4633 Stonecliffe Dr =~~a33 ~-,o.oo
~ + 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ~ C~~, 8 ~ l~j QA,~
3830 Pilot Knob Road, Eagan MN 55122 ~
Telephone # 651-675-5675 FAX # 651-675-5694~
i
New ConstrucM1On Reowrements RemodeUReoav Reamremenls O~tGS U5st71dV
3 registered sAe surveys showing sq fl of lot, sq ft oF house, a~ all roofed areas 2 copies of plan ~er~of Sunrey Reed " Y~ N
(2(Pk mazimum lot coverage allowed) 1 set of Energy Calcula6ons for heated addiAOns Tree PresP~ Recd _Y _N,
2 copres of plan showing beam & window sizes, poured found design, etc 7 sile survey for add~dons & decks I '{r¢2 PrgS ftepuired Y N
isetofEnergyCalculations Addifion-indicateifonsdesepticsysfem i Q[E5i1859p1iE~yS10~ _Y _N
3 copies of Tree Preservahon Plan if lot piafled after 7/1/93
Rim Joisl Detad Ophons selecUon sheet (6uildings with 3 or less umis) I
I
Date / ~ / ~ /J
~ Construction Cost (n~S ~ ~
SiteAddress %[p~~v~j70ilJE~L/Fr~~ ~/~/(9ti UniUSte #
F~q I
Description of Work ~pn,~~`T,Q~~~ ~T/!J7lsur0 L~Y'~ I
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2I
I
Property Owner ~vc^~- ~J (~/,/rt,~~ Telephone r~ J) Z 7Q -a' Z-3/
Contractor ~P~//vlT- ~6L'%~S `F .
Addreas iZ/Zo En~.v ~/~Ci~l~ c~ty .O/>~/~ G~~u6h~ in.v
State Zip Nl% ~ y Telephone #~I
Z) S~~ - ZyZ``
~
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesvta Rules 7670 Cateeorv 1 Ati I
esota Rules 7672
Energy Code Category , Residenhal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submifted Submitted
. Energy Envelope Calculations Submitled I
~~~~~;~C~~ ~
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a mast' ~ plan?~' ~
_ Y _ N If yes, date and address of master plan: ~ i i^ 2~~5 ~
v
licensed Plumber Telephone
Mechanical Confractor Telephone ~ ~
~
SewerJWaterContractor Telephone#( J
~
I hereby apply for a Residential Building Permit and acknowledge that the infor lation 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 perni , and work is not to start without a
permit; that the work will be in accordance with the approved lan in the ca of work which requires a review and
approval of plans.
~ ~ Sp,e~.v~ '
Applicant's Printed Name A plicant's ~gnatu e
~ , i
OFFICE USE ONLY
< a
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 3Q Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 D2-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement 'Oemolition ~Entire Bldg~ -Give PCA handout to applicaM
Valuation ~ ~17~ Occupancy MCES System
Plan Review 100% or 25°,6
Census Code Zoning City Water
SAC Units Staries Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~r~ Width
REQUII2ED INSPECTIONS
Footings (new bldg) FinaUC.O.
~c Footings(deck) ~ Final/No C.O.
_ Footings (addilion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Wa[er Final Pool Ftgs Air/Gas Tes[s Final
~t Framing _ Siding _ S[ucco _ Stone _ Bnck
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insula[ion _ Retaining Wall
Approved By: ~ Z , Building Inspector
~1 U
Base Fee y;~
Surcharge ' lJ ~
Plan Review
MC/ES SAC ~t~ ~
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
/
~ REIASIONS BY ,
~ BDQ
~ 60 W
~ ~ -;/'$/9
2 STORY l0 ~
iPFDN ~ 936.86
N89°29'27°E 204.50
o (925.9)
EMERGENCY OVERFLOW SWALE 9=9
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t . ~ ':^y , i BENCHMARK ~ X ~ a C.` O~y a,~~ 8J,"ti.
' _ ~ 3 :I ELEV = 922.97 Os•sQ 924.5 ~]p _ y
, l~/Y - - W ~ _ GV~ V ~ (L N
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. ._.._/-.-~Z , x ' 923.3 ~ n
. - ~ ~927.8) ~ ONa 9E9
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LEGEND / O
/ l ~ ~
/ ^ Propoaed Top of Foundation DavcUon= 932.17 ~ ~
QS ~?JOTES SANITARY MANHOLE ~ / Pro~poaed Low~eat Floor De~mtion= 924.1~7 N O W Z
~o DENOTES ITYDRANT 1,~ ~ ~
~i DENOlES CATCH BP,SiN / ~ 8 W
S DENOTES SANITARY SEWER O Denotea Iron Monumait
+ 91U.0 Denotea Exiating Elevation Q C~
W DENOTES WAiER1AAIN +(910.0) Denotes Propoaed peveGcn C.~ W A'~ ~
ST DprO~G y~7p~ ~y~ Denotea Direction of Surface z~ a
~ DENq7ES STORM AIANHOLE 910.0 penotes S
nifta e Sewer Service ~ a~~
~ DEN07ES STOR61 APRON lOT AREA = 16238 S.F. ~evotion V a
ROOF COVERAGE ~ 2434 S.F.
SETBACKS ROOF COVERAGE X= 15.OS I hereby certity that thia ia d true and correct representation
of a aurvey of the boundariea of:
LOT 5, BLOCK 5, PINE7REE PASS 2ND ADDRION
MIN. FRONT YARD SETBAqC = 30' pAKOTA COUNTY, MINNESOTA DBDMRM
MIN. SIDE YARD SETBACK = 5' GARAGE, 10' DWELLING Md the bcation of all buiidinga, if any, theraon, and all visible
encroachments, if any, from or on said land. As aurveyed by CNECKm
me this 30th day of Apn'1 1999. ~G
'~p/`~/ _ Q 4-30-99
~ l~.r scn~
Gary R. Gertnond 1'=30'
Licenaed Land Surveyor, Minn. Lic. No. 24764 Jpg kp,,
54132-478
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~ ,j "`9 ~n Z1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. i CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
(651) 681-4675
New Construction Reauirements RemodellReoair Reauiremen[s ~~p~, ~
• 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (indude beam 8 window sizes; poured tnd. design, etc.) • 7 sde surveys (extenor additions 8 dedcs)
? 7 energy calculations ? 1 energy calwlations tor heated additions
? 3 wpies of tree pre;prvation plan if lot platted after 7l1/93
required: ? Yes No
DATE: CONSTRUCTION COST: ~ ~P~ ~
DESCRIPTION OF WORK: ~
STREET ADDRESS: '7 ~
LOT: ~ BLOCK: ~ SUBD./P.I.D. ~
Name: Fhone
PROPERTY Lazt First
OWNER
Street Address:
City State: Zip:
Company: ~ • Phone ~U/ -
CONTRACTOR
Street Address: ~ License ~ Exp*~
Ciry State: Zip: ~S3 7 ~
ARCHITEC'f/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
_ ~ ~ ~ s~~
Sewer & water licensed plumber (new construction only):~ Penalty applies when address
ohange and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan prdinances. ~
Signature of Applicant: ~ -
OFFICE USE ONLY ll ~
' ~~iAY I 7
Certificates of Survey Received ~ Yes _ No II
Tree Preservation Plan Received Yes No Not RequirA~F~~
~ - - ~ . . .
~ ~
OFFICE USE ONLY , , ~
BUILDING PERMIT TYPE
I
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool
O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ~ 15 Deck
WORK TYPE
31 New ? 33 Alterations O 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. ~ Census Code ~
(Allowable) ~ Main level sq. ft. SAC Code U
UBC Occupancy / sq. ft. Z N~ Census Units
Zoning ~Q~/ sq. ft94r 9~'_j4 Census Bldg
# of Stories ~ sq. ft. MC/ES System
Length f~~ sq. ft. City Water
Width ~l,/ Footprint sq. ft. ~ Booster Pump
TT PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation:
Surcharge ~ s,~ /ty~~x /S Z Z ~ ~ 7 D
Plan Review ,
License Ma~'/~ l~/~~~ Sy ~ y~~~~
MC/ES SAC 2/~/7 ~2 ,r?s S y ~ ~ ~ y o
Ciry SAC
Water Conn. qrq~ ~3p~C f~ p .
Water Meter V
Acct. Deposit
SIW Permit
SIW Surcharge ~
Treatment PI. -
Park Ded. ~
Trails Ded.
Other
Copies ~
Total:
% SAC
SAC Units
. t
;
; ' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPIICATION
PROPERTY LEGAL. ~OT 5 L~t_rJG/C ~ ~=NET~E ~SS
DATE OF SURVEY 3O - 4Q
LATEST REVISION: l- I g-~
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
b' ~ ? • Building Permit AppGcant
a ? • Legal descripton
rD~? ? • Address
ie' • North arrow and sple
• House type (rembler, walkout, split wlo, split entry, lookout, etc )
? • ~irec6onal drainage arrows with slope/gradient %
? • Proposed/existing sewer and water services 8 invert elevation
m~ ? ? • Strcet name
~ ? ? • Driveway
m~ ? ? • Lot Square Footage
mi ? ? • Lot Coverage
ELEVATIONS
F~dsUna
o~ o? • Sewer service (or Proposed)
~ ? ? • Property cornew
y~ • Top of curb at the driveway
ol • Eievations of any e~asting adjacent homes
? q~ ? Adequate footing depth of structures due to adjacent uhlity Venches
Prooosed
? ? • Garage floor
? o • Firstfloor
~ o ? • Lowest exposed elevaation (walkauUwindow)
d ? ? • PropeAy corners
m/ • Front and rear of home at Ne foundatlon
PONDING AREA (if apolicaWel
? m' • Easement Gne
? ~ • NWL
? a~ . HWL
p P_~ • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
~ ? ? • Lot Iines~Bearings 8 dimensions
m~ o? • Rightoi-way and sheet width (to back of curb)
q? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', parches, etc.
(i.e. all shuctures requiong pertnanent footings)
~ o? • Show all easements ot record and any City utilitles wRhin those easements
? • Setbacks of proposed structure and sideyard setback of adjacent epsti~g structures
~ ? ? • Retaining wall requirements, 'rf any
Reviewed: ~ _ ~ z ~
N me / Date
March 19BB
CRAKRL~GPqMT FM
,
~ t
` . . ~
;w~
-::=w~~
=.z'~~w~
(SEE ATTACHMENTS)
Development ~e. ~i~ ~as ~ 3 ~~a•~N-
Lot Number S Block Number ~
Address `1633 S'~ore G`11•L~ ~ Y ~
Bullder t-~~ ..w ~ h11. ~.~x~E ~ 1
~e Proteetion Reauirements:
Tree Fencing
Oak Tree Pruning (Seai wounds during April 15 to July 1)
Therapeutic Pruning
Retaining Wall
Other.
f3eulacement Trees:
~ Not Required
As Follows:
Attachments•
Yes
No
r.. . ~ ~a~a~s~~
Additlonal Notes: r~°
~
~Aq~ «-R
w-~`~
L
.
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FEN90N5
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_c~END j~ J Ui
~ a O
~ 9ENpT2> SANITAR'! MAVHCIE ~ %
~ ~ Q) z
TR tliMM Ry pROPO~ ONDITION~ 4. ti~
. ~ sp o=a.^,r_s r;rcR,.nr ~ 9GNIFlCANT TREES ~ 15 S z
~ LJ~.C-Ei ~4T._r ~AZIN i RQ~O~~ a Q W
£ ^ c-nGr=S ;a~i-,~Rr ~__:~E_ ~ PERCETITAGE OF 7REE5 RDAOVED = 0.0~.. ~7~a'~ ~
vi ~-v^r=; ~,vn'F~r.~~,~ ALLOWABIEfREE REMOVAL a 20R = 3 7REES ~y~j W Gi O~
sT o=vnr_s sr,-,au s~.vs~ PROPERiY: a d~ c~
~ J oEV~r_~ st~?i: uon-a~_ 4633 STONECLIFF DRIVE 7F2EE LEGQJD t1.~ .d
_ ~ :EaYE3 ~~oaM ,~=erv L0T 5, BLOq( S. PINEiREE PASS 3RD AD~ITION
DAKOTA COUNTY, MINNESOTA ~r\.~.,~( ~
~ ~-TS~C'r'`____..--:__ ~
~ MI`. FRi•,T "p'j c[TE-C< = 3~:' ORAIYN
~ UIN. SiD= SET3-C'" G~_r;<CC. 10' ~~;C BOR
iREE TO BE SAVE~ 1REE TO BE REMOVED
OATE
1-7o-99
PLAN PREPARER: ~
~
, BATHRS HSR6QUI81'. INC. JOB N0.
~ 5102-478
A . ' ' ~ . ~ '
i~ . .
• • , , _
~:~~1 GR~f1 ,
' EXTERIOR ENV[LOPE AVLIZ~GE U COMPUTIITION DENSY
coristauc ioN
INC. L// ~
Site nda~-es5 °~CO~~ ~~~/~-r7~ Lot~tilack ~ ~1"S"-'~d
/-GL~S S a
R& U ~actors R U
0~5[.Wayia~allvJ. Opaque Walls _ .043 .
wayrili 41~11 Framing Areas ,pg
Minur.snti5i59 Ceiling Insluation Area .023
(G12)47312~1 Ceilin9 ~raming llrea OZ~ i
Rim JoisC 0~
t4asonry 41a11 .4G9
41i ndows . 35
, Doors .31
Skylights .55
1) LotJer Level (Oasement)
7otal Exposed Wall Area ,S'/ d2
Opaque Wall Area ~l l X~U) .043 =~,7`j
; Wood frame llrea l~ X(U) .09 = ~~0~
a;~n ~o;st I83 x (u) .on = '7,3~.
Exposed Dlock /a ~ x (U~ , O~ - _ ~Q
Window Area ~ ~ X (U) .35 = 3.5~ ,
5lidin~ Glass Door ~D X (U) .35 = ~`T
Door Area - K (U) .31 =
Total 5/.Sa,
~
, ~
. . '
cunr~G~~r~
~R6~~.
2) Pirst Or Main I'loor
CONSTRUCiION
Total [xposed 41a11 11rea /(p~~-
INC.
Opaque Wall Area /G~S X(U) .043 = ~//a~.5~
IJood Frame Area X (U) .09 = /U.O
Rim Joist /~C~ X (U) .D4 = '/..5~
Window Area a~ x(U) .35 = 7~~~ '
9J5 E. Wayzala Bivd.
Way~ala Sliding Glass Door X(U) .35 =~~S~S~
Miunesala55391 Door Mea .3d X (U) .31 =
(Gl2)47~-12:11 TOtdl ~O y f ~
3) Second floor If Two Story
, Total Exposed llall Ai-ea /7~2
Opaque 41a11 11rea .SD X (U) .043 = ~D
Wood frame Area J~~ X(U) .09 =~~L~
Windorr Area /~o X cu~ .35 = yi 3
Sliding Glass Door X (U) .35 =
Door Area ' X (U) .31 =
~ Total ~~~~3
4) Total Ceiling Area ~z~
Wood Frame /lrea /l~ ~ x {U) :@27 = ~ ~^2--
Opaque Ceiling Area /3~D X(~) "ae~- ~ a7~-2-
Skyli9fit X (U) .55 = -
Toi:al
, ; : ,
~~~~~I~~~
CONSTRUCfION
iNC. MINNCSOTA U fACTORS Total Exposed 41a11 Firea ~ 99~ x.ii =~39..s~
MINPlESOTA U fACTORS Total Exposed Ceiling
Area X .026 = ~'7
(A) Total =
935 C. Wapala Dlvd.
w;~y+~~~ I lem 1~~• S~ i I tem 2/(0 7, ~ t I tetn 3/~~ / 3 -i I Cem 3~ s~= s~'ja • 03
Minnr_cola 55:191
~
(G12~473 12~1
If Total OF Items 1-4 Is Less ihan ICem (A), duildiny Complies With
SaC 6006 (C)s
i
a
RENISIONS BY
~Y~s~ enz
~ 60 _ I , 3//8/9.9
L j~ ~ ~
~ 2 STORY LO `
TPFON ~ 976.86 3..
N89°29'27~E 204.50 =
(928.9)
EMERt~NCY OVERFLOW SWALE 929.2 ~ 9za.z sze.a ~
937.6 X x S4.06 x 3289 - x 928.1 ~ ~
'
W ~ ~
Q ~11.24, ~ W .g .
W I ,~-l~ sv.~ x 2s.sa ~ ~ ~ U g
~ co 1 J.~J ~ / ~ q /a//%~ / w ~ ~
" ~ 0 7.8% , i •
o~ i G~ f ez~.z~ 2s.s~ u~ ~ i~%~: j~~ ~ sz~~,' ~Ti E" :
_tp St \~,P~,~i~" ~ /'I ~2' CANT. ~ ~ N ,i~/~j%' ~ ~
Z ~ O~P ~ sz~.z I ^ ~ w ~ ~ " ~ 34 ~ ~ ~
xs 4 e x F
L 4 ~ ~ - 9v.s~ 978. (Y~ ~
9a7.z x ~ ~ m WZ a' ~ ~
~~1 ~ ~ 0 a_I O n I ^ W~
~ ~ M H o j u~i 927 5 ~ >
a" pMj ~ ~ CO ~O ~ I '
h~~~~`~~9zssX ~ ~ N xsv.s I ~ ~t~
S~4°4S•3 » `oo ` ,ti ~i.3o ~ ~ ~M ~LI ~ ~
~ E ` H
~ x ~ ~ >>.?o X u ~ ~ ~ ~
.n ~ ~ p, ~ d.e. ~ . ~ 925.5 ~ ~ 926.1 Q
~ 1 ~ " ~
j:.. R, ' q..., n ~ ~ Oa L
7
. ~ `S' ~ e'~ ~ ' i BENCHMARK SS'~ ~ ~ ~~ly °~,r = ,~i4
- . ~ ~ ELEV = 922.97 ~OS.UQ 924.Sx 6
_
[ - ~ ~ - ' ~ q
/ x 923.3 ~ ` `9,y jr~
~/-:-.~Z 924.3
`-l ~923.8) t~ ~p~
, . . _ . , . g~_'._w._._~:,,.Y s~'~-T.
_ }
LEGEND / ~O
vi
Propoaed Top of Foundation ~evaHon=932.17 ~ ~
~S DEN07E5 SANITARY MANHOIE / Proposed Garoge Floor Devation~ 930.5 ~ OC ~i Zj
~o DENOTES ITYDRANT P?'cPcsed Lowe~t Floor ~evationa 924.17 N~~'.~~ ~
iii DENOTES CATCH BASIN w
S DENOTES SAWTARY SEWER / O Denotes Imn Monummt ~~(Y.i
+ 9 1 0. 0 D e n o
t
e
s E
x i s
ti n g E l
e
v
a
t i
o n 6 ~
W D E N O T E S W
A i E
R MAIN +(910.0) Denotes Propoaed ~evation U z~
ST DENOTES STORM SEWFR Denotes Direction of Surtace z
~ DEN07ES STORM MANHOLE Drainage F O.
~ DENOTES STORbI APRON LOT AREA ~ 1 fi238 S.F. 910.0 Denotes Sanitary Sewer Service y~,~ ,.1
ROOF COVERAGE e 2434 S.F. ~~0~ V
SETBACKS ROOF COVERAiGE 7i = 15.OX I hereby cerUty that thia ia a true and cortect representation
of a aurvay of the boundariea of:
LAT 5, BLOCK 5. PWEIREE PASS 2ND ADDRION
MIN. FRONT YARD SETBAqC = 30' DAKOTA COUNiY, MINNESO7A DRAMi?r
MIN. SIDE YARD SETBACK = 5' GARAGE, 10' DWELLJNG Md ttie locatton of all buildinga, ff arry, thereon, and all vi~ble ~E~R~
encroochme~ta, ff arry. from or on said land. As eurveyed by ~G
me this 30th day of Aprii t989.
6 /~~/R~ ~T~2~~.[' ~3~99
SCME
Gary R. Germond 1"=30'
Liceneed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
_ - 5402-478
.
. , . -
~ ~pr.: ~.mr.<.;z,-.~.... r't ' " " ' " " _ ' ~
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N:.~.:.;,_ -
_
. . 5 _
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......_.._~~~~...xx~xxxxxxxxxexzxxt
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 004
DATE: 04/11/00 TIME: 14:18:38
ID:
NAME: MIDWEST SIDING & REMODELING
3210 9001 4633 STONECLIFF 60.00
3430 9001 4633 STONECLIFF 0.25
2155 9001 4633 STONECLIFF 0.50
Total Receipt Amount: 60.75
CR125932
USER ID: JAN
~************~****+*****++t~~++~+~~.~~y
~ UU~q 2000 BUILDING PERMIT APPLICATION (RESIDENTIALI
1 CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~~I n~
~ ~ 851-887-4675 +
New Conihuclion ReaWremenh Remodel/Renalr ReauiremeMs !
> 3 registered slte wrveya aFwwln9 ~Q. n. ol iot, zq. rt. ot houae 2 copies oi Plan LU ~l tGf ~ 1~
and gp roofed areas (20% rtwwmum loT covemae albwetll 1 set of ene~gy calCUiaflons lor heoTed addlHOns ~ ~
> 2 coples ot plom (ahow beam a wlndow slzes; poured /nd. deslyrr, efe.) 1 site wney 1or exteAOr dddlNOns & tlecb
> 1 sef of energy wlculailona
> 3 coples of tree presenaMOn pltm N bf Pbtted aRer 7/1/93
c-l - S- v o CONSTRUCTION C05~: J
DATE:
DESCRIPTION OF WORK: I~I X I~ C ~~a C~a c~
STREETADDRE5S: ~~+3~ S~N~ C I"~1-7' C' ~
LOT: _J BLOCK:~_ SUBD./P.I.D.#: r~nC"Rf2 YCdSS
Name: JCO T~" J 0~~y Phone ~ SI - 6 y~' 7 Y~7
PROPERTY ?ast Flrst
OWNER 1
Streef Address: ~ b~ 7 $"T u K~ C ~ r F-+'
• C(ty E R~.ln. State: N"~~ z~p: rr~ ? s
P~t~
- Company._ ~ E c Ils [.c l~r r+: l~c~ Phone 8~ 5~~ U
(area code)
COMRACTOR
Sfreet Ad~esa: ~ V I°i `I ~ A~.~e. .v License ~ y~ 9~ Exp. H~ I-a 1
Chy '?5 ~uv~ ~ ~K }e~ State: ~ Zip: ,r S-~l ~1~~
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Street Address: Registrotlon
Ciry Sfate: vP~
Sewer/water licensed plumber (jf installina sewer/water}; Phone
i hereby acknowledge that I have read this applicaNon, slate ttiaf the fnfommlbn is cortect, and agree to eompry wilh a~ appQcable Stote
of Minnesota Stalutes and Cify of Eagan Ordinances.
. Signalure of Applicant: \ ~
+ OFFICE USE ONLY
Certificates of Survey Received Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
. OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation p 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.~ ? 31 Ext~Att - Mutti
? 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 PorCh/Addn. (4-sea.) ? 33 Ext Ait - SF
? 03 01 of _ plex ? 09 07-plex ~ 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 StoRn Damage
? 05 03-plex ? 11 10-plex Plbg _YOr_N ? 25 Miscellaneous
? 06 04-plex p 72 12-plex ? 20 Poai ? 30 Accessory Bldg.
WqRK TYPE .
j~,' 31 New ? 36 Move Bldg. A3, Reroof ,
? 32 Addition q 37 Demolish (Bldg)• ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) 45 Fire Repair .
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code U~ # of Stories sq. ft.
No. of Unit~ f/" ' Length ~ sq. ft.
No. of Buildings I Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code y34
(Allowable) Main level sq. ft.' ' MC/ES 3ystem
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Puinp
, PRV
" Fire Sprinklered
MISCELLANEOUS INSPECTIQNS , _ ,
? Stucco/Stone
APPROVALS ~ ' ~
Planning Building Engineering Variance
Permit Fee 6 Q• S ~ Valuatlon: $ ~
Z~_
Surcharge
Plan Review
License S.rr~~ r.hp~q{~
MC/ES SAC ~
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. •
Park Ded. ~
Traifs Ded.
Other
Copies ~ a5 `
Total: "~60•~S
SAC Units
% SAC
^ so ~
- ,
2 STORY l0
7PFDN ~ 9J&86
N89°29'27"E 204.50 ~ I
(928.9) ~
EMERGENCY OVERfLOW SWALE 929.2 ~ sza.z 9za.a ~
937.6 X x 54.06 x 3289 x 928 ~ O ~
~ ^ Q
w v,r--------~ ~~i.2a, ~ w
m 1 ~i------
o ~ 92~.~ X ze.~ ic o
~ ~ ~ J'~`J \ / ~ ~ ~
j ~ W
~7.89;;/i,,~~i //.i, W
~t p ~ 4~~~~ f 9n z ~ x ~ o 92i.6' a
o < M i;:: .
I ,
i m
tn S c, F,~ u.s~ ~ rn ~ i~~/;i::~;
~
I ~PQ,S ~ 2' CANT. v
o • ~j ; ~ N .~,,,,,,i~
~ a
1 ~`P ~ ' - ~ ~ 'i,'1.Gi%v' I
Z L ~ ~ 9z~.z = »
~ W
/ ~ b X
ea7zx ~~~.1~ 34 0~ ~ ~ ez~.a~ 918.5 11 34
` S I~e om w 6^ ~ ~
1 ~ W ~ x n ~ ^
v H a 4 n N ~ I ~ ~ ~O ~
~ ev.s~
~ ~ 926.5 ~ ~ ~
~~~D~Q ` ~ x927.5 ~ ` ~O ^ O O
11.30 ~ ~ ~ ~ N
~4 ~45',3 ~ ~L.l
~ r . ' " c, r .v-.• ; ; ~j' 925.5 ~~'Z~ X 926.1 a ~ ~
s~f ` ~
G i t
cj . . ~ " ' . , ` ~ B~aiM~c 2p SS• 43 ~ ~ ~ 0'~y
; ~ : ~v = 9zz.s~ 6.6p s24.s"
~s ~ J
_ _ . ~ X
~ ~~2~ ~J 924.3 9233 ~ `
• ~ - . ~923.8) v~
S?L7"
~cE ~ \
LEGEND / Q
SO DEN07ES SANITARY IAANHOLE T
~ DENOTES ITYDRANT vJ ~
G~ DENOTES CATCH BASIN /
S DENOlES SAMTARY SEWER 0
w DENOTES WATERMAIN + 910.0
ST DENOTES ST01~1 SEYVER +(910.0)
~ DENO7ES S7~1 MANHd.E
~ nar.inTrc crnou .oo.v,~ , . - _ 910.0
5 v~ CITY USE DNLY i]„
~ BL J ~ j RECEIPT 1 tY
SUBD. ~~ne~ree. ~A~~• ~ RECEIPTDATE:
PERMIT # ~ ~ S
'1999 ~LUM$Il~t6 ~~{MTt' ff{~IDE1~Ti~W
CITY O~ E}4fiAN
SSSO PILOT KNOB RD
~1&AN. MN 55122
(651)s81-4675
Please comptete for: ~ single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
[7G~i~i }~iV ~i J.VV ~ f ~V ~
Floor drain 3.00 x ~ _ $
Ga5 i ifl Outlet ' m~n~mum -1 3.D0 x Z = $
Hot tub/s a 3.00 x _ $
Kitchen sink 3.D0 x J = $ 3°=
Laund tra 3.00 x 1 = $ o0
Lavator 3.D0 x = $ 2Gv
Minimum fee alterations to existin dwellin 30.00 x - _ $
Pri~ate Dis osal S stem new/refurbished * re uires MPC i~c 75.00 x - _ $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x - _ $
Rou h o enin 1.50 x = $
Shower 3.00 x = $ .3 °v
Under ruund s rinkler if dwellin is under construction 3.Q0 x = $
Under round s rinkler if existin dwellin 3D.00 x = $
Water closet 3.00 x = $
Water heater 3.OD x Z = $
Water softener IT dwellin under construction 5.~~ X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .50
TOtdl $ ' Dd
Reminder: Call for inspections of altzrations, i.e. water h~aters, water softeners, etc.
I hereby a&nowledge that I have read this appiication, state that the information is corred, and agree to comply wiih ail applicabie Ciry of Eagan ordinances.
It is the applicanfs responsibiliry to nolify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/nght-of-way/easement.
SITEADDRESS: -7~{~ 3~ ~5~o.v~G L/6i'~ ~/Z/d-G.
OWNER NAME: : ~
?i/,~ ~id5 ~a5 T, TELEPHONE ~
(AREA CODE) 7 - 3
INSTALLER NAME: GTQ"rCd /{~(/!/~~G74'.~rt
C~G TELEPHONE IOI~ ~Y•f'Y~/~~
STREET ADDRESS: S~~ CG ~9`-~0.-~ l~j~ (AREA CODE)
CITY: ~d?iY"'~~~'~~ STATE: /~"l-~ ZIP: ~~7
~ ~C~
SIGNATURE OF PERMITTEE
~b ~1~6f 05D 05
CITY USE ONLY
LOT J BL RECEIPT I I~~I I~
SUBD. ~IV~~~~T((hSS RECEIPT DATE: "I~-I 1
IvIECHANICAL PERMIT # J~ ~
Y 999 M~Cf1~kNIClEL ~£fiMIT (~SID£N'fIlFl.)
ctrY oF ~?eau
s6so ~v.or xr~oa sn
EA&AN 61N $Sl EE
[651) 6$7-4675
Date: g l ~ p
Complete this section onfv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: -100 M B T U $ 30.00
DITIONAL 50 M BTU 6.00 ~
• Gas outlets (minimum of one required @$3.00 ea.) O
State Surchazge .50 ' ~ D
S~
Total $ y~ -
Complete this section on[v 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: Ca11681-4G75 for inspections.
_ Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITEADDRESS: ~Tl~~~ /'~~TC- h//d-L-
OWNER NAME: L~L/t/,~G'/ t.1 /,S~/ S Lo ~ sT PHONE ~~L
/ ~ (AREA CODE)
INSTALLER NAME: /~-l4 ~i Gt"P? /{~/,sG4Q ~ / ~ ~ ~ PHONE lr/L - Y ~f ~65~
STREE'fADDRESS: Sl'rr c.,~~ ~ ~ (~EACODE)
4~ tC/7
CITY: SGJ ~~~~i•~ STATE: ZIP: ~ 'r~ ~
c
SIGNATURE OF PERMITTEE
1
CITY USE ONLY
L _ BL _ RECEIPT#:
5UBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT#:
~ 1999 M~cHANICI4L ~ERbItT (coMM~iicIAL)
CITY OF ~flfiA1V
S$SO ~ILOT KNOB {ZD
~AfiRN, MN 551 E£
(651)6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buiidings when separate pertnits are not required for each dwelling unit
DATE: CONTRACT PAICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1%of contract price OR $30.00 mioimum fee, whichever is geater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of cecmrt fee due on all permits.)
TOTAL
SIT'E ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl~:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
~
~ city oF eagan
PATRICIA E. AWADA
64avor
October 21, 1999
PAULBAKKEN
BEA BLOMQUIST
Mr. Eric Olson PEGGY A. CARLSON
SANORA A. MASIN
Lundgren Brothers Construction Council Members
935 E. Wdy23t8 BIVd. THOMAS HEDGES
Wayzata MN, 55391 City Adminrsharor
651-473-1231
E. J. VAN OVERBEKE
/o $7~~ ) QSi~ n~ ciNae~k
RE: Pinetree Pas~Cp Emsion Control Concerns
4618, 4626; 4633, 4670, 4673, 4674 Stonecliffe Rd and 152'l Covington and 4639 Pinetree
Curve.
The attached letter was written and mailed out to general contractors on April 15, 1999, and has
been distributed with building permit applications since that time. The aforementioned permit was
issued in your name. A City staff person has observed the site where the permitted work is taking
place and has found deficiencies in the erosion control efforts.
The City Code clearly states the authority of City staffin enforcing the removal of siltation, dirt, clay,
or soil (SILT) upon any street within the City (Section 7.05, Subdivision 5.1 of the Eagan City Code).
The following erosion control efforts should be taken immediately:
1. Removal of all SII.T upon t6e street and walkways adjacent to said property.
2. Installation and maintenance of approved silt fence at curb & property lines.
You have 48 hours to bring this site into compliance with this section of the City Code. Upon your
failure to bring this site into compliance in said time, the City's enforcement actions will be as follows:
1. Order street sweeping/cleaning activity 48 hours after initial faaedlmailed request
2. Charge/mail sweeping/cleaning invoice to development contract obligee or permit holder.
3. No further Letter of Escrow Credit reductions will be granted. -
4. Place hold on Certiticate of Occupancy until compliance and payment of invoice(s).
We appreciate your cooperation with our erosion control efforts. Please call us with any questions.
Sincerely, Cc: Russ Matthys, City Engineer
Doug Reid, Chief Building Official
Engineering Section Dale Schoeppner, Assistant Building Official
Department of PubGc Works Stan Lexvold, Construction Supervisor
City of Eagan
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PILOf KfIOB ROAD 3501 COACHMAN POINT
EAGnN nnwNE50tn SSi22-ie97 THE SVMBOL OF STRENGiH AND GROWTH IN OUR COMMUNIN EAGAN. MINNESOiA 55122
PHONE. (651) 691 ~d600 PHONE. (651) 681-4700
FAx (65p681-4612 EqualOpportunityEmployer Fqx (651)6BI-4J60
!D~ (651) a54-85J5 ~ iDD (651) 454-8535
Address 4633 Stonecliffe Dr Zip 5512?
Lot S Blk 5 Sub Pinetree Pass 2nd
THESE ITEMS WERE / WERE NOT WMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
PeRnanent steps (gazage) E
Permanent steps (main entry) ~~'jp,e f~/AV l~l
Permanent driveway ~JLiL. f~~i ~7~',02~
Pennanent gas ~~~g~~~ 5
Sod/Seeded grass
TraiU~rb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 6efore working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy
; ~a~~~g
2~~~--- I
~ Pe~mit#: ~
City of Ea~a~ ~ - ~
~ Permit Fee: 6.[/ ~
3830 Pilot Knob Road ~ i
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 ~ ~
Fax:(651)675-5694 ~ S[aff______________j
2008 MECHANICAL PERMIT APPLICATION
Date: D~ Site Address: ~ ~e ~J~1 ~~'GC12Gi~ ~r
Tenant: Suite
RESIDENT! OWNER Name: LJ~C°(`~- ~~.A ~l [~h'('~5 Phone: l~l'~'^ 1~g'~7
Address / City / Zip: ~
CONTRACTOR Name: ~.£S\~'l~- ~l~(V~h~~~~Li e edry"""~~
Address: 1'~~--
City: ~ Il'i.l.l State: Zip: Z
Phone:~,'Z1-'U-~V `1 Contact Person:
TYPE OF WORK - New ~ Replacement _ Additional _ Alteration Demolition
Description of wark:
NOTE: Both roo/ mounted and ground mounfed mechanical equipment Is required to
be screened tiy City Code. Pfease contac~ the Mechanical lnspector or one ol the
Planners for informatlon on ermitted screenin methods. ~
PERMIT TYPE RESIDENTIAL COMMERCIAL
~ Fumace _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ EMerior HVAC Unit
' HVAC uniis must be screened
_ Heal Pump Under / Above ground Tank L Ins[all Remove)
Othe~ " When installing/~emoving tank(s), call for Inspection by Fire
Marshal and Plumbin Ins ctor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fi~O ~epalf (replace burned out appllances, ductwork, etc.) (includBS $.50 State Surcharge)
$ 70TAL FEE
COMMERClAL FEES:
$70.50 Underground tank installation/removal O li x 7%
$50.50 Minimum (includes State Surcharge) D~~ ~ 1!1
5~ ~ ~ Permit Fee
- If Permit F~e is less than $7,000, surcharge is $.50. MAY O E ZODE rn
~ If Permit Fee is >$1,000, surcharge increases 6y $.50 for each - • y State SufChBrge
$1,OD0 Permit Fee (i.e. a$1,007-$2,000 Permit Fee requires a$1,00 harge).
TOTAL FEE
I hereby acknowledge that this Inlormation Is complete and accurate; that t ordinances and codes of the Ciry of Eagan; that
I undersfand [his Is not a permit, tut only an applica[ion for a permit, and vrork is not to start without a permit; ihat the work will be in accordance with lhe approvetl
plan in ihe Case af work which requires a review and approval of plans. ,
x rj~ a.~i,~e~c~Q X~~~,G C Q~
Ap~l
cant's Printed Name Ap
ip canYs Signaiure
FOR OFFICE USE ~ , ~ ~ ~ , ~ ~ ~ ~ ~ • Reviewed By:"~ ~ ' Date: ~ _
Required Inspeciions: Under Ground , Rough In Air Test Gas Service Test In-floor Heat Final
i Fo%Office~,Jse~~~~---- i
I
Clty of E~~a~ ~ Pe~,~t# ~
I permit Fee. ~ ~ ~
3830 Pilot Knob Road ~ ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 ~ ~
Fax: (651) 675-5694 I Staff: 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/~22IO;i SiteAddress: ~'3.3 S~vhcG~rr"-~~ ~ (Jr,
Tenant: Suite
RESIDENT/OWNER Name: --~~~^s Phone:/LS~)li,f!&-~4'fJ7
r,/ `
Address / City / Zip: ~~a 3 i STO•~e ell FF ~/ccW~^ ~SS~ a3
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Descnption ofwork: '7-t.:.- ~/1eroaP
Construction Cost: Lz Multi-Family Building: (Yes _ I No ~
CONTRACTOR Name: L~u9:z~n ~•1s7, License#: ~~`E~~IO~
Address: `'1>0 ~aymo,d Avc .
C~ry: SF P~w ~ State: n~rN Zip: S's.'i~
Phone: ~~5~~ 3~30 ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefgy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission typ0) • Energy Envelope Calculations Submitted .
~ In the last 72 months, has the City of Eagan issued a perrnit 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:
_ Sewe[&.WaterContractor: Phone:
-NOTE: Plans and supporting documents thaf you submit,are consrdered to tie publrc,iriformation, Port~ons of: ;
: fhe informatron ri~ay be class~fied as'non' public rf you_prov~de spe'c~fic reasons that would permrf the Crty to
, t.
' _ r;
: ` - cdnclude that the are.trad'e:sec`rets. _'r `
_~I ..aY.i + f :iRx..~..
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X ~Afc °c.~cYa. X _
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109165
Date Issued:02/14/2013
Permit Category:ePermit
Site Address: 4633 Stonecliffe Dr
Lot:5 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-050
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott C Johns
4633 Stonecliffe Dr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126426
Date Issued:08/25/2014
Permit Category:ePermit
Site Address: 4633 Stonecliffe Dr
Lot:5 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Scott Lofgren
5708 Upper 147th St W #102
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott C Johns
4633 Stonecliffe Dr
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
For Office Use
a V :0,
4 1 :0, ::::e:
EAG _ 0AN _ ��
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3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 JAN 22 2019 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections at7.citvofeagan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /#0`�/1K Site Address: -716,35 -510&),21--c6-/1=I� 'O/e
Tenant: ` SGd -To 4/1 S Suite#:
Name: s�746 Phone:
Resident/Owner
Address/City/Zip: S jME 4 444,d/ m/d .51 ly,
Name: COWERS COhQR10mm WATER License#: Cy to 411V6//
Address: 9150 W SSW SERVICE DRIVE City:
Contractor BLAINE MN 55449
State: Zip: Phone: 0Z6 g "azS,7` 77 /
Contact: Email
New Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
Type of Work — —
Description of work: Jl �(1: L.)
SiS RESIDENTIAL
i f i
Water Heater /
V Water Softener
Lawn Irrigation( RPZ/_PVB)
Permit Type
r t Add Plumbing Fixtures( Main/_Lower Level)
Septic System
_New Water Tumaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
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. www.aooherstateonecalLorq
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.citvofeaoan.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 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
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
To: 6516755699 _ From: 7637108061 _ _ . _ 9-17-19 6:37pm _p. 1 of 3
r
4 •• •, For Office Us�5-
Wit
�
• •. •,,,,�• E AGA N
j� Permit ll:
r� Permit Fee: CQ 3.R
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 7 zUt Date Received: `T"I 7'6
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
b;iildinginspeciionsacitvofeagan.corn Staff:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4117/19 Site Address: 4633 Stone Cliffe Drive
- .. _.�__ ...A . Unit
I
` KellyJohns `�
E # Name.. Phone: 651-270-8231
f Resident! 4633 StoneCliffe Dr ;
Owner I Address/City/Zip: , Eagan, MN 55122
i I
t!
Applicant is: Owner Contractor s
Type of Work ;
Description of work: Replace existing overhead garage door on attached garage.
i $4000.00
i Construction Cost: Multi-Family Buifding:(Yes /No ✓__
s AA tiara a Door LL ��
Company: g Contact: Dave Sands
i 562 Lund Lane i
Contractor Address: Y city, Hudson
State: WI Zip: phone:phone: 651-702-1420 Email: dave@aagaragedoor.COm I
_...-.— _ a License#: Lead NAT 671642
r — Certificate#: l
If the project is exempt from lead certification, please explain why:
j
2 _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING l
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 1
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
a
Mechanical Contractor: Phone:
Sewer&Water Contractor: "
Phone:
Fire Suppression Contractor: Phone
MOTE:Plans and supporting documents that you are considered to be
classified as non-� .►Jc Kpublic information. Portions of the Information maybe
u . Ovid.s•Gallic reasons that would •=rmet the C to conclude that they are trade secrets. r
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.citvofeanan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. w wo_gopherstateonecall.arq
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 's 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 appro I oflans.
x Deborah Nyasende , 11iii LnifZIP-A1-
x
Applicant's Printed Name Ap c is Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159470
Date Issued:12/19/2019
Permit Category:ePermit
Site Address: 4633 Stonecliffe Dr
Lot:5 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Scott C Johns
4633 Stonecliffe Dr
Eagan MN 55122
Mon Ray Inc
7900 Excelsior Blvd, Suite 140
Hopkins MN 55343
(763) 544-3646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161350
Date Issued:05/19/2020
Permit Category:ePermit
Site Address: 4633 Stonecliffe Dr
Lot:5 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Scott C Johns
4633 Stonecliffe Dr
Eagan MN 55122
Mon Ray Inc
7900 Excelsior Blvd, Suite 140
Hopkins MN 55343
(763) 544-3646
Applicant/Permitee: Signature Issued By: Signature