4622 Stonecliffe Dr TY OF EAGAN PERMIT TYPE: ' ` ' ' ' ` '
3830 Pilot Knob Road Permit Number. ~
Eagan, Minnesota 55122-1897 Date Issued: '
(651) 681-4675
i ~ ~ ~ ~ w~
SITE ADDRESS: ; „ , , i : APPLICANT:
c.t r1 r. ~.~k . . . ~ „ . . ~r,~.,
. , , i,,, , , ~
PERMIT SUBTYPE: 7YPE OF WORK:
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W f'I iihtl~f l~ t. f 1liNiil~-h MEt:WANiI Eil E'II~~Ni 4~(t~l..) ~~1~>-4~,•~..
~ ~
~ ~
3 ~j~ PermR Holder Dete Telephone #
SEWER/
WATER
I PLUMBING
I HVAC
Inspection Date insp. Comments
FOOTINGS ~jl , ~~Q
!.i'[J
I FOUND (,(j/47'~tZ. P~OIOFf~rj ~'y~Jg ~
I
FAAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
I
FIREPLACE +
AIR TEST
FINAL PLBG '
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
I CONDUCTIVITY ,
TEST
I HYDROSTATIC
I TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
L - - - _ - - -
.
~
~L`ti~iCQt¢ 4~ ~CCli~Q1iC~ -
~it~j o~ ~agan ~
~e~artmcat of ~4uilbing ~n~yection
This Certifcate issued pursuant to the require~nents of rhe Uniform Building Code
certifying that at rhe time of rssuance this structure was in campliance with the various
or~rnaaces of the City regulating building consrruction or use. For 1he fotlowing:
use GusirMatbn: SF ii~T B~ag Permic No. ~(I
~~P~+~Y ~ R3III I Zoeiag District Rl Type Const. ~
ownero~eu~idina TItN1Y12FN WZf17F~1?RC ~wdoess
. e~~a~g ~m,~462 ~_rr_t~c'r.T~? t~Rrtrn ~.~a~LJ.., R2,_P~~E-PJ1.SS ~
^ti ~ ; : l n~: , _ ~ ~ , ~ ~
;,_T
~w~os off~;~i
POST IN A COMSPICUOUS PLACE
~ RESIDENTIAL .
~ ` BUILDtNG PERMIT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 ~ -yo I O O
~
New ConstrucNon Reauiremenb RemodellReoalr ReauiremeMS
• 3 registered site surveys showing sq. ft of lol, sq. tt. of house; and a0 roofe0 areas • 2 copies of plan rQ I~ e ~t
(20%maximum lot coverage allaxed) • 1 sel ol Energy Cakulations for heated add'Aio~S Q~
• 2 copies oF plan showing 6eam & window s¢es; paured found desgn, etc.) • 1 site survey for eMerior addiGo~ 8 decks
• 1 set of Energy Calculatiore • Indicate A home served by septic system (or additions ~
• 3 copies of Tree Preservation Plan if lot platted aRer 1/t193
• Rim Joist Oefail OpUans selection sheet (bldgs with 3 or less units)
DATE Ia-2D-~I VALUATION
J08 SITE ADDRESS y~ ~2 S~I~ h~I
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~iG1c -.t-~l
t.t.l~ -er-
TYPE OF WORK D~ G IC FIREPLACE(5) _ 0_ 1_ 2 9~d3
APPLICANT ~~G IL ~;G~~ Gr PHONE#~S~- 5~9~
ADDRESS ~lo2Z S-idn~~J•~~' 17~ ZIRCODE ~S~ZZ
PAGER # - CELL PHONE #~~~Z I'GI<SC S FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNFSOTA RULES 7670 CATEGORY D
(check one) - Residential Ventilation Category 1 Worksheet S tt~d l'~7
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
By
Plumbing Coritractor: Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Ylechanic.il System Includes: Air Conditioning Fee: $70.00
_ Heat Recovery Sys[em
Sewer/Water Contractor. Phone #
All above infortnation must 6e submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and ogree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. ~
SlgnatureofApplicant ~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated t/07
OFFICE USE ONLY
~
? 01 Foundation ? O7 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Firaplace O 21 Porch {3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex {F( 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~A 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 ~emolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg}' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacemeol •Demolitian (Entire 81dg only) • Give PCA handout to applicant
Valuation dQ/J~ ~ Occupancy ~ MC/ES System
Census Code Zoning City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED lNSPECTIONS
Footings (new bidg) FinaVC.O.
~ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Othet
_ Franung _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding SNcco Stone
_ Insulation _ Windows (newlreplacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~
Address 4622 sr~r[.,Ir~ rnuvE Zip 5512 2
L.ot ~ Blk 2 Sub P~~ Pass ztu~
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas r/
Sod/Seeded grass 1/
TtaiUcurb damage ~
Porch ~
Basement finish
Deck ~
Please vetifV with the bwlder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the ouuide IAwn faucet before freeze potential exists.
Contact engineeting division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
W6ite - City Copy Yellow - Resident Copy Pink - Contracar Copy
i
~ ForOffice~U'se
~ ~ I
. ~ ~~j-~ 7 ~ I
, c
Clty of Ea~a~ ~ Permit# i ,
I Permit Fee: v I I
3830 Pilot Knob Road ~ ~
Eagan MN 55122 ~ Oate Received. ~ j
Phone: (651) 675-5675 ' ~ ~ l~ ~
Fax: (651) 675-5694 i Staff: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ SiteAddress: ~/~22 STd/"~~ C~/
Tenant: ~ud~` ~ ,Tl/~/C i7 / P Suite
RESIDENTIOWNER Name:/<UC~C ,~~c~//P ~7/~%~~' Phone:liS/""~.S?-/S^.3~
Address / City / Zip ~/~z~~T..~/if /~/~`t° ~
Applicant is. _ Owner ~Contractor
TYPE OF WORK Description ofwork: T~p~ ~F~ pyJ ,QC ~l9pFriI7~ .S/.IJ/ll/~
Construction Cost: ZZ dB° Mulh-Family Building: (Yes No
CONTRACTOR Name:wF_STY.!/,Q~i'Dfi/l>jy`Sl,p/di~ License#:1o~'_S-S~~
Address. 9~~0 /.~7ii' A V~~
c~ry i~ ~l'~mvTH s~ate: ~Iy zP: v~.s 5'
Phone:~6.3" 0.30/ ContactPerson:l'~f~~~~~/~~~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code . Residen6al Venttlation Category 1 Worksheet • New Energy Code Worksheet
Categ0l'y Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan pased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
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 specirc reasons that would permit the City to
conclude that ihe are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in~conformance wdh the ordmances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, antl work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ~{zS~ t a~ o-.~~ ~P oi f.~ r,c Wg.sC ~6- ~IBJ~/`lr'z
'Applicant's Printed Name . ~ApplicanYs Signature
Page 1 of 3
, PERMIT
~ CI_T_Y OF EAGAN pERMIT TYPE: ~ u i ~
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number. ~i? ~t 4 5 R 7
(851) 681-4675 Date Issued: ~ G_ / 12 r` 9 y
SITE ADDRESS:
~3F~7? `,7~li~FCl_I f-I`~ CiF+
I.U"I'° I E'LUC~te ~
~a~~vc-r~~~ ~~ns~, :~n~n
~.c.ra.: ar--a~~,F~-~ta-~z
DESCRIPTION:
E3,~l~.ldi.nq',Ferrri~ i; Ty~e t;F pI.IG
,
~u11tiYYtp t,.ft~'~'4t Tb~;?e NEW
~r~lBC OccupancY Pa-3 , U-1 ~
r~ Con~tr~ac~ian 1'y~,r~ vN
ZaR1Plt~ - ~2 R-5,
~ k~uiLd~r~y Lanqrt~ 6~?
i Buzl.dinq Width 3°
~t. F3}~it~itrc~ st~rie~ ?
t
~ ~~c~i?c~t`e F~1~t r-'~ 2.G~iDU
c~~7~~ i~_ rl,~
~-e~ 1 i- r r~ ~~i . n r'r n c~,
~ ; ,,r,~
, ,
, , ~ ti - - ~ ~ ~
l~ rt ~ 1' ,I, '
i , . r'~:r . , _
~
REMARKS:
P L A N h' F V l f- I,J E i i i~ I.J'1 1' PI F ~vl I I; h F( .
F: W PLUMBt:R I:S EL.711+1UFp ~i-'f`Ml~1iV1i,f1L {'!~IOfdF {S(~7?) 4~6-A692~
FEE SUMMARY:
~,,~~ur~r~~ur~ ~;~a;.~~~n
L'rasa F€+e 5;1.~J£;47.43~ P11~C, F'~t6 $7..63Y,E~~+~
FJ.~n 13e~~icaw ~9t;2.G? ~foCel Fa~e ~5,.22A.5f
3urehrirge $~:3 5~7i
u/iC $1 495Q).!~7@
5AC ~ 1~tA
St',C Unita 1
iiubCO1-a1 --"~:~~.5S7.~D'I
CONTRACTOR: - +3GG~tt~dr,r. - s~r. ~sr. OWNER:
LUNpGftEPI BROS CC~N'"i" a.A737.?3.l ak~iP,L~~?3 LUND~!':EN NftOTHEft ~
5+~5 r WAY<'.,41"A Fi~VU 5;3r, WIIYZA'i'h's t;~VfJ C
,Y7H'ift hiP, 55~;91 WAY:`ATf~ hii~l 57?91
tz~ n~a._izs~ <<~~~~~ay~-~~~3~_
C h~r~iay acknawl~dge that Z haue r~ad thi~ ~j~~Iication and st~t~ Tha~ the
int'trrmatic~n .is carrect ~nci aar2c ~o cnmplv wr.th ~lt apol3cdbl~ ~t~t'~ a1' ~In,
Statut~s and Citv oi ~dqan Or~iinances.
~ ~
• ~.~-t~-~ ~
APPLICANT/PE I EESIGNATU~E SUE~BVSIGNAT RE
~
~~a~~~~~~~~a~~:a~~~~z~~~~~u~~u~z~~m~m~~~~~~~
CTTY (]F FAGAN
CAuHiF_Ra S TERMINAL N0: 333
DAl'Er, Ot~/i.2/93 1'IhfFr 7.1.:1E~e35
ID~
NAMEa I..UNDGR.F..N HkflS CONST INC
2256 30(li h622 STONEC~IFF Sy224~.57
*tal Fter~ai.~+, Amo~er~+,: Sy22R.57
i10i'iSf.
~U5FFt ID: NFlMCY
X~ Xc~k~Xc~c~~~C~ #Xc~C~Y#~K~kXc~cXcXcXc~Y#~#%X%~#k~X~~'
' ~ ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
- ' CITY OF EAGAN
l I 3830 PILOT KNOB RD - 55122
~ "C ~ (651) 681-4675 ~ ~ ~ 4 ~ r
New Construction Reauirements RemodeVReoair Reauirements L ~ _ ~ ~ _ ~ ~
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.j ? t site surveys (exterior additions 8 tlecks)
? t energy calculations ? 7 energy ca~culations Tor heated additions
• 3 copies of tree preservafion plan R lot pfatted after 7N/93 ~
required: _Yes _ No
DATE: lu /oC. /9~'f CONSTRUCTION COST: ~
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: C~~ SUBD./P.I.D. , ~~To~2~
~
Name: phone
PROPERTY Firsf
OWNER
Street Address:
Ciry State: Zip:
Compaciy: ~~/Il~ ' ~~OS, Phane U~Z- °Y 7~-~~ 3 ~
CONTRACTOR
Street Address: %~35 ~~~/A y T~J 1~~ License # G 3 Exp. ~
City ~9~.~7-79 State: /l./ Zip: /
ARCHITECT!
ENGINEER Company: Pho~e J~:
Name: Registration
Street Address:
City State: Zip:
Sewer & water ticensed fumber new construction onl ~~1~~~ ~~~~~~~~Y
p ( y. ~ . enalty applies when address
change and lot change is requested once permit is issued.
CB t `a ~-4 ~-I 5 - `l ~.°t
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ~ r
Signature ofApplicant t,x~~l/~ ~ ~1
RECEIVED
OFFICE USE ON}X
~ FEB 0 2 1999
Certificates of Survey Received Yes No
Tree Preservation Plan Received _ Yes _ No Not Required BY~
OFFICE USE ONLY - _
BUILDING PERMIT TYPE
p/01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
,~5 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 = plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Add'+tion ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) f~ N Basement sq. ft. i2 Census Code
(Allowable) ~ Main level sq. ft. r 30 3 SAC Code ~L
UBC Occupancy 2 1 F-;? sq. ft. ~,s83 Census Units
Zoning ~ J~/~i sq. ft. b~t~j Census Bidg
# af Stories ~ sq. ft. MC/ES System
Length h Sf ~ sq. ft. City Water
Width 39~ Footprint sq. ft. ~pD Booster Pump
PRV
Fire 5prinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee ~I
O q S Valuation: $ ~~i OD
Surcharge _ 4_"3 ~ Q~saroLn~
Pian Review g(a a-.35g Y~y = S~~'S
License 3o X ~3 = 750
MC/ES SAC I 0~.~(j ~bb 3`_
City 5AC 1~g3.~ X l~ _/ya6aS
Water Conn. ~It~ N
Water Meter ~+5c~crtf = ~ ~5
Acct. Deposit 2. X ifJ = ao•
SMI Permit 13 03.5 x.~y = 7D'.~
S/W Surcharge S c ~--l~o
Treatment PI. UPPt ~ ~
Park Ded. 5o x3i ' ~55~
Trails Ded. /b~ X 2=` 33 2
Other /fi~63 Y 5 y Hg
Copies ~
Total: ~_7 a0 HxdaN = y~'
y- RH
ra, xao
%SAC 69$XIB= /I lb -
SAC Units q z
' REVISIONS BY
~
'
~
~ ~f
S~`~G~
LEGEND ,
4i ~p' ~ ~
oJ~~ h~a QS DENOTES SANITARY MANHOLE H ~
v~ ~ ~ DENOTFS ITYDRANT ~ ~
~ N89°29'27°E 144.93 ~ DENOTES CATqi BASIN =
Z S DENOiES SANITARY SEWER Ci 1
(944.9)
944.8 941.8 936 0 W DENOTES WAIIIiMNN w~
~ x 37.65 9<s., x 39.02 x X sT DENOTES STt]RM SEN~ER W~
saa.a 5. Q DENOTES STORY ?iANHOLE ~[~~37~
~ \ i~ ~d 7 •20.33 X ' ~ ~ ~0~~~ n ~O~S S~M n ~
~
944 4 ?
, 943 1 N~~ c° ~i~.l ~~J `~6 E~~
11 ' X41. D X X 938.4 -y \ ~i
/ D~ 2 9jti F SETBACKS
~1 10.0% o~~ is.e~ s3s.2 FqS
F St
--n oO~i ~ w v ~ ~ F~`~~ ~ MIN. FRONT YARD SEfBACK = 3D' :
' 8,~' o ~ Z w ~T ~~~r 935.0 MIN. SIDE YARD SEIBACK = 5', 15' BOTH SIDES
W O 30.s7saa.s~ o v 0 MIN. REAR YARD SETBACK = 15' ~ ~
~ ~ m ~ ~ ~ ~ 1 p
~ 935. f ~ ~ o u ~ ~r ~ ~ O ~ ~ F; ~ ~ ~ ~~~i yaab~
~ c in ~ ~ Crl i. i~. ~
Z ~ ~ .~i ~~y aa. ~ A m ~ c0 0
_ I + I ~ ° -
Q p I ~'aa.a x ie. 2 4.58~z39.93x X 937.4 ! 10 ~ - }
~ ~ ~I~ X "i V2
~ w _ 9<,.8 ?--------J ~ ~ o
O ~ ~ ~ ~ X33.0 Pmpoaed Top of Foundation pevotions 948.17
~ sassC+~ Propoaed Garage Flow ElevaBon~ 948.5
C,,r t1~ 9ao.30.34 94 3 39.02 Propoaed lvwest Floo~ pewtion= 940.17 ~ Z~
940.3) ~
~ ~ ° ~ S89°29'27"W 168.03 ~ W w ~ ~
D eacr+MaaK o Denotes Iron Monumerrt
34 r ~v = aas.si ~ + 910.0 Denotes Exiating Elevation Q Ch
60 ~ +(910.0) Denotes Propoaed pe~mtion V~j A z~
~ Denotes Direction of Surtace z Q~
~ Drvinoge F~ a ~ ~
910. Denotes Sewer de Water Service de~rotion W ,.a
U
I heroby certify thut thie is a true a~d correct representation
of a survey of the boundorise of:
LOT i, BL.OqC 2, PINETREE PASS 2ND ADDRION
DAKOTA (bUNiY. MINNESOTA DRAWN
Md the locotton of all butldings, ff any. thereon, and all vTaibb ~
encroachmer~ta, ff arry, from or on aaid land. As aurvayed by ~E~
me this day of Janua . 1999.
DA7E
1-5-99
SCAI.E
Gary R. Gertnond 1'a30'
Licenaed Lond Surveyor, Min~. Lia No.24764 ,I08 NO.
5402-434
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• ' BUI~DINGPERMITAPPLICATION
~ ~ PROPERTY LEGAL: ~ Z ~
~ ~ DATE O SURVEY: /~SJ ~ ~
~ ~ ~ LATEST REVISION:
~ o ~ DOCUMENT STANDARDS
a x
tt8~ ? ? • Registered Land Surveyor signature and company
e~? ? • BuildingPermitApplicant
[[9~0 ? • LegaldescripGon
Ca~~ ? • Address
? • Nortfi arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? • Directional drainage arrows with slope/gradient °k
? • Proposed/existing sewer and water services & invert elevation
? ? • Street name
[7' ~ ? • Driveway
ELEVATIONS
6n•stina
e' ~ ? • Sewer service (or Proposecn
B~ ? • Property comers
? • Top of curb at the driveway
fd~? ? • Elevations of any ebsting adjacent homes
Prooosed
N~
0 ? • Garege floor
? • First floor
~~o ? • Lowest exposed elevation (walkouUwindow)
m~ ? • Property corners
? ? ? • Front and rear of home at the foundation
PONDING AREA fif aaolicablel
? ~o • Easement line
? C9~? • NWL
? ~ ? • HWL
? ~ • Pond # designation
? ~ • Emergency Overflow Elevation
DIMENSIONS
~~o ? • Lot lines/Bearings 8 dimensions
~0 ? • Right-of-way and street width (to back of curb)
? • Proposed home dimensions inctuding any proposed decks, overhangs greater than 2',
/ porches, etc. (i.e. ail strudures requiring permanent footings)
? • Show all easements of record and any Ciiy utilities within those easements
~ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? GY ~ • Retaining wall requirements, if~ ~
Reviewed: °Z 3
Na e / D te
January 1998 ~
CRAIG196H~BLOGPRRTr FM
612 473 9131
~ 612-473-9131 LUNDGREN BROS 040 P02 FEB 08 '99 15:53
~ , 1 ~ : r}VI w.~v. .
l
i
; ~.~~nt~~~cr~ ~
ERTERIOR EPIYfLOPE AV£RAGE U GOMPUTATION
COFISiRUC80N i
t
IN(:.
Sike Address ~~i~ Gf~
~ Lot ~ Olack
~
R 8 U Factors R U
Opaque Nalls .049
~ e. we~emo ia~u.
waYr~~ wa 11 FraoH ng Areas . Q9
Mhnmaa4755~J1 Ceiling lnsluetion Area • bZ~
~81~~~~~~~ Gellinq fram~ng Aree ~i'l~
Rim ,loist .04
Masanry Vlall •
H1 ndoxs .
Doors .31
5kylights .55
1) Lower Level (Oasement)
Total Exposed Wall Area (,4~ T/
Opeque Nall Area ~(,~0
~ X(U) .043 a 1~,~
Wood Frame Area X (U) .09 - ?7'~
Rim Joist t'~ ~X (U) .04 = 1
0
Exposed 81ock X (U} ~ ° C7'~
W1nJoa Area .~X (U) .35 ~ l
. S11d1n~ Gless Doar X(U) .35 4~~ a
Door Area ~ X (U) .31 ¦
Total ~
, 612 473 9131
~ ~ ti 612-473-9131 LUNDGREN BROS 040 P03 FEB a8 '99 15:53
~unc~GR~n ~ .
2) tirst Dr Matn I'loor /
COI I511lUC IION n O''~/
Totnl Exposed Ha}} ~rea ~~L
INC
Opaque Wal) Aree << yX (U) .043 m~__~
iVood Frame Area ~2t~'~ %(U) .09 a
Rhn Jofst 1Q~'~lt (U) .04 -
Nindow Area 1~7~7~ (U) .35 ° ~Jrl•~
.U1~" Wayta~a 131vJ.
W,~y791i Silding Glass poor R(U) .35
Mbua~~~a551ni nnor Area X (U) .31 ~ ~ •'l
(n~z~v~~t2~~ Total ' - .
3) Second floor If Two Story
Total Exposed tlall 11rea ~ ,
l ~ y ,`1
Oparyue Wal l 11ree g(Q~- .U43
Waod Frame 11res ~0 ~ % (U) ,09 ° •
Window Area X (U) .35 = ~ .0
Sllding Glass boor ~ _ % ~~1 •3~ ° ~
floor 11rea X (U) .31 = ~
To ta 1 a~.~
4) Total Ceiling Aren
Wood Frame Area ld7$'~X (U) ~ °
e ~
Opaque Ce111ng Area X " ..l~~.
skyliglit ~ x {U) .55 °
Tota] ~
612 473 9131
~ 612-473-9131 LUNDGREN BROS 040 P04 FEB 08 '99 15:53
i . ' i
i L~lnDGREM
! ~r~as. '
.
co~isrrsucnoN
iNC. MINkESOTA U FACTORS Totai Exposed Walt Area ~~y' X.11
M[NNESOTA U FACYURS To•tal fixposed Ceiling `,~,~,rY~ X 026 =~^T •y
' Area `%7l ~ /
(A) Total " ~ffi
275 C VYa~ala otwl. ,1 ' ~
'~Ti~ t tem 1 c~' I tem 2~~~ + ~ tem 3_~Z_~ + i tem 4~~] .
Mhpxs~la 553.~ I
(61~1T3-1271
If Total Of Items 1-4 Is less Than Ftem {A), Buildiny Camplies With
S0C 600& (C]s
i~
~ '~•-~t~ O l/ CITY USE ONLY / 1
L / BL ~ 1 RECEIPT~i: OS
~l0 9 9
SUBD. _~9'L~.t~t.Gc~ g aA~i ~ RECEIPT DATE:
1999 ~PLLTM$INH ~P~tMiT (~SIDENTI~lL)
CffY OF £!IfillN
S9S0 Pll.OT KNOB ftD
gAfiAN, MN 551EE
(651) 681-4695
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------------~~_~~--°----~_~~_~_W~ w~_____-°e_~~~~ _r r~~
FIXTURES EACH # T TAL
Shower 3.00 x _ ~
Water Closet 3.00 x _ ~'0=
Bath Tub 3.00 x _
Lavatory 3.00 x ~ _ ~ y vu
Kitchen Sink 3.00 x ~ = 3°-°
Laundry Tray 3.00 x ~ _ _ ~
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _
Floor Drain 3.00 x _
Gas Piping Outlet ` minimum - ~ 3.00 x = 3`°°
Rough Openings 1.50 x z = ~F sO
Water Softener * for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 30.00 X =
U.G. Sprlnklef ' for dwelling under const. 3.00 =
U.G. Sprlnklet ` for existing dwelling 30.00 =
Alterations " to existing residence 30.00 =
Water Tum Around 30.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurGished systems)
Private Disposal Systems ' ,4bandonment 30.D0 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc. BD
TOTAL SD ~
• •
i hereby acknowledge that I have read this application, state that the infortnaCOn is mrrect, and agree lo comply wiN all applicable City of Eagan ordinances.
It is the applipnYs responsibility to notiTy the property owner that the City of Eagan assumes no liability for any damages pused by the Ciry during iLS nortnal
operafional and maintenance activities M the hadlities constructed under this permit wifhin City property/rightof-way/easemenl.
SITEADDRESS: 4~-- 5~~7~ C/'r"'7'e U////-~
OWNERNAME: Gu .~q°('i.e,~ i,}~O S ~^'S~-
INSTALLER NAME: ~~Gr vr /~'.p ~~v/ P G~i 4.v i`~C TELEPHONE lP ~~-yl/~
STREET ADDRESS: S~T~' ~ ~r' ~ ~oh ~
CITY: S/~+ /~Lc o~/~.L STATE: ZIP: 5.5~.~ 7
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
~ C[TY USE ONLY ~ ~
LOT ~ BL ~ RECEIPT ~~J'~ ~
SU[3D.~ ~a.iy ~ RECE[PT DATE:
1999 M~C~I~NNIC~4L ~P~MIT (ftESID~ENTI~L)
CITY OE SAcfiAN
S$SO PILOT KNOB liD
~as,ax Mrr ssi Q~
Z j~' q ~ (s51) s$I-4s75
Date: ~
Complete this section onlv if you ue installin~ HVAC in single family, townhomes or condos under
constniction and not owner /occupied
• HVAC: 0-100 M B T U 30.00
ADDITIONAL 50 M BTU 6.00
A'J
• Gas outlets (minimum of one required c~i $3.00 ea.) ~ y
• State Surchazge: •5~
s~
• TOTAL: y~
Complete this section orilv if you aze remodelin~, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement _ Repair _ Other
_ Fumace , Air conditioning
_ Air exchanger, i.e. Vanee system, etc. _ Other
Remi~:der: Ca11681-4675forinspeMions. $30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: y`b d o~ ~~'/~TC ~`/v~-
OWiVER NAME: GLt t d~'/-~ ~/os L4~/S% PHON$ 5~~~
[~ISTALLER NAM ~ ~ G~Pr ~~~LSG A~!°~"C PHONE N: -~7S y~s~
S"CREET ADDRESS: S Z/ L~~ ~~`~a~! ~il.v-~
CITY: i4-~l~D/%~~ STATE: ZIP: J`~-537/
~ r
SI TUR F PERi~IITTEE
1SlFORMS BLD/MECH PERMIT (RES) - 1999
I
CITY USE ONLY
~ g~ RECEIPT
SUBD. RECEIPT DATE.
APPROVED BY: , INSPECTOR
1999 ~~ct~tlvtC~L ~~rr (co~~[tct~tL)
CITY O~ ~Ftfi~k1V
3$SO ~ll.OT KNOB gD
~s~1v,1t31v 55Y 22
ts51)s$1-4s75
Please complete for: all commercial/industrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONS"IRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (~.50 pec $1,000 of~emtit fee due on all pemvu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRE5S: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
L ) 8L ~ CITY USE ONLY RECEIPT#: ~tG~S
( ~n
SUBD. PI ~eP. a~ RECEIPTDATE: /~I ' O~
PERMIT# ~IQ 3 g 7
2000 PLi7N~ING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IRdOB RD
EAGAN, bA7 55122
651-681-4675
Please complete for: ? single family dwellings
~wnhomes and condos when permits are required for each unit
ckflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations-tp existing dwelting - minimum fee $ 30.00
Describe: y3~~ K~l o.y F'or z,~, ~.~n-~-
6<r. ~'~oc.
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i ing outlet ' minimum - i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavato 3.00 x = $
Septic System new/refurbished ' requ{res MPC Ilt. 75.00 x = $
Se tIC S St2R1 abandonment 30.00 X = $
RPZ new installetion/rapair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler if dweiling is under construction 3.00 x = $
Undergroundsprinkler ifexistingdwelling 30.OQ x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construcBon 5.00 x = $
Water softener if existing dweinng 30.00 x = $
Water turnaround 30.00 x - _ $ `30,
State Surcharge .50 $ .50
Total $ ~a S O
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
~ hereby acknowledge that I have ~ead this application, state Mat Na infortnatlon is correct, and agree to compty with all applicable City of Eagan orclinances.
It fs the applicanPs responsibility to nohfy the properry owner that the City of Eagan assumes no liabiliry for any damages wused by the Ciry during its
normal operatianal and maintenance activtties to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: ~I ~~Z S'r o,ti~ ~ l~~F ~ ~ c~, •
OWNERNAME:: ~Z~c~C TELEPHONE#: GSl'- `'1~K- ~iS~3
(AREA CODE)
INSTALLERNAME:~w~s wc~Ly~ TELEPHONE#: ColZ- C6dt- S~~a
(AREA COOE)
STREET ADDRESS: ~ o u `L l 7
CITY: C~ ~y.~ G ssw~ STATE: M n~ ~ ZiP: 'S ~ 3 1~7
SIGNATURE OF PERMI EE
+ f"`~
.
~ ~
" Q N89°29'27"E 144.93
Z (9a4 9)
X44837.65 9<s.,x 39.02 9`Xa 936.0
~/1 saa.a 5, cn 2~
r ' \ i"_ ~tJ3Z.7 +•yp.33 x I -C\ ~ .
~ ~ 944.4 ~
, p g<3 , r N ~ ~ ~~9~
/ ~ 2 .p ~ 941.0 ti
X9384 ~ C
~
J
Ol > x x
O~ ~ 1 Q.0°Io ~ ~ n~ ~ 16.6N J 939.2 .q ?f
s~. ~
u ~ °i ~
~ Ut o e N~ g z ~'~p
~ 1 N p -1
W O 30.67eaa e~ ~ g~ 1~ ~
~ I 935. ~ ~ = u ~ ~
~ ~ I ~ m C N I
pX ~ m
Z 'O I J~44 i rsl
~ ~ ~ I J 18.42 4.58 ~X399X %937.4
p x - X j 938.0
T O ~ W~ 9ai.e
/\J tD l_ ~o~ - - •i - -
~a w v'
939.5~ ~ 94030.34 9 13 •39•02
\
940.3)
~ ~ ° ~ S89°29'27"W 168.03
34 ~ BENCHMARK
r ELEV = 936.61
6~ ~ ^
/
L
' . ^'ti REVISIONS BY
~ J ~
LEGEND ( ~ ~
~
~
OO DENOiES $~WITARY MANHOLE °
~ DENOTES ITYDRANT ~ ~
~ DENOiES CATqi BASIN ~
S DENOTES SANITARY SEWER ~ ~
W DENOTES WATEl2MNN W ~
S ST DENOTES STORM SEWEFt
s~~ ~ DENOiES S'fORAI MAPRON W~
\ t~J~~e ~ ~
\ F SETBACKS d ~
v~ g
MIN. FRONT YARD SFfBACK = 30'
~~iy. 935.0 MIN. SIDE YARD SETHACK = 5', 15' BO7H SIDES g'`'{~
~ MIN. REAR YARD SETBACK = 15 '
\ W
I \ N `O Dcs.°~
cp O
~ O
' 10 ~s ~
_J ~ ~
z33 0 propoeed Top of Foundotion ~evation- 948.17 ~ O
Propased 6arage Floor flevutlon= 946.5 ~
Propoaed Lowest Floor ~evation- 940.17 z~
W W - ~
o n~~t« u«,~~~c a H!~
~ + sio.o a~~t~ ~ast;ny o~t~o~ cai aa~ z Z
+(910.0) Denotae Pmpoaed Elevation tal A
Denotes Dircct3on of Surface ~i ~ z O ~5
Droinage ~ a ~ U
910. Denotes Sarrer de Water Service ~evatlon W ~7
U
I haroby certffy that thh Is a true and corroct reprosentaUon
of a aurvey of the boundoriee of:
LOT 1, BLOpC 2. PINEfT2EE PASS 2N0 A~D(T10N
DAKOTA COUNTY, MINNESQfA ORAwN
Md the location of all buJldings. ff ony. thxeon, and al! visibb ~
encroachmertls, if any. from or an ~aid land. As wrveyed by CHECI~D
me this th day of Januory 1999. ~R~-
DATE
1-5-99
SCALE
Gary R. Germond 1•~30•
Uceneed Lond Surveyor. Minn. U~ No.24764 JOB N0.
5402-434
Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
� / I
' i Permit#: ���1 � ;I
�It a� �� �Il � �, � ��
� � � Permit Fee: I
3830 Pilot Knob Road � � '�
Eagan MN 55122 1 Date Received: � ;
Phone: (651)675-5675 � staff: � �
Fax: (651) 675-5694 L________________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �/ �`�' Site Address: TC�.� .:��(21'It'Cr-/� ��� ��f
Tenant �iGe� ��'(�i � (` Suite#: II
� � � _
���,"� d 4,�'ia,����w�. Name: I�r`c-lC �.l�°e .�p 1.�-��� "C��r � I
� ; � �" Phone:
��'���l,��t1����C
�fi� �� �. j �
� Address/City/Zip:��i�� ��C``1�1�1����� ��^ C� 'ce.✓l 12-�
«�r��y
r� ��„„ , i�pN��� " �. .1�'�� .�
�b�i��� a� '-"�y�Nu� ��h��t�• Ndlll@: �� � i(./�L � LIC2flS@#: ��i�r� ��
� ��������.N � -. /
� �i��r�=�. Address:�l��.� .S�"OV1��c��� ��_ _City: �G�C�Gt,d"�
� ,� ��+� �� � .
��
�i� ����� ; State: m f� � Zip: ��/2� Phone:��� ���� ^����
�mi�� � � G � ��
� � �� � ����� Contact: �i�� � � c�� EmaiL � � �
a�h ��i;�r��`�1 _- f(�i(n n'� °
�� New Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
Q�'`_`3.�,`3�1 i������������ .
�. ��r � _jw��. Description ofwork: � d E��- �i i�i ����
����� "�°'� ,` � � ���' �� � RESIDENTIAL �
���'����� � '
� ��- �� Water Heater � � �
�;�
� Lawn Irrigation(�RPZ/_PVB) Water Softener
���flR ��:rr���T�p ���'�� `
� Add P'lumbing Fixtures�Main/_Lower Level)
�" � �'` ��;���;-� Septic System �
���������������`��������� WaterTurnaround �
���. �� �,
New
�", —
v;y, � Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(include�;�5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaro�und*(includes$5.00 State Surcharge)
"Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built)(includes County fee and $5.00 l3tate Surcharge)
TOTAL FEES$
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. wwvv.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in cc�nformance 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��lans.
� �
x �, �ti�� = e � �-
��
ApplicanYs Printed Name App ican 's Signature ^ 1f/`r
� F' I � �I kU X,�in 9 h 6
^; s�.- = � �����6��i�� ; �. ���� , ; ����i��� _ "� =_ Iliil��
�
��4t��F�[C�U�� r� f ���N���r�a�. � = i��: ' i� _�,��u�� t3��e. ����,r�����
����:.�.. i h�� �.�:� a (I. ,g'�I�i t(����'� qw��ili)tti�������N��'i�i��f�����
� qi�r- �;�� ���N� 1i�i� ?��'���V�M1�N�m��� �,i���jG4�!�� �NN � �Ifi� .t � � ;i��'�
����(��l1tS����15� ���� ��u�� `t1����'��1"��#�C��A�E� ,.�,;,�...��fl����1� �`�ti��Sk� ,�S������,�,� = f'��t'�����pii�����N'
��YI��I�i � "�il�pii��'� '"" ,�(���`� �I�j:x,.: ��,.. . , rb�l!�:�7; ��
i) i � � ,� ,�a�� � s� 4�( I�� ; � .s ��,r�"�6t91+:� ' M�° �„� � —'� ���p� ;
g�ated I�+er�in� IUl������ .;���I�) �� F��t�i�i Re�d��h����u�����i�`����'�����I�J ti���� ��i�����a ��.._.
�.n�.�a. ��F���� �_ . �.—�=,�= z�—h., .� �. „��,u �,�
Use BLUE or BLACK Ink
1
4411110.City (p� Eaali For Office Use
U Permit# /40
NOV Z 9 2016 c¢
-24
3830 Pilot Knob Road Permit Fee: /p
Eagan MN 55122 Date Received: //-`2- --/co
Phone:(651)675-5675
Fax:(651)675-5694
Staff:
a
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two(2)sets of plans with all commercial
application .
/
Date: 111 G( (e Site Address: I"( (/B)� � -"i0 i'L G(( \ 0 hlre
Tenant: Suite#:
ReSI$entlOWner Name: 54'610 )C-in )0�/ _,.OS �. Phone: (4'(2 %5 7,7/
Address/City/Zip:
(d)" . k / lit ,c,i,v. 55/2.2_
Name:... IA.'I 4 _
License#: � vq
Contractor Address: �� Wit- / .� /� ic/ City: �/0-! '
State: , Zip: ," ( Phone: (..0, - l'( i.
Contact: i1-7.4 L Email: / '-c/ • LA At 'C46•1_.
New Replacement Additional Alteration Demolition
Type of Work Description of work: / / - e Ae . _ w
NOTE:Roof mounted and grou • mounted mechanicalequ _6 •nt is required to be screened by City
Cod-. Pt-,.secon ,ctthe i-cs- - Ito,: • o s • sig of •�cpe. -r'(g 1.- 10•-
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit Type —Air Conditioner —Install Piping _Processed
_Air Exchanger Gas —Exterior HVAC Unit
Heat Pump Under/Above ground Tank (_Install 1_Remove)
—
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances an-, ••es 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 rmit;that t - - will be' accordance
with th approved plan in the ase of work which requires a review and approval of plans.
x
)'l4 ; cc&" C a:I X
Applicant's Printed Namepp scan s Signa
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat ' Final HVAC Screening
EAGAN
CEIVEll
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
6%5-5675 I TDD: (651) 454-8535 I FAX: (651) 675-56941 JUL 0 7 a
Email: buildinoinspections(a..cltyofeacan.com
Commercial Plan Submittal: eplansOcitvofeagan.com BY:
e�
Date: 7/1/20
For Office Us
Permit #: � L &) i L
Permit Fee:
Date Received:
Staff:
L
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Site Address: 4622 Stonecliff Drive
Tenant: Suite #:
Resident/Owner
Name: Stepehn Dygos Phone: 612-385-9071
Address / city / Zip: 4622 Stonecliff Drive
Contractor
Name: Metro heating & Cooling MB005327
License #:
Address: 1220 Cope Avenue E city: Maplewood
State: MN Zip: 55109 Phone: 651-294-7798
Contact: Carley Email: invoices@metroheating.com
Permit Type
RESIDENTIAL
Furnace
✓ Air Conditioner
Air Exchanger
—
Heat Pump
— Other
Type of Work
New ✓ Replacement Additional Alteration Demolition
Replace existingA/C
Description of work: p
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State Surcharge 60.0o
includes State Surcharge = $ TOTAL FEE
$100.00 Residential New,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeagan.com/subscribe.
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 n 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 a oval of plans.
xCarley Ferrie
Applicant's Printed Name
X
Applicant's Signatur
FOR OFFICE USE
Required Inspections:
Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final