1520 Pinetree TrRESIDENTIAL BUILDING Yn 'i o-c5b
?
, Permit Application cl O.lz?b
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWction Reouirements ?? modellReoav Reauirements ORke Use OnN
3 registered sde surveys showing sq, ft of bt, sq. ft. oF house: and all roofed areas ? 2 copies of plan 'PL? Cert of Survey ReW
-(20% maximum lot wverage albwed) 1 set o( Eneigy Calculations for heated additiNOns. Tree Pres Plan Recd
2 oopies of plan showing 6eam $,win0ow Skes; poureA found design, elc. 1 site survey for additions 8 dedcs )S-,Tree Pres Not Reqd
1 sel of Energy CalcuWtions ' ' ? - ?-.- - Add'rtion - mdicate ifon-sife septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted aRer 711/93
Rim Jast Detail Options selectlon sheet (Wdgs wiN 3 or less unils
Date / / /
4 / 0,5
SiteAddress (5-76 (/NE72
Construction Cost
C-c !KR-/L UnidSte# /
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Descriptian of Work ? ?-b
Multi-FamilyBldg _ Y? N AUG i}rf [u P
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Property Owner Telephone # ( )
Contractor f-.w1t)6-/ ZE17)626S. (_
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Address 51{.5
State m ti ?NDItF? ?
/"164WD E7 City ?)q)zdTj4
Zip t'j f-?q/ Telephone #(9?2)? f/- 7j- 0 CH3
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Su6mitted
• Energy Envelope Calculations Submifled
Licensed Plumber ?LRNDE2 HECNptJ)tA c-
Mechanical Contractor 15LRNIJE4-" I'7?C4IR?1C#I L,
Sewer/WaterContractor 'STfIP R-uiY76ln76r
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
'?y5``fL?`jZ
Telephone #(7!2)
Telephone#05z) 4qS-q(o?Z
Telephone#?) bgy-q1
7?
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
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
? J?(/ILLE??fl.p C(/l?. Wq.4C?-'L#/
Applicant?'s?Pri-nted Name ApplicanYs Signature ?
OFFICE USE ONLY
Sub Types
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool
x 02 SF Dwel ling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
/ 37 New
. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46
? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to appliwnt
Valuation O V <> Occupancy 12 3"'U
t MGES System _
Census Code /01 Zoning ? CityWater _
SAC Units Stories ? Booster Pump _
Nbr. of Units ! Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const vo_ Width _C7
Footings (new bldg)
? Footings(deck)
Footings (addirion)
?C Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace -? R.I. Y Au Test Y Final
Insulation
?
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
O 36 MuIG Misc.
Siding
Fire Repair
W indows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
! FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
L1,??d,?=; r ?-
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(2 30
6
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Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Sofrware Version 32 Release 1
Checked By/Date
TIT1.E: Denby "A" Inventory Home
COUNl'Y: Dakota
STAl'E. Minnesota
ZONE: ?
CONSTRUCTION TYPE: Smgle Family
D.AT E: 08/ 14%03
DATG OF PLANS: August 29, 2003
PROJECT INFORMATION:
5307
1520 Pinetrca "Crail
Sronecliffe
COMPANY INFORMATION:
Lundgren Bros. Construction
COMPLIANCE: Passes
Mlximum UA = 653
Your Homc = 590
9 6% Better Than Code
Gross Glazing?
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceilmg I: Flat Ceiling or Scissor Truss 1908 44.0 0.0 52
Wall 1: Wood Frame, 16" o.c. 79 19.0 0.0 2
W indow I: Above Grade, Wood Frame, Double Pane with Low-E 43 0320 14
W'all 2: Wood Frame, 16" o.c. 1674 19.0 0.0 82
W indow 2: Above Grade, Wood Frame, Double Pane with Low-E 248 0330 82
Door L Solid 38 0.067 3
Wall ;. Wood Frame, 16" o.c. l05 13.0 0.0 4
Window 3: Above Grade, Wood Prame, Double Pane with Low-E 53 0330 17
Wa114: Wood Frame, 16" o.c. 1584 19.0 0.0 86
W indow 4: Above Grade, Wood Frame, Double Pane with Low-E 124 0.330 41
W'all 5: Wood Frame, 16" o.c. 93 13.0 0.0 4
N'indow 5. Above Grade, Wood Frame, Double Pane with Low-E 39 0330 13
Wall 6: Wood Frame, 16" o.c. 408 0.0 12_0 40
Basement Wall l:
Solid Concrete or Masonry, 83' hU7.8' bg/83' insul 1652 0.0 5.0 137
Floor I: All-Wood JoisUTruss, Over Outside Air 52 30.0 0.0 Z
Floor 3: All-Wood JoisUTruss, Over Uoconditioned Space i45 30.0 09 11
Furnace I: Forced Hot Air, 90 AFUE
Proposcd and Maximum Lf-Factor Averages
Proposed Maximum
r
Average U-Factor Allowed U-Factor
Above-Gr1dc Windows and Glass Doors 0329 0.370
Includes I'oundation Windows> 5 6 ft2
Pluors Over Unconditioned Space 0.033 0.033
COMPLIANCE STATEMENT: Tlte proposed building desian described here is consistent with the building plans,
speciticatwns. and o[her calcula[ions submi[[ed with [he permit applica[ion. The proposed buildine has been
designed to meet the 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release I.
RuildedDesigncr ? )._?Da[e
F
LOT SURVEY CHECKLI3T FOR RESIDENTIAL
BUIIDING PERMIT APPUCATION
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PERTY LEGAL•
DATE OF SURVEY: Ff'-?o - O 3
LATEST REVISION: ?--1:7- d3
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?? ? • Registered Land Surveyor signature and wmpany
? ? ? • Buiiding PertnitApplicant
B' ? ? • Legal description
IK ? ? • Address
?. ? ? • North artow and scale
?? 0 • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
? R! • Directional drainage arrows with slopelgradient °k lq?
?? ? . Proposed/existing sewer and water services & invert elevation
? ? • Street name
? ? . Driveway
? ? ? • Lot Square Footage
?f ? ? • Lot Coverage
ELEVATIONS
Existin
? ? • Sewer service (or Proposed)
?$" ? ? . Property comers
,?,. ? C • Top of curb at the driveway and property line extensions
Q( ? C . Elevations of any existing adjacent homes
? ?9. ? • Adequate footing depth of shuctures due to adjacent utility Venches
x ? ? • Waterways (pond; stream, etc.)
Prooosed
pS, ? ? • Garage floor
Q. 0 ? . Basementfloor
?. ? ? - lowest exposed elevation (walkouUwindow)
0 ? • Properry comers
JK ? ? • Front and rear of home at the foundation
PONDING AREA (if applicablel
11 ? ? . Easement line
? ? ? • NWL
0 9y ? . HWL
? fj( ? • Pond # designation
? 5t ? • Emergency Overflow Elevation
0 x ? . PonMNetland buffer delineation
DIMENSIOfJS
? ? ? • Lot lineslBearings & dimensions
K ? ? • Right-of-way and street width (to back of curb)
X ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanentfootings)
Od ? ? • Show all easemenis of record and any City utilities within those easements
&K X ? W • Setbacks of proposed strudure and sitleyard setback of adjacent existing structures ?
? ? Ll • Retaining wall requirements, if any r
Reviewed:
Name ° Date
G:/FORMS/Buil ding Permd Applicadon
Siteaddress: /LZQ PINC-i2CE TGL9-6 i4. Lot-1 81ock3 Subd.V/N£TRE& /'RSS 3-L
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 construcfed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This sWcture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ? ?{J c ? 0 Q 0 ?l ?'i
Furnace UD? (2 D 26 GO c,
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
Kitchen kitchen
Bathroom i ,+t3 C FM 5-0 ?
Bathroom 2 tL _.y 2
a a?vr O? M 5-5 55 ?
Bathroom 3 STE?, a o ' rJD ( Q Q
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIqECT ATMOS
-?3 60 O o00 X
MAKE-UP AIR MODEL TYPE CFM's
EN Me- s ? --2. e ua-oc F- b ! 8
I hereby acknowledge ihat the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan
requiremenfs. ,
Signatur
??
Company Name
Date
' This form is ihe responsibiliry o( the General Contractor.
Address: 1520 Pinetree Tr
Lot: 7 Block: 3 Subdivision: Pinetree Pass 8th
Zip: 55123
THE FOLLOWING [TEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON . -0
Yes No Comments
Final grade - 6" from sidin
Permanent ste s- ara e
Permanent ste s- main entry ?
Permanent drivewa ,x
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch ?C
Lower level Snish
Deck X
Fire lace
• V erify with your builder that roof test caps from the plum6ing system have been removed.
• T urn off water supply to the outside lawn faucets before freeze potential exists.
• Call the Ciry's Engineering Department at 651-675-5646 prior to working in righUof-way or installing
irrigation system.
BUILDING iNSPECTOR:
CONTRACTOR:
Lundgren Brothers Construcrion
935 E. Wayzata Blvd
Wayzata MN 55391
40' City of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? Foi OlFice?Use I
j Pertnit #: I
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i Pertnit Fee: c, f)z) E I
? Date Received: ?
I 1
I Statt: I
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-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L7-25_(:?d Site Address:
?
Tenant: _1111A Suite #:
RESIDENTlOWNER Name: 2G??/(f Phone:?D??' 1123
Address / City ! Zip: cs f Y' ?.
Applicant is: ? Owner _.:i- Contractor
TYPE OF WORK /J
Descrip[ion of work: rG ?G?t
Construction Cast: $ ??- L?A?.? Mufti-Family Building: (Yes No A?j
CONTRACTOR
Name: L--'1 ?I I°U d I vn License k: 201L, 1-/c"102
&!?!r K C
Address: 9?1J J7at"'n Z s A L'f- Y1(/`e 'S OU+ ti
City: rp) C) 0"rl 11 O11 State: ?_ Zip:
Phone' 52' 257' U%O S Contact Person-71-0 ? C) 3 5 11) 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules Z6
Energy Code . Residential Ven6lation Category i Worksheet • New Ener ode Worksheet
Category sobmined su ' ed
(4 SubmlSSion type) • En Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issu rtnit for a simil/ n based on a master plan?
/
_Yes _No If yes, date and address of master plan: .
Licensed Plumber. Phone:
Mechanical Contrector. '
Sewer & Water Contrectflr:? Phone:
/
NOTE: PI and supporting documenfs that you submlf are consldered to be public informafio . orttons of
the ' ormatlon may be classiNed as non-pub/fc I/ you provlde speclrc reasons that would permit the to '
conclude that the are frede secrets.
I hereby acknowledge ihat this information is comptete and accurate; that the work will 6e in contormance vrith Ihe ordinances and codes of the City ot
Eagan; ihat I understand this is not a permit, bul only an application for a permit, and work is not to start without a permd; ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of planp?.,
x x
Applicant's Pr nted Name Applicani ture
Z
12
Page 1 of 3
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,PINETREE
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GARAGE 11.48 m
? (930.5)''a ( a3
(930.0) o ST P g27.93
72 21.0
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PROPOSED FULL ro (927•9?X
w BASEMENT A 4.02 -?
1520 PINETREE 18•5
1
30 15 0 15 30 60
SCAIEIN FEET
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or R?faining NVaA fAljp `
88 ?? DRqINAGE & UTILI7Y
QUlr8p1 5I __ EASEMENT _- ?
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(943.3) N186°191,
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LEGEND
O DENOTES SANITARY MANHOLE
' ?? DENOTES ITYDRANT '
? DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTESSTORM SEWER
? DENOTESSTORM MANHOLE
s ^ DENOTES STORM APRON
= -•- DENOTES APPROXIMATE REAR OF BUILDING PAD
?
. SETBACKS
MIN. FRONT YARD SETBACK = 30'
i?MIN. SIDE YARD SETBACK = 5', 10' BOTH SIDES
MIN. REAR YARD SETBACK = 15'
PROPOSED GARAGE FLOOR ELEVATION= 930.0
PROPOSED TOP OF FOUNDATION ELEVATION= 931.0
PROPOSEO BASEMENT FLOOR ELEVATION= 923.0
? NOTE: MUST MAINTAIN A MINIMUM 2% SLOPE GRADIENT
TO MAINTAIN POSITIVE SITE DRAINAGE
-3 1 6j
ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS
OF A FOOT AND CAN 8E USED AS BENCHMARKS.
p DENOTESIRON
MONUMENT
% 000.0 DENOTES EXISTING
ELEVATION
(OOD.O) DENOTES PROPOSED
ELEVATION
? DENOTES DIRECTION
OF SURFACE DRAINAGE
g7g,p DENOTES SANITARY
SEWER SERVICE ELEVATION
A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR
NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR
NON-EXISTENCE OF RECORDED OR UNRECORDED
EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF
THIS SURVEY.
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
HARDCOVER TREE SUMMARY
LOT AREA = 14,143 S.F. EXISTING TREES = 0
HOUSEAREA= 2,290S.F. TREESREMOVED=O
NOTES: COVERAGE= 16.19%
BUILDING PAD CORRECTION PER GRADING PLAN APPROVED BY THE CITY OF EAGAN. THE CONTRACTOR
SHALL BE RESPONSIBLE FOR THE FIELD VERIFICATION Of THE EXACT LOCATION OF THE BUILDING PAD.
MUST MAINTAIN A MINIMUM 2'Ya SLOPE GRADIENT TO ACCOMODATE POSITIVE SITE DRAINAGE.
LOT 7, BLOCK 3, PINETREE PASS STH ADDITION
DAKOTA COUNTY, MINNESOTA
AND THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND
ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID
LAND. AS SURVEYED BY ME THIS 5TH DAY OF JULY, 2003.
NORTH
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CHECKED
DBP
DATE
08/D6/03
SCALE
AS SHOWN
JOB NO.
5402-723
Gary R. Germond
Licensed Land Surveyor, Minn. Lic. No. 24764
. t.
Use BLUE or BLACK Ink
7
For Olde Use
::::
1311
Cityof Eaii ' j�
: l f Ol ((��•��
3830 Pilot Knob Road
Eagan MN 55122 Date Received:/1-9-/6
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
II 2016 RESIDENTIAL BUILDING PERMIT APPLICATION 11 114
Date: it- I- Site Address: 5521) e M 1e t "� L a/ftp , MN <-5-17-1._ Unit ft: 170
Name:7►1 ik 410 Hoke, PA 61J koi U RAI Phone: ( 1 fo l7 %6o 6150
Address/City/Tip: f 5-10 f. Id(,rkit,
Applicant is: ___e-Owner ✓Contractor
Description of work: w ik,g- 1/et L t(Ai i (-k
Construction Cost l 021 0 cU Multi-Family Building:(Yes /No\' **---)
Company: -4.10 510 UlJ4, U1LtYL(Z6 l_1.( Contact (1i f.A1I AA.) ( V1,0f({�
Address:"I'Q'1 O 66900. / L'o City: q.k&ki
State:/h 10 Zip: iC rtz, Phone:(o�1•L`lc lo7OEmail: jt,kl\tbect,ere c'S6(€ ,uilct(',, Ci
License#:11)( _co Lt.?) Lead Certificate#:PVikl-13 1 -Z
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
S a
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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 441 ALA
Applicants Printed Name 'cant's Zignatine
~ DO NOT WRITE BELOW THIS UNE 1:S19Y
SUB TYPES (ca,:). to. "e-i'' �-��
` 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—Max 7(Lower Level Pool _ Accessory Building
WORK TYPES
_ New — Interior Improvement _ Siding * Demolish Building*`
_ Addition — Move Building __ Reroof _ Demolish interior
Alteration _ Fire Repair _ Windows , Demolish Foundation
Replace ._._ Repair Egress Window — Water Damage
Retaining Wali *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Q.-3,. 9 O Occupancy '`1- °'` MCES System
Plan Review Code Edition yvl ,,r2- p i / SAC Units
(25%_ 100%0 Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V o Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) , Final I C.O.Required
Footings(Addition) X 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
Framing 30 Minutes 1 Hour Drain Tile
` Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough to Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: Th,Building Inspector
RESIDENTIAL.FEES
Base Fee j�Surcharge
Plan Review
MCES SAC 77 c42K .49 -- 2
Utility Connection Charge r
SSW Permit&Surcharge
Treatment Plant
Copies
TOTAL
Use BLUE or BLACK Ink
For Office Use
D_<G(
:::::e.
City o Eapll
3830 Pilot Knob Road
(pod'
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 staff:
Fax: (651) 675-5694 .,
2017 RESIDENTIAL,�PLUMBING PERMIT APPLICATION
Date: 1/5/2017 Site Address: 1-52S Pinetree Trail
Tenant: Suite#:
Resident/Owner
Name: DUVVUrU like Phone:
I
Address/City/Zip:
3 Name Martin Plumbing Inc License#: PM059522
Contractor
Address: 11090 Upper 33rd Street North City: Lake Elmo
Mn55042 651.770.0100
( State: Zip: Phone:
Contact: Dan Martin Email: dan@martinplumbing.com
r _New _Replacement _Repair ✓,Rebuild Modify Space _Work in R.O.W.
Type of Work
Description of work: Finish lower level bath and wet bar
RESIDENTIAL
1
Water Heater
1 Water Softener
Lawn Irrigation (_RPZ/_PVB) 1
Permit Type ✓ Add Plumbing Fixtures(_Main/ I Lower Level)
Septic System
_New ( Water Turnaround
t
RESIDENTIAL FEES: � ,,Abandonment � � �
$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)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$ .
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.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 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 a of plans.
x�Cx.1l•-• Mo..rTN x\ C"......—
Applicant's
.,tApplicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground , Rough-In Air Test ` Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
Use BLUE or BLACK Ink
r
For Office Use 1
City of Eapil Permit#: I lipc165-.
3830 Pilot Knob Road Permit Fee: (,)09—
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax: (651)675-5694
Staff:
L
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all corn •rcial applications.
Date: /—,� 7 —< / Site Address: 'f r, '€e ✓- F� Ss', a--
Tenant: )'-'D Suite#:
' l Name: ,4 i y /44/ />,t J/ ,(f Phone:
Resident/Owner 1 �` v
I Address/City/Zip: G is 7 7 0 .
;,-
1
1 I Name: Ako /4Ht 1/-( . License#: ii 7Se7
1 2- City: C-r
Address: 030 � `1� ,� �
Contractor 1 3 � ,9 I
7C' �i
State: .� Zi �6 7 Phone: / ��U Q���
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,/� '
Contact: Ave??��f` Email: � � /Y'U f//��1- L`t�. COQ/
New Replacement Additio al 1l‹_Alteration Demolition
,
Type of Work Description of work: St`'f'11 �J1 ' %r1►S c�2 Sy.S -
I NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
s Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL ' COMMERCIAL l
Furnace I New Construction _Interior Improvement 1
1
Permit Type Air Conditioner I Install Piping Processed I
i Air Exchanger , Gas Exterior HVAC Unit
f
Heat Pump Under/Above ground Tank ( Install/_Remove)
i
_Other
RESIDENTIAL FEES l
1 $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
I
=$ Surcharge I
Surcharge= Contract Value x$0.0005 1
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I
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 und=st- • this is n• a permit,but only an application for a permit,and work is not to tart without a permit;that the work will be in accordance
with the ii i rov 4'p:' in the c of work which/egg-est?review and approval of plans.
x 4---.4111rAp. x i ze-c----
Ap• ' ant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Apr 1017 01:39p Royal Plumbing Inc 3340179 p.1
Use BLUE or BLACK ink
r
For Office Use
City of Eaan ,. ,a� �7Permit#�7 20 Permit Fee: (L v '° \(.
3830 Pilot Knob Road v //�j
Eagan MN 55422 Date Received: q-10 -
Phone:(651)675-5675
Staff:
Fax:(651)675-5694 L.. 7_--
2017
_2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:14-1 --n Site Address: lS2'O fmc" -(-"L _ ra 1 I
Tenant Suite#
Resident/Owner Name: E.l?+/N,CO,\ii C�;,ha it 'AAJ U U..( Phone: l a-- iii - t ib
__.. Address/City/Zip: r�
Name: O3 P\-AaOr\ d�� \r-c License#: o3 te' 14,, ,tS C�i i
Contractor Address:
2: 31�, C�tnb`� e city `�1 �sg
State: :Sew Zip: � � Phone: ,�.�C3- LSContactEmail: ii e�e� �N t,
Type of Work — Replacernent _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
jWater Heater
Water Softener
Lawn Irrigation(_RPZ I PVB)
Permit Type Add Plumbing Fixtures(_Main/ Lower Level)
Septic System
_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)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
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.00eherstateonecall.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 -c\ c't f\p1` x ---- ----`-t.--<:' <1.----,---- ,----._ _____
Applicant's Rioted Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144038
Date Issued:07/10/2017
Permit Category:ePermit
Site Address: 1520 Pinetree Tr
Lot:7 Block: 3 Addition: Pinetree Pass 8th
PID:10-57667-03-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mahidhar B Duvvuru
1520 Pinetree Tr
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature