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4277 Pintail Ct4lk° City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 e/o.0-11 I(S Use BLUE or BLACK Ink Permit #: 9c7593 Permit Peel 03 % ll Date Received: Staff: 2011 RESIDENTIAL BUILDING"I PERMIT APPLICATION /F//t Site Address: L` 0 71 / ING1 (�.f ( C- - Unit #: RESIDENT / OWNER Name: V0-1- a' CO 11Yv\/ O3 Phone: tO' 5 l 'T 0 1 C i 'j!. �.a. Address /City /Zip: 2"1') i 1 L:.. � CL '`1 in )l% ��J a � Applicant is: ✓ Owner Contractor TYPE OF WORK Description of work: c CCS Con 't nn ' (� p( 12' -c -t A„ „ /r C�12'- C.6. Construction Cost: i 200 Multi -Family Building: (Yes / No ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: 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: 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 City to 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pla 'n the case of work which requires a review and approval plans. x Applicant's Printed Name (cAke I wag1124.- x Applicant's Signature Page 1 of 3 fria DO NOT WRITE BELOW THIS LINE 9q593 SUB TYPES Foundation Fireplace Porch (3 -Season) Storm Damage Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Single Family) Multi ')C Deck_ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New_ Interior Improvement Siding _ Demolish Building* Ni Addition _ Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction W REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building - give PCA handout to applicant MCES System al SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water Final Pool: Footings _Air/Gas Tests _Final Framing Siding: Stucco Lath Stone Lath _Brick Fireplace: _Rough In _Air Test _Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 06cfc Page 2 of 3 • Surveyor's Certificate SURVEY FOR :BUTLER HOUSING DESCR I BED AS :Lot 8, Block 1, MALLARD PARK 4TH ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. t` U 5 — .s `dam c f( r8. 954,`U / C / DLL \ 5. 1-3 cia }O rn N EAGA IN REV WED BY ki _DiNG INSPECTIOi . ....r 956.` (154Z g53.9 43.00 -- 33, Do - 33.00 PropDSed 2 -Star 13es ' (wells) 0 0 .66 015` �qs q535 q52.4,coo:RT 8529 4.277 J • 0 18.00 0 0 GoroQe 0 2 67 o it 67 L=53.1, 5 / R=6 t 00 ., L �g� 34 153.4e, 2ji67 --S'" 953A 10 004 / 1787 6113ft' -76 s. u+er Sc u R a '04 952,8 q53.2. / ti lac "'")I E■+st. Home `�� 78.= 956.1 73 // afePal LOT SQ. FOOTAGE = 16, 812 PROPOSED ELEVATIONS Top of Foundation = g58.5 Garage Floor = g560 Basement Floor = gq,7 Aprox. Sewer Service = ge1q•Q'- Proposed Elev. _ Existing Elev. - Drainage Directions = Denotes Offset Stoke = • / BENCHMARK, 1y ! II F. -J rte' "' r.i' ` '� r. J • `. iii IAo'n ta ' ..t i4 SCALE: 1 Inch - 30 feet MIN. SETBACK REQUIREMENTS Front -30 House Side -10 Rear -15 Garage Side - NEDLUND PLANNING ENCINEERINC SURVEYING 2005 Pin 0ok Drive Eagan, MN 55122 Phone: (612) 405-6600 Fox: (612) 405-6606 I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT ASHOWN. DATE _L -/_L,_/_ 6 D. LINDGREN, LAN SURVEYOR SOTA LICENSE NUM R 14376 JOB NO: 98R-001 BOOK: PAGE: CAD FILE: BUTLER98 ?-. ? ? • INSPECTION RECORD C1TY?OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 551 22-1 897 Date Issued: (612) 661-4675 SITE ADDRESS: APPLICANT: .,rG PERNIIT SUBTYPE: TYPE OF WORK: INSPECTION .. . D. ! R!''MAkk'??? bhW pI.If14F4hk • r..fC'.?t1?lt ? FtIA','10iIK .. (? I AN llf V1 I. W't? ilY P41 f; ;= Hj1 RCtr, p i4 %V, ? ? • " Permit No. Pormk Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection k-Do nap. Comments FOOTINGS ? FOUND ? za FRAMING ROOFf1VG ROUGH PLUMBING ? PLBG AIR TEST /? (r ROUGN HEATING GAS SVC TEST INSUL GYPBOARD FIAEPLACE FIREPLACE AIR TES7 ? ?Ixr FINAL PLBG ? • FINA! HTG ORSAT TEST BLDG FINAL O BSMT R.I. BSMT FINAL ? DECK FTG I DECK FINAL - - --- - -- L-- - - - - --- --- (fQl-'tifiCRte 0f CcClpQ1iCv K" of Cfagan ze.partraent oF Zuilbing 3uijo¢ction This Certificate issued pursuartt to the requirements of the Uniform Building Code certefying thai at lhe time af issuance this structure was in comp[iance wirh the varraus ordinances of the City regulating breildeng construcrion or use. For the fallowing: 31377 Use Qassification: SF DWG Bldg. Permit No. Vn 0-r--rT'pc BUTLER HOUSING O o? ar ewi"a v Building Addiess LAdfi4 ????• ?:?? r =>?? Date: _ uiimng afficw POST IN A CONSPICUOUS PLACE VALLEt, MN lu? ?? 9 (S," Address` 4277 PINTAIL CT L.ot $ Blk I Zip 5512a Sub MALLARD PARK 4TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: l v-?-?' .0{ Yes No Inspector: Final grade (6" from siding) f/ Permanent steps (garage) L-? Permanent steps (main entry) t,?' Permanent driveway v Permanent gas ? Sod/Seeded grass TraiUcurb damage ? Porch ? Basement finish ? Deck Please verify with the builder the temoval of roof test caps from the plumbing system and the shuboff of water supply to the outside jawn faucet before freeze potential exisis. Cantad engineering division at 651-4645 before working in rightof-way or installing underground sprinkler system. ? Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING PERMIT APP4ICATION 14 Y?? ?) / \ CITY OF EAGAN U 3830 PILOT KNOB RD - 55122 651-689•4675 New Construction Reouirements . 3 regislered site surveys showing sq. iL of lot, sq. ft. of house; ancll roofed areas (20% maximum lot coverage al6wed) • 2 capies otpWn showing beam & window sizes; poured found design, etc.) . 1 set of Energy Cakulatlons • 3 capies of Tree Preservation Plan if lot platted after 711/93 • Rim Jaist Detall Optiors selection sheet (bldgs wilh 3 or less unifs) DATE /- 3d ' 6z JOB SITE q27? • IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER -?O? VJFtGNOe"^ TYPE OF WORK FIREPLACE(S) _ 0X1 _ 2 APPLICANT PHONE# q52- " Z zL- °-f 3/ 0 ADDRESS Zh4`50 PAGER # oe-Y ax- _ZIPCODE FAX # gSZ ' ZLG - f 3/v NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEG (check one) - Residential Ventilation Category 1 Works1r:,_1 ? - Energy Envelope Calculations Submitted MINNE50TA RULES 7672 .3 O ZOOZ - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor: Air Conciilioning Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the info a on is ortect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi Signcture of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 Co 14? _S`-7o .C? 6 Q_? _ r` I RemodeVReoairReauirements a I V . 2 copies of plan • 1 setof Energy Calculations for heated addiUons • 1sitesurveyforextenoraddiUons&dedcs . Indicate if home served by seplic system for additions VALU/[ION 70?vv? CELL PHONE # G(L- gb l-O!c Water 5oftener Water Heater No. of Baths Phone #: Iawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (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 ?'.:a Z1''0 7 Occupancy I - tu MC/ESSystem Census Code Zoning City Water SAC Units 0( Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const _14ov- Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) FivaVNo C.O. _ Footings(addition) _ Plwnbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing Siding Stucco Stone ? Fireplace X R.I. _X Air Test >( Final _ Windows (new/replacement) T v Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT # -41 D f ? RECEIPT DATE: 8008 RUIDEPTIl41. PLUM$INfi ?ERM1T APPLiCATION crrY oF KAsArr S$SO PQ.OT KNOB $D $AHAA, bilY 55122 651-681-4675 Please complete for: SITE ADDRESS: single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system T IJ?0 Um U ??B 2 0 2002 4?p ? 4 OWNER NAME: : Qzt.I L'eJL..? ?- aoxrJc) TELEPHONE #: 651 1105'- 0805 (AREA CODE) INSTALLER NAME: TELEPHONE #: -_ (AREA CODE) STREETADDRESS: /T.&4/i ne4.+iwJiYV?. CITY: ?? nl ri e j i tY' STATE: ?j ZIP ? _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 Countyfee Note: Additional consultant fees may appty • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$118j Other: ? RPZ: new installationlrepair/rebuild .$ 30.00 _ lawr irrigatiur. sysiem ReplacemenUadditional: ? water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ 67J.6;? I here6yacknowledge diat I have read thls applicatian, state thatthe information is cortect, and agree to complywith all applicable City of Eagan ordinances. It Is the applicanPS responsihility to notiTy the property owner fhat ihe City of Eagan assumes no liability for ny damages caused by the City duri ng its normal operational and maintenance activities to the faalities constructed under this permit wit in City pro erty/' h f ay/easemenf. SIGNA RE OF PER I EE 1l02 ?`> CITY USE ONLY I LOT ,. ? BL REcErnT a: 8 85 6?3 SUB RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 Date: ? Complete this section onlv if vou are installine HVAC in single family, townhome, or condos that are under construction and are not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU s ey 1 • Gas outlets (minimum of one required @$3.00 ea.) 740/00'S JodIsod ??nr 4.04101F • State Surcharge: .50 A 1. tD d&t f /#I AJ CL' y? so • TOTAL: - Complete this section only if you are remodeline, adding to, or repairing eaisting single familv dwellings, townhomes, or condos. Add-on fiunace Add-on air exchanger, i.e. Vanee system, etc. Add on air conditioning Other $ 24.00 -6-99- 11,44 $ 20.00 .50 Total: $ 20.50 Minimum fee applies to all remodel or add-ons of existing residences State Surchazge SIT'E ADDRE55: f^ / VIAJ IIT 1' OWNERNAME: Y?u I SCm- i * f INSTALLERNAME: STREET ADDRESS: CI11' AHONE #: '7 J/ - 17 / 6! PHONE #: a /i S- 6r6z STATE: //! I, ZIP: SIGNATURE OF PERMIT"IBE CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (812) 681-4675 Please complete for: ? ali commerciaVindustrial buildings. ? muRi-famity buildings when separete pertnits are not required for each dwelling unit. DATE: CONTRACT PR{CE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS OWNER NAME: TELEPHONE TENANT NAME: (mnaROVEnnerirs oNLv) INSTALLER: ADDRESS: crrv: PHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY p?7 L ? BL ? RECEIPT#: SUBD.?AX?/? ?? RECEIPT DATE: 3 9 9gl 1998 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, M4N 55122 (612) 681-4675 Piease complete for: ? single family dweilings ? tawnhomes and condos when permits are requiretl for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x I = 3. o0 Water Cioset 3.00 x 3 = 9.06 BathTub 3.00 x -Z = 6.00 Lavatory 3.00 x ia.oo Kitchen Sink 3.00 x I = 3, o0 Laundry Tray 3.00 x f = 3.00 Hot Tub/Spa 3.00 x = WaterHeater 3.00 x 3.00 Floor Drain 3.00 x 1 = 3,00 Gas Piping Outlet * minimum - 7 3.00 x .2 = 1,. 0 0 Rough Openings 1.50 x 3 = y.S Water Softener ' for dwellings under construction 5.00 X 760 Water Softener " for existing dwelling 20.00 X = U.G. Sprinkler ' tor dwelling under const. 3.00 = U.G. Sprinkler ' for ezisting dwelling 20.00 _ Aiterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC iic. 75.00 = (new and refur6ished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .SD TOTAL Sg, D O ----------------------°----------------------- ----------------------------------------------------------- -------•-•-------- I hereby acknowledge that I have read this applrcation, state thatthe infortnation is corted, end agree to comply with all applicable Cily of Eagan ordinances It is the applicanYS responsihility to notify the property owner that the Ciry of Eagan assumes no liabiliry for eny demages caused by the City during ds nortnsl aperational and maintenance adivities to the facilBies consVUCtetl under this permd within Ciry propertylright-of-wayleasement. S{TE ADDRESS: yoZ 7-7 /C/ ? -A4 /V CO u r-?- OWNER NAME: Au -H'e Y' !TO u 5/rJ4o r 60 tNSTALLER NAME: f.Ue /fe TELEPHONE#: SEa-?6 Fj/ STREET ADDRESS: E f{w 3 CITY: STATE: /IIN zia: 5.9337 SIGNATURE OF JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 CTTY OF FAGAN CASFff:1=R;; S Tf.':I?t17:Nf-iL. NO, 7P:3 L447L: 07.!27/9E 7:f.ME: 15c;8:43 ID,; NFlMEc RF HOLIlING Cr]MF'ANY 2256 jOUi. 4277 FSNTAII._ C'i 5 P1.26.,46 2?56 9001 427' F'IN'T61.T.1_ (:T -5..00 t ti ToCal ?cacei.p+, Amaurrk: ;, t2J..46 C,ko£3S7E,2 USf:::R T.D,; NANCV ?k7K?OX?(?t:.K?(?t?/,(sXX!?(X('MM??KW.'??1kNCYF?F?k*M'.?'Y(iX?i hKW?'.X?7KX ___?<'CITY OF EAGAN 3830 Pilo4-Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT OERAAITTYPE: suxLoxNG Permit Number: 031377 Date lssued: &0 / 2 7/ 9 8 SITE ADDRESS: P.I.N.: 10-47263-080-01 DESCRIPTION: 4277 PTNTAIL CT LOT: 8 BLOCK: 1 MALLARD PARK 4TH 6,3?i,l,c}°a:rt'a?;Permit Type ? -., SF DWG . Type MEW 11$G GlCt4tk Ei'Fk R'-3 U-1 ? .,? p ? ?Cans-truatici'rt 'T?+"?e VN ace,`., . 7 a n a: ng,;:= ' R-1 i ix?? , ? ?Crjedmi??.-'n9tk? 69 .. a.r 0 ` I?'dYh 55 , -:zdx#?g nsCctrl?s ? &':Naip?- 2, 4 6 9 Ce?s` ?• 101 1- FAM. DETACH .p ? Ift?t"9 ? 1 ? ?IS ? 0m1, ?'r:: c? x?F?°'B .I?[?m Fti?9!a atBi.igy'? ? ?i ? 31 ? 1E5 .GI`." t A?'^U" ? 4 6 ? -?? 8 M? S ?. I 44 .?t REMARKS: 5&W PLUMBER - WELTER & BLAYLQCK PRV PLAN REVIEWEp BY MIKE 6ARCK FEE SUMMARY: VALUATION Base Fee P1an Review Suroharge SAC 5AC % SAC Units Subtotel $1,467.25 $953.71 $108.00 $1,000.00 100 , $216,000 MISC FEES 7nta1 Fee $1,592.50 $5,121.46 $3,528.96 CONTRACTOR: - Appliaant - ST. LIC OWNER: BUJLER HOUSING CORP 14314132 0001715 BU7LER HOUSING CORP I P 0 BOX 24597 P 0 BOX 24597 APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 ((i12) 431-4132 (612)431-4132 t sxQ n €?s ?ttFe + . ? c r . 4I ? ' ri a ?. e .ves A a? rz i u '? r1 rt r i'? .-. 1 . QYACL?74Y"'??,'Si? fCkire?'a??`?"??'?xx??? av_ ry xr 89#?. ?,?."? . i?? ?OV5'? 1 #-?? `',0 -JkFf... ?r, u s?* i er?w4?L Y*eKe rmi a..i;ta ?3 1 i Y .{ Pf ? .?r ';'`t"'/ .._ ` - -- ?? a. i??. . sel.. t...... '...? .? tK SP*E.4 Y hoxl..?«. . _ c 3?3 -7 -y 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?? ? ^ ? n , 3830 PII.OT KNOB RD - 65122 ??`- 681-4675 vr? ! 1WD New Conshuetion Reeuirements ? 3 registered site aurveys ? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.) ? 1 energy calwlations ? 3 copies of tree preservatlon plan II bt letted aft?eJ 7l1198 required: Ves A No ? DATE: DESCRIPTION OF WORK: c_--- SV TREET ADDRESS: LOT: ?7 BLOCK: ? SUBD.lP.I.D. #: CONTRACTOR Sewer & water licensed plumber (new conshuction only): and lot change is requested once permit is issued. applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply State of Minnesota Statutes and City of Eagan Ordinances. A, ^^ ? Signature of OFFiCE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received - Yes _ No _ No RemodeVReoair Reavirements ? 2 copie4 of plan ? 2 sRe surveys (exterior addRions & dedcs) ? 7 errergy calwlations for heatetl addiGons 1:Z ? CONSTRUCTION COST; State: 212 • Zip: /-,?1/3z ?ovo ? License # ? ?15- State: Zip: b-!5?2- J'" Registrarion #: /133 7 zip: Z- 11d6 all applicabl OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 2( 02 SF Dweliing ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 95 Deck WORK TYPE 10 31 New 0 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) vtJ Basement sq. ft. 15(> MC/WS System ? (Allowable) d 4 Main level sq. ft. i 5 zto City Water i UBC Occupancy ?- sq. ft. i"I Z Fire Sprinklered Zoning 2-1 C?Z sq. ft. Gk3 PRV 46s # of Stories 2- sq. ft. Booster Pump Length le4' R sq. ft. Census Code. 101 Depth ?5D" Footprint sq. ft. 24I G.4 SAC Code Census Bldg ? Census Unit ' APPROVALS Planning Building /?^3 Engineering Variance Permit Fee Valuation 5urcharge Pu?0-e.-a- Plan Review sr y z r. s License ? g Yfo r Qo $ ZI leRUUL." prd? ?-- ri? iLVO. MC/W5 SAC (..7 5-,r z z City SAC Water Conn. i s t Water Meter '- Acct. Deposit SNV Permit S/W Suroharge Treatment PI. Park Ded. Traiis Ded . 8 v s. ?? Other Copies . r • ? ?s? ? .s Total: ;4? 3y.??/?Zz %SAC zz- ?7 ,.z SACUnfts - -- _-.., ,.? ?-7. -7s,,2 )'+S. S 7S i sc?'3 ry ?, s> zz, sas.- 1 Sv 3 rz 1o. s ?szs.s?p?lsy = -7 7.- ioGa.s 3?0 z7 7 . r 7YS.S vs. 3 ?IY3 Z 1'5-j 771;e, - ? Surveyor's Certificate SURVEY FOR :BUTLER HOUSING DESCR I BED AS :Lot 8, Block 1, MALLARD PARK 4TH ADDITION, City of Eogan, Dokoto County, Minnesota and reserving easements of record. N '40., W70 s ?s gv L G ?I! DING IN PECTIONc _ .:PT. , a--03' \ ? 2 „ 7 2, j 96o,u 9 34 ? ? vE N ? 6 4 ? ` ?/ 959. q5 ? aa.oo ? - Deck R5 q53.q 0 ° 18 V . o 0 - - Z 627 --0 - / . Pro ? ?' ? POSetl Z rI ? W 1 ry -Story v exIst Nnma ? 6) 13cs a rB. = 956.u ? ia ? 39 (weqs) i) 67 i ? ?? 2167 0 / 10100 Porth ° .66 1 Gor OroP 3q M 95? -??44.?3_ h 2267 ? 1167 1 1? q5:3. ? ` J ( 9? q 7 7 / ? ? - L=53 0 ? ?/ C9?S ? R=6QI nn ? v/ 9534 tF 00 / (v ? ? /E.St, Hom¢ Te = 956.1 ? ? ? qsz.w ? f'f1r7'AI C1529 .`? 4?7 LOT SQ. PROPOSED ELEVATIONS Top of Foundotion = 9sg.5 Garage floar = q560 Basement Floor = qa9,7 Aprox. Sewer Service = q-1q o'- Proposed Elev. _ C=> Existing Elev. Drainage Directions = - Denotes Offset Stake = . FOOTAGE _ 16,812 aFrlpE, BENCHMARK, pa ,y ':i 4?I SCALE: 1 lnch - 30 fee[ MIN. SETBACK REQUIREMENTS Front-30 House Side -10 Rear -15 Garage Side- JOB N0: HEDL(JND HEREBY CERTIFY THAT THIS IS A iRUE AND CORRECT ftEPRESENTqTION 98R-001 OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERT7 AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION ANO DOES NOT PURPORT TO BDOK: PAGE: PLANNlNC ENC/NEERlNC SURV6YlNC SNOW IMPROVEMENTS OR ENCftOACHMENTS, E%CEPi A SNOwN. 2005 Pin Ook Drive CAD FILE: Eogon, MN 55122 DATE Phone: (612) 405-6600 IF D. UNOGREN, LAN SVRVEYOR FOx: (612) 405-6606 ) ..., ?FSOTA UCENSE NUMB R 14576 BUTLER98 ? - tLOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: ' ? ? ? DATE OF SURVEY: l LATEST REVISION: DOCUMENT STANDARDS a °z ??o ? • Registered Land Surveyor signature and company Q/U ? • Building Permft Applicant G-- 0 0 • Legaldescdption 9? 0 0 • Address IT, 11 ? • North arrow and scale QI-13 13 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) e` ci [1 0 Directional drainage arrows with slope/gradient % a' ? ? • Proposed/exassting sewer and water services & invert elevation 6 o o • Streetname 11-- ? ? • Driveway ELEVATIONS Existina 0-'13 ? • Sewer service (or Proposed) ? o 13 • Property corners ? O ? • Top of curb at the driveway ?? ? • Elevations of any ebsting adjacent homes o d ? cl ? • Garage floor IT' cl ? • First floor o' 13 11 • Lowest exposed elevation (walkouUwindow) 2? ? 13 • Property comers ?0 ? • Front and rear of home at the foundation PONDING AREA Cd aovlicable) ? d o • Easement line ? Er- ? • NWL ? ff' ? • HWL o 6 cl • Pond # designation 0 A' ? • Emergency Overflow Elevation DIMENSIONS cr' o ? • Lot IinesBearings & dimensions 6o o • Right-of-way and street width (to back of curb) 0? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) cf' ? ? 0 Show all easements of record and any City utilifles within those easements ?? ? • Setbacks of proposed structure and sideyard setback of adjacent exassting structures ? o/'?[] 6 Retaining wall requirementsitany _/ Reviewed: January 1996 CRAIG1980/BLDGPRMT.FM r:Nr:2tCiY C:UllZ WUKKSriZZ'1" r-Vti 1 bc a rtuitua. SITH ADDRESS l 471- CITY L' L/ / i ONE # COMRLBTED HY: ? Z DATH U / /,1 1CJ SUILDING CLASSIFICATION: ? catagory 1(muet include ventilation) or DrIcatagory 2(atandard) MINIDtiTM CRITERIA Foundation Ineulation-R10 Walle & Wiadowa Roo£ Attic Inaulation: (See table on reverse side Slab on Grade Insulation-R10 for allowable percentages) R44-With Attic No Heel Floor over unheated spaces-R24 R38-With Attic Raised Heel Foundation Windows 1/2" R38 & R5-Solid Raftere insulated Glass. -Wood or Vinyl Frame 9THP 1 Window & Door Area STBP 2 Calculate area ae a percent o£ wall A. Total Window & Door Area in Sq. Feet Windows): on dati WINDOWS (Including Foun ?? q /? WINDOW MANUFACT[JRS NAME: G1/b!"JS 0/1 C. From Step 1 divide box A(Window & Door ( 0o5?( -- 4L= ? Area) by box B(total wall area) times 100 WINDOW ffiAtd[JFACTURH TYP&• LU- /4/'r' equals the window and door area ae a • percent of wall area (box C). 1 WINDOW MANUFACTQRB O FACTOR: R. O. Quantity eq.ft.Area BOX AX 100 = C ?I ,/?g BOX B Dimeneions + 41 X STEP 3 Design Features X ASSEMBLY X FRAMING TYPE: x STANDARD FRAMING atuds 16" o.c. X ' ADVANCED FRAMING ¢ctuds 24" o.c. - CAVITY INSULATION R /?? ? X 1/ X J . SHEATHING TYPE: ./ V X LESS THAN a R-5 X R-5 . OR MORE A2 Z I]-FACSOR U X From the table, (reverse side) determine the DOORS: maximum percent window & door area for the ted and enter the t value l i ec ons se deaign opt g in Box D below based on the window mfg. U- factor: X ? F/T, E D Total Area of A= sq.£t ( Windows & Doors 8. Total Wall Area in Sq. Ft. The % value from the table in Box D shall be equal to or greater [han the %; in Box C Wall Total Height Area Perimet Total Area of Walls B= sq.ft _ i ? Page 1 OF 2 BOTL6R b9U8IdQ CORPORATION ADpR888; 4277 PINTAIL COURT, UOW MN. 55122 -------------------------° °-------------------- WINDOW AND DOOR SCHEDULE -------------------------------------------------- QUANTITY TYPS SIZE FACTDR WIND4W OPENING ------------------------------------°---°-----° 0 CASEMENT 30 R 48 20.00 0.00 D PATIO DR 6 R 6 36.00 0.00 0 CASEMENT 14 X 44 4.30 9.00 0 CASEMENT 14 X 42 4.10 0.00 7 CASEMENT 32 R 38 8.40 58.80 0 CASBHENT 26 X 48 9,50 0.00 0 CASEMENT 30 X XX 3.75 0.00 0 CASEMENT 31 R %X 15.90 0.00 0 CASEMENT 24 X 60 10.40 0.00 6 DBLE HUNGS 32X24/36 15.80 94.50 2 DBLE HUNGS 20%24/36 8.33 16.66 3 DBLE HUNGS 20 % 22 7.90 23.74 5 DBLE HUNGS 40%24/36 16.60 83.00 11 DBLE HUNGS 32 X 26 13.60 149.60 2 SIDE LTS. 1 X 1. 3 6.20 --------- 12.40 ---------- ---°--- 36 -------- -------- ----------- - - ------ TOTAL ---- GLASS - AREA: - - 435.95 ---------- ---------- DOOR SCHEDULE ------------------------------------------------- QUANTITY TYPE SIZE FACTOR DOOR OPENING ------------------------------------------------ 1 THERMATRU 3`-0" % 6 19.00 19.00 1 THERMATRU 2'-8" X 6 16.80 16.80 0.00 0.00 9.00 0.40 0.00 0.00 0.00 0.00 -------------------------------------------------- TOTAL DODR AREA: 35.80 Paqe 2 OF 2 TOTAL WALL WINDOW AREA: TOTAL PATIO UOOR AREA: TDTAG SASEMENT WUW AREA TOTAL WINDOW AREA TOTAL D40R AREA: 438.96 U-VALUE 0.361 0.00 U-VALUE 9.367 0.00 U-UALUE 0.421 438.96 35.80 U-VALUE 0.066 TOTAL AREA- WINDOWS & DOORS: 474.76 [A] TOTAL AREA OF WALL: 4,159.50 [B] ACTUAL. WDW & DODR AREA AS $ OF WALL: 11.43$ [A] \ [S] (STANDARD f1BLL FRAAIINQI SH6ATHINC >R-5, SUL R_19 V1IL(pOW LU ? 14.004 MAX ?? AR6A ???????---,--- 91LTLER U G 448P4.8ATION ADDRg88; 4-V7 P3NTB34 CQUM $AQANl Mt{. 55122 PERMIT Permit Type: Building City of Eagan Permit Number: EA105292 Date Issued: 07/09/2012 Permit Category: ePermit Site Address: 4277 Pintail Ct Lot: 8 Block: 1 Addition: Mallard Park 4th PID: 10-47253-01-080 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Able Restoration Group Inc. Joseph P Wagner 17316 Kenyon Avenue, Suite 103 4277 Pintail Ct Lakeville MN 55044 Eagan MN 55121 (952) 378-5000 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114075 Date Issued:09/10/2013 Permit Category:ePermit Site Address: 4277 Pintail Ct Lot:8 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Joseph P Wagner 4277 Pintail Ct Eagan MN 55121 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119345 Date Issued:11/25/2013 Permit Category:ePermit Site Address: 4277 Pintail Ct Lot:8 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-080 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Joseph P Wagner 4277 Pintail Ct Eagan MN 55121 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �-----------------,. � For Office Use � Clt Of�� ' ��--�`� � y � � Permit#: I � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 � I Phone:(651)675-5675 ��N 01 1015 , Date Received:� � �� Fax:(651)675-5694 � / � � Staff:S!� � � ��_��_�J ` 2015 MECHAI!!lCAL PERMlT APPLICATIOl� ❑ Please submit two (2)sets of plans with all commercial applications. �, � , Date:�'��,�� Site Address: �oS ! � �/(/"J/�/�i .��2 i- Tenant: Suite#: , . �. Name: �� Phone: �°�j l�^ ��,�--�� ResidentlOwner �� , � �� , � � Address/CitylZip: � � ! I � ��1,� �t� � . y � ✓ y�,,,� Name: ��4�� ,� L�; License#: '�I��f��_ �'.� Contractor , Address: "7 G�'l�i � ��'i- y City: �'/l��S� State: Zip: CJ r��`��b Phone: �f��r `" � ,'_ Contacfi��-�2-� Email: �1 C�� `�� - /� � � y� s ;; New Ls`Replacement Additional A�teration �emolition r� ��;,� � �` ; TYpe.of Work Description of work:l�i�l�/? ��. � �fyl t..�it�0��-'�� e�� f�i�' �ar' /��c'.5, - : yNOTE:Roof;inounted and grounN mounted mechanical equtpment;is req'uiretl to be screened by Ci,ty - , t �, ' Coile Please.contac#the Mechanical Inspector for informatio,n on permitfed scteening method5: � r,.� RESIDENTIAL ' COMMFRCIAL ` Fu�nace �� New Construction _Interior Improvement Perm�t Typ�; �Air Conditioner�}�i��`� L�,��y _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump _Under/Above ground Tank �Instali/_Remove) � _Other � RESIDENTIAL FEES $60.08 Minimum Add or alteration to an existing unit(includes$5b0 State Surcharge) $400.00 Residential New{includes$5.00'State.$urcharge} _$ �� TOTAL FEE COMMERCIAL'FEES ` Co��"ractValue$ x.01 $55.00 Permit Fee Minimum - $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge� **If contract value`is GREATER than$10,010, Surcharge=Contract Value x$0.0005 '""If the project valuation is,over$1 million, please cail for Su[charge _� TOTAL FEE I hereby acknowl"edge that this information is complete and accurate;that the work will be in conformance with the ordinanoes and codes of the Gity of " Eagan;that I understand this is not a permit,'but oniy 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,#he case of work which requires a review and approvai of'plans. ♦ - ; X �L�'� X ' o ev�i Applica Ys Printed Name Applic �t's Signature o �, FOR OFFIGE USE- � ` � �. �� : Required"(nspections� ` � � Reviewed By Date. , Un�lerground. Rough in,; "Air Tesi ' Gas Seruice Test.' In-floor Heaf Fina{ HVAC Seresning; PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153279 Date Issued:12/06/2018 Permit Category:ePermit Site Address: 4277 Pintail Ct Lot:8 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Joseph P Wagner 4277 Pintail Ct Eagan MN 55121 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature