1513 Pinetree Pass?
RESIDENTIAL
BUILDING PERMIT APPLICATION 159• ou
CITY OF EAGAN
3830 PILOT KNOB RD • 55122 7 T"'lJ•
651-681-4675 ?7q ,1
NewConsWCtionReaufremenrts RemodeVReoalrReaulremenls
• 3 registered site surveys showing sq. ft o( bt aq. R M house; ail roofed areas . 2 wqes of plan
(20% muimum bt coverage albwed) . t set ol Eneqy Calalatlons for heated additions 1? r v ?
• 2 copies of pWn showing beam & windaw s¢es; poured found design, ett.) . . 7 sb survey tor ekMrior additions 8 decks
• 1 set of Energy Calalatlons . hwKate K twme sened by sepcc system for additions
. 3 copies of Tiee Preservation Plan K bt platted afler 711193
• Rhn JoW Detail Options seladion sheet (bMgs wilh 3 or iess uniLq)
DATE /o./, VALU/[ION ?lRf o00
V{
JOB SITE ADDRESS /S/ 3 P,?t/ETrG? , pi¢S?
IF MULTI-fAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?1&-FF 21WR.tX,-2rmitn/
TYPE OF WORK S icEl=i.1 ' t%PCff FIREPLACE(S) _ 0_ 1_ 2
APPUCANT /'?t/h2il ,?1r,rrta2 PHONE# 45.1 qqv75o&
ADDRESS ?D k l C(1 57- ? LtJ . f Si¢1/Az&r= ZIP CODE -,-337
PAGER # CELL PHONE # 4j12. S'9S (Z141 FAX #CiS.2 q?f0 1/376
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Ener9Y Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residenflal Ventilation Category 1 Worksheet Submftted
- Energy Envelope Calculafions Submitted
MINNESOTA RULES 7672 [? ?
FR?fld[?
- New Energy Code Worksheet Submitted I U
Plumbing Conhactor. Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Coniroctor. Phone #
Mechanical System Includes: _ Air Conditioning
_ Heat Recovery System
Sewer/Water Confractor:
Phone #
Fee: $70.00
All above infortnation must be submitted prior to processing of appiication.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. /?C/-
Signature ol Appllcant / ? A.?/"?K /'[5I.ca/J
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
' _ . . '. ? Updated 1/01
OFFICE USE ONLY •
k +
O 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
O 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 70 08-plex ? 18 Deck
? 71 10-plex ? 19 lowerLevel
0 12 12-plex Plbg_Y or _ N
O 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (Msea.)
)< 23 Porch (screened)
O 24 Stortn Damage
? 25 Misceilaneous
? 30 Accessory Bidg
? 31 6ct. AI[ - Mutti
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 32 Addition ? 36 , Move Bldg. O 42 Dertrolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation
?
- Occupancy MClES System
Census Code r Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Footings(deck) FinaVNo C.O.
? Footings(addirion) Plunbing
Foundation
Drain Tile
Roof Ice & Water Final OtLer .
? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By 1 7 , Building Inspector
Base Fee
Surcharge ?V '4?uw
Plan Review
MGES SAC 7/
Cily SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge Treatment Plant •
Plumbing Permit
Mechanical Permit
License Search
_ Copies
` Other '
Total '.
?
HVAC
Address 1513 ?IP?ETBEE PASS Zip 55122
Lot s Blk
Sub PTNETREE PASS 6TH
THESE ITEMS WERE / WERE NOT COMPLETE AT TfE T1ME OF THE FINAL INSPECI'ION.
Date: _ Gj Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
SodlSeeded grass
TraiUcurb daznage
Porc6
Basement finish ?
Deck
Please verify with the builder the removal of roof lest caps from ihe plumbing system and the shut-off of watet supply to
tNe outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing undergtound spcinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contrac[ar Copy
/11 IT) /'1T A
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56. 38
N86019' 13" iP
ix
/ ?s I/ ?5
I ORAINAGE & UTILITY `
EASEMENT
? 957.9 X X 957
I
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PAV. REQUIRED
.
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Y
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LEGEND
?
SQ DENOTES SANITARY MANHOLE
?o DElIOTES H'fDRANT
? DENOTES CA BASIN
S Y SEWER
DENOTES SAN?AR
W ?
DENOlES ?MA7ERMAIN
ST
?
DENOTES
STOW
(a) pINp? STOFJM MIINHOLE
n DENOTES STOOA APRON
0 oEN01Es M AO x
BENdiMARiC - ?
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EL£V - 983 FJ'S? 0? 5
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R AREA ?14 818 S
? LOT AREA 7i = 18%
propoesd Top of
) Foundation
i
proppsed Garage
ProPoaed Lowaet Floor fJeva
Floor EJsvd
60 r?rn" 2l ?° ?Y
REcF.fvpr, r)
,???P?'oa?? -
!'
Mw?s ?
TO 8E SAVED oao?s ?
70
(D ?
OAK 18 OAK 18
I
TREE SUMMARY !
PROPOSED CONDITIONS
SIGNIFlCANT TREES - 1
TREES REMOVED? 0
pERCENTAGE 0f
? .
mEEs rtEMovEt °" ? ? ¦ ? ?
/?.LOW/181E 3 i
?. 3..?'tREE REMOVAL - 0
ecTn e rA EAGAN EIvTGLNEERINCr DF:PT
MIN. FRONT YARD SETPACI? ? 30'
SIDE YARD SETBACK = 5, 15 BOTH SIDES
MIN
.
MIN. REAR YARD SETBAqC = 15
O Denotes Iron Monumsnt
+ 000.0 Denotes Existin9 Q°?o?
+(000.0) Dsnotee Proposed Elevation
Denotes m.wUon o, Surface
? Drainags
Den? =Swer SWACO
A tftle opinion wae not fumiahed to the s?rveyo? ^°r was a
epacMc tftle seoroh for the exietene:e or rron-e?clstence oi
rocorded or unrecorded eoeements conduoied by the aurveyor
as port ot tnie survey.
d
tion- 982.0
981.0
953.0
i heroby certNy thot this te a true and corroct ropreeentatlon
of a survey of the boundariss of:
LOT 3. BLOCK 1. PINETREE PASS BTH ADDtTION
DAKOTA COUNIY. MINNESOTA
qrul the Iocation of all buildinga, if a?ry? thsreon, and all vieibb
ancroachments, if any, from or on eaid land. As surveyed bY
me thie B!h duY of SePtsm . 2000•
? ?C'
? ? ? Gory R. Gertnond
4n ?i'( liceneed Lond Surveyor, Minn. Ltc. No. 24754
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2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD . EAGAN, MN 55122 - 651-681-4675
RECEIPT #:
RECEIPT DATE: ? ^O
PERMIT# A."Iq1 15'
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unii
? badcflow preventer for underground sprinkler system
FIXTURES
EACH N
TOTAL
Alterations to exisGng dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x v = $ -
Floor drain 3.00 x $ ?
Ges iping outlet ' minimum -1 3.00 x $ ?
Hot tub/spa 3.00 x $
Kitchen sink 3.00 x -Z = $ ` -?
Laundry tray 3.00 x $ eb
Lavatory 3.00 x = $ / $`oO
Se tic System newirefurbisned • requtrea Mpc nc. 75.00 x $
Se tIC S Stem abandonment 30.00 X $
RPZ new installationlrepaidrebuild 30.00 X $
Rou h opening 1.50 x $
Shower 3.00 x = $ S -
Underground sprinkler if dwelling is under construction 3.00 x qk 1 = $ 3°-
Under rounds rinkler rfexistingdwelling 30.00 x - _ $
Water closet 3.00 x = $/ 2-
Water heater 3.00 x y = $
Water softener if dwelling under eonstruction 5.00 x $
Water softener it existine dweutng 30.00 x $
Water turnaround 30.00 x $
State Suroharge 50 -> -> -> $ .50
Total -> -> -> --> $
Reminder: Call for fnspections of alterations, i.e. water heaters, water softeners, etc.
7?- SZ
---------------------- •-------------------ic-e-tion, s-----tate that --------the infortn- •-------atian is -• -----cortec[-----,--•-and-egree------to --comp------y -with ----all ---applicable---------C--ity---of -Eagan ------ordinan • -------ce-s. -
I hereby adcnowledge that I have read thisappl
tt is the applinnYS responsihility to notify the property owner that the City of Eagan assumea no liability for any damages pused by the City during its
nortnal operatlonal and maintenance activities to the facilitles constructed under this pertnit within City property/right-of-wayleasement.
SITE ADDRESS: /'i?v - '? -,- -, c _
/" S
OWNER NAME: : L? ?* ?.? ?G?+ ??85 ?ir? 5 T TELEPHONE #:
_ (AREA CODE)
INSTALLER NAME: 17-C4
STREET ADDRESS:
I TELEPHONE#: S ? YYf
(AREA CODE)
CITY: STATE: ZIP:
?
SIGNATUREOF PERMITTEE
* CI7'Y USE ONLY
i .
LOT BL PERMIT #:
SUBD. pjnetrze rQss YJ? RECEIPT #:
4N77
RECEIPT DATE: I)?l10 -o O
2000 MECHANICAL PERMIT (RESIDENTIAI,)
Date: I???' UV
Complete this section onlv if you are installing HVAC in a single family dwe(ling, townhome or condo under
construction and not ownedoccunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.) 6
$ 30.00
6.00
State Surchazge .50
Total $ sc? s e
Complete this section onlv if you are remodeline, addin¢ to, or repairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
_ Fumace
_ Air exchanger
Reminder.• Call for inspections
Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
SITEADDRESS: J05?S S
OWNERNAME: Co>ist?ST PHONE#: -
PHONE #: (A ??d' CODE)
-S??.J ? ?E
INSTALLERNAME:
? /
STREET ADDRESS: S!n ? ??"'4'l-O sr A// d-G (AREA CODE)
CITY: 54 STATE: '00? ZIP: SS 3
SIGNATURE OF PERMITTEE ?
CITY OF EAGAN
3830 PIIAT IRIOB RD
EAGAN 2Mt 55122
651-681-4675
L _ BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #: _
RECEIPT#: _
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMRCIAL)
CITY OF EAGAN
3830 PILOT lINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Taok
_ Ptocessed Piping
When installing/removing underground tank, call 65I-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: I% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimutn fee
Contract price: $ x 1%_$ (Base Fee)
State surchazge calwlate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
- CIT'P:
CITY USE ONLY
PHONE #: -
(AREA CODE)
5TATE:
0-
ZIP:
SIGNATURE OF PERMITTEE
/11 IT? ^T A
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56.38
N86019' 13" A'
i? ms" - I-7-
/ I DRAINAGE & UTILITY \
EASEMENT
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BENCHMARK - ?
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EXISM
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LEGEND
QS DENOTES SANITARY MANHOLE
:;S DENOTES ITYDRANT
iN DENOTES CATCH BAStN
S DENOTES SANITARY SEWER
W DENOIES WATERMAIN
ST DENOTES STORM SEYlER
(0) DENOTES STORM MANHOI.E
n DEN01E5 STORM APRON
O DENOTES MAILBOX
2 LT
r-E(-4c?
rb-V?
959 jD ?
x
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ct
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LOT AREA - 74 51 F.
ROOF AREA = X81 F.
LOT AREA 7f = 1876
62.0
pro?pose? To Garoge Floor Ekvaton ? 9610
Propoeed Lowest Floor ElevaUon- 953.0
RECFyvFn n r, t q 6
r
L
Y rRvVi RIMMED
DENOTES TREE DEN0IES TREE
TO BE SAVED TO BE REMOVED
OAK 18 OAK 18
?
j
TREE SUMMARY
PROPOSED CONDITIONS
SIGNIFlCANT 7REES - 1
TREES REMOVED- 0
PERCENTAGE 0F
rnEEs REMovE,T" ox
? ? ?
? ?
ALLOWA?.E
1REE REMOVAL = 2F076 ly
= 0
!
Date -?
FS
4=7Tuerkk
EAGAhTE1VTGLNEERIIVGDEPT.
MIN. FRONT YARD SE7PACK = 30'
MIN. SIDE YARD SETBACK = 5, 15 BOTH SIDES
MIN. REAR YARD SETHACK = 15'
o Denotee Iron Monument
+ 000.0 Denotes Exieting Elevation
+(000.0) Denotee Proposed Elevation
f-- Denotes Direction of Surface
? Drainage
Denotes Sanftary Sewer Service
Elevotro?
A tiUe op inion was not fumiahed to the eurveyor nor was a
epecifk tiUe aea?ch for the existence or non-extatence oi
recorded or unrecorded easemente conGucted by the aurveyor
ae paR of this survey.
I heroby certify that 4hia is a true and correct ropreeentation
of a eurvey of the boundariea of:
LOT 3, BLOCK 1, PINETREE PASS 8TH ADDITiON
DAICOTA COUNTY, MINNESOTA
Md the Ixation of atl buildings, ff orry, theroon, ond all vleible
encroachments, ff any, from or on eaid land. As surveyed by
me this 28th daY of Septemoer, 2000.
Gary R. Gsrmond
Ucensed Land Surveyor, Minn. 13c. No. 24764
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SCALE
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JOB N0.
5402-828
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2000 BUILDING?ERMIT APPLICATIO? (RESIDENTIAL)
, anr oF EacAu r-? /` O? 3830 PILOT KNOB RD - 55122 ???o? -? 1 \
4 ? ? U I 851-881-4875
' f??x x ?.PJ
New Constnucllan ReaWremeMs n ? `a I (a ? `-1' Remodel/Reoalr Reaulremanh
''f? l
> 9 replsteretf Nte wrveys showiny aq. fl. ot bt, sq. fl. of house
and qLi roofed areaa (40% nwzlmum lot covemae albwedf
D 2 coplea of plana (ahow 6enm 8 window sim: poured Ind dealpn; eic.)
> 1 ief of eneryy cdculoHOiu
> 3 copiea W hea preservaMOn plan N lof plaltetl aHer 7/I/93
DATE• I CL-_-/ -Q b
2 coplea ol plan
1 set W energy cWculaHons tor heated addlMons
1 site wrvey for exfeAOr atldfNau d decka
CONSTRUCTION C05f: 3? O 7v
DESCRIPTION OF WORK: sICD
., . . n
STREEf ADDRESS: IN.t.ri o.c/>oy? / Gt.a:A
LOT: 3 BLOCK: SUBD./P.I.D. q: _Pd
Name: Phone #:
PROPERTY Last fl"t
OWNER
Sheet
CHy
State:
Zip:
Companvr'll, ?•`Pnone q: '?54a 7 73
(area code) CONiitACTOR Sheet Address: 9960 G•6(/dtit/?-?ti llcense • e2L?I?Exp?"6L
ciy, l?1,4? swte: YIZ/i zip: 55391
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regi,gtrarion fl:
Cpy State: Zip:
Y(?6-//?? {?-1-?- / ?s Fs? -
Sewer/water licensed plumber (if ir?stalflna sewedwater) : v? 1- l" - Phone #:
I hereby acknowledge fFwt I have read lhis applicatbn, state thaf Nre Womnation Is cortecf, and agree to complY wNh atl aPPgcoble State
of Minnesota Statutes and Cily of Eagan Ordinances. A ,.. . A _
Signafure of ApptlcanY.
OFPICE USE ONLY
Certiflcates of Survey Received ?z Yes
Tree Preservation Plan Recefved - Yes
No '
-S?'No _ Not Required
OC7?0 S 2000 ?
OFFICE USE ONLY
Y
BUILDING PERMIT SUBTYPES
? 01 FoundaUon ? 07 OS-plex O 13 16-plex 0 21 Porch (3-sea.)
p 02 5F Dwelling O 08 08-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 0 18 Deck ? 23 Poroh (screened)
O 04 02-plex ? 10 08-plex d 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 1 aplex P;bg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bld9•
WORK TYPE
U) 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration 0 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appticant for demoittion permit
GENERAL INFORMATION
SAC Code O( # of Stories ? sq. ft.
No. of Units ! Length 9 sq. ft.
No. of Buildings Width sS Footprint sq. ft.
Const. (Actual) ??v Basement sq. ft. ! 7-2 7 Census Code
(Allowabie) 5"e/ Maip level . ft.
to
ed?
ft i7VS
3?F MC/ES System
Water
Cit
UBC Occupancy R-_-7 /
q.
L
. y
Zoning -I C, ar ? sq. ft. 73o Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Engineering
Variance
or
? 31 Ext. Alt - Mutti
? 33 Ext. Att - SF
? 36 Muld
17 5'
G6 l
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Permit
S/W Surcharge
Treatment PI.
PBrk Ded.
Trails Ded.
Other
Copies
7ota1: JSU'Tg -?
Valuation:
r7a7?rs
??xd? ??dL ?-
$ 0
e?
^ 175
a
?''?// 7 3 r? . -
l 74l5 iC .5`/ =
?z-
13 76?',)X 6-3/z
?av-? aq Q
'J36 fC ?(o =
SAC Units
% SAC
F LcE7 U?`1
.,
(SEE A7TACHMENTS)
Development ??W6 -rlz,? Tp4sS lSTotve.c_u.Aql 6r qw,
Lot Number ?J Block Number ??-
Address )CXXX "bA-,qe, 'C2EF, ?P_rSC
Builder UtNDEsRF,N BRC7S C'Dt-jSi- "CNG,
(IdtviA[."T - t, tv ('kt2U'LU ?+t(bN 6t2-QLa-W3Z)
Tree Protection Reauirements:
K
Replacement Trees:
-A
Attachments:
?s
Additional Notes:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during April 7 to July 31)
Therepeutic Pruning
Retaining Wall
Other:
Not Required
As Follows:
Yes
No
Cc) ON SiZc- mE'C[N6 W` SlZz, SUPC•R.
REC?,u1.Re? 'TU REvU5u, s(TIEIG9v)?oC-
RGS'CdR?'LIoN EFF0RT5 tN CQLiICqI,
tZS3'o T Zo r.? 0-P pRESE?-QU-o cxftK rT`a
????? ????STRY D4VIS'ON
RE9GEWE ?
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DA4E lO -2D 'W
H:\gh0ve\2000fi1e1treepreslTree Preservation Plan Summary-2000
(ll IT? /1T M1
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(943.5) lV86' 19'13u W t949.0) /
LEGEND
? T ? 9699 ?
ORAINAGE & UiILIN \ (S) DiNOlES SANIT/Ry yµHqE
OEN
. EASEMENT 956? N ?S ?FNOlES MYURANT
to E DfHO1E3 CA7pi BA9R!
I x 9s7.a \ ?e S OENOlES SAl1llTMY SE11ER
(O 95].9X N
I \ 41. w OEN0IES WAIEfWAIN
? I \ CT 57 pQNp7E5 SiORM SEYhR
ta? 0 DQ101E5 STORAI MANMd.E
y ? '[gi n CEN07E5 STOFW MRON
J I 1g8? g? 'Sa B? c?) ? g°? O DENOlES MARHO%
_ EMaiez'r
?? P?? 18 9h? ? .
? t D?x?- cININa.a i. _ cr?'?0? m x >
0 w ? IoE)s?` u 86 ?' . m?? h t? fD . r '
\?Y,5+9 ap ?r , f
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e 1? 0 8 < <g
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' • ° $9• ?23 ? /
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4%.
Co ?
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ROOF ?81
.AREA ? 8 SF.
? lAT AREA x . 18x ,
? 5 i propoeed Tap ot FouiWoUOn F]svatlon-982.0
\ ? 1 Pmpowd Lowest Floor davotlon- 9530
DENO'PiREE DEN01E3 1REE
T) 8 TO ?4ID
+
OAK 18 OAK 18
TREE SUMMARY
PROPOSED CONDIitONS
90NIFlCANT 1REE5 - 1
m¢s REuovm. o
pERCDITAGE OF
TREES RE1101RM O%
Al1.OWABLE
iFEE REMOVAL . 20[ - 0
SETBACKS
IdIN. FRONT YARD SE7PACIS a 30'
MIN. SIDE YARD SEiBAqC = 5, 15 BO7N SIDES
MIN. REAR YARD SElBACK = 15'
O
+ 000.0
+(000.0) Dswtes Iron Monument
oemw Existiny oaVwon
Daiota Propoted ?evattm
DOIIOG! ?!lC?IOII OI $YAOC!
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as part ef fhh survy.
I hanby aAHy that thb b a Nn oM wtroet roDreseMation
af a survay of tha 6aurWarlu d:
LOT S, BLOCK i, %NE7REE PA55 QfH AOUIItON
OANOTA COUNtt. MINNESOTA
MA tlw locotion W all buildinge, H mry. thsroon, wk a0 Neible
encroachmsnh. M arry• hom or on saM land. N eurvayed 6y
ms thle 28N Aq o( Se tam6x, 20W.
??? P G R. Gartnond
ttnsed Land Surveyw. Yinn. Lk. No. 24794
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NINCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
COUNTY: Dakota
STATE: MinrieSOta
ZONE: 2
CONSTRUCTION TYPE: Sirigle Family
DATE: 10-4-2000
DATE OF PLANS: 10-4-00
TITLE: Aampton "B"
PROJECT INFORMATION:
Zimmerman .
1513 Pinetree Pass
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Construction
NOTES:
(3) Oversized window wells at lower level
COMPLIAL3CE: PASSES
Required UA = 565
Your Home = 477
15.6% Better Than Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Per imeter R-Value R-Value U-Value IIA
------------------------ ---
CEILING5 -----
2073
44.0
0.0 .
56
WALLS: Wood Frame, 16" O.C. 93 19.0 2.0 5
WALLS: Wood Frame, 16" O.C. 1361 19.0 2.0 76
WALLS: Wood Frame, 16" O.C. 1536 19.0 2.0 86
BSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 139 10.0 0.0 8
GLAZZNG: Windows or poors, Above Grade 105 0.350 37
GLAZING: Windows or poors, Above Grade 144 0.350 50
GLAZING: Windows or poors, Above Grade 380 0.350 133
DOORS 38 0.350 13
FLOORS: Over Unconditioned Space 319 30.0 0.0 11
FLOORS: Over Outside Air 48 30.0 0.0 2
HVAC EQUIPMENT: Furnace, 90.0 AFUE
-
---------
---------------------
-----
--------------------------------------
COMPLIANCE STATEMENT: The proposed bu -----
ilding design d escribed here is
consistent with the building plans, sp ecific ations, a nd other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of - he Minnesota En ergy Code.
Builder/Designer ? Date 1,04' 00
Site address: I-?S ..??PAene.?'"1t,c?j i6jodoo Lot ? 81ock L Subd. PAr16?/l.GV 6`?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: Is coostructed to meet minimum requirements o( the Mn Energy Code, Chapier 7670
" OR
?C This structure: will be constructed to meet more reslrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
water Healer X 40,000 f V11110
Furnace X
D
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's YENTED
ves No
Kitchen kitchen
Bathroom 1
fF4j
J'?O
X
Bathroom 2 (A
eathroom 3 &&*N CF 50 5 D Y
Baihroom 4 ?? A) ? S
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIqECT ATMOS
TR- am
f ? ^ /L 7 00o X
MAKE-UP AIR MODEL TYPE CFM's '
2. D ct, I
i hereby acknowledge that Ihe above information is correct and agree to comply with the Minnesola Energy Code and City of Eagan
requirements. ,
/O ? 9-OO
Sig atu Dafe
CompanY ?•;a??;e
This form is the respnnsibility of the General Contractor,
LundgreR
. 0
Your Neighborhood Builder
5Y5TEM
2 PLAN
FL.
J
Q
?
Z
a
LL
?
\
\
2X4 STUDS
"
m24
O.C.
R-II BATT
INSUL. BETW.
STUDS
MATERIALS
GONCi2ETE: 3000 P51 m 28 DAYS
AGCsREGATE: FTG. -I I12" MAX
WALLS - 3/4" MAX
REINFORCINCs: AStM A615 GR4DE 60
6R4NULAi2 t LIGNT GLA7 ( CsROUP II I
BAGKFILL: ECxJIVALENT FLUID PRE35URE
( )= 45 PGF
51MPSON
A34 ANGH'i2
W/ 4 IOd NAILS
OF J019EG NS, t.5. II
I
I/Z" IJIIA. x Im" ANGHOR
BOL?f AT -2" O.C.
MIi?{i l" EMBEDMENT
? GR4DE, MIN. 8° BELOW SILL
06-V RT. m 36" O.C.
C4J 04-HORIZ. ON TIES
vAPOR UTATER PROOFING
BARRIER >.
04-24" DOWEL s 6'-0" O.G '8" T, POURED CONC.
GONG SLA ?•: j FOUNDATION WALL
20 x FOO?INCs
. '... .D. ..
?
fTRJ 2x6 51LL f'LATE
W/ SILL 5EALEi2
W/ MIN, f2J A.B. WITFI ONE
WITHIN EA. END
Addendum Number: pate: oct. 4, 2000
Lot: 3 5IOGk: 1 ,???ItloYl: ro
AC{olregs: 1513 Pin(stree Pass
5uysr Name: Zimmerman Residencs
j:)evelopmert StoneclifFs
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
?
lyH1/DITSON
PROPERN LEGAL: _47r 3?GOC?' I/?zi?E7A' E' r.4S5 6
h DATE OF SURVEY: 9-Z 7' O?
H
?
W
LATEST REVISfON:
?
?
0 DOCUMENTSTANDARDS
O Q
¢
? ? • Registered Land Surveyor signature and company
? ? ? • Building Permit Applicant
? ? ? • Legaldescription
[p? ?
? ? • Address
d scale
N
h
o ? arrow an
ort
•
?
q/ o • House type (rambler, walkout, split w/o, spld entry, lookout, etc.)
/
R7 ? .
_
? • Directional drainage arrows with sloppJgredient %
?
? ? • ProposedlexassUng sewer and water services & invert elevatlon
f
q? ? ? . Street name
r? ? ? . Driveway
? ? • Lot Square Footage
?f a ? • Lot Coverege
ELEVATIONS
Ew'stina
bl/a ? • Sewer service (or Proposed)
V, ? ? • Property comers
dr/ ? ? • Top of curb at the driveway
a' ? ? • Elevations of any ebsting adjacent homes
a d ? Adequate foo6ng depth of structures due to adjacent u61iry Venches
Pro ose
o ? • Garagefloor
?
V ? • Firstfloar
? ? ? • Lowest exposed elevatlon (walkouVwindow)
q/ ?
? ? • Property comers
q
? ? • Front and rear of home at the Foundation
PONDING AREA ('rf apdicable)
? t? a . EasemeM Pne
? m?? . NWL
a d a • FNUL
a m/ p • Pond # designatlon
? w/ a . Emergency Overriow EJevation
V ? ?
m/ o ?
c? ? ?
G/ a ?
p' ? /?
? ?e' ?
DIMENSIONS
• Lot IinesBearings & dimensians
• Rightaf-way and sVeet width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', parches, etc.
(i.e. ali sWCturea requiring permaneMfootings)
• Shaw all easements of record and any City utili6es within those easemenb
• Setbacks ot proposed structure and sidoyard aetback of adjacent ebstlng structures
• Retaining wall requlrements, if any ? Z'7 ?
Reviewed:
/d /d aa
! Date
I
March 1999
cnnKVeLocane.rt.fla
INSPEdC'TION RECORD
City of Eagan Permit 1ype: Building
3830 PILOT KNOB RD PeimitNumber: EA046802
EAGAN, [vIIN 55122 P-10-9 4- Date Issued: 08/23/2041
(651) 681-4675 G Bl - 410 fd?
Site Address: Applicant:
1513 Rinetree Pass
Lot:3 Blcek:l
14-57665-030-01
Fermit Subtype:
Porch (screened)
Descriptian:
Addition: Pinetree Pass 61h
Postiex Mazk
952-440-7506
Type of Work:
New
Use/Business:
??T1a h-,??l.?ib.h?'?N ?•' y? ?..16"•ti?} ?? ?? , a? ..?..v
Foorings 1 19 ' 2,' : 0 j JC? Framulg
Final - No C.O. Required
Improvemenu to home xequires smoke dectectors to all existing bedrooms.
Separate permit required for any plumbing and electrical work.
Ca11 952-44 5-2$40 regazding electrical pemut and inspecrion. (T7/hm)
Fpl-fi
? 6F
*ContracWr is responsible for erosion contro4 ?
' House #s required for final.
z"' City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
F ce
Permit #: 126 Ba
Permit Fee: 155 • 15
Date Received: I l i 1 109
Staff:
ice(
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 % 13 1 Ge( Site Address: 15-13 P, e_+,
Tenant: Suite #:
RESIDENT / OWNER
Name: Oe. core \A 2-i rvnivne: (Vert
Address / City / Zip: 51.3 Pi- r e --Ery
Applicant is: Owner >i Contractor
Phone:
& 5 ) 7S-5- 4v Cv
TYPE OF WORK
Description of work: 1e. - r / Re s 6e,
Construction Cost: a a 3 00Multi-Family Building: (Yes
/ No K )
CONTRACTOR
Name: EVc�rc reeA C f�c�$�� tet. � cn CUM?
_1
Address: 770 Qfn.yMc,n3 AVS
City:
Phone:
License #: aC ,--1 7 2 Q
State: M IJ Zip: .57.5- i) t
COSI .301 3 i 30 Contact Person: Pc -Ar c\_L Mb<'�Ct
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Pians and supporting documents'that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide speck reasons tint would per alt the City fo
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 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 pla
x W+t tc.k,n._
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Jan:25`2013 10:33 AM Scott Ricks
Date:
CityofEaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5694
7637125840 PAGE. 1/ 2
........,...,...,..._r..........
For Office Use
Permit #:
Permit Fee:
S22.31
Date Received: I - � 1
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit ft:
Resident/
Owner
Name: I D,1i W4 yel C Phone: /Z-3Er7-SZ70
�1
Address / City /Zip: /573 ®< * c-% , A
Applicant is: Owner JEL Contractor
Z AA/J/45y. 2.tM4.,.
Type of Work
Con rector
�-J ,...»
D//e///scriipttiion work: - 4,04L f1i kAe- 5k0 '" � 1-4" 6' Me- ' ,f
f onstruction Cost. ''� ? Multi -Family Building: (Yes / No )
Company:IrjAWr (44.1‘O Vvr) a^ACeiSi-ruckc,Contact: SCs..\- - W ak\,-4'k—
Address: 2A ` -k Lk &S•V Si— in J City: AA k6 vt. C'
State: xY\v\_ Zip: Phone: 7G "S --355 — 79 9 2
..M.1(2_9_
License#: £C(rr 3 0 .. 6? Lead Certificate#: f\& ^ SO 02-k- 1
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of
the information may be classified as non-public If you provide specific reasons that would permit the C ty to
conclude that they are trade secrets.
c/jLL BEFQRE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. CaII 48 hours
before you Intend to dig to receive locates of underground utilities. yrvwv.00pherstateonec&ll,orn
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 remit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
1/1Z1116/
Applicant's Printed Name
77/-1"Idte
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
le
1'3E1
SUB TYPES
Foundation Fireplace
4* Single Family Garage
Multi Deck
01 of _ Plex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
ITIS
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
(25% 100%
Census Code 34/
#of Units 1
# of Buildings
Type of Construction
1
ya
n_e_4(.,_ Of -CS
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Siding Demolish Building*
Reroof Demolish Interior
_ Windows Demolish Foundation
Egress Window 41- Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy ,Z RG -1 MCES System
Code Edition
Zoning
Stories
Square Feet -- PRV
Length
Width
SAC Units
R-1 City Water
Booster Pump
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
141- Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Pit
¥@ X5-11
Fire Sprinklers
Meter Size:
Final / C.O. Required
ie. Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
02/05/2013 04:25 7637535125
411/' City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675-5675
Fax: (651) 675-5694
NOWTHEN PLUMBING
PAGE 02/02
Use BLUE or BLACK Ink
For Office Use% 1( %� "�
Permit #: it( 0
OW
Permll Fee: (,(;)
Date Received;
Staff: Yr)._
rr 1I2Z2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
11t
Date: a `' (J Site Address:
Tenant:
a 55
Resident/Owner
Contractor
Type of Work
Permit Type
Name:
Suite #:
Phone:
Address / City / Zip:
Name, ND 41'e /1 i 1 i. y% 1/1-1' i/rVW
G•
Address:s
State: it AJ
Contact:
Zip:
G52 ?t)
License #:
City:
O1a2.1g2P
Phone: 710� /J"✓�' 21
Email: jilfi ( hobo
New Replacement / Repair Rebuild Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (� RPZ / _ PVB)
Septic System
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes 55.00 State Surcharge)
'Water Turnaround (add $200.00 if a 5/5" meter is required)
$105.00 Septic System New (510.00 per as built) (includes County fee and $5.00 State Surcharge)
---� TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Can at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. Iw..._ggatieiggleoneca,liorO
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 9 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.
`Water Softener
Add Plumbing Fixtures (a Main / _ Lower Level)
Water Turnaround
x
Appli
rated Name
FOR OFFICE USE Reviewed By; - Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test ,Final
AMe
x Ue>g' & e H=t -P4 --
Applicant's signature
-Feb.26.2013 11:27 AM Scott Ricks
*City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5894
7637125840 PAGE. 1/ 3
MV_ w11.v- yY. .v.t .....
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address:
Resident/
Owner
Name: 1 6 t''v\ W z 1 y e_1-)2.. Phone: 4/2 -,� i'7,,- 5270
0
Address / City / Zip: 1 C 1 P 1 ‘1.. I- ---<- R. e cit ) a cc c' c-.^"
Applicant is: Owner 4= Contractor
Type Of WorkDescription
of work: i rt s L\ k b•1" -t- L., ,' J. 4 L w 00, it\ e rtf./%`c.t\
. Cl
Construction Cost: 7 i ltr
et C) Multi -Family Building: (Yes / No''
Contractor
c,
Company: 1,t�)`, \�. „Vv,Cks-\ inn
Company: 763 --,SS. 7112
Cue. It (Contact
�4.
Address: 7 L S t•-, c.. v\,0.1e-e Q.J\ City: 0 r„ k. G rcn-..
State: 'M Zip: 550 I iPhone; 763 - 5 Z
5. 7(1ri
,2
License #: 1� C O 3h V Lead Certificate #: 11c .\. – S 0 ()ZS' •4
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:....,._.,.
NOTE: Plans and
the Information
Phone:
Phone:
Phone:
supporting documents that you submit are considered to be public Information. Portions of
may be classified as nonpublic if you provide specific reasons that would permit the City to
Conclude that the are trade secrets.
CAIJ.., BEFORE YOM DIG. Call Gopher State One CaII at (661) 464-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherekteonecalLorg
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
Sagan: 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 they 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 meet be completed within 180
days of permit Iseuanoe.
x_ LS co) -4,
Applicant's Printed Name
•
X: 'J
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% ✓)
Census Code
# of Units
# of Buildings
Type of Construction
Move Building
Fire Repair
Repair
6 oaO
34(
1
f C k‘ekr- S
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Storm Damage
Exterior Alteration
Exterior Alteration
Miscellaneous
(Single Family)
(Multi)
Siding Demolish Building*
Reroof Demolish Interior
Windows_ Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy eT,tc, j,, MCES System
Code Edition ,Z, c,G7 SAC Units
Zoning City Water
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test Final
)4- Insulation
Sheathing
Sheetrock
Reviewed By:
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test
Other:
Pool: _Footings Air/Gas Tests Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
Gas Line Air Test
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3.Z 75- 11/ tit/ pie'
6#605r___
aao
4-6 4
1 ' 25(t
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154518
Date Issued:03/27/2019
Permit Category:ePermit
Site Address: 1513 Pinetree Pass
Lot:3 Block: 1 Addition: Pinetree Pass 6th
PID:10-57665-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Thomas G Wiegele
1513 Pinetree Pass
Eagan MN 55122
(612) 387-5270
Water Heaters Now Inc
23310 Canby Ave
Faribault MN 55021
(952) 688-2222
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172217
Date Issued:09/21/2021
Permit Category:ePermit
Site Address: 1513 Pinetree Pass
Lot:3 Block: 1 Addition: Pinetree Pass 6th
PID:10-57665-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas G Wiegele
1513 Pinetree Pass
Eagan MN 55122
Murza Construction LLC
8208 125th St
Savage MN 55378
(612) 226-9038
Applicant/Permitee: Signature Issued By: Signature