4291 Pintail Ct? '? • 4 i
.?
C57eL'ttfiCQ.tC Df cCC"tinCv
Witv of Wagan
ze0artatcut oi $xi[bing ,3uii1pectiou
Thes Cer7ificate issueQ pursuant to the requirernents of the Uniform Buildirtg Code
certifyirrg that at the tinre of issuancc this structurr was in compliance with the various
ordirtances of the Ciry regulating building construction or use. For the following:
Use Clusifiafion: SF DWG Bldg. Pmnit Na. 28q63
o.?,v.Y Trve. RUN 1 Zoma6 Dnw;c, R I Type Conu. VN
ow.m.r s.iia;ng B[TIIM HODSING 9fJRP Aam. P.O. BCK 2/+5W= APPfE VALLEY
s??W1%9 Add. 421)1 FINTAII. O= L.,w-,ry L 10j B I, MALJ?RD PARK 4IIH
Bwdin8ot.a
POST IN A CONSPICUOUS PLACE
• ? - . INSPEC'I
' CITY OF EAGAN
3830 Pilot Knob Road
, Eagan, Minnesota 55122-1897
(612) 681-4675
; SITE ADDRESS:
PERMIT SUBTYPE:
I
4N
PERMIT TYPE:
Permit Number: ? ? ` ' `++? ?
Date Issued: 4 I `o r
APPLICANT:
?
- i ?
TYPE OF WORK:
INSPECTION
, ? ? . D. .
. ..,.. . . ? .A
, , ? ? , ? . ???i?,ll i •? , , ,
F-7-1 . , It!r11
krnakIcS: <.amw cnwIi
F
?
1 c11 Ir k it 1 rcp & rIt A ri 0 + j
Permit No. Permit Holder Dah Telephona N
ELECTRIC 53?53 ? ? /? (? ? -
PLUMBING
HVAC 8yz- & 7
Inepectlon Inap. Commenta
FOOTINGS //
/fd/
)?
FOUND
FRAMING J? ?y 97 4,14
ROOFING ?
ROUGH
PLUMBING
iQ - G
PLBG
AIR TEST ? ?
N .
ROUGH
HEATING 7 ?? - ??
?J
GAS SVC
TEST ?
?
INSUL
GYP BOARD
FIREPLACE
(i
FIREPLACE
AIR TEST
FINALPLBG
d
FINAL HTG /(
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
I,,/
OFFICE USE ONLY This reqiest wid 18 mnnths Irom vahtleLOn tlete pnnted m ihis box
353-483 6?
D
L?
?
PLEAS
TYPE I
T
e
Fequ st Dnte Rouph-in inspechon r
? Yes ? N. Inspection Other Than Rou9h-In L7. Neatly WII Call
/
(YOU must oalllhainspeotoi whe n reatly) te etiA
I,Ylicensed contractor ? owner hereby iequesf ms pection of above ele? cal work a ??,p '
Job Atltlress (SVCet, eo r Rouhe No I
? b
ty
Ser.iron No Tawnship Name or No Rarge No Fire No C l
Or I . Phone o
' Z
r
Sup?lier Rtltlres
Ek Coniraclo omFV el
C i v-i Cnnt tor Lice se No Master L.ic No (Plan? Elect Only)
MaJn Adtlress (Conhaolor or Ownsr P o?{?G Insiallahon
?u 5534
A ign ontr lar Ower P riwmings II han)
r Phon ^5)?')
?q - l??-? S
E&OOOptA-t t 8/95 STFTE BOARD COPY - SEE INSTNUCTIONS ON BACK OF YELLOW COPV
III II II I I II I IIIIfIII I III NI REQUEST FOR ELECTRICAL INSPECTION ?0;z_'r
Mmnesota State Board of Electriaty ?
1821 Unrversdy Ave., Rm 5-1?8, t Paul, MN 55104
* 0 3 5 3 4 8 3 1 * Phone (612) 642-0800
Home Duplex Apt Bldg. Other New Addn
Commeraal Industrial Farm Remod Repair
Air Cond Hig Equip Water Hir. Load Mgmt Other.
Dryer Range Elec. Heat emp Serwce
"X' above the work coveretl by [his requcst Enter remarks rn this space antl on fhe back oi the whRe cqoy only.
Ca/culaffi Inspecbon Fee - This Inspechon Request wdl not 6e accepfetl wrthouf the carect lee.
Other Fee # Service Entrance Size Fee x Circuits/Feetlers Fee
Mobile Home Park Stall 0 to 200 Amps 00 Amps
Sheet Ltg./Traffic Sig. Above 200_Amps Above 00_Amps
Transformer/Generetor INSPECTOH'SUSEONLY ??/1 TOTAL
SigNOutlme L}g Xfmr
L
Alarm/Remote Control ? J
Swimmmg Pool I hereby ceriity that I i c rioai
stallation tlescnbetl heroin on ihe tlates sretetl
Irngation Boom aoL191)-in oate
Special Ins
edion
p
Inveshgative Fee Final DaYe
THIS INSTALLCTION MAV RF fIRf1FRFf1 hICC (1 fl WITFIIN 1R MnNTHC
Address 4291 P an mrmr Zip 5512 2
L.ot in Blk i Sub MAT7AR? PARK 41H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
0
Date:,,? ai9rf Yes No Inspector:
Fina] grade (6" from siding)
Permanent steps (garage)
Peananent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish ?
Deck
Please verify with the buildet the removal of roof lest caps from the plumbing sysrem and the shut-off of water supply to
the outside lawn faucet before freeze potendal exisis.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Conttactor Copy ?
y„yFZt `k:.?k's!il,l; ?;'f ?'Y?FM:ti:"?t:•X;k.s'.i'?:.6. Y,::?.'9n?? ?X.?'.¢{.ir'"`.Y.;igd?.::''f jr "*
I. I r!.??, t,.i ? ? . 1
?r
.??,?,? , ?( :.-,,(t.??\f?l_
`I?7":', I?;l'`.c/'-1(i, 'rl;•r:: 9.:;:i;4::JE?
w
W;;IT:F sl[i'_ri!?4G;
1
Y[il:_I) 1??1aar?r.ipl; (;;L:,;•Y1=,r =r.?`??r'????."i?
[;Q(h_,ia '?F
? I?;::'?7 ? 7)' f`?=:?;? }'Vi•.I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number: B U I L D I N G
0 2 8 9 6 3
Date Issued: ia/z4/s6
4291 pINTATL CT
LOT: 10 BLOCK: 1
MALLARD PARK 4TH
P.I.N.a 10-47253-100-01
DESCRIPTION:
kn_g"?.Permit Type SF QWG
„?tii'J.da;:nt?;_:i>?? Type NEW
R-3 U-1
?
C 9L?'st xuetJpn T`yj??e VN
?trpS:Ytg ? ?, R-1
8uilda,rrg Lerrgth 64
,
?ujU- dir? LYid-h 68
a??° r o? 2 , 5 5 3
Cs???? Go8'e' 4 ? Z01 1- FAM. DETACH
;{i:%:'} 4'i.?I iz
M`nf °+'8tE w§ -6P 'relsu Ii3a`? nd
tu k?IT
REMARKS:
I 5&W CONTRACTOR - WELTER & 6LAYLOCK
FEE SUMMARY:
VALUATION
,
?
8ase Fee
plan Review
Surcharge
5AC
SAC %
5AC Units
Subtotel
$1,117.25
$558.63
$73.00
$900.00
100
,
$146,000
MI3C FEES
Total Fee
PRV
1 923.50
$4,572.38
$2.648.8$
CONTRACTOR: _ p,pplicant - ST. LIC OWNER:
BUTLER HDUSING CORP 14314132 0001715 BUTIER HOUSING CORP
P 0 BOX 24597 P 0 BOX 29597
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-4132 (612)431-4132
,, .? C.'
T herehy ackei?wledi?e Chat ? Na?we read <this..aRP??aGa.Cx4n and` sCate th&?? ?Gkre SnE.ormati Q,n.:is cvrrect tcr 4??lt lx?ab?? 5?atdo?f Mrr,'e
_• ?. ,
9tatu.tes ar?dfi E?a? f?rdee?+>;`_ ?
..
?.
PPLICANT/PERMITEESIGNATURE ISSUED YSIG URE
03
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site surveys
? 2 eoples of plans (inGude beam 8 window sizes; poured tnd. design; etc.)
? t enargy ealaletiona
? 3 eopies of tree ation ptan B bt platted after 711/93
Ired•?Yes No
?ir
requ . oQ
DATE: ? 214P (o CONSTRUCTION COST:
DESCRIPTION OF WORK:
S?ET ADDRESS: _
.?
LOT (C) BLOCK
PROPERTY
OWNER
COlJTRACTOR
ARCNITECT/
ENGINEER
°l l v?f !? td ( ? Cfi'
SUBD./P.I.D. #:
? 2 copiea of plan
? Z ske surveys (exterior addRlons 6 decks)
? 1 energy celculations for heated addNions
ja1(a,-r,l ParL
State:
Name: P)(,l,t? e1- (4 u51 > r,, CC<P Phone #: 43t -q-132
Street Address, ?' c>K ?-4? 1
w
City: &Qd?a-tI e6 State: v? Zip: 5S 1 2'4-
Company: IU I if ?fT[?r.l`?C?? Phone #:?Z / r 4132-
Street Address: ? ?• ?? 24-617 License #:
City: V./Ir- L4
Company: ?
II?
Name:
Street Address:?
City: 60m
Sewer & water licensed piumber: 1/vCX
change are requested once permit is issued.
Pl
-b
Zip: ?S ,23
Penaily appiies when address change and lot
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiipble Stale of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFlCE USE ONLY
Certificates of 5urvey Received i! Ye No
Tree Preservation Plan Received Z'Yes I/ No
State: MA?• Zip: 9,5i2s4-
UVIa ''t he J'hone #: ?-0?
?J lJ t
, I?1 V'd Ssreh Registration #' l
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p' 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
0 03 SF Addition o OS 8-plex o 13 GaragelAccessory o 20 Public Facility
o,04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex a 15 Deck
WORK TYPE
d 31 New o 33 Alterations ? 36 Move
0 32 Addition o 34 Repair o 37 Demolition
?
GENERAL INFORMATION
Const. (Actuat)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
vn/ Basement sq. ft.
%itiL Main level sq. ft.
2-3, u _i ? sq. ft.
'FZ-I o.clr sq. ft.
i sq. ft.
sq. ft.
bR , q , Footprint sq. ft.
Building r413
I'loo MC/WS System -?
i 130
-
- City Water ?
?? Fire Sprinklered
1,574 PRV 4c3
Booster Pump
Census Code. 1(21
?s3 SAC Code oi
Census Bldg i
Census Unit ?
Engineering
Variance
Permit Fee Valuation: $ i u (. vaa ,?
Surcharge
"-'
Plan Review --------'"-" ??
License q.sX z 'q
sb• 25 z? Xi ??n
Lao
MCNVS SAC 3.?S,r ?s
.-rs
20 3i u Zo
aB.L
City SAC z.s ,v sxZ. a?
Water Conn. zo.
s w 32. ZS
L(, I '
6 9 16
Water Meter - 3X s - ' Q
Ct 87
i3
j4 # zs_ 241 t,7
ii, i»./,
Acct. Deposit .
SMI Permit
S/W Surcharge ?, Y,J = , sa ??#30 = N??'
Treatment PI. 3x y i g
Road Unit zsxC?
14. S X?`. S ?Sv
437. 2S
Park Ded. ,z.ZSx 8 13
Trails Ded. .,V 11.1S
Other
Copies J 3.zs ?? ?s = 10.09.-
HL za. '
Total:
93,y
%SAC ?. g3 r Z iu.?L
iy.ac. -2I,G78. -
SAC Units =
--?
z9.3s ?
--
?ivo. - lvs, ?-7 B.qv
- ? q, 7
? ?j? 4 yd = G3, vo3.8
I SM'LY FOR • Butler Housing
??,?? AS . Lot 10, Block 1, MBLLABD PARR 4TH ADDITION, City of Eayan,
Dakota County, Minnesota and reserviny easements of record.
_yncANr-
? Y
Q41o L-??
Q Q
O
^ ?n
N85' 23' 50' E 130. !
?p \
4??
•l-y? ? \ /
?
i
*J
?A? E 8?
7'15' 34.08
?D
\
l?r? ?
4q
29, y."
6er'jYe 2
q'op
A+?b °j?u
13?s ?er
? v
T „
p 9 ?
y??QO f
?.
GS2. -
W/ \ A°i8. 89
R°i5. QO
/ + ) A=72° DB' 30'
Q / ti
0
??i yry ry /
?
a ?0 ,?, %? ? 4S I.O L
Y
?'4? 2 poh. y
C),
?? qyf °
u ^1
rn
\ ? b ?'?i+ Q' °o C" /
/? r
4?
uJet ?a' a
NwL =4390
pw 4 = 94?.1
Ss'
GS'.5 ?o ?
LOT SQ. FOOTAGE = 19, 191 UR? ?r Dy
li? v? .. ,
?
PROPOSED ELEVATIONS
Top of Foundatlon = 453.5
Garage Floor = as3.i
Basement Floor ° 999.?
Aprox. SeWer Servfce Elev. =ca°" "'
Praposed Elev. ° O
Exfsting Elev. =
Dralnage Dlrectlons = -?
Denotes offset Stake = o
TAGAN
VH1E'?!f.r,
SCALE : S Inch - 30 Faet
Front -3o House Side -io
Rear -5 Garage Sf de - "/A
I HEREBY CEHTIFY THAT THIS IS A TRUE AND CORRECT AEPRESENTATION
OF THE BOUNDANIES OF THE ABOVE DESCAIBED PROPEBTY AS SURVEYEO JOB ND:
96R?3?2 1
,??????? BY ME OR UNOER NY UTAECT SUPEFYISION AND OOES NOi PURPORT TO BOOK: PAGE? `
SHON IMPROYEMENTS ON ENCAOACHHENTS, EXCEPT AS SHON .
Plannlnp En0lnserlnp Survaylnp '
lln
tan i
Bl
ln
ton
Minn
9M1 E
t Bl
m
t
&/20 Date
p
ae,
O
,
qa
u
ea
rn
ry
l
ri.omM1512) meozae J . I DGREN, LANOSURV OR CADD FILE; DWG.CHK.
.
E50 LICENSE NUNBER 14376
N
T
EAGf11V
DEPT
BENCNMARK, w,.Ar-,
EI¢v: °910.97
MIN. SETBACK REOUIREMENTS
?
a z
?? ?
a/o ?
fY ? ?
?R-10 ?
R-`0 ?
?- ?
5? ? ?
Ey"o ?
?
? ?
?
PROPER7Y LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with siope/gradieni %
• Proposed/ebsling sewer and water services 8 invert elevation
• Street name
• Dmreway
ELEVATIONS
Ebstina
3-?-o 0 • Sewer service (or Proposed)
? ? • Properly comers
? 0 • Top of curb at the driveway
C? C? ? • Elevatlons af any exdsting adjacerrt homes
Proe
12" ? ? • Garage floor
z' ? O • First floor
cr' 13 o • Lowest exposed elevation (walkouUwindow)
d C3 o • Properiy comers
27" ? ? 0 Front and rear of home at the foundation
PONDING AREA (if aoolicable)
efl? 0 0 • Easement line
cr' ? ? • NWL
?? ? ? • HWL
o cy, o • Pond # designation
cy, o o • Emergency Overflow Eievation
DIMENSIONS
3? o o • Lot IinesBearings 8 dimensions
d? ? • Right-of-way and street widdi (to back of curb)
ET, ci ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. ail structures requiring permanent footings)
[2' a 0 • Show all easements of record and any Ciry utilities within those easements
0' ? ? • Setbacks of proposed sUucture and sideyard setback of adjacent exdsting shuctures
11? ? • Retaining waU requiremegls, if any ?
Reviewed:
Name
J
January 1996
CRA1O1975i9LDGPRMT.FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
- - , -------------=_ --- --?? ?? ?! ? ?? ?'-'?? ??
?
I
ISQ -B" CL. 52
? ? ? ' r t I
i
; ?
' I
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NvDRRNT
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? 49u.U
--; P ? N TR I L ?0
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;
, -+-------?-? ?4? _ i
S-p+$u
547.2
10
D.l,F.f?wfirERrtRih
- -?------?-----?-
'----?--,_?-_? I
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43ut(e,r ous y-?' ?
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L.ot I?, BI(c. l
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? 49 d
I i Ds1'U,d4? ?
??vf-, Lz I IN q
944. ? Sg/ • ?a??
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6
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?. -----
COURTr - /
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?- ,T1 v SIq???/4?;? _._--
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6,nall7" ? ??
?? ?t9Y`Cr"'1
: . U)?4D LAIJ a ?d?
Ta
EAGAN FoREsTRv DiVesioN
REVeE'D
By
aaATrE l?- 2?`??
&
--
. ,f
r, 7 ,?rarJ?
r ?
SJM FOR o
sutler sousinq
???? AS : Lot 10, Block 1, MaLI.sBD PaBR 4TH BDDITION, City of Eayan,
Dakota County, Minnesota and reserviny easements of record.
_ VpCP?'
NB5' 23' 50' E
vJtt Infd
Kw?=q39?
Nw?•990.1
Q o-
0
,,16 y NBi
C
o' S6i
i ,
?
\
i ? ! SB n ?
40
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? N7B' 41' Z?
?0 e
s
O
v
¢
s
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w
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?O
.?
?+e
?
s) / ? )
? i
? ,? ti ry•
S.
/
° np y 52?f
?? 3R 33 Z ??a &?
\
lS2q ?\ qa
?
?J,o,
s ?xRAD/?U y???'?
rE/dC?'if (F
LOT SO. FDOTAGE _
? /`O? y?
/a *y v Q)
/
r y ? 'y
/CJ
paQ Q Y
I?A51a
19, 291f
PROPOSED ELEVATIONS
Top of Foundation - 953.5
Garage Floar •9511
Baseaent Floor ' qq4l
Aprox. Ser+er Service Elev. •
Proposed Elev. - O
Existing Elev. i
-
Dralnage Olrectlons - -?
Denotes offset Stake • o
SCALE : S Inch • 30 feet
-t
/
1B. 89
5.00
!' 08' 30'
?
BENCHMARK, ,-N„ a 43iR w,??„-.Eie?• 99b.97
MIN, SETBACK REGUIREMENTS
Frant -3o Hause Side -to
Rear -5 Garage Slde -"/A
JOB N0:
I HEHEBY CEHTIFY THAT THIS IS A TRUE AND CORRECT NEPNESENTATION 9bR-31z
????L ?N? Of iHE BOUNDAIiIES OF THE ABOVE DESCRIBED PROPEHTY AS SUR4EYE0
BY NE OR UNDEH MY DIpECT SUPERYISION AND DOES NOT PUHPORT TO gpDK: PAGE:
SHON IMPFOVEMENTS OH ENCHOACHMENTS, EXCEPT AS SHOX .
PIann/n0 En01noorfn0 SurvlYlnp
9901 Gn IlMlnrtan inrvry liawlnplm. Mlne. wU 061w DBtB _J?L11?
wwKK» wa) ?n J . DGREN, LANU SURY OH CADD F I LE: DWG. CHK.
NI ESOIUCENSE NUMBER 1 376
FNFRrY cAnE woRKSHEET FOR 1& 2 FAMILY DWELLINGS
. • --'--'-- - -
BITH ADDR89S "'?,`i f?i t ?{?a ? l Ci'•
'c3 Tx
C01(BLSTSD HY: Lll CiI-U(.lh?P80N8 # DATB
BIIILDING CLASSIFICATION: ? aategory 1(muet include ventilation) or ? category 2(etandard)
MZNIMJY CRITBRSA -
Foundation Ineulation-R1o Wall¦ & Wiadowo Roof Attia lneulation:
81ab on Grade Ineulation-R10 (See table on reverse side
for allowable percentages)
R44-With Attic No Heel
Ploor over unheated epaces-R24 R38-With Attic Raieed Heel
Foundation Windowa 1/2" R38 & R5-SOlid Raftere
insulated Glaeb.
-Wood or Vinyl Frame
BTSE 1 Wiadow & Door Area BTSP 2 Calculate area ae a parceut of wall
A. Total Window & Door Area in sq. Feet
ation Windowe):
d
WINDOW3 (Including Foun
'
A?' '
VI 1"??0(Z__ From Step 1 divide box A(Window & Door
C
WINDOW MANQFACTIJRS NAMB: .
Area) 6y box B(total wall area) times 100
WINDOW MANQBACTQRS TYPB: I -C?U fa-/L(1l,?1=11_LC > equals the window and door area ae a
1 percent of wall area (box C).
WINDOW MANVBACTURS II 8ACT08t ?. -?,
R. O. Quantity eq.ft.Area
= =
?7' X 100 C
BOX A
S
??
y g
Dimeneione ?
C
8ox 8 3174,16
X STBP 3 Deeiga Featuree
X ASSEMBLY
X FRAHING TYPH:
CI? ?/
1
STANDARD FRAMING etuds 16" o.c.
X
? -? LC. CG7iZL< . ppVANCED FRAMING etude 24" O.C.
X `
CAVITY INSULATION R J
X
X '
$HHATHING TYPH: /
?
X LESS THAN < R-5
X i
R-5 > OR MORE
:?1-2 Eo U-FACTOR v
x
From the table, (reverse eide) determine the
DOORS: maximum percent window & door area for the
s selected and enter the t value
ti
on
design op
? in Box D below based on the window mfg. U-
X
factor:
, v D
X
.. e
Total Area of A=q.Et.
'
Windowa & Doore .
Total Wall Area in Sq. Ft.
8 The a value from the table in Box D shall be
. equal to or gzeater than the 4 in Box C
Wall Total Height Area
Perimeter
r•i
? ,
-
1
,/
•
. C
Total Area of Walle B= sq.ft
Page 1 OF 2
B&?R6Bts 091 P3NT3IL 9M 6AQ9d.. XL
--------------------------------------------------
WINDOW AND DOOR SCHEDULE
QUANTITY TYPE SIZE FACTOR WIHDOR
OPENIflG
-------------------------------------------------
0 BASEMSNT 27 % 14 2.60 0.00
2 PATIO DR 6 R 6 36.00 72.00
2 CASEMENT 14 A 36 3.70 7.90
2 CASEMENT 20 R 42 6.80 13,60
3 CASEMENT 20 X 60 10.20 30.60
Q CASEMENT 24 R 36 7.40 0.00
2 CASEMENT 24 % 42 8.50 17.00
0 CASEMENT 28 R 48 11.00 0.00
0 PICTURE 48 X 60 20.00 0.00
2 DBLE HUNGS 36X24/36 16.80 33.60
0 DBLE HONGS 24 A 36 7.62 0.00
7 DSLE HONGS 36 R 24 13.80 96.64
0 ?BLE HUNGS 32 R 26 13.60 0.00
4 DBLE HUNGS 20 % 24 7.40 29.60
2
-------- SIDE LTS. 1
----------- %
-- 1.3
-------- 6.20
------ 12.40
26
--------
-------
-
- ----
TOTAL WIND(1W AREA:
--
-- --°-----
312.80
---------
---------
DOOR SCHEDULE
QUANTITY TYPE SIZE FACTOR DOOR
OPENING
--------------------------------------------------
2 THERMATRU 3'-0" R 6 19.00 38.00
1 THERMATRU 2'-8" X 6 16,80 16.80
0.00 0.00
0.00 0.90
0.00 0.00
0.00 0.00
TOTAL DOOR AREA: 54.80
. r
Page 2 OF 2
TOTAL WALL WIflDOW AREA:
TOTAL PATIO DOOR AREA:
TOTAL BASEMENT WDW AREA
TOTAL WINUOW AREA
TOTAL UOOR ARSA;
240.80 U-UALUE 0.361 [LOW-E/ARGON F
72.00 U-VALOE 0.367
0.00 0-VALUE 0.421
312.80
54.80 U-VALUE 0.066
TOTAL AREA- WINDOWS & DOORS: 367.60 [A]
TOTAL AREA OF WALL: 3,174.90 [B]
ACTUAL. WDW 5 DOOR AREA AS $ OF WALL: 11.58$ [A] \[B]
___..------------ „..__
IMD?RD ?fAIiL FRAMIN(il
$H_$A
MZNG 9-5,_ INOUL,. R-191 yxbD?Ii fI.36= 14,009 MA?( t?N/p8 ?
........,:..........,..
ADD 88S: 4291 P,IN If 'OURT, ¢AGAN, MINN.
L /O B
suo?ar QQa?? /-.? "'
NEW RECEIPT If 740?01?-
RECEIPT DATE 7
TC
DATE
PLEASE SE ADVISED TAAT THERE IS A FEE SHOBTAGE ON THE ABOVE
ELECTRICAL INSTALLATION IN THE AMOUNT OF $ ?
SHOBTAGE MUST BE PAID WITHIN 14 DAYS.
- 30 AMP CIHCt1ITS =
? 31 - 100 AMP CIkCUITS = :I
PE?iMIT lt
ORIG kECEIPT ll
RECEIPT DAT
PLEASE RETIIkN A CQPY OF THIS FORM WITH YOI]R REMITTANCE.
/ iy%?/??
?
c ,
v? . ?/ /? ?
T .Z1 THANK YOU!
0 - 100 AhIP SERVICE _
? 101 - 200 AMP SERVICE
?
CITY USE OMLY
? ? B? ? 1)
RECEIPT
SUB DATE: / G
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00?
Additional 50 M BTU 6.00?
? Gas Outlets (minimum of 1 required @$3.00 each) d+ ?
? State Surcharge .50
TOTAL ?0
art
SITE ADDRESS: Lm II 1OyA
OWNER NAME: Y +I,ec. f?DAuN(; PHONE #:1?1
INSTALLER NAME: r V34 Nv WL?ZrT? frC76;
STREET ADDRESS: 9'a I c/I& yw ??
CITY: W m' STATE: /IIAk ZIP:
PHONE#: { ri?' I ? c6?bj`
?
r J?
arr use oNLv
L _ BL _ RECEIPT #
SUBD. DATE:
1996 MECIiAN{CAL PERMfT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: * $25.00 minimum fee Qr 1% af contract price, whichever is greater.
• Processed piping - $25.00
. State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SlTE RDDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:.
ADDRESS:_
cirY:
TELEPHONE #:
STATE: ZIP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
CITY USE DNLY
L ? BL ? RECEIPT #:
SUBD.?ItXxzr?'?,G{ DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
EIXTURES EACH bQ. TOTAL
Shower 3.00 x 3, o a
Water Closet 3.00 x 3 = , oa
Bath Tub 3.00 ;< („ o 0
Lavatory 3.00 x "2, o 0
Kitchen Sink 3.00 ;c 3,00
Laundry Tray 3.00 ;c
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 ;c
Ffoor Drain 3.00 ;c s,o 0
Gas Piping Outlet' minimum-1 3.00 ;t
Rough Openings 1.50 ;(
_
Water Softener 5.00 x =
PriVate DlspoSal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 's-/, S 0
SITE AbDRESS: ya g/ ?v?11 C,A?
OWNER NAME:
INSTALLER NAME: Lt)-e-J??
STREET
09 'j!5-
3
CITY: STATE: 14 /!i° ZIP: -L533 -2
PHONE#: (6/a.) 8'8Q -8e 81
- ? /
OFFICE USE ONLY
L BL REGEIPT #:
SUBD.
OATE'
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . ail commerciailindustrial buildings.
? multi-family buildings when separate permits are nQt required for each dweliing
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REOUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of aermit fee due on ali permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: -
cirY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE:
STE. #
STATE: ZIP:
APPLICANT
_ INSPECTOR:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4291 Pintail Ct
Lot: 10 Block: 1 Addition: Mallard Park 4th
PID:10- 47253- 100 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: P
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
ctures are not acceptable in lieu of inspections.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Jeffrey A Goldetsky
4291 Pintail Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA078285
06/14/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115538
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4291 Pintail Ct
Lot:10 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-100
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 .
Joel Gaulrapp
Valuation: 4,000.00
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 -
Jeffrey A Goldetsky
4291 Pintail Ct
Eagan MN 55122
(651) 493-9293
Highmark Restorations Inc
12237 Nicollet Ave S
Burnsville MN 55337
(952) 641-3519
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA116587
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 4291 Pintail Ct
Lot:10 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-100
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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jeffrey A Goldetsky
4291 Pintail Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
5073566021 14:44:40 01-08-2018 2/5
•
r
For Office Use 1 Cr
•.•• ; Permit#: /—/ 7q7 "-:3-7
•�•' E A
4�L^• EZ� _ Permit Fee:
Date Received: l — d -1
3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 JAN 0 8 2018
(651)675-5675 1 TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buiidinainscecticnsecitvofcacen.com •
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1• a• la Site Address: 4aG , '._�'-i �+ Unit*:
Name: Melo ni ow- Icle lcty/r, ) Phone: to%a. GAO.064
Resident/
Owner Address/City/Zip: 4n"Y-�1\ - _ . CA- Er..r n t•-ttJ J51 7.
Applicant is: Owner Contractor
Type of Work Description of work: (-, �1l �1 f t- O- i vk)'v n •!-i le (CI
Construction Cost: Multi-Family Building:(Yes /No )
Company:Pelee u-- S I1ce.F -i wy✓1C� Contact: wP .1.�
Contractor Address: .''�.G iE-4 LL) 8e- City: Pine 'Islor, I
-
c
on.
State: MIJ Zip: Mc1t73 Phone: 3yb.5'534 Email:voPetcL1 P GrnGvfrctrl-wr•+6iw cw .een
License#: eC 52i 13G 5 Lead Certificate#: tJrvr - I("1U(:26-a
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 8 Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit an considered to be public Information. Portions of the Infermation maybe
classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are bade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofearlan.com/subscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 VOftrat.L.IC7 p e €iC:I x
Applicant's Printed Name Applicant's SI na ure
50735660214
/ Pr r/ G"y'a. C (--- 14:45:27 01-08-2018 315
DO NOT WRITE BELOW THIS LINE KA-149( 1 / 72-(`7 E
SUB TYPES
— Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(ScreenlGazebolPergola) ,.O Miscellaneous
01 of_Flex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New — Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof — Demolish Interior
_o Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window — Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy C- 1 MCES System
Plan ReviewCode Edition y\b'l T SAC Units
(25% 100%..) Zoning -1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction K3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O.Required
Footings(Addition) Final/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 In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: (` )rn/27) fr8 ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies a2 C9;G S
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165855
Date Issued:11/24/2020
Permit Category:ePermit
Site Address: 4291 Pintail Ct
Lot:10 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Jeffrey A & Melanie Goldetsky
4291 Pintail Ct
Eagan MN 55122--224
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature