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1504 Pinetree Pass* wa Il Reccip t # 70 I (-4 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?p- 4N81q _? *'%03.37 MP- Hqgzo _ 70 . so PA?h ""na/ VJ?-VV?-IVIJ NewConstruction Requirements • 3 registered site surveys showing sq. k. o( lot sq. R. of house; and all roofed areas (20Yo mazimum btwverage allowed) . 2 copies of plan showing heam & window sizes; poured found design, etc.) • 1 set of Energy CalaWtions 3 Pp-qwj - qo.5p RemodellReoair Reauirements • 2 cnpies of plan • 1 set of Energy Calculations for heated addi6ons ???'I • 1 site survey for eztenor addifions & decks ? vl 3 copies of T2e Preserva6on Plan rt lot platted after 711/9 ?? ?? ?' ??tt ?Q.]!rJ ?r Cq?? 3?36?0) • Rim Joist Dettil OpGons selecGon sheet (bidgs with 3 or less unifs) ?O'J? DATE 3 aa- v I VALUATION (EXCLUDING LAND) aJ'? 17 JOB SITE ADDRESS J ff D4 1QZe4 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF APPLICANT PAGER # CELL PHONE # , ? ?. FAX# 9?-'?7?v-9/3/ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sub ' d r - Energy Envelope Calculations Submitted lU _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Controctor: c?? ?n Phone #:'7?0 7 4J' '7??a Plumbing System Includes: Water Softencr I.arvn Sprinkler Pce: $90.00 Water Heater No. oF R.I. Baths No. of Baths Mechanical Contractor: H2A/1(B/1 k• Mechanical System Includes: Air Conditioning Heat Recovery System Sewer/Water Contractor: ???? Phone# 7?/ T?'J?- ? ?/02 Fee: $70.00 Phone # All above information mus[ be su6mitted prior to processing of application. I hereby acknowledge that I have read ihis application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . Signature of Applicant ^R^'?6L?u?? vv??????? 9?Jay9-3o74 T ` Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required Y / ls Upda[ed 1/01 SF1? FIREPLACE(S) X YES _ NO ?eZ?/ ?1L?qh?ill Bl?,6d, ? PHONE # ASaZ-423 OFFICE USE ONLY O Ot Foundation )0 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt • SF ? 36 Multi 1?1' 31 New ? 35 int Improvement ? 38 Demolish (Intenor) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire 81dg only) - Give PCA handout to applicant Valuation 710(? Occupancy /? "q MC/ES System Census Code /O / Zoning ? City Water SAC Units OL_ Stories o2. Booster Pump Nbr, of Units Sq. Ft. .3 !a PRV / Nbr. of Bldgs ? Length " <0_ Fire Sprinklered Type of Const Width .?S _?O Footings (new bldg) _ Footings(deck) Footings(addirion) :?o Foundation 40 Drain Tile Roof -X- Ice & Water Final ? Framing ? Fireplace -? R.I. VAii I'est AOFinal Insulation _ Other _ Pool Ftgs A's/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) I Approved By LZ-7 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Gopies Other Total REQUIRED INSPECTIONS ? FinaUC.O. FinaUNo C.O. ? Plumbing ?j HVAC ?7d 7x ? S? a S 9o S,. ?O 7?/ ?f! 736 x!G -' f/yErPo. ? . RESIDENTIAL BUILDING PERMIT APPUCATtON o .2--? CITY OF EAGAN C?OJ n Q- ?-? - d 3830 PILOT KNOB RD - 55122 ? 651-681-4675 New ConstrucGon Reauirements RemodallReoair Reauiremenls • 3 registered site surveys showing sq. ft. of lat, sq. fl, of house; aiM all roofed areas • 2 copies of plan (209'o masimum bt coverege allowed) • 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam 8 window s¢es; poured faund desgn, etc.) • 1 site suney for e.terior additiorts 8 decks • 1 set of Energy Calculations • Indicate if home served 6y sepOc system for additions . 7 capies a( Tree Preservation Plan it lot platted after 771193 • Rim Joist Detail Options sHection sheet (bldgs with 3 or less units) DATE 7- JOB SITE IF MULTI-fAMILY BUILDING, HOW MANY UNITS? _ Water Softener _ Water Heater _ No. of Baths PROPERTY OWNER 1E17 vt' I_.,y S.cs i r L d r TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT %h`r U2co1 1- 0o,04 PHONE# ADDRESS II63L ?f{?2o?/ n9d/g /= ZIPCODE_'KSo7 __7 PAGER # CELL PHONE #G/L'e-io- ZV_/V' FAX # %s2 -ffflfL:3oor? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - ResidenGai Ventilation Category 1 Worksheet Submitt - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 ?I (?? 'I CI New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor: Air Conditioning _ Hcat Recovery System Phone # Phone # Fee: $90.00 $70.00 All above informafion must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informotion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin jnces. Signature of Applicant, Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updaced 1101 VALUATION '4 Z000 ? Phone #: Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex W18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscelianeous -, ? ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding "e 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation o?,-)/JO ? Occupancy ? MC/ESSystem Census Code Zoning le - l City Water SAC Units _QL Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs ? Length Fire Sprinklered Type of Const ? Width Footings (new bldg) ?.j Footings (deck) _ Footings (addition) Foundarion Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco _ Stone _ Windows (new/replacement) Approved By LCA _, Building Inspector Base Fee ?, 4 (') U Surcharge / - C) U Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies - ?--5? Other Total REQUIRED INSPECTIONS FinaUC.O. ?O FinaUNo C.O. _ Plumbing HVAC : MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-19-2001 DATE OF PLANS: 03-01-01 TITLE: HAMPTON CUSTOM 'A' PROJECT INFORMATION: SHIELDS RESIDENCE 1504 PINETREE PASS STONECLIFFE COMPANY INFORMATION: LUNDGREN BROTHERS CONSTRUCTION NOTES: FLAT LOT, OVERSIZED WINDOW WELL COMPLIANCE: PASSES Required UA = 616 Your Home = 469 23.8% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Valu e R-Value --- U-Value ---------- - -------------------------------------- CEILINGS ------ 2102 -------- 44.0 ------- 0.0 -- WALLS: Wood Frame, 16" O.C. 23 19.0 2.0 WALLS: Wood Frame, 16" O.C. 202 12.0 2.0 WALLS: Wood Frame, 16" O.C. 1531 19.0 2.0 WALLS: Wood Frame, 16" O.C. 210 12.0 2.0 WALLS: Wood Frame, 16" O.C. 1547 19.0 2.0 BSMT: Conc. 8.3' ht/7.8' bg/7.8' insul 129 10.0 0.0 GLAZING: Windows or poors, Above Grade 44 0.350 GLAZING: Windows or poors, Above Grade 149 0.350 GLAZING: Windows or poors, Above Grade 302 0.350 1 DOORS 37 0.350 FLOORS: Over Outside Air 58 30.0 0.0 FLOORS: Over Unconditioned Space 311 30.0 0.0 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------- -------------------------------------------- COMPLIANCE STATEMENT: The proposed building -------- design --------- described ------- here is consistent with the building plans, specific ations, and other calculations submitted with the permit application. The proposed building has been designed to meet the re 'rem ? ?Min nesota E nergy Code. Builder/Designer /lN Date<??? ? I r A \ \ TR _PINEEE s A=22 3942" S' W _ _S 957. 95.13 ,R-24n aZ 9 S d?no_ ? s/ tT iL='N Gg : ?..r? (957.2) N M ? (0 oi M ? W t co ? ? ? O O O (n - (ssi 30 15 0 75 30 80 / SCALEIN FEET / LEGEND -7 OS DENOTES SANITARY MANHOLE \ DENOTES ITYDRANT JW DENOTES CATCH eA51N _ $ DENOTES SANITARY SEWER W DENOTES WATERMAIN ST DENOTES STORM SEWER DENOTES STORM MANHOLE C DENOTES STORM APRON ? Z. SETBACKS MIN. FRONT YARD SETBACK = 30' MIN. SIDE YARD SE7BACK = 5' (GARAGE), 10' (DWELLING) MIN. REAR YARD SETBACK=15' I0013X j Cq 7; roo ??•5 GqRq? v> 'r ? O PROPOSED TOP OF FOUNDATION EIEVATION= 861.5 ?p 25 ?96O.5) N 0 PROPOSED GARAGE FLOOR ELEVATION= 960.5 R P SED L WEST FLOOR ELEVATION= 953 5 1 ) . P O O O ? j PROPOSEp FU 969.3 ?+ n 7504 PINEIR pENT ? •~ ? _. .. . . .? •.?-- . .. ' .?? I EE P LO ^ `? ??? ? ?y EUTHS OF A FOOT AND CAN BE USED AS EN HMAR S N (,q J 5 a W 17 4 I W ^] ]] 958.4Xa 14 X ?G 959.2 2..7 . p DENOTESIRON MONUMENT (96?. g59.0 ?'? Q I ) Q " " X 000,0 DENOTES EXISTING ..._....'a?'"T ?+?.i?n.?'EFRI.L?IG DEFT. . .: ELEVATION 0.7 . ? 07ES PROPOSEo (000.0) DEN ° ELEVATION 4 DENOTES DIRECTION ? C/) OF SURFACE DR/UNAGE DENOTES SANITARY SEWER SERVICE ELEVATION ? DRAINAGE & UTILITY EASEMENT ? 2) ?? CMDI?If _llll Flpl?{I? ?fr,1 M A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR ? o p NON-FJ(ISTENCE OF RECORDED OR UNRECORDED ? 5 S? ?s EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF O?? m 3' ? . . . '. THIS SURVEY. 8 b k 964.8 S c I hereby ceRiTy that this is a W e and correct representation ? of a survey of the boundaries of: LOT 4, BLOCK 2, PINETREE PASS 6TIi AODITION / n - DAKOTA COUNTY, MINNESOTA Md the locefion of all bulldings, if any, thereon, and all vrisible v encroachments, if any, from or on said land. As surveyed by / I LOT AREA = 12 664 S.F. ' 71h day of Maroh, 2001. % A , ROOF AREA = 2,456 S.F. „ LOT AREA % =19.39% Daniel R. McGibbon Licensed Land Surveyor, Minn. Lic. No. 18883 BY I DIMSpRC?IT'KI RS I ? ? _, } ? cc O RS?? ? LL. z? oaz E-4 ? Faa z?a ? DRAWN RS CHECKED DRM DATE 3!7/01 SCALE ASSHOWN JOB NO. 5402-683 14 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: `?? y plrLk. 2 iNG PasS G-iin 614 DATE OF SURVEY: -P- J- d i LATEST REVISION: 01 V ? DOCUMENTSTANDARDS Y m ? q ? ? • Registered Land Surveyor signature and company C9'/ a ? • Building PermitApplicant H' ? ? • Legal description v? ? • Address B? ? ? • North arrow and scale ?? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) V2? ? ? • Directional drainage arrows with slope/gradient % G? ? ? • Proposed/existing sewer and water services & invert elevation fid/ ? ? • Street name U/ ? ? • Driveway V? ? • LotSquare Footage V 0 ? • LotCoverage ELEVATIONS Existina ? fl ? • Sewer service (or Propased) ? ? ? . Property corners pV L? • Top of curb at the driveway and property line extensions G--, ? ? . Elevations of any existing adjacent homes ?O/? • Adequate footing depth of structures due to adjacent ulility trenches Prooosed 6/ ? ? • Garagefloor LA' ? ? • First floor EY ? ? . Lowest exposed elevation (walkout/window) ? ? . Property comers 6/?? • Front and rear of home at the foundation PONDING AREA frf applicablel ? GY ? • Easement line ? lY? • NWL ? GY ? . HWL ? fY ? • Pond # designation ? GJ'/C! • Emergency Overflow Elevation DIMENSIONS ER' ? ? • Lot Iines/Bearings & dimensions V ? i i • Right-of-way and street width (to back of curb) W ? CI • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanentfootings) E? ? f] • Show all easements of record and any City utilities within those easements E?011 • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? _? / L? CJ • Retaining wall requirements, if any Reviewed: Name Date i _inetree Pass Zip 5512? + Blk Z Sub PINEIREE PASS 6TH AnniTinN fHESE ITEMS WERE { WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: B- 2?tf • o/ Yes No Inspector: Finai grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas SodlSeeded gtass Ttail/curb damage Porch " Basement finish Deck X Please ve n'fy with the buIlder the remova( of roof test caps from the plumbing system and the shutroff of water supply to the outside Iawn faucet before freeze potentiai exists. Contact engineering division at 681-4645 beforo working in rightof-way or insialling underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Site addtess: &?QJ%ALJ?" Lot ?-? Blockrl? Subd. ID A?&Atj, &n 0YA On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Gertificate of Occupancy. _ This structure: is constructed !o meet minimum reGuirements of the Mn Energy Code, Chapter 7670 OR This structure: wi? be constructed to meet more resfrictive requirements ot Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTII'S VENTING TYPE WaterHeater .r S 0 40000 1" UCi Fumace X V. D 1?O 20 000 P V Dryer EXHAUST SYSTEM LOCATtON TYPE MODEL CFM's VENTED YES NO Kitchen Ititchen 8athroom 7 eq.ry RN ??? 5b X Bamroom 2 QOu7DaL _ F-Ac Aa ____ _ p 'J? 0 ? Bathroom 3 A Sa so Bathroom a MAS,?? ? 62p SU 504 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOOEL BTU'S VENTING OiqECT ATMOS I M/FSes-rI c. DV 560 30aoo X MAKE-UP AIR MODEL TYPE CFM's c- COn1sTRU Z• D Q]auR1,10,e0 I`zq I hereby acknowledge that the a6ove information is correct and agree to compry with the Minnesota Energy Code and Ciry of Eagan requirements. ? Signatu Company Name Dale This form is the responsibility of the General Contractor. A I `t "-L p N TREE 957 g58.1 X ? (957.2) s?iT N M ` ? r ' c o a; M ? LJJ r tD M P, pe) O O O U) - (961 M 58 8? ? T M '?? ao is o 1s so so / SCALE IN FEET / LEGEND -a QS DENOTES SANITARY MFWHOLE / TM DENOTES ITYDRANT DENOTES CATCH BASIN $ DENOTES SANITARY SEWER ? W DENOTES WATERMAIN ST DENOTES STORM SEWER ? DENOTES STORM MANHOLE n DENOTESSTORM APRON SETBACKS MIN. FRONT YARD SEiBACK = 30' MIN. SIDE YARD SETBACK = 5' (GARAGE), 70' (DWELLING) MIN. REAR YARD SETBACK = 15' u? 00 ' „°,i O ?'o ' PROPOSEDTOP OF FOUNDATION ELEVATION= 961.5 5 PROPOSED GARAGE FLOOR ELEVATION= 980 . d' 1 CY) ' PROPOSED LOWEST FLOOR ELEVATION= 953.5 ? I 959.3 0 EBA? EN7 ?NE7R I E PASS ? ' Iq i ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS HMARK ? ry Li OF A FOOT AND CAN BE USED AS BENC S. I W 17 - . " E /1q .]] ?NC 959.2 p DENOTES IRON MONUMENT 9 I 0 ? ? -- DENOTES EXISTING x 0?.0 . . ? . . . . _.. . ' ?.:r•^.-?'s-';L?`C - ELEVATION I ? (000 0) DENOTES PROPOSED I ? ? 0 . ELEVATION 4 D CE T 1 OS D RHINAGE UR A I I N 5 DENOTES SANITARY +? m 949. ; SEWER SERVICE ELEVATION DRAINAGE & U71L1TY 6x EASEMENT ? ?q eq D ? ? ?. ? pa tl_ B ???? Csa ?'• ?• o? A T1TLE OPINION WAS NOT FURNISHED TO THE SURVEYOR NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR ` ? S7 EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF 0o2 , rr,issuRVev. 3 58 3 X 9 4.8 v I hereby oertify that this is a true and corred represemation , ? of a survey of the boundaries of: LOT 4, BLOCK 2, PINETREE PASS BTH ADDITION DAKOTACOUNTY, MINNESOTA / ? u Md the bcation of all buildings, if any, Mereon, and ell visible v encroachments, it eny, from or on said land. As surveyed by / I LOT AREA = 12 664 S F ' ?th day of March, 2001. t A , . . ROOF AREq = 2,456 S.F. „ LOT AREA % = 19 39°h . Daniel R McGfbbon Licensed Land Surveyor, Minn. Lic. No.18883 r I V ? A=22 3s'42» w ? 95.13 ,R=2-4n? 95 REVISIONS TiN1'$PEftCRV I RS 3111 $ ? 51 cy i a? W5 mi w? ?R N ? U] U)?U3 LL. ? a OpZ .? ?%??? iz D zoa P aa? U City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 - ------------, I Permit D i Dat? ? dAivt+d'7 II 1 Stad: 1111 3 0 2008 L_11 2008 RESIDENTIAL PLUMBING PERMIT APPL CATION ? 1? Date: ?/eaS Site Address: ) So'M Plfie?-ee pQ SS Tenant: Sufte #: ' RESIDENT ! OWNER Name: I .1 /I GIQ. ->WI.QA A G Phone: L0 ) lag t R Address / Ciry / Zip: v "C'I CONTRACTOR Name:?(,.liL_F ? ? PI?l,fYlX?1aGJ. License#: n? ? ?l.l k0 6w- Address: ,?,(;- ^ ?S359? wi Zip: City: State : ` Phone: gl og ?(1 Da Contact Person: U SQ? TYPE OF WORK )(New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Descri fon of work: i? ` PERMIT TYPE RESlDENTIAL Wa[er Heater _ Water Softener ? Lawn Irrigati _Add Plumbing Fix[ures (_ RPZ / PV8) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that ihis iMortnation is complete and accurate; that the work will be in coMortnance with the ordinances and codes of ihe Ciry of Eagan; that I understand this is not a permit, but only aa application for a permil, and work " not to start without a permit; ihat the vrodc vnll 6e in accordance with the approved plan in ihe case M xrork which requires a review and approva dans. x 7GtJ'c" 1-6llc?. x " w ApplicanYs Printed Name plio nt's Signature FOR tSFFICE US? ° ?_- - - r Reviewed By; Date: . Requiref Inspeictlons: ?_UnderQrvund __Rough-In :: AirTesC ;,_GasT>est _ Final -----------------i ? ForONICe:Usa ? j Permil #: L? 6 / U???'L j ? Permit Fee: ? Date Received: ? I I Slafi: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9W90 I Site pddress: /s0'/ 7a..., fs?e., 74 y s Tenant: SL.a..ICIS Suite #: RESIDENT 1 OWNER Name: Sw c-W7 E?wa.ra1 Phone: W 6$7 ?B•iz Address / City / Zip: ISo'{ ?"` 1 ?..e. ?? 55 ApplicaM is: _ Owner _Vs, Contractor TYPEOFWORK Descriptiono(work:_Z, ? lc Construcfion CosIr?(. Oo Multi-Famity Building: (Yes _/ No ? CONTRACTOR Name: ? r?...l License #: - j A+ 5--J- Zo ! Address: q9o 70 r City: State: Zip: 5"5'1 I Phone: 4'4? ' Z° S 31 3° Contact Person: 5;... o1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Code Worcsheet Category Su6mitled Su6mitled (4 Submis5lon type) • Energy Envelope Calculations Submitted In the 1as112 months, has the City of Eagan issued a permit tor a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Conirector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans'and supporUng:documents that you su6mit are considered to be public informatJon. PoRions oi tlie information may be cl8ssified as non-public If you provlde speci/ic reasons that woWd permit the City to cortclude that the are trade secrets. I hereby acknowfedge ihat Ihis information is complete and accurate; Ihat the work will be in conformance with the ordinances and codes o1 the Ciry of Eagan; Ihat I understand Ihis is nol a permit, but only an application lor a permit, and work is no1 b start without a permit that the work will be in accordance with the approved plan in the case of ivork which requires a review and approval of plans. x z ApplicanYs Printed Name _ ApplicanYs Signature Page 1 0( 3 City of Ekon 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 2012 Use BLUE or BLACK Ink For Office Use Abg7e Permit #: Permit Fee: Date Received: Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Tenant: Site Address: Suite #: Name: 64,66Awe 0-eu , 54.744r Phone: $loft - 55-1-a 0i Address / City / Zip: 0 ; P Y4IY Pies, eAtraN teto„#: f3 V77?Z6 City: ,4L II7 GI4 Phone: 373 - 2241 New X Replacement Additional Alteration Demolition Description of work: /WW1 FX,744014 FUO -Wei int 4d . linted,and ground mcun contact�t . a.1_ «=g� cal' RESIDENTIAL Fumace Air Conditioner _ Air Exchanger Heat Pump Other is required t n permitted s 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 burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ (�v TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) - If the Permit Fee is Tess 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) = $ Permit Fee _ $ Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x /114/11G Applicants Printed Name Ree For Office Use /17.9 0 I� �,• � � �� Permit#: E AGA N , /�,, ` ,` ', I/ Permit Fee: X/' RECIEVED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810di (651)675-5675 I TDD:(651)454-8535 1 FAX: (651)675-5694 1`11AY 1 5 2018 Staff: buildinginspections(c citvofeagan.com L 2018 RESIDENTIAL BUILDINGnPERMIT APPLICATION Date: g JS./ItSite Address: /50 HRre%'ce. ass Unit#: Name: G 4- Jerw►t ,{ EW1 Phone: -SS -O?.0O Residowner F�ent! r^� i' 16044Address/City/Zip: ( } Yf e+w�s PSS Applicant is: Owner X Contractor Description of work: K�k�ti� reef TRAM0 Lir- R2AzAC .CYVIE 1� ' Type ofIWork , ao Construction Cost: IZ,I000 Multi-Family Building:(Yes /No X ) Company: jdwe,S 13 a r -N11by IS4,Uontact: 'M'Ac# Contractor, Address: �� WS' . Lam- tett City: /� t State:1110Zip: Phone: .0792-02 Vail: l�O1/.1 J lo d t• bj License#: j:SC/WO Z 3 Lead Certificate#: /` `Zadrji'r Z If the project is exempt from lead certification, please explain why: ycs, by 1.4- 'IY% 2001 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: NOTE Plans and supporting documents that you submit are considered to be publlcinf rmation Portions of the information maybe classified as non,public`if.you provide specific reasons that would permit the Piety fo conclude fhal.thej arefrade secrets„ 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.citvofeaoan.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.qopherstateonecall.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 a ' out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva x — �v� tPrt. 144:4 \•., APP Applicant's Printed Name p cants_....•:,.-enure DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) t 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 eAlteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation b5-2).c Occupancy 1(Z C` Q MCES System Plan Review Code Edition ,/)'j/I Zaf S SAC Units (25%_ 100% ) Zoning JZ -i City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) rQ Final I No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings _Air/Gas Tests _Final e Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS -1 Insulation r Windows CS/% Peg. 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: f n/ 6`I�` `7n , Building Inspector RESIDENTIAL FEES do.:, say- ,,''s— e to Base Fee Surcharge I i '-(="c=1' S`1 /j'7 Plan Review 41 MCES SAC City SAC Utility Connection Charge r'C - /_ je7,.1Z 5 I` 7 e. S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 l For Office Use °" a Permit#: /5"(5C?--' s.„�.... .. ..:..„4„„,, 6� ma c_ t Permit Fee: 1 1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I l (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 l Staff: buildinginspections@cityofeagan.com com 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/26/18 Site Address: 1504 Pinetree Pass Tenant: Ewing Suite# Reside Banter Name: James Barton Design Build Phone: (952) 431-1670 5920 148th St W, Apple Valle Address/city/zip: PP Y, M N 55124 Name: Diversified Plumbing License#: PM064624 Contractor Address: 125 E. Railroad Street city: NYA State: MN Zip: 55368 Phone: 952-448-0756 , , Contact: Jacob Sams Email:jacob@diversifiedph.com T OI _New —Replacement _Repair _Rebuild t/ Modify Space Work in R.O.W. Description of work: Kitchen Remodel RESIDENTIAL Water Heater ' Water Softener Lawn Irrigation(_RPZ/—PVB) X Perms T° i. Add Plumbing Fixtures(I/ Main t Lower Level) Septic System i1. New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) 60.00 $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 48 hours before you — intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 vvwW;Cltvofeacten.cornisobscrifba, 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 ap+ ; al of plans. xJacob Sams ,4 ' il � u - Applicant's Printed Name App 's Signat re FOR OFFICE USE Date: t, - ''Required Inspections;ctions; ,finder Ground Rou ,lr-In Air;Test Cas Test Final -Meter Related Ileitis: Meter Size Radio Read Manometer St ft EAGAN BB 1514E0 1140 April 9,2019 Gregg&Jennifer Jade Ewing 1504 Pinetree Pass Eagan, MN 55122 RE: Eagan Contract 19-01, Pine Tree Pass Street Improvements—Sump Pump Discharge Connections Mr. & Mrs.Jade Ewing: Previous correspondence from the City of Eagan informed you of the street improvements proposed to be constructed in your neighborhood this year. In conjunction with this correspondence, some of your neighbors have indicated an interest in drainage improvements for sump pump discharge connections. The enclosed plan sheet shows an option being considered. Upon review of the plan sheet, you may recognize that the alignment of the proposed drainage pipe would pass through the boulevard adjacent to your property and across your driveway, While the proposed pipe location would not be on your property, we understand that you maintain the area that would be impacted. My purpose for writing is twofold. First, are you interested in having an underground connection for your sump pump discharge rather than a ground surface discharge? Second, do you have any concerns with the proposed placement of the drainage pipe? There is no direct cost proposed to any of the property owners for the installation of a drainage pipe. Restoration of any drainage pipe construction activities would be completed as part of the contractor's responsibilities. Any disturbed areas would be left in a condition equal to the current condition (i.e. grass turf areas would be filled with topsoil and seeded with grass seed for turf establishment, paved driveways would be patched with driveway pavement on top of a gravel base). I would be happy to meet with you or to discuss the proposed drainage pipe over the telephone. I have reached out to four residents about this subject as there are four driveways that could be crossed by the pipe. It is possible that some of your neighbors may reach out to discuss this with you, accordingly. Please contact me with your responses to my inquiries or with any questions. You may reach me at 651- 675-5646 or rmatthys cityofeaoan.com. Thank you for your cooperation. Sincerely, g Q4-3— nisci-if-. Russ Matthys, P.E. Public Works Director MAYOR I MIKE MAGUIRE COUNCIL MEMBERS I PAUL BAKKEN,CYNDEE FIELDS,GARY HANSEN,MEG TILLEY CITYOFEAGAN.COM CITY ADMINISTRATOR I DAVID M. OSBERG MUNICIPAL CENTER 13830 PILOT KNOB ROAD, EAGAN, MN 55122-1810 MAIN: (651)675-5000 HEARING IMPAIRED: (651) 454-8535 MAINTENANCE:(651) 657-5300 UTILITIES:(651) 675-5200 41•• •••11 . ,111 411, . LI 1 r- , , ; r ; r 1 CO , ' ii I I L- CO L- I '4- I- n't 1 I I I I y-- , 1 —I I I w co 2 1 i.._. 1 -- I . I I : lj I / I , I ij 0) X w , , 1 i •zt co _i - ; , )?- t___I (SDI di 4 I w < z 1 ' 1 ... ----J W < W , c•I L__.___ J r -.,....... .... c: 0 co ; = 1 ; f---- --i t (C) r i /e..... ri qtily ' 1 CI 0) i W i (3) / ACt ' ,-. /4- i_ 1 i ' ' 1-) < .- N._ ,,2 1- * -1 --ii L----***---- ., /..1 x— fi , u_ 0) w L i 4441, • 0 _._----0 1- i 1-- a- de < I r-r- ......_ i t , I 0- 0WW-7 .... -.... ...............1 1-----i y el D -J i 1-I N— 1 0 u_ IX fa co I 1 0 I 0 tt I-- I ,.J III ...° C) I— ..-I I i t i T." / •Miaiied (7) 0 W t r.'"--, / 4ZIIP ...I 2 5 Ly. j •••• IMO, ,.11•IMP . . '"..' I- • _ , ,_ -............ -.. i z ii z -. _ .................4‘ 1 ix) i n _ Lo 1 1 1 N J c• --' , . 1 T .' ri / ' LO 1 P i I W ( 'CNA •P- ) < < Z - „ __-- ,460 1 , e 0Wwm„,., Z0z0 > I --,, R. _1 0 c) ( I __r- r ‘-\ 0) \ ' 57 E2 I 1_-_..‘_ t 1 LO L t 1 ii 0 )I / R ow -i - - OI •I• i- •—• i I t N-- i_ o •c i_ t I L..._ _.... ......_____1 I I Z Z re 1- ...- -i. Z u) F.: 0 - - ..• \.0 ..*' ..• ) ‘, C C ) c) LO 'l • 1- , . \ .--- Z ir4 ,, ,,,_, .. , =,,,,,, ,,,-,u rt- - ' - ,'-~ ------------------_____fr,,,, Nyloplast® DRAIN BASINf ` •• 2824AG5 t I. Adivision of ;;;r4•.. SHOP DRAWING Project Name Pinetree Pass Dia. Structure N/A aty.� o. Prepared By Dale Ronning Grate 24; Standard; City of Eagan 651-675-5640 Accessories dronni ng@cityofeagan.com Rim Elev. 100.00 ft. Basin Height 42 in. Sump Depth 6.00 in. Invert Elev. Production Depth Stub size Angle Pipe Type ft.AMSL inches Stub#1 12 in. 0 ° HDPE 97.00 ft. 36.00 in. Stub#2 12 in. 180 ° HDPE 97.00 ft. 36.00 in. Stub#3 12 in. 90 ° HDPE 98.00 ft. 24.00 in. Stub#4 Stub#5 1 Stub#6 Egilici 0 270 90 III III NIP M 180 CUSTOMER NOTES PART CODES PRODUCTION NOTES 2499CGS; This product is made to order and non-Refundable Nyloplast, 3130 Verona Ave. Buford, GA 30518. (866)888-8479 Nyloplast®is a registered trademark of Advanced Drainage Systems® PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165861 Date Issued:11/24/2020 Permit Category:ePermit Site Address: 1504 Pinetree Pass Lot:4 Block: 2 Addition: Pinetree Pass 6th PID:10-57665-02-040 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. 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 - Gregg L & Jennifer Jade Ewing 1504 Pinetree Pass Eagan MN 55122 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature RECIPIENT: Jennifer Ewing 1504 Pinetree Pass Eagan, Minnesota 55122 Phone: 860-805-7358 SERVICE ADDRESS: 1504 Pinetree Pass Eagan, Minnesota 55122 Job #10331 Scheduled 05/09/2023 BACKFLOW TEST REPORT - ASSE# 1020 PRESSURE VACUUM BREAKER TEST RESULTS DATE:5/9/23 TESTER NAME:Jerome Kollar ASSE CERTIFICATION #:54779 MN LICENSE #:BT748802 LOCATION:Outside rear of house EQUIPMENT SERVED:Irrigation MANUFACTURER:Watt MODEL #:800 M4 QT SERIAL #:B103837 SIZE:1" PSI - STATIC LINE PRESSURE:85 RELIEF PSID:2.8 FAILED TO OPEN ☐ OPENED ☑ CHECK VALVE PRESSURE DROP PSID:2.6 LEAKING ☐ CLOSED TIGHT ☑ 1 of 2 pages Diversified Plumbing & Heating, Inc. 125 E. Railroad St. Norwood Young America, MN 55368 952-448-0756 www.DiversifiedPH.com COMMENTS OR RECOMMENDATIONS: PASS ☑ FAIL ☐ 2 of 2 pages Diversified Plumbing & Heating, Inc. 125 E. Railroad St. Norwood Young America, MN 55368 952-448-0756 www.DiversifiedPH.com