1490 Pinetree TrG'1-9 7?
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
'
tga
New ConsWction Reaufrements RemodeUReoalr Reaui2menls
3 registe2d site surveys showirg sq. ft o( bt, sq. ft of iwuse; and all roofed areas 2 oop'ies of plan
(20%maximum bt coversge allowed) 1 set ot Eneigy Calculations for heated atldilions 2 copies of plan showing beam & window s¢es; poured found design, e?. 7 sria survey for addNOns & decks
1 set o( Fsergy Calailations AddiUon - indicafe i? on-s8e septic system mm
3 copies W Tree Preservafbn Plan if lot plafled aRer 711193
Rim Joist Detail Options selection shcet (bldgs with 3 or less units
Date ?6 / ao (: / Cl 4
kU?O6U .aU
Construcdon Cost
Site Address \YRQ Q...e 7-\ree. UnidSte #
DescriptiouoFWork kV4
Multi-Family Bldg _ Y )C N Fireplace(s) _ 0 K 1 _ 2
PropertyOwner sW't', Ale\sor? Telephone#(6??- ) 3?.1 ^ 1?\yl
Coutractor 9ue
Address kyzr?`t c3 f? City z-
State sVluv,r W'k?? ZipS.:j3?l'6 Telephane#((?\2 ) R1S
COMPLETE THIS AREA ONLY IF
Energy Code Category M?esota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Wodcsheet
(4 submission type) Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Epgan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residenrial Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tlus 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.
A NEW BUILDING
Mivnesota Rules 7672
• New Energy Code Worksheet
SubmiNed
?o? gc?eu.wf ??
Applicant's Print Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 77 10-plex Ej( 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgiY 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
d' 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 7 6 0 0 Occupancy MCES System
Census Code 43 cl/ Zoning R i City Water
SAC Units -? Stories Booster Pump
# of Units O Sq. Ft. PRV
# of Bldgs / Length Fire Sprinklered
Type of Const -t N Width
_ Footings (new bldg)
? Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
Y Framing
'6 Fireplace _ R.I. _ Air Test _ Final
jx Insulation
REQUIRED INSPECTIONS
FinallC.O.
IV FinallNo C.O.
_L Plumbing
Y HVAC
Other
Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
3~O`t
Approved By: .S P '-a , Building Inspector
Base Fee
Surcharge
Plan Review
MC(ES SAC
City SAC
Utiliky Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
"aos
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675
Please comptete foc single family dwellings & townhomes/condos when permits aze required for each unit
J0'SO
q
Date
)
Site Address l1- ??
o'I t- 1rC`- /p / Unit #
Property Owner Telephone # ( )
?
Contractor s"'? G O )?
f?'e ir'?Mg °F+QPv- .1-Nc ,
Street Address 1. V, ?J 9 J? I City
State ?/1 Y? • Zip S?D G g Telephane #(b/ Z. ) 3g 6- 5 3 73
Bond #: Expires: 44?DD ?
?
The Applicant is _ Owner ? Contracmr _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
_ air conditioner New
r
Q
? ReplaCement
(?
Q.
other r
State Surcharge $ 50
To« SEP 0 8 2004 $ 300
ey
I hereby apply for a Residential Mechanical Permit and acknowledge that the informahon is comp ete an accurate; that the work will
be in conFormance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a pemvt, and work is not to start wiUiout a rmit; that the k will be in accordance with the
approved plan in the case of woxk which requires a review and approval a
ApplicanYs Printed Name App icant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Kaob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Tetephone q ( )
Contractor
Street Address City
'
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see be(ow
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector
PermiY Fees: $70.50 Underground tank installatioNremoval
$SOSO Miximum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 =:> $ State Surchazge
If Qe rmit fee is over $1,000, add $.50 for
every $ 1,000 ermit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 approva] of plans.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector
1--? ? ? ?? 10 ?? ?'i ? I S?l? o-?'? -kd
RESIDENTIAI. BUILDING
S 7?P 70, Sp Permit Application
Y)p, yo• s? City Of Eagan
s g 1e J$ ilot Knob Road, Eagan Mn 55122 ?-- ? 7
5W 51611 Telephone # 651-67 5675 FAX c#/ 615?1't-7675-5694
NewConstrudionReouirements R??e eVRePairRe?iremenfs UseOnl
3 registered site surveys showi? sq. tt of IoL sq• ft of house; and all roofed areas 2 wpies of plan rt of Survey Recd
(20% maximum lol wverage all(ywed) 7 set of Energy CalculaUons for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey tor addNons & decks Tree Pres Not Reqd
lsetofEneryyCalculatlons Add'rGbn-ind'rcateifonaitesepflcsystem OnsiteSepticSystem
3 copies of Tree Preservatlon Plan if Iot platted after 711193
Rim Joist Detail Opfbns selection sheat-(hldgs with 3 or less unRs
Date C?
Site Address Construction Cost
UniUSte #
Description of Work l??I'1C s?rL4 G?-?-
Multi-Family Bldg _ Y>c N Fireplace(s) _ 0 JC 1 _ 2
Praperty Owner Telephone #(q? ) L}lz7f?- LSID
Contractor t5I M
Address
State Mhi / a.3l5'- u? City ?
Telephone # (cl5-1-) 4&G/ ? (?(o
COMPLETE THIS AREA ONLY IF CONSTR
Energy Code Category ? Minnesota Rules 7670 Categorv 1
• Residenfial Ventilation Category 1 Worksheet
(J submission type) Su6mitled
• Energy Envelope Calculations Su6mitted
Licensed Plumber 1'V'e c+? ?
Mechanical Contractor
Sewer/Water Coniractor
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Su6mitted
Telephone #((,?6) ?S? 1 S?S
Telephone #(bla)
MRY 1 ° 2003 1
I hereby apply for a Residential Building Permit and acknowletY& that the i
that the work will be in conformance with the ordinances and igp_ o she
Statutes; I understand this is not a permit, but only an application o a m
pemut; that the work will be in accordance with the approved plan ? t ca
approval of plans.
Applicant's Printed Name Applican' Signature
is complete and accurate;
an and the State of MN
is not to start without a
ch requires a review and
OFFICE USE ONLY
Sun Types
?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
V 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Leve1 ? 24 Storm Damage
? 08 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation O 000
Census Code /O/
SAC Units Q /
Nbr. of Units 0/
Nbr. of Bldgs a/
Type of Const 4?4
? Foorings (new bldg)
_ Footings(deck)
Footings (addition)
? Foundation L?t ocK
Drain Tile
Roof Ice& Water ? Final
e? Framing
,X Fireplace Z R.I. _XAir Test ? Final
0 Insulation
? 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 (Entfre Bldg) • Give PCA handout to applicant
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
???
5,9 a,?f.? 7
1g` rI-eo2 /6jt@
?2"° rLe,qL 1"ma
Occupancy ?-3
Zoning 2- ?
Stories
Sq. Ft.
Length
Width
MC/ES System -
City Water "-
Booster Pump "-
PRV
Fire Sprinklered -
REQUIRED INSPECTIONS
? FinaUC.O.
FinallNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (new/replacement)
? Retaining Wall
Building Inspector
lNtiy
v5
Ij2
? ?00
/363?
?3 ?g
?G
?c? 3 5?2-
Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Software Version 3.3 Release lc
Data filename: I:\Energy CalcsUMECVVIn\03-210.cck
TITLE:#03-210
COiJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 05/19/03
PROJECT INFORMATION:
SCOTT & SUE NELSON
COMPANY RVFORMATION:
THOMAS J MAUER CONST
COMPLIANCE: Passes
Maximum UA = 538
Your Home = 423
21.4% Better Than Code
Ceiling 1: Flat Ceiling or Scissor Tmss
Wall 1: Wood Frame, 16" o.c.
Window ]: Above Grade, Wood Frame, Double Pane with Low-E
Door 1: Solid
Door 2: Solid
Door 3: Glass
Basement Wall 1:
Solid Concrete or Masonry, 8.8' hU82' bg/8.8' insul
Basement Wa112:
Solid Concrete or Masonry, 3.5' hU3.0' bg/3.5' insul
Floor 1: All-Wood JoisUTruss, Over Outside Air
Floor 2: All-Wood JoisUTruss, Over Unconditioned Space
Furnace 1: Forced Hot Air, 90 AFUE
Proposed and Maximum U-Factor Averages
Above-Grade Windows and Glass Doors
Includes Foundation Windows > 5.6 ft2
Floors Over Unconditioned Space
Checked By/Date
Gross
Area or Caviry Cont.
Perimeter R-Value R-Value
1828 44,0 0.0
3594 19.0 2.0
484
18
40
40
112 11.0 0.0
42 11.0 0.0
121 38.0 0.0
64 38.0 0.0
Proposed
Average U-Factor
0.330
0.026
Glazing
or poor
U-Factor UA
49
169
0.330 160
0.230 4
0.350 14
0.330 13
Maximum
Allowed U-Factor
0.370
0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitCed with the permit application. The proposed building has been
designed to meet [he 2000 Minnesota Energy Code xequirements in MECcheck Veision 33 Release lc and to
comply with the mandatory cequitements li'sted in the MECcheck Inspection Checklist.
Builder/Designer ?
.
o?Fc??F?? co?Y
(SEE ATfACHMENTS)
Development l? ?om WC`WTS Z? KIbD,
Lot Number
Block Number Z
Address
Builder
V-lGlO -pl NG -tfz? E"
-Fftvnru 7• IAAu.RU2 eG1.sS-f,
CU6JZt?G"t ? ?f7YV? ?'+'I?LtZ?i2.
?o ?E °• ?S z - ??,a - br6?
Tree Protection Reauirements:
? Tree Fencing
Oak Tree Pruning (immediately seal wounds durfng April'I to July 31)
Therapeutic Pruning
Retaining Wall
Other: Replacement Trees:
---j_ Not Required ? ?
As Follows:
Attachments:
Yes
No • ?v
DATE
Additional Notes:
HAgh0ve\2002fi1e1treepres\Tree Preservation Plan Summary-2002
?'??. THOMAS J. MAURER CONSTRUCTION
J nG
17?
RO
I CONSULTING ENdNEERS,
PIANNEfiS ond LAND SURVEYORS PROJECY N0. 11622.00
OINEERING
CN B?K
COMPRNY, INC.
L 1000 EAST 146N S7REET, BURNSYILLE, MINNESOTA 55337 PH 432-3000 ".
CERTIFICATE OF SURVEY
Legal Description: Lor 1. BLOCK 2, WALDEN HEIGHTS 2ND ADDITION,
DAKOTA COUNTY. MINNESOTA.
F91E-a7 DENOTES EXISTING ELEVATION
(922.r DENOTES PROPOSED ELEVATION
r--? INDICATES DIRECTION OF SURFACE DRAINAGE
.67 a
• 922 FINISHED GARAGE FLOOR ELEVA'f10N
?? = BASEMENT FLOOR ELEVATION
92567 = TOP OF FOUNDATION ELEVATION
SCALE : 1° = 30'
LOT AREA=12133 S.F.
HOUSE AREA=2425 S.F. (INCLUDING CANTS)
coue,ea6E = i9. 99 °,
66?c11 /h9Q11_ : 7I?H /f7 L 3 -Q2.
E[F? = 936,86
AI.A4E55: 1490 P11VE7,pn5 TRf}/L
We 7Y,"e: ruc /lAI?5? 7wo 577o,ey
..
A2vi6A44?E-510tuex'?r
PIN?ftEE ??
n?N C8?
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R= 46 . 29 YO. " iM,.;yin.z ?c
18?U ? -
O
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ag
Zga?c:e?
5
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R22,6 ?
g zo.so N iz.
?9' 17.50 ?
22.00 S I GARAGE
POSED
" V Rop-4G
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6.00 e
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C'AR.
Exir/11%16
yousE
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a5a - ti?.9-bs? 8
77;k-L/? _k -? .
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51 ? LOT 1 ?
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"(4
1$B*ZS'45"E ?ORAINAGE AND
UTILIT7 EASEMENT
PAGE
I hereby certify thot this is a true and correct representotion of a tract as shown and described
hareon. As prepared by me this /6?N? day of?/'a? , 2003.
4e-W /PJO" Mfnn. Reg. No. 196?6
w
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPER7Y LEGAL:
1
DATE OF SURVEY: D 3
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LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Survayor signature and company
. Building 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/existing sewer and water services S invert elevatlon
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
• Sewer service (or Proposed)
. Property comers
• Top of curb at the driveway and property lina extensions
• Elevations of any existing adjacent homes
• Adequate footing depth ot sWctures due to adjacent utllily trenches
. Watenvays (pond, stream, etc.)
Prooosed
??F7 0 • Garage floor •
9?
o 0 • Basement floor
0 • Lowest exposed elevation (waikouf/window)
0 • Property comers
d? 0 • Front and rear of home at the foundation
?
? fo
? ? ?
? fd( ?
? ? ?
? q? ?
?
Q ?
? ?
n
? ?
PONDING AREA (if apolicable)
• Easement line
• NWL
. HWL
• Pond # designation
• Emergency Overflow Elevation
• Pond/Wedand bufferdelineation
DIMENSIONS
• Lot Iinesf8earings 8 dimensions
• Right-of-way and street width (to back of curb)
• Pruposed home dimensions inGuding any proposed decks, overhangs greater fhan 2', porches, etc.
(i.e. all sWctures requiring permanent footlngs)
• Show all easements of record and any City utilides within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing sWctures
• Retaining wall requireme
Reviewed:
G:lFORMSlBuilding Pertnit Applicadon
.
I7OI7E CONSULIING ENGINEERS,
PLANNERS and LAND SURVEYORS
VGINfftilNG
COMPRNY, iNC.
THOMAS J. MAURER CONSTRUCTION
?.. PROJECT N0. 11622.00
? BOOK
PAGE
? 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 \-'%
CERTIFICATE OF SURVEY
Legal Description: LoT 1 BLOCK 2 WALDEN HEIGHTS 2ND ADDITION
DAKOTA COUNTY MINNESOTA.
(?°•-o? DENOTES EXISTING ELEVATION
?QY 2 ? ?E? ?q22. DENOTES PROPOSED ELEVATION
y INDICATES DIRECTION OF SURFACE DRAINAGE
92 67 = FINISHED GARAGE FLOOR ELEYATION
9Z 7-- CO•- = BASEMENT FLOOR ELEVATION
_YG?bL = TOP OF FOUNDATION ELEVATION
i
?
SCALE : 1' = 30
LOT AREA=12133 S.F.
HOl15E AREA=2425 S.F. (INCLUDING CANTS) _
CoueRAGE _/9, 99 °a -?__.,_,?
BC-r/uf 7NH /f7 G 3 -62 . 1 ''?''?.?..?`7fir ?JEPT. ?
ELEv = 936,86 4
gDDRC55 : I490 PrNE7? 7,eyi? pINETREE TJ
MN ?g ai9? Zp,39 0
{{ouSE 7YFe: FuGC Two SToRy Lg?97?? i0n Cj/L?
D2oP6A?' -sldeta?rir? ??? 1-?f .26 2 " 920.7 °
fr1uG?
R? 4 .29 26 . 5-7
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of Rata+nin9 ? ? ? ? (92z,?w
uiced o? ? a ??, 22.6 -z.? ? x G??•
BeR? aR9 0 20.50 S 12.00
?
19. o13.50 °
I GARAGE
(V pROPOSEDI DRoP-4? N
o L ? 18.00 ?.ss ° HOUSE ezs`
5.0016
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? - u ? m ?.rorr 44.00 r' z
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?A?AItl N88•28'45??E DRAINAGE ANO
1? UTILITY EASEMENT
.191 1 1 j ?rl ?-• ^r- 'v?
?s.S,?• ?__ .i i ?J
By-
DATE
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this 161? day of MQS' , 2003.
l?? Minn. Reg. No. l9'9?6
Siteaddress IL'qC) f?NE`TREE 0-7, J-- lot -L siock a Subd.'VV4LD0rV tF?t6r4-rs
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 amstructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This sWcture: will 6e constructed to meet more restric6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater i/ fftm PA T-w Mk l(' a L/ ,5
Furnace pI A KrT ?Jr0 mcHU C) o! Di= J?O,a? .3" P(/G
Dryer t- ? oL- (?Ds 3 a w ?//C?i•?
EXHAUST SY5TEM
LQCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen Icitchen
Bathroom 1 2?euE`- Sl?k i?su. I?rns NZC ??- 07 VQ 7-
Bathroom 2 6 ?
Bathroom3 ,/?-6p7? ?br)
Bathroom4 fwUrI'CL(S
Other V111tC"I14- Vp sn "G -V-t) IlQ
FIREPLpCE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
OiRECT aTMOS
?Fccr?2 ? ea-. - N- GL.o
I hereby acknowledge that the above information is correct and
requirements.
J
?
Signa r
?
CompanyName
agree to comply with the Minnesota Energy Code and City of Eagan
?- ?? a 3
Date
' This form is the responsibility of the General Contractor.
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan ?9Q ,0
/ 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemotleVReuair Reouirements OfNce l)se Onl'v'
3 reg'stered sile surveys shaving sq, ft. of lok sq. ft. of house; and all roofed areas 2 mpies of plan Ceitof $upiey Recd Y ? N
(20%maximumbtcoveregeallaved) isetofEnergyCalculationsforheatedadditions Ti$qPresfilanResl
2 copies of plan showing beam & windax sizes; poured fouiM design, etc. 1 site survey for additions & decks Tteee Pres Required ? : Y N
isetofEnergyCalculatbns AddMion - indicatedonsitesepBcsystem Qn=siteSepAcSMm N.
3 copies of Tree Preservatian Plan if lot platled after 711193 '
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units
Da[e
SiteAddress U zj Construction Cost
UniUSte #
Description of Work bL-L. tt cLi t,x c-2e-A<--
Multi-Faroily Bldg _ Y? N Fireplace(s) _ 0 X 1 _ 2
Property Owner C?T{y 'F ??-?-? oa?, Telephone # kQ, I ) IQLJ6 - (1(x-?
Contractor
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilalion Category t Worksh • New Energy Code Worksheet
(J submission type) Submiited SubmiKed
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a simil Ipn?? ??/' N If so, 25% plan review
fee applies. V' ? ?
?
Licensed Plumber Telep? )
Mechanical Contractor one # ( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?wo-?,l
ApplicanYs Printed Name
izse? -?&?,
Applicant's Signature
OFFICE USE ONLY
Sub Types
'%? e
? 01 Foundation ? 07 05-plex [3 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
Work Types
?/ 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
-
`?1 32 Addition
?
? 36
Move Building ? 42
Demolish Foundation ? 45
Fire Repair
O 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolltion (Entire Bidg) • Give PCA handout to applicant
Valuation '?_10vv 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 ? Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Shtcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: :?__21 , 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
? ?J^
t.
1
RING
I COMPfiNY,
1000 EAST 146th
corrsuLnNC ENcINEERs,
PLANNERS and LAND SURVEYORS
INC.
THOMAS J. MAURER CONSTRUCTION
N\? PROJECT N0. 11622.00
STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 \L
CERTIFICATE OF SURVEY
Legal Description: LOT 1 BLOCK 2, WALDEN HEIGHTS 2ND ADDITION,
DAKOTA COUNTY, MINNESOTA. _
T°-o) DENOTES EXISTING ELEVATION
C92Z• DENOTES PROPOSED ELEVATION
Z? INDICATES DIRECTION OF SURFACE DRAINAGE
° .. = FINISHED GARAGE FLOOR ELEVATION
?700 = BASEMENT FLOOR ELEVATION
92567 = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30'
LOT AREA=12133 S.F.
HOUSE AREA=2425 S.F.
(INCLUDING CANTS)
CouEkAGE ; /9, 99 /
BENCN /hAQ/G : 77v/197 G 3 -62 ,
El,EV = 936,86
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DRAINAGE AND
UTILITY EASEMENT
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this 162' day of MA? , 2003.
?? /9?Minn. Reg. No. 19??6
BOOK
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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.
??, 57
Date I C?/ L
n
Site Street Address l v`1o fiai(I ee Unit #
PropertyOwner_??Gl? ? vcce /Ve(SOyl Telephone# (?05h (0ff-o3Ov
Contractor ? 8Iu e l?a?n I+U???n
Telephone# (0}) &C?-7ko
o
Address & 96 Ave S, City I??r?n?.??Gl State A? Zip 5-54;3
The Applicant is: _ Owner ? Contractor _Other
A tns to existing dwelling
i $ 50.00
And 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:
Water Softener Water Heatec $ 15.00
_ replacement _ additional
?Lawn Irrigation System RPZ ?ew _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 's
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 accorda ce with the approved plan in
the event a plan is required to be reviewed and approved. /`"- ?
ApplicanYs Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177908
Date Issued:07/25/2022
Permit Category:ePermit
Site Address: 1490 Pinetree Tr
Lot:001 Block: 002 Addition: Walden Heights 2nd
PID:10-83301-02-010
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 -
Scott A & Susan G Nelson
1490 Pinetree Trl
Eagan MN 55122
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature