4642 Stonecliffe Dr40'
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Tenant:
RECEI'FP
Use BLUE or BLACK Ink,
Permit#:
Permit Fee: 56-06
Date Received:
Staff:
OCT 1 E201pp
2010 RESIDENTIAL PLUMBING PERMIT APPLIATION
V
' Site Address: qV)
Suite #:
RESIDENT / OWNER
1 C..)
Name: ,LQ \.11i1, EF 'Ll U)1,' e: t_O�j fc� D r-i)l-VD-75
I _�++'' C4
Address /City / Zip: LO�. ,� 1 j310i.. beC' 1\r\IJ 35
CONTRACTOR
Nam4% 032\t "*. -Y ` A_; LI efjaitICtelieense#: IDU —1U-) --1
L
Address:F)q C "-I-E\-L
,
I
City: AAVViC
State \ Zip: -k 0 l LC) Phoned \ `� CJI 0 aa ��
Contac : Email:
TYPE OF WORK
New Replacement Repair _ Rebuild — Modify Space Work in R.0 W.
_ _
Description of work:
PERMIT TYPE
RESIDENTIAL a'`
Water
Softener
Plumbing Fixtures (_ Main / Lower Level)
Water Heater
Add
Lawn Irrigation (_ RPZ /_ PVB)
Turnaround
Water
Septic System
New
_ Abandonment
RESIDENTIAL FEES:
i
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener
(includes $5.00 State Surcharge)
und* (includes $5.00 State Surcharge)
State Surcharge)
State Surcharge).,FEES $._. AD'
$35.00 Lawn Irrigation
$55.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turner
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00
burned out appliances, ductwork, etc.) (includes $5.00
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities: www.qoPherstateoriecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in Conformance with the ordinances and codes of the City of
Eagan; that, I understand this is not a permit, but only an application for a permit, and world is not to start without a permit; that the work will be in
accgrdance'with the ip,provd plan in the case of work which requires a review and approval of pia
Applicant's. Printed Name
x
Applica Signature.
FOR OFFICE USE
l
Required Incj$ections:
Address 4642 Stonecliffe Dr Zip 5512?
Lot ~ Blk 4 Sub Pinetree Pass 2nd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: g ~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) 1/
Permanent driveway ?
Permanent gas ~
Sod/Seeded grass L/
TraiUcutb damage ?
Porch ~
Basement finish i/
Deck I~
Ylease verffy with the buildet the removal of roof test caps from [he plumbing system and the shut-off of water supply to
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 6efote working in rightof-way or installing underground sprinkler syscem. ~
White - Cily Copy Yellow - Resident Copy Pink - Contractor Copy
CITY USE ONLY
LO f ( BL ~ RECEIPT / ~ / ~
~/M p
S[JBD. ~~'v d ~tECEIPT DATE: '~Y ~ / ~
~ -L'r: ~J~O
1999 M£Ci~tNIC~EL ~~fiMTf (it£SID£NTI~tLI
crrY oF easnx
S$30 f'ILOT KAOB {{D
~?sax auv ss~ ~E
(651)881-46?5
Date•
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied ~
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.) ~ Z~
• 5tate Surcharge: .50
• TOTAL: ~~5~
Complete this sectio~ onlv if you aze remodeling, 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
_ Furnace _ Air conditioning
_ Air exchanger, i.e. Vanee system, etc. _ Other
Renai~eder: Ca[1681-4675 for inspections. $ 30.00
State Surcharge: . 50
Total: $30.50
SITE ADDRESS: 7 b 7~ ~`~7 r2 P_ G! C'rT ~ 2.
O~WER NAME: L~t.ri Ct CLR'-H /)/[r5 L~^~ST. PHONE 5~7~~~~
C.VSTACLER NAME: C ~ ti e ~ / ~/Y C/`'~G.~n ! ~'L PHONE 6 - y ~S ~ ~~Sr
STREETADDRESS: 7 Z~ C..c~~~`~odr f~irP/~--
C[TY. ~l~1 G4~ O~~'~ STATE: ZIP: SS 37 /
SIGNATURE OF PERMITTEE
JS, POR.~iS BLD/MECH PER(NIT (RES) - 1999
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1999 MECHi4NICAL PERM[T (COMM£ftCI~EL)
CITY OF ~EkfiRN
3930 ~iLOT KNOB RD
~IfiAN, MN 55 t SE
(651) s$1-4675
Please complete for: all commerciallindustrial buildings ~
multi-family buildings when separate permits are no required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION 1NTERIOR IlvIPROVEMENT
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 per $1,000 of pe~mit fee due on all pemuts.)
TOTAL _
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (L'v[PROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
7 ~ CITY USE ONLY
L BL RECEIPT
SUBD. ~~'1'L RECEIPT DATE ~ / / ~
~-PXY!'~1{~ 3[v~31----
1999 ~LUM$INC P~EfiMIT (~S1I3ENTI~cL)
crrY oF ~as,~v
S$SO PILOT KNOB itU
BAflAN, MN 5512E
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTUAES EACH # TOTAL
Bath tub $ 3.00 x = $ °o
Floor drain 3.00 x / _ $ 3 00
Gas i in outlet ' mm~mum - ~ 3.00 x = $ 3-
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x _ $ 3 oa
Laund tra 3.D0 x = $ 3°-°
Lavato 3.00 x = $ / S°=
Minimum fee alterations to existin dwellin 30.D0 x = $
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 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 = $ SO
Shower 3.00 x I = $
Under round s rinkler if dwellin is under construction 3.00 x ~ _ $ 3=
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ °i
Water heater 3.00 x = $
Water Softener if dwellin under consvuction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.OD x _ $
State Surchar e .50 $ .50
Total S o~
Reminder: Call 687-4675 for inspections of water heaters, water softeners, alterations, etc.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I hereby acknowledge ihat I have read this applicatlon, slate that the information is correU, and agree to comply with all applipble Ciry of Eagan ordinances.
It is the applicanYs responsi6iliry to noGy the property owner that the Ciry of Eagan aswmes no liabiliry For any damages caused by the Ciry during its normal
operational and maintenance activities to the facilities consVucted under this pertnit wilhm City property/righbof-way/easement.
SITE ADDRESS: ~ T d' 7Yz~^ e C l~~-e
OWNER NAME. L~ ~d~ ~"~S
INSTALLER NAME: /z ( ci '1~L /~p ['~c~,~.~ J G~-C TELEPHONE ~!°1 7' 7'r7~fd
STREET ADDRESS: .J / / C~ 7'4 `f/ o ~'7 /,J ~ "C^
CITY: 7~`L ~ACc-D~~~ STATE: ~"J ZIP: SS ~ 7 S
~iZ%.E=~i~'
1
SIGNATURE OF PERMITTEE
CDIPERMIT FORMS/RP~BG PERMIT (RES) - 1999
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION O'~
~ 3D ~ Q City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 , v~- ~.t~ayy.
Telephone # 651-675-5675 FAX # 651-675-5694 ^ A Z~ g r D y
New ConsWction Reauirements RemodeVReoair Reauiremenb {~fliGe~~iA~`
~
3 registe~ed site surveys shaxing sq. tt ot lof, sq. fL o( house; and ali roofed areas 2 copies of plan G& f,'~~~
(20%marzimum lotwverage allowed) i setof Energy Calculations for heated additions i,~", ~:r ~R~~ x., „,_~~~;~lil,
a
2 copies of plan showing beam & window sizes; pouretl found design, etc. 1 sife survey for addttiore & decks ~ j„~,A' ~I i'~ ~`t~~,~,~1,
1 set of Eneqy Calculatlons Adddion • Ndicafe i~f on-sife septic system ~„w~ . .Si@4~~;"~---~~.`~,~~,-~
3 cop~es of Tree Preservation Plan if lot plaried after 7!1/93
Rim Joisf Dehail Options seleclion sheet (bidgs wBh 3 or less units
Date l7 ~ I~ I GC/CJQ~ Construction Cost ~o~
Site Address 4~Z ~~~tJ EL-LI UniUSte #
DescriptioootWork V~S~~'L~~ ~~~~5-{'~"
Multi-Family Bldg _ Y/~ N Ntireplace(s) _ 0 _ 1 _ 2
PropertyOwner rI,A.~v~v.~ ~~'1.~ ~i~~f.lJ~~ Telephone#(~:5f ) 3~-D-oM~-3
Contractor r1 I~ l-[i ~i ~'~l C~ l~~'~j
Address M~GKJ 13 I~ 5( City ~`i ~~~t--- _
State ~h~~ Zip Telephone#(~S{) ~~-~D?J`~-~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 767D Cateeorv 1 _ Minnesota Rules 7672
Energy Code Cat6gOry . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( ~
Mechanical Contractor T~lephon~'#.(~1-)~_--}
i J I~ IJ ~~i ~ I
Sewer/Water Contrqctor T~lephone ~ II il
~~~~i FEB G 2004 ;'ll'
I hereby apply for a Residential Building Permit and acknowledge that~the in£~on is co plete and accurate;
that the work will be in conformance with the ordinances and codes of the Cify
ofuEag~aiid the State of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
appmval of plans.
l~-l ~`l C_._ ~ `
Applicant's Printed Name Ap ~cant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundafion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 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 (screen/gazebo) ? 36 Multi Misc.
? Q5 03-Qlex ? 11 1~-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg~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 ? 46 Windows/Doors
? 34 ReplaCement 'Demolitfon (EMire Bldg) - Give PCA handout to applicant
Valuation ~6 D Z~ Occupancy MCES System
Census Code Zoning City Water
SAC Units ~ Stories Booster Pump
# of Units ~ Sq. Ft. PRV
# of Bldgs ( Length Fire Sprinklered
Type of Const ~ f
M Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) Final/No C.O.
_ Footings (addition) Plumbing
Foundation a' HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests Final
~ Franilug _ Siding _ Stucco _ Stone _ Brick
Fireplace R.I. AirTest Final Windows
~ Itvsularion _ Retaining Wall
Approved By: ~ P Z° 9~~~, Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total '
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
~ ~ -~y,3 CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ~
Please complete for modifications to existing residential dwellings.
Date ~ v/ y c~ y~ / ~ W e~/ 11 ~ 1~
Site Street Address Unit #
Property Owner l~ a W 2 IiJ f ~ Telephon~; ~y0~~°ya3
Contractor,~~ e- ~"-C.~ i o~ ~ ~ ~jQj Telephone # ( ~ ) Y ~ / 7 O D U
Address~~7bd ',~+~.,Tra,~ Citv 4, _-QlJ _ State 1)1'c~ Zip~~SDd7
The Applicant is: _ Owner ~Contractor _Other
Alterations to existing dwelling $ 50.D0
~Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTumaround (add $121.00 if a 5/8" meter is required) 1~ ^
Other. l~J aA-n--+~. '--~i'JO~'f _ Y 6av~- "E-- +c~ o--V
_ Water Softener ~ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge ' ~ $ .50
~ ~.ilS ~ ' Id
i'~~- ;I
Total ~i $ 5b-S~
I hereby apply for a Residential Plumbing Permit and acknowle,dge_that-tk~trt#Qr.rr~a~on is complete
and accurate; that the work will be in conformance with the o~
ina~and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
~D d~ ~e c ~ /~iL~ '
pplicanYs ~rinted Name ApplicanYs Signature
#~ut~~~~~k~*#~#~~~~~~*~~"~~#~#~#*~~~~~W~~
C2TY f)f-" E.r'~Cn"-,F,~
f;ASli'fE:r': s 1'f:::I~MINFII_ NO° _334
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Pl.V Xt~R~~*%~~~%~:'~F%~~~~'~>k~k?k'Md %lc:k~#~~~K'~%~%~iK~YYF~c#Skk~
1998 BUILDING PERMIT APPLICATION (RESIDENTIALj l~ s-~ ~
. ` CITY OF EAGAN ~ ~ Aj ~ 1 ~ ~
~ O~ ~ 3830 PII.OT KNOB RD - 55122
y 681-4696 ~ QQ
New Conatruction ReauiremeMs C-o""'ti"-eY , ` " ~ ~ ~
RemodeVRecaii Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies af plans (inGUde beam & window sizes; poured fid. design; etc.) ? 2 sNe aurveys (ex[erior additions 8 dedcs)
? 7 energy calculetions ? 1 energy calculations for heated addkions
? 9 copies of tree preservatio~n plen it bt plaped after T/1/93
required: _ Y s Y~ N
DATE: O~ ~02. I~j CONSTRUCTION COST;~~o~ ~ c~ ~C?
DESCRIPTION OF WORK: S ~
STREETADDRESS: " / ~O ~ TO/U~ ~GJ/~F~ ~~C '
LOT: ~ BLOCK: ~ SUBD./P.I.D. Ti~L L~S'S c~ n~
Name: Phone
PROPERTY Lest First
OWNER
Street Address:
City State: Zip:
Company: Phone ~'-7 ~ 3 ~
CONTRACTOR /1~G; / , j Q/~ , License# ~`7LL'~
Sueet Address: G / / ~~.(l
GU>9 i~ 5~~: ~'7 Z~p: ~ 39 / ~
ARCHITECT/
ENGINEER Company: Phone
. Name: Regisffation
Street Address:
a
City State: Zip:
Sewer & water licensed plumber (new construction only): l/~~ ~ 0~~ . Penalty applies when address chang
and lot change is requested once permit is issued.
~ ~-F S - y (v~ ~
# hereby acknowledge that I have read this application and state that the infortnadon is correCt and agree to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
~ Sig~ature of Applicant: r ~~/~~~i~~ ~J~72/J'3C~~-j~`
OFFICE USE ONLY I I~~~~~ ~
J
Certificates of Survey Received ?Yes No ` ~ ~ ~
'~,11
Tree Preservation Plan Received ~ Yes ~ot Required ~
,l
~ ~
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
1~ Q2 5F Qwelling ? 07 4-plex ? 12 Multi Repair/Rerrt. ? 17 Swim Pool
? 03 SF Addftion ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 5F Misc. ? 10 =
plex ? 15 Deck
WORK TYPE
31 New ? 33 Akerations ? 36 Move
? 32 Addition ~I 34 Repa~r ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5^ ~ Basement sq. ft. 1127 MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy 2G° 1-~?-sq. ft. l3? 4 Fire Sprinklered
2oning - ~ sq, ft. 7 36 PRV
# of Stories~ sq. ft. Booster Pump
Length ~ sq. ft. Census Code. 10 ~
Depth Footprint sq. ft. SAC Code o/
Census Bldg
Census Unit I
APPROVALS
' Planning Building Engineering Variance
Permit Fee ~ 9~`~ S valuation: g rL07a ors-c~°-'~
Surcharge 1 U . SQ
Plsn Review ( p 3~ . ~+a .
License ~ 7 Z 7X I',~= 2~~ 4oS°,~°
MC/WS SAC I U S-U 4a ~'7 h~S X`s~ = 9~~23d ~ ~
City SAC ~.3 7 8 x~'~, : o-u
Water Conrt. 7 '7 ~ `f
Water Meter ~ 73a k ~ ~ ' ~ / ~ (p ~C'
Acct. Deposit 1 ~'3~- sC~
S/W Permit 7~oTq-L ~j o G~ 227 ~'u
S!W Surcharge
Treatment PI. ~
Park Ded.
Trails Ded.
Other ~
Copies
Tota~: 5' I I q. 3`7
:
% SAC
SAC Unks
. .
E _ .
~~~JJ-41~\~ ,
EXTERIOR EPIVCLOPE AV[RAGE U COMPUTATION HAMPTON
CONSTRUCiION
IN6.
Si te Address ~Cl~`7`a ~.J/(~/~~~G/`F~ Lot~/ alock ~T~'~~ fQSS'
~ 77 G~
R& U factors R U
Opaque Walls .0q3
9:15 E. Waytaln 04vd -
W,yZ~i~ Wal1 Frami ng Areas- .09
~4inncsola55391 Ceiling Insluation Area .023
(G12)A73.1231 Cei 1 i ng Frami ng Area - .027 ~
, Rim Joist .04
Idasonry 41a11 .469
41i ndo~~~s .35
~oors ' .31
Skyl i glits .55 ,
1) Lorter Level (6asement)
Total Exposed Wall Area ~
Opaque 41ai1 Area _7,3 X(U) .0~13 = 3, (
Wood Frame Area x(tJ) .09 = Z, y j
~ Rim ~oist j~ X(U) .04 7~
Exposed Dlock ~ X (U) .132 = ~J
Window Area .3~ X (U) .35 = /Z,
. Slidin~ Glass Door L~~ X(U) .35
Door Area - X (U) .31 = -
Total y~„~
y . ~ .
~ .
~ur~r~~~Er~ -
2) First Or Main I'loor
CONSiRUCTiON /
Total Exposed Wall Area ~ro
INC.
D~~aque 41a11 Area / ,S X (U} .043 =
l4ood Frame Area ~a X (U) .09 = ~o~ ~
-T ~y~'
Rim ,loist X (U) .04 = q!~+~~~0•Z
Window Area /l~rp X(U) .35 = ~oS J
935 E. Wayzalal3lvd._
w~n~i~ Sliding Glass Doar X(U) .35 -
Mi~mesola5539~ Door Area 3~ X(U) .31 =~,~O
(612)A73-1231 ro ta ~ ~t ~ /58, 53
3) Second flaar If Two Story
Total Exposed l•lall Jlrea ~
- o~a~~e iaa>> ~re~ .S~ x (u) .on3 = Gs~vo
Wood Frame Area l~D X(U) .09 3
WindoN Area /~~i X (U) .35 = ~
Sliding Glass Door X (U) .35 = -
Door Area f X (U) .31 =
° Total /3/, O'
4) Total Ceiling Flrea / 7~~
Wood Frame llrea / 7~-- X( U) .027 lo
Opaque Ceiling Area /S~O X (U) .023 = ~S
Skylight ~ X (U) .55 =
rotal ~o,a~
- . .
~,~~~Q~.~~~~ ~
.
coNSraucnoN
iNC~ ~qINNESOTA U FACTORS Total Exposed Wall Area ~0~.~ X.11 =
MINN[SOTA U FAC70RS Total Exposed Ceiling X.026 ~y
Rrea
(n) Total - ~
935 E. Waytala Olvd.
Wayraia ltem 15~•96 + Item 2~s~~+ Item 3/.3/Cl + Item ~1 ~4~~
Minnesola 55391
(~12)473-1231
If Total Of Items 1-~l Is less Than Item (A), Quildiny Complies With
S6C 60D6 (C)s
, ` LOT SURVEY CHECKLIST FOR RESIDENTIAL
- . BUILDING PERMIT APPLICATION
PROPERTY ~EGAL: G ~
~ ~ DATE OF SURVEY: ~_~T~ z~9 ~
a ~ ' LATEST REVISION:
~
~ ~ m DOCUMENT STANDARDS
~ ~
°z
• Registered Land Surveyor signature and company
~ ? • Building Permit Applicant
r~Y ? ? • Legaldescripdon
m~ ? • Addreu
? • North arrow and scale
o% ? • House type (rambler, walkout, split w/o, splk entry, lookout, etc.)
L~~l D • Directionat drainage arrows with slope/gradient °h
? • Proposed/existing sewer and water services & invert elevation
e' ? ? • Street name
~ O • Driveway
ELEVATIONS
Existin
~ ? • Sewer service (or Proposed)
Ga~O ? • Properly comers
[3~O • Top of curb at the driveway
? ~ • Elevations of any e~risting ~djacent homes
Prooosed
~0 ? • Garage floor
m~9 ? • First floor
~ ? • Lowest exposed elevation (walkouUwindow)
~ ? • Property carners
a~ ? ? • Front and rear of home at the foundation
PONDING AREA Cf anolicable)
? • Easement line
? G/ ? • NWL
? L5/ ? • HWL
? ~ • Pond # designation
? ? • Emergency Overflow Elevation
~IMENSIONS
? • Lot lines/Bearings 8 dimensions
~o ? • Right-of-way and street width (to back of curb)
o% ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
[d" O ? ~ Show all easeme~ts of record and any Ciry utilities within those easements
0 0 Setbacks of proposed structure and sideyard setback of adjacent e~dsting structures
? r3'' ? • Retaining wall requirements, if any
Reviewed: ~ /
Nam / Date
January 1998
CRAIG79Bfl18LOGPRMT FM
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/ O / O % ~ti~ GP~ ~y 0 ~ DRAINAGE & UTIUTY . ` ' m
, s2o.s j `g7' ~ 9iaa EASEMENT €
/ p~ X ~ DENOTES PROPOSED DRIVEWAYS ~
92D~9 / / Ql ^`h 1~~ ,~6~j Q DENO'fES SANITARY MANHOLE
/ / ~.P~SQ.~'~9,~ /l~J~k•106~ y~ ?c I ~ ~ ~ DENOTES ITYDRANT s ~
O'~~}' ` X k, ~y~' S 914.4 909.9 N r,~ ~6
X /PQQ~,PO~ O 9207 '2 oy~,p X~~ ~,1 ~ O DENOTES CATCH BASIN ~
/ 92oee~~ ~~~~0 oQ ,~p~`~, / s~a~~ ~ S DENOTES SANITARY SEWER
ft ~ N
(szi.o) \ x X ~ ~kti oe"~ ~ ~ ~ W DENOiES WAIERMAIN ~''i~
/
~ 9z~~ ` 9202 Ga~" hy 9~3.9 X ST DEN~TES STORM SEWER
J R P 909.3
/ ~ \ S~j\ 3 `912X~~~~ SUFtVEY LINE }
i ~
~i~ \~a, eia.e x y01 S'~ Propo~ Top of Foundation Elevationm 924.8 \ ~
~ ~6~ ~X eia.s ~O~ eiao ~`o~'~ 9~ ~ Proposed Garage Floor ~evationa 923.5 a' O
~ $ \ ~h ~x,~~ ~ 6~ N Propoaed Lowest Floor pevation= 915.5 ~j O~~
Va~ / ~~j eoa.s 7 ~ Loweat Allowable Floor ElevaUon~ 907.7 Z~
O
`s~-. AINAGE & UTIUTY ~ O Denotea Iron Monument t,.1 ° z
<y EASEMENT ^ ~ + 910.0 Denotea Exiat3ng Elevation F- a G i~~
+{910.0) Denotes Proposed ~evation Up,, L7 z~
~ - Denotea Directton of Surface W A
BENCHMARIC j~ Droinage F a Z o a
ELE~ = 9, 2.52 ~ ~ a
~
~s P ~ ~
~ ~ ~~p I hereby certify thot thfs is a true and correct repmsentation
of a survey of the boundories of:
iAT 7, BLOCK 4, ~NEfi2EE PASS 2ND ADDRION
\ S ~t ~ ~ ~ ~ W~COTA COUMY. MINNESOTA
~O Md the location of all buildinga, 1f any, thereon, and all vietble , DRAWN
~ encroachmer~ts, if arry, from or on soid land As aurveyed by - BDR
Q Q PONp BLP-6. me thia 2nd day of Novem r. 1998. CHEq(ED
0~$~2~ HWL 905.7f ' - : 11 02 98
~ `'`'g 0 ~ ~ ' u~naed Land Surveyor. ~nn. Lia No.24784 , 15C
JOB NO.
a~oz-+o3
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~ ForOfficeUse / ~
City of Ea~aIl I Permit q C'~J j
~ Permit Fee: %~V ~ ~ ~ ~
3830 Pilot Knob Road
EagOn MN 55122 j Date Received: j
Phone:(651)675-5675 ~ ~
Fax: (651) 675-5694 i s~an: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ ~ Site Address: ~~1 .2 c~/IPII/~~
Tenant: Suiie A:
~
RESIDENT / OWNER Name: r'c~ Q/r s~ Phone:f l~ ~Oo~ ~7~/
Address / City / Zip:
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description of work: r~ l ot`~ /~f
Construction Cost. ~'ly~~ ~7 Multi-Family Building: (Yes No
CONTRACTOR Name: ~ ~~J~ r~T: License o2~f 70
Address: ~ ~Q `~~`/O•-'~"~ Cr
City: ~~Cit ~~a..~.F State: r?°s~ Zip:
Phone:6~2 ~ ContactPerson: <~J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residenlial Venlilation Category 1 Worksheet • New Energy Gode Worksheet
Category submined submined
submission type) • Energy Envelope Calculations Submitled
In the last 72 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 ot master plan:
Licensed Piumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NO7E: P(ans and supporting documents that you submit are considered to be publlc in/ormation. Port/ons of
the Fnformation may be classif7ed as non-publlc if you provlde specific reasons that wou/d permif the Cify to
conclude that the are trade secrets.
I hereby acknowledge that fhis information is complete and accurate, thal ~he work will be in coniormance with Ihe ordinances and codes of the Giry of
Eagan; that I understand (his is not a permit, but only an application tor a permit, and work is not to start without a permit tha( the work will be in
accordance with Ihe approved plan in the case of work whwh requires a review and approval of plans.
~ ~~r
x ~,o~; - ~ ~~9~~r.~ x ' - ~
ApplicanYs Printed Name~ ApplicanYs Sig~
Page 1 of 3
.. •
Use BLUE or BLACK Ink
����i � � ��,.,,i ���.�...�.__.� _�
, , � For Offfce Use � ���� 1 �
�� � Permit#; � �� O ��/'
1�� �l ����11 �' PermitFee: � / . �� i ��J'
3830 Pilot Knob Road E` �'��
1
Eagan MN 55122 � Date R�eived; �
Phone:(651)675-5675
Fax:{659j 675-5684 � Staff: j
C...�....,,..�__..,,�._,..,�....,.,._�._��
2o�s RESIDENTlAL BUILDING P�RMir�P�,NCaT�ON
t3ate: �� �Z?� � I � Site Address: 41n�12. ,'"^�TZ1 N�G L.1�,F i� D R 1 V � Unit#:
� Name: ��:,,'�,�'E W V�N R�� L�v,�l_1..3.. . Phone:
Rs�ident/
�+�y�gt Address/City/Zip: N C L fiP E R V
_ ,` Applicant is: �Owner �C,Contractor
'��Pe Of W�rJ��'r:
Description ofwork: MO i'STL R�E REM �..0 4 f�T1 N R�'P I�_1�
` . Construction Cost: �,,,,��{,�+C�O Multi-Femiiy Building;{Yes /Nc��,j
r
Company:_Q�.#�RA.1�R , E X TE 1'Z 1 OR S Contact: fl 1�.1 N{.� �`2#1 F�RI N
�+antrs,�tc�� ,
Address; �'j 1 O 1 1-i w Y SS i�11 fTE �City: M/N N:E l4 Pr?L 1 S
State; M N Zip: 4 22 Phone:�Q3�5�tL-l�ail: Qnr►a.5c3. riy'� e� L�a.r r j,Q,r'
r ' �c.�.n s�'..c�
License#:---(a ., '"i�i��'�" Lead Gertificate#: I�1�C17 ^- `�1 �?�$ 2
If the project is exempt from (ead cerkification, piease explain why:
COMPI.ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
�..�.��, ,.
In the last 12 months,has the Gity of Eagan issued a�pemtit for a similar;plan based on a mastet plan�
Yes No lf yes,date and address of master pfan:
Licensed Plumber: Phane:-
' Mechanical Contractor: Phone:
Sewer 8 Water Contractor: phor�;
Fire Suppression Contractor: Phone:
�?TE:P/ans arid auppart+iny c��icumie�#�����u�ub»�ft�+r.orr��fi+�r�+d��Ar�`���►e� x � ��" �
;. t
� � . � � � �,�£. `
the inf�rrr»�a#T�rn may b��J�s�i�i�d�s noriya����'You I�rovld����C.r�a�����rrJ�t ��
: ��
�or��cl��ha#tlt�► t::at�e tr���r�e#s. � : :
CALL BEFORE YOU DIG. Call Gopher$tate One Cail a#(651)45d-00Q2 for protectian against underground utility damage. Call 48 ha�rs
before you intend to dig to receive locates of underground utilit�s. www:aonhers#ateonecall.orq
i hereby acknowledge that this irdormation is canple#e and accurate;that the work wilt be in conformance`with the ordinances and codes of the City of
Eagan; that I understand this is not a perrnit, but oniy an application far a �rmit, and work is not to start without a pertnit; that the work will be in
accordance with the approved pian in tl�e case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accardance wi�the Minnesota State B r1g CaGt tlstbe completed within 180
days of permit issuance.
x A N N A �J�}�1��,��*.t �
Applicant's Printed Name Appltcant's�i��xer '
Page i of 3
���':,,�/� `�-�3flC C= �i��, D�OT WRITE BELOW THIS LINE / ���/ ri�
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) � Exterior Alteration(Single Family)
_ Singie Family _ Garage _ Porch(4Season) _ Exterior Alteration (Muiti)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding ` Demolish Building"
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window � Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � Occupancy �T/'j,G,-�/ MCES System —'
Plan Review Code Edition ,'�o/b� SAC Units "" '
(25%_100%� Zoning /Z� City Water --�
Census Code 1^l3lil Stories ^ Booster Pump "`
#of Units 1 Square Feet "-' PRV '�'� �
#of Buildings ! Length ^ Fire Suppression Required �--�
Type of Construction � Width --�
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) �L Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing -Drain Tile
Fireplace:_Rough In _Air Test _Final �L Siding:,�Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
� Other:
Reviewed By:_��L``e�a , Building Inspector
✓ �
RESIDENTIAL FEES
Base Fee �/� --
Surcharge
Plan Review 7,(� ?°
MCES SAC �
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK ink,
r----------------i ., �.
- I For Office Use
' � Permit#: �� I � � � I j'�� '�
CIt� of �� a� � . /�, . � � �-�
"� � � Permit Fee: �"-' �
3830 Pilot Knob Road �E�EIVED j ��
Eagan MN 55122 � Date Received: � -�� � �
Phone: (651)675-5675
Fax: (651)675-5694 DEC 4 B 101 j Staff: � I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: !� � /� Site Address: f E`/� ����1��L° Y��°�"L— Unit#: �
��.�...���������,.��# 9�„� ,.�.,,�„ .�.��...:,��,�.�
� y� r /" /^� �q� ��
Name: lUI.✓ /ri° !/�l �G�.Uf�✓% Phone: (��i
Res�iden�! �f6�f'� t�r�t� `
Qyy���, Address/City/Zip: `� � � � /� �ZZ
! ' Applicant is: Owner �Contractor
� � � � /� �
� � Description ofwork: �it C�u/ //� ��� G`�' � a � G��'' l�✓>nd�"
T�pe Q�F 1N4Ck
___
Construction Cosfi �(��� 0� Multi-Family Building: (Yes /No�
_ _ _ �.�„ ,�
Company: /���vl -p /✓4vt � �t1/`dt„��_Contact��+�"C_ /vGs►��C,�--
' �- f
' CQ,tl�i'1Gti0i' Address: (U`'J/� l_��[�G. ��K. � City: �'�'�!� ('"�/�G+1�. ��� �
�' State✓�"�Zip:�� Phone:ld�3�T z�7,�maiL�'�G,M�YtGcl��lJ/� f�'�/��r���,�
�� ����� �� �
� License# Lead Certificate#: �
�,��„�,.,,�.u,�..�u.�z.��,.�. _.w.w..,. .�,dm ���,.�.,..�,��,�„.�.�,...�,�,.�.w...a�...��.��.�,.��,�,��.,
� If the project is exempt from lead certification, please explain why: �
�, � - � -�
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? '�i
Yes No If yes,date and address of master plan: I,
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NUTE-,Pl�r�s a�d;;support�ia�gr c1�cc�rne��t�ia#���r;s�br�.it are cc►t�s�d�red to be p�b�i�f��`�. Por��t��j``-
' f�e irt#orrr�at��►��ay�e ctassr"�'ied as ncrt��u�rfl�!�you��sn�+de�pec��reasar�s Y�fia#wci�rld��t#rr� ��t�!tr�
corr�l��'e that t�t� a�tra�#e secret�:
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.ora
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 1 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 Buil ' Code must be completed within 180
days of permit issuance.
G��, /"l�l�Cv� _
Applicant's Printed Name Ap ' ant's Signat
Page 1 of 3
f � — �^ .
`�7��I�� ��!�!� C�� {`_�C �O NOT WRITE BELOW THIS LINE �r��f���P f
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
�J Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair �(J Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation � SH�•'� Occupancy ,,,J. 2��' � MCES System
Plan Review Code Edition �y�Zm iS SAC Units
(25%_100%�j Zoning � ' � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation � Windows
Sheathing Retaining Wall:_Footings_Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: (�II Y�lt. �l(� i K-) y�} , Building Inspector
RESIDENTIAL FEES
Base Fee �� c�; �� � �'��
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
1
For Office Use
Ø
: e:
%_... ......
P3 c .
Date Received: 7-. 4 --/g
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinciinspections c(Dcitvofeagan.com L (17 ,
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i : Site Address: 4... 2 5 nec I i CN L 4 '^+ l 4/ Unit#:
Name: I/ � e-(./.tcJ( ' Phone: ‘(..D g0 - W
Resident/
Owner Address/City/Zip: 46 2 c14.1t ec/•a4r Ea a. N sr(a 2
Applicant is: J' Owner Contractor V
Description of work: Pe/010c, R.--19----- wt is lit,. 1Jctsarw-,/ X2- o
+ l)(14� wW
Type of Work
Construction Cost: ` (3w Multi-Family Building: (Yes /No ) )
Company: M CQ ('e4T ry .4 Contact:
Address: e Kec i \J v,./ f tit
Contractor y: s
State: Zip: Phone: Email: I
• License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
-- - y
Jt..Sf( 1.U0 0) (dUi�ow� 4' Si'd L ' q'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
i classified as non •ublic if u •rovide s•ecrfic reasons that would permit the City to conclude'that the are trade secrets
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.citvofeaqan.com/subscribe.
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. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances apd codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' o 1 wi out a permit that the work will be in
accordance with the approved plan in the c se of work which requires a review and approval .ans, i
x 1
Applicant's Printed Name J Ap.lican s St y atur
For Office Use 0 CC
+++ a i ,I"00 ::::t ,
If 7 1
Date Received: //f
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECIEVED
(651)675-5675 I TDD:(651)454-8535 FAX:(651)675-5694 Staff: /=
buildinoinspections aaa cityofeagan.com JUN 1 1 2018 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION c y.)3-(t
Date: 6/11/18 Site Address: 4642 Stonecliffe Drive
Unit#:
Name: Andrew and Grietsje Van Reeuwijk Phone: (612 ) 802 3911
Resident/ 4642 Stonecliffe Drive
Owner Address/City/Zip: ge(
Applicant is: Owner X Contractor
Type of Work
Description of work: Remove existing deck, build new (2' longer)
$18,000.00
Construction Cost: Multi-Family Building:(Yes /No )
Company: Tooth & Nail Builders Contact: Jake Novak
Contractor
Address. 14380 15th Street Circle South city Afton
(507)304 2333 Email: toothandnailbuilders@gmail.com
State: MN Zip: 55001 phone:
License#: CR677475 Lead Certificate#: N/A
If the project is exempt from lead certification, please explain why:
post-1978 construction
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
-
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that be i ry
Apo 9 you submit are considered to public information. Portions of the information may be
classified as • •ublic if u .rovide s•- ific reasons that would . it the Cl to conclude that the are trade secrets.
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.
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. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in confomia «- 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 wo . ' of to is rt with. i . ,it;that the work will be in
accordance with the approved plan in the case of work which requires a review and ap.... of plans.
Jake Novak
�r
Applicant's Printed Name Appli •�."s Signatur
DO NOT WRITE BELOW THIS LINE 11(4"q2-l 5 " ( >J( r LibL/
SUB TYPES
Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family)
— Single Family Garage Porch (4-Season) — Exterior Alteration (Multi)
— Multi 40 Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 1 390-0 .r
Occupancy 51ZG—) MCES System
Plan Review Code Edition m4 2.4:1'1 SAC Units
(25%_ 100%'P ) Zoning la -1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) )6 Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _ Footings_Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan ��t Other:
Reviewed By: �j � y ° V—/Y/41 , Building Inspector
RESIDENTIAL FEES
Base Fee eCISin�`/Z
Surcharge 2 �.e=i ,9 - G7
Plan Review
MCES SAC o' 43-a32 - ��
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
/ / _ EASEMENT VACATION DESCRIPTION
A That part of the drainage and utility easement of Lot 7,
/ , 1 ),o Block 4,as dedicated on the plat of PINETREE PASS
�= 2ND ADDITION,according to the recorded plat
�\ thereof,Dakota County,Minnesota,described as
follows:
(1 D
�/ n 10 Commencing at the westerly corner of said Lot 7;
`4(/ thence on an assumed bearing of South 32 degrees 11
Cto h� / \ minutes 33 seconds East along the southwesterly line
� of said Lot 7,a distance of 92.07 feet to the
/ L\ / ^ / ' intersection of a line of said drainage and utility
.7 G/�^) / _ easement;thence North 48 degrees 59 minutes 51
�� // 10 seconds East along said line of the the drainage and
utility easement,a distance of 46.85 feet to the point
/ N I ^T �= of beginning;thence North 89 degrees 51 minutes 52
O 1 0 L.IJ I v
seconds East,a distance of 14.84 feet;thence North 47
Dc1"` r / BLOCK 4 degrees 46 minutes 42 seconds East,a distance of
E......` 46, �.t< V) 21.52 feet;thence North 00 degrees 08 minutes 08
rJ \, 4)�ov.) / I n Po seconds West,a distance of 12.24 feet to an angle
p point of said drainage and utility easement;thence
/�' ,4. �� South 48 degrees 59 minutes 51 seconds West along
�/ / .6',i D 0 said line of the drainage and utility easement a
/ / 0 \�. distance of 40.75 feet to the point of beginning.
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TNH= /O / I\ c�F.• 0) 0' Easement Area:296 S.F.
923.3 —WESTERLY 1D J . 9, 10 o it
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g LOT 7 illi' \� WOE= `1,,O. c< o N•
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I hereby certify that this survey,plan or report was prepared by me or under my direct supervision and that I es SUR4A SAT H R E-B E R G Q U I S T t INC C .
r;
am a duly Licensed Land Surveyor under the laws of the State of Minnesota. o
W 1 150 South Broadway Ave.
Dated this 5th dyofJuly,201R. N 1 Wayzata, MN. 55391
SATHRE-BERG UIST,INC. C4e55 PSP'sss (952)476-6000 www.sathre.com
1 Easement Exhibit Date:7-5-18 Revision Date:
Prepared By:EMW Check By:DBP
A,-i‘IN C—tvN-En
70,'NPrepared For y David B.Pemberton,PLS Minnesota License No.40344 Layout Sheet:ESMT VAC pembcrton@sathre.com Andrew Vanreeuwijkproject Number:92981-001
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CERTIFICATE OF SURVEY a: ♦ • . ,
'g oo P PREPARED FOR ��`� }
Ihz a '' �§� �'' LUNDGREN BROS. 1 .4m,--. SATHRB-88'IiGQUIST, INC.
W rj �? % 4, 150 SOUTH BROADWAY.WAYZATA, IAN. 553910(612) 476-6000
OQ •
• m R CONST., INC. X04, Vki
CM {F EAGAN -itm
S
1 m 4 - c
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162076
Date Issued:06/25/2020
Permit Category:ePermit
Site Address: 4642 Stonecliffe Dr
Lot:7 Block: 4 Addition: Pinetree Pass 2nd
PID:10-57661-04-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew Vanreeuwijk
4642 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:EA176659
Date Issued:05/25/2022
Permit Category:ePermit
Site Address: 4642 Stonecliffe Dr
Lot:7 Block: 4 Addition: Pinetree Pass 2nd
PID:10-57661-04-070
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew & Grietje M Vanreeuwijk
4642 Stonecliffe Dr
Eagan MN 55122
(612) 802-3911
Marsh Heating & Air Conditioning
6248 Lakeland Ave N
Brooklyn Park MN 55428
(763) 536-0667
Applicant/Permitee: Signature Issued By: Signature