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1472 Pinetree PassF c- i ? ( o c,k. ? tu_? o.SLA.e,V- 3830 PILOT KNOB RD - 55122 New Constructian ReauiremeMs . 3 regis[ered sile survays Showirg sq. ft. oi bt, sq. ft. of house; arM all roafed areas (20% rtaximum lot coverage allm+ed) • 2 copies ol plan showing heam & window sizes; poured taund design, eta) • 1 set of Energy Calculations • 3 mpies ot Tree Preservation Plan if IM platled afler 711193 • Rim Joist DeWil OpGans selec6on shcel (Mdgs wiN 3 or less uni5) New Energy Cotle Warksheet Submitted $p-4bz55 - I 55H H • %3 M P -'1b25b - 70, 7 _ q0 , 5?0 651-681-4675 ?j ? RemodeUReoairReaWrem?nts • 2 wpies of plan i set of Eneigy Calculations for heated additiore ? tsitesurveyiorexterioradditions8dedcs f5190 DATE 7-/-1-o/ VALUATION(EXCLUDINGLAND),3oZS060 JOB SITE ADDRESS /jI71 n 27fze c P4f s' IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER_r_'1,o??s 'T, r6 0-4?wiP? TYPE OF WORK „5; v,Q)e FIREPLACE(S) _0 Z?C1 _2b3 APPLICANT 'nmts .t 1'?au.?..ra Ca n.1? Znt PHONE# 4-? b-3 '8 L ADDRESS:2_1 2. 2s? 1'1 a.rnL ukt 14vc ZIPCODES".So PAGER # CELL PHONE # (a I2. • q4o - 37o L FAX # f 5? -1/69 - L74 ' NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Suhmitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 Plumbing Contractor: cn z e/ /0/? ? Phone #: G Sl '?/Jr 4 S" Plumbing 3ystem Includes: _ Wa r Softener , Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Co» j',Q e 11-oe /¢; K Phone ?3aZ.2 Mech-mucal System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: ?+ P Phone # 7S'd - All above information must be submitted prior to processing of applica6on. I hereby acknowledge that I have read this application, state that the information is aIi applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Certificates of Survey Received ? A0njihy 'lh reviS? 7)z-pl '?i ?SIDENTIqL 3? BUIkDING PERMIT APPLICATION a V'_Aj CITY OF EAGAN 174-. 93 7 ao -o 1 an agree to co tithd j Signafure of Applican Tree Preservation Plan Received ? Not Required _ Updated 1/01 OFFICE USE ONLY , ? Ot Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bidg N 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous JK 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 Bldg only) - Give PCA handou( to applicant Valuation Occupancy MC/ES System ves Census Code Zoning City Water YeS SAC Units ... ?. Stories d? Booster Pump Nbr. af Units Sq. Ft. PRV Nbr. of Bldgs Length L49 Fire Sprinklered Type of Const • Width ? Faotings (new bldg) _ Footings(deck) Footings (addirion) ? Foundation Drain Tile Roof Ice & Water Final Framing ? Fireplace -X R.I. A- Au Test )(Final t„ Insulation Approved By7 2, , Building Inspeetor Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tota I Other _ Pool Ftgs Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) ! ,?0j0 ? 4? . . x15? REQUIRED INSPECTIONS ?C FinaUC.O. _ FinaUNo C.O. _ Plumbing _ HVAC Address 1 4 'i 2 P i n e t r e e Y a s s Zip 55122 IAt Blk I Sub Walden Heights 2nd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: J-/ y Q Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) X Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement 5nish Deck Please verifv with the builder the removal of roof test caps from the plambing system and the shutoff of water supply W the outside fawn faucet before freeze potentiat exists. Contad engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Comracror Copy MNCheck COMPLIANCE REPORT Minnesota Energy Code MNCheck Software version 3.0 Permit # checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: DATE: 7-6-2001 TITLE: #01-193 Single Family PRO7ECT INFORMATIDN: BARB & ]EFF JOHNSON COMPANY INFORMATION: THOMAS J. MAURER CONST. COMPLIANCE: PASSES Required UA = 569 Your Home = 497 12.6% setter rhan code Area or Cavity Cont. Glazing/DOOr PCrirtl2ter R-VdTue R-Value u-value UA --------------------------------- CEILINGS: RdiSed Tru55 ------ ------ 1698 --------- 44.0 ----- 0.0 waLLs: wood Frame, 16" o.c. 3422 19.0 2.0 eSmT: Conc. 8.8' ht/8.3' bg/8.8' insul 1280 11.0 0.0 65MT: Conc. 3.5' ht/3.0' bg/3.5' insul 158 11.0 0.0 GLAZING: WindOwS Or DOOrS, Above Grdde 457 DOORS 18 DOORS 40 DOORS 40 FLootts: over Unconditioned space 48 38.0 0.0 FLO0R5: Over Outside Air 30 38.0 0.0 0.330 0.230 0.330 0.350 37 192 73 11 151 4 13 14 1 1 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building dBSign described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has heen designed to meet the requirements of the Minnesota energy code. Builder/Designer Date 7 ?// ' ?? , oFFcLE tlFcc,E co-?`( 4 (SEE ATTACHMENTS) r..t Development LA)(ft(.r6)C''N tl ?bfTS 2i r Lot Number -7 Block Number t Addrass N-I2. I>IATE? 'T, M p'SS Builder TlA8VYI i T M IR3lA= PL C8 0 ST fa Tree Protection Requirements: X Tree Fencing _,&tg_ Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeu4ic Pruning Retaining Wall Other: Realacement Trees: Not Required As Follows: Attachments: Yes No Additional Notes: E???N VOVIiESTpY DlVISION ?ATE H:\ghove\2000B1e\Veepres\Tree Preserration Plan Summary-2000 ? ? 7??.?f"..?fd1U 5??4`V1?.?.?...--..?,.? N ?.? ?. r??'? ?!fl'??1P?i? ? x'J?`?? V '??'i ?:s„e,,,?.,,?,?„, . -?.:,"'°??-..,,?.?-, ,w tY?? «...,.,?,a?? ?...?"°'°e...-? 4....;e"`? ? ?'???tf "'t-...e.-.a.... a '"""^--^°'s--?......e,,.,K«.?... .,,,?,?. ....°".'"??"""'°--z ?.?..M.,d.. "'° ? -.--?.. ? JULr16-01 10:42 siM THOMAS J MFiURER CONST IN 6124696769 A certftsoate ot survey tor: THOMAS MAURER CONSTRUCTION P.03 /RONT TARD; 25 FNt SIDE YARD O MW$E: tp F??? SIOE YARD O OARAG[; ? F?et REAR YARO7 13 P*st X A72.9o Deaotea BxiAJa; Elevat3on (932.90)Deaobn propwaq 81esre[loa r 11molea Svrfsoe DraSnap 1 r 0 +2'dyo , ? e0 BEMG4MARK -J TOP lRON P/PE EL - 963. f0 CVRH HACK TO BACK . 30 P1'. H?aoh 1[arkn ToD Nut 8?dr?at A?is? u?, oor, Hloa 0 ??a1d?a Htr 8ad Addo av.- Souretvva - FB PROPOS$U 80VSE $LEVATlON9: y'INJSfIBD 17A08 $I19YAT10N v 061.0 . 0 aARAGB 9LAH TOP OP HIAC7C $i,SVATION a 998.1 LO7?83T FIAOR BLSVATIoN a oea,8 - HIX/Sf O'-1 P?' -?I?^ s? -=----- B£NCHi ? s?.e? •?a • roP ra Ez. . 4 ? Job No. 90a1e: ? ?Dobs e/m/oi O Deaot?r lroA yivt lisL wiLh ikp16sUc plns. alamyed Rl8 10949. ' • Deaet" fsoa yfpe tound. LOT SIZB 68.779 B.B. HOUBS 812E 8 484 S.F. (LOT COVSRAG-Z7- ADDRB88: 1478 Piaetree Ps" BAN. 86WCR BERViCE IIqV. ELEV. e 949.0 I . , Y4RPlPE I ?? ea 'ss 16' f; ? M'50 7T _ ?_ YlA?S I ?CI . ? l ?ry ? ? h i s.W ?OP SEO . . E IO ' ', , . I 7! ' • R 1 ?s w a'r? ' ` `? ry* ^ i j S70NE T N/NG ~ - 7 ? .os A/ Rf i ? WALLS ?- SET@ACK L/NE -" ? b I ? ? 13 q4. 98+.J? ? DRA/NAGE & UPL7TY - ,,?. fASEM£NT P£R PLAT N? u BB0.v4 \ .a' °Oj?' \ \ ? b \ ? • ? i:: a \ ? ; ro i i Lot 7, 91ook 1. Walden Heighte Second Addition, Dakota County, I hereby certify that this eurvey, plan, or reyort wae prepared by me or ua er my dIre t erni4lon and that L am s duly Regiatered Land 3nzveyor under the la?ve h f eeupte oi nneeoie. /V JaM Qffys/ & A8gpp/qt98• &M JD VE A 7'ES, 12+IC. cwu syr«....a? aa.a s.«V.~ c..s r+.,mrw 880 Dodpe AwTw Ptk RWer. L-0nnavolo (8fs)4+1-ro7x fnuW4V-5ee6 By: Gery . ar•ris, I.and Surveqor tor W. ?v:... arscs srxe. eoo Minneeo gy?.{tk, yN 66d.7T Dale: 7 3a /O1 cenee Rev. 7 No./11 10?01d9 ?a?.elae?-so?s (rar?as-ao4a SUL-I6-01 19:43 FiM THpMfiS J f9"URER I !N 5I24696769 ? L ff 1 Qll` ???`???? ?' ? `` ????+?1? ??I{1 ?? 1I ?l l •.? ?....' /? : ? !r ?I I !t ' Ill !' 1 I ? I ? ? it 11 1 ? i y ' ^ ?/ ? ` i //• 'I? Y \` • ? _ ? ti• --? .? 1 T ?? ~. ? q?Y- •• =??. ? _ ? - - ? . ? ?.•. . ?.' nfmur?wn?nun?? ?msE??ufmruunri+sne?u?unuuE?i?am?u??u::n?teore?eneum?E?uu?ummm? lYV?qUOppryP???P ?as?rurt`s?Omr'•CI?s•??`??n?u.;?a••ni`?•en.?;oa....•..••srn?,qe.i••a?sE?nn?•?•o??`• ?u?leeru?netis?tit?u ?eetee?neen?ue?nei{t:?ee?nen??ine?n?rrnuteu«rn??u??une?t?ni( Rir????rj! ?ff??? ......rnennrnee?n .............................. 1191!!lqlllllllllllilllllnlinnm+mnnunn .............................•----- - - .....s..... t e..s...?...?ar..?...?...... i..........s•o....•urnn........u..ew...?s??.n?a.?•s?6.p??.qnu?nnaui t«ttiltFllt?llrfrrrtiiirit eifiiif iieliitfiiiirteiiil ii tf r =jiiiiiiiiiigi ?,. ' j`71?lfr"l??i<< ru??i?llf 1( f Il I tIt 1 PI ? " " "' rrnrtnrrnrn rrrE rnlf i nrlr+rrrrrrrrr??rr?Ill?+r?rrrr?nrrl+r??rrjj?;j??nEEfl(Uffllil fltlllllElitill (t(iRll(III 0*1 ;'l lil S?r ??? ..._,....?..,...,.,... ???? ???? ?g? ? ? •I? ?e it ? E 9 I ! ( ? ? 1 ? ' ?d?????ir?trj lerrei 9 ? P.05 !? z a z ?a ? ??? . . . e . _. c. ?• . •• •. nlntnnnrrnrrrnrn?r` ? , E `1 . wµDCM XEI6HTS 7nd AODIS1oN ""??: ?:'??`xd ???! i? ' Y, ' • ! •. ? ? fMW. YdxtlT? oJ6CRyATION PUN ` ' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMR APPLICATION PROPERTYLEGAL 1--6"r / ?"/ocK I LJs(?Pa DATE OF SURVEY: m LATEST REVISION: - ? ? ? U DOCUMENTSTANDARDS g o z ° Ca/ ? ? . Regis[ered Land Surveyor signature and company V? ? • BuiWing PertnR Applicant GV ? ? • Legal description v ? 61 ? • Address ? ? • North arrow and scale ? o • House type (rambler, walkout, spfrt wlo, split entry, lookout, etc.) /? ? • Directional drainage arrows with sbpe/gredient % ?? ? ? • Proposed/existing sewer and water aervices 8 invert elevation C ? ? • Street name ?o / ? • Driveway ? G?' ? • Lot Square Footage ? t9 ? /? . LotCoverege B ? ? • Benchmark ELEVATIONS ExisUnq ?? ? • Sewer service (or Proposed) ?? ? ? • Propertycomers ?Ll ? ? • Top of curb at the dmieway and property line extensdons E3 ? ?d ? • Elevations of any exisdng adjacent homes / ? 6 ? ? • Adequate footing depth of sWCtures due to adjacent utllity trenches W • aterways (pond, sfream, etc.) Prooosed / 9 0 ? • Garage fbor H ? ? ? • First floor ? ? ? • Lowest exposed elevation (walkouUwindow) / ? ? • Property comers 5d" ? ? • Front and rear of home at the foundation PONDING AREA (N apolicable) ? Fd U • Easement line ? ? ? • NWL ? ?? ? • HWL ? d/ ? • Pond # designatbn ? ? o • Emergency Overibw Elevafion a v- / DIMENSIONS 210 ? • Lot lineslBearings & dimensions ?? • Right-of-way and street widUi (to badc of wrb) R' 0 ? • Proposed hame dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. a0 sWcWres requiring pertnanent footings) ?? • Show all easements of record and any City utilities within ihose easements o?El • Setbacks of proposed sVUClure and sideyard setbadc of adjacent exlsUng strucW7 rep .? [9' ? ? • ReNainingwallrequirements,ifany o7r_ n.R C'???- ? , c a 6 Reviewed: Certificate of survey for: THOMAS MAURER CONSTRUCTIDN BUILDING SETBACK REOUIREMEN75: FRONT YARD: 25 Feet SIDE YARD 0 HOUSE: 10 Feat 51DE YARD 0 GARAGE: 5 Feet REAR YARD: 15 Feet X 932.90 Denotes Eaiating Elevation (932.90)Denotee Proposed ffievetion Ar Denotes SuMece Drainage Yl\ m /?A .by O Ay `R / ? \ ! I \\ 9PN BENCNMARK-J TOP 1RON P1PE EL = 963.40 S/cT p''gN GE ?.? CURB BACK TO BACK = 30 FT. Bench Mark= Top Nut Aydrant Pinetree Pasa, SE cor, Lot 6 Block 2, 1Falden Hta 2nd Addn Elev.=966.68 Housetvpe - FBLO PROPOSED AOUSE ELEVATTONS: FINISHED FLOOR ELEVATION = 963.0 0 GARAGE SLAB TOP OF BLOCK ELEVATIDN = 964.4 LOWEST FLOOR ELEVATION = 955.6 EXI57ING --? NOUSE Ap ?,t ' I RE l C,? .' 10 L1ste v J lEAGAIQ ENCaIl`SEERINi. L1Z;Y'P, a- Job No. 1318.104 Scale: 1"=30' Dete: 6/2 £ O Denotes fron pige aet with a plug stamped RL5 10943. • Denotea iron pipe found. LOT SIZE 23.773 S.F. HOUSE SIZE 2,484 S.F. (IAT COVERAGE) ADDRESS: 1472 Pinetree Pasa SAN. SEIPER SERVICE INV. LLEV. = 949.0 I oi s" ?g ?-------BENCHMARK TOP 1RON PIPE o EL = 957.88 2 p REC'p I ? [/ e+ 66 ` 45 ?6'? '`q0 .9 ? ` 969?71 9??1? I w' 0) 978.45 i '(964.6 l? ^ryaj , M1? BQ/y ro? 2.94 . ? ? 1 c, ?p . PROPOSED N Ol 9?"" ??H'as ? ? 01 HOUSE •o "`?, 6 10 2 I ` `9 lc? > I ow s y? i? p I p 982.78 I I ? / ? . i 6,L?,P? sid? 4.72 J? 1tp R? ^??ryk` ? • -?A ?9• , O?r • ? STONE ? I RETAINING WALLS ?, I - 4 5?o i' SE7BACK LlNE ? I I 9? ' 13 5•1 984.,? 2 DRAINAGE & UALlTY -?_ I ?' EASEMENT PER PLAT s ` O 0gy '9 ° 9 I G 8? 983. ? es 5 9 989.94 g Q Bg? ? .: ? geg o9 4?> A ? ? I i4 Sz o \ 1 41- \ ? b \ \ Lot 7, Block 1, Walden Heights Second Addition, Dakota County, Mn,-- I hereby certify my dirg ct supei laws ol 1h0-? that this survey, asion and that I 44 Minnesota. CIATES, INC.. plan, or report was prepared by me or under - am a duly Regiatered Land Surveyor under the By: Gary IR? Harris, Land Surveyor MinnesotaVl.icense No. 10943 Date: 7/3/01 Rev. 7/11/01 7/18/01 John 4tiver & Assocfstes, /nc. CWil EngNwWin8. Land Swvo-ytng, Lo-nd PtennTng 580 Dodge Avenue SUC Rti11¢T, Yinneaota. (612)441-2072 (FAX)441-5665 F(6f2)894-3045 f )I. 7'rave[eva Tr¢a!, Su%te E00 7/19/01 7/20/01 uE!N 55337 (FAX)894-3049 Site address: Lot _ Block _ Subd. 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. X This sUuclure: is consUucted to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GA5 ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE WaterHeater m rvi k 1 tv q r',r rq- Fumace x - rane- 3 XE°b tLlX loo C:0.$ O C 3 (Uv o 0o pY' Ci -cT,-,ez Dryer X \Aj , LG (2'1(p rfjKQ o vzsD YlC,? l EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen h+rl (du Bathroom 1 MGi11 4"I . r02.J 5 ?- ^ S? S? x Bathroom 2 t'U , ? Q?PQe- Bathroom3 YV'O 6I-cc- Bathroom 4 Other FIREPLACE 5 LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING uiRECT nTMOS I\A? -?600 -r2f?) ?,?co X MAKE-UP AIR MODEL TYPE CFM's IV ao ,r Ve(\- E:F- b I hereby acknowledge f?ha?the abgye,information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. / / ? Signature `/? ?^ ( !?/QL°GiE? ?'/ CompanyName i L??/??? Date ,0v .l ' This form is the responsibility of the General ConVactor. J ? ? ForZ7Tfice90e ?--/__-----_ j Pertnit#. v ?? ` j I PermilFee: I ?? • ?S I ? Date Received: 1 a? I I StaH: I 2008 RESIDENTIAL BUILDWG PERMIT APPLICATION /d??- -=? ? ? IDate: 1 d?b Site Address: '/ ?1? 7? ???? ?- Tenant:., r-, U h :5 bN/ Suite #: _ RESIDENTlOWNER S?Z - ? Name: Phone: 915` Q o 7?3' Address/City/Zip: c-rk=i6* Applicant is: _ Owner ?Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes _/ No ? CONTRACTOR Name: d{' Wl ? !i" C. l???fhs License #: Wd 25 I z?/ / w T?x -,, - Address: 7 ? w`g City: ew±?_ e^-'? State: ? Zip: 5737/ Z Z ' r Phone: IZ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Waicsheet Cet2gOry Submitted Su6mitted (4 submisslon type) • Energy Envelope Calculations Su6mitted In the Iast 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documenis that you submit are'cottsidered to be public intormation:. Portiorts of ' , the information rnay be classified as non-public if you provide specific reason's that would permit the City to "-"conclude`that the ??are trade secrets. ' I hereby acknowledge that this information is complete and accurate; that ihe work will 6e in conformance with the ordinances and codes of the City of Eagart; ihat I understand this is not a permit, 6ut only an application for a permit, and work is not to start without a pertnit; thffi lhe work will be in accordan?ith the approved plan in the case of work which requires a review and a*11can X l rey d Y' +'? x A licant' Prin ed Name Anature Page 1 of 3 City of Eag,all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or3BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ///14/g0/ 7.- Site Address: /L/%Z L Tie 15 > Unit #: CONTRACTOR Name: -64Ve_ b 7h In 4n.5�— Address / City / Zip: /L IZ •�z t - SEL �r�5 S Phone: Applicant is: Owner "( Contractor Description of work: 7&5Cr- Construction Construction Cost: /56 Multi -Family Building: (Yes / No /< ) Company: SuPE2,0,z.._ ?)ti tcz tact: 7%c'47`1(s ea-Ert_. Address: zc/7 S 5' ES j?� ,3tvZ City: ' E f )<k1 State: iv1`'`) Zip: 65015 Phone: 657 7t55-' License #: &le� % 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public; information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138145 Date Issued:08/12/2016 Permit Category:ePermit Site Address: 1472 Pinetree Pass Lot:007 Block: 001 Addition: Walden Heights 2nd PID:10-83301-01-070 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 - Barbara D Johnson 1472 Pinetree Pass Eagan MN 55122 (651) 994-0939 Airtech Heating & Cooling 490 Villaume Ave, Suite 300 South St Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140031 Date Issued:11/18/2016 Permit Category:ePermit Site Address: 1472 Pinetree Pass Lot:007 Block: 001 Addition: Walden Heights 2nd PID:10-83301-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Barbara D Johnson 1472 Pinetree Pass Eagan MN 55122 (651) 994-0939 Airtech Heating & Cooling 490 Villaume Ave, Suite 300 South St Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140811 Date Issued:01/24/2017 Permit Category:ePermit Site Address: 1472 Pinetree Pass Lot:007 Block: 001 Addition: Walden Heights 2nd PID:10-83301-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Barbara D Johnson 1472 Pinetree Pass Eagan MN 55122 (612) 597-2868 Northern Plumbing & Softening 7401 Central Avenue North Fridley MN 55432 (763) 502-8228 Applicant/Permitee: Signature Issued By: Signature