4295 Pintail Cte _ x
C(T'Y'`OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
? (612) 681-4675
f SITE ADDRESS:
• , ?,,?i ?, i{
F h?,tl 1 t?l?U !'11imP 4111
PERMIT SUBTYPE: ?
TYPE OF WORK:
INSPECTION D . .
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ON
PERMIT TYPE: `;" I t ;' "MCI
Permit Number:
Date Issued:
APPLICANT:
:.
Pertnit No. Permit Holder Date Telephone #
ELECTRIC
PIUMBIN
HVAC
Inspectlon Date insp. Commenta
FOOTINGS
FOUND
FRAMING c?,
ROOFING
ROUGH
PLUMBING
-
PLBG
AIR TEST ?
?
ROUGH
HEATING
?? qG ?G S
GAS SVC
TEST
INSUL , : cL
RYP BOARD
FIREPLACE
cy
FIREPLACE
AIR TEST
FINAL PLBG G G
FINAL HTG
ORSAT
TEST ~
BLDG FINAL 44??j
BSMT R.I.
BSMT FINAL
DECK FTG
DFCK FINAL
M
, ?_ _
+^- ?
C'fertificate vf cccupanc?
Witij of Wagatt
zt0utmait 4q 15ri[bixg 380ectioa
This Certifecate issued pursuant to the requirements of the Ursiform Building Code
certifying thar at the time ojissuance this stnecture was in compliance with the various
ordirutnces of the City r+egulating building construction or use. For the following:
use cimifica;a,: SF DWG/GAR Bldg. Penn;, No. 27967
R-3 U-1 zoo„,g D;str;i, R-1 ryPe com,. l ln
Chvmof8?ikiing HOMES BY CHASE Address 1668 E %-.L1FF RD.. BURNSVILLE, MN
euileing nddreu 4295 PINTAIL ^•T Loadiry L11 , Bl. !lALI.ARD PARK 4TS
? C Due:
• Official
EGN&ng POST IN A CONSPICUOUS PLACE
;Addiess 4295 PINTAIL CT
Lot 11 Blk 1 Sub MALLARD PARK 4TH
Zip 5512_
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 100A Yes No Inspector:
Final grade (6" from siding) V/
Permanent steps (garage) V_?
Permanent steps (main entry) z
Permanent driveway LI/
Permanent gas
Sod/Seeded gtass ?
TraiUcurb damage ?
Porch ?
Basement finish
Deck ?
Please verify wit6 the builder the removal of roof test caps from the plum6ing system and the shut-off of water supply to
the outside lawn faucet before fteeze potential exists.
Contact engineering division at 6814645 before working in righl-of-way or installing underground sprinkler sys[em.
Whice - City Copy Yetlow - Residcnt Copy Pink - Contractor Cnpy ?
2007 RESIDENTIAL BUILDING PERMIT AYPLICATION 'f'l 30. Dc)
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ?,tUj-A l L
New Constmdlon Reauvemenfs
3 rr,-gi,t°reA sife surveyc showing r q. fl of IoL sq. ft of hase; and all roofed areas
(20 % naximum lot cwerpge allaveJ)
1 Soils Report if proposed 6mldiny is to he placed on disw:6etl soil
2 copies cf plan shoevmg heam &mmdow sizes, poured fcend design, etc
1 set of Enr.sgy Calculahons
3 copies of i ree Preserva4on Plai, ii lot platted after 71118;
Rim Jast Dztad Opfions sEJedion ,heet (buddings with 3 w less units)
!et nnct7a.?co mechaniral veMjlaUun fnrm
RemodeUReoair Reamrements Office Use ONv
2 copies af ptan showing foohngs, beams, tasGs Ced of Survey Recd Y_ N
7 setof Energy Calculations for heated atldi6ons Sdis Repod Y N
1 sAe suney for additions & decks Tree Pres Plan Recd Y N
AddRion - mdicate d on-site sepfic system Tree Pres Reqwred Y_ N
On-sile Sephc System _ Y_ N
?at€:i are ccesG-»'dtrW a;a6ess vou sfiatc YheNr sire frac#e secret :,,i;lid sile seiaso^:.
Date 6_-7 Pt Construction Cos[ 4S- "56 7:7
SiteAddress 4qz?1,j UniUSte #
Description of Work -PES-_V-- ? Dil ,
NlultiFamily Rldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
d'roitertythvner __i_as' 1L Telephone #( 461 )?IS4- i t5 S7_
? --- --
I ._ '
? C'on+_r:,rtor --
? Adtlress City .;2
I ,`•;tatc M V Zip ?'SM1 2? Telephone #(LJSI 1 y7i?'3??u t
`------- - ---- ----- ---- - (.?F?\ - Z5?' ' 2Cf.? ? ;
COMPL.ETE THIS AREA ONLY IF CONSTRUCTItdG A NEW BUILDING
- Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Gategory , Residenhal Ventilahon Category 1 Worksheet • New Energy Cotle Worksheet
(N submission type) Su'.mi3ed Submdted
• Enagy Envelope Calcul2tions Submdted
I
In tne last 12 months, hun the City of Er_;an issued a permiT for a similar plan based on a masier plan? ?
_ Y 'q If yes, date :,nd addre f _
---- ?'??-F? - ?i
! ir_?; ?;F•d P;umber ___,?? Telephone #
i PAec i-;unical Contructor elephone #( )
I S.wrrJtiNoterCOniroCior _ Telephone#(
?
1 he;-,by apply 1'or a s2esidential C'?ailcling Permit and acknowledge that the information is complete and accurau_
ttiat the wor(c wi11 h;c in conformr,n:;e with the ordinanczs and codes of the City of EQgan and the State of ndN
Statutes; I ttiiderstarid this is not a permit, 6ut only an application for a permit, and wark is not To start without a
permit that ehe work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?. 1 u.'.s (Z-?2- -- `-'-`J ` ? --=
P,pC'iaant's Printed :?lme App 'cant's Signature
¦
2422 Enterpriae Drive
hNLa?.+/43tl.OV Mendoto Heights, MN 55120
* PIQNE?Fi (812) 881-1914 FAX:681--9488
UND 5VINE1VpS • ONL ENGIME?
* an0 nser ng LN?D PLANHEAS. LANDSCFfF Ap?RdS 625 Highway 10 N.E.
Blaine, MN 55434
(812) 783-1880 FA)L783-1883
Certificate af Survey for: HOPVIES BY CHASE
K
' 4295 PIN7AiL COURT
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ELEV.-950.67
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NOTE: PROPOSEO GRnDES SHOWN PEp ORADINC PLAN 8Y: MFR PROP65ED ri0U5E EL FVnTION
NOTE: BVILOINC OIAIENSIONS 990WN ME FOR HORIZONTAL AND YERPC1.l IOCA1ION LOWEST fL00R ELEVATION: C4 S'3
W STRIICNRES ONIY. SEE ANCn1YECTUAL PLANS FOR BUkDiNG ANU
FOUN0Ai10N DIMENSIONR
TOP OF BLOCK ELEVATION:
NOTE. NO SPECIFIC SOn,S INVESTGA71INi NAS BEEN COMVLEYEO ON THIS LOT BY THE
SURYEYOR. iHE SVITA84ITY Of SOILS TO SVPPOAT TME $PEGfIC HWSE GARAGE SLAB ELEVATION: -
PROPOSED IS NOT THE RE&PONSIBILM OF TiE SuRvEVOR.
NOTG TWIS GERTiflCATE ODES NOT PURPORT TO SIIOW EASEAIENTS OTMER 111AN X OOQ00 DENOTES fXi371NC ELEVATION
7NOSE SHONN Gh Mf RECORDEO PUT. ( 000.00 ) OENOTES PROPOSEO ELEvA710N
NOTE CONTpACTOR MUST VERIFY DRtyEWAY DESIGN. --- OENOTfS ORNNAC( AND uTaITV fASEMFNT
PENOiES ORAINACE fLOW OIRECTION
NOTE. BEARINCS SMOWN ARE 8ASE0 ON AN ASSVMEO OM1TuM $ OENOIES MONUMENT
-8- oENOYES oifSET nu0
YYE MERE6Y CERTIFY TO F+OMES BY CNASE THAT THiS IS A TRUE AND CORRECT REPRESENTA710N OF A
SURVEY OF THE BOUNDARIES OF:
LOT 11, BLOCK 1, MALLARD PARK 4TH ADDITION
OnKOTA COUNTY, AtINNESOTA
i7 DOES NOt auRPORr TO Sr+OW iMPROVEMENTS DR ENCHROACHMENrS, EXCEPT AS SrsOWN, AS SuRVEYED BY A1E OR
UNDER MY DIRECT SUPERVISION THIS 7TH OAY OF MAY. 1996. ,
SCAtE : 1 fNCH - 30 FEET
SBqS . ? F
944.9
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PIONEEi2 ENCIN}.'ERWCf Y.A.
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M
. PERMIT y0595 x'57
(,`1TY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 027967
Eagan, Minnesota 55122-1897
(612) 681-4675 Date Issued: 0 6/ 2 5( 9 6
SITE ADDRESS:
4295 PINTAYL CT
LOT: 11 BLOCK: 1
MALLARD PARK 4TH
P.I.N.: 10-47253-110-01
DESCRIPTION:
?lildin`p'„Permit Type
!6uiLdin,g- tilgrk Type
UBC Ocoupancy,
Cons,tructzon Type
Zoni,ng
' euilding =Length,
? B,uilding WidLh, . •
B,uildi:ng .stories
` a-re Fe-?,t _
tiz . '..,
CVe n ?.I si :C.ade-:
?
SF DWG
NEW
R-3 U-1
IIN
R-1
70
51
2
2,355
101 1 - FAM. DE7ACH
15 =- _-
rv,? J Ev ,
12
-;
--".i''?? -_ ',;;'j.? ' ?,'ix.;.?'•?
_- -• _ _v ? } ?'? ,.s ., _
REMARKS:
S&W PLUMBER - VALLEY PLUMBING
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$1,272.25
$636.13
$88.50
$900.00
100
1
$2,896.88
$177,000
MISC FEES $1,923.50
Total Fee $4,820.38
CONTRACTOR:
HOMES BY CHflSE
1668 E CLIFF
BURNSVILLE
(612) 895-5337
- Applicant - ST. LIC
18955337 0001619
RD
MN 55337
OWNER:
HOMES BY CHASE
1668 • E CLIFF RD
BURNSVTLLE MN 55337
(612)895-5337
I hereby acknowledge? Chat 2 have?re'ad_thi's appltcaTion-and state shat the
fnfiormation is co,rrecC and'"a'greeto comply withall applicable State of Mre.
Statutes and City of Eagan 0'rdinance"s.
APPLICANTlPE E SIGNATURE ED cx RSIG 7??, c?,tURE k„?-
.
I
a?q? 7
? 3 registered site surveys
? 2 copies oi plans (indude beam & window sizes; poured tnd. design; etc.)
? 7 eriergy calculatrooe
? 3 apies of tree preservaNon plan i( lot platted aRer 7l7f93
requlred: _,,xes _ No
DATE:
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVRaoair Reauirements
0-4LO 3 ff
4? 2 copies of plan
? 2 site surveys (ezterior addfions & decks)
? 1 energy ealeulaUons Tor healed additions
COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ?z?! ?? -
? ? d? •
LOT ? BLOCK SUBD./P.I.D. #:
PROPERTY Name:Phone
OWNER rnsT
StreetAddress:,J? ?4z?????
Ciry: ?U State: >A7-' Zip: ? S 3?7
CONTRACTOR Company: Phone #:
Street Addr . r ?Q __ License #: ?
City: State: Zip:?-
ARCHITECTI COmnanv' Phone #:
ENGINEER '
Name: Registration #:
Street Address,
City: 5tate: Zip:
Sewer 8 water licensed plumber: ?140 ??/•?? . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the informati is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY zy ?i',r
?? v?D Certificates of Survey Received _ No 5 SQgG
Tree Preservation Plan Received No
- - _.,---=?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21_ Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
,?1 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) fr-,ie' Basement sq. ft. MC/WS System C
(Allowable) ? FF Main level sq. ft. /,/o/D City Water
UBC Occupancy 2-3 u-i Z"' sq. ft. 99%7 Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length L sq. ft. Census Code. 0i
Depth 5-1 Footprint sq. ft. 355' SAC Code O/
Census Bldg /
09 `? Census Unit
APPROVALS ?? S ? Sf ?'• U4
Planning Building Engineering Variance
Permit Fee Valuation: $ /77 Dao ? ?AG ' l76?i y1y
Surcharge
Plan Review ?A?_-
/ __------
License C9N/. ZX s` /6
MC/WS SAC
City SAC yy 62
Waier Conn. ?yn GZ ? 7 0
Waler Meter 7x
Acct. Deposit Ce" Jx F. 67 9?-
S/W Permit 5"xs0 =/? ?i 3 7(0 6
SNV Surcharge
Treatment PI.
Road Unit
Park Ded. 3
Trails Ded. Z? ZZx 3a= 70y
Other
Copies 3z,fX3o = ?7S
???_
Total: ? Y 7 XS`Y =
°k SAC s?
SAC Units
?//?vd
* **
* PIONffloFI
* ang nG i 3r
*
NM612) 422 Enterpriee Drive
/A/yp?rnspq? endota Hmyhta, MN 55120
86t-1914 FAX:681-9488
w+o rLu+NERs• «rmkrft ""n"TEcTS 625 Highway 10 N.E.
Bipine, MN 55434
1(612) 783-1880 FAX:783-1883
Certificate of Survey for:
??.
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F,ACrATd
HOMES BY CHASE
4295 PINTAiL COURt
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949.0
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BENGi MARK
TOP OF PIPE
ELEV.=949.64' /
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NOTE: PROPOSEO Cf1eDE3 SHOWN PEN CRAOING PLeN BW. MFF PROPOSEO HOUSE EL F A710N
N01f: 9UILOMC DIAlENSIONS 9'IOriN ARE FOR HOR120NTAL AND 4fRTICAL Lpr-ATION
LOWEST fL00R ELEVATIDN:
a 5.3
Dr sTRUCTURES ONLY. SEE ARCniTECNAL PlAN4 fIX2 BUtiDING ANO
f0uN0A71ON OINENSIXiA " O
qs4
ION:
jpp OF BLOCK ELEVAI •
NOiE: NO SPECiFIC Sp1.5 WVESTIGATION HAS BEEN COMPLEYED ON 1H15 LOT BY THE
A
iiriErOR, tnE SuiTtiOiuTr OF SOaS TD SuPPDRr niE gpECaic HausE
CARAGE SLAB ELEVATION: y5 Z g
Paaaosco ts Nor mE aEsrarasieiun OF *xc suarreroa.
NOTE TWIS CfRn1lC?iE DOE3 NOT PURPORT TO SIiOYM CRSEMENTS 07nER YHAN X 000.00 DEN4TE5 E%7S71NC ELEVATION
1HOSE SiOM ON Tt1E AE[OROEO PUT. ( 000.00 ) OFNO7ES PAOPOSED EtEVA710N
NOTE CONTRACtOR MUST VERIFY pfiyEWAY p,fSIGN. --- OENOTES ORNNACE ANO uTlIITY EASfJAENT
` PENPttS ORNNAGE FLOw OiRECTbN
NOTE. BEARINGS SnOwN A0.E 8ASf0 ON AN ASSVMEO DATUu -0-- UENOiES MONUMEN7
-g-- acruoTES offsEY nuB
WE MEREBY CERTIFY TO NOMES BY CHASE THAT TNIS IS A TRUE AkD CORRECT REPRESENYA7i0N OF A
SURVEY OF THE BOUNDARiES Of:
lpT 11, BLOCK 1, MALIARD PARK 4TH ADDITION
DAKOtA COIiNTY, MINNESOTA
17 DOES ND7 PURPORi 70 SHOW iMPROVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVIS10N THIS 7TH DAY OF MAY, 1946.
SCALE : 1 INCN = 30 FEET
PIUNEE.K
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n C Lorson, L.
0
V.A.
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
U
F ?
a zO
6? ? ?
q/ ? ?
E-'O ?
p.-'0 13
C9! ? ?
6--'? ?
Er? El ?
R?'? O
C? ? ?
[9? ? ?
PROPERTY LEGAL:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legafdescription
• Address
• North arrow and scale
• House type (rambler, waikout, split w/o, split entry, lookout, etc.)
• Direc6onal drainage arrows with slope/gradient %
• Proposed/ebsting sewer and water services & invert elevation
• Sheet name
• Driveway
ELEVATIONS
Ebstina
e-'a ? • Sewer service (or Proposed)
&-? 13 11 • Properiycomers
Pr'?'? ? • Top of curb at the driveway
Cl 0 ? • Elevations of any ebsting adjacent homes
Prooosed
O---ti 0 • Garage flaor
&?- El 11 • First floor
w'cl ? • Lowest exposed elevation (walkout/window)
@?'o ? • Property comers
w, ? ? • Frant and rear of home at the foundation
PONDING AREA fif aoolicable)
? 01'?[] • Easement line
? cr' ? • NWL
? Ll'- ? • HWL
? Di ? • Pond # designation
13 ?o 0 Emergency Overtlow Elevation
DIMENSIONS
Zr'?? ? • Lot IineslBearings & dimensions
Er?'? ? • Right-of-way and street width (ta back of curb)
?? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
/ porches, etc. (.e. all structures requiring permanent footings)
9 ? ? • Show all easements of record and any City utilrdes within those easements
?? ? • Setbacks of proposed sVucture and sideyard setback of adjacent exdsting structures
? m o o Retaining wall requirements, if any
?
Reviewed: ?
Da
N e
January 7996
cauc 1wMocaRMr. Fnt
LATEST REVISION:
<
' s-o+ys
936.0
13
0 50 100
?
VUK I
3
BENCHMRRK:
T•N.H.- N.
nnn.... SIDC OF W00[]GATF iti
t?? . _ _
4
-w-
?s?n ?Rr
., :PVC
e ?
1& 2 Family Residential "Cookbook" Methoa
SI1'E ADDFESS CitY t
BUiLDER
' Date ?
?
a C
MlnImum Criterta:
Rim Joise R-19 insulauon Foundaton Windows: Insulated giass, 1I2" air spaee, wood or vinyl fiame ,;
Entry doors: 134 inch solid wood with storm oc better . !
ST'EP 1 Window & DoorArea
Total Window & Door Area in Sq. Feet '
WIINDOWS (including foundation windows):
Dimensioas Qnty. Area
(i x
G
X
/
x d !
x .3
° z
v x !?-o ? v
O o
z
x
x
x
DOORS:
x
° x A
Z x L? 9
Total Arw of
Window & Doors
A
Total Wall Area in Sq. Ft
Wall Total Perimeter Height Area.,_
D ;t
2? a ?
Total Area
of wall
STEP 2 Calculate area aR a percent of wal!
Box A(window 8c door ama) divided by Boz B(total
wall area) times 100 equals the window and door area
as a percent of wall area (Boz C).
Box A ?Jr? z 100
BOb B
STEP 3 Design Features
ASSEMBLY OPTION `
r-xaMEwAt.t.:
S'CHNDARD FRAMIIdG ?
ADVANCED fRADUNG
cAVrcy nvsvLnnox ( x- -J71
SHEATF@I(3: T FCS 1'FiAN R-S B
R-5 OR DiORE
WINDOWS (except foundation windows):
U-FACi'OR U- B? f
From the table, determine the maximum percent window
& door area for the design options selected and enter the
value in boz D below:
Box C must be Iess Wan or equal to Box D
. ?
F. The building must not exceed the maximum window and door area as a
percentage of overall exposed wall area listed below for the combination
of framing technique, R-value of insulation within the insulated cavity,
sheathing R-value, and window U-factor. Other components must meet
the requirements of this subpart.
MAXIMUM WINDOW AND DOOR AREA
AS A PQtCEN'P OF OVERALL EXPOSED WALL
Cavity
Window U-Factor
STANDARDt.:
`
.n_.:
;
R'13LL':.;- .
•, 7•:.:??r:° _
13.4%`.?
;
17$% "
.
21.3%
24.3°0
STANDARD .
.
,..
R-15 ' ..
2R-5 .
;
.
129% 17.1% 20.1% 23.4%
_ -... ..,
- . r•-..-. :, _ ....._ . _-^.--
;111?:: ': i 16.0%'-
'::
? 18.896
22.0°10
STANDARD R-18 2R-5 ..
13.5%'-M 18.6% 21:8% 25.3°io
.
ADVt1NCED _. , . _.
<R-5_
;
20
19'0
?
49'0
23
.
ADVANCED . , . . ...,
R-18 .
_.
211-5 ?.,?.._ .
13S% 19.2% .
.
.
22S`Yo .
26.1°0
: ..
srnrronxn.. ... .. ..... . .. .. '
.
' ' s,"%+. nr?^li'.
. : ?.;.•:.. i?.a°?':- ,_
i9.91/6"
73.1%
STANDARD .
R-21 19.3% ' 22.5% 26.1%
:ADVANCED' _ . .. : R-21.i
=
. :::,:•>< <R-5'?: ?:?'yw'? ;11.8%:
a•;: ;
..' 21.2`Yo 24.6%
ADVANCED .
.
A-21 2R-5 .
,
14.0% 19.9°a 23.2% 26.9%
Subp. 3. Performance criteria. The combined thermal transmittance (Uo)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
equal to:
A. 0.110 Btu/h ft2 °F for walls;
B. 0.026 Btu/h ftz °F for roof/ceilings; and
C 0.04 Btu/h ftz °F for floors.
STAT ALITH: MS § 216C19
HIST: 18 SR 2361
7670.0480 Repea[ed 18 SR 2361
Minn. Rulrs Chapter 7670 26 June 1994
***************??**********************
CITY OF EAGAN
TERMZNAL NO: 677
CASHIER: JS
14:45:31
DATE: 09/26/00 'TIME:
ID:
NAME:
60.00
3210 9001 4295 PINTAIL CT 0,50
2155 9001 4295 PINTAIL CT
60.50
Total Receipt Amount:
CR137895
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
anr oF eacM
"?C ?? P 651-681,4675 55'122 ? (L U
?1- -UC?
Naw Conshuctbn Renuiremenh Remodel/Reoalr Reaulremenls
D 3 repiaiered dro wneys ahowlny sq. ft of b1, fq. H. of house 2 copies of plan
and gQ roofetl areaS C1Q7, mmdmum bl coveraae allowedl 1 ae1 of anetgy cdeulaHOns fOr heafttl adtlfNOns
> 2 copIea of pkns (ahow beam & window dzes; poureC mtl. design; efc.) 1 fiM aurv9y IOr 9xleAor addlMom & tlaeka
a 1 wt of enerpy cdqilallona
a ] copies d 1ree preservaMOn plpn H lot ptaltetl after 7/1/49
DATE: f ???CO CONSTRUCTION COST:
DESCRIPTION OF WORK: n4.57?
STREET ADDRESS:
LOT: 1I BLOCK: , SUBD./P.I.D. S:
? /I
Name: Vo g ic/ Phone #: loW-?QS
pQOpEinl/ laet Flrat
OWNER
Street
City -5? State: !o?.?-? 21p:
• Company: (,'??t.?r7trx/ Phone p: lo/Z- IS?Y- r'r5'r't+?
(area code)
CONTRACTOR
Sheef Address: llcense # Exp.
Cliy ?`'r?/ State: OWIC1 zip: 5S?3165?
ARCHITECT/
ENGINEER
Company:
Telephone #: (
Sheet Addreaa:,
r
CNy
Name:
Reglshatlon #: _
State: Lp:
Sewedwater licensed plumber (if Installina sewedwaterl: Phone #:
{ hereby acknowledge lhat I have read this applicaHon, state Mhat ihe infomialion is ect, a'c^?fo comPh' wilh aA apPqcabla Stale
of MineeaoM Stalutes and Cify of Eagan OMlnances.
Signaiure of ApplicanY.
100,
OFFICE USE ONLY ?
Certificates of Survey Raceived _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O Foundation ? 07 OS-plex
02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 11 taplex
? 06 04-Plex ? 12 12-Plex
WORK TYPE
? 31 New
? ?32 Addition
U' 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
? ,t8 Deck ? 23 Porch(screened)
B? 19 Lower Level ? 24 Stortn Damage
Pibg _Yw_N ? 25 Miscellaneous
? 20 Pool ? 30 AxessoryBldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ?
No. of Units
No. of Buildings
Const. (Actuai) ?
(Allowable) ?
UBC Occupancy
Zoning IP-I
# of Stories
Length
W idth
Basement sq. ft.
Main levei sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS ?
Planning Buiiding
? 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
? 36 Multi
sq.ft.
sq.ft.
Footprint sq. ft. ?
f? Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
SJW Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
C3 L1J o+ r .r•dfi
Cdcf1 Rp.=_Z'?L
F'eCt'S??t DdLa ` :j1is: Vjll
Tioe Frlnt«d :I;42:0.
RecPikt Number 105
7AiiECY,Y PL1}iBING IAEC
4245 PINTti1L CT
9001.1145 _50
PF' 43148
9061.40$7 30.003
FF' 43148
To131 Re[e1GL H60U(i4 36.50,
Usee HMCGF'AW
? L .'V I I gL I CITY USE ONLY
SUao Mailard PaPk l?th
RECEIPT #:
RECEIPT DATE:
PERMIT# q? )0
2000 PLLTMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIYTIIRFS
EACH q
TOTAL
Alterations to existing dwellin - minimum fee
Describe: GI - L ? ?? ? ?S h $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping Dutlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink u0- `vt 3.00 x = $
Laundry Va 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished 'requires MPC lic. 75. x = $
Septic S Stem abandonment 30.00 x = $
RPZ new installationfrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under consWction 5.00 x = $ ?'
Water softener if existing dwelling 30.00 X = $
Waterturnaround 30.02 x $
State Suroharge .50 -> -> --> $ C7 .50
Total , -> -> --> ---' $
Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc.
comply ------- w--it-h - ell ----? ° applicable ------- City ----?-----------••---
-------•---•---------that 1 h----° ave read -----• •------------•------th--at --the in-----fortnation •--------is--co-•rc•-act--, -and --------agree - to •-
I hereby acknowfedga this applicatlon, state of Eagan ordinancas.
It is the applicanCs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages wused by the City during its
normal oparational and maintenance activities to the facilfties constructad under this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
STATE: LtA- ZIP:
SIGNATURE OF
****************?******?***************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 677
DATE: 09/26/00 TIME: 14:43:47
ID:
NAME: BURNSVILLE HEATING & AIR
3213 9001 4295 PINTAIL CT 30.00
2155 9001 4295 PINTAIL CT 0.50
Total Receipt Amount: 30.50
CR137894
USER ID: JAN
CITY USE ONLY
LOT I I BL I PERMIT #:
sUSO. M a 11 rnrrl P CAV' RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PEfiMIT (fiESIDENTIAL)
crrY oF snsAv
3630 PaoT tcxos Rn
EASax M1r 55122
9a_00 851-681-4675
Date:
Complete this section ondv if you aze installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupi=d.
• HVAC: 0-100 M B T U
ADDIT'IONAL SQ M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
.50 •
$
Complete this section onlv if you are remodelinQ, adding to, or rgplacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
t _ New _ Replacement Other
Furnace _ Air conditioning
? Air exchanger WED f Other ?DT) _Z(J ll?E SgAM
Fee $ , 30.00
State Surcharge -50
Total 30.5
Reminder: Call for ftnal inspeclion.
SITE ADDRESS: P% c'1'.
OWIVERNAME: t" , l B4YZ&T?Ton PHONE#: '?;? - 9VY-9 Vc?7/
(AREA CODE)
INSTALLER NAME: 1 ' PHONE
STREETADDRESS: i J c? ?AC-? Coy?E), s
NV
CIT1':
STATE:UU?? ZIP: S53?ZS
G
SIGN TURE OF PERMITCEE
CITY USE ONLY
L _ 8L _
SUBD.
APPROVED BY: , INSPECTOR
PERMIT #:
RECEIPT#: _
RECEIPT DATE:
2000 MECHakNICAL PERMIT (CO1NMEiCL4L)
C1TY OF £AfiAN
3$30 PILUT KNOB iiD
£AfilEN. MN 551 EE
651-681-4675
Please complete for: all commercial/industrial buildings
mulii-family buildings when separate permits are not required for each dwelling unit
DATE
r
WORK T'YPH: New construction _ Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Wken installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Descriprion af work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tanle removallinstallation = minunum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE) •
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: "
INSTALLER:
ADDRESS:
CIT'Y:
PHONE#: -
(nREA cooe)
STATE:
ZLP:
? . .,
/
SIGNATURE OF PERMITTEE
L? gL ? CITY USE ONLY RECEIPT#:
SUBBTy l??ff DATE:
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
r,'? New wnstruction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-oNRemodel (existing residence only) $m2e.80-
? HVAC: 0-100 M BTU 24.
Addi6onal 50 M BTU 6.
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TOTAL asU
1896 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
FEES
SITE ADDRESS• 'y??S C-/ .
OWNER
PHONE #: LS-s3-?7
INSTALLER NAME•
STREET ADDRESS• 2/2-Av 12lba 14-e'
CITY: ?? . STATE: Al ZIP:
PHONE #: { ??Z ) ?/(D -66 ?? ?
??
CITY USE ONLY
L _ BL _
SUBD.
-,.,.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? ail commerciaUndustrial buildings.
? multi-family buildings when separate peRnits are = required
for each dweiling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: P $25.00 minimum fee pC 1% of coMrad price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgnng fce due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CIIY:
- PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
?/ ?
i?
S .,j
k--
rEw xEcEirT # ? a5 97
RECEIPT DATE eoIO /
_ DATE ? ? ? -
?
TO C- -
J03
OWNER??lOI'?
PLEASE BE_ADVISED THAT THERE IS A FEE SHORTAGE ON 'PSE ABOVE
- v-lr-
ELECTRICAI, INSTALLATION IN THE AMOUNT OF $
REMARKS
z? 0- 30 AMP CIRCUITS =
/ 31 - 100 Amp, CIRCUITS =
0 - 100 ANP SERVICE
_L101 _- 200 }1MP SERVICE
TOTAL FEE DLJ& = l J? ? _
LESS FEE RECEIVED / d v-
TOTAL E'EE SHORTAGE DUE _ 77 ?
PERMIT # Z
ORIG RECEIPT # Z:?/
RECEIPT DATE
PLEASE RETURN A COPY OF THIS EORM WITH YOUR REMITTANCE.
7
THANR YOU
CITY USE ONLY
L II BL L RECEIPT #: ?7
SUBD. 7-?° QX?Y? G?f DATE: &
/D 9t/
1986 PLUMBING 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
FIXTURES EACJj NQ, TOTAL
Shower 3.00 x 1 = ?--
Water Closet 3.00 x 3 = F,
r3aih Tii`u 3.00 x
Lavatory 3.00 x
-
Kitchen Sink 3.00 x
? = z-
Laundry Tray 3.00 x 5-
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x 3-
Floor Drain 3.00 x 3-
Gas Piping Outlet * minimum - 1 3.00 x 3-
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Spfinkler ' home under const. 3.00 =
Alterations "` to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: p;-' l°- \ c?
OWNER NAME: vs , C? "`
INSTALLERNAME: y
STREETADDRESS: Gc) C?L`^ '6 -e
arv:
S'j ,J?-
STATE: ZIP:
Ss3sa
PHONE#:( ) `411 1` aI ? I
OFFICE USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for. w all commerciaVindustrial buildings.
p multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT
iiVGKK iNPE: NEvV Gt3N5TRUCTiON AD^u Orv i'CCPFIIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT 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. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of RffMg fee due on all pertnits.
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRE55:
TENANT NAME:
OVIMER NAME:
INSTALLER:
ADDRESS:
CITY: STATE:
PHONE #: SIGNATURE:
OFFICE USE ONLY
STE. #
APPLICANT
ZIP:
METER SI2E: 11 DATE: INSPECTOR:
1 , CITY USE ONLY
SUBD.-? /"( ar /Ltr `? "
RECEIPT #: S d
RECEIPT DATE: ?J'JO -(1'G'
PERMIT# ( 0I / I
2000 PLUMING PERMIT (RESIDENTIAT,)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, A1L1 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAI
Aiterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ga5 pl ing outlet ' minimum - 1 3.00 X = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requfres MPC Ifc. 75.00 X = $
SeptiC System a6andonment 30.00 x = $
RPZ new Installationlrepair/rebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler if dweiling is under wnstructlon 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if wtisting dwelling 30.00 x = $
Water turnaround 30.00 x $
State Suroharge .50 -> -> --> $ .50
Tot01 -> -> -> ._a $
Reminder.• Call for inspections of alterations, i.e, water heaters, water softeners, etc.
------------------------- --------------------------------------__.___..------------------------------------
I here6y adcnowledge that 1 have read this application, state that the infortnation is correct, and egree M compty wlth all applicable Ciry of Eagan ordinances.
It is the applicarrt's responsibility to notiTy the property owner that the City of Eagan assumes no liebility for eny damages caused by the City during its
nortnal opera4onal and maintenance adivities to the facilities construded under this permit within City propertylright-of-way/easement.
SITE ADDRESS: % ;z [cl ?
OWNER NAME: : v017? 9??sdo-? TELEPHONE #:
(AREA CODE)
INSTALLER NAME: o`e,5,7 ` TELEPHONE #: Io2 ,V Sy??G
? /STREET ADDRESS: 2-0- 7? dl'we (AREA CODE)
CITY: Am `1a.. STATE: IA ZIP: ?
SIGNATURE OF PERMITTEE
q,m?
2007 RESIDENTIAL PLUMBING PERnmT aPPUC,arioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?
Dafe &_ 1ZK_ 1 (9;1 Lisa Davidson
Site Street Address 4295 Pintail Court Unit #
Eagan, MN 55122
6514541857
Property Owner : # ( }
Contractor /l/e/b/am Awj,-Ag 7elephone# ((PEZ) 8Z7-4033
Address 2qOS [txrfita ' City O? Sfate iYl ,f/ Zip
The Applicant is: _ Owner ? Contractor _Other
, Septic System - New
Refurbished Submit 2 sets of plans and MPC license Indudes County fee
? $ 100.00
Per as-built $ 10.00
Fire Repair (replace hurned out fixtures, etc.) $ 90.00
Afterations to existing dwelling $ 50:00
_ Add plumbing fixtures. This fee includes insiallation of a water softener and/or water
heater at the same time. If you are instalfing only a wafer so{fe»er and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are insfalling.
_Septic System Abandonment
_WaterTurnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Healer $ 15.00
_ new ? repiacement
Lawn,lrrigation _RPZ _PVB _new ,_repair _re6uitd $ 30.00
State Surcharge $ 50
Total $ !S. SD
I hereby apply for a Residential Plumbing Permit and acknowledge that the infor'mation is complete and accurate; that fhe
work wiii he in conformance with the ordinances and codes of the City of Eagan and e t I
understand this is not a permit, but only an application for a per work is not to start witho? ?? =I in
accordance with the approved plan in the event a plan is requi t be rewd approv
.}tCT ?0/?1?ovY1 JUN 2 Q 2007
ApplicanYs Printed Name p' anYs Signature
C!tyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
•(I(,ISO
Permit #:
Permit Fee:
c9Y7, '35
Date Received: it ! 2111
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resrdentl
Ownelr
Name: TolLluLS "i LtSft O ios0i Phone: 6S! 29E-2507
Address /City /Zip: 9 2°i.S 4hse 1-t( Cr
Applicant is: Owner X Contractor
Type of 1Nor�C
s ^'-
Description of work: R� t200F ( R" (O 7Mt) WOKE Sc ?E',ivoavt-1
Construction Cost: 1-10, W) Multi -Family Building: (Yes / No X )
Co ntractor
p R �
Company: DPJ 1 0 h=-t'C0Nsr, Li-€ontact: Zq V I P & C&I'
DPW
9S9,S.:/06Kff7R�L ff II Tfl,WZ'1Cl-
Address: City:
�(y) ./ 7 8` 761 /
State: 'r , /" Zip: Phone: 2_ 30 G/ t� Li0 V (
t Y 4 -
License #: (Sc 63'413 Li Lead Certificate #: A/4-
If
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes 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:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents .that you submit are considered to be aublrc information Portions of
the information maybe classified as on public if you provide specific reasons t at iii ould permit the City to
f ;*'-'--IT conclude that they are-, e. secrets ., .
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minneso tate Building Code must be ompleted within 180
days of permit issuance.
9-
Applicant's Printed Name
Ap ' 'cant's ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169807
Date Issued:06/10/2021
Permit Category:ePermit
Site Address: 4295 Pintail Ct
Lot:11 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Lisa Lynette Davidson
4295 Pintail Ct
Eagan MN 55122
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature