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4617 Stonecliffe DrCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / iaO 2/ Permit Fee: /U 5 Date Received Staff: 2014 j 7 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j oz 2 —/ V Site Address: 47o ` ! S/DzlL;-c/.ez-�� Unit #: Name: .///_1-11/ !/ G �i� �/ � Phone: -5 -SG 17 / 7 ---S' %o/ze:- /-,-e- Owner X. Contractor Resident/ Owner Type of Work Contractor Address / City / Zip: Applicant is: Description of work: Construction Cost: Multi -Family Building: (Yes / No )(°) Company: v�t� se X7-e/k/CS Contact: Address:/56) la )- y 7 Su i -i-e a37 City: State: d%�/�y/(17 Zip: ,5-5-'5— Phone: 49-'.333-//7S License #: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name /47L— Applicant's Signature Page 1 of 3 ~ ~ ~ ~ _ ~ ~ CITY 4F EAGAN PERMIT TYPE: ' ' ' ' , 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: f (651) 681-4675 ; [ ; i ' 1 4' 4 e 1.1 ~ SiTE ADDRESS: i„;~ , ~ , APPLICANT: , , ~ t ~ r i~ s , , . ~ ~ ~ ~ , . , . i PERMIT SUBTYPE: TYPE OF WORK: i ~ . . ~ f . ~ . , , ~ ~ ~ E .~rr ~ t , , , , ~ , „ , . ~i r ; . , ~~~f' ~ ri ~ . , . , i ~ i f6l~ i . . . . . . i.~ ~ t!i ~i , ~ . ,li~ 7.1i~. , i. ~ b la I"! IIMt:F I•' f i iihlllt 1~ 1'I ~1~qf11 htt, 1'1i~1h1h ~F ( iy LJ 1 q4F~ - 4ti~i:' ~ ~ ~ ~ ~ ~ ~ ~ Permit Hoider Date Telephone # SEWER/ ~ I WATER ' PLUMBING I I HVAC ~ Inspection Date Insp. Comments ~ FOOTINGS , y y f FOUND ~ I L I FRAMING I RQOFIIVG I ROUCiH I PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METEF FLUSH MAINS CONDUCTIVITY TEST ' HYDROSTATIC ~ TEST I BSMT R.I. I I BSMT FINAL I DECK FTG ~ I DECK FINAL I ` . , ~C~t~iCQte d~ ~CC1i~QIiC~ Gs~it~j of ~agatc ~epart~aeat uF ~ai[bing ~u~~ection This Certificate issu~d pursuant to the requirements of the Uniform Building Code certifyirtg that at the tinre of issvnnce this structure was in compliance with the various oridiannces of rhe City ~rgrelatirtg building construcrioR or use. For the following: use Classifica~ion: SF 'TLi: Blag. Permic No. '~l?579 Occupancy Type ~ Zaniag Disaia R I Type Const. ~ O.merofBuildins Tl1NI~C',RT7N R%'IIHf~72$ Add~essQ'~5 L1AV7ATA Aitll~ F.~ WAY7ATA~ . eww~g nm~ ~a~ry ~I_~B.~. PINRI'RFE PA`SS ?ND _ - , . , , -/y j , / ~ ~BUt~d1Og ~iti~ r~ / , G> POST IN A CONSPICUOUS PLACE Address 4617 smNE~'LIFFE n?tlvE Zip 5512~ Lot ~ Blk 5 Sub P~~ PASS 2t~ THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ~o?S I9 Yes No Inspector: Final grade (6" from siding) v Permanent steps (garage) Permanent steps (main entry) Permanent driveway f/ Permanent gas 1/ Sod/Seeded grass ? Trail/curb damage i/ Porch ? Basement finish r/ Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of weter supply to the outside lawn faucet before freeze potential e~cists. Contad engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - ContracWr Copy i . ~ i Cit~ of Ea~aIl ; P~rt~: ~~5~~ ; ~ Permit Fee: / ~ I 3830 Pilot Knob Road Eagan MN 55122 i oare Re~ed: j Phone: (651) 675-5675 ~ ~ ~y ~ Fax: (651) 675-5694 I 5taff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ~te:~.J~s,~~dre~:~~~-~ Ca~~~- TenaM: Suite RESIDENT / OWNER Name: ' Phone: ~p `2,'z ~j b~7 "1 ~ Address / Ciry / Zip: ~ D~'1 ~~A.P 1~.1~ LT Applicant is: _ Owner ~Cormactor TYPE OF WORK Description M wark~~=~ IT ~ 8~P ~ I~A Conshuction Cos[: ~~~L ~ MuRi-Family Building: (Yes No ~ CONTRACTOR Name: ~ ~ ~icense 7 DI ~-I I~-I l O Address• l~1 ~U a ~~Q City: 1 N G~ Staffi: lP vv _ Zip: ~ 5~2.~ Phorre:qCJZ - D b U- D-1 ~ ~ Contact Person: V~ [~~L COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 E~~9Y C~ • ResiUential Ven6~aUOn Cffiegay 1 WwkSheet • New Errergy Cade Wo~ksheet C8tCg01'~/ Submitted _ Su6mitted _ submissiOn typ9) • E~rergy Envelope Calalafio~ Submitted tn the last 12 months, has the Cily ot Eagan issued e pennit for a slmilar plan based on a master plan? _Yes _NO If yes, date and address of master plan: Licenaed Plumber: Pho~re: Mechanlcal CoMractor Phone: Sewer & Water CoMractw: Phone: ' IV07'Er P1ans and supporHr?g docuenents that you"subo?ff are consltfer+ed to-be putiNC informaHori. Portfons of the'f~omratlon msy be classffled $s non publlc /f you, prov/de speci/fc reasons that wouW pemrR the City to coneltide that.the are trade secrets. I hereby adcrrowledge ~et Mis iMormetion is complete a~ ~curate; thet the work will be in conformance with ihe ordinances arid codes of the City oi Eapan; thet I unders[end this is not a permit, 6ut onty an applicadon for a permtt, arM w ~AC~x not to start wltMut a pcvmi[; that the wak w711 6e in accorq(~~c,e with the ap{xoved plan In the case of vrork which requires a review arW appro of plars. X \ i1i ~ii UnN `~1 x / AppllcanYs PrlMed Neme App canCs Signeture Page 1 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 0 C~ ~ 3830 PILOT KNOB RD, EACAN MN 55122 ~ W\ o n~^ ~O ~ 651-681-4675 New Construction Reauiramenta RemodeUReoair Reauireme~AS l~-O "a-~ • 3 registered sile surveys shmving sq, ry. of lot, sq. ft ot house; and $,II raofed aieas • 2 copies M plan (20°h maximum lol caverage allawed) • 1 set of Ere~gy CalcWations tor teaied additions • 2 copies o( pan showiiy beam & wuMax sizes; poured lound desgn, Hc.) . t sile survey far eMenor addiUOns & decks • 1 sel of Energy Calculatio~ • Indicate'rf home served hy uptic system for additions • 3 wpies of Tree PreServation Plan if lot platted after 7f1/93 • Rim ,loist OeWil Optbns selection sheef (bldgs with 3 or less units) DATE Z~~Io ~ VALUATION SITEADDRESS ~~6i l S~'DNEC'Lr~~c MULTI-FAMILYBLDG _Y ~N TYPE OF WORK ~~~V.~NT ~S hj FIREPLACE(5) _ 0~C 1_ 2 APPLICANT^Tl Q 2~LY,-~ ~~~LIDL-~C..S ^ ~~~E C~cI~NN STREETADDRESS I~7( R2~L1C,~'w~?'c2 CliY~/~"~~ STATE/~ ZIP~3~`~ TELEPHON ELL PHONE # S~7-Z3~ -~`~vS FAX # PROPERTYOWNER ~~~ti Y't~~~~/ TELEPHONE# G~1'33~-03g7 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RliL~S 7670 CATEGORY l MINNESOTA RULES 7672 (J submission rype) • Residential Venhlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor: Phone # _ _ Plumbing sys[em includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. oF Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery Systcm _ r-~~ Sewer/Water Contractor. Phone ~Y^ n ` ~ ~ ~ /1 ~ i .ri C r V I hereby acknowledge that i have read this application, state that the information r c~nect, an~e t=cl' mply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. y Signature of Applicant . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ~19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolitian (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy ~~,r MC/ES System Census Code ~ ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const ~ Qy I Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~i FinallNo C.O. _ Footings (addition) ptumbing _ Foundation HVAC , Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final X Fr~B _ Siding SNcco Stone ~ Fireplace R.I. ~Air Test ~ Final = Windows (new/replacement) Insulation Retaining Wall Approved By I~ , Building Inspector W Base Fee Surcharge / Plan Review G I~~"''-~¢~ G'; MC/ES SAC / City SAC ~ W ater Supply & Storage ~ S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Capies Other Total PERMIT# ,1`T RECEIPTDATE• 5008 i~SID~NTI~FL ~LUM$INfi ~'~iiM1T ~IrP~'LIC~kTION crrY o~ ~s~x S$80 ~ILOT Kft08 RD I:AccCY~k1Y, MN 55'1 EE ssi-sel-as~s Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: _ y~!/7 OWNERNAME:: _/~l/~ ~~~/i~ TELEPHONE#: (AREA CODE) INSTALLER NAME: I TELEPHONE S/ S~L o~ (AREA CODE) STREET ADDRESS: ~i `~(~~~1 / ~ '7y cj~- CITY: ~ ~ ~ STATE: J'-- ZI P: S$ b 2./ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: V Adding fiMUres to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5/8" meter'rf needed -$118) Other: n rn ~ _ RPZ: new installation/repair/rebuild ~ ~ ` 'J ` ' ~ $ 30.00 i- , n- ~ I i _ lawn irrigation system ~ 2~~ _`J ~ ~ Ly~ = ReplacemenUadditional: _ water softener _ water heater $ 75.00 State Surcharge $ .50 ~ Total $ -=ti I hereby acknowledge that I have read this application, stafe that the information is correct, and agree io oomply vith all appfrcable Cityof Eagan ordinances. It is the applicant's responsi6ility to notify the property owner that the City of Eagan assum o liability for a ages caused by the City during its normal operational antl maintenance activities to the facilities constructed under this permit wit n ity prop ~igh -waylease pt. SIG A URE OF PERMITiEE 7/02 PERMIT # ~ ~ ~ ~ ~f RECEIPT DATE~ 200~ ~SII~~NTI~FL ~'Ll1M~INFit ~~~14ITf a~~~'I.~I~.t~Td~N CITY O~ PaA6lkN S$SO PILOT KNOB RD ~t?st~, auv 5512E 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system , SITEADDRESS: ~~17 ~/d/1~~I~ .1~~Z OWNERNAME::~.oli.rr~ A~~r~ TELEPHONE#: '~30~ O$y'7 (AREA CODE) INSTALLER NAME: S~'~;71crx f/r~ TELEPHONE 7~ 5 3SSC ~66 Z ' (AREA COOE) ' STREETA~~RESS: ~'7~rT~~JZDs~ CITY: ~'Y~2.Y5~ STATE: ~.c_ • ZIP: ~b7 L~ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: watersoftener _ waterheater $ 15.OD State Surcharge $ 50 Sm Total $/5 ~ I hereby adcnowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Ciry ot Eagan ordinances. It is the applicanYs responsibiliryto notify the property owner that the City of Eagan assumes no li 6ility for any damages cause ythe Cdy during its normal opera4onal and maintenance ac[ivi[ies to the 5cilities construGed under this pertnit vRhi ' propertyfright- ay ase t. ~ S TURE OF PERMITTEE 1l02 T 9~`fS PERMIT # RECEIPT DATE: EOOE ~SID~PTI~tL ~PLUM$IN6~ ~P~31T ~PLIC~9eT[UR crrY oF ~s,~v S$80 ~ILOT KA08 RD Elksl4A, MIY 551 ES 651-6$1-4695 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, . backflow preventer for irrigation system SITEADDRESS: ~~I~ ~~D~~I~,C'~~I'tt- lUi ~ OWNER NAME: : lL'~.~V~ I'l I~i I(~ ~1 TELEPHONE L~~~` (AREA CODE) INSTALLERNAME: ~"11~~~(~-Y1 ~~~.1~-~V TELEPHONE#: C~C'~- ~"I~~~' ~~J7C~ STREETADDRESS: k~'~~~0 ~~p~(.~~Q~ ~.~j',~~~'~ G4REACODE) CITY: ~ CIKL~~ STATE: I~11\~ ZIP: ~~"'~i~ _ SEPTIC SYSTEM, new/refurbished (requires lwo sets of plans and MPC license) $ ~p0.00 inciudes $40.00 County fee Note: Additional consultant fees may apply • M4UIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Ahandonment of septic system. _ Water turnaround - existing dwelling unit 518" meter if needed -$118) Other: _ RPZ: new installationlrepairlrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: ~ water softener _ water heater $ 15.00 State Surcharge $ .50 TOt21 $ J.. ~ • s ~ I herebyacknowledge that I have read this applicetion, sfate thatthe information is cortect, and agree to complywith all applicabie Ciryof Eagan ordinances. It is the appliranYS responsibility to notiTy the property owner fhat the City of EaBan assumes no liabllity for any damages raused by the City during its normal operational and maintenance activities to lhe fadlities constructed under this permit within ~rop ~!ri f-way/easei ent. / IGNATURE O RMI 7/02 ~ -~j ~ CITY USE ONLY LOT I BL ~ RECEIPT CO ~ O~ , SUB ~A.M. RECEIPT DATE: 7~~//~ 9 MECHANICAL PERMIT # 1999 MEC~I~IIC~L ~£~MIT ~~~SiDENTI~tL) C1TY OP EkfiAN _ S$SO PILOT KNOB RD EA6APi MN 551 EE y~y 9 S ~85~~ B$~-46~5 Date• Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. _ T-=;,~.^.: -.!,OM3TU g ?0.!14 ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) ~ / ~ State Surcharge .50 Total $ ~~So Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration Repair _ Other Reminder: Ca11681-4675 for inspections. _ Furnace _ Air conditioning _ Air exchanger _ Other $ 30.00 State Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: J~ F1e C`~ t t e OWNERNAME: ~uv~~C~~'f.yr ~j/US. ~U?1ST• PHONE#: - A~/ (AREA CODE) INSTALLERNAME: ~~and~N i~lec.l~4~~iea I PHONE#:~i~o~ - ~~s"~f"G~I~ STREET ADDRESS: J` 4~ ~l q~' p~ J y-. f~A Cooe) CITY: SI~a1~rr~e~ sTn~: MN ZIP: SJ.3~I~J SIGNATURE OF PERMITTEE cirr use oN~v L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT ~ l 999 Iri£CFIi4NiC1kL ~ERMIT (CO1~IM~CI~L) CITY Qf ~4Hi4N S$SO ~[LOT KN08 ~D ~46i41v, MN 5518E (651) 6$]-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DA ~E: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1°/a of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of nermit fee due on all permiuJ TOTAL SITE ADDRESS: OWNER NAME: PHONE ~3: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): ~ INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE ~a~~~~~~~~~z~z~z~~~*~~~~~~m*~~~~~~~~~~~~ czrv o~ EACa~ CASHSERc S TEfiM.T.NAL. N0: ~3r DATE.~ ~J2lir'/3~ TTriEe 14:?9:2i IIi ~ NAHE: LUNIiGREN Afi(]S CONST INL' GZJ~ ~VOL 461i STONECLIFF ~yl'S.B7 .y Tota1 Fieceipt Amo~.ente 5~i.i5.87 GR103008 ~I5ER ILi: NpNCY ~ ~c~;r~~C~*~ %c~cXcX~~c~cXc ~v~ ~k#~X~#~k~c~k~X#%~~X%~ ~k #~c%~Xc#Xc~kXc~k r ~ . r -,~7~ ~ CITY USE ONLY p~ L ~ BL ~ ~I RECEIPT D 0 ~~J O SUBD.~~Y.E~- Q-d~L _ o` ~ RECEIPT DATE: ~ 1999 ~LUM$INfi ~~E~iMTI' (f~SIDENTI~FL) _ CffY OF EAfikN S$SO PILOT KNOB RD £A1fiAN, MN 55182 (651) 691-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprink~er system FIXTIlRES EACH # TOTAL Bath tub $ 3.00 x 2- _ $ - Floor drain 3.00 x / _ $ Gas i In outlet ' minimum -1 3.00 x / _ $ Hot tub/s a 3.00 x - _ $ Kitchen sink 3.00 x / _ ~ Laund tra 3.OD x / _ $ Lavato 3.00 x = $ / Minimum fee alterations to existin dwellin 30.00 x - _ $ Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.00 x - _ $ Private Dis osai S stem abandonment 30.00 x _ $ RPZ new installation/re air 30.00 x _ $ Rou h o enin 1.50 x 3 = $ - Shower 3.00 x = $ 3°= Under round s rinkler if dwellin is under construction 3.00 x = $ - Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 3°- Water Softener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e 50 $ .50 I Total S 6 ; Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to mmply with all applipble City of Eagan ordinances. It is the applipnPs responsi6dity to notify the property owner that the City of Eagan assumes no liability for any damages caused by fhe City during its normal operaUonal and maintenance activi6es to the facilities consVUded under this permit within City propertylright-of-way/easement. SITE ADDRESS: ~ b ~ ~ ~~n e C / ° ~ ~ OWNERNAME: ~-~L ?~~LF/L-r~+n ~?OS Co^/S / p~} ~~fs=~~f~- INSTALLER NAME: ~ C!~ 'V l e G~4.n l C"¢'L TELEPHONE STREETADDRESS: S~~ ~/~~`!o"~ cirv: S~r ~o/~i~~' STATE: ziP: 5 J-.~7~ / C7~VC~~/~C~'~ ^ f SIGNATURE OF PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 ~ PERMIT .~o CITY OF EAGAN 383o Pilor, Knob Road PERMIT TYPE: 3 u r ~ o r ~ PermrtNumher: ~?,~s4u:•?? Eagan, Minnesota 55122-1897 (651) 681-4675 Date Issued: Pi 2 I 1~; y 9 SITE ADDRESS: ~+sir ~,-ii~r.~~.ci_1~~~-e oe i.o~t ~ a. etuci:e , ~~~:r.!r-r~~~~ ~~~~~s :,n!n P.I.hl.e i~-57tiG1--01N,-C~~. DESCRIPTION: . 6ii~`~Lciind'~,Peemi~ "r~~3c E;F C~I~~G ~d~it~7inc? W~rFc ~,in~ N~t,i di13C OGCU~ancY R-.`t /~(:or~~'Gri3G'Cic~n Ty~{Se 'JIV r - ~1 ~Oil~..llq i2-1. r r Buildinq [e~,a~h ~ s5 ! 6iaii~anq Witil"`7 n5 Bu~J.yilnc~ starie~ - ~-`--._~3~~u~~-e Fe~~ _ ?.18,`', C~ U`~rl~~, 0 d g-_ 3. `v7 ? 1- H Pi ~ ll F f A r: H a'i~.;, l tt t t. _~~ytr.,. ` _ ~ _ ~.i,. ~ i , i_t._. 4 t i ~~~-=i~'-s': ~ REMA~KS:n~,~rr~asu ~~a c~r,~~, riuvF,rrvK. S& W FLU1~1F,s_Ft 1'~ tLidr~UFk PLU~iBiN(1 I`ii~PJL I#i6?7_; 44'",-~;h~L. FEE SUMMARY: ~.iAL'UraTl~il~; ~GaE,2,t,m+~ 8a~~e Fee 9,.L~952,y5 M75C. F~WS ~l.u`'~7.54? PLcfll Iiev1P41 N9/l9.4? Tnt3] I'~~ ~ _'$~~3,.17h~.~i% Slar~^Iiarqe ~57. e @~ SAC $.7 ,+h~,~.y~ :=~~G ~ 1V1~'1 SAC Unitr, i Si.~6tr~T.~J b'.`:3HJ.3i~ CONTRACTOR: - ~a~~i~c~nt - sT_ ~.tce pWNER: i,urroc;t~tni r~H~~s iur~sr 1q~~~i:3~ c~~nv~l~sz3 ~.utvorr~r_r~ ~~;urHi=F~s 93S P. I~JflY'CFI~I'/a 6'LVh 4ti77 S~IClI'di~C:L.lf~i-~ CJF; W1"a1'Zl~il~f~ MN 553;'J W6}Y~.FlTFi MN 55'~;91. -~Yt~~~} 4Y'-1'~'.31 {E~'~.2y~'?3-1Z31. I hsr~b~,~ ae}.ncs~,~l~d~~ th~t 1 h~rve rsad ihis appiicaT.i+an an~i mtaCE tM,~t the ini`arma~tir~n is car~rect arrd aqree tn cosn~iV t~'?th ftll a~rplical~J.e ~tcrt.~ nt rln. titaT.utc3s and Cz~V ot ~aaat4 f)rdinance,,, ~ ~ ~ ~ \ ~ ~ ~ „ ~ APPLICANTlPERMITE IGNATURE ISSUE~ BY IGNATU ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ ( I ~ 3830 PII.OT KNOB RD - 85122 ~ I-) 5,g~ 3`1"S~ (651) 681-4675 ~ n n n~ g New Construction Reauiremonts RemodeVReoair Reauirements d~X_X.R_@J i ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGUde beam 8 window sizes; poured fnd. design; etc.) ? 1 ske surveys (ezterior adddions & decks) ? 7 energy calculations ? 1 energy Calculations for heated adddians ? 3 capies of tree preservation plan if lot plattad after 7/1/93 required: _ Yes _ No DATE: CX-~ ~ CONSTRUCTION COST: Q~G~/ i DESCRIPTION OF WORK: S ~ STREET ADDRESS: ~ l~ 9r LOT: / BLOCK: o~ SUBD./P.I.D. ~ Name: Phone PROPERTY Last First OWNER Street Address: City State: Zip: Company: N S . Phone lJ/7f -7 ~ CONTRACTOR Street Address: _ • License # ~Exp.C~_~ City State: Zip: ~ ~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only)~k-~~~~~ . Penalty applies when address change and lot change is requested once permit is issued. ~ ~,a ~ I here6y acknowledge that I have read this application, state that the information is correct, a agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: I ~ OFFICE US ONLY D ~((`9y J Certificates of Survey Received ~ Yes _ No ~ Tree Preservation Plan Received _ Yes _ No Not Required Y. OFFICE USE ONLY ` ~ , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basement Finish ,~02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = piex ? 15 Deck WORK TYPE j~ 31 New ? 33 Alterations O 36 Move ? 32 Addition ~ 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 5~ r. _ Basement sq. ft. ~ Census Code l0 ~ (Allowable) • r~ Main level sq. ft. l~O~ SAC Code D L UBC Occupancy ~ 2GO W. sq. ft. ~ 2q-7- Census Units I Zoning ~l C~~ sq. ft. foBS Census Bldg # of Stories 2 sq. ft. MC/ES System Length 5L sq. ft. Ciry Water Width y Footprint sq. ft. 21 g~ Booster Pump PRV Fire Sprinklered APPROVALS , Planning Building ( ~ Engineering Variance Permit Fee ~~I a. 9 S Valuation: 7~' ~ Surcharge ~ r Plan Review a 14R',S X IS'- 22~~LSo4 MC/ES SAC I C) SU -O(~ ~ S d~O" S- S~' 3y~ ~ City SAC I ZQ~Z k S~ _ ~a7~ 0(oP~ ~ Water Conn. ~SK t b= ~ l ~ v0 8~ Water Meter Acct. Deposit ~ ` ( g ( ~ ~Z~~ _ S/W Permit S/W Surcharge > ~,pL ~ ~ ~3-~,~ Treatment PI. ~ Park Ded. Traiis Ded. Other Copies ~ • Total: ~ ~ -I S -~S'~7 --rt- % SAC SAC Units ~ . ~ ' ' i; ' i~ ~ . ~ ' , . ' , i . . ~ ~:~~Q~~~rt EXTERIOR GNVELOPE nv~unGE U COMPUTATION DENSY corisiauCnoN INC. ~f/ ~ Si te Address "/C[a' ~~~/C~~C~~{~ Lot ~ Dloc~~ ~Zc' ~2~ R 6 U facl:ars ~ R U Opaque Walls .043 D7J C. Wly]aIa I)IVd - - wiY~,~~~ 41a11 Praniing Areas 09 Minur.snla55J91 Ceiliny Insluation Area .023 (f,12)47:5 12J1 Cei 1 i ng Frami ng llrea D27 i , Rim ,]oisl: .Oh Masonry 41a11 .4G9 41i ndows .35 , Doors .31 Skyli9hts .55 1) Lower Level (4ascinenC) Total Expased Wall Area / 02. Opaque Wall Area ' ' / X (U) .Oh3 = ~.77 { Wood Frame llrea l~. X(U) _09 = l. D 8 R;m Jo;st /83 x (u) .oh = '7,3a. Exposed [ilock /a; x (U) , O$ - = ~Q Window Area X {U) .35 = /~{3Sl Slidin~ Glass Door 5~D X(U) .35 =~`T Door 11rea - X (U) .31 = To ta 1 5/.Sa, 1 . • ' _ . , i . . • . . 1,~ RR cor~sraucnoN wC MINN[SOTA U FIICTORS Total Exposed Wall Area ~~I~l~ X.11 =-5~39-~ MINPIES07A U FIICTORS Total Exposed Ceiling Area X ,026 = (A) Total = /~7~ ~4 sas w,Y»i, oiY~i W~~yr,~~ ILem 1_~/•S~ i Item 2//7~ + Item 3/.~//3 i ICem h 3~,~= .~7~,03 Mim~r.znL~ 55191 (G12)A73 12~1 ~ If Total OF Itenis 1-h Is Less Than ICem (F1), Quildiny Complies With SDC 6006 (C)s ~ i v RE~15i0N5 BY • , ` \ ~ Q~ ~ ~ ~ c s° ~ \ ~ A~ 955.7 \ ~1J~ LEGEND I v ~ s 0 ! (sss.e) ~N 1~~ 9se a x ~ QS DENOTES SANITARY MANHOLE ~ ~ ~-y E; <~e7~ sQ ~ ~ro DENDiES ITYDRANT ~ ~ ~W ~ X 953.a ~ DENOTES CATCH BASIN 955.6 ~ ~O. ~ ~r' S DENOTES SANITARY SEWER ~ 1 2'S ~„'f;,.;~~ " DENOTES WAiERMAIN ; ~D~ \8 ~~~~'~1'{l"'"'`%''~'r`;~`'' ~ w < + i~~~~:l:r ';~l,r /95a a X ' :i';`';i'~i`~i~. . r,r~.: l ~O $T ~Q'~0~5' ~M .~WQZ ~ . ~j ~;;(;~'J%i;~p~°~°~l,,r~,; ~ DO \ ~ DENOTES STORM MANHOLE W i ~ ssa. o. ~ ,%~':i ° n DENOTES STORM APRON ~,'r ~ ~ x ti ~cy ry~`iy y,:'~~~~' \ ~ / ' s,9c~ J~ " J, 9 ~ o ~i%4,:~/ E € ~ •p X sas.o SETBACKS ~ R ~ ~ J ~56 8 \ 0 i~ 954X ~ ~ p,. ''B~ \ MIN. FRONT YARD SETBACK = 30' .52 ti~ 6 q~s e x~~S ~ O MIN. SiDE YARD SETBACK = 5~, 15' BOTH SIDES z a' ~M x ~'~o2F a 9549e? ~ ~ ~ MIN. REAR YARD SETBACK = 15' "o- " p 9sa. i ~a sF ~GT ~ x J ~ ~ ~ - ~ • - ' ~ r~ / \ N. a,s,,"(n 955 2 / \ \ Q O ' ~ ' \ ~ ~ ' i f~ ' ' , `'~y` N J \ c~ ~G QPi ~ ~ ~g 946.3 ~ ~a" ~ • j,'•-' t '~h3 ucq C~ S~ ~ ~ ~ X ~ . ~ ~ i~-~ ~l_ . 954.5 X 952.6 ~9 ~ I ` ~ ~s ~ ryy ,yj1q A '~.~6 X _ __"~a~ / y 9sazX ~sc~ x ~J `0~v`~' / X (eai:o) t / ~ } / x ~~J953.9~ X 950.3 ~ 946.0 ~ ~ ' L , _ . , . . ~ W ~ \ / esa s 9X3 ~ 949.3 x~.9 /~6 ~ Propoaed Tap of Foundation ~evation= 958.67 ~ ~ y,9 8 Propoaed Garage Floor Elevat3on~ 957.0 a+ U 960 ~ x ` 1 Proposed Loweat Floor ~evation= 950.67 0~ Z~ DRAINAGE & UT1LIlY - 19 ~ ~ x ~SEMENT ~66' . p ~ z ~ ~ c!~ ~ / WW W O BENCHMARK o ~enotes Iren Monument F~~ E'' ~ ND Vf 1 ~ ,~Q F' e~v = eaa.r ~ I + 910.0 Denotas Existing Eievation Q a~~ O W 51 ~ O ~j2 ~ +(910.0) Denotp Propoaed Devation V~(.~ z~ ~p ~,y l ~ / 2 Denotes Dtrection of Surtace z O tf N V N6 / Drainage F b~ U ~ ` 910.0 penotes Sewer & Water Service Elevation W ,.a (T'~ U ~3'~ . X 9602 - I 1 hereby certify that thie is• a true and eorrect repreaentation of a survey of the boundaries of: / LOT 1, BLOCK 5, PINETREE PASS 2ND ADDRION DAKOTA COUNT`(, MINNESOTA ~BDR Md the location of all buildings, if arry, thereon, and all visible ~ I encroachments, if any, from or on said land. As surveyed by CHECKED me this 8th day o Dece ber, 1998. G.R.G. / DA1E 12-18- SCALE Gary R. Germond 1~=3U' licensed Land Surveyor, Minn. Lic. No. 24764 J08 N0. 54D2-427 . LOT SURVEY CHECKLIST FOR RESIDENTIAL ° , , , BUILDING PERMITAPPLICATION ~ ~ PROPERTYLEGAL: ~~.~=5~~ ~+a~~L.C ue~~i' ~ ~ ' DATE OF SURVEY: 1 ~ ~ / ~ ,L~~ ~ ~ LATEST REVISION: ~ ~ m V o y DOCUMENT STANDARDS a z ? • Registered Land Surveyor signature and company ~°~~o ? • Building PermitApplicant ? ? • Legaldescription S~~O ? • Address ? ? ? • North arrow and scale ? House type (rambler, walkout, spl'dw/o, split entry, lookout, etc.) m' O ? • Directional drainage arrows with slope/gradient % ~~o ? • Proposed/ebsting sewer and water services 8 invert elevation ~ G3~/ ? • SVeet name [a' O ? . Driveway ELEVATIONS 'stin ~ ? • Sewer service (or Proposed) ~O ? • Property corners ~~o ? • Top of curb at the driveway [4' ? ? • Elevations of any existing adjacent homes Prooosed ~o ? • Garage floor ~~/o ? • First floor L~"~ ? • Lowest exposed elevation {walkouUwindow) e' ? ? • Property corners ? • Front and rear of home at the foundation PONDING AREA Cf applicablel ? • Easement line ? ? • NWL ? [~/o • HWL ? O~ • Pond # designation ? [3" ? • Emergency Overflow Elevation DIMENSIONS ? • Lot lines/Bearings 8 dimensions e' ? ? • Right of-way and street width (to back of curb) ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) p~ ? ? • Show all easements of record and any Cily utilities within those easements ~ o • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? ~ • Retaining wali requirements, if any Reviewed: ~ ~ ~ Na / ate January t996 CRAI61 BBB~BL DGPRMT FM òí ÿ þýýüûóû úüüýýùòÿú þ ÷ àà þý þýüûúù Ú÷ â ÷ ÷ûúù ô ó ÷ù òý ÷ ÷ ÷ù ÷ñ÷ ðý÷ ñ ïýü ÷ î÷ ÷ÿþ ÷ ù ÷ÿíìë ý êêê î ÷ñø íé ù ñ ëèççê øú þý÷ï÷ øæ èçìçì Üýÿç ÷ ö õô ùù â ö÷õ ÷ýÜïï ÷ àâóúçìý å÷êàþ ää ÷ õøîôì îô íëàêì ï ÷ üúó ï ïå ÷ ïùù ïï ä÷ñ÷÷ ÷ ñùúóïùùü þ äî þý õúä ã÷ ç ùùá ÷ñ þ ý÷ ý úþ ý÷ PERMIT City of Eagan Permit Type:Building Permit Number:EA121989 Date Issued:04/21/2014 Permit Category:ePermit Site Address: 4617 Stonecliffe Dr Lot:1 Block: 5 Addition: Pinetree Pass 2nd PID:10-57661-05-010 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Arun Vachher Po Box 21142 Eagan MN 55121 (612) 562-8617 Sunrise Exteriors 15612 Hwy 7 Suite 237 Minnetonka MN 55345 (612) 414-0228 Applicant/Permitee: Signature Issued By: Signature