J ? • Building PermRApplicant
?51'0 ? • Legal description
q?Ci ? • Address
q.-'E) ? • North arrow and scale
Vo ? • House type (rambler, walkout, split w/o, spld entry, lookout, etc.)
Ci?? ? • Diredional drainage arrows with slopelgradient %
19? ? ? • Proposed/existing sewer and water services & inveR elevation
V-o ? • Street name
P/p ? • Driveway
? • Lot Square Footage
p/p ? • Lot Coverage
ELEVATIONS
? Existina
EY ? ? • Sewer service (or Propased)
LK ? ? • Propertycomers
e? ?? • Top of curb at the driveway
6i/O ? • EYevations oi any existing adjacent homes
?[a-, ? • Adequate footlng depth of structures due to adjacent utility trenches
Prooosed
/
r?' o ? • Garage floor
?? ? • FirstFlaor
t9, ? ? • Lowest exposed elevation (walkouf/window)
il?/ ? ? • Property comers
fia/ ? ? • Front and rear of home at fhe foundation
PONDING AREA fif aoolicablel
/
0 d ? • Easement line
? ? ? -
•
HWL
? ? ? • Pond # designation
? tr3? ? • Emergency Overflow Elevation
? DIMENSIONS
Ly'
? ? • Lot Iines/Bearings & dimensions
/
L? ?[] ? • Rightof-way and street width (to back of curb)
I/ ?? • Proposed home dimensions including any proposed decks, ovechangs greater than 2', porches, eic.
(i.e. all structures requiring permanent footings)
?? ? • Show all easements of record and any City utilRaes wRhin those easements
C/ n ? • existing structures
Satbacks of proposed structure and sideyard selback of adja
? C? ? • ?
Retaining wall requirements, if any ` ?,
Reviewed:
! Qate
?
t
Marcn 1999
fRHICJRI Of,GRMTGM
Srte address: ?(P 5.'??j LiYlrf Lot f? Block,3- Subd. &1,A;iW &10 4"
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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
This struclure: wili be constructed to meet more restrictive requiremenis ol Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL 8TU'S VENTING TYPE
Water Heater
0
'L
Furnace &YAOT 50 v IN
Dryer
EXHAUST SYSTEM
GOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1 Awr)esz, ?0 y
Bathroom 2 tAfti 0 0 u
Bathroom 3
64 X
Bathroom 4
Other
FIREPUICE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
DV sipo uoo
MAKE-UP AIR MODEL TYPE CFM's
R. 2C ?
I hereby acknowledge Ihat the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan
requirements.
ature ? ? Q? ?I
amp2
C2?/-D 1
Date
This form is the responsibiliry of the General Contractor.
RESIDENT OWNER
Name: Phone: j f /11
Address City Zip: k.
Applicant is: Owner
contractor
TYPE OF WORK
Description of work:
Construction Cost: I Multi Family Building: (Yes No
CONTRACTOR
fi `'s�; t r License
I
Address: YEr W A u /c f
City: State: Zi p:
Phone: r� 'J Contact Person: v r I 'v
COMPLETE
In the last 12 months, has
No 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
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE: Plans and supporting documents that you
the information may be classified as non public if
conclude that
submit are considered to be public information. Portions of
you provide specific reasons that would permit the City to
they are trade secrets.
City of Eagan
Date:
x
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
x
Applicant's Signature
Use BLUE or BLACK Ink
For Office tisse
Permit
Permit Fee: "l
Date Received: J 77
Staff:
Tenant: t c L t. Suite
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.
Page 1 of 3
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EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspectionst cityofeaaan.com
I—
For Office Use
Permit #: t L $ 2
Permit Fee: Z0 •60
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: A C.(Z Q. Phone:
P�
Address / City / Zip: c5. c t rv(=-li r_ c U(<UC C !x1 G!A /�
Applicant is: Owner / Contractor
Type of Work
Description of work: Re de 0 od—
Construction Cost: , 0 0V Multi -Family Building: (Yes / No )
Contractor
Company: 'Pti DO NA 4. C O tiS 6-i C-kprs' Contact 4 f 2 S S9 7 6 c? S
Address: 1 0 a 0 I4 t7 4 l�l .2't 1 City: 6u liti'S U I L( C
State: MN Zip: �5337- Phone: C (01 SSG% I Email:
License #: 6C -40 P G C Cl Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
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 nonpubl/c if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
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.aopherstateonecall.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 � r--Act_ ivoGuC1Pin
App cants Printed Name
x
Applicant's Signature