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4661 Stonecliffe Dr
` ~ RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~ ~ iy CITY OF EAGAN _J ~O. Zr / 3830 PILOT KNOB RD - 55124~ /'t D 651-681-4675 NewConsWCtionReuufremenls RemodeUReoairReaulrements 9~61V1 • 3 regislered sile surveys showing sq. fl. of lot, Eq. R of Muse; and aA tooted ~eas • 2 copies W plan (20% maximum Io1 coverage ellox~ed) • 1 sel of Ene~gy Calcula6ore for heated additions 2 copies of plan showing Ceam & window s¢es; poured found design, etc.) • i cke survey br exleriw edditbns 8 decks • 1 set of Ene~gy CalculaUOns • hMicale if home served 6y septic system br addilions • 3 cop~es of Tree Pmservation Plan H IU plalled after 7f1l93 . Rim Joist Detad Options seledion sheet (ddgs wilh 3 w less unifs) , IL ~ DATE y` 7` n~ VALUATION ~Q~~ JOB SITE ADDRESS ~ b Si vi~/~~ C~ /~r l~/~/!/i~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER~~~I'~ /~l~y~ I~~''Ntl`A.~vT TYPE OF WORK 1.~/~= G/~ ADV ii ~oni FIREPLACE(S) _ 0_ 1_ 2 APPLICANT/~Hr b~Ga'P-v~'uR l~• PHONE# 1/z. -~vo-Z~v/v ADDRESS/1G'3 2 J) ~!~vN /~Ul~~°= /N1//diP (y{~o~t~ ~ji. / ZIP CODE-s ~/077 PAGER # CELL PHONE # ~ b~ ~ ' ~-5 ~S FAX # ~v-Z - ~rd~s~ 3ou b~ v Nt1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 p~~~ (check one) - Residential Ventilation Category 1 Worksheet Submitte D - Energy Envelope Calculations Submiried MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ~Y~_-- Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: ~90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone # Mechanical System Includes: _ Air Condidoning Fee: $70.00 _ Heat Recovery System Sewer/Water Contraetor: Phone ~ All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O~es. Slgnature of Applicant ~ CeAificates of Survey Received _ Tree Preservation Plan Received _ Not Raquired _ . Updated 1/01 OFFICE USE ONLY • , ? 01 Foundation ? 07 05-plex ? 73 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ~18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 70-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbg Y or_ N ? 25 Miscellaneous '~D 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement ~'Demolitlon (Entire Bldg only) - Give PCA handout to appllcant Valuation ~Q Occupancy MC/ES System Census Code y3 ~ Zoning ~L. City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. ~ Footings(deck) FinaVNo C.O. Footings (addirion) ~ Plumbing Foundation _ HVAC D[ain Tile Roof Ice & Water Fiaal _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco _ Srone Insulation _ Windows (new/replacement) Approved By ~l , Building Inspector Base Fee Y ^ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumhing Permit ~ Mechanical Permit License Search Copies 5~ Other . Total Dj D~ ~ RESIDENTIAL ~ BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ~ ~ Naw ConaWCtion Reauiwments RamodeURemir RevuiremeMS ~X~(y • 3 registered stla suroeys showim~ sq. fl. af lot, sq. ft. of house; arM a~ roafed a2as . 2 copies ot plan v1. (20% mazimum lot coverage allowed) . 1 9et oF Energy Cakulahons for heated addiLons • 2 copies of plan showing beam & window s¢es; poured found desyn, etc.) . 1 site survey for ezterior additions 8 decks • 1 set of Energy Calculations . Indicate d home served by septic system tor additions • 3 wpies of Tree Preservation Plan rf lot platted after 7/1l93 • Rim Jo'st ~etail Options selectlon sheef (bldgs wlh 3 or less umis) DATE % / - ~I ^D ~ VALUATION ~ ~ , SITEADDRESS `1~0~0~ .ST~ON~GZlFF~' J,~~U~ MULTI-FAMILYBLDG _Y _N TYPE OF WORK P~'~~~ ~^J~u'~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~El17~s ,~tLS7osw //~~~~'S STREETAD~RE55 /d+~~ CITY STATE_ZIP TELEPHONE #~Sl-Z~'' y3/° CELL PHONE # ~~Z"`'/`~ ~ y~ FAX # 9Sy- 2~~ /"-a~~' PROPERTYOWNER ~I ~~'J~~~ TELEPHONE# ~°"T ~ ~Is~'/O j(~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~INNESOTA RULES 7670 CATCGORY 1 MINNF.SOTA RLILES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calcula[fons Submitted Piumbing Contractor: _ _ Phonc # _ Pluxnbing system includes: _ Water Softener Lawn Sprinkler Fee: ~90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # ~ n ~ Mechanical systecn includes: Air Conditioning ~J ~ .0~6' Hcat Recovery Systcm yl NOV 1 9 Z~~2 Sewer/Water Conhactor: Phone # LI~ - g" ` ~ ' 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 Stat~tes and City of Eagan Ord~i ~~an es Signature of Applicant . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received ~ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ~ 30 Accessory Bldg ? 02 SF ~welling ? 08 O6-plex ? 16 Fireplace ? 2! Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 ~7-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ~D 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ~ 45 Fire Repair ? 33 Altaration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bidg only) - Give PCA handout ta applicant Valuation Occupancy l~ 3 MC/ES System Census Code L ~I Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ~n Width ~ REQUIRED INSPECTIONS _ Foohngs (new bldg) FinaUC O. _ Footings (deck) ~O FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final ~ Framing _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review • MC/ES SAC - ~~.U./2e2 ~2VeI ~7D.oa City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT# J 1 RECEIPTDATE: 800E ~SID$PTIlEL ~LUE~IN6~ ~~gbI1T ~t~~'L1ClETION crrroF~sa?x 3$SO PILOT KROB itD ~A&RF, ~lY 551 EE asi-asi-~s~s Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventerfor irrigation system SITEADDRESS: ~6(0 / " lO1~/~[~ u J OWNER NAME: : Qe:~-, oi t L nA~~1E, TELEPHONE GS/ ~5'S~ •/D/~ (AREA CODE) INSTALLER NAME: ~ .1 ~u>>~~ ~ ~,c ~ . TELEPHONE '~d3 - w~73D (AREA CODE) STREETADDRESS: /52.50 ~.o~d yy h CITY: ~n~~L,e~l~'' STATE: ZIP: 3So68~ --r _ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ~-~..,R,~.ah~ ~Q. ~..e~A~ 0..~dL. .~.c~.t~ `G.w.~J ? AddP ig fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 3D.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 , , Total $ ~d.SD I here6yacknowledge that I have read this application, sfate that Ne information is correct, and agree to complywith ail applicable C'Ayof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its normal operaGonal and maintenance activities to the facilities consWCted under th~s permit wit Ciry prop~rty/righ~asement. ~i i IY J ~yX~~ SIGNAT RE OF PERMITTE /02 , _ _ ~~yy ~ ° _ ' ...."t,. vn. ~ -a.. _ _ - t». ~G:<. , a. ..'~s^^r.E ?"n . ..xeCr,. ,g,a` . .a,Y d.:tz %7.'~u~i '~'=-fe~~},2."' +a~~( Li~ ,t.~~` " . . .....~a W , ~ ~ x..« n . . - . . , «.v . .A'. * " "hF"~ _^..r .v.-' „ _ ..-s ~ LJ3;• . 'u'r. ' ......,,C.1~^ .:.,L.:..~.L._. . ' ~ _ . t, h.. ~ _ _ S!4.eY n "~i~3+i' . q' .u°.`s+{ V+~Yg~l ~i: ~"L`'Y' .~'~L"ez.. tme "`v ~ _ _ . `~m.x~.!~,"^ri~.:~'_t~.~'s'3~.tf."3+i.,..:ii~~-~u.^~roe"v~'='.~l.sa-;c:~'i,.=~r.rF?.K~:r~,.~'~~:.`~~~:~ifi=«~',r", .,+z _ . _ ' -e3~.-x~~~'a'c Ya+ ~~.~~.t~1' ,s~r. ' " ' . " . ' . r m = , ~"T - . i , - ~-t s . -t- r..c.••.-~.a~- y3 ~ ~ - ~ ' djley~' ~ ' ' . _ , ~ :5 ~ _ . , i'~ , : . . ~ • . _ ¢~E~yL ~ f..•!y; W . ~ P _ . . , . . . . . . _ . - . . . . . . . *,r.. ~p p ~ I~I~ i . . . . ~ . . . . , " ' ' , ' . , poG°~o Va G°~'~'~~J~t~tt1.~~ ~ - - LEGEND:': ` : . N89°19'27"E 153.63 :,s - ~ ,v. . : OO DFNOTES SANITARY MANHOLE t ) - - - - ~r DENOTES ITYDRANT.- - - - - ' (932.8) BENqiMARK 928.3 ~ . . , ~ . ~ ~ EiEV = 923.49 ~ 35.23 X ~l / - ~ ~~~5 C/1~' ~ B14$IN X 933.4 927-9 X 6.00 iA 8.00 927.3 ~ O7 . . . , . . ~ ~ _ S . DENOTES' SAIVITARY SEWER ` - _ ~ _ _ ~ 926.5 X 20 ~ 1// - WI~~MI~ _ ' ~ I = W o " ~ ~ R~ ST DENOiES STatM SEwER ~ ~ : . ~ 924. X 923.3 X r~ xs2~.z ~'p z, 7.az N ~ ~ DEN07ES STOftAi MANHOLE ~ a, ~ I~S 30 c`~ v,°v ~ / s2s.s ~ r-- n DENOlES STORM APRON Er ~ r~ I I ^ ~j~ , ~ . vj ~ `r' I 4 N xl a 22 5 x 31.24 ~ a'• ~ o ~ SETBACKS ti') N O~ MIN. FRONT YARD SETBAqC = 30' P: ` ~ ~ v N o~ ' o~ M ~ m I ~~~j ~ MIN. SIDE YARD SE7BACK = 5' G A R A G E, 1 0' D W E W N G ~1 x 4 4 k rn~ ~ o, 10 gp d MIN. REAR YARD SETBACK = 15' ~ ~ ~ TOP OF ~o n a ~p ~ I ' ~ SLOPE ~ 30 ~ ~921.D °i ~ 30 X 25.1 ~ r . 923.6 % ~ C ~ 921.3 X x p 921 8 ~ g~' ~ 926.3 ~ x m .£{.Y. d ~ ! X 918.3 % 921.9 p 11 i/~ S.. ~ • ROOF COVERAGE :.rr .y`'`; ~ ~ ~ o~, ROOF AREA =2,242 S.F. ~-~,~<`OR i,,~ ORq~N c~ N LOT AREA =21,999 S.F. " ROOF AREA ~L =10.2% • ~ FasF ~ ~ 209L MAXIMUM ~~0~ ~ 926.1 , o ~~~`I~3~CTAsi~/ ~ Z ~ ~G / w V~l (926.8 X ' . 5~~ I~I~1• Troo~'~n~ DE/~T~ } ~ ~ 167•~~ 5/?ALL ~c °O p~~ Top of Foundation ~avation=930.87 ~ o ~ \ ~ / „ i / \ ~ n p ~ Pre~po ~ t~aw~ Fl~oor Ele~o = ar .s7 N ~ ~W ~ ` N' go 5~' S3 ~-~pN~ ~ J f~ ~ ~ V~~~ ; Loweat Allowable Floo~ 920.00 L~ z~ F { ~ x 9izs ~D 0 ` z_ I~i / ^ i (siz a ~ GE B B ~ o Denotea Irvn Monument p'~.,, ~~i 1~- 5 7~- ~/6~j~YV ,F + 910.0 Denotee Exieting Elevation a t~j A / ~ 1 v~w -9~~ ~ / ` ~µ~..f~,~„~ ::,_.!C~ER.INGDEPT. ~ +(910.0) Denotea Proposed Oevation U Z ~ \ n ~ ` 1, ~'9~a / ' , . ~ Denotea D~re~ction of Surfoce F a z v a V~J 1-~ H " 9TSA pOIlO~A3 SO~~SOY1Bf SO?V~Ce f„~ . ~ . , 1 herebY cerb7y that thie ie a true and cortect ropreaentction ~ of a aurvsy . oF the bae~daries of:' LDT 4. BLOCK .3. PINE7REE PASS 3RD ADDITION . NOTE: WETLAND AS LOCATED DAKOTA COUNiY. MINNESOTA'. . ;~tAWN...:.t BY SVOBODA ECO~OGICAL - /4?d.ttie boatiori`of an"baiidinge, if any. tlmreon, and all vie~'bb RESOURCES AND arcroachmer~, K any~,from or on sald bnd. As surveyed by GiE~ :'c,- SURVEYED BY SATHRE me this th day ot June, 999. ' GFtG~:: . BERGQUiST~ INC. h.:.,;:-oATE:,w.=. - . :06=oS=99'- 9 5 1999" , scu~~ . ~w._ . ~~C'EIVED JIlN cary c~~a ;-~:.r~,K:~ ~t-- . lice~reed Land Surveyor. Minn. 13c. No. 24764 -~~JOB.:N0.r . T'~~ . 5102='S04"' _ - - - ~ - , . -s 5 • ~:~:r, - . ~ ; . . ~ ~ : . . . . . . . . . _ _ . _ , _ . , ~.iy~«<^>:~:,~, r-,~ ~ .,;y.r~ . ' ~ ' • _ ' •-~F, n . . . . . . _ _ . : -y.. . : . . a,._o., _ . .,...v. . . _ . . _t . . t x . _Tv,~-@ ~~vz~}?~~e%r.:. i L ~ gL ~ 2 CITY USE ONLY RECEIPT J~~~ a~ l~ SUBD ~ine}ree paSS ~rYI RECEIPTDATE' ~V7"~~ PERMIT# UZI~ 2000 PLUMSING PERMIT (RESIDENTIAL) CITY OE EAGAN 3830 PILOT KNOS RB EAGAN, MN 55122 651-681-9675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TMAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 7 3.00 x = $ Hot tuh/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requires nnaC iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler iF dwelling is under construction 3.00 x = $ Underground sprinkler ifexisting dwelling 30.00 x ~ _ $ - Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction S.OD x = $ Water softener if existing dwelling 30.00 X = $ Waterturnaround 30.00 x _ $ State Surcharge .50 $ .50 TOtal $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby admowledge lhat I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility ta notify the properry owner that the City of Eagan assumes no liabltity for any damages caused by the City during its normal operational and maintenance activities to the facil@ies constructed under this permit within City propertyfright-of-wayleasement. SITE ADDRESS: ` 1 ~ ~ OWNER NAME: : ~ TELEPHONE (A~ QoE~~~`l~`~ INSTALIER NAME: ~ TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE Z~ P SIGNATURE P RMITTEE ~z~~~~~~~~~*~~*~~**~~~~~~~~~~~~~~~~~~~~ CITY UF f•'A(xAN CAEiWIGf't^ ~i T~RM.T.NiaL. t~(J: 34`3 DA7r^ QC,/3(]/93 TIHE; i.4:4~3aQ0 ICi: NAMFc LL)NDCFi~N fifiqTFIFfiS CON57RUC;7ION , ?2.r-~2 '3c''c0 4f,6i. STONCGL'1:FF :3D.00 ,3c'.10 ?C]L?1 4t,6j. aTQNE:CLIFF 1y531.35 :38F,6 93?9 4tiE~i. STONFCI..IFt 1.lli].QO 34•3? "~00:1. 4661 57DNCCL.iF"~ '_39~,3Ei 'r?'r.~~7.~, 3~"~'0 4~;61 5TONI:=CLI~f- 1~033.5D 34•46 30ni. 466j. `i'fONI::CL'LFF 9.~•~Ci c1f ~DU1 A•66i. S70i~lFCL.IFF C7.~D 3i 48 `_-?r "c'0 46E,1 STONC-:CL'iFF 50.0I] L~j.JJ 3f701 4~~i. ST1]NfC',~:CFF 30.0~ 31iE,8 y~'20 46~;1 .i70NE:CLIFF 4bfl.00 CRJ.i.i'_4k;S CpNI'TNUE. USF'k YA: NANCY ~k~ CUNTINUE I X~~FXc#~C~kk:#~F*~~K~k~k~F~~X~k~*~K#NcX~~K%k~~K%k~%~~k~X~KXC~~C~~k ~c~tXc~CRc~C~C~k~CXc~k~C*%c%c*X~~%~~K~:%~k~N~N:#~k~K%~ C0~l7INlJ.F.. CI7Y f.lF h".AC;AN CASHI[Fe S 7fRMINfi~ N0: 343 L1F7E.c 06/30/j'~ 'TIMF_: 14.hC3:01 ID q, NAME,. I_UNLiGFGt~ Bf;OTI-IEI;S C;ONS71tGCTTfIN 3'i:1.6 92~0 46t~1 5'iONF:r~zF'F 11.4.p~ 3i 13 '3r 2l] ~4Ei6]. 57C1tdE:L"I..IFF ,`iC.1.0~J 38E,5 `~c~?0 4t,f,7. STUNcCl.7:Ff- c325.00 Tal:~l. fi~ceiF,+, Am~un+,: Sy3i.?.^c3 GFi:l.ir 4E„a USEfi 7L~: NANCY ~#xY~X~X~*~k~~k X~~X~%~*~c~%~~F~k ~kX~X~~kX~k~*~F~k%~# ~%~XcX~~%%k~k~ _ . . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAC}AN ' ' 3830 PII,OT KNOB RD - 55122 ~ L~ ~ , ~ ~ ~ ~ ~ q (651) 681-4676 New Construction Reauiremen4s RemodeVReoair Reauirements - I • 3 registered site surveys • 2 copies of plan LQ~ ? 2 copies of plans (include ~eam S window sizes; pourad fnd. design; etc.) ? 1 ske surveys (eMe~or addRions 8 decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 capies oT tree preservation plan if lot platted after 7H193 re ired~ _ Yes _ No ~ DATE: CONSTRUCTION COST: ~C~3 , C1 DESCRIPTION OF WORK: ~ STREET ADDRESS: I LOT: " / BLOCK: ~ SUBD./P.I.D. ~ S ~ Name: Phone PROPERTY ~asi Firsc OWNER Sheet Address: Ciry State: Zip: Company: ~ ~iL-6S . Phone T /~~f ~/s CONTRACTOR Street Address: ~ License #~7~ 3 Exp.~ Ciry _W~T~/T~/] State: Zip: o~~ 39 / ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City Sta[e: Zip: Sewer 8 water licensed plumber (new construction only): ~N~ ~`,~+-"~~~~t- Penalty applies when address ch~,nge and lot change is requested once permit is issued. ~~S. 4~c~ I he~reby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appl' Staie of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r~ r ~ , I,~~~l~~_ OFFICE U~ ONLY I , Certificates of Survey Received ~ Yes _ No a~'V L~'1'~'~~ ` ~ ~ i , ~ - - ~ 1.1~~i~, Tree Preservation Plan Received Yes No Not Required ~ v~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 1 ~ Apt./Lodging ? 16 Basement Finish j~ 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex O 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. O 10 _-plex ? 15 Deck WORK TYPE 1~ 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) ~ Basement sq. ft. 1~~3 Census Code I b ~ (Allowable) 5~~( Main level sq. ft. ~ SAC Code o i UBC Occupancy R• 3 ~ u'LJ sq. ft. Census Units _J` Zoning R. • I ~q L, sq. ft. ~BS Census Bldg # of Stories 2 sq. ft. MC1ES System Length sq. ft. City Water Width ~ Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering . Variance Permit Fee valuation: $ I a~ ~ Boo Surcharge Plan Review ~ 5~Lg x 22~~~= License MC/ES SAC ISZ3~C~~} = B°L ~~Z~ City SAC ~ t~" foclX.54- = 7°1 ~~2~0 = e'-~ Water Conn. Water Meter 6~~j( ( b z ~ U~ q(~d Acct. Deposit S/W Permit S/W Surcharge -r~~~ _ ~ as/ ~ Treatment PI. ) Park Ded. Trails Ded. ~ Other ~ Copies ~ r ~ ~td~: SAC C Units ~ ~ r! ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL ~ BUILDING PERMIT APPLICATION PROPERTY LEGAL. LoT' y ~GOGK ?a /~SNETRt~" ~~I55 ~ DATE OF SURVEY ln - S-(~ LATEST REVISION: DOCUMENTSTANDAROS jp/ ? a • Registered Land Surveyot signature and company t~~ ? • Building Pertrid Applicant yi ? ? • Legal description y~y7 ? • Address s~o ? • North arrow and scale ~p ? : House type (rembler, walkou~ split w/o, aplit entry, lookout, etc.) y~p ? • Directianal drainage artows with slope/gradieM 9~ o • Proposed/e~istlng sewer and water services 8~ invert elevation p o • Streetname ~/p o • Driveway ~y o lot Square Footage ? • LotCoverage ELEVATIONS Existinc ~o ? • Sewer service (or Propoaed) ~ ? ? • Property comers d?a o • Top of curb at the dtivaway ~ a • ElevaUOna of any e~assting adjacent homes Adequffie footing depth of structures due to adjacent utidry trenches Pra ~o o • Garage floor a • Fi~atfioor ~ ? ? • Lowest exposed elevalion (walkouUwindow) ~?o ? • Properly comers o • Front and rear of home at the foundation / PONDING AREA (if aooBpble) @f o • EasemeM line ~ NWL ~ a • H4VL ? ? Pond # designabon a e~ o • Emergency Overflow ElevaEan DIMENSIONS ~a ? • Lot IineslBearings 8 dimensions ni ? o • Right-oi-way and street width (W back of curb) ~o ? • Proposed home dimensions induding arry proposed decks, overhanys greater than 7, porches, etc. (i.e. all structures requiring pertnaneM footings) ~o ? • Show all easemenb of record a~d any City uUli~es wiMin those easements ? m~J~ - Setbacks of proposed sUucture and sideyard setback of adjacent ebstlng structurea ? o~ ? • Retaming wall requiremeMS, if any Re~newea: i%~~/~/~~~% c!~~/~O~~q Name ~ Marth i9BB ~ ca~~o~var.rt ~ ~ ~ . ~ DEVONSH I1z~' I_l.li~[~G~~f~ EXTERIOR ENVELOPE AVCRAGE U COMPUTI,ITION c~risrRUCUOi~ WC -c C~ Site Address v~~O~O~V~O~~ F Lol 7 Ulock~ /7~T/~~ ^ ~155 3rz~ R 8 U Factors R U Opaque Walls .043 !135 E Waytala Itlvd W~Y,~~,~ Wall Framing Areas •09 Almnisula55391 Ceiling Insluation Area .023 ~s12h~7~ ~131 Cei 1 i ng Frami ng Area • ~Z~ Rim Joist •04 Masonry Wall ~469 Windows .35 Doors .31 Skyliglits .55 1) Lower Level (~aseinent) Total Exposed Wall Area Opaque Wall Area ~ X(U} .043 = Wood Frame Area ~T"/ X (U) .09 = Rim Joist X .Oh = % Exposed Block X (U) .132 = . Window Area - X (Uf .35 = I~."1 • Sliding Glass Door X (U) .35 = r poor Area ~ x (U) .31 = Total .ti LllfI~GR~f1 2) First Or Main Floor cor~sTauciioN u Total Exposed Wall Area INC Opaque Wall Area ~ X (U) .043 = lJood Franie Area -1 ~ X ( U ) .09 = ~ • O Rim ,loist X (U) .04 = ~P•~ Window Area ~ X (U) .35 = 9a.'i I. Way2ala flNd. Sliding Glass Door ~ d X(U) .35 w:iyra~~ ~i 0 Miiuu:sol~55391 Door Area X (U) .31 = . ~l (fi I ~pV3-1231 To ta 1 3) Second Floor If Two Story i Total Exposed IJall Area I~ Opaque Wal l Area X(U) .043 Wood Frame Area ~~71 X(U) .09 = 1L •C/ Window Area X(U} ,35 = cl~ 1~1 Sliding Glass Door ~ X (U) .35 = ~ _ ~ Door Area ~ X (U) .31 = Total I'~/0. ~ 4) Total Ceilin9 Area Wood Fraine Area ~~'/~X (UJ .027 = Opaque Ceiling Area X(l1) .023 Skylight X (Uj .55 = Total ~ ` ~.~an~~~~n s~c~s. ca~israucuoN iNC MINNESOTA U FACTORS Total Exposed Wall Area~ X.11 MINNESOTA U FACTORS Total Exposed Ceiling Area ~~/Ii~ X ..026 = , (A) Total = • ~ 935 C. Wayiala OImL G w~~y~~~~~ Itein 1~.~+ Item 2 ~~l[' Item 3I'/0~~+ Item 4~/~~ Mwnr.snla 55301 (G 12pV3-1231 If Total Of Items i-4 Is Less Than Itent (A), Quildiny Complies With SBC 6006 (C)s t1 CI7Y USE ONLY ~ ~O / L ` BL ~ n RECEIPT#: 1 l~I y SUBD. ~m s~7C-? t a~~ 3 Y~ RECEIPT DATE: I I- I~' 1999 PLi1M$INe ~~i1411T (it£SIDENTI~L) C11'Y OF gRfil4N S$SO PILOT KNOB RD f.l4fiAN, MN 551f2 (ssi ) 681,4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ~ FIXTURES EACH # TOTAL Shower 3.00 x / = 3°° Water Closet 3.00 x - o= Bath Tub 3.00 x Z = b°U Lavatory 3.00 x ~ _ /L°o Kitchen Sink 3.00 x - °O6 Laundry Tray 3.00 x ~ = 3°- Hot Tub/Spa 3.00 x ~ _ Water Heater 3.00 x _ Floor Drain 3.00 x / = 3°- Gas Piping Outlet ' minimum - 1 3.00 x ~ _ Rough Openings 1.50 x _ ~ Watef Soft8flef ' for dwellings under construction 5.00 % _ WaterSoftener ' forexistingdwelling 30.00 X = U.G. Spflnkler ' for dwelling under const. 3.00 = U.G. Sprlnkler ` for existing dwelling 30.00 = Alterdtions ' to existing residence 30.00 = Water Tum Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished syslems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681~4675 for inspections of water heaters, water softeners, alterations, etc. 00 TOTAL ~o ~ • - • - ° • I hereby acknowledge that I have read this applicaUon, state that Ne Information is correct, and agree to cnmply wiN all appliqble City of Eagan wdinances. It is the applinnPS responsibility to notify the property owner that fhe City of Eagan assumes no liability Tor any damages caused by the CiTy during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ~~~?2 C~~f e ~J//d~, OWNER NAME: L-y~/~f e~~/aS Co~?S~- INSTALLER NAME: ~~a vc 4~~ ~~'KreG~ Rn i c~ L TELEPHONE Gld ~y~-r y~~~ STREETADDRESS: J~~~ L<ra~`lB~ ~?!!~L CITY: S(// o¢LL(1~~~ STATE: /6~/~ ZIP: ~s.~7s ~~~.2~~G~~.~`-~' SIGNATURE OF PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY USE ONLY ~ ~ ~ LO'C 1 BL -3 RECEIPT ~ ~ cl ~ SCBD. ~x nn e !l 1~_0 ~ ~ 3 ~ ` RECEIPT DATE: ~ I - I ~ / 1999 M£Ci~I~4NIC~kL ~~MTI' (fi~SID~NTI14Ia crrY oe ewsnr~ s8so ~iw~r ~sr~os sn eRSnASUVSSi~a (631)681-46T5 Date: ~ ~ Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied ~ HVAC: 0-100 Pe1 B T U $ 30A0 ADDITIONAL 50 M BTU 6.00 ~ • Gas outlets (minimum of one required @$3.00 ea.) /L ~l' • State Surcharge: .50 5~ • TOTAL: ~ Complete this section onlv if you are 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 _ Fumace _ Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other Reminder: Ca[1681-4675 jor inspections. $ 30.00 State Surcharge: . 50 Total: $30.50 SITE ADDRESS: / ~ ~ Sl`T//~ G( `r "r C /l~~ ONNER NAME: L ~ ~ N f'~~~i/ ~o~?ST PHONE ~~c~ ~~~~4 IVSTALLER NAME: ~(Q ~t /f<v/ G~~// ~ //lQrl~~~ PHONE Y~'7~f~ STREET ADDRESS: ST ~ ~ ~lS~ G!/-S„ CITY: _ Sv( ~LGD~/G STATE: Z[P: ~S 37 ~ C~~4~~~f~ S[GNATURE OF PERMITTEE Ji~FOR.b15 6LDlMECH PEILb1IT (Rf5) - 1999 Address 4661 STONECLIFFE DR ~j~~<~(o7y9~ Zjp 5$12? IAt 4 Blk 3 Sub PINETREE PASS 3rd THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: Yes No Inspector: Final gcade (6" from siding) X Permanent steps (garage) Permanent steps (main entry) Permanent driveway ~ Permanent gas x Sod/Seeded gtass TraiU~rb damage Porch Basement finish Deck Please verify with the bwlder the removal of roof test caps from the plumbing system and the shut-off of water supply [o the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler sys[em. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy _ . - - , _ . . , k - _ -_r, _ - - . - - . _ . . _ . . ..+,.ca', ti:.f.; '::.,,.:'i8'R!~':i:ir::,.:: d+i'b %:en~L'.,.-.': ' .:w.~~:ia:ar . .:'r~4;%n`:4~r;rSn~jsn.$~. _ _ _ - - ~ s REIASIONS BY a . ~ . . . . _ . . ' - " _ - , ' ' r , ~ ~ ~e ~Y¦ ~~~~~8 H~~ LEGEND ~ i N89°19'27"E 153.63 b OO DENOTFS SANITARY IAANHOI.E BENCHMARK (928.0) ~ ~Q'~OTE$ FIYDRANT (932.8) 927.3 ~ I ~ ELEV = 923.49 927.9 X X 933.4 g 35.23 x ~ / ~ ~1~ B/~SIN 927-3 s.oo N e.oo ~ O. 5 DENOTES SANITARY SEM~ER - - - ~ - _ = sze.s x ^ zo N ~ \ ~ W DENOiES WATERMAIN t~ S / ` W o-- ~ ST DENO7ES STORM StINER ~ ~ b xsz~•z 0 2~ / % _ ^ ~ DENOlES STORM MANHq.E ~ 924. X 923 J X ~ M / ~ 3 (V ` l ~ I ~ ~ ~ ; v N / _ o .9 M r ~o,a ~ ~R~ ~ : ~ ~ I L~ 4 ' 3 ~ 9~z .5 X 31.24 / ~ ~ ~ '~T"] SETBACKS ~ ~ ni ~ c ~9 ~ N I o I N CII N m~ MIN. FRONT YARD ~SETBACK = 30' G~•~i ~ ov, « g~ 'o ~ M p MIN. S'IDE YARD SETBACK = 5 GARAGE, 10' DWEWNG ~W , x` 4 k~ ~ o~ 10 gp d MIN. REAR YARD SETBACK = 15' TOP OF ~o Y n~ N ~ S~OPE n W \ I~9z,.o so ~ x 2s., I ~ 30 ~ a~ 9236 X 921.3 X ~.0 921.8 ~g- 7 X 926.3 E~ ~ , d ~ I ' X918.3 X921.9 D ~ W ~o~, ROOF~AREA~ 2 242~ S.F. ~~`OFS ~ ~Rq~N ~ ~°r''~' LROOAREA a21.999 S.F. g ~ AREA % 10.2% " N F'5.~~~~~</ - / ~ 20% MAXIMUM ~r~ ~o~ T i'"`YM//A3,n~(rAsi? ~ ~~Q' r O~ . x 926.1 Z 9 8 ` SI ~ FEN~1 c926. ~YJZN . F~ioT2n~ DEt'T~ } ~ ~ 167•~~ SHAL[. Bc °O , ~ o / r ~ R Proposed Top of Foundadon OevaHon= 930.67 / Propoaed Garoge Floor ~evation~ 930A W U ~ ~ ' 6o rj ' S3„ ANp ~ ~ a, ` o~ta AI?owable Floor= 920.Opon= 922.67 z x~9;z e, " o E ~F " _ ~ E~ ; ~ ~ W : ~ / E ~ ~ pONp ~a- ~ $ o Denates Iron Idonumant ~ ~ {Y., E" ~ ~ 7 ~ - ~ ~ _ ~ : + 910.0 Denotes Existing Ebvation Q ~ ~ / -r 1 1 V w`19~1 Q ~ . ~ ~ q _ - „ , j ~"F 1. ~ +(910.0) Denotes Proposed ~evation U ~ A Z ~ ~ Denotes DirectTon of Surface O a ~ n I ~ ~ - ~~,s9~$' / Dratnage F a~ c~ v ~ H 918.0 Denot,es Sanftary Sewer Service ~j ..a ~evation V ~ ahar ~~os th~~ ~ and cortsct ropneeentation LOT 4, BLACK 3, PWETREE PASS 3RD ADDfTION NOTE: WETLAND AS LOCATED DAKO~TA COUNiY, MINNE50TA DRAwN Md ths bcation of all buildi crry ~ BY SVOBODA ECOLOGICAL encrmchmerds, ff ary, from ~on said~ la~ils~au CMEpCm RESWRCES AND ms th;a th day of June, 999. ~d ~ SURVEYED BY SAIHRE ~ BERGWIST, INC. c~ . 1 5 19s~ ~ cary cem,o~a ~2ECEIVED JU'1 ~ u~r,~a iar,a s„?~w~. ~r~~. ~r~. No. s4~s4 ,ioa Na~... s.m-so+ . . , . , . . . . . . . ~i . . . . . ' . . ' . . _ ' _ . . . . _ . . ' . . - . , _ _ - ' ' _ . .e ..t~e.:}J zoo6 RESIDENTIAL BUILDING rExnuT arrLicaTrorr ~ 3~ ~ 2~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 „ ~~~.~~t~ Telephone # 651-675-5675 FAX # 651-675-5694 ~ New ConsWCtion Reauirements RemodeVReoair Reauirements rifi"~c6~seOnl`Y 3 registered site surveys showing sq. ft. of lot, sq. ft. oi house; and all roofed areas 2 copies of plan showing fooGngs, beams, joists G€rtGG;S,G~?70'~~i~"E'~~~'_~~~""`_=N ~ ;sk:: rr.4;hi:{y°`.~. :y:`,-.M (20% maximum lotcoverage allowed) 1 set of Energy CalculaLons for heated additions Sals Repor~ 1 Soils Repod'rf proposed building a to be placed on disturbed soil 1 site survey for addi6ons 8 decks ~ TrcePresPla~ Recd !1~.~';i~`1'~~".~.N 2 copies of plan showing beam 8 window sizes; poured found design, etc. Addrtion - indkate ifon-sRe sep6c sysfem 7t¢e~Pres;. ' ifirtd a.~: ka~ ,:0 ~4 : - ~a~„~,@'_,':. 7 se[ of Energy Calculations Qii-'sif'e'Sep9q;SysCeiR~w:==~'Y ~ T'f1 3 copies oiTree Preservation Plan'rf bt platted aher7f1193 , p ~ Rim Joisi ~epil Options seleclion sheet (buildings with 3 or less units) ~ I a i~ ~ Minnegasco mechanical ventilalion form ~ ^ ~ Date ~ / ~ ~ / ~ ~ . Construction Cost ~ ~ ~ ~ ~ ~ ~ Site Address ~~Q ~ ~ T ~t- L~ f.~i(`. Unit/Ste # ~ Description of Work h`T/~ L~- 0 d L Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner t`T~ ~ Telephone # ( ~~-t ) 7 ~ - ~ ~ Contractor ~ ~ ~ ~ ~ ° Address ~~-l ~ ~C ~ C 1~ City ~~t~T~'L Aiv AD _ State f 1 ~y~~ Zip ~S 1 Telephoue # ( (y ~ ) I ~ - ~ ~j ~ ~ -C COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet ('~submissiontype) Submitted 5ubmitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor ~ U~ I Telephone J n SEP 1 9 2006 I!l Sewer/Water Contractor III Telephone # ( ) - I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of ork which requires a review and approval of plans. r~ ~ ,p~L t~ ~ f ~ a~ _ ApphcanYs Printed Name Applic Ys Signature DO NOT WRITE BELOW THIS LINE . . Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex 2D Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ~ 35 Int Improvement ? 38 Demolish Interior ? 44 Siding j~ 32 Addition ? 36 Move Building ? 42 ~emolish Foundation ? 45 Fire Repair ? 33 Alteradon ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant D05C1'ipYion: Water~amage_Yes Valuation ~'Z z~ ~ Occupancy /2 " 3 MCES System ^ Plan Review 100% or _ 25% Census Code /-!~k Zoning ~2- ~ City Water SAC Units - Stories ~ Booster Pump ~ # of Units - Sq. Ft. ~ PRV ' # of Bidgs f Length ' Fire Sprinklered ~ ~ Type of Const r Width ~ - - REQUIRED INBPECTIOAiS _ Footings(new bldg) _ Sheetrock _ Footings(deck) _ FinallC.O. _ Footings (addition) _ FinallNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final ~ Pool ~ Ftgs ~ Air/Gas Tests ~ Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: i , Building Inspector -----------------------------'pY'-------------------i--------------------------------------------------°---------------------- Base Fee 3,`Z! Surcharge ~ Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total - A„9i22i2tl06 A4:30 EfiGqN EKa+COM DEV 99948001 N0.334 Dm3 f~aC'vG~b~1 ~~~0~~~~ V+~~ V ~ a~~~~~ r~ oa~: _g-.2~-o~z ~ ~Q(,~~~~ ~~O1L~~RfG INSPECYIOR9~ L~l911~C~RI' @!/ ~ L~-,~`~/ V~ oo~ ~Y ~ Date ~ ~J~,N ~IC'adltfEERdNG ID~~'ll'< ~ • , . ~ Sr°N~`~ rF~. FE a~~ ~ ~ ~ Nas~~a4sz=v ~ ~ ~ 0'~~Z~ ' ~ Q6`~Z l ~ ` ~ ~s o r ~ ~4~ N~- ~ r.. ~ ~ a C"; ~ . i ~ ,a / , ~ • ~ ~ ~ ~ z ~~,aa~~ ~ CL'0£6) ~ j ' \ « ~ ~ , i i', a~ , ` ~ a S ~ „ it w~a+~wom ta? S{ ( ~ ~ Q~ O.~Odbtld I w~ ~ ~ ~ ~ ~ 9L [C6L S~i I as p~ ~ . ~ w x ,,~4 ~ ~ ~ ~ "°r°-a~ ~teo) x ~ ~ ~ r y x r ~ d k , ~ \ 1~ ~ y a~o ~ p~z ~ ~ ~ Z k~ ~ ~ L, ~ ~ ob1~ • ~ ~ x C s"r.b Nl z-Z.~,1 ~-~.-~.b~ ~ ~ i .s '.n i ry 1 d_1.~ ~ X C`L't b ~ ~ r i ~ V7 ~y, \ \ ` OQ~'r~ m / ` ~~•ost ~ r~„~~,~zoaon~ ~'l r r,..,.,,,, _ ~ M i ~ vK T0'd Wtl 6S:ZI 900Z-SZ-d3S r POOL PERMIT - APPLICATION SUBMiT7AL REQUIREMENTS Address: ~L 5~~neG~ ~~e Applicant Name: ~ '-U ~r~r~a v ~ ~ GENERAL tNFORMATION v ¢ ~ o 'z ,f~ Applicant - name, address, phone & fax numbers, signature ? ? Property owner name J~ Legal description and address of properly North arrow, scale (1" = 30' or 40'} and date ,0~ Location and name of a11 streets adjacent to property ? 0 Site Plan drawn to scale showing location of house, pool and other existing or proposed structures Directional drainage arrows (existing and proposed) ELEVATIONS Ew.stin~ ? ? House corners ? 0 Pmperty comers J3 On property lines at point of ineasured dimension to pool (see below) ?~7` Q If applicable, ground elevation at each end of retaining wa11s and at wall's greatest height Proaosed ~ J7j Finished pool deck corners Top of retaining walls (if any) and at each different elevation (if it changes) ? ~ Pool bottom (or max. depth) DIMEN510NS Existina f~ ? ? All property/lot lines Proposed ? ? Pool .~1 ? ? Pool plus integrated deck/patio Shortest distance from outside edge of pool deck to lot lines aad house Reviewed: ~9 ~(O6 Na e 9/z~,d G:FOAMS/Pool Permit Chuk]isV06A2A4 ~ LiT a ~ ~ ~ ~ " lJ . ~ Q. y' N ~ ~ ~ ~ - I ~a ~ House ~ ~ ti ~~T ~ ~L~o / d~`~ I ~j 4 L ~F / ~ ~ l f~ ~~o ~i ti y~1`~. ~ i N .s ,~1'aT$ I ~ I ~1 /~,l x 1 Z~~ ~-a ~~~M~ ~ a~ ~ s` Z ; _ ~ CONTRACTOR CUSTOMER All Poolside Services ~ ~q 35Contact: Jerry Theisen Name ~ ~~k~, ~A ~'~`'1 ~P Phone L's 1``~ S~~ 121 E. County Rd C ~ Little Canada, MN 55117 Address ~ ~P ~ ~ (651) 994-4999 Eagan Store City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4661 Stonecliffe Dr Lot: 4 Block: 3 Addition: Pinetree Pass 3rd PID:10- 57662- 040 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 Applicant/Permitee: Signature BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $90.00 Owner: Keith Kapala 4661 Stonecliffe Dr Eagan MN 55122- -275 Permit Type: Permit Number: Date Issued: Permit Category: Building EA086784 10/10/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4661 Stonecliffe Dr Lot: 4 Block: 3 Addition: Pinetree Pass 3rd PID:10- 57662- 040 -03 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Property Claim Solutions LLC 4655 Nicols Rd, Suite 202 Eagan MN 55122 (651) 994 -2028 PERMIT City of Eaan Permit expired without required inspections. 4/20/2009 CE BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 Owner: Keith Kapala 4661 Stonecliffe Dr Eagan MN 55122- -275 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA086874 10/14/2008 ePermit When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and take steps to ensure maximum ventilation into attic space. I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State High performance pump Simply the most efficient and quietest pump you can buy Maximum circulation efficiency at the lowest operating cost. Long trouble-free life. Minimal maintenance. WhisperFlo, the incredibly quiet, incredibly reliable pool pump outperforms the competition by every measure. Additional features include: • Oversized strainer basket utilizes durable, flexible material for long life. • Unique FunnelFlo- diffuser and high -efficiency impeller maximize water flow and energy efficiency while minimizing turbulence and noise. • WhisperFlo is made with high-temperature, engineered thermoplastic to withstand extreme heat and prevent corrosion. • Energy efficient motor features commercial grade frame, rust -proof stainless steel shaft, and permanently lubricated, sealed bearings for long, trouble-free life. • Available in single -and two -speed models. • Three-year warranty. See warranty for complete details. 35 - 30 - 25- 99s =g 20= Full -rated Performance Curves 110 S 15= 34S0 RPM —+- 3 HP High Speed ▪ 2 HP High Speed — 1hHPHigh Speed ▪ I HP High Speed 'A HP High Speed . -- 1 HP High Speed 5- • 0 1 1 1 I 1 I 20 40 60 80 100. 120 140 160 U.S. Gallons per minute 5 10 15 . 20 25 30 35 Cubic Meters per hour ® e)(ik Ask your Pool Professional about Pentair's comfort and convenience options to add a whole new dimension to your pool living: automatic sanitizers • automated controls • heaters • automatic cleaners * automated color lighting 11/00 Part #PI -220 Printed in USA ©Pentair Pool Products, Inc. cause reliability matters most Phone: 800-831-7133 • Fax: 800-284-4151 •www.pentairpool.com Clean & Clear Plus Four cartridges in a compact design Clean & Clear PLUS cartridge filters feature four polyester cartridges that hold enormous amounts of dirt, yet are easy to clean. For ease of maintenance, the fiberglass reinforced tank halves are secured with an innovative clamp ring. Additional features include: • Bulkhead fittings for easy installation. • Continuous internal air bleed prevents air build-up to maintain optimum filtration capability at all times. • 2" plumbing for maximum flow. • Single -piece base and body for strength, stability, and years of dependable service. • One-year limited warranty. See warranty for details. Clean & Clear Plus—Cartridge Filter Model Number CCP 240 CCP 320 CCP 420 CCP 520 Filter Area Sq. Ft. 240 320 420 520 Vertical* Clearance 56" 62" 68" 74" Filter Diameter 21.5" 21.5" 21.5" 21.5" *Required clearance to remove filter elements *'Maximum flow rate Flow Rate GPM Res.** Comm. 90 90 32. I20 120 43,200; 150 150 54,000 150 150 54,000 Ask your Pool Professional a comfort and convenience optic whole new dimension to your • automatic sanitizers • automated controls • heaters/heat pumps * automatic cleaners automated color lighting Pentair Pool Products® Because reliability matters most Listed WU 11/04 Part #PI -130 Printed in USA ©Pentair Pool Products, Inc. Phone: 800-831-7133 • Fax: 800-284-4151 • www.pentairpool.com MiniMax® NT High Performance Heater Nobody outheats us. Nobody outlasts us. With the MiniMax NT you make the most of your pool investment by extending your swimming season. It's pre -wired for use with all major brand pool/spa automatic controls. Additional features include: • Available in a range of sizes and in natural gas and propane versions. • Fan -assisted exhaust for optimum ventilation. • Easy service access to all major controls behind hinged access doors. • Low profile design with rounded corners is visually attractive. • Aluminum and composite jacket assembly for corrosion resistance. • Stainless steel burners for long, corrosion -free life. • Easy -to -install CPVC bulkhead connections and reversible headers. •Two-year warranty. See warranty for details. MiniMax NT heater required to heat pool in 24 hours Desired temperature rise s 1 1 -Q 3 c.n.M.a FRAR 9/02 Part #PI -401 Printed in USA ©Pentair Pool Products, Inc. MiniMax NT heater required for maintenance heating Desired temperature rise S MiniMax NT heater required to heat spa in one hour Desired temperature rise 5 3 a A Ask your Pool Professional about Pentair's comfort and convenience options to add a whole new dimension to your pool living: • automatic sanitizers • automated controls • heaters/heat pumps • automatic cleaners • automated color lighting Pentair Pool Products' Because reliability matters most Phone: 800-831-7133 • Fax: 800-284-4151 • www.pentairpool.com An Inside L At How Your ,. Is tionstnacted 7595- THE POOL THAT'S SELF-SUPPORTING WITH OR WITHOUT WATER More than a promise, this claim is fully supported by a complete Engineering Report produced by an independent professional engineering firm. After selecting the ideal location, the pool is laid out. Here the walls have been backfilled and the decking partially poured, visual proof that the pool can be backfilled and the deck poured with no need to equalize backfill with internal water pressure. This brace, installed every 4' coupled with the vertical Z -bar® stiffeners - welded every 2' - gives your X -Brace"" pool outstanding strength. This Fox -created design concept has been imitated but not duplicated. All Fox claims are backed - in writing - in a detailed Engineering report. *U.S.Patent No. 4,797,957 The pool is excavated to the dimensions pro- vided on the Fox drawing. The Fox recommended construction method applies to rectangular and free form pools. Here a sand, vermiculite or sand/cement bottom is shaped and smoothed to the dimensions provid- ed on the Fox "dig" drawing. FOXGARD® components are placed in position around the pool. Fox Panels aned Braces are assembled and the pool walls are plumbed and leveled. Several tons of concrete are poured around the Braces and Panels, to serve as a permanent footer. Note the bulwark of braces. The liner is installed and the pool is ready to be filled. In this case, the pool could be complete- ly filled before backfilling or pouring the deck, further evidence of the Fox statement that the pool is self-supporting. • A variety of panel lengths meaning customizing capabilities, "Z" stiffeners span the total height of each panel for rigidity, strength and support. • All panels are precision drilled for accurate alignment, accurate brace assembly and location of rerods for footer and deck supports. • Pre-radiused corners eliminate the need for fillers, wedges or other fillers - curved transition eliminates fight angle corners, improving water circulation. • Specially plated bolts and fasteners assure a corrosion -free underground structure for lasting performance and beauty. Page 23 • Entire pool structure, braces, panels and straight wall stiffeners are FOX- GARD® brand - these are entirely encapsulated in a protective material for lasting corrosion protec- tion. p cemned :abet p©al safety? Every pool oW ter should . Fortur at i ,tie Co er`tuxe sys rn is .0 ..� v_ed safe ewendalso meets:alt ASTM "po e.red safes* co rer r i Terri rets . ltrs ddr p al y r tan that gives the kind of peace of hill you"need- tee ep » your s • DATE MESSAGE COIF I RMAT I ON 09/22/2006 14:31 ID=EAGAN ENG+COM DEV S,R-TIME DISTANT STATION ID MODE PAGES RESULT 09/22 00'55 99948001 CALLING 03 OK 0000 09/22/2006 14:30 EAGAN ENG+COM DEV 4 99948001 City of Eaaau FAX TRANSMITTAL NO.334 P01 ENGINEERING DIVISION PUBLIC WORKS DEPT. 3830 PILOT KNOB ROAD EAGAN, MN 55122 FAX NO. (651) 675-5694 TO: ATTENTION: ( T $ DATE: `124./0 FAX NO.: 19.C/- 4-Rroci TIME: Z= 30 t . en - COMPANY: _<ad.i, NO. OF PAGES TO FOLLOW: Z FROM: Dave Westermayer, Engineering Technician PHONE NO.: 651-675-5641 SUBJECT: +Lt bl 64bn e -h be_ COMMENTS: 4_4 v .moi .r.I Crge..-.1111 w1L._ (2.44 .1 a f, . r, n hA £ o.1d) rwo -1d/Asti t7 e • • NOO° 22)23"W 160.35 x 74.50 • i 1/� � \to [» fid/ • 173; J ti; to 01 01 O1 01 J • I aersigo 1m 4i lin 4x ,o'o Xt4 1 P'RCl 1 t5.00 921.6 X 921.5X • x.�. 10 40 Gs Al x w w (922.2)F~ -" - 104. 20.87 4. 12.33 PROPOSED WALKOUT ( o 4661 STONECUFFE DRIVE c 12 ;19132:9 11 x (930.2) 15 x 15.00 I C918.0 vaiq 111 fJ i 17 E GARAGE N V v N (930.0) x 20 12 �x \\ & ti a• 'xwa 125.90 R=-245.0`° L.=29°26'32" 3 fo (0 wa 3..4J1133Nts ) 67- 00 - 1-1 6-5'- - 0.3 �Z 5 A -F + S � City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA146686 Date Issued: 11/07/2017 Permit Category: ePermit Site Address: 4661 Stonecliffe Dr Lot: 4 Block: 3 Addition: Pinetree Pass 3rd PID: 10-57662-03-040 Use: Description: Sub Type: Residential Work Type: Replace Description: 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 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 - Applicant - Owner: Corey D Han 4661 Stonecliffe Dr Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature For Office Use Permit ft: 1510,237 cc._ EAN rrn, %.4,..... ..44, Permit Fee: iet?-62, .„„,,,.......„,,, iECEIVE Date Received; / ,.. !4 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 IP (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I JIM 2 ' 1 7 019 Staff: buildinoinspectionsecityofeactan.com L BY: illt_ &-076 .49 -- - 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/17/2019 4661 STONECLIFFE DR Site Address: Unit#: COREY HAN 651-249-9864 ---i Name: Phone:79 Resident( Address/Ci1/g SAME AS SITE /-I i ,31(4 g-ke.6 iv/L-s TntRcr °Wrier ty/Zip: Applicant is: Owner VI Contractor INSTALL EGRESS GLIDER 56"Wx38"H. HEADER:2X8 x2 LVL Type of Work Description of work: ' Construction Cost: 1800 Multi-Family Building: (Yes /No ) Company: THE EGRESS WINDOW COMPANY Contact: MARY M. DEVENS 4707 HWY' 61 N #146 • WHITE BEAR LAKE Contractor • Address: City: State: MN zip: 55110 Phone: 612-231-0010 Email: REVAMPDESIGN@COMCAST.NET License#: BC634654 Lead Certificate#: F114840-2 ............_ If the project is exempt from lead certification, please explain why: I-- --- 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 nonpublic if,you aroyide specific reasons that would permit the City to conclude that they are trade secrets. J Youmaymay 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.cityofeagan.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 Can at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvvw.gopherstateonecaltorq 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 f plans. x 1 ., 7 MARY M. DEVENS ...\\_47 x /1 I)—\--- --.1..------ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 4(e(' l sv.0( 'Ve 1� el/s-6,.23.7 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 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 _ Windows _ Demolish Foundation — Replace _ Repair X Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation a,c,0,3 Occupancy ../..A.C- L MCES System Plan Review Code Edition gods r,.c,/4,0 SAC Units (25%_ 100% pc ) Zoning /2.-I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ` Z 1' Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required 1 Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test—Hood 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 X 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: 0 Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee k h ‘ Surcharge Ail IN- - FC-E, Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA168838 Date Issued:05/05/2021 Permit Category:ePermit Site Address: 4661 Stonecliffe Dr Lot:4 Block: 3 Addition: Pinetree Pass 3rd PID:10-57662-03-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Corey D Han 4661 Stonecliffe Drive Eagan MN 55122 Street Plumbing Inc 11804 River Hills Dr S, Unit 5 Burnsville MN 55337 (612) 419-9926 Applicant/Permitee: Signature Issued By: Signature