4668 Pinetree CurveAddreSS 4665 Pinetree Curve Z1p 5512 ?
Lot 6 Blk Z Sub Pinetree Pass 4th
THESE ITEMS WERE / WERE NOT COMPLET'E AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector:
Final gtade (6" from siding) I)i
Permanent steps (garage) k
Petmanent steps (main entry) x
Permanent driveway
Permanent gas
Sod/Seeded grass ?
Trail/wrb damage
Porch
Basement finish X
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in tight-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
RES[DENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
? (U( 'Z1 Telephone # 651-675-5675 FAX # 651-675-5694
? ? gc?• z?
NewConsWCUonReauiremenfs RemodeV(teoairReauirements OfficeUseOnlv
3 reg'stered s@e surveys showirg sq. R of lot sq. ft of house; and all mofed areas 2 copirs of plan CeR of Survey Real
(20Yo maximum lot coverege allowed) 1 setof Eneyy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan show'ug beam & wiMow sizes; poured fowW design, etc. 1 stte survey for addNOns & decks Tree Pres Not Reqd
lseto(EneryyCakulations Add'rtion - indirafeilon-sdesepticsysfem _ On-siteSeptlcSystem
3 wpies M Tree Preservatlon Plan if lot pletted after 711/93
Rim Joist Detail Optlons selection sheet (bldgs with 3 or less units
Date(0_/Q?? ConstructionCost ? 11,X.)' ?r
SiteAddress yL (v lJ 10 j, C. ????. UniUSte #
Description of Work A 4 /?c 2a o F.?,SqS _
Multi-Family Bldg _ Y ,"N Fireplace(s) IL' 0 _ 1 _ 2
Property Owner E,: c_ S° N^ S o^? Telephone #( )
Contractor 4__?- <-4-- 64.?: C .1 i^4 c
Address ? 22 y7 N; ca [L?T 4f-- S• Ciry Avv_1 ?. L4-
State 1'11 ?- zip S S 3 3 7 Telephone #( q5 x.) 7 0? _ C?7 Y'5
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• ResidenGal Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope CalcuWtions Submilted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(
? ii p Flon\ #?
1 j Telephon? #(
oY---
I hereby apply for a Residential Building Permit and ac owledge 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 tttis 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.
?.( ? ??? ????le C?.C. P//4/d f-? ?' ./?iGJ ?/?a°?c?F-?
ApplicanYs Printed Name Applicant'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 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-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 P16g_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 E#. Alt - Multi
? 33 Ext. Alt • SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda5on) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entira Bldg) - 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) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundarion 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
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
CITY OF EAG?
CASHIEk: JS
DATE: 08/14/00 TERMINAL NO:
TIME: 765
ID: 07:53:29
NAME :
ERIC DpUGLAS JOHNSON
2155 9001 44668 668 90p1 PINETREE C
3430 9001 4668 PINETREE C 153,25
PINETREE C 4•00
1•00
Total Receipt Amount:
CR1357p7
USER ID: JAN
158.25
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
1.. Z 3830 PILOT KNOB RD • 55122
651-681-4675 U ,\
New Conahuctlon Reaulremenh RemodellReoalr Reaulreih?nR" "`? ? 1
. 3 reglsteretl slte wrveya ahowing aq. R ol lot, aq. R. W house 2 coples ol plan
and gQ roofed areaa (20% maximum lot coveraae allowe? 1 set of energy cdculaHons fw heafetl atltllHOna
> 2 coples o1 plana (ahow beam & wlntlow alzes; poured fnd. deslgn; etc.) 1 site wrvey tor extedw addt8ons & decka
1 set ol energy calculaMans ..
? 3 coples of tree preservaHon plan il IW plaHed after 7/1/93
DATE: °IU?? 2060 CONSTRUCTION COSf:
14 X14
DESCRIPTION OF WORK: ' ?3 S'-as - p°"-h It mulfl-famlly bldg., how many units?
STREET ADDRESS: 4 (10- (9
LOT: _( n BLOCK: ? SUBD./P.I.D. A:
'4
PROPERTIf
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: f/ 6 4 +'4S'oz^ cc I c
LCSf Flrbt
Cu
Phone #: 62 5-1 - 6 k'l" 20PI
CGII-bS(' 7k6-5Y37
Ptde.k qsa - 87 b- 3 z y 3
Cliy 6 6 A AJ Sfate: MN Zlp: .'??.J / 2- 2
meet
company: <5z;'> o ' ) '(-D,
Phone #:
(area code)
Sheet Address: Llcense u Exp.
Cly
State:
Company: Name:
Telephone #: (
Sheet Address: Regishaflon #:
CHy
Stafe:
Sewer/water licensed plumber (if InaWllirw sewerlwaterl: Phone #:
Zip:
Lp:
I hereby acknowledge that I hwe read ihis applicafbn, state that the infortnalion is cortect, and agree to compty wNh all applicable Stafe
of Mlnnesota Stalutes ond City of Eagan Ordfnancea
c
Signature of ApplicanY.
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
RECFA ;, rT,-D
AUG -?9 2000 ?
BY:? v'?! I
OFFICE USE ONLY
r • ,
,
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ,10 21 Poroh (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck O 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-piex ? 17 10-plex Plbg _Y or_ N O 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repa'ir
? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual) s-27
(Ailowable)
UBC Occupancy
Zoning R- /
# of Stories
Length
W idth
Basement sq. ft.
Main Ievel sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
Building
153.2-5
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
IAX Engineering Variance
?d
Valuation: $?
/Y,rY?I ?
P46?KY0.&-- -- /j,8[p ?
? 31 Ext. Nt - Mutti
? 33 Ext. Ak - SF
? 36 MuRi
Y3
SAC Units
% SAC
r
{V ? X93°?JI.IJ 9_?Its,?INW
l ? ?//l (9350) ).IJ ? 0.13 ??6.4?
? ? ry
? 100?
_
+s?cs o
N
?4_
? Ot?R7 ;3/n^
?? N? ? ?? s M ' ? a
? AM
m? ? I
dLo
LEGEND
Os oowhs suurutr ruwiaE
' V UENOlES HIDRANT
Wi uQ+ohs cATCH eAsu+
s DENOTES SWRMY 5E1YER
?. W DEHOlES WAIERMMN
I 5T pEHOIES 5(OfA1 SEMER
0 DENOIER STOqM MANNdE
? n DEN0T6 STORN APRON
•?? I
SEIHACKS MIN. FRONT YARD SEMAC14 30'
? ?p I MIN. SIDE YARD SElBACK = 8, 15 BO7H 4DE5
MIN. REAR YARD SEIHACK = 15'
LOT AREA =12310 S.F.
ROOF AREA = 2,271 S.F.
ROOF X = 1&4%
Propoxd Tep M FourMofton pevnHon=937.93
Prv?poaed = Floor Davatlon- 928.83
?
O Dmofm Iron Monummit
+ 910.0 Denotee Edstinq Elewtlon
+(sio.a) nenotAs rr,pm,a o,wmn
Denatea OlnciWn y( Surfaee
omimye
e?o.o oenotes, sa??ry se.? s.?
a??,
I henby ee:LYy that Mie ie a Vue arM wrtact ropreaentation
of a eurvq of the 6oundoAee of:
LOT 8, BLOCK 2, PINETREE PASS 4TH AODIfION
OAKOTA COUHIY, MINN60TA Md the boation of all buildinge, N a? fhereon, and all vmble
enaoachmenb, if orry, from or an amd land. Av aurvayed 6y
me Nin nd day of Auguet 199
Gary R. Germond
Licenaetl Wrb Surveyor, Minn. Uc. No. 24764
RE`A90N5 BY
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10
. 1999 BUILDING PERMIT APPLICATION (REBIDENTIAL)
CITY OF EAGAN
? 3830 PII.OT KNOB RD - 65122
(651) 681-4675 ,
New Construc[ion Reauirements Remodel/Re air R uirements'-`?^?'v`??
? 3 registered site surveys ? 2 copres of plan
? 2 wpies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 sfte surveys (euterior additions 8 dedcs)
? 1 energy calculations ? 1 energy calculations for heated add'Rions
? 3 copies of tree preservatlon plan if lot platted after 711/93
required: _yes _ No ,
DATE:
DESCRIPTION OF WORK: pl_ ?
STREETADDRESS:
LOT: ? BLOCK: o'`- SUBD./P.I.D. #:
1 `1
CONSTRUCTION C05T?5;6/2/i CJ?; S
PROPERTY L%St
OWNER
Sueet Address:
City
CONTRACTOR a
StreetAddress: 05-4
c;ty
ARCHITECT/
ENGINEER Company:
First
State:
??/ C??•
-rt
State:
Phone #:
Zip:
Phone #: 6??- 7 7,-3 "?? J ?
' 2
License # / /-5 Ex? ???
Zt)-Z) ziP: '??';?)9/
Phone #:
Name: Registration #:
Street
City
State:
Zip:
Sewer & water licensed plumber (new construction only): kf?Z' . Penalty applies when address
change and lot change is requested once permit is issued. %-
(.-, ??
I a
1 hereby acknowledge that I have read this application, state that the inform on is corcect, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ? ,// „? ? ,
Signature of
OFFICE USE ONLY
Certificates of Survey Received Z?Alaes _ No
Tree Preservation Plan Received _ Yes _ No
r ;
AUG 2y 1999 ` ? 1 .. . _..? J
--Z)Not Required I _ __----
OFFICE USE ONLY
.. ,
BUILDING PERMIT TYPE
? 01
ii' Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
tr-31 New O 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
VP, Basement sq. ft.
?t,) Main Ievel sq. ft.
d2 dPPj?R sq. ft.
4 G AQ sq. ft.
? sq.ft.
sq. ft.
? Footprint sq. ft.
Building Engineering
iy53,75 Valuation:
I al9,G}? ,(?es r n c??
i oo9.q?/
361 1r3U ? ??oo
/b 6f7?00 / 3 y Y 6 3= ?3,3?
IOd.Lh7 ?3 Y l9$ ? `a?j5i67
Stz?,a? v Y 5'
loo, oo i ti 3y ?
O? Ma1rJ
i.?0 36?Y3o ? //GrJ
ytb-6n? ?
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
g aac?
?Dod
i6 = a!S`?`'i0?
l3y N 63 3?3
NY 5 ? ?v
a V /o ? ?
4 7aX 5___N _ 79 ??OD
r -
Total: 4p,0R
6o x 30
% SAC H.?7 / 7>' ? ?-/ : ct?6- ,S9 Cg 0 00
SAC Units i?1 i,s$y Jr?
3d y Xa3 H? 75H, y?f
-
?
x/
?Ya,HN
iyz9
SS?S
i
??a
2.aa1
?
z
O(
`
LunDGREn
CHATHAM PLAN
L7 ROS. EXTERIOR ENVELOPE AIIERAGE U COMPUTATION
CONSTRUCiION _ d?i,?I`Y.l/GGC? d LtA?fl'
INC.
Site Address Block Q2 ?
R& U Factors R U
Opaque Walls .043
935 E. Wayrta Bivd.
waynta Wall Framing Areas .09
htinnesora55391 Ceiling Insluation Area .023
(612)473-1231 Cei 1 i ng Frami ng Area .027
Rim Joist .04
htasonry Wall .469
Windows .35
Doors .31
Skylights .55
1) Lower Level (Basement)
Total Exposed Wall rea fr Z-
(. f
Opaque Wall Area X (U) .043 =
Wood Frame Area A, X (U) .09 =
Rim Joist ? X (U) 04
-? y f Z
Exposed Block X (U) =
Window Area X (U) .35 = 17, /J'
Sliding Glass Door ?
d X (U) .35
Door Area ?r X (U) .31 =
Total S.r6J
LunDGREn
BROS. 2) First Or Main Floor
CONSTRUCTION //O Z
Total Exposed Wall Area !O
INC.
Opaque Wall Area X(U) .043 =?`ti? Z
Wood Frame Area X (U) .09 =
Rim Joist ? X (U) .04 = 7?L .
Window Area X (U) .35
935 E. Wayzata Blvd.
wayrata Sliding Glass Door X(U) .35
rninnesota55391 Door Area ? X (U) .31 = 11,71
(612)473-1231 To td 1 /J-?,r V
3) Second Floor If Two Story
Total Exposed t•7a11 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
/A X ( U) .043 = s`?' 77
/?f/ x cU, .09 = .1a,
/36 x (u) .ss = ?7G
-?-" X ( U ) .35
= ?-
r
X
(U) .31 ?--
=
Total
?
?
X (U)
/a ' x (u) ' - r = ?-3
X (U) .55
Total " ?#0,
,
LLtndGREn
BROS.
CONSTRUCTION
iNC. MINNESOTA U FACTORS Total Exposed Wal l Area X.11
MINNESOTA U FACTORS Total Exposed Ceiling
Area X .026 = ?7? 3
(A) Total = OW457 7
935 E. Wanala Blvd.
wayala Item 1 fJ110J + Item 2/r/.,Ta + Item 3 I14903+ Item 4 30-04'?7
Minnesola 55391
(612)473-1231
If Total Of Items 1-4 Is Less Than Item (A), Buildiny Complies With
SBC 6006 (C)s
lOT SURVEY CHECKUST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: /7- lv ?'h[.ocK Z t?rAvEI?2?'6 TA? 4'??
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
?0
? • Registered Land Surveyar signature and company
? • Building Permit Applicant
vo ? Legal description
p ? ?
Address
o .
North arrow and scale
r/ ? o • House rype (rembler, walkout, spfR w/o, split entry, lookout, etc.)
? p ? • DirecCOnal drainage arrows with slope/gredient %
?' p ? Proposed/ebsting sewer and water services 8 invert elevaUon
?/p ? .
Sheet name
3r ? ? • Driveway
cr ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
• Existina
,o a ' Sewer service (or Proposed)
o Property comers
?? • Top of curb at the driveway
o;'? • Elevations of any ebsting adjacent homes
? Adequate footing depth of structures due to adjacent uNily Venches
Pra s
yi/ ? ? • Garage fioor
p? ? ? • Firstfloor
g/a o • Lowest expased elevadon (walkouUwindow)
rr? ? ? • Property comeis
s/ ?? • Front and rear of home at the foundation
? m/ ?
? d ?
? mT' ?
J W/ ?
a cr/ ?
&/ o a
qr, ? ?
V? ?
e ? o
IT, ? ?
? 2-" a
PONDING AREA (if aoolicadel
• Easement Gne
• NWL
• HWL
• Pond # designatlon
• Emergency Overflow Elevation
DIMENSIONS
• Lot Iines/Bearings 8 dimensions
• Rightof-way and street width (to back of curb)
• Propased home dimensions induding any proposed decka, overhangs greater than 2', porches, etc.
(i.e. all strudures requiring permanent footings)
• Show aA easements ot record and any Cily utlGdes wiThin those easements
• Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? Retaining wall re^u'•°m°^'e I °^y 117
Reviewed:
Merch 79BB
crurMLocaaMr.FM
?
/
/
/
/
01
: LP.R.V. ?EWHED _
LEGEND
x s) N ?9 OO DENOTES SANITARY MANHOLE
`-'
? 015'51
? X93a.?
«w MAZNTAtn+ SwALE Tc ? DENOTES ITYDRANT
? ?35 '<. . 1N1g 47 £Ns?RE PRo?PER'BACKYARI? Gii DENOTES CATCH BASiN
3.13
?r
?t/ 29 e? ?ARK RAZN?X . S DENOTES SANITARY SEWFR
? z13?"B3? ? h 934.7z W DENOTES WA7ERMAIN
71z 3.p0
?
ST DENOTES STORM SEWER
M ry 30; / ?<? / I ? DENOTES S'FORM MANHOLE
?O.N
¢5 DENOTES STORM APRON
ry cV? fp?y.s
?Oc??
? ?av^ SETBACKS
MIN. FRONT YARD AC = 30'
`
MiN. SIDE YARD SETBACK ? 15? BOTH SiDES
7
MIN. REAR YARD SETBACK = 15'
N 6' BIT TRAIL ?
?9Jq R I . `N ! E??S ° 'b I \ + ?yf
?? 3 3'8> O1 ? k 933,3 30
! k9J,j \' (9a6.0) oRAiNACe & unurr
?V6'lo 1,6 EASEMEhtT ?` N f
o f
h
29 0
o
9'?4s ? ? E z
Proposed Tap of Foundafim pevution= 937.83
?c Propoaed Garvge Floor Sevatione 9375
rs2 3J I Proposed Lowest Floor ?evation= 328.83
o?
- . ?J^ ?As
(ss; 9 k r
Monumarrt
+ 910.8 Denotas ExistingEIevation
+(910.0) Denotes Propoaed pevction
?. I Denotes Directian of Surfaee
Draimge
penotes Son'itory Sewer Service
E3evation
I hereby certify that this is a true and correct representation
Lte -.Z-5- , LOF AREA =12,310 S.F. of a aurvay of the boundariea of:
EA.GANE?vGINEERIIVGDEPT. ? ROOF AREA = 2,271 S.F. LoT s, e?.ocK 2, Pir?ccrn? P,a,ss 4rH ,womoN
? ROOF %= 1$.¢% DAKOTA COUNi'f, MINNESOTA
Md the location of o11 buildinga, if arrr, thernon, and alt viaible
encroachments, if arry, from or on said land. As surveyed by
me this 2nd day of Rugust 1999.
Gary R. Gertnorid
Licensed Land Surveyor, Minn. Lic. No. 24764
RECE1VED AUG 2 5 1999
u
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?Q??3
?
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FaZUa
W ?
U
CITY USE O\ZY ?
LOT G BL ?i RECEIPT #: Q
SUBD. e>.nr?A pl n V 9- RECEIF'T DATE: W
MECHAlVICAL PERMIT # 75S -1 ? 2-
1999 MECHANICAL PEfiMMl'f (itESIDENTiAia
CrrYoF EAeAN
3830 Pu.or xxos [tn
Ekfit4N diN 55122
(651) 6$1-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100M$TU
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.0
6.00
? o0
.50
$ 3G s=
Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11681-4675forinspections.
_ Furnace _ Air conditioning
Air exchanger _ Other
$ 30AG
Siate Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: !?6Y.l ir4?
OWNER NAME: li f'ilA' ?P vr f',?/ ?py? 5/? PHONE #:
INSTALLER (AREA CODE)
PHONE #: (v
STREET ADDRESS: 4&L1 4' (AREA CODE)
CITY: STATF- • ? ZIP:
i
`
SIGNf'f OF PERMITTEE
CITY USE ONLY
L BL RECEIPT#:
SUBD
APPROVED BY:
INSPECTOR
1999 MECHi4NICtkL PESiMIT (CObIM£RCIAL)
CITY OF £Afil4N
3$30 PILOT KNOB fiD
EAe,aN, M1v 55i EQ
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family huildinas when seoarate pr.rmits are not required far each dwr,lling unit
DATE:
CONTRACT PRICE:
RECEIPT DATE:
MECHANICAL PERMIT #:
WORK T'YPE: New construcrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
_ Processed Piping (Minimum Fee)
•*NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contact price OR $30.00 minimum fee, wlrichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANTNAME (IMPROVEMENTS ONLl):
INSTALLER:
ADDRESS:
CITY:
(5.50 per $1,000 of Rgmut fee due on all permits.)
PHONE #:
(AAEA CODE)
PHONE #:
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
L ? BL ? RECEIP7#: ?-4
SUBD. 4m- RECEIPT DATE:
PERMIT#
1999 PLUM$INC PEgMIT (RE.SIDENTIAL)
crrY oe EAflrtrt
3$30 f1LOT KNO$ RD
EAfiAN, MN 55122
(651) 68]-4615
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIX7URES
EACH # TOTAL
Bath tub $ 3.00 x = $ & --
Floor drain 3.00 x = $ 3"-"
Gas i in outlet *minimum - t 3.00 x = $ °O
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ °-
Laundr tra 3.00 x = $ ycC-
Lavato 3.00 x = $ /2
Minimum fee alterations to existin dwellin 30.00 x = $ -'
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x - _ $ -
Private Dis osal S stem abandonment 30.00 x $ -
RPZ new installation/re air 30.00 x $ -
Rou h o enin 1.50 x 3 = $ , SD
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x $ -
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ °-°
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 X $ ?
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $ -
State Surchar e .50 --? ----> ----> $ 50
Total --> --> ----> ----> $ 7on
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
-
-
-
---- - ---------------------------- - - - -- - - -- ---- -- - -- - - -------- ------
-her-- -----ck--- ------- -
- is- co
-agree-
- City-of Eagan -ordinances.
-rzect-, and?
- to compiy with -all applicable-
? cafioq- state-
I eby anowledge-tha-t I have read -this appli-
-that- Ihe information-
It is the applicanPS responsi6ility to no[ify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/righbof-wayleasement.
SITEADDRESS: °7 (4/OL? / ?? ? ??-?-G _LGC/d?
OWNER NAME:
INSTALLER NAME:
STREETADDRESS:
CITY: STATE: f//' ?? ZIP: 5 S^3. 7?7
SIGNATURE OF PERMITTEE
e,-v S L.Divs ?- TELEPHONE #:
(AREA COOE)
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office ,
Permit #:���
Permit Fee: LJ)
Date Received: /,;2-/D
D
Staff:
L
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: l -/4 ZO ite Address: `moi 462 v — P --(vu
Tenant: Suite #:
RESIDENT / OWNER
Name: L ib11 A t (/'ic Phone:
Address / City / Zip: '
L U Or i C11-4 -%%'•
CONTRACTOR
Name:p ( l (..28,,,kI- )) License #: (c3 1 6
Address: �
-} . -
� V � vee -710 6) -r.
.
State: Zip: 556 k..jl
��
City: ti IZ /fit
%. t �
bl »�
o?
d
.DPhone.
Q � Contact Person:
TYPE OF WORK
_ New Replacement _ Repair _ Rebuild, A odify Space _ Work in R.O.W.
_
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
�
Lawn Irrigation 1( Add Plumbi ixtures
( RPZ / PVB) ( Main Lower Level)
_ _
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water
Heater, Water Softener,
(includes $.50 State Surcharge)
Fixtures, Septic System
(add $165.00 if a 5/8"
New ($10.00 per as built)
or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
Abandonment, Water Turnaround* (includes $.50 State Surcharge)
meter is required)
(includes County fee and $.50 State Surcharge)
ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
burned out appliances,
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.qopherstateonecall.orq
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 i o -tart without a permit; that the work will be in
accordanthe app ed plan in the�case of wprk which requires a review and approval
x
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
Under Groun
Air Tes
City of EaQafi
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
dor Of6
Permit#: 6% (9-3
,SO °.°
Permit Fee:
2009 RESIDENTIAL BUILDING PERMIT APPLICATIONCecL /,z -a
Date: 12/2/0 / Site Address: (7/66 S C2 S
Tenant: Suite #:
RESIDENT / OWNER
Name: s-2 1C �Q t -Uri SO'`) Phone: 651 i,B/ - ?-08 j
Address/City/Zip: 68 A„,cT ci 2%/
Applicant is: Owner )(Contractor
TYPE OF WORK
Description of work: Rei 5 41 T
Construction Cost: Z3 ("00
Multi -Family Building: (Yes / No X )
CONTRACTOR
Name: )oP 3t}fz i_ e0IL PSS 4.4 License#: CP 3o '$
Address: 83G tVoeitivImo,,✓ P/ZK (27)
City: H G R,) State: /14A.) Zip: 5 5/ 23
Phone: 6,5i ®�j 7 – O;6 6 u Contact Person: /W /i)"tie_
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:
..ATE: Plans and supporting documents that you submit are considered to be public information
the information maybe classified as non-public if you provide specific reasons that would perms
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 !ans.
�5 & Pry
Applicant's Printed Name
X - -2c
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Fireplace
Garage
Deck
"x Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
Type of Construction VO
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test
7C Insulation
Meter Size:
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
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
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
X Final / No C.O. Required
x HVAC
Other:
Pool: _Footings _Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
v c2 7
Page2of3
4,1 k$
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170830
Date Issued:07/19/2021
Permit Category:ePermit
Site Address: 4668 Pinetree Curve
Lot:6 Block: 2 Addition: Pinetree Pass 4th
PID:10-57663-02-060
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 -
Martin John & Jennifer Jolaine Knapp
4668 Pinetree Curv
Eagan MN 55122
(651) 707-4629
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature