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1481 Pinetree PassWA ??? (?lo? a- ? SIDENTIAL (°0? , BUILDING PERMIT APPLICATION ? CITY OF EAGAN (Y? P- y??? 3830 PILOT KNOB RD - 55122 ? 65'1-68'I-4675 -I o_S0 9U.C'o NewCanstructionRequiremeMa RemodellReoairReauiremeMS ? - • 3 registered site surveys showing sq. ft. of lot, sq. ft. of Irouse; and all roofed areas • 2 copies of plan (20°k mazimum lol coverage allowed) . 1 set of Energy Calcula6ons for healed additions ? . 2 copies of plan shmving 6eam & vrindow sizes; poured found design, etc.) /. 1 site survey for exterior additions 8 decks • 1 set af Energy Calculations Indicate if home served by septic system for additions • 3 capies af Hee Preservation Plan'rf lot platted after 711/93 ? ^ . Rim Joist Detail OpGons selection sheel (61dgs with 3 or less uniLs) ??SI.XAQy DATE c lu ? VALUATION ? 36??e-14 000 JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? N 1T'- PROPERTY OWNER ' ?J . ?e2. TYPE OF WORK erJ FIREPLACE(S) _ 0X 1_ 2 APPLICANT Ji'S?M /?Ll,POi'L GI?i'I2PS PHONE# ?- VZ7 loS`68 ADDRESS k. a.P ' N ZIPCODE 5-6-6011 PAGER # N? CELL PHONE # ?Tn ). FAX # "I ? ?7-CM6> NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP I ?LY Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1 A PR 0 3 2002 (check one) - Residential Ventilation Category 1 Worksheet Su i d ? - Energy Envelope Calculations Submitted ? ? MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: ?A/pr7u.Y ItV le' c'm A Phone #: `T Wl - ? 5 tPS Plumbing System Includes: 1 Water Softener _ lawn Sprinkler Fce: $90.00 0 Water HeaCer No. of R.I. BalYis No, of I3alhs Mechanicai Contractor. t .U+DooCL ?A1 P_ Mechanical System Includes -1 Air Couditioning Heat Recovery System Sewer/Water Contractor: K ? ? ?ESYItr_?.C.?l ? OI? Phone # Fee: $70.00 Phone # LP«- 3W- LIPS?- All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informa ' corre , an gr to c mply with ail applicable State of Minnesota Statutes and City of Eagan Ordinan s. Signaiure of Applicanf Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldgi X 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous x 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 81dg only) - Give PCA handaut to applicant 660 CIO V l i a uat on Occupancy MC/ES System Census Code /b ( Zoning City Water ? SAC Units Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bid gs ? y Length Fire Sprinklered Type of Const V-A) W idth x Footings (new bldg) REQUIREQ jNSPECTIONS Z? FinallCO. _ Footings(deck) _ FinaUNo C.O. Footings (addition) - Plumbing Foundation _ HVAC Drain Tile RooF 4/1 Ice & Water X F Other inal Pool Ftgs Air/Gas Tests _ Final x Framing Fireplace >? R.I. ?Air Siding ? Stucco ? Stone Test XFinal Windows (new/replacement) ? Insulation ? Retaining Wall ? -------------------------------- - ------- - Approved By -?----- --- , Building Inspector ----------- ------ Base Fee -- - - ------------------------------------------------------------ - - ---- - Su rcharge i Z 3'7? s Plan Review 2 MC/ES SAC Ciry SAC ,Mo (%J ?? ?°o ? Water Supply & Storage S&W Permit & Surcharge -S7-GU P Treatment Plant P [y c p ? ?o ? °.? -- lumbing Permit Mechanical Permit eu V J ' 2?j00 License Search ? ?? 7? ? /\ V Copies Other rotal C,u ..- )? G Gid 1C? SY -' 20???? f I Pernut Number MECcheck Compliance Report checkea syinace 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lh Data filename: I:\Energy Ca1cs\1b1EC\IvIn\02-225.cck TITLE: JO & TONY HAUGEN COLINTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 04/02l02 DATE OF PLANS: 4-2-02 PROJECT INFORMATION: LOT 4, BLOCK 2 WALDEN HEIGHTS 2nd ADD. 1481 PINETREE PASS, EAGAN COMPANY INFORMATION: THOMAS J. MAURER CONST. COMPLIANCE: Passes Maximum UA = 650 Your Home ° 483 25.7% Better Than Code Gross Glazing Area or Cavity Cont, or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Raised or Energy Truss 1636 44.0 0.0 36 Wall 1: WoodFrame, 16" o.c. 4085 19.0 0.0 203 Window l: Above Grade, Wood Frame, Double Pane with Low-E 505 0310 157 Door 1: Solid 40 0350 14 Door 2: Solid 18 0.230 4 Door 3: Glass 80 0.330 26 Basement Wall 2: Solid Concrete or Masonry, 8.8' hd8.2' bgl8.8' insul 1020 19.0 0.0 42 Floor 1: All-Wood JoisUTcuss, Over Unconditioned Space 5 38.0 0.0 0 Floor 2: All-Wood JoisUTruss, Over Outside Air 33 38.0 0.0 1 Fumace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Average U-Factor Maximum Allowed U-Factor Above-Grade Windows and Glass Doors 0313 0370 Includes Foundation Windows > 5.6 fr2 ? ' Floors Over Unconditioned Space COMPLIANCE STATEMENT: The speciFicarions, and other calculations designed to meet the 2000 Minnesota comply with the mandatory requirepte 0.026 0.033 uilding de ' n d scribed here is consistent with the building plans, an [he p t a plication. The proposed building has been ode emen in MECcheck Version 3.3 Release lh and to in the Cc ck Inspection Checklist. Date T" ?sv? d : . LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTYLEGAL: L-bt LI' sIoCS, -? (,)a/, DATE OF SURVEY: ? LATEST REVISION: rn c m U DOCUMENTSTANDARDS `L ¢ O z v ¢ ' [3 ? ? . Registered Land Surveyor signature and company ? ? • Building PertnR Applicant W ? 1 ? . Legal description / ? ? o ? ? • Address N h A I.V ? ? • • ort arcow and scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) 6/ ? ? • Directional drainage arrows with slope/gradient °k V ? ? • Proposed/existing sewer and water seMces 8 invert elevation d ? ? . Street name [e ? ? • Driveway d ? ? ? • Lot Square Footage / ? v ? . Lot Coverage 6' ? ? • Benchmark " y-s-b2 ELEVATIONS Ew'stina ? ? ? • Sewer service (or Proposed) ? ? ? • Property comers ?? • Top of curb at the driveway and property line extensions ??/ ? • Elevations of any e?cisting adjacent homes o??" /? • Adequate footing depth of structures due to adjacent utility trenches ? C' O • Waterways (pond, stream, etc.) Prooosed ?? ? • Garage fbor ? ? • Firstfloor ? ? • Lowest exposed elevation (walkouUwindow) ? • Property comers ?? • Front and rear of home at the foundation / PONDING AREA (if aoolicable) ? r?9'/ a • Easement line ? uy?l7 • NWL ? [?? ?/ • HWL ? ?j0 • Pond # designation ? ?? ? • Emergency OverFlow Elevatron / DIMENSIONS Cil' ? ? • Lat IinesBearings & dimensions ?? • Rght-of-way and street wdth (ta back of cur6) [B' ?? . Proposed home dimensions including any propoud decks, overhangs greaterthan 2', porches, etc. / (i.e. all structures requiring permanent foo6ngs) rd/?? • Show all easements of record and any City utilities within those easements ? • Setbacks of proposed structure and sideyard setback of adjacent existing sW ctures [9? ?? . Retaining wall requirements, if any Reviewed: Name i l ? R O(3E . °0P"? "?G s °?a"?ro'suRVErM NGINEERING PROJECT N0. BOOK PAGE ¦ CoMrRNY, INC. 1000 EAST 746fh S7REET, BURNSVILLE, MINNESOTA 55337 PH 432-3000??'. CERTIFICATE OF SURVEY Legal Description: LoT 4, BLOCK 2, WALDEN HEIGHTS 2ND ADDITION DAKOTA COUNTY, MINNESOTA. CIES0 DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION -?--- INDICATES DIRECTION OF SURFACE DRAINAGE 966.33 = FlNISHED GARAGE FLOOR ELEVATION 57, S- BASEMENT FLOOR ELEVATION • 66 = TOP OF FOUNDATION ELEVATION SCALE : t" = 30' ApDRE-% : 1481 PINE7R6E pA55 B6JCH MPrRK , -NN A7 1-4-07-• ELEV = 961, 4-/ /,97 AREA s /2371 SF. HSE ARfA = 2Zg2 S.f, 69YEFG5 : 18.411, NA`'iE 7YFr - FOwO C7W1' 5ToRY N88'28'45•'E 84.87 ? DR4INAGE AND o o CABte N y' ? ? UTILITY EASEMENT - ?- - OT 4 - ? ,o ?- 5 L1 ? L I F i ?^ti Li '? f, 1 ? m 0 ? : _/ N 1 O o --? m? W Q I ?qy7.5) rn 1 (95 ,5? FBuia ?q??.? 26? ? ? ' e ? ?o 00 54.00 ROPOSED ? ??? oM I p a .? ?96zo? J HOUSE EXiSTi,u? z I W (q61`57 _. _-? ?, 0 13.00 N ap 9. 1 11 00 l 0800 (96 3.? ip p I!.! ? N GARAGE 12.67 1--7C966•6 ) ? ° ? :. m? W N 6AR. ? N I ?t.?) oo a(96620.3: ,3: a, L65. R=7g6' ?4 61 o L6q'S ?' 96_4.53J ? p, ?E ? rH?? I hereby certify that this is a true and correct representation of a tract as shown and described hereon. As prepared by me this 216'r day of MA-RC+1 , 2002. ' l `41in"ri. Reg. No. 19086 THOMAS J. MAURER CONST. RECEIVED APR 0 5 2002 EAUAN ENGINEERING DEPARTMEPIT . .1un 26 OZ 63:59p P1Z/vM ! r 4 /-15?-a`'l yVeber Uiethene Foam insulatton And RooRng Inc 75579 KertuckyAve. Laksvifle FAN 55C44 Pitone 952-896-2260 F?, . . 9$c''gc-/8-81.9 $h1r11L cc;weber@csrom P. 1 ) Lf ?3 i PS-S r I.MASAF ? PleeSecomM?t ? P7e9so?eview u ForYourin/o?msNOn ? UrgCnf Lj RP Jun 26 02 09:59p 13.20U1 3:42PM ? ? , ? ? ? ? ? fEl HOUSTON (LIElr'T: FOAM EN $FVRI PROj'ECT NO: DAAy,Y TFSTNO: 3 pESC'TLTP'1'TON Ol DATE RECEIVED: iV1ATFRL4L ID:" DF.SCKIP'TION: THICKNESS: ? DENSII'Y:* COIAR SAECAgSI SIZE: CONDTiTONING SUPPORT USED: " From Clisnt's r F'aaaEutatrtscc loc. p.2 NO.184 F. 8/10 ASTht 7E84-99 REPORT II+I C. 28-Jun-2000 (ramived ready-to-test) FE 125 Rigi3 polyurethane foazn insuladon. spray applied w OS in. tltick gypsnm wallboad 4.09n. (nominal) 1.8 pcf Pale yallow 'Ih-ee sections 24.0 in. wide x 96.0 in long 1 day u 70°F and 50% relative humidiry None deseripuon 4 s?RI?,jac+No.: 0;430aB.01154t Jun 26 02 09:58p -.2691 3:4iPb? NUAR, ? ? ? ? ? ? AS'[IM E8499 R'EY08T CLIENT: FOAM MRPRISES, INC. gWRi PROIECT NO' 01.03048.0I.254b pA,IL,Y 1FST NO: TES°I RESTJLTS ? F1.aAM sPZtE.,-D SMOIX- DEVEI.C TEST DATA UNROUNDEA PSL- UA7gOi7NDED SDL• FS•TII,4E AItEA (Ft 1 SMOKE AREA (%*. . Fi3F.L AEtF.-A (°F*M4 OBSERVATIONS ' IGIQL1IO23 TRvv1E MA.XIMi3M FLA2rE TAIE TO MAXIMUi MAX1M. TEMP. e IIIv1E 7'O MAXTMUr YOTAL FUEL. BL1t1? pi2IPpING (Min:Sec; FI,AMnvCs ON FLOC AFrERpL.p,IvXT4P AF'ff,RFL.AME FLA, CALI$IZPaTFON AAI RED OAK SMOKE -? I RED OAK FUEY. AR] GRC BOARll FlJEL. Fogm Emrprites.lnc tEf hUUSTON INDED TO NEAIeEST 5) -7, cFsn: ?5 IIdDEX (SDn: 3£S5 22S 385.0 43.7 265.6 4903.4 TM RONT ADvANCE (Et)' ADVANCE (Min:Sec): C EXpC15s',D TC (7): TEMl'. (Ntin:Sec): D (Cu. Ft): t (1vIin:Sec): vIir._Sec): R (Min:Sec): (LnST RED OAIU A (%rMin): (°F'Minl: 3,4 (°F'`Min): 5 0:06 4.4 0=18 537 10:04 52.4 None None 2:?0 None 67.7 8561.7 5304.3 p.3 NG. i34 F, 9!1"v SwFI ftoj=Na: 01.03048.01.1546 Jun 26 02 10:06p p. 1 i ,'.. -.. ... :.`,.. . . ?y7u7)5:q .. - . _.. ?.?. ??.5 ( 07 f? 796974i f ?\(?7 }T?( 15-?n 1703 Cccsspo+it I7oustoc.T •+7 713) 1n:cmc?CNNiCAL?DATA SHEET FE 1251 FE 800 {1 cavitiea or oe? FE 125 is a P?Yurethane rigid sPraY ?m ?''?r^ d?ed forns An ?roY d thermel desired, poaticros +?? h?fi Yi? ? low dens?t are ?'' ? a $hee4 rodk ?' ° and othar apP ? curren8y requira a 15 mmube thsrmei barrier or atiaTM Check ?r sYstem must 5e???. oyBuer il the ding sprayed insuletian dePe $u?'T? uPon the aPP!'ic bP? ot sP?Y ePP? over fhe sPray insdation an i9nihon ?rcier be applied for 4tna1 daterminaiion wilh Your tucel b?+?d??9 ? as e,n extsrior FE 125 is NT te?? ?? s? d? be used in p? 125 may be aPPlied in i' to 4' Pas?- ??is product. FE qZ6 is ba be roof ? ??m due io the N9m densdY in temPeratu? can occur• ?arated st?ud'Ne s or whera rapid chan9e ?tarP?' t?n?cal ssrvwe Pars°Mel een 40°F to '?20°F. F? uesfronable. epplied to surfaces ? where aPplk?on condi?ons are 4 ?? apllsuRed im att C8se8 -----.'..T oonaERT1ES . -- _?a, ??& !??- 20D4 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 'lo, o?S NewConsWClion Reauiremenfs RemodeVRenairReauirements [Hfie:UwOnN 3 registered sife surveys showing sq. ft of lot, sq.8 of house; and all rooted areas 2 wpies M plan Cer??of SumeyRecd s?'?-Y N (20%mazimumlotcoveragealbwed) lsetofEnergyCalculstionsforheatedaddNons TteePres„?b'?tl N 2 copies of plan showing beam & window s¢es; poured found design, e?. 1 site suNey tor additions & decks Pf?$? 7setofEnargyCalwlaGons Addition-indicateilon-sResepticsystem kttii6e,.? 3 copies of Tree Preservation Pmn iF lot platted after 71U93 Rim Joist Deteil Options selectian shcel (bldgs wifh 3 or less unils Date (o / 2? / Site Address 14 6l D4 P i n r-1v e Construction Cost ? ?I too Pcz`c, UniUSte # Description of Work K tW /.tf CL Multi-Family Bldg _ Y N Fireplace(s) 0 _ 1 _ 2 Property Owner TbV \ ?l liGLI.I ?I2 n Telephone # ( 16i1 ) q ? 4 ' (02 `1 '1 Contracror n'tSl1' ?l t V ( 6V1G?-?n ?Tl Address 1 446 State h A1.i.1i, tIe City 19 Lt-WLS4t?l`C Zip 6S gD lo Telephone #((oS) ) °l ol 4-U L°i 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - M"mesota Rules 7670 Cateeorv 1 _ Minnesob Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. ? Licensed Plumber Z l5 u'" ? Telephone #( Mechanical Contractor Telephone #( Sewer/Water Contractor Telephone #( N if so, 25% plan review I hereby apply for a Residential Building Permit and aclrnowledge 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 pemut, 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. V-GLV a ?h v?e / Applicant's Printed Name I? - CaL? Applicant's Signature OFFICE USE ONLY r Sub Types I ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mum Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pmg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding )( 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation few Occupancy R-3 MCES System - Census Code 1-134 Zoning City Water - SAC Units - Stories ? Booster Pump - # of Units Sq. Ft. 3.20 PRV ? # of Bldgs - Length ? Fire Sprinklered ' Type of Const ? Width ? REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. Footings (deck) ?C FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs _ Air/Gas Tests Final _ Framing _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: _ Base Fee v y Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector •? 5 ,, ? A •corrsuLnNC ENaNEERs, ?I7E PLMlNERS and LlWD SURVEYORS G COMPRNY, INC. _ 1000 EAST 148th SfREET, BURNSNLLE, MINNESOTA 55337 PH 4321? CERTIFICATE OF SURVEY Legal Description: LoT 4. BLOCK 2, WALDEN HEIGHTS 2ND ADDITION DAKOTA COUNTY, MW APR 0 5 REC'D C1&SO) 6966'D) 9b6.33 6 SCALE : 1" = 30' RDDREl, ? 1481 Prr1E79EE pASS $E.iCH MhRK + ?A7 64 ?? • Lo7 AREA e /z371 S.Fs /a$E, AREA = 2282 S.f, c0146W6 = 18.4/ H0SE 71/W - FBwo (nvv sTO2y? DRAINAGE AND UTILITY EASEMI vECc ICx ? I1's?.7i,? n?'C 1 14R. r-- ? . ? i _, ? ,a a! w' ?? r M ?9587 ? r z0 t/, r m ? ro ?N ? Ew. N N 0 SI L? FEN ? r N88'28'45"E I ESOTA. DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION INDICATES DIRECI'ION OF SURFACE ORAINAGE = FINISHED GARAGE FLOOR ELEVATION = BASEMENT FLOOR ELEVATION = TOP OF FOUNDATION ELEVATION 3:1 AAaxinltlm 3lopes or Retaining Well Will B@ R9QUIP8d ?- -L05T 4 ? A ,o ?` a ;?? ?. ?? ?- n ., 4 I ?' I ? I ?% 1 (9515?t?s,- W ? 54.00 I ? N pROPOSED I N HOUSE C962,o °'? w `" ICqbl_57 _ - -? a, o ?3.00 _ 1 tt oo ? o?0 (63? /? io ? N GARAGE 12.OR7(Rbb?o) I ?' o G+ ?.] \ ?- b^ ? 11.00 0 20.33 0 ? ? `p ' Q _., ,: (9bb?o `?? ? . ?, 1;':I 1 ` ° gE R?'jg6 ; 47 • 1 ` P1N R? E rH,? ?. ?w ? 11 d{ C/v- ,-- _ , r ._.,_? r ? r<r:,?•zru.??z?r? DEPT. I hereby certify that this' is a true and correct representation of a tract as shown and described hereon. As prepared by me this Qfl day of MARCN , 2002. Reg. No. f919816 r^ PROJECT N0. 10924.00 BOOK PAGE Address: 1481 Pinetree Pass Zip: 55123 Lot: 4 Block: 2 Subdivision: Walden Heights 2nd ,!a THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTfON ON Yes No Comments Final ade - 6" from siding ? Permanent st s- ara e Permanent ste s- main ent Permanent drivewa Perxnanent gas Retainin Wall or 3:1 Max Slo e Sod/Seeded lawn Trail/curb dama e Porch Lower level finish Deck 4 1 Fire lace - / • Verify with your builder that roof test caps from the plumbing system have been removed. • Tum off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Depariment at 651-675-5646 prior to working in right-of-way or installing irrigation system. 4 BUILDINGINSPECTOR: f IL- CONTRACTOR: Thomas Maurer Construction 21225 Hamburg Ave Lakeville MN 55044 , 1110, Mike Maguire MAVOR Paul Bakken Peggy Cadson Cyndee Fields Meg Tilley COUNCIL MEMBERS Thomas Hedges CITV AOMINISTflATOp MONICIPAL CENTEN 3830 Pilot Knob Road Eagan, MN 55122•1870 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCE FACILffY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol af strength and growth in our communiry. Iq ? 1 P? City of EaVllon May 3, 2007 MARY KILEY DOSCO DESIGN BUILD 16273 CHIPPENDALE AVE ROSEMOLTNT MN 55068 RE: REFUND OF PERMIT #77454 ISSUED 4/27/07 Dear Mary: As requested in your letter dated May 2, 2007, Building Permit #77474 has been cancelled and a refund of $110.00 will be forwarded to you under senarate cover. One-half of the plan review fee ($20.00) is retained by the City. Building plans you submitted for this permit are being retumed to you with this letter. This letter is also meant to advise you that effective danuary 1, 2001, the City of Eagan's Fee Schedule assesses a$50.00 fee to refund permits that have heen processed and receipted. As a courtesy, we are informing contractors of this policy and issuing a full refund for a cancelled permit on a"one time only" basis. If you have any questions, please feel free to give me a call at 651-675-5671. Sincerely, Jan? ice D. Severson Office Supervisor City of Eapn Cla?Yoachcr Make Check Payable to: Address: Perrnit # 77454 Receipt #/Date: 126565 4/27/07 Reason For Refund: Job fell through Dosco Design & Build 16273 Chippendale Ave W Rosemount MN 55068 Site Address: 1481 Pinetree Pass TYPE OF REFUND Buildin Pemilt Base Fee 0801.4085 $ 88.50 Consttvction Meter De Refund 9220.2254 $ Curb Box De osit Refund 9220.2253 $ Fue Su ression Pernvt 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ 20.00 Plumbin Permit 0801.4087 $ SAC (MCES) 9220.2275 $ SAC (Ci ) 9399.4681 $ SAC(Admin 0801A246 $ Sewer Pemut 6201.4532 $ Surchar e 90011195 $ 1.50 Treatment Plant 6101.4685 $ Water Pernrit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Su I& Stora e 6101.4680 $ Co ies 0201.4230 $ Total $ 0 D C7 declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. / May 3, 2007 SI NA E DATE 3ent•By:'DbSCO DESIGN BUILD; 6514236120 6514238120; Gommemial & 2.4K May-2-07 2:04PM; Page 112 5ervices J? May 2, 2007 City of Eagan 3830 Pilot Knob Rd. Eagan, MN 55122 Attn: Jan Severson Dear Jan, Please cancel our construction permit for 1481 Pinetree Pass, due to the jab falling through. The permit number is EA077454, issued 4127/2007. Please issue the refund to Dasca Design Build, Inc., not the homeowner, as DoscA paid for the permit. If you have any questions, please don't hesitate to call. Thanks. Respectfully, I Y L ? . Mary Kiley Dosca Design Suild, Enc. Enclosure Dosco Design Build, Inc. 16273 Chippendale Ave. • RossmoUnt, MN 55068 • 651-423-4$01 • Fax: 651-423-6120 www.doecodesign.com rT? 4 ' ? Ao)?tl City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reuuiremenis 3 registered site surveys shmving sq. ft. oi Wt, sq. ft. M hwse; and atl roofed areas (20% maeimum lot coverage sllowed) 7 Soils Repon dpraposed 6uilding is ta 6e ced on disWr6ed soil 2 copies of plan showing beam 8 window sae pouretl found design, etc. 1 seto(EnergyCalculaUOns 3 copies of Tree Preservafion Plan if lot platted a r 711l93 Rim Joist Deqil Options selection sheet (buildings "th 3 or less units) . Minnegasco mechanical ventila6on form Plans are considered nublic /in, e5l() RemodeUReoart Reouirements ORce IJse Onlv 2copiesofplanshowinqfoo6ngs,b ams,joists Cert ofSurveyRecd _Y _N 1 setd Energy Calcula6ons fa h ted addifions Soits Report Y N i site survey foradditions 8 dec Tree Pres Plan ReW Y N Addfion -indkafeAon-sites icsystem TreePresRequired _Y _N On-site Septic System . _Y _N thev are trade secret an the reason. rmation unless vou Date /-- / SiteAddress ? 07 PJ e Cons uction Cost ?, Z 7 0 /-G . Unit/Ste # Description of Work ? U J / Multi-Ramily Bldg _ Y Fire lace(s) _ D'? _ Z Property Owner ?/? Y /t Telephone # (6sr) Contractor ??. ?5 LS iLdi - Address State ? C[n ?" n n -!X CiTy lCpSt yyceti vi-? Xip ,J JrG' ?`h0 Tetephone tt G/,,2 3' yvB d? COMPLETE THIS Eneryy Code Category (4 submission lype) ONLY Ventilation Energy Envelope Calculations In ihe last 12 months, has the _ Y _ N If) Licensed Plumber Mechanical Contract Sewer/Water Contr tor I hereby apply for a Res that the work will be in ? of Eagan issued a permit for a date and address of master plc Telephone #( Telephone #( Telephone #( dential Building Permit and acknowledge that the information is complete and accurate; 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 of plans. Applicant's Printed Name Applicant' Anature 2007RESIDENTIAI; BUILDING rERMiT arrLicaTiorr A NEW BUILDING Minnesota Rules 7672 Workshee[ • New Energy Code Worksheet Submitted itted . si ilar plan based on a master plan? ti DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ?.33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garege ? 18 Deck ?C 19 Lower Level ? 20 Pool - ? 30 Accessory Bldg ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn.(4-sea.) ? 33 Eut.Alt-SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Sform Damage ? 25 Miscellaneous ? 35 Int Impravement ? 38 Demolish Interiar ? 44 Siding . ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reraof ? 46 Windows/Doors `Demolition (Entire 61dg) - Give PCA handout to applicant DesCrlpfloft: WaterDamage_Yes -0 Valuation a(.9 pccupancy Plan Review ? 100% or _ 25% Census Code I 1,l Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length Type of Const 'J Width _ Foo[ings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice& Water Final MCES System City Water Booster Pump PRV Fire Sprinklered REQUIItED INSPECTIONS _ Sheetrcek FinaVC.O. Final/No C.O. . HVAC ? Other _ Poo] Ftgs AidGas Tests Final -& Framing _ Siding _ Stucco Lath _ Stone La[h _Brick ,,J, Fireplace * R.I. __J-Air Test \?Final _ Windows ? Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? OS 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex L (? ? j?V133, ?/Oi9? ? 2007 RESIDENTIAL PLUMBING PERmir aPPUC,aTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date _Qq I o? q ! 000? SiteStreetAddress H81 p+'netree ?Gc,SS Unit# PropertyOwner h0km?+40pnne t'?CLIA ZV? Telephone# ((,5() 14 a3-WRO( hone# 7 3 U / Tele A?l [C p ? Contractor- Address /5 o25O r6 ? City CrseC1"LOt-t1'Tf- StateN _ Zip 65b(0 The Applicant is: _ Owner ? Contractor _Other New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50:00 Add plumbing fxtures. This fee includes installation of a water softener and/or water 4 - heater at the same time. If you are insia!ling onlv a water softener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. 5eptic System Abandonment ?D? = WaterTurnaround (add $136.00 if a 5/8" meter is required) Inti Other. APR 2 7 2007 Water Softener _ Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 $ `?U• 56 Total I hereby apply for a Residential Plumbing Permit and acknowletlge that the inrormauon is compiece ana accuraLr, t[ld< <ito work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be revieA?d appro? ApplicanYs Printed Name A?iSk?c?fiYs Signo'Hfifr? /' .. w 9t,02491f, jbbL- City of Ea??Il 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? Foi;OHice,U3e - I j Permit#: ? Permit Fee: j Date Feceived: j I Statf: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Y/&/0y Site Address: 1-I'fl //,4 ,eg__- /92Z Tenant: Suite p: RESIDENT I OWNER Name: Phone: G?r? 99? 6°?? Address / City / Zip: /#N Applicant is: _ Owner _ Contractor - TYPE OF WORK Description of work: ?1_4a5xAe construction Cost: Multi-Family Building: (Yes No ?J CONTRACTOR Name: A.41- lOO/N`/`-s k?5VIZA 64s License #: a?53 %/(, d3 Address: '?4671 /"&r Y/ city: DSSEZI state: /W zip:,?3"369 Phone: 71?9- 5-141-?114P1 Contact Person: /}??? cSfJl/EZ-? 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 CBtBJOfy Submitted Submitted (4 Submission type) • Energy Envelope Calculalions Submitted In the last 72 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:. P/ans and supporting documents that you submit are consldered to be publlc InformatJOn. Porfions of the fnformatfon may, be classified as nompublic.if you provide specNic reasons that would permit the City to " conclude that the .are trade searets. 1 hereby acknowledge ihat ihis iMOrmation is complete and accurate; that the work will be in coMormance with the ordinances and codes ot the City oi Eagan; iha[ 1 understand this is not a permit, but only an application tor a permit, and work is not to starl without a permit; that ihe work will be in accordance with the approved plan in ihe case ol work which requires a review and appr j of plans. x A?/.?/ 5.Whe-? ? Appl(canYs Printed Name Applican ' Signature Page 1 of 3 . ? DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Buiiding ? Pool ? Singla Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS•plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex 0 Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroot ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? WaterDamage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100 % __) Zonfng City Water Census Code Stories Booster Pump # oT Units Square Feet PRV # of Bulidings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bidg) Sheetrock ' Footings (deck) FinaI1C.0. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile . Other: Ice & Water Final Roof: Pool: _Footings AirlGas Tests _Final _ Framing . Siding: _Stucco lath _Stone Lath _Brick Fireplace:_R.L _AirTest _Final Windows . Insulation Retaining Wall Reviewed By: RESIDENTlAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connectfon Charge 5&W Permit & Surcharge Treatment Plant Copies Total Building Inspector Page 2 of 3 City of Eap,ail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use jj// Permit #: /(Z / c::? Permit Fee: Date Received: Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. r\t r Date: g — `i ' LZ-- Site Address: iM $ ) Tenant: ,) \ ✓' Suite #: Name: Address / City / Zip: (K pj l t r'1`**.lt r ec Phone: 6 5 i- 3.13 - y I 'ciS S c ct r-'- 5ScLZ Name: ReSi liential Heating & License #: Address: Air Conditioning:, Inc. City: 815 East 41st Street WPne9Poiis. MN 55407 Phone: (612) 724-1899 State: Contact: Email: New 1_ Replacement Additional Alteration Demolition Description of work. ,"i/ Cf4- de Cct-r r t t too® RESIDENTIAL Fumace Air Conditioner Ca.rc c, 0 _ Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee = $ Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.gopherstateonecati.orq I hereby acknowledge that this information is complete and accurate; that the work will be in nformance it the .rdinances 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 no )o start with. t it the that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Ccs r\rz_ r x Applicans ' . Use BLUE or BLACK Ink ' �-----------------, � � For Office Use I � I �v � �I � Permit#: , � l`�� lt� 0�� Il � . . y�/. �� n � Permit Fee. I 38�30 Pilot Knob Road � c�,v�v i J ,/ r � E an MN 55122 � � Qate Received: lO�� Phone:(651}675-5675 � FaX:tss��s�s-sssa a�N 0� �-�� ; sta�: � ; �-------------- -- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION , � / _ ' ` �' �i Date: (� � � Site Address: _ �� f�' �h��C�� Q�� Unit#: {� � � Name: t�. Phone: (�SI'��7 `�.�"/ ! Resident/ , ' � Address J Ci /Zi : r/�� Qwner � 'S �Y P Applicant is: �ner Contractor TypB Of WOCI{ Description of work: C�G�.S�i�'t f/�'1 � �i?/��? I Construction Cost:___��di DDQ Multi-Family Building: (Yes /No y ) ' Company: Contact: COMtt'�GtOr Address: City: ' State: Zip: Phone: Email: License#: Lead Certificate#: tf the project is exempt from lead certification, please explain why: (see Page 3 for additional information) v 'Y v -� CQMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 92 months,has the City of Eagan issued a permit for a similar plan based on a master plan? ^Yes No 1f yes, date and address of master plan: ticensed Plumber: Phone: Mechanical Contractor: Phone: Sewer�Watec Contractor. Phone: IVOTE.Plans and supporting documents fha#you submit are cansidered to be perbfic information. Portiorrs 4f ; the int'ormati�n rnay be ciassi�ed as nony�tublic#f yau provide speci�c reasorts that waufd permif fhe Ci�yr to canclude that the are trade secrets. CALL BEFORE YOU DIG. Cal!Gopher State One Call at(651)454-0002 for protection against underground utility damage. CaB 48 hours before you intend to dig to receive focates of underground utilfties. wuvw.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work wil�be in conformance wfth 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. Ezterior work acrthorized by a building permit issued in accordance with the Minnesota Stat uilding Gode rn be completed within 180 days of permit issuance. x 0 Gd � X ApplicanYs Printed Name ptppli ant's ign re � . - � �� -�-��-� �� /o�� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3Season) _ Exterior Aiteration(Single Family) _ Single Family _ Garage _ Porch(4Season) _ Exterior Alteration (Multi) Multi Deck Porch (ScreenlGazebo/Pergola} Miscellaneous _ 01 of_Plex � Lower Level _ Pool , Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Deroolish Foundation ^ Replace _ Repair , Egress Window _ Water Damage _ Retaining Wall `Demolition of entire buiiding-give PCA handout to applicant DESCRiPTtON Valuation ��d •� Occupancy ,�✓2G �2 MCES System —' Plan Review Code Edition � SAC Units "" (25°!0_10Q°la� Zoning R_! City Water '� Census Code y,$`j Stories --� Booster Pump — #of Units J Square Feet --" PRV "� #of Buildings � Length "'' Fire Sprinklers Type of Construction � Width .-- REQUIRED INSPECTIONS Footings(New Buitding) Meter Size: Footings(Deck} Finat/ C.O. Required Footings(Addition) Final/ No 6.0. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests Final � Framing Drain Tile � Fireplace:�Rough In �Air Test �Final Siding:,_Stucco Lath _Stone Lath _Brick Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �fJ w J� GQQ � Base Fee __�p� � p� '^ � �O — Surcharge Plan Review �� MCES SAC City SAC Utility Connection Charge S8�W Permit�Surcharge Treatment Plant Copies �f�� TOTAL ; � �� i ;� �� i � r ��i �� y�� ii % i% y�; j�ii �$� �� PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123355 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 1481 Pinetree Pass Lot:004 Block: 002 Addition: Walden Heights 2nd PID:10-83301-02-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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. Fixtures:Basement bath finish with wet bar Eric Bruckmueller 3992 Pennsylvania Avenue Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anthony P Haugen 1481 Pinetree Pass Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature �akeville Fireplaces 9529498355 p.1 Use ��or BL/�CK In ------ ---------- � � For�ifice se i *�»�.;:-� • � �r�� i ��TT �{'�p�nn Pertnit#: f 1 Q Ql� i , �`� � 3830 Pilot Knob Road � Permit Fee: � Eagan tIRN 55'!22 j � PFsone:(651)675-5675 � Date Recei ed: � � Fax:(651)675-5694 � 1 1 Staff: � �------ ---- ----- Co B� ��v1�J�� 1Vd�! �6�1—B�I�s�1 {�l�Y ❑ Please subrrait two (2)sets of plans with all corr�mercial appBicatians. Date: ?'"o��- ,�( Site Address: ` � ; � � � Tenant: Suite#: Name: �r�� ,-- �.sc �,/\ Phone: Ftesiden�/Owner `''„J-�' Address/City I Zip: ,n d`G� Pc Name: ��t`4�-i_-_�9 � ��w� i i 5��5 License#: COt1tr�C$o� Address: ��Q`1 �f�,('��r�, 1A�G c�ty: ; ` SEate: V�` 1�Zip: �� Phone:��^ �{`-S - ��_ _.__.__� Contact: � °�� EmaiL�-Pe d� � �^ � � •G°�` New Replacement Additional �Alteration Demolition Ty�se of Yl/o�'k Description of work: , , . . ... _. __ .... �� N04C.R..ruf�nvunlual w�al y�vun�.l� uunl.:��r�a.ol�aniwi.�,w.,,r�.�..��E w�c+yuirual Co 4 00�'aC110�I U�'CIL�' . Code. Please contact the MechanicaE Inspeceor far informatio�a on permit4ed sc eening methods. RESiDENTIAL CONIMERCfAL _Fumace New Construction Interior f provement P@fffll��f�� -.-.-Air CondiiionPr _InStell Plping _P�OC655 d _Air Exchanger Gas EMerior VAC Unit Heat Pump Under/Above ground Tank �Insta{I/ Remove) Other (� L� RESBDENTli4L FEES $60.00 Minimum Add or alteration to an existing unit(includes$5_00 State Surcharge) $100,00 Residential New(includes$5.00 Slafe Surcharye) _ $ OTAL FEE C�M9VfERCIl�L �EES Contract Value$ x.01 $55.00 Permit�ee Minimum $70.00 Uncierground tanbc installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge* `Ylf contract value is GREATER than$10,010, Surcharge=Contraci Value x$0.0005 #4tlf the project valuation is over$1 million, please call for Surcharge =� _TOTRL FEE I Itereby acknowledge tl�at this infonnation is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Far�an;that I i mderstand this is nnt a permit,but only an application for a permit.and work is not to start without a permit:that the ork will be in accordance with the approved plan in the case of work which requires a review and approva!of plans. X ��ib`5�S c� eC`�1SC� x . Appfieant's P'rineed Name Ap�licant's SignaEure FOR OFFIGE U8E Required!n§pections: Revieweci By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final VAC Screening PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147874 Date Issued:02/13/2018 Permit Category:ePermit Site Address: 1481 Pinetree Pass Lot:004 Block: 002 Addition: Walden Heights 2nd PID:10-83301-02-040 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Anthony P Haugen 1481 Pinetree Pass Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169566 Date Issued:06/01/2021 Permit Category:ePermit Site Address: 1481 Pinetree Pass Lot:004 Block: 002 Addition: Walden Heights 2nd PID:10-83301-02-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Anthony P & Joanne L Haugen 1481 Pinetree Pass Eagan MN 55122--372 Roelson Plumbing Services Inc 10924 Pioneer Drive Burnsville MN 55337 (952) 288-1486 Applicant/Permitee: Signature Issued By: Signature