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:
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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
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gILT
fENCE
2
swes
?1??Me ,??
Be seQuired
9
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HARDCOVERs
LOT AREA = 12,578 S:F.
HOUSE AREA = 2,208 S:F.
COVERAGE = 17.55 °k
?
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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
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DRAWN
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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 ��? [��'lv/i �l�j � 3(���
Base Fee
/03 �-' `'
Surcharge
Plan Review G 7 %�
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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' (82l1'WV 09�tr►'�80 OOOZIE►/LO'ltl3�'�W'1�i3�P18 H�Ql9'L 101 H19 SStld 33tl13NId ZSB-ZOY9t�ad1�M
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136199
Date Issued:04/29/2016
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:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. 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