4664 Pinetree CurveAddress 4GLq R V2d-??-L (_U, J V Zip 5512 a--
Lot 'S Blk -D- Sub R ?-'-
THESE ITEMS 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 enhy)
Permanent driveway
Petmanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plurobing system and the shutoff of watet supply W
the outside lawn faucet before freeze potential exists.
ContaM engineering division al 681-4645 before working in rightof-way or installing underground sprinkler syscem.
W6ite - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
(';?"/ Li -S
41P' Clty 0f EflpIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
_..._-------------
I For Office lise ?
? ....._.._..._..
j Permita: 5 i
I Permit Fee: 90,00
I
? Date Received: ?
I C? ?
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:l.fibl iv ? SiteAddress:
Tenant:
Suite #:
RESIDENT / OWNER Name: 1 erru ?7(.?.1'115? Phone: 1)(0-7-2
Address / Cily / Zip: 4t0(0L( T Iht ?YeQ CLLV-ue
Applicant is: _ Owner __?_ Contractor '
TYPE OF WORK n?. i
Description of work: TeA.r' O?k r2C iGQr i
Construction Cost: 7?JTJ? 1 06 Multi-Family Building: (Yes No )?_3
CONTRACTOR Name:Tl„ Wi(f,t1 ?L?G • W?1'fYQ(? ?i, ?"!C- License #: L_X)(?q3`63
?
/?I_?W •,?
Address:o-tl '3WitlC(ak (ZA,kk (,co
City: &Y mikl(x State: 1N _ Zip:
Phone: Contact Person: Y-?iOLklc,, `-S?CEPPlr`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CdtegOry Submitted ' Su6mitted
(4 submission type) • Energy Envelope Calculations Submitted -
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: Pfans and supporting documenfs that.you.submit.are considered to be pub/ic information. Ponions of
the information may be classified as non-publicif you provide specific reasons that would permit the City to
, conclude ihat the . are 2rade secrefs;
I here6y acknowledge thal 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 appliwtion for a permit, and work is not to start without a permit; thal the work will be in
accordance with the approved plan in the rase of work which requires a review and approval of plans. .
x WimCv < )C.kV ( 9_fi11
ApplicanPs Printed Name
x
ApplicanYs Signature
Page 1 of 3
_ 0516:2001 09:03_FAX 8524779131 LUrDGREV BFOS. CONST,
aoui
. ?.: ?..
Siteaddress: Sutd
Gn April 15, 2000 the PAinnesota Energp Ccde, Ca#egory I Building Requiremenis for insulation pra!eccion, zir
:ightness, and ventllation, was adooied. As a result, tha Gity of Eagan is requiring tha: the following information 6e
subrnitted prior !o issuance of s Cerlfficate of C;ccupancy.
? 7his struchjrE il constructed to meet minimum require,menLs ol the Mn Energy Cada, Chap:er7670
01?
O'L This swctu; e: will 6e constructed *.a mezt .r,orn resuic5ve requlre nerts of ,r,haDters 7672 or 7874
APPLIANCE GAS ELEC . MANUFAC7JREA , MOD'el 6TU'S VENTING TIPE
WalerHeater uQ„e? ?,_u ?,;,
[??: 0 mp 00y'd
Fumace . 5 0?2.Z+ cooo pV
Oryer
I
MAUST SYSTEM ? ---
I
LOCATIQN TYi'E
IAODEL
CFM's vfxrw
Yes no
KItC114f1 kItC.hZfl
Bathrcomi i paumL &- arf -mlr0
9athroam 2 a U-AA-)- CXNA C d
Balhioam 3 ? sd
Bzthrocm 4 77
amer ?
FlREPLAC S
LOCATION
CaAS
WOOD ` MANUFACTUREii
MODEL -
BTU'S I T-4EN71NG
DiAEGT arMas
? ? -j ?- ?
?
MAKE-UP AIA MODE:L ?TYPE CFM's
2.0 I herehy acluwwledge that the ahove Informatlor, is corract cnd agree ta comply with qe Minnesota Energy Cede and Clry of Eagsn
requlreRlen4S.
Si lure
?
o any?V?me
Data
' This farm is lhe rasponsibility c[ khe Generai .ont: ador.
PERMIT # ?? 7 J RECEIPT DATE: ?^I'7 lV I
ftES1DEHTIlkL PL[JM$INC PM1T APPLICATiON
crrY oFFAsaR
3830 PILOT KPOB iiD
EkfikN, MN 55122
651-681-4675
Please complete for:
SITE ADDRESS:
% single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigaGon system
?,i e•?%??
OWNER NAME:: TELEPHONE #:
(AREA CODE)
INSTALLERNAME: TELEPHONE#:
STREET ADDRESS: ?/t (AREA cooe)
C ?e? d?L
CITY: , 5 'L we, o-STATE ZIP: .5_5-_?7
Place a check mark next to the oermit work tvoe
?C
T New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
Septic System, newlrefurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
7? S-u
Totai $
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, antl agree to comply with all applicable City Of Eagan ordinances. I[
is the applicanPS responsi6ility to notify the propeRy owner that the City ot Ea9an assumes no liability for any damages caused by the City during its normal
operational and maintenance activilies to the facilities conswcted under this permit wilhin C 7operty/rightof-wayle se ent.
?.,D..
SIGNATURE OF PERMITTE?J? r t13 13 2001
I Updated
CITY USE OYLY
PERNIIT #: 11143 q
Please complete for: 9
Date: ?;)_// f
SITE ADDRESS:
OWNER NAME:
-116 6Z/ /% ? /? ?u d v 2
TELEPHONE #:
95d- Y73 /? ? /
(AREA CODE)
9s"? yYS S?ds?
(AREA CODE)
INSTALLERNAME: ??L/?//011'4G'/ lG'`FC- TELEPHONE#:
STREET ADDRESS:
CITY:
STATE: ZIP: >f S -3 7?
OI...... ., ?6u..L ... .L .. ..f 1n 16u nnrmi} wnr4 4vnc
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace repiacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Total $ 7a
Ren:ii:der: Cal! far inspections.
TURE oF o IR??ou
?EB 13 2?1
By--
RECEIPT DATE: Z? / H -U )
PXSIDENTIAL MECHMICAL PEfiMTf APPLICATION
crrYoF Eas,4x
S$SO PILOT KNOB RD
SA6AN bIN 55122
651-8$1-4675
single family dwellings
townhomes and condos when permits are required for each unit
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMMERCIAtI. MECHlkNICAI. PEiMIT ?PPLICATION
CITY OF £!l6ikN
3$90 PILOT KNOB fiD
E46AN, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(ARBA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
PHONE#: -
(AREA CODE)
CITY:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tacik
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNature of Work
When installing/removing underground tank, call 65I-681-4675 for inspection by Fire Marsha[ and
Plumbtng linspectar.
Fees: I% of contract pnce OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstalladon = minimum fee
ConVact price: y x 1%= $ (Base Fee)
State surcharge calculate at 5,50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated VOI
U 3 i -7 ?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cin oF EncaN
3830 PILOT KNOB RD - 55122
851•881-4875
/..?
New CauUucHon Raaulremenh aJ;; ? JU ?- lJ
a J reylsteretl flte wrveYs Showinp fq. IL of bf, a4. fl. ol houie
antl go rooted areas (2076 mmdmum lot coveraae albwedl
> 2 eoplas ol plant (ahow beam 3 window Yzes: poured Ind deslgn: etcJ
> 1 set of enerpy caleutaliona
> J coples of hee presenallon plan H lot p1aMeA aRer 7/1 /9J
Remodel/Reoair tt?re?enis?
2 copies of plan
t eet a energy cacwanona ror neaW admn«,a
1 tlte wrvey lor extedor addlHOns d decka
DAlE: - II 36-D O CONSTRUCTION COST:
DESCRIPTION OF WORK: S
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. Y:
Name: Phone #:
PROPERTY Last flrar
OWNER
Sheet Addresa:
City State:
Zlp:
a: q.-
sa
(area code)
CONTRACTOR A3S f'I ,/?'L
Sheet Address: rs, ,ffl ? License # a,ExP.t?-O/
? -
ari 1A lz&3- ra:;6. state: ,k22?- vP:
ARCHITECT/ Name:
ENGINEER Company:
Telephone t: (
Sheet Address: ReglshaHon #:
citY
Sewedwaterlicensed
Sfate:
i herebY acknowledye Mwf I have read ihis applkaHon, state ttwt tha Infortnatbn B
21p:
and agree to comply wNh a0 appBcable Stafe
of Minnesoto Slafutes and CNy of Eagan Ordinances. A ^. ?
Signalure of ApplicanY. 1?G `
OFFICE USE ONLY
Certificates of Survey Received ?es _ No Tree Preservation Plan ReCeived _ Yes _ No --?not Required
Phone #:
?0 9 ? u L'J ?
NOV 3 0 2000
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex O 21 Porch (3-sea.)
p 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ piex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 79 Lower Level ? 24 Storm Damage
? 05 03-plex 0 11 10-piex aio9 Yor _N ? 25 Miscetlaneous
? 06 04-plex ? 12 12-plex O 20 Pool O 30 Accessory Bldg.
WORK TYPE
tA2 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ? # of Stories a sq• ft•
No. of Units Length ??- sq. ft.
No. of Buildings Width =L1 Footprint sq. ft.
Const. (Actual) ? BasemeM sq. ft. ol, Census Code
(Allowable) ? Main level q. ft. /75'"5 MC/ES System
UBC Occupancy L q. ft. 1 City Water
Zoning ??. ft. 73 ?? Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS p
Planning Building Engineering Variance
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mutti
,
Permit Fee Valuation: $ 02 7? 6'0
Surcharge
Plan Review
License
1:,15
17a'7
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct
Deposit
.
S!W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
C)
Trails Ded.
Other
Copies
roeal:
SAC Units
% SAC
°2Q, ?
lw
n
H
?
?y
?
C
0
Q? a
? 0
0
?
a ?
?
? .?
?
?
? ?
o ?
p/' ? ?
M""a ?
LOT SURVEY CHECKL.IS7 FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
/ i?
PROPERTY LEGAL: /nT5 %3Lr9L'I,? Z ZvETk' ):?lSS 4r,4
DATE OF SURVEY:
LATEST REYISION.
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• BuildingPermitApplicant
• Legal description
• Address
• North arrow and scale
• House lype (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage anows with slope/gredient °h
• Proposed/epsting sewer and water services & invert eleva6on
• S1reM name
. Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existina
3/0 ? • Sewer service (ar Proposed)
¢/ ? ? • Praperty corners
? • Top of curb at the driveway
v? • Elevadons ot any ebsling adjacent homes
?I-.r' ? Adequate footing depth of structures due to adjacent utility Venches
Prooosed
? ? Garege floor
? Firstfloor
? • Lowest exposed elevation (walkouVwindow)
r 'o ? • Property corners
? a o • Front and rear ot home at the foundation
PONDING AREA (if aoolicaWe)
? d ? • Easement line
? ty? ? . NWL
a r? ? . FN1IL
? ? • Pond # designation
? r3' ? • Emergency OveAlow ElevaUOn
/
/ DIMENSIONS
'p ? .
Lot lineslBearings & dimensions
? •
Right-of-way and sUeet width (to back of curb)
etc
orches
r than 2'
t
h
? ? •
.
,
, p
e
angs grea
Proposed home dimensions inciuding any proposed decks, over
/ (i.e. all structures requidng permanentfootings)
?/ o ? • Show all easements of record and any City utiAdes within those easements
???a
? ?' ? • Setbacks of proposed structure and sideyard setback oF adjac t existing structures
. Retaining wall requirements, if any, ?
Reviewed:
_/ _6TIJ
r
,
March 1999
CRAIGrBIDGPRMf.FM
MNCheck COMPLIANCE REPORT
Minnesota Energy Code
h4Qcheck Software Version 3.0
COUNTY: Carver
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 11-29-2000
DATE OF PLANS: Nov. 29, 2000
TITLfi: Energy Calc's
PROJECT INFORMATION:
Terrance and Christine Burns Residence
4664 Pinetree Curve
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Construction
NOTES:
Hampton "A"
£ull bsmt. w/ wndw. wells
COMPLIANCE: PASSES
Required UA = 509
Your Home = 414
18.7t Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
--- - ----------------------------------
CEILINGS -----
2025 --------
44.0 ----- - ---
0.0 ------------ -----
55
WALLS: Wood Frame, 16" O.C. 62 19.0 2.0 3
WALLS: Wood Frame, 16" O.C. 1236 19.0 2.0 69
WALLS: Wood Frame, 16" O.C. 1424 19.0 2.0 80
BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 117 10.0 0.0 7
GLAZING: Windows or poors, Above Grade 43 0.350 15
GLAZING: Windows or poors, Above Grade 311 0.350 109
GLAZING: Windows or poors, Above Grade 150 0.350 52
DOORS 37 0.350 13
FLOORS: Over Outside Air 18 30.0 0.0 1
FLOORS: OveY URCOnditiOned SpdCe 294 30.0 0.0 10
HVAC EQUIPMENT: Furnace, 90.0 AFUE
- ------
'-----------
-----
--------------------------------------------
COMPLIANCE STATEMENT: The proposed,building --------
design --
described here is
consistent with.thebuilding plans, specific ations, and other calculations
submitted with the permit application. The proposed building has been
desiqned to meet the requirements of the Min nesota Energy Code.
Builder
Date . ?A ??
? ?? ?
.
I ?.
V
?
- I w
u
v
/
\
/
3
uhC[k0
MI'=QUMED
?
? A OGSTINO 2
?r ? = ? ? S86009' 38"W
-140.53 - -
-tc A\? 938.7 _ X93?.c 4d X933.42 (
M ' 10
N I
I? I
I
- ?
?p I Z ?
?8• 4?6 .
3
"
?0934.6}
\ 937.8
gC1 ' ?
? ??Ow ?
77
cQC
C
RoW ?
e30 ?
t:W
?
? 23.5 936.1
cV I
? ?
ri 934.01
FPL(
.
?
?
v F 27.5
U N I
135.1 q a
m ?
' 11
?
_ ? 4
tc)
X ?
935^ R y M p
a <
a 0 rn
v
^ N °
M ? ?
0)
_? 31
? xaoo.o aooa?c/I
X ?O 9? Zti?Q' ?
I 30 15 0 15 30 60
? SCALE IN FEET
LEGEND
- io
DRAINAGE k U71U
EASEM ENT \
4 ? I
?
= 5
7 ?
?
D
/
7xas?.s -(9371
: "N7go15 5?„-w -,
? ' !d???4'"r ??. i4H +zr-•,3 .
f:,
.+_.?:.' .'?..riF?.
:ws.?? ..T.
?.
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. 5(DE YARD SETBACK = 5' GARAGE, 10' DWELUNG
MIN. REAR YARD SETBACK = 15'
N
z
?
m
Iz
?
Y
a
?
W
d' - N
CV d:
O ?
O
O
V)
+C3I.5
CJ I
? F=
z
Z
?
C3 I
z
F
QS DENOTES SANITARY MANHOLE
V DENOiES ITYDRANT
GG DENOTES CATCH BASIN
S OENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
oQ DENOlES STORM MANHOLE
? DENOTES STORM APRON
Proposed Top of Foundation Elevation= 938.5
F Proposed Gomge Floor Elevationm 837.5
Propoaed gresa Lowest Well r(TP ElevaUon-
Elev t0ton= 936.5
,MAZN:rp+IN kAX04d?ELoWest alowable Open(ng Elevation= 934A
SUJA?? ACRo? NOTE• LOWEST ALLOWABLE OPENING IS AT THE
4,,,,, P OF WINDOW WELL
vr?1?ARn e Z'7o?m??
GRADE LOT AREA= 12,684 S.F.
ROOF AREA= 2,544 S.F.
LOT AREA %= 20.0%
ALL OFFSET IRONS ARE MEASURED
TO HUNDREDTHS OF A FOOT AND CAN
BE USED AS BENCHMARKS.
A tftle opinion was not fumished to the surveyor nor was a
specWic tftle seardh for the exietence or non-exietence of
rncorded or un-recorded easementa conducted by the ourveyor
as part of this autvey.
o Denotea Iron Monument
+ 000.0 Denotes Exlsting Elevation
+(000.0) Denotea Proposed Elevation
?- Denotea Direction of Surtace
925
0 Drainage
. Denotes Sanitary Sewer Service
EIBYOtion
I hereby certtfy that this ia a true and correct representation
of a aurvey of the boundaries of:
LOT 5, BLOCK 2, PINETREE PASS 4TH ADDI110N
DAKOTA COUNTY, MINNESOTA ..
Md the location of all buildinga, ff any, thereon, and all visible
encroachmenta, ff any, from or oh auid land. As surveyed by
me this 9th day of Novgmber, 2000.
Gary R. Germond
Licensed Land Surveyor, Minn. Uc. No. 24764
?yC4l§
w
0 v?
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?Op?q?
LL. W z I
OCZ
Q Q E-4
UWqZ
?
Fa??
, a
U
DRRASVhM
CHGERG?
N%74?00
SCALE
AS SHOWN
JOB N0.
8402-630-002
'r
PERMIT# lv V( b RECEIPTDATE:
yf ?? -M MIDEPTIlkL PLUM$Iftfi PMIT AffLIC!lTION
crrY oF EAsM
3830 PII.OT KNOB iiD
?v EAHAA, MA 551EE
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
1CJ?
TELEPHONE #: 6S"/- G$7- 0 6)7
(AREA CODE)
TELEPHONE #: ?sa^ Y3 J = ? 2,)d
/J (AREA CODE)
CITY: STATE:
Place a check mark next to the aermit work tvqe
ZIP: S4b `/Y
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
• water turnaro nd
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
r --- -- - -
State Surcharge .50
r
J LUV ?
Total
I-
Reminder. Be sure to schedule inspections of alterations; i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to wmplywith all applicable City of Eagan ordinances. It
is the applicanYs responsibility to noUfy ihe property owner }hal the City of Eagan assumes no IiabiliTy for any damages caused by Ihe City during ils normal
operational and maintenance activities to Me facilities constructed under this permil within CiW propertylrightof-way/eg"ment.
S GNATURE OF PERMITTEE
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
Upda[ed 1/Ot
Site address: &A1 U! ?C Lot .i Block? Subd.
On Aprii 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the Ciry of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is cronslructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This structure: will he constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
o ino
00ve
Furnace
S D12a
a o00
?C
Dryer
EXHAUSTSYSTEM
LOCATION
TYPE
MOOEL
CFM's VENTED
ves No
Kitchen kitchen
Bathroom 1 14 ,5D 6D p
Bathroom 2 ffbarw b
8athroom 3
Sd
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFAC7URER
MODEL
BTU'S VENT{NG
DIRECT arMOs
L ?
MAKE-UP AIR MODEL TYPE CfM's
? CO .?. 0
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Sig (ure
o any Name
//3o,Ob
Date
This form is the rasponsibiliry of the General Contractor.
PERMIT # I T?Cl I
RECEIPT DATE: N-6
iiUIDEIVTIAL PLUM$INfi ?ERbIIT APPI1ClkTION
CITY OP EAHi4N
saso rnoT xxos Rn
BABAR, bIN 55122
851-681-4873
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
L"?4Y??u
SITEADDRESS: ? b ???
1__7___ - - j
OWNER NAME: : t4 1-,-7 5 TELEPHONE #:
(AREA CODE)
INSTALLER NAME: _?CCI 2('i 7? ? ?( G.?1?v/g TELEPHONE #: lTZ ?`o CI-1?GdU
STREET ADDRESS: 22 --?DO (AREA CODE)
CITY: tk, Vi/l2 STATE: Iv[/-7 ZIP:
Place a check mark next to the uermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or aReration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
. new installation/repair/rebuild of RPZ
• lawn irrigation system
• water tumaround
Natureofwork: ;nS44 ;p($SSWf UGCUru
Septic System, new/refurbished - $ 225.00
• includes County 8 Consuking Inspector fees
• requires MPC license
Water tumaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
Jtr 2, ? Lu
State Surcharge $ •50
Total $?
so. Sv
Reminder. Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable Ciry of Eagan ordinances. It
is the applipnt's responsibility to notify Me property owner that the City of Eagan assumes no Iiability for y damages caused bythe City during its nortnal
operational and maintenance activitles to the facilifies constructed under this permit within Ciry pro ay e2sgment.
?
SIGNATURE OF PERMITTEE updased 9101
5qy , jl RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
S ?Q,0b
C,,j" S17?b3
New Constructlon ReauiremenGS RemodeUReoair Reauirements Offce Use OnN
3 registered site surveys showing sq, ft, of lot, sq. R. of house; and all roofed areas 2 copies of plan Cert of Survey Real
(20% maximum lot coverage allowed) lsetofEnergyCakxilationsforheatedadditions TreePresPlanReaJ
2 oop'ie.s of plan showing beam & windax sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd
lselofEnergyCalaiations AddiUon-indiceteifonsttesepticsystem _Oo-site5epticSystem
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist DeUll Options selectlon sheet (bldgs with 3 or less uniLs
Date J( / w/ 63 Construction Cost ?(p , 0 0 0
Site Address 4 L(o 4 P jyje-1ve P L'.I.) v v( Unit/Ste #
Description of Work Nt VJ Cfda ? Otf CV-
Multi-Family Bldg _ Y -N Fireplace(s) 0 _ 1 _ 2
Property Owner T6 Vv \1 13 U. ,/ ?L ? Telephone #(LoSl )lD b-1 - D to `7 -l
4t? d L? Fbe-hnuS r
Con[ractor ryor ???V- P-t-amin q Hnmtew+-ir, 4-b F,Nks
Address 1,4.4bu Ru.?K5?1L?f_ P1Lw?? City $uV K5vt llt?
State µt.-i Zip $ S 3D lo Telephone #( 61SZ ) Q sy p-"1 `1S O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations.SIbmitted
Licensed Plumber
C
Telephone #(
Mechanical Coniractor
Sewer/Water Contractor
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 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 ofplans.
VQVA 1,k v L5Jj,?L, Cr
ApplicanYs Printed Name
v41/ot- L?l,????1.Y?1.Y./ \ .
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex /V 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbp_v or _ N ? 25 Miscellaneous
Work Types
? 31 New
32 Addition
i O 33 Altera6on
? 34 Replacement
Valuation &D
r
a
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
0 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy 9`3
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs ?
Type of Const ?
Zoning yC ` ?
Staries ?
Sq. Ft.
Length
Width 2?
MC/ES System ?
City Water -
Booster Pump -
PRV
Fire Sprinklered
Footings(new bldg)
? Footings(deck)
_ Footings (addiuon)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Finul
_ Siding Stucco Stone
_ Windows (new/replacement)
_ 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
ARCHITECTURAL CONTROL
On LP 03 , pursuant to its authority and responsibilities under the Declaration of
?? 2- y?C
Covenants, Conditions, Restrictions and Reservations for>.I t-l" i+v
the Architectural Control Committee for Sl„%'?G?y(d,r`?('r-??? : voted 1)
GG
on the acceptability of the plans submitted by lr?q- rl on
? 0,3 for a at
Lot h/ , Block ???lsf c?c• (:ct?v which plans are more
specifically identified, as attached; and 2) on the acceptability of
who has been identified as the builder who will construct the improvements. The Architectural Control
Committee's decision is t ro e iaeppreve the plans submitted. Homeowner is responsible for
verifying whether irnprovement requires a building perrnit from jur;suj;:iion of res'dence r:?Dr to
construction. Approval oE improvement does not imply that improvement meets with municipal ordin'ences
or other governmental regulations.
Notations: -
The Archi±ectura! Con?rol Commi;!ee's decisien is !hat the proposed 3uilder is acceptable/::nacceptable
for the following reasons: _,
The above actions are hereby certified by Peter Beucke, Chairman of the
Amhitectural Control Committee, on this day of /17!1 , 200?3.
-*-
Approva!,?bf any work by the Committee shall not constitute an expressed or implied warranty by the
Committee or the members of the Committee that the work compiies with municipal ordinances or other
governmental regulations or that the work has been weii designed or will be well-built.
?
u
u I
?
/
/
? / ct oi/
, ?
Row' e j
O'
y
?
SETBACKS
u1
?!
6
5z1r fE-veEL
?
30 15 0 15 30 60
SCALE IN FEET
' LEGEND
Q DENOTES SANITARY MANHOLE
V DENOTES ITYDRANT
Gi DENO'IES CATCH BASIN
S DENOlES SANITARY SEWER
W DENO?ES WATERMAIN
ST DENOTES STORM SEWER
(E) DENOlES STORM MANHOLE
n DEN07E5 STORM APRON
Proposed Top of Foundotion Elevotion- 938.5
Propoaed Gamge Floor Ebvation= 937.8
Propoaed Lowest Floor Elevation- 930.5
Propoaed Egreas Well (Top of) Elwatton= 936.8
s_. AAAL J43'A IN PRAuo6E LOweat Nlowable Opentng ElevotSon? 934.0
: SWA?? AeRo? NOTE: LAWE5T ALLOWABLE OPENING IS AT 7HE
P OF WINDONI WELL
GRADe: LOT AREAa 12,684 S.F.
ROOF AREA= 2.544 S.F.
LOT AREA 7ia 20.0%
A title optnion wae not fumlehed to the eurveyar nor wae o
apecific tille search Tor ths exietencs or non-extstence of
rscorded or un-rocorded easements conducted by the aurveyor
ca part of thta eurvey. ,
.. _ ? ...
ALL OFFSET IRONS ARE MEASURED
TO HUNDREDTHS OF A FOOT AND CAN
BE USED AS BENCHMARKS.
L ?s
0 Denotee Iron Monument
+ 000.0 Denobee Exdsting Elevalton
+(000.0) Denotee Propoaed Elswtfon
? Derioteo arwUon of surraos
925
0 Dminage
. pwoW ?nitary 5ewer Service
EkvaUon
I heroby certify that thie is a true and correct ropresentation
of a aurvey o# the boundories of:
LOT 5, BLOCK 2, PINEfREE PASS 4TH ADDfTION
DAKOTA COUNTY, MINNESOTA ..
Md the location of all buildings. N any, theroon, and all vletDb
encroachmente, ff anyr, irom or on aatd lond. As surveyed by
me thie 9!h day of Novq'nber. 2000.
Gary R. Certnond
Uceneed land.Sun
Mino. Lic. No. 24764
N.
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DR SNM
CH??
17/D14?f00
AS SNO?MM
JOB N0. •'
5402-830-002
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E?+f??Ls'7,Riiv'G DEFT,
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I2qCA
41b? Clty of Eap
I ForOffceys'e --------- -
? Permit#:
? Permd Fee:
? Date Received:
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `""^?l' I.OWK SiteAddress:
Tenant: 1i-{v aA1c'e f6 (v(Yl
Suite #:
965/-
8766 7
Q(tr
ph
RESIDENT / OWNER D
one:
,
Name:
Address / City / Zip: 64?
Applicant is: _ Owner ? Contractor
TYPE OF WORK ?
?
?
o
f o k
cr
r-
/?
}?
Construction Cost: ? _ ` Multi-Family Building: (Yes No? ? )
OR / 1metiC' tZol '/1 W" License #: S aD ( 6 9 303
N
CONTRACT ame:
? Cf ? ?
??60
J1?0?
.
Address:
City: ?kfY\,S/.- /I? State:"+/° Zip:-55 :a
Phone: ` 7D 7-E[5I Contact Person: C?ft?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residentlal Ventilation Category t Worksheet • New Energy Code Worksheet
Category Su6mitted ' Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? .
_Yes _No If yes, date and address of master plan: '
Licensed Plum6er: ? Phone:
Mechanical Contractor: Phone:
Sewer 8. Water Contractor: Phone:
NOTE: Plans.and supporting'documenfs that.you sutimit'are conside{ed to be public information; PoRions of
the inforroetion may,Be classified-as non-public?if you provide specific reasons thaf would permit the City to
conclutl6'that the are frade searets.'
I hereby acknowledge that this information is wmplete and accurate; that the work will be in conformance with the ordinances and rAdes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and worli is not to start wRhout a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and apprq,val o£ plans.
X ? ?ACC-?A
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136758
Date Issued:05/27/2016
Permit Category:ePermit
Site Address: 4664 Pinetree Curve
Lot:5 Block: 2 Addition: Pinetree Pass 4th
PID:10-57663-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Terrance Burns
4664 Pinetree Curve
Eagan MN 55122
(651) 687-0677
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157809
Date Issued:09/10/2019
Permit Category:ePermit
Site Address: 4664 Pinetree Curve
Lot:5 Block: 2 Addition: Pinetree Pass 4th
PID:10-57663-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Terrance Burns
4664 Pinetree Curve
Eagan MN 55122
(651) 810-9470
Overhead Door Company of the Northland
3195 Terminal Drive
Eagan MN 55121
(651) 683-0307
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177627
Date Issued:07/11/2022
Permit Category:ePermit
Site Address: 4664 Pinetree Curve
Lot:5 Block: 2 Addition: Pinetree Pass 4th
PID:10-57663-02-050
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:
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 -
Terrance & Christine Burns
4664 Pinetree Curv
Eagan MN 55122--370
(651) 747-6821
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature
