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1492 Pinetree Pass! City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675•5675 Fax: (651) 675-5694 Date: Tenant: Nyo ?v ?0 2q',?-40 F----------------- ? ?? ? j Permit #: ? Permit Fee: ? j Date Received: I -? I I Statt: I I - J RESIDENT/OWNER Name: _ Phone: Address/CirylZip: w? ?, 1 ? -e Q- L." Applicant is: _ Owner Contractor TYPE OF WORK Description of wor : ' E Multi-Family Building: (Yes No Construction Cost: oIJI.J - " CONTRACTOR Name: License #: ? (Q Address: City: 1 S ?[ e: A?J Zip: Phone: Contact Persorr. ?6! " ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Ruies 7670 Categorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (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: Plans and supporting documents thaf you submit are'considered to be public informatlon, , Portfons of the /nformatio'n'may be qlasslfied as non pu6hc if you Provide speciflc reasods that would permlt the City fo a T" ti=conclucle that ttie are irade sec'rets. ` `'- ?` - I hereby acknowledge that this information is complete and accurate; that the work will 6e in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permiC,^an rk is not to start without a pertnih, that the work will be in ? ac e with [he approved plan in the case of work which requires a review and app val o ans. ??x ???- AppllcanYs Prlnted Name ApplicanYs Signature Page t of 3 2008 RESIDENTIAL BUILDING PERMIT APPLICATION O C'L 7- ? r ?w 5 Fs 3?D -'PDP RESIDENTIAL BUII.DING T'Y\-P Permit Applicatiou City Of Eagan ?)Lp - 3830 Pilot Kuob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 5912a / 4 S7a g. 11 - 5saa2. 70,sa 1 ,sv 'SiiV-r6 w Si 5g90.11 CeuR?et 3?5?43 New ConsWCtion Reauiremenis RemodeURe?air Reauirements 3 se On registered sile surveys showing sq. ft of bt sq. R of house; and all ioofed areas 2 mpies af plan eA ol Survey Recd (20% mazimum bt coverage allowed) 1 set of Eneyy Ca?ulafions for heated addNons 2 Tree Pres Plan Reai copies of plan showi? beam & window sizes; poured found design, e?. t sile survey for additions 8 decks i ?ree Pres Not Reqd setof Ene?gy Calculations Addifion- indicete i/on-sdeseptic system _On-sdeSepUCSystem 3 copies of Tree P2servation Plan il lot platled atter 7/1193 Rim Joist DelaJ Options selection sheet (bldgs with 3 or less units EQ-?'. i?+1g1?(s Date '; /"') -7 / Site Address /4U 03 1011UC72 Construction Cost 1 i3 rJ 7 EE ?f15S Unif/Ste # Description of Work S F L) Multi-Family Bldg _ YX, N Fireplace(s) _ 0_Y 1 _ 2 Property Owner Telep6one # ( ) Contractor ?(,?,?7?G 2EN &05( 261157RuC,7i0N Address _54?-rj State m Q N1our3n C City Wf1y2,47A Zip Telephone # (C?5? 473- 0c)q-3 COMPLETE THIS AREA ONLY IF CONSTF Energy Code Category ? Minnesota Rules 7670 Cateeorv 1 . ResidenUal Ventitatlon Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculatlons Submitted LicensedPlumber C-LansbE2 PIFCNAurcl+c- Mechanical Contractor &-AMEIL I"l6?AH-atiTje.a?,--- Sewer/WaterContractor S'7:"q/=' &_umBndb A NEW BUILDING _ Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone #(9?) y'?5-4(g`I? Telephone #(`1S?' Telephone # I hereby apply for a Residential Building Permit and acknowledge that the informa urate; 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 of p ans. ApphcanYs Printed Name ' Ap licant's Signaturel OFFICE USE ONLY Sub Types ?O 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 1? V 02 SF Dwelling ? 08 OB-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 08-plex ? 18 Deck ? 23 Parch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yw_ N ? 25 Miscellaneous Wo rk Types ?31New ? ? 32 Addition ? ? 33 AlteraGon ? ? 34 Replacement Valuation (/ O c? Census Code SAC Units Nbr. of Units d Nbr. of Bldgs ? Type of Const ? ? Footings (new bldg) _ Footings (deck) Footings (addition) X Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace ?( R.I. V Air Test (/ Final ? Insulation ?V 1c Width SE? / REQUIRED INSPECTIONS FinallC.O. FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ AirlGas Tesu _ Final _ Siding Stucco Stone Windows (new/replacement) X Retaining Wall Approved By 1- Z- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? ? 30 Accessory Bldg ? 31 6d. Alt - A"ulti ? 33 Ext. Alt - SF ? 36 MultiMisc. 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg) - Glva PCA handout to applicant Occupancy 11,72 MC/ES System Zoning City Water Stories ?k Booster Pump Sq. Ft. 6D PRV Length Fire Sprinklered i s?- 3 10'oo2.? qe6 gL- ? C, 3 _.1 5 i Joyo 3o - /9?9 /so, Permit Number MECcheck Compliance Report 1999 Minnesota Energy Code MECcheck Software Version 32 Release 1 TITLE: Woodrum Rcsidcncc COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 02/18/03 DATE OF PLANS: 1-21-03 PROJECT INFORMATION: 1492 Pinetrec Pass Stonecliffe COMPANY INFORMATION: Lundgren Bros. Cons. 545 Indian Mound Eas[ Wayzata, MN 55391 NOTES: 9 ft. Foundation Oversized Window Well COMPLIANCE: Passes Maximum UA = 524 Your Home = 488 6.9% Better Than Code Checked By/Date Gross Glazing Area or Caviry Cont. or poor Perimeter R-Value R-Value L-Factor UA Ceilin-, 1: Flat Ceilina or Scissor Truss 1554 44.0 0.0 42 Wall 1: Wood Frame, 16" o.c. 87 19.0 2.0 Z Window 1: Above Grade, Wood Frame, Doublc Pane with Low-E 43 0360 15 Wall2: Wood Frame, 16" o.c. 1476 19.0 2.0 67 Window 2: Above Grade, Wood Frame, Double Pane with Low-E 242 0360 87 Door 1: Solid 38 0350 13 Wall 3: Wood Frame, 16" o.c. 1344 19.0 2.0 66 Window 3: Above Grade, Wood Frame, Double Pane wi[h Low-E 160 0360 58 Wall 5: Wood Frame, 16" o.c. 164 12.0 2.0 13 Wall 6: Wood Frame, 16" o.c. 168 12.0 2.0 13 Basemen[ Wall 1: Solid Concrete or Masonry, 9.0' hU8.5' bg/9.0' insul 1389 0.0 5.0 ll 1 Floor 2: All-Wood JoisUTruss, Over Outside Air 31 30.0 0.0 1 Furnace 1: Forced Hot Air, 90 AFUE Proposcd and Maximum U-Factor Avcrages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.360 0.370 Includes Foundation Windows> 5.6 ft2 COMPLIANCP STATEAAENT: The proposed bui!dinZ desiar: described here :s cons istent wi.h the bui:di r,g plans, spccifications, and other calculations submitted with the permit application. The proposed building has been designed to mcet the 1999 Minnesota Encrgy Code requirements in MECch eck Versio n 32 Release I. Builder/Designcr Da[e ? ?B ?3 .- LOT SURVEY CHECKLIST FOR RESIDENTIAL . BUILDING PERMIT APPLICATION , PROPERTYLEGAL: L ot I SID4, 2 10.? Ga'G, DATE OF SURVEY: LATEST REVISION: Oa? e'/o 0 tr"/ 0 Q ? ? Lcf o ? ?? ?/ ? f?3' ? m a c ? t V s Q ? ? ? ? ? ? ? ? ? 0 ? ? DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Buiiding Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existlng sewer and water services 8 invert elevation • Streetname . Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existin V/0 ? • Sewer service (or Proposed) 0 • Property comers [}'?7 ? • Top of curb at the driveway and property line extensions p? ?? • Elevations of any existing adjacent homes p?o 'o • Adequate footing depth of structures due to adjacent utility trenches ? 12/? • Watenvays (pond, stream, etc.) Prooosed ? ? • Garage floor p ? • Basementfloor ? ? ? • Lowest exposed elevation (walkout/window) ? ? • Property comers [?? ? • Front and rear of home at the foundation PONDING AREA (if apolicable) ? G7/? • Easement line ? 6/? • NWL ? fd/? • HWL ? V ? • Pond # designation ? E'? ' • Emergency Overflow Elevation ? B ? • Pond/Wetland buffer delineation ? UIMCIVJIVIVJ ?6 0 • Lot linasl8earings & dimensions Q?? ? • Right-of-way and street width (to back of curb) e' o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. -1? (i.e. all structures requiring permanent footings) 9 1 ? • Show all easements of record and any Ciry utilities within those easements ?rJ ? • Selbacks of proposed sWCture and sideyard setback of ad'acent existing structures ? ? • Retaining wall requirements, if any Reviewed: ? Name / Date G:/FORMS/Bui lding Pertnit Application ? - _ IrJ, T n gILT fENCE 2 swes ?1??Me ,?? Be seQuired 9 i HARDCOVERs LOT AREA = 12,578 S:F. HOUSE AREA = 2,208 S:F. COVERAGE = 17.55 °k ? ? I11r,??, 5, PASS I lO 6=5°41'5p6?_S? $ 8' ?7?.E 967.& o i o ? I •-?Y?. ? v N o:? J c . ?..; ? ? .; A ?---964.2 20 a 12 10 (p ^ ? ? N GARAGE n ^I (967.0) ? (966.5) N P 1 pas.?rsrooP n ?y p 1.40 33 10.0C H I PROPOSED FULL BASEMENT ^? 0 1492 PINETREE PASS InWC O) n ? 0 ?/? Z N EGRE55 nO N=h?n 12.34 '? 15 366.5 0F-Qi A a 20.66 a 965_6 `A (n0 ^ 965.3 _ (967.0) 969 3 ry? ? 0 68? (986.Y)x907}'? 971X Q x 968.1 X I 972.9 ? ? a , M. 970,7 976.0X F ? X872.7 X 3 X972.7 (972.9) 10 V?'. ? DRAINAGE & UTILITY I EASEMENT 97s, io 75014 °4 'e 93.2? ? ?ar 10 ?. ^ ? ?? ?:J? _... ?_.' :-F A ,i iG ME *; :?.a?Cx D EF?..' FEB 2 7 RECD SCALEIN FEET LEGEND Q DENOTES SANITARY MANHOLE ? DENOTES HVDRANT WW DENOTES CATCH BASIN S DENOTES SANITARY SEWER W DENOTES WATERMAIN ST DENOTESSTORM SEWER ? DENOTESSTORM MANHOLE n DENOTESSTORM APRON SETBACKS MIN. FRONT YARO SETBACK = 30' ? MIN. SIDE YARD SETBACK = 5' GARAGE, 10' HOUSE rn ? MIN. REAR YARD SETBACK = 15' M ? PROPOSED TOP OF FOUNDATION ELEVATION= 967.5 1391 969'6 PROPOSED GARAGE FLOOR ELEVATION= 966.5 l PROPOSED LOWEST FLOOR ELEVATION= 958.83 D ExisnNC Hous TPON=970.7 ? ? ALL OFFSETIRONS ARE MEASURED TO HUNDREDTHS ? OF A FOOT AND CAN BE USED AS BENCHMARKS. 00 989.7 ? DENO7ESIRON ? fl MONUMENT ? p 0 DENOTES EXISTING X 600 ? . ELEVATION ? ?OOO.O? DENOTESPROPOSED ELEVATION DENOTES DIRECTION w Z a? OF SURFACE DRAINAGE CO ? 5 DENOTES SANITARY 953 3= Z . SEWER SERVICE ELEVATION Z W ? d Z ? F y A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR p W p NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR ^ o NON-EXISTENCE OF RECORDED OR UNRECORDED EASEMENTS CONDUCTED 8Y THE SURVEYOR AS PART OF ?8Q 6 THIS SURVEY. O W ? N ? M I hereby certify that this is a irue and correct representation ? ('4 of a survey of the boundaries of: o LOT 1, BLOCK 2, PINETREE PASS 6TH ADDITION C) O DAKOTA COUNTY, MINNESOTA (n And the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 27th day of January, 2003. IN BUILDING AREA 30 15 0 15 30 60 ? r? } LL] > ? a o w z O Z ? °° xa Qa a a U o " w a U DRAWN RS CHECKED GRG DATE 1/28103 SCALE AS SHOWN JOB NO. 5402-852 Gary R. Germond Licensed Land Surveyor, Minn. Lic. No. 24764 Address: 1492 Pinetree Pass Zip: 55122 • Verify with your buiider that rooftest caps from the plumbing system have been removed. • Turn off water supply ro the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. V BUIL?INGINSPECTOR: ? CONTRACTOR: Lundgren Brothers 935 Wayzata Blvd E MN 55391 Lot: 1 Block: 2 Subdivision: Pinetree Pass 6th 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1Ll },,? Site Street Address f L/?? I?iNET? (.A-SS R ?F(' ,pc'N 1 I lv ,,?5 I aoI Unit # Property Owner c/OSF{ ? ?/tnIDRA 16janD rlj? Telephone #((9sj) S?Sa - S03d Contractor Samt- Telephone# ( ) Address City State Zip The Applicant is: 2<?O-wner _ Contractor _Other Alterations to existing dwelling low? LEuEv X Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener _ Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ,c J0e 5 " I hereby apply for a Residential Plumbing 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 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 a roved plan in the event a plan is required to be reviewed and approved. lli" o s? W oo r? ?utii V?r'?"? MAY 04 Applicant's Printed Name Applicant's Signature 4 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 y? ?(? , U? Telephone # 651-675-5675 FAX # 651-675-5694 NewCoiuWctionReauiremenk RemodellReoairReauiremen5 "Use ?I 3 registered site surveys showirig sq. ft. of bC sq. it of house; and efl roofed areas 2 copies of plan Geni bf 9aVeyA?l? KAY? (20% mazimum bt coverage allowed) 1 set of Energy Calculalions for heated addWons ree PreS 040ecd '•1 f:? 2 coples of plan sfwwirig beam & windav saes; poured fouiM design, etc. 1 site survey for additions & decks Yree P2sf,?,pqpired Z`.? Y_N 1 sel of Energy Calculations Addigon - kidicate ilons8e septk sysfem On-simG$y?1Em 3 copies of Tree Preservation Plan if bt platted afler 7/1/93 Rim Joist DeiaO Optlons selection sheet (bldgs with 3 or leu unifs Date o7 /?/(3 ? x Site Address l/?q`7 /? Construcrion Cost C?C'tC>i UniUSte # Description ot Work ET: [\l a' S)j T Nj(- , Multi-FamilyBldg _ Y P`N Fireplace(s) _ 0 Z( 1 _ 2 Property Owner zT(?SI-1 ? SA4.1Dg (x)i(nC3U)}?t)M Telephone#(651) g? contractor 1?0 f? M A-N L6? S x&R R Y??1 Address ?33)_N alIiE PkTL State MN) 4 City U.10('n5li h Y Zip &rj19-rj Telephone #(6rj l) 3-5_6-.? COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope CalculaUOns Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_?( N If so, 25% plan review Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Pernut and acknowledge that the informati?y is ?et'e and acc?rate; that the work will be in conformance with the ordinances and codes of the City of?agan 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. ? ??? ?Fr'IA ?"r'-•_.: " -? ??' - Applicant's Pnnted Name ?Applic'?nYs Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 OB-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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-ptex Plbg_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 3$- 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt . Valuation Af? -0"0 Occupancy MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED IN5PECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) FinallNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall r Approved By: , Building Inspector ----------- ------- -------------- ---------------- --------- -------------- ----------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge ? Treatment Plant License Search Copies Other Total , t_ . �� , ' Use BLUE or BLACK Ink ���_( � For Office Use �� ��� . � � � � ,i � Permit#: � � �� �1� 0� �� �Il � . �,�/� �� � � � Permit Fee. � J� �I 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: �� `�'�� � I Phone:(651)675-5675 I Staff: l I Fax:(651)675-5694 I I ��������.���������J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �1 �� �I� Site Address: ���� f I I��(���, �G�S� Unit#: Name: IA�n � �I Sl•l�l�-� Phone: �01 Z 32-�"" 1 Jb`'( Resfdentl � ��qZ�1 �"(X.SS �CI. "�J�j Z ; QWtler . ' Address/City/Zip: n�, ��, Applicant is: Owner �Contractor T e Of WOI'k Description of work:�YY?U 'eXI ,3� i I�U �Y� 19U ►� ��.71�1 �-�,W (.I�— (�IT(�g YP ' Construction Cost� U Multi-Family Building: (Yes /No,�) Company:�r�!�J�Q� 1�-S�� Contact: UOvJ �G�,I1'I,�11� ! C411tt'1Cf01'' , Address: G.Q��� '� fl.V�. Iv City: l�► l,�l' lM � State:�Zip:4)�� Phone:�'I03"ZZ�'��Z� Email: b�U�pS��JViw-C�I'Y� License#:UV5 O�� Lead Certificate#: ��" ���'�f�"Z I If the project is exempt from lead certification, please explain why: �" � 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: Fire Suppression Contractor: Phone: 'NOTEz Plans��and�upporti'g�ta�cuments�that�ciu submft are�or►sid�retl i`o be�ablic�rrforma�iu�r Portions�f � #he information�nay be classifieal as non pub�ic if yoet provide specrfic reasans#hat,wnultl per�i��he C�ty�o' cancluate that the are#ratle secrets: CALL BEFORE YOU DIG. CaII Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x���.0 ol � ��� x Applic nYs Print Name Ap ica 's Signatur Page 1 of 3 . `-_ . . ,�` `��� �j /� / (�.�-. ' !��o�'` I ' '����� DO NOT WRITE BELOW THIS LINE / �!�-/ SUB TYPES _ Foundation _ F�replace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4�eason) _ Exterior Alteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex _ L'ower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall •Demolition of entire building-give PCA handout to applicant DESCRIPTION , Valuation y� Occu anc Z�L� � MCES System "� p Y Plan Review ' Code Edition !3 SAC Units �- (25%_100% � Zoning jL�� City Water — Census Code 3y Stories -�"' Booster Pump ""' #of Units l Square Feet �,3� PRV � #of Buildings 1 Length /�( Fire Suppression Required —' Type of Construction _�,�� Width / '(iK REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. 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 Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other• Reviewed By: , Building Inspector RESIDENTIAL FEE ��? 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If altering window openings or installing Bay or Bow windows, 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Ken M Kunisaki 1492 Pinetree Pass Eagan MN 55122 (651) 454-8031 Great Lakes Window & Siding 14690 Galaxie Ave Apple Valley MN 55124 (952) 891-3400 Applicant/Permitee: Signature Issued By: Signature , ' • r For Office Use U / ' }� i r + "��L Permit#: /��Ina ...2 _. .'.f Permit Fee: Je.9 • tAAR 2% 1°19 Date Received: 3-?) `°) 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(c citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3-22-19 Site Address: 1492 Pinetree Pass Unit#: Name: Kunisaki and Takeuchi Phone: Address/City/Zip: 1492 Pinetree Pass Applicant is: Owner ✓ Contractor l P , AttfA Description of work: remove non bearing partition wall and extend knee wall@L° 250 for permit rqd items Construction Cost: Multi-Family Building: (Yes /No ) company: James Barton Design Build Inc Contact: James Madsen 5920 148th St. West Suite 100 Apple Valley Address: City: State: MN Zip; 55124 phone: 952431-1670 Email: dames@jbdb.biz License#: BC191023 Lead Certificate#: NAT-20671-2 If the project is exempt from lead certification, please explain why: built after 1978 /3 ,aAor3 (L--\ 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: Fire Suppression Contractor: Phone: , a _ . .. .,,' ' no ns w ld &tom = tp. ttt .:ant ra *aim You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 pl- xJames Madsen Applicant's Printed Name :• an/'-ignature DO NOT WRITE BELOW THIS LINE /619,7 Pill c- fie66 PPJ- S /s(/504/ SUB TYPES Foundation — Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch(Screen/Gazebo/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 _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 24V Occupancy ;P?&-i MCES System - Plan Review _ Code Edition ,Zv/b SAC Units ` (25%_100% Y / Zoning fl -/ City Water - Census Code 434 Stories - Booster Pump #of Units / Square Feet PRV #of Buildings I Length - Fire Suppression Required - Type of Construction ; Width - REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill „t HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final ye- Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS ,t- Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: io , Building Inspector RESIDENTIAL FEES Base Fee 73 --- Surcharge Surcharge Plan Review I/7 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157877 Date Issued:09/12/2019 Permit Category:ePermit Site Address: 1492 Pinetree Pass Lot:1 Block: 2 Addition: Pinetree Pass 6th PID:10-57665-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Ken M Kunisaki 1492 Pinetree Pass Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature