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670 Red Pine Lane
? .. ti ?. ..., : ., , ... . . .. t.. . , ., . ,. 1. 4. . ;f . :S ? . . ? ? . '.. . ; ', . .. .. . . - ¦ : - 6 GAN ; ? ? 855b 70 RED PINE LANE - 6, , ;? H_199, Eagan, MN 55121 ? . 8100 ' BUILDING PERMIT Receipt # To be used for ST?RAGE BLDG Est. Value $11 •000 Date NiJY 19 19 90 Site Address SECTI A1 ? i OFFICE USE ONLY i ? Block Sec/Sub. Lot ? ParCel N0. Occupancy FEES W Name THOMS J LYSSENSACii Zoning (Actuaq Const V-N - Bldg. Permit ? 126.00 a o Address )DD ? (Allowable) N Surcharge 5.50 EA?N -?0 City Phone # of Stories -? ? ? 82 ?? P1an Review "x Length ' " R s o riEt?ABD HULLDINGS Name Depth ?? - SAC, ciry • i ~ ?? 1 E o' ' "` Address S.F. Total - sAC Mcwcc ? ? ROCHESTER pT 2. Clly Phone S.F. Footprints - , .111 Water Conn On Site Sewage _ W W Name on sae wen -? Water Meter ` iZ AddreSS MWCC System - 00 7? Acct. Deposit , <W City Phone " Cirywater - S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and ?gree to corPply with 'all a plicable.State ot Minnesota StaWtes ar??k,C'? ifj{{e{(Eagan OddinanFGa '? ; '?"• A OVALS Treatment PI T J $ -- ' Signature of Permitee APPR Road Unit A Building Permit is issued to: ??NARD aUI1.DiNGS Planner - park Ded. on lhe express condition that all work shall be done in accordance with all Council applicable State of Minpesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 213.50 I Building Official L Variance ?. - TOTAI Permk No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Rnal Plbg. Const. Meter Plbg. Inspedor - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. ?.G iil.? f/ ? Z' " Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 riil rt r,rNi; 09 1 9 14; I .I l H r:c fqb SITE ADDRESS: , APPLICANT: . I, , , ¦ ? ? < < ?. PERMIT SUBTYPE 670 RED PINE LAvE 7F WORK: INSPECTION .. . .• Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE G FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Addition Section 36 Lot Bik Parcel 10 03600 010 Owner? ? Street • ? V/ State Eagan,rnN 55123 ? .?--) ?s ? ` C: Improvement Date 670 RED PINE LANE . Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN ? ? •? ? `t? ?, ?? 3830 PILOT KNOB RD - 55122 1 651-681-4675 New Construction ReQUirements RemodellRepairRequirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; an?ll roofed areas • 2 copies of plan (20% maximum lot coverage aibwed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • t site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Pian if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE C?/ 2,?4 /o/ ve_1 i.i_einti - -- -OL-) JOB SITE ADDRESS =--670 RED PINE LANE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?----- -- --------?1 PROPERTY OWNER ?14L? TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?L"- ""?r v ( ? PHONE# Phone # ADDRESS L-r\ bY)'D Ver? ,?^^ ZIPCODE PAGER # CELL PHONE # X ? 7' 7b (a FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes Mechanical Contractor: Vlechaniciil SysCein Includes Sewer/Water Contractor: Air Conditioning Heat Recovery System Fee: $90.00 ree: $70.00 Phone # I All above information must be submitted prior to processing of application. a4° r-3-6v ? I hereby acknowledge that I have read this application, state that the information is C:oErect, and agree comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. J- -- ? ? Signature of Applicant --- ?\ ? ?'???"Y`? MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 ?. __.. _ 670 RED PINE LANE BUILDING PERMIT To be used for STORAGE BLDG ? 2GA9 , Eagan, MN 55121 ?? 18556 Receipt # Est. Value $11 , 000 Date NOV 19 , 19-9-Q-_ Site Address 4795 DODD RD Lot 1 Block 51 Sec/Sub. SECTION 36 Parcel No. occuPancy .. Zoning W Name THOMAS J BLISSENBACH (Actual) Const o Address 4795 DODD RD (Allowable) City EAGAN Phone 456-0005 # of Stories Length o Name MENARD BUILDINGS oePm , gQ Address 6765 HWY 14 E S.F. rotai cc City ROGHESTER Phone (507) 288-3275 S.F. Footprints _ On Site Sewage ? W W Name or, sae weu w Address MWCC System a W City PhOne Ciry water PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump information is correct and agree to co wit applicabl e State of E ly Minnesota Statutes a Eagan W n ? APPROVALS Signature of Permitee A Buiiding Permit is issued to: zi Planner v shall be done in accordance with ail on the express condition that ali u Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Building Official Variance OFFICE USE ONLY M-1 FEFS -A Y-N Bidg. Permit 196_ nn V-N Surcharge 5.50 Plan Review g 2- 00 SAC City - SAC, MCWCC Water Conn Water Meter X Acct. Deposit S/W Permit - SNV Surcharge Treatment PI Road Unit - Park Ded. Copies - TOTAL 213.50 Eagan TOWI'LSl'Llp F'ERMIT NO. $.? ?._..._. Dakota County, Minnesota Date ............ Applicatian for Building Permit Type of building or work contemnlated. Circle cozaect descrip#ions. -Residentia Commercial Indastrial Other-------------------- --------------------------------------------------------------------------------- -------•--•-•--------- uil Enlarge Alter Repair Install Move Wreck Other------------------- --------•-------------••••------------------.-•---- . . ASX 64 ?--j ? Dimensions_.__. Cast__?.-?t__??....______ ? -------------------- ? ?Zx 3ya? Details or remarks--•---•------•-------------•-------••---------------------------------------- -•------------------------------------ ----------- --•-----------------•------ -...-• ---•---------•---------• ---- Location d l D __51 PSuxnbea Street 'Iie3ween what cross streets I Size ( Est. Valua3ion ?" • Lot BTock I Addition Rearrangement or Tract Owner -•- - ?-,. ..... !-c??-?'-z-? ......................... . Piddress ---?•-----??ti?..??" .------------------------•------ Confrac4or __. ;,-qi /coo .? $---'' °----?-'..-----•--°---•°• Total fee coilected. Permit fees are not rafundable. ............................................... Address ................. .---------••-••- The undersigned hereby makes application for a permit to do work as herein s ec ied, agreeing fo do all work in strict accord ce with th bui ding ordinance adopted April 11, 1955 by Eagan Towns ip oard of Supervisors. ' •------?--••.---------•-----•---° ------------------------------------- -•-- -•--------------------•----- Sigs?ed EAGAN -TOWNSHtP BUILDING PERMIT owne: .----',1? Address (B=eseni) .? v?--s...... G' ................••-------••--•`-t'-'•----••-- ? ¦ Builder .... 11-a-4-ly- -----......--•---•---•----? ? 670 RED PINE LANE Address ........................................... DESCRIPTION N° 1801 Eagan Township Town Hall Date --. 4 ... l.!M?x ---------------------- Stories To Be Used For Fron! Depth Height Est. Cos2 ' Permi! Fee Remarks U LOCATION Slreet, Road or olher DescripYion of Locaiion I Lo! i Block I Addition or Tract a_le_?? 1 d/D 1 5/ I /D 04 *40o olD s/ This permi2 does no2 suthorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his ageni the right to create anp situation which is a nuisance or which presenls a hazard !o the health, safety, convenience and general welfare !o anyone in the community. THIS PERMIT MUST BE ?EP ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is !o ceriify, that._o?_ ________________________________has permission to erect a....141 _.._. . upon -- - •- • • - •-•--- • - - - •---...._ the above described premise bject to the provisions of the Building Ordinance for Ea n Township dopted April 11, 1955. --•••••• ................ -- ................ --••••-••- t...,.?..-•- -=•--•??`"?""-----......... _._.......----.. Per .............. ?- • .,-- .................. Cli'airman of Tnwn Board Building Inspector 4 • 6. I c LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION W 1-,o+ -7 %c y EIVNA (APIs PROP ERTY LEGAL: i + . DATE OF SURVEY: LATEST REVISION: I117-2IO4 m a? c ?a t U Q ? O z Q DOCUMENT STANDARDS ? 0 0 • Registered Land Surveyor signature and company ? ? ? • Building Permit Applicant .g ? 0 • Legal description ? ? ? • Address ,? ? ? • North arrow and scale 09 ? 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 09 ? ? • Directional drainage arrows with slope/gradient % ? ? 0 • Proposed/existing sewer and water services & invert elevation ,Pf ? ? • Street name ?z ? ? • Driveway (grade & width - in R/W and back of curb, 22' max.) 'z ? ? • Lot Square Footage .ff ? 0 • Lot Coverage ELEVATIONS Existin ? ? ? • - Sewer service (or Proposed) .W ? ? • Property comers ? ? ? • Top of curb at the driveway and property line extensions ? ? 0 • Elevations of any existing adjacent homes ? ? ? • Adequate footing depth of structures due to adjacent utility trenches p jt ? ; • Waterways (pond, stream, etc.) Proposed ? 0 • Garage floor ? ? ? • Basement floor ? ? • Lowest exposed elevation (walkout/window) . ? ? ? • Property comers ? p ? • Front and rear of home at the foundation PONDING AREA (if appiicable) ? 'K ? . Easement line ? fd ? • NWL 0 g ? • HWL ? eo ? • Pond # designation ? 'z ? • Emergency Overflow Elevation ? • Pond/Wetland buffer delineation N . Shoreland Zoning Overlay District DIMENSIONS ? ? . Lot lines/Bearings & dimensions ? ? ? • Right-of-way and street width (to back of curb) '2' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ?j ? ? • Show all easements of record and any City utilities within those easements 'z ? 0 • Setbacks of proposed structure and ' ard setback of adjacent existing structures ? ? • Retaining wail requirements: Reviewed By: Date?96A4- G:/FORMS/Bu ilding Permit Application Rev. 11-26-04 2422 Enterprise Drive ? ??? ,? ? ?m ??•s Mendota Heights, MN 55120 * PIONBEA ?LAND SURVEYORS • CML ENGINEEP,S (681) 681-1914 FAX:681-9488 * eng neer ng LM0 PLANNERS• UWDSCAPE ARCHIiECTS 625 Highway 10 N.E. * * * Blaine, MN 55434 * (783) 783-1880 FAX:783-1883 Certificate of Survey for: _MANLEY BROTHERS CONST (010 BUYER: EXISTING EAGAN, MINNESOTA BENCH MARK ?? TNH LOTS 4& 5, BLK 1 LOT AREA = 22,934 sq. ft. ELEV.=933.01 HOUSE AREA = 1,298 sq. ft. SANITARY SERVICE INVERT: 923.4 GARAGE AREA = 740 sq. ft. HOUSE TYPE: LOOK-OUT' PORCH/SIDEWALK = 197 sq. ft. DRIVEWAY AREA = 1,785 sq. ft. ?o ? o '` ? o I 'f C? E ?`' u ?] `? ?;? ? v COVERAGE = 17.59e 93?.3 35.3'? IX939.3 ? N 89•581OS"E- 149.14 x 934.7 ? 938.4 937.0 937.4 9J8.1 _ 60 O _\ x Q??o ? ORAINAGE UTIUTY 93e.s 60.06 e _ - I 934.1 9?? ? _ ?''EASEMENTIPER &794i e? 1 1- x937.7 ? W 937. ? 9093 5.7 793 A? M ? x \ 939.4 d X 940.0 940.4 X 939.9 ; 939.2 ? 940.8 O) X93 80 \ ---- ? 938.4 7937 I 97938 ? ? ? ? \1 a ? - - - - _ _ __ = = 90.3 - 941.0 940.8 \ \ (/? 940.5 937.5 A? 938.0 940.5 _ - -i(- - • - ? _ ._... -3c- : 9 J v U 837.3 x 937.8 A . v .X 840.5 33. ?J x 937J a G?nEO.? . PROPd5ED -- L' --9ao. 940.0 e 0 x / s.s 94 . s G A R A G E oTv E w Ay 94.z; ? 10 ? v 940.4 ( 7 7334 A$? ?R ? 94 2 !u0" ? 941.8 ? C? ''! • 0 +O ? 940.9 . ? ' ` ? S •.494V.B' r7 ?...? ? ? ? _. 941.0 9 .0 .Q4 ' I N m 941 ? .2 . l4'0 m x ;v ? 939.5 940.1 '. .- 941.1 j/ • s38.? / X x o Nx r N I " N D ? x / 939.7? N 00 ? Z W 6.0 941.2 9 . 7 939.3 Z ??Y` a S r? . ?CSS A?? ? ?1 0 93,9?.4CJr 14.0 X? 940.9 ? ,. X 42.0 X94 . 940.3 940.0 O? 940.3 / w N - g ? iss's° J asa. x x d N 61 --{ ? -BI?UMINI OUS .8 I z M p? a 939.7 s? 4o.e:g' 0 ? ? M DRIVEWAY ? ? . S .? sao.z? 27.5 1-9 ? ? eM? R?MOVED) ,?r.. W u? I 939.2 940.2 941.8 X ? 40.7 -ToC' ? ?? 9 ? r Ca,g-). ?LW •9' i o4 xsaz.? 941.1 x " W ,o / \'?? u) ,? RETAINING e40.5 ? 797 ? WALL TO BE k• 938.5 1CONSTRUCT ? E?D N 0,3 ? / - ---- ------- 940.0 -? 939.7 9 7. O 939.1 ?0 M ^- ? ?Y4?2,? ? 'aKl 941.3 ? ? ? x (a1o ' ? 10.6 q2,9.57 939.4 39. ? o o J o. 89'58'08"W ? 134.41 9?.3 N>? ? > > N? b - - - -?-? 839.1 .- M RED PINE LANE 0X L (00k_o U+ t?O?a ?T?xiv? i r. ? lJ?Slq ne, ris GXi-?i; r\ c? HOUSE ELEVATION V?Pr; -01) NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER a, LOWEST FLOOR ELEVATION: a? ' I NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION ? CA C?? b3 OF STRUCTURES ONLY. SEE ARCHITECiUAL PLANS FOR BUILDING AND Q' TOP OF BLOCK ELEVATION: FOUNDATION DIMENSIONS. (" GARAGE SLAB ELEVATION: NOTE: NO SPECIFlC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE (,lr??,? \ SURVEYOR. THE SUITA81l.ITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB 0 LOOKOUT ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: 1HIS CERTIFlCATE DOES NOT PUR?QRT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECOROED PLAT. ( 000.00 ) DENOTES PROPOSED EIEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. --- DENOTES DRAINAGE ANO UTILITY EASEMENT -?- DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DAiUM -? DENOTES SPIKE _ -8-- DENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 7, BLOCK 1, SIENNA WOODS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF FEBRUARY, 2004. /Z210SI? NED. PIONEER E INE ING, P.A. SCALE : 1 INCH = 30 FEET ?(L?,? B 3404 104007003 SMD TJW A- Z Dan R. Westergren Reg. No. 197 0 ??0 t?-? ADDRESS CHANGE REQUEST DATE: I I-o? (;?- U4 FEE: $50.00 EXISTING ADDRESS: dQt d. 'i?o (l. c- NEW ADDRESS: G -M Re-L P? n e, U ?'t e-- LOT ? BLOCK 1 PLAT NAME J i-e n n a bli o?? S REASON: hvi v eL-Jqn G c c, e S S Ma,r \e ? J+e.cs?, PRINT APPLICANT NAME SIGNATURE CD/FORMS/CHANGE OF ADDRESS ?IYC7[ZESIDENTIAL B LDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 set of Energy CalculaGons 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units ?.. 3 -- ? RemodeVReoair Reauirements 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Pn - n *- L-? L i7 Office Use Onlv Cert of Survey Recd _ Y_ N Tree Pres Pian Recd _ Y_ N Tree Pres Reqd _ Y_ N On-site Septic System _ Y_ N :?, - j v Date / 3 / 03 ,1 ° ReA f? neco struction Cost,* 15? oQ o, Qv Site Address ? UniUSte # ? t, GO4 Description of Work ? Multi-Family Btdg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner I ? h/") teA 4 R_afhers Telephone # ei1 ) CJCJ"/'" / /? ?S Contractor Address - City (ae'L ? State 1 r?N Zip p- Telephone #? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ven6lation Category 1 Worksheet . New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( a ? rJ UD 't? ) I hereby apply for a Residential Building Permit and ac owledgeia'? info ation is complete and accurate; that the work will be in conformance with the ordinanc y of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. MZL&Z? l'IL", - Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation -12'r02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex n 0 07 05-plex 0 13 16-plex 0 20 Pool ? 30 AccessoryBldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types N 6,,,? ? 31 New ? < ? 32 Addition ? ; )k 33 Alteration ? ; ? 34 Replacement Valuation Census Code 7? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const 5s C) 4-3 0 ? 5777eCt,1?, ??OV4-, ,?? c) &aur- t-10'L 1-5 Stories Booster Pump Sq. Ft. PRV 1?Length Fire Sprinklered W idth Int Imp roz?? ? 38 Demolish (Interior) ? 44 Siding Move Bidg. ? 42 Demotish (Foundation) ? 45 Fire Repair Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy ?'?- U MC/ES System Zoning City Water 7X Foundarion _ HVAC REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. ? Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ( Framing Siding Stucco Stone Fireplace _ R.I. _ Air Test _ _ Final Windows (new/replacement) ? Insulation X Retaining Wall ---------------- - -- - ------ - -- - ------ - -- - ------ - -- - ------ - -- - ---------- - ---- - - -- - - ---- - - ---------------------- ----- - - - -------- - ------------ Approved By ? 2- , Building Inspector - Base Fee Surcharge Plan Review -4" C/ AC ?te, ?YA-r Cit y SAC Utility Connection Charge ?S&W Permit & Surcharge ?Treatment Plant , License Search Copies FX0 A.JA) Other l-?0,0 Total ? LOT SURVEY CHECKLIST FOR RESIDENTIAL • ` BUILDING PERMIT APPLICATION PROPERTY LEGAL; Lo 71 700 'u loG'k l. J?'eovn-'t DATE OF SURVEY: LATEST REVISION: 3 -? ?•- ? ? d a? c R t V Q ? O z Q DOCUMENT STANDARDS ?? • Registered Land Surveyor signature and company 0 4pip • Building Permit Appiicant ?,S?aGe'li:, cr) r? ? 0 ? • Legal description ? ? qqW.4 • Address (9,0- i+oc? )K ? ? • North arrow and scale •? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? a.? [] ? • Directional drainage arrows with slope/gradient % ( Stiow -t-e rt?i?ect' J+^?' ^5 j?i, MoK {mp. ? e"' ??OK? • Proposed/existing sewer and water services & invert elevation?." r,s s,•,?) )A 0 ? • Street name ?11(1. • Driveway (grade & width - in R/1N'and back of curb, 22' max.) CA,4r6) h'ttaQ ?rrra?r?t? ? ? • Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existinq X? ? • Sewer service (or Proposed) ? ? • Property comers ?41P • Top of curb at the driveway and property line extensions (?MfSSi? 5wf Nc- eor+lt'-s) ?X ? • Elevations of any existing adjacent homes -'-"' ?;ir 0 • Adequate footing depth of structures due to adjacent utility trenches 0 X ? • Waterways (pond, stream, etc.) Prooosed X? ? • Garage floor 1B( ? ? X ? 40*ih. • • Basement floor Lowest exposed elevation (walkout/window) ?lo6kot4t GtJYnoCpcCl, , >i ? ? • Property corners ?? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? X ? • Easement line ? PK ? • NWL 0 .EK ? • HWL ? R ? • Pond # designation ? ;K D • Emergency Overflow Elevation ? 0 ? • Pond/Wetland buffer delineation DIMENSIONS ? ? • Lot lines/Bearings & dimensions ??? • Righ#-of-way and street width (to back of curb) ?? 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) :8,' ?? • Show all easements of record and any City utilities within those easements ?0 4006 • Setbacks of proposed structure and sideyard setback of adjacent existing structures (Shmw DmJ,,A Rd- c64r.«ce) k3; 00 • Retaining wall requirements, if any Reviewed: Name Date G:/FORMS/Building Permit Application Rev. 12-16-03 ? 2422 Enterprise Drive Mendota Heights, MN 55120 }. *PIANEER L,wo simveroRS • aHL _anmts (651) 681-1914 FAX:881-9488 ? enA neer nA LANo PLANnERs• uwoscaae I; ihcis 625 Highway 10 N.E. Blaine, MN 55434 ? (783) 783-1880 FAX:783-1883 ? ACertificate f Survey for: ?Li' known ----? -- Y QS (?r56_DODD ROAO)I ?-J'_BUYER: EXISTiNG EAGAN, MINNESOT BENCH MARK ?`? ¢ " n TNH LOTS 4& 5, BLK 1 ELEV.=933.01 -/ ? J f_!. r7(? 2 P0100 &f&T AREA = 22,934 sq. f HOUSE AREA = 1,298 sq t. SANITARY SERVICE INVERT: 923.4 GARAGE AREA = 740 s ft. OUSE TYPE: LOOK-OUT PORCH/SIDEWALK = 1 ? sq. ft. I DRIVEWAY AREA = 1, -5 sq. ft. h COVERAGE = 17.5% ° v ? 934.3 ? S 3'??? • / f/ , ? x 934.7 N 5 808 E IX939.3 /X x 149.14 9 938.4 937A 937.4 eai.i ??'EASEMEN ER Pl 1 _ _ ?9?s 9J8.1 ? X 937.7 : Q ?7. n 1 939.0? w e35.7 O q7 Mix 7s+e ? X (y? (6pq ' 1 939.2 ? 939.4 ? X 910.0 940.4 ?v 938 .4 7957 X9 1 , 9A0.8 g37938 ? Gi ?.11 ' s: Q?' \ =° - =- 940.3 - sa?.s A?'17 e41.0 .0 940.5 9 \ \ 940.5 e37.3 X eaze x a?o.s 335 a'? v s.7. ?es?.? ? q x PRb • ?D ' '`; ?. ' -.. 0940.e e40.0 0 a1 e •e e .a GARAGE 7944 ?`? -1l0 (p 9?•`? 9412 ` ` ...?' 10 N . 940.4 v R?AO ?)`•941.8 ? ? ?? •.494Q ? ' ;"t'.'?: 840.9 840.0 - . ? 841.0 // 941.0 ?A' 1 ? ? '2 , 14?0 9 m 940.t • X ? ? 38.7 ? 939.X x x ? 941.1 . ? ? 2 X 939.7 ? g O W ? ? W 6. ? 941.2 g 7 ? I 939.3 Z ? V) 94 ? v M a N? .4 4 Ab(°9o.t 939.4 ? 14.0 X0 X94 X94 .S I W 0.3 x? 0 w= = 941.1 ? 9 x ?.s s?.a / ? ? sao.s EXI ING x dZ,B? e+o.o 9 7935 J xt _-- B IT U D U S I Z N p? a e3e.7 940.8? cT DRIV Y ? -16 0 (T C: k?9ao.21 27.5 X4o.9 e40.6 e+o.a \ R?MO U? ? -v esa.z e~o.z 941.8 ?40.7 942.1 x913.1 x w D-{ \ x ? ?i?D. ??i ? •?' 9 , 941.1 I ? tp L,Q ? eae?r`i WALL O A NBE e40.5 7917CONSTRUCT? I 10 ` 939.5 "--- - - - - - - - - -----? 9 .0 959J 9 7 A 21 O 939.1 Q??/.r) 941.3 x?Yt n T?s.? /10 6 939.4 1 \ 39., ? o o ? S 89'5808W 134.41 X N 0 > > > > ,o.s > ? N?b ? - - - - - N ii RED PINE LANE 939.1 I OQ 0-p ..ck- 4 k-m o + 6J3 co,q ?/.fl A ?? ?0 ?Q ?(?0,5 ; ?1 ?l ? '?X i?5f ; n ? V ?kri NOTE: PROPOSEO GRADES SH WN PER GRAOING PLAN BY: PIONEER LOWEST FLOOR ELEVATIO NOTE: BUILDING DIMENSIONS :?FI?OWN ARE FOR HORI20NTAl AND VERi1CAL LOCATION ?N OF STRUCTURES ON SEE ARCHITECiUAL PLANS fOR BUILDING AND ?? TOP OF BLOCK ELEVATION: FOUNDATION DIMEN NS. GARA,GE SLAB ELEVATION: NOTE: NO SPECIFIC SOI INVESTIGATION HAS BEEN COMPLETEO ON THIS LOT BY THE SURVEYOR. 1HE UITABII.ITY OP SOILS TO SUPPORT THE SPECIFlC HOUSE ?TOB 0 LOOKOUT ELEVATION: PROPOSED IS f THE RESPONSIBIUTY OF 1HE SURVEYOR. > NOTE: THIS CERTiFl TE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ?=X; 000.00 DENOTES EXISTING EIEVATION ' THOSE SHO ON THE RECORDED PLAT. (`000.00 ) DENOTES PROPOSED ELEVATION NOTE: CONTRACT / MUST VERIFY ORIVEWAY DESIGN. ?????m MOP38 --- DENOTES DRAINAGE ANO UTILITY E?EMENT (DP ?f;oWnft w%1fl vv@QQ --'- DENOTES ORAINAGE FLOW DIRECTI NOTE: BEARING HOWN ARE BASED ON AN A55UME0 DA7UM ?RequOPd -g---- DENOTES SPIKE ---? --8-- DENOTES OFFSET HU8 WE HERE CERTIFY TO MANLEY BROTHERS "CONST. THAT THIS I? A TRUEr ?k,,RE EPRESt`!N ?Al'1 SURVEY THE BOUNDARIES OF: ,a BLOCK 1, SIENNA WOODS DAKOTA LOT 7, COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EX?&A 'k UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF FEBRUARY, 2004. E OR •';i SCALE : 1 INCH = 30 FEET SI NED. PION ER E INE ING, P.A. 404 104007003 SMD TJW to 4- 8 Dan R. Westergren Reg. No. 197 0 ? ?2004 RESIDENTIAL PLUMBIN LICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address Unit # Property Owner ?i?a ;91'S?CS 7f 7?Z Telephone # ? Contractor Telephone # ( ) Address City? vig-•?--? State/" Zip ? The Applicant is: ?Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and.water heater _-Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 S Sb Total $ ? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in #he event a plan is required to be reviewed and approved. _ Applicant's Printed Name RESIDENTIAL BUILDING Permit Application City Of Eagan ??- ???? ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Repuirements Remodel/Reoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of pian Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date d ? 1?'-7 o LConstr0tion Cost #? 5 D O i U ?- Site Address Unit/Ste # ?Q.-k ?? ; ?S?GY ?n 0 I? ?j vi ? ?,e ?plQ G! h (-?J ??-GI S7? GL Q ? Description of Work re ?let c a ss' cr s : v1 !5. Ife r_.A=: t,: i,CC, Ss Cti,.n.na,n-d- 5^1 dl n cc.?o(/rrc( y?-?IjM lti F il Bld N ? - am u y g ir eplace(s) _ 0 _ 1 _ 2 Property Owner A-4a_/) / Telephone # ? 5l ? ? U9 7 -7/ g Contractor Address al 13 City ?Ca -r'j a_e) State Zip Telephone # (&Cj/ ) ?0q" -7-718 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Wpter Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informati?aur? is-compiete°mTd-umdrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?l/l ? c-1tie l /.? )<?Usew_, ?. Applicant's Printed Name Applicant's Signature PERIIVIIT , ' CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BuILDING Eagan, Minnesota 55122-1897 Permit Number: 029195 (612) 681-4675 Date Issued: 11 / 0 8/ 9 6 SITE ADDRESS: 4795 D O D D R D ? 670 RED PINE LANE LOT: 1 BLQGK: 51 - - - - ' SECTION 36 P.T.N.s 10-03600-010--61 DESCRIPTION: (Ga., I..??RT) FxR?PLAcE ALTERATIpN 434 AI.Te RESIDENTIAL ? ? ?XV ?. ?.d '? ?v?`?"" N REMARKS: FEE SU9VIMAFiY: Base Fee $25.00 Surcharge .50 Tntal Fee $25.50 C0NTRACTOR: - A p p 1 i c a n t -- S T . L I C OWNER: FIRESICIE COf2NER ZNC 16331042 000.1068 BLISSENBACH TOM 2700 N FAIRIIIEW AVE 4795 pODD RD RQSEVILI.E MN 55113 EAGRN MN 55123 (612) 633--1042 (612)452--4355 APPLICANT/PERMITEE SIGNATURE flatio Rlukwj UED Y: StGNATVJRE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 4195 1996 FII2EPLACE PERMIT APPLICATION 681-4675 DATE: 1 1 / -7 /? (:?,, DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE: WOOD BURNING X INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE GAS OTHER: ROOM TO BE INSTALLED IN: STREET ADDRESS: LOT BLOCK _ d( SUBD.lP.I.D. #: ' AFPLICANT: (circle one only) OWNER (CONT CTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIItEPLACE INSTALLER GAS LINE INSTALLER Name: ? L..\ S 5 e-J gACk's e1kYt(S Phone #: 3 5'S? IAST FlRSi Signature: _ Street Address City: Company: Signature: ? ? StreetAddress:3fjv45 --LOJ! l-3 CityGA"5?l "-Z.' State: Company: Name: _ Signature: Street Adc City: --, License zip: Phone #: State: ? Zip: -2, Phone #: B33 -- Z,Sr-/ 44?4? State: Zip: 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ,- CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 . ? 651-675-5675 ?6 !50 Please complete for modifications to existing residential dwellings. Date ? e?? I `L. ? I U Li Site Street Address G Z a ?eJ Unit # Property Owner N1-hitc!, 6"+L, cy> Telephone # ( ) Contractor S??t ?{- ?? ?y-• S` ^s Telephone #( 9Si ) yw 7- 6 7 i y Address City State W1IV Zip 5537Z The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater Septic System Abandonment -°`E-<Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional. Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and appCqved. Jonh< c? ?.1SSC<o Applicant's Printed Name Applicant's Signature ?g L?0 W ?[, ICT 2 r 2004 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,Zi?L 7-7 o ,0 6 New Construction Reauiremenis Remodel/Repair Requirements (7fftG?:E7s?`:(7tilu 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert &Survey Reed '' k N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Pkan Recd Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suroey for additions & decks 7ree f?res ftequirbd Y N --,. 1 set of Energy Calculations Addition - indicate if on-site septic system On-sM;SeptieSysfsm .;;., Y. N. 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs wiih 3 or less uniis Date 0 ly Site Address :: `70 Z,,:? vI VN,(- Construction Cost d??140__ Unit/Ste # Description of Work ;Q.e., &M/ , Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner `±? C.cv\\,_? \::"3 _ e) Telephone # (65-/ Contractor V`C\0. Address State V\A n . City ?e H Zip ? S I"ZZ Telephone # ?.54/_ 415;7 3 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mimiesota Rules 7670 Cate?orv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wo k which requires a review and approval of plans. ? Applicant's Printed Name Applicant's Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements t?fftee?4ls?:a tilv 3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert cat' S?ey f?ecd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Ptan Fieed Y N 2 copies of plan showing beam & window sizes; poured found design, eic. 1 site survey for additions & decks 7red Pres f2equired Y N 1 set of Energy Calculations Addition - indicate if on-site septic system On sils:SeRtic Syslem ,,:;; ?' N: 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date Const ction C t*Il'?`o`, ? Site Address ?Ai?/Ste # Description of Work bi 5/ ?Ak 6 /1 ? A' f,meL LI, S ex % I- j,-'? rA*C,? Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner (m-betw'kA,"I) Telephone # ( (0?7 ) , ?.- Contractor l tl J £ Address r R-??t,'W City /??C??iGf State Zip 5S/ /3 Telephone # (C 0) %`1 L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?rv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee app?ies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application or a permit, and work is not to start without a permit; that the work will be in accordance with the approve lan 'n th se ork which-r-€quires-,a•re?.iew-and apProval of Plans. r'? 2?04 I I Applicant's Printed Name Applic nt's Signature -;U G , - - -------- - -------- . . . . . . . J? ' . . , . , . . . ??:n? , . . . 6 70 RED PINE LANE ? . ? . • /3/6' 6 ? .43 -511 "!Y' 7 i ..,i ? .?Q???G:t?.?"dt!?•13.0?' . ?., ,???,.?'?a . ; ? ° ? ? . . /?? . . . ? . . , . . , I ! . Z ?°, a ?rj , ' ' ; ? • 'v ? - '; ? q V ?? ?., • ? ? a ? ? tb I`1 ' q a_ a y ? 4, ? . , .. ___ -, ,.,.._ _,,..?. d.. . . . .,.... _,.... _. . .?._ , , . _, :... '_..I ?_.•. .. . .._.___ ? ???? ; ? t _ ? ' 4--- 14nvit? ?i! 7 t • , ? ? , . ` ' _,:?_ ' `' •?`? ? „ ? . _. ,aoi tl? p r? . .. r .. . ._... .. , F;? ..?.. , .,.. ..... ,...? ?.. . 93' .? G6.? ?. .. 0 , . -- _, ? • " ? - ^ i r ? a I ° y ,,Y ,4 } • ? I ? ???.1 ? { +`. ..: 4 , 1 R .?, ?. 1 n 33 33,I _ .- i _ _ ?. ,_._.. .-_._., ,.? ` I? • ?--..,? ? ? ,, o ? t .. ? , ?.. .. i ..._.?,? . ? ? ' - .,. • - . _ ?--. _'_ .. ?? '?".-• ?,.? , ??,__.... . ..._.... ???.?3 . _ ? ? ?f70 j?' ? ?r j. ,? ?_ .. ' ............ c_,.Lz? L. ' "' Y + The South 65.0 f'eet of that par.t of the Southeast Quarter of the Northwest Quarter (SEJ-NWJ) Section 36, Township 27 North, Range 23 West, lying VVest of Dodd Road as now traveled, and the North 235.0 feet of that part of the Northeast Quarter of the Southwest Quarter (NEJ-SWI) Seetion 36, Township 27 North, Range 23 West, 1y3ng West o£ Dodd Road as now laid out and traveled. Containing 5 acres more or less. ? , - - - --------- - --- ? w ?--- ------------ -- --------- --___ ° 670 RED PINE LANE C O U N T Y ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galauie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us l? ?? ... -- MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: October 18, 2003 TO: Tom Colbert/Wayne Schwanz (EM) RE: Well Permit #: 03-H199091 Municipality: Eagan Bohn Well Drilling 10/14/2003 The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner: Well Owner: WELL LOCATION: Fag #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Olsen Time: Time: Manley Brothers Construcrion Manley Brothers Construction PLS Coordinates: NW 1/4, NE 1/4, SW 1/4 Sec 36 Town 027 Range 23 Street Address: PIN Number: I00360001051 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARGHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY nF MONTu TN WHIGH REQUFCT IS A'A-DE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR GORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR S?F[,aFR k GTATFR PFAMTTc IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. ? 670 RED PINE LANE 0 RECQ ?--- ? -- - - •,? To Be Used Fo : s?G?jZ/? 6?L V-tiVali?uation?/ Date: -zg Site Address L lOFFICE USE ONLY Lot I Block S1 Parcel/Sub Owner 7/LJ4t5 Address q7 lj 24W city/zip coae ???'?; ? 1?'? • Phon Contractor LviLD?i?I?.S Address C"7,CS-11'L?y, / y ;?,?57- City/Zip eoae?G/.??S?2i Phone &WML-63 7 --33f?-6a?.? Arch./Engr. Occu anc P Y Zoning Actual Const V-N Allowable %4-0 # of stories Length :0_ Depth ?2,• S.F. iui:ai Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit ? -ZG., C?O Surcharge 15+J10 Plan Review 52.,00 SAC, City SAC, MWCC waLer "l'onn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL Address City/Zip Code Phone # _ ? /,?,?• ..? . > i, . , ' ' --- ! JUI?N J. ?'?YAN CO. ` . , . . 1595 SElBY AVENUE, St. PAUL 55104 SCALE: 1 INCH /?rn FEET TELEPHONE 646$$58 '. PLAT UF SURVEY . , , ?y: OF PROPERTY OF '' LOCATibN_.,__ _?'7'.G f _ l,..[???_, l'???!r? ,?-.?..? ^'',.l?,._ cr''r .?? ?? /,???:7 ' , _ ..: ,?__:_,_ ._„_..._._...? I DESCFifBED AS FOLLOWS.?_`... ? Lt . .!?:?d.34?:.S.:Lf_a.?l_[._. ....?.? 5.?.1'??e?-i`?L.??'•-s?_._..????......._.L..?_...'? ?ii?__..,.?.?w? ...iS_IL.,.1.=b?`? .?,( rj ? . . / Y.? . i !?' '?' E<."??t`.i7.?!-?/.. . ' i`'d.'}'! ',1. -- '. ?.. .' ;, . . ' •- ,.? ? . a , . !' . . ' . ( :a.. ..-.?-. ..._,._.......,_ '„_'"?...,_,. ._____.._.... -'•v !?. ..._.. .._., _ .?..._... . _.. . ? ??: . ,. ? \ 1 . - ..._ .._. .... ._ ? ..... ....._.. .., 4' r . . . d w f g ' . , ? --..r .... . . . ?..?? } . :. ?.. , , .__ _. .? .... ..?.. ? . . . _. _ .. ? . . . .. ' , ' , ' , .... . , .. . ... ?... . . .. . , . , .... . _. .. ; . ? . _ .... : : ?? `?. , 1A x ? t.l . . ? .... ?? ,? ; ' . . . . .. ? ? . .. . ? ,. ? 't . _ y ? ?;._..?_._...... .._._...-- _....__:_:...... _..,?...... . . - /? . . . . . 4 .. , . " ' . -. . ?-, . ... _ ...... . . ... . ...... ... .. ... . ( . _ .. ...._..? __.. '--. ,........ , t , ? .,. . . ? . . . .,' . .. . ? ? ? { . , ? - ... _ - .. __ . . , ? .: .? ? /'???f' :%:''^ ? " ,. , , . ?_ !"? ,iy f? ' ? .?., ? < /r'r7' `r • - !' • ' . ? f .? . s, OF SURVEY , I herebvi certify that on _.:_._. --_- _. I g I herebY certifY that on •19-------- this survey, plan, or report was prepared by me ot under m,y this survep, p(an, or report wea prepared by me or under ms• direct surervision and thrtt I nro a duly Registered Land Sur- direct eupervision and that i am a duty ReRis4ered t,and Aleyox under the l?ws of the State of MinnesoCa. Surveyor under the lawA uf the State of Minnesota. ? ? ?` . tiA' ?sJvi=5 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUReoair Reouirements ... c 7??C? ?*0?ru 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cerf & Suroey Recd Y h1 (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 7ree ?'res P[?n k?ecd Y t? 2 copies of plan showing beam & window sizes; poured found design, eic. 1 sife suroey for additions & decks 'Free #?reS f2e?uieed; ?' N 1 set of Energy Caiculations Addition - indicate if on-site septic system Dw.si#e:S001e:S?!sfQm:::: 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 0 5 Construction Cost 3 cbeo Site Address 70 PE cd pt"e /Ge-vL ¢- W 5 S? 2 3 Unit/Ste # Description of Work .3 1 X? 2 ,D ? c?li Multi-Family Bldg _ Y t/ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner e94 14-M i 0 V4 Ec"r Z Telephone # (G 5 j ) ;3 22 ° ? 1-1 3 q C ' Contractor Address City , State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on _ Y _ N If yes, date and address of master plan: V:?` n Licensed Plumber Mechanicai Contractor Sewer/Water Contractor -' `?rt I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 6F?4 I't i 0 ?>4 9 v?. ?_ Applicant's Printed Name Applicant s igna re OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous Work Types ? 31 New X, 32 Addition ? 33 Alteration ? 34 Replacement Valuation ?a?g C'4->D Plan Review 100% or Census Code SAC Units # of Units # of Bldgs Type of Const z ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant 25% Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Footings (deck) ? FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final _ _ _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ RI. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector -------- ---- -------- -------------- ------- ------ - -------- ------- ------- ------- - ---- -- - ------ ---- --- -------- ---- ---------- - ------ - - Base Fee Surcharge 2- ? Review Plan MC/ES SAC ? 7 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ' Total nse Drive i T' : , 2422 Enterpg Mendota Hei hts, MN 55120 PIONEER Lnno suRVeroRS • CIV1L ENGINEEf?S (651) 681-1814 FAX:681-9488 * eng neer ng uND PI,ANNERS• UINDSCAPE ARCHI7EC75 625 Highway 10 N.E. * Blaine, MN 55434 * i? * (783) 783-1880 FI1X:783-1883 Certifiicate of Survey for: _[1t1ANLEY BROTHERS CONST. /,?, BUYER: EXISTING EAGAN, MINNESOTA BENCH MARK ? L ? ?? ? `?"?" TNH LOTS 4& 5 BLK 1 LOT AREA = 22,934 sq. ft. ELEV.=933.b1 HOUSE AREA = 1,298 sq. ft. SANITARY SERVICE INVER'T: 923.4 GARAGE AREA = 740 sq, ft. HOUSE TYPE: LOOK-OUT' PORCH/SIDEWALK = 197 sq. ft. DRIVEWAY AREA = 1,785 sq. ft. rny -? r? r, COVERAGE = 17.5% ? e? t"?i z? ?°.`s U?l? ? 934.3 934.7 ., X939.3 x ?g.' N89058'08"E -:X 149.14 9?8 938.4 s 937.0 937.4 (? 0 n ? ?1 AO,'a x a ?,,.DRAINAGE UTILITY o?z_ - 60.06_,_-f-1?/???2 934.1 9361 EASEMENT?PER &97 Re°as X9J7.7 9.0 7 93 N ? ? 48 ? 935.7 M? /y? p? 17 ? X ? X 940.0 X "V ? 7 939.9 I 939.2 939.4 940.4 440.8 0) 38 7937 d) X 93 8 l = • ieN'*'k v? ?.11 941.0I a?. \ 940.3 93 S?kl6 79 937.5 938.0 940.5 -•- - _ _ ' 9,?-6- 940.5 9 .7 937.3 x 937.8 X 940.5 33.5 940 6 v X 9J7.7 93 . ? Cc? ?ETE. _. sao.o O x ? ?i`?A ? 9 •9 g.9 GARAGE D iVEWA 938.1 ?, ? TO cp ' O?? ,+? nfl 941.2 I 10 N 840.4 v 7 34 R?0 941.6 840.9 94 2 Q • ? ? 940.0 941.0 941.0 Q'i x xa?., -. -°g J. ? s.,., xm ? O 939.5 ? X 939. /Ar Z W 6.0 941.2 0.9 ' 94 0 7 ? ? ? ? ( 939.3 Z ? ? 2 . 940.1 ` 939 I?i ' ? O b? X 42.0 X 94 . I 940.3 ? C7: 1. X= ° 940.9 I ? 940.0 W g is?'s° ? ?93Q • ? ? ?I ? _0 ?XISTING ?t c M N ???? ? °--BITUMINOUS ? Z 939.7 9.? cS ! ? M DRIVEWAY ? M h 940.6 ! M (TO BE (A cn ;T 6 P^ A' X,k 940.7.? 27.5 Xao.g ? e? REMOVEO) meo?a? Cn -n If. 9.2 , ._ .9 .2 941.8 940.7 Io?' ? 9 D (P. 4?i? Qj?4 .? ?4,0.84 X942.1 941.tx ? ? I U ? co 938.a ETAINING ?k940.5 ? WA L TO BE 939.5 7917-CON TRUCT?D 940.0 939J 1 ? \\ 9 ,O 3 Z IaAe) 941.3 1y \ 7?9 ? . "I?Ss ? X ?? 1b / ?O 6 939.4 ` 39.1 ? o o ?8S Q, 89'S8'08"W 134?41 x ? N>? ? ? 0 ? > (?6 - > .?--- > 9 3 O N N - - - -C0?[?? ? 939.1 * ? M RED PINE LANE 0?"N' "?? (,oOIL._o v + ??• - A'3(o.al ? 0? -to ex;??I HOUSE ELEVa? ?i r;-?Y? NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER a, LOWEST FLOOR ELEVATION: ? NOTE: BUIIDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VER71CAl LOCATION TOP OF BLOCK ELEVATION: G?•b OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDAiION DIMENSIONS. " GARAGE SLAB ELEVATION: NOTE: NO SPECIFIC SOILS INVESTiGAT10N HAS BEEN COMPLETED ON THIS LOT 8Y 1HE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB 0 LOOKOUT ELEVATION: ? PROPOSED IS NOT THE RESPONSIBIUTY OF THE SURVEYOR. / NOTE: THIS CERTiFlCATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECOROEO PLAL ( 000.00 ) UEMOTES PROPOSED ELEVATION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY OESIGN. --- DENOTES DRAINAGE AND UTILITY EASEMENT -?- DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASEO ON AN ASSUMED DANM --?-- DENOTES SPIKE _ $ DENOTES OFfSET HUB WE HEREBY CERTIFY TO MANLEY BROTHERS CONS7. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 7, BLOCK 1, SIENNA WOODS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF FEBRUARY, 2004. 'Z?, /p ,yI Si NED. PIONEER E INE ING, P.A. 1?41St?`. 1Zl? ? f? SCAI.E : 1 INCH = 30 FEET 2?,S. 3404 104007003 SMD TJW ??k-d1D A_ Z??'p 4-_ Dan R. Westergren Reg. No. 197 0 Use BLUE or BLACK Ink r For Office Use I Permit ; City of Ea I Permit Fee. 1,05 3830 Pilot Knob Road Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Q, l (v - 2_0 I Site Address: Unit 9 F /Name: vt.~t Ot y t7 Phone: 6,!S;/ Resident/ i Owner Address / City / Zip:C -7 Applicant is: f/ Owner Contractor Description of work: C 1 , o ' L1 / t C _G Type of Work Construction Cost: 5 © Multi-Family Building: (Yes / No Company: Contact: { Contractor ;Address: City: f State: Zip: Phone: i i License w Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi g Code must be completed within 180 days of permit issuance. X_ X -A bt A 14 ( © R J/ c:._._.. " Zw'-P Applicant's Printed Name Applrt a-hfs Signature Page 1 of 3