4662 Stonecliffe Dr
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ~i
3830 PILOT KN06 RD • 55122
657-687-4675 C n f1 n
NewCanstructlonReauirements RemodellReoairReauirements
• 3 registered site surveys shwring sq. R of loi, sq. fl. of house; a~ll roofed areas • 2 copies of plan
(20% maximum bt coverage albwed) • 1 set of Energy Calculations for heated additions
. 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 sNe suney (or exterior additions & decks
• 1 setaf Energy Calculafions . Indipte if homeserved by septic system for addi5'ons
• 3 copies of Tree Preservation Plan if lot platted after711l93
• Rim Joist Detail Options seiection sheet (bldgs wiN 3 or less uniLS)
DATE I4/0 VALUAPION !_~D C~~0• ~
JOB SITE D RESS liN' lAL
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~ LI c{L or~
TYPE OF WORK FIREPLACE(S) _ 0 nl _ 2
APPLICANT A~Ro,) J oµ.,e PHONE#
ADDRESS a M f Gkorme (MiJ 5 ZIpCODE -Y53 75
PAGER # CELL PHONE #G~d -I FAX # clsna ~o~~ ~'bl
NEW RESIDENTIAL BUILDING ONLY- PILL OUT COMPLETELY
Energy Code Category _ MINNLSOTA RIJLES 7670 CA PEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbfng Conhactor: Phone
Plumhing System Ittcludes _ Water 5oftener _ Lawn Sprinkler Fce: $90.00
_ Water Heater No. of R.I. Aaths
No. of Baths
Mechanical Controctor. Phone #
Mechanical Syslem Includes: _ Air Conclitioning I+ee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: ~ Pho F
`
All above information must be submitted prior to processing of application. U
I hereby ocknowledge that I have read this application, state that the informati Ns~re~ • o comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina ~
Signature of Applicant ,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Poroh (3•sea.) ? 31 Ex[. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex W/19 Lower Level ? 24 Storm Damage
? 06 04-pfex O 12 12-plex P1bg1Y/Yor^ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
-1~ 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ~IZSO Occupancy MClES System
Census Code Zoning TC City Water
SAC Units CJ ~ Stories Booster Pump
Nbr. of Units D Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const -/v Width
REQUIRED INSPECTIONS
_ Foorings(new bldg) FinallC.O.
_ Footings (deck) ~Y Final/No C.O.
_ Footings (addition) Plumbing
_ Foundation Y AVAC
Drain Tile
Roof Ice & Water Final O[her
~ Framing Pool Ftgs AidGas Tests Final
Fueplace ~ R.I. ~Air Test ~Final Siding Stucco~ Stone
~ Insulation _ Windows (new/replacement)
Approved By S 1" , Building Inspector
-
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies C-e5V
Other
Total
Address 4662 Stonecliffe Dr ZlP 5$12_
IAt 2 Blk Z Sllb Pinetree Pass 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector•
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ~
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of wa[er supply to
the outside lawn faucet before freeze potential exists.
ContaM engineeting division at 681-4645 before working in rightrof•way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL ~
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremanb RemodeUReoair Reauiremenb
• 3:egistere4 site surveys showing sq. R ol Ioi, sq. ft. of house; and all roofed areas • 2 coDies of plan
(20% maximum tot cove2ge allowed) . 1 set of Eneryy Cakulalions (or heated additions
• 2 copies of plan showing beam 3 window srzes, poured found desgn, etc ~ . 1 site survey for extenor additions 8 decks
• i set of Eneyy Calculanons . Indicate iF home served Cy se0tic system for adCihons
• 3 copies of Tree Preserva6on Plan d lot platted afler 711i83
. Rim Joist Detail OpGons selechon sheet (bidgs wilh 3 or less umts)
DATE VAIUATION ~a_Z>
SITE ADDRESS -`(Cco 2 S~~C~~4-4-C ~ MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK_1PcW FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFINR & REMODELING, IN~
APPLICANT 4100 EXCELSIOR BLVD.
STREETADDRESS ID#0001050 CITY STATE_ZIP
TELEPHONE CELL PHONE # FAX #
PROPERTYOWNER_~_~>J~FI ~t~l.D-~v7SdY1 TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N[I` VESO"t':\ RULES 7670 C:1"fI:GORY I mI ' '\~L~l~i~ M
(v submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • Code Worksheet ~ mitted
• Energy Envelope Calculations Submitted 2 2002
Plumbing Contractor: Phone #
Plumbing system includes: _ 4Vater Softener Lawn Sprinkler $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor. Phone #
NIcch>uuc.il scstem mcludes: Air CondiUOning Per. y70.00
Heal Rccovciy Systcixi
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application. state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf 101~
_ .
OFFICE USE ONLY
CertiFicates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? OS 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 PorchiAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundahon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fve Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaL'C.O
_ Foonngs (deck) Final{No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AmGas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new:irepiacement)
_ Insularion _ Reraining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT# ( v ~)7((' RECEIPTDATE:
MIDEN77AL PLUM$1RG PFItM1T APPLICihT10R
C1TY OF F.Afii4N
3$30 PILOT KAOB $D
Etsa?x, buv 551E2
651-6$1-4675
Please complete for: A single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 1(oZ jJ
OWNERNAME:: Pptn~ f/S P~2C~~KTN TELEPHONE#: S~ ys y
8) (A
INSTALLER NAME: /hn ~ LEPHONE
95A~ o~
STREET ADDRESS: (AREA CODE)
lfrl j~
CITY: STATE: A-V" ZIP:
~ -
Place a check mark next to the ermit work t e
~ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: ~u.1011~
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
Water tumaround - existing dwelling unit, including: $ 50.00
• 5!8" meter 115.00
$ 165.00
State Surcharge $ .50
Total $ 0•
I hereby acknowledge that I have read this application, state that the information is correct, and agree b complywith all applicable City of Eagan ordinances. It
is the applicanPs responsibility to notify ihe property owner that the City of Eagan assumes no IiaGiliry for any damages caused by the City during ils normal
operational and maintenance activities lo the faciliGes conslrucled under this permit within C~ pr peghEO~~ y! aseme~ nt. ^
A~
SIGN R OF PERMITTEE 1102
~ , ,
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1999 BUILDING PERMIT APPLICATION (RE$IDENTIAL)
CITY OF EAGAN
C) C) asao au,o•r xxos izn - 55122 (651) 681-4676 ~
New Construction Requirements RemadeVRaeair Reauirements _ o o ~7 (o• 3- ~
? 3 registered site surveys ? 2 wpies ot plan
? 2 copies of plans (include beam & window sizes; poured fid. tlesign; etc.) • 7 site suneys (extarior additions 8 deGcs)
• 1 energy calculations • 7 energy cakutations for heated additions
? 3 copias of tree preservation plan 'rf lot platted after 711/93 required: _Yes _ No
DATE: T~9 r-i CONSTRUCTION COST: ~~N2-26~~ P S
DESCRIPTION OF WORK: 16:5 E
STREETADDRESS: loorZ QS7A
LOT: 62- BLOCK: a-' SUBD./P.I.D.
Name: Phone
PROPERTY Last Ficst
OWNER
Street Address:
Ciry State: Zip:
Company: (~c.t.Nl'b iffv 1~'eo 5 • P6one#: =3
CONTRACTOR / /l
StreetAddress: ~ ~ 7-l V License# 1`-~15 Exp.3~
ciri state: .c1 ZiP:
ARCHITECT/
ENGINEER Company: Phone i!:
Name: Registration
Street Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction only): ~~1~£~ . Penalty applies when address
change and lot change is requested once permit is issued. Li Lt S_L/~
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compty with ail applicabie
State bf Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY 6~7 P~
I,. - (
Certificates of Survey Received ~ Yes _ No
Tree Preservation Plan Received _ Yes _ No ~3JNot Require~d
OFFICE USE ONLY BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SFAddition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-p{ex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New 0 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) 5' ^I Basement sq. ft. I q¢(o Census Code ° I
(Allowable) SnT- Main level sq. ft. S047, SAC Code a I
UBC Occupancy fZ• 3 Z`O LEU--sq. ft. Ici 515 Census Units t
Zoning -R: -.1 C?ML. sq. ft. Bo(~ Census Bldg ~
# of Stories 'L sq. ft. MC/ES 5ystem
Length '7 (o sq. ft. City Water
Width 52 Footprint sq. ft. ~ Booster Pump
PRV
Fire 5prinklered
APPROVALS Planning Building Engineering . Variance
~z.
Permit Fee Valuation: $ coo-
Surcharge
Plan Review
License XrS = 2-1~~y0 ~
MC/ES 5AC
City SAC lc47,->C S4 = llb )Zto0 i
Water Conn.
water Meter Ix 5 4= l0S o~
Acct. Deposit f30(' X
S/W Permit /
S/W Surcharge
Treatment PI. 25?
Park Ded.
Trails Ded.
Other ,
Copies . •
Total:
% SAC
SAC Units
a
` LOT SURVEY CFlECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
PROPERTY LEGAL' z, :p1o'~-1' ~'zn/F TRe~ S
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
p' ? p • Registered Land Surveyor signature and wmpany
Ja/? o • BuYding Permit Apqicant
V"? ? • Legal descnp6on
~ ? p • Address
~ ? ? • North arrow and scale
er • House type (rembler, walkout, split w/o, apBt entry, lookout, etc.)
~o ? • DirecUOnal drainage artows with dope/gradient 96
el o? Proposedlepsdng sewer and water servim & invert elevation
~ ? ? ~ Street name
~ ? ? • DrivewaY
~ ? ? - Lot Square Footage
~ ? ? • LotCoverage
ELEVATIONS
EosGna
2/o ? • Sewer service (or Proposed)
gk' ? ? . Property comers
93" ? ? • Top of curb at the drivewey
,s~y- o • Elevations of any ebsting adjacent homes
~/o ? Adequate footing depth oi structures due to adjacent u0'Gtytrenches
Pro s
M/? ? • Garage floor
? . First floor
e+'' ? o • Lowest exPosed elevation (walkouUwindow) .
~ ? ? • Property comers
~o ? • Front and rear of home at the toundation
PONDING AREA fR aodicadel
~ a ? • Easement line
a/ ? ? . NWL
q/ ? ? • HWL
~ ? ? • Pond # designation
? m-'o • Emergency Ovefiow Elevation
DIMENSIONS
Bl ? ? • Lot GneslBeanngs & dimensions
m/? o • Right-oi-way and street width (to back of curb)
o • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, e4c.
(i.e. all structures requving permaneM footings)
o ? • Show ali easements of record and any City udGCes wilhin those exements
q- • Setbacks of proposed structure and adeyard setback o( adjaceM epsUng structures
? v? • Retaining wall requirements, if any
Reviewed
Name ~ Dat8
Mareh 19BB
CRAKWOLoovaMr.M
o
BPOS' EXTERIOR ENVELOPE AVERAGE U COMPUTATION
CONSTRUCiION RE,IINGTON PLAN
iNC S i te A d d r e s s 4~~ Loa Blocka O/7CL°
- PQ SS .;3 ~
R& U Factors R U
935E WayzalaBlvd Opaque Wal ls .043
hv~yeaia Wall framing Areas pg
A4inneEala55391 Ceiling Insluation Area .023
!612)473-1234 Cei 1 i ng Frami ng Area ,027
Rim Joist .04
Ptasonry Wall .469
Windows .35
Doors .31
:
Skylights .55
1) Lower Level (Basement)
Total Exposed Wall Area
Opaque Wal1 Area 34 ~ X(U) .043 = f 3.~/'
Wood Frame Area X(U) .09
Rim Joist X (U) .04 =
Exposed Block X (U) .132
Window Area X (U) .35
Sliding Glass Door ~O X (ll) .35
Door Area - X (U) .31
Total S/~, t~
BROS' 2) First Or Main Floor
CONSTRUCiION n~
WC Total Exposed Wall Area
Opaque Wall Area X(U) .043 = 5;2, ~D
Wood Frame Area ~X (U) .09 =
Rim ,]oist v~00 X(U) .04 = O• 3Z
Window Area a / f X (U) .35 = ~ ~D
935 E Wa9tala 81vd G
WaY2a,a Sliding Glass Door ~D X(U) .35
Minnesoia5539t Door Area SC~ X(U) .31
~ r-
(si2W3-tz3i To ta 1
3) Second Floor If Two Story
Total Exposed l•lall Area
Opaque Wall Area ~(pX (U) .043
Wood Frame Area X (U) .09
Wi ndow Area X ( U ) .3j
Sliding Glass Door - X (U) .35
Door Area ` X (U) .31 =
Total 1Y 7~
4) Total Ceiling Area
Wood Frame Area X (U) .027
Opaque Ceiling Area X (U) .023
Skylight ~ X (U) .55 = -
Total ~f ~ ~ ~
LUDGRO
BPOS.
CONS1RUCilON
/ r
iNC MINNESOTA U FACTORS Total Exposed,Wall Area ~.S1~('X .11 =&-~~,2,
MINNESOTA U FACTORS Total Exposed Ceiling ~
Area ~ X .026
(A) rota, = sso, y~
935 E Vv'ayiala Bivtl
waYz2!2 Item 15'~,P + Item 2~~,Z-4+ Item 3/,S~Pe+ Item 4Z~3,1~
Minnesela 55391
(612)4i3-1231
If Total Of Items 1-4 Is Less Than Item (A), Buildiny Complies With
SBC 6006 (C)s
REV190N$ BY
;y~. t « LEGEND ,3 z~ 99
Y 4s,: . \ QS~ DENOTES_ SANRARY MANHOLE
;zt DENOTES ITYURANT
DEW7ES CATCH BASIN
Z N G 1`~EPTt{ Fo 2 11-7Z;-, ~TR~--iv ctl SNa LI?s ooio~s sarIrnRY st~ -
~u&jr,, q~7oo p w oaio~swi?~au~
• ~ ~9', o'J pOND BLP-6 ST DENO;tES STOR?1 SEWER - -.~5~
1 ~9~y6 ~ _f1 C3Q~J.7 0 QQ~~ $taN MA{'~t{~E V 3
H~ 907.7 n DENOTES STORM MRON a
Z~ 02~ ~922' _~1209 0 ° iS• SETBACKS s E+ ;
61 ~ ~
S ~~~p ~`g • y 0 tS11 MtN. FRONT YARD SETBACK = 30'
9Za3 ~ E/~r wo/~ si L~r MIN. SIDE YARD SE7BACK = 5' GARAGE, 10; DWELLING
S x x 9~ ~ ~ F.~~ MIN. REAR YARD SETBACK = 15 p4 ~
~ tP N66 ~ \ ~ ~ RfUNAGE & U1ILITY ~iJ ~ ;
~j11 +~~y~/~> g2 ~ ~ ~ t~ 7EASEMENT soo~ t9p ~ 3
PW'r $
•~~q ~Cfl~
d)
0
p--~1
27j) t'?'ii 'V , ~L~
ti \ ~ f\ ~ g,~ '3 No
D~cr x
~ 4L~
W 24• m ~ ' - e~~ / ~ a
\ ffD i» ~f'_'a ~ •~,r'~h~ DE¢~~'n
~ . \ ~
O ~ ' / o ? . g~ ~ A 8.2~ \
BENCHMARK
O1 4 2ai a 'FLEY = 925.04
25 .N~ Proposed Top of Foundation flevotion=931.83 ~ O
~ \ g3o s 9Ar pPropoaed Gamge Floor Elevotion= 931.50 N Om~
Y f~ 9. S('pProposed Lowaet Floor Elevatlonffi 922.83 IA.
v* Z~
w
~J
ro D ~
~ ~ S~S s'~o EXISTING WALK O Denotea Iron Monument
~ + 910.0 Denotea Baiating EJevation C7
+(910.0) Denotes Proposed Elevation V~ A z~
~ Donotos D~ ce of Surface ~ aZ O
m 970.0 penotea Sanitary Sewer Service y,~ ~-1 M
Devation
~ LOT AREA = 19250 S.F. i herebp certity that this.is a true and correct representation
~ of a survey of the 6oundnriea of:
ROOF_AREA = 2856 S.F.
ROOF' AREA % 15.096 LOT 2. BLOCK-2,'PINEfREE:PASS 3RD ADDIiION '
% 34 DAKOTA COUNTY, MINNESOTA` DRAWN..~':.
m Md the focution of all bu~ngs. if arry, theroon, and all viaible
Q 1 encroachments, ff any, from or on said land. As surveyed by CHECKED
me this 13th day of May 1999.
DATE
015-18-99
~
s
Ga R. Gem~ond 1•'3~p.
~ r'- - - - Licensed Land Surveyor. Minn. Lic. No. 24764 JOB 2 N ~O.g
- - - - - - -
~
.
r + . w -
_ - -a • . s ' . , eZ .
. . ..F
~.r,uM~.~.-'a:s.Y,-~-..n.3-,:^e-i.e-..~.vC.M.~d-..:5.~..i?.d_....:'.-i.a.....'tt
*dtV oF eciqcin
PALRICIA E AWADA
October 21, 1999 "1°v°`
PAUIBAKKEN
BEA BLOM9UIST
Mr. Eric Olson aeGev,a cnRLsor;
Lundgren Brothers Construction SANDRA A MASIN
935 E. WayZdta BtVd. CouncA nnemeers
W3}rZ&L8NIN, 55391 THOMAS HEDGES
651-473-1231 Gry AdmirnstratOr
E J VAN OVERBEKE
;.ss~ E/ros~'Son Control Co cerns ciry cleru
RE: Pinetree Pa
4654, 4658, 4662 Stonediffe Dr.
A City staff person has observed the site where the permitted work is taking place and has found
deficiencies in the erosion control efforts.
T'he City Code cleady states the authority of City staff in enforcing the removal of sihation, dirt, clay,
or soil (SIL'1) upon any street within the City (Section 7.05, Subdivision 5.1 of the Eagan City Code).
Due to the failure on your part to respond to previous notices, the following actions have been
taken in regards to the aforementioned properties.
1. Ordered the installation and maintenance of approved silt fence aod Tber mat (where
needed) at curb and property lines.
2. Charge/mail installation invoices to development contract obligee or permit holder.
We appreciate your cooperation with our erosion coMrol efforts. Please call us with any questions.
Sincerely, Cc: Russ Matthys, City Engineer
Doug Reid, Chief Building Official
Engineering Section Da(e Schceppner, Assistant Building Official
Departme?rt ofPublic Works Stan Lexvold, Conswction Supervisor
City of Eagan
MUNICIPAI CENiER THE LONE OAK TREE MAINTENANCE FACILIiY
3830 PiLOT KNOB ROAD THE SVMBOL OF $TRENGTH ANO GROWTH IN OUR COMMUNITY 1501 COACHMAN POiNi
EAGAN, MINNESOTA 55122-1897 EAGAN, MINNESOIA 55122
GHONE (651)681-4600 ' PHONE (651)681-4700
fnx (e51) 691-4612 EqualOppoduniry Employer p,vc (651)681-4160
if)O l6511 454-8575 www edvntamon rnm iDD (651) 454-8535
L t9- gL ~tl CITY USE ONLY r
RECEIPT 1
SUBD. RECEIPT DATE:
PERMIT #
1999 PLUM$INfi PE{MPf (RE.SIUENTIAL)
CITYOF EAfiAN
3830 PILOT KNOB iiD
EA6RN, MN 55122
(651) 6$1-467$
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Beirt tuii $ :i.uC
Floor drain 3.00 x W$,
Gas i in outlet minimum - i 3.00 x ~ Hot tub/s a 3.00 x Kitchen sink 3.OD x Laundr tra 3.00 x y. Lavato 3.OD x Minimum fee alterations to existin dwellin 30.00 x Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.OD x Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x Z = $ 6-
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ Z-
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = t
Water turnaround 30.00 x _ State Surchar e .50 50
Total , SU Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--hereb acknowleda-- --ge th--t-I------------pp-liqti- -----ta--- t---hat N----fo---ation
I y have read this aon, ste e inrm is correct, znd zgree 6 comply wiih all applicable City ot Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITEADDRESS:
OWNERNAME:: LGC'etR~/oS TELEPHONE#:
(AREA CODE)
INSTALLER NAME: /
~ TELEPHONE & (J" K K-(-
STREETADDRESS: ~5 ~p..z /6il d-~ (AREACODE)
cin: SGc cF/-~a~~.~ STATE: ziP: ~ S 3 7~
SIGNATURE OF PERMITTEE
(U 57 ~6°Z L-a CITy USE ONLY
LOT Oll BL ~ RECE[PT
~ r
SUBD. -1' I 6WPj.s ~~S 3 RECEIPT DATE:
MECHANICAL PERMIT #
1999 M£CfiANICAL P£fiMIT (ftUID£1VTIlkIa
CI'fY OF EAfiAN
S$SO PILOT KNOB RD
FflfiAA MN 55122
8 ~
Date: (651)6$1-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: -100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) u( 1-~d-
State Surchazge .50 5D
Total ~
Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, a(teration, or repair.
x~New _ Alteration _ Repair _ Other
Reminder: Ca11681-4675 for inspections.
~ Fumace ~ Air conditioning
~ Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNERNAME: Lr~ K i-l ~~io s Co dS T.. PHONE ft: 1, (Z
INS'IALLER NAME: (C,04 C PHONE #EA Co~ i~ - s%yr- Y6S'~
STREET ADDRESS: c/ en- (ARE'4 CODE)
CITY: STATE: W-i ZIP:
Y6~C =~iL~~~ ~
SIGNATURE OF PERMITTEE
' **k************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 996
DATE: 03/27/00 TIME: 09:46:23
I ID:
NAME: RW OR NANCY HENNEBRY
3210 9001 788 SUNSET DR 60.00
'«2155 9001 788 SUNSET DR 0.50
3430 9001 788 SUNSET DR 0.25
93210 9001 4662 STONCLIF D 60.00
2155 9001 4662 STONCLIF D 0.50
3430 9001 4662 STONCLIF D 0.25
3210 9001 3920 WESTBURY D 60.00
2155 9001 3920 WESTBURY D 0.50
3430 9001 3920 WESTBURY D 0.25
Total Receipt Amount: 182.25
CR125115
USER ID: JAN
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
~ 1999 MECHtxicaL PERMrr (COh[a?EatCiAL)
CITY OF Et4fiRN
3$30 PILOT KPOS RD
E4fiAN, MN 55122
(651)6$1-4675
Please complete for all commercial/industrial buildings
mLilti-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 ofcertnit fee due on all permiu.)
TOTAL
- - - - - - - - - - - -
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEWIENTS ONLY):
INSTALLER:
ADDRESS: PHONE -
(AREA CODE) CITY: STAT'E: ZIP:
SIGNATURE OF PERMITTEE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
arr oF encniu
3830 PILOT KNOB RD • 55122 ~
~ 851-681-4875 0
( 0 0 -1 --1
New Conahucfion ReaWremenh Remodel/Reo
? 3 reqlsrored sBe wrveys ehowlnp sq. fL of bt, eq. B. of tause 2 copies of Plan
and gQ rooted areaa (206 rtw)dmum tot covemae allowed) 1 set d energy calarlcHOns for heated addidons
? 2 coples of plana (ataw beam 4 wlndow slxes; pouretl fid. daslgn; eic.) 1 dte survey Iw exfedor addlNOns d tlecks
a 1 sef W energy caleulaHOna
n J coples of hee presenallon plan If lot plalletl aRer 7/1/93 ~
oa
DATE: CONSTRUCTION COST: ID O oo
DESCRIPTION OF WORK:
~2
STREET ADDRESS: 6 6'
LOT: ~ BLOCK: SUBD./P.I.D.
Name: /P/-'O 13/LSu.-1 Phone M: '~f/- Vv Y - d~Y?'~ ~
PROPERTY Lad ' flmt
OWNER
Sheet Address: 7 GL fi'-vNiic~ ~1'=F zizir/~
CHy /~AGAM State: f'~//? Zlp: L-
Company:,Tfih 4Lsz'c.P ^,v~~ .Joon- Co - iivc Phone 8: 4'12-- ~ 0-~~
(area code)
CONTRACTOR
Sheet Address: //Z 3 Z I4 KRoiY /a dFE i-.~ license ~.SyS7 Exp.-~~/
Cly /hGl~ifii aeo?it State: /V%/? Zip: 'a5~07,1
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regishation M:
CNy State: UP:
Sewerlwater licensed plumber (ff Installirxi sawerlwaterl: Phone
a
I hereby acknowledge Hwt I have read ihis appltcaHon, sfate Mat fhe IMomnaMon is cortect, and agrea to compty wNh ad applicable Sfale
otiMinnesota Statutes and City of Eagan Ordinances.
Signature of Applicanh
/~•~i?Ni-gipQ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes ~ No Wn
Tree Preservation Plan Received _ Yes _ No ~ Not Required r~ 2 2
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES . • ~
O 01 Foundation ? 07 OS-piex ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext Alt - Multi
? 02 SF Dwelling O OB OEplex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex 0 09 07-plex ~'Er- 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 04 02-plex ? 10 08-plex ? 19 Lower Level 0 24 Stortn Damage
? 05 03-plex ? 17 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
1R 31 New O 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration ? 38 Demolish (Inte(or) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code o ~ # of Stories sq. ft.
No. of Units o Length sq. ft.
No. of Buildings ~ Width Footprint sq. ft.
Const. (Actuai) Basement sq. ft. Census Code L13 11
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building f6 Engineering Variance
Permit Fee 6 G.SO Valuation: $~2 0f)
Surcharge
Plan Review
License
MCiES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit ~
S/W Surcharge
Treatment PI. l
Park Ded.
Trails Ded.
Other
Copies , a5
ToWI: J-6U,'75
SAC Units
°k SAC
:
REV190NS BY
LEGEND P`~4 R
9 . ,
321
` QS DENOTES SM6TARY lAANMOLE
~S DEJdOTES ITYORANT
r- ~=`O~i f J J ,'^C Z'~' ~ DENO7E5 CATW BASIN
• : ~LZ'T~' S DENOTES SANI7ARY SEWElt
_8zE 7 0o fs9y W DENOTES WA7E7iNAa1
~
pONp g~P-6 57 DENOIES S'f0it11 SEWER
x9,66 ~ktjO H~ 9 7 7 (9) DQrOT~. S~M ~R~aE
F~ .
o,~ OZ ~ ,~922` _ >1209 ~ ~ 0S. SETBACKS E.4 ;
56l
lg~~~ 'cop\ 9.~ y •~~SF MIN. FRONT YARD SETHACK = 3a'
w~/ MIN. SIDE YARD SE7BACK = 5' GARAGE, 10 DWELUNG C~
o 1-7 ~ MIN. REAR YARD SETBAqC = 15' W <
AINAGE &=~C`UTILITY pq :
EASEMENT ~ooe ~40O ~ s
+ op j6~.
~
; ° ~
~ o ip f mo ~ . . ~ f. d~ ~
N
•f~ J m ~
~
~
v.~! t9 \ o t`~ 2q¢ ~ `om
g26 0
j~s ~0 2N ? o 2
BENCHMARK ~gB 2
aEV = 925.04 }
9~
,25Propoaed Top of Foundation ElavaBon=937.83 ~ ~
z
\ ? 9~a ~ 0 3Fj Proposed Garoqs Floor Devatfon- 931.50 U? ~ a1 r-)
0~fJ y t~9 9 S61 Propoaed Loweet Floor Devation= 922.83 ~ w~
~
F' w`' W W
~2- S ~S 9wo EXISIING WALK ; i O Denotea Iron Monument
S ~ + 910.0 Denotee Exiating Elevation ~ a A
+(910.0) Denotes Propoaed Elevatlon ~ 4J p a
/ ~~~s ~ Denotee Diroctlon of Surface F a ~ Z~
Droinage
/ 910.0 penotea Sonitary Sewar Servix
613 Eevation G.~
LOT AREA = 19250 S.F. I herobp cert'tfy th°t this is ° tru° °"d s°rrect reprem°M°ti°n
ROOF AREA = 2886 S.F. of a survey of the _boundaries of:
ROOF AREA X= 15.0% LOT 2. BLOCK 2, PINE7REE P?SS 3RD ADDfiION
34 QAKOTA COUNIY. MINNESOTA DRAYM
1 Md the beation of all buildnga. H arry, thereon, and all visi'ble BDR
encroachmerts, ff any, from or on said land. As aurveyed by CH~~~
me this 13th day of M 1999.
DAiE
05-18-99
SCALE
Gary R. Gertnond 10-30-
lkenaed Land SurveYor. Minn. Lic. No. 24764 JOB NO.
5402-486
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4662 Stonecliffe Dr
Lot: 2 Block: 2 Addition: Pinetree Pass 3rd
PID:10- 57662- 020 -02
Use:
Description:
Sub Type: e- Reroof & Siding
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Jen Ulick
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
$132.75
$3.00
$135.75
Owner:
Paul D Pederson
4662 Stonecliffe Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA084440
07/17/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116780
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 4662 Stonecliffe Dr
Lot:2 Block: 2 Addition: Pinetree Pass 3rd
PID:10-57662-02-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul D Pederson
4662 Stonecliffe Dr
Eagan MN 55123
Connells Custom Exteriors Inc
1125 S Frontage Rd, Suite B
Hastings MN 55033
(651) 438-2973
Applicant/Permitee: Signature Issued By: Signature
, , .
.� �
` Use BLUE or BLACK Ink
�-----------------
� For Office Use �
�' �^, j Permit#: / y���� I
�6� ������� C�����V�L.� � � �� � ��' �
� Permit Fee: �
3830 Pilot Knob Road ��� 1 3 '��� i �,.�� ��/ �
Eagan MN 55122 � Date Received: 7 �
Phone:(651)675-5675 I �- I
Fax:(651)675-5694 I Staff: I
I I
�----------------
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �
�� l l—� �(a(��- �-�-o�.cl��� r��� ���t#: ��
Date: Site Address:
Name:��� „��G[,I �(J� � T"' 1 Phone:
��r�� t-t.� C�a ��t�.cl�X.�- ���r��l�
��i�� ,, Address/City/Zip:
,:
� 4 ���� Applicant is: Owner � ContraCtor
�� �� Description of work: (��,(��Q C.�? .�,-J�L 5 ��'l.-f/ (,,�g,('�
���'���
�� � �� Construction Cost �� I ��,_ Multi-Family Building:(Yes /No_�
Company:��OW� lttl/l�� '�' �5���7�CrV�c�n�a�� �����5
x �
c� p+ti �/ �/� �/
��'��� Address: ��0 $ur.ww�¢�r i� I�i��'"�r�Q. City: /V�V`�°�I�Fi��(�
`; , ' � � State. ✓�5 0�7 �✓e'���5 �r 3���- '�' 1�Y`t�t.G"'1'i 0Yt t v�C�� �l ��IIWJ
���Zip: Phone: mail:i��5 CdWS � .
1J�J��J/ 7 T_
x�.fi:� License#: � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) `
i"3UGG. ,N �
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDtNG
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:
��}��������������������������`������
�3��������l��������������������������������������
� � � � �,� � � � ��x
� �.. ,�2. � ,�:� ���.„'
CALL BEFORE YOU DIG. Call Gopher State One Calf at(651)454-0002 for protection against underground utiliry damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowtedge that this information is complete and accurate;that the woric will be in confoRnance 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 writhout a permit; that the work v�itl be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
E�cterior work authorized by a building permit issued In accordance with the Minnesota Building C must be com leted within 180
days of permit issuance.
X�(/t��.�.�,a,5 ��l���l�
Applicant's Printed Name icant's Signature
Page 1 of 3
� . �{���- S-�n� ,���
. �������
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation ` Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family � Garage _ Porch(4Season) � E�cterior Alteration(Multi)
_ Multi � Deck _ Porch(ScreeNGazebo/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 _ Demalish Foundation
_ Replace _ Repair _ Egress Wlndow _ Water Damage
_ Retaining Wall *Demolition of e�rtire building-give PCA handout to applicant
DESCRIPTION �
Valuation �� �� Occupancy f�G-� MCES System —
Plan Review / Code Edition Gt�7 SAC Units `"
(25%_100%� Zoning jt"/ City Water r'
Census Code 1/3�► Stories -� Booster Pump �
#of Units 1 Square Feet L S� PRV '�
#of Buildings / Length 33 Fire Sprinklers '�
Type of Construction "�$ Width �
REQUIRED INSPECTIONS
Footings(New Buildingj Meter Size:
� Footings(Deck) Finai/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 Erosion Control
Braced Walls Other.
Reviewed By: Building Inspector
RESIDENTIAL FEES G�O j�t � /� � IO iZ4M �`
Base Fee �°f'�ii
Surcharge
Plan Review 1�y �
MCES SAC
City SAC
Utility Connection Charge
SSW Permit 8�Surcharge
Treatment Plant
Copies /°(� �,_„/'� I
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131447
Date Issued:06/19/2015
Permit Category:ePermit
Site Address: 4662 Stonecliffe Dr
Lot:2 Block: 2 Addition: Pinetree Pass 3rd
PID:10-57662-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph D Lamott
4662 Stonecliffe Dr
Eagan MN 55122
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r —,
For Office Use
'*1'. ::::
1��it O� ��6�� : i t/'-'
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
f Namevge_1 bL,) Lc11 )n Phone:
Resident/ _ � 1 C�
Owner Address/City/Zip: ti-‘,L.,2_, -St-Cyr-e..2._--k\'le_ c----b('%�.¢-_
i
Applicant is: Owner, , Contractor
/ �. C 1 ' itc."--?,4-1
I Type of Work Description of work: (� \(\ Cx c- c d ��
S---
Construction Cost: 2-1 S � )...,' Multi-Family Building: (Yes /No Y )
I Company: li C1 Gr'` ;,m X\ (N`Znr_Contact: 4 .. _`
�—* 1
Address: }(:)c-5 '''S-Cs‘ CL - ?.L_._ S"E. City:
1 Contractor g
eState \ Zip:S C5 ^,G7 Phone9. -"D2 Email: ,�_ a i, u . C, y-.,.,
I
/ dLicense#: LbT)1 Lead Certificate#
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:
1 Mechanical Contractor: Phone:
a
Sewer&Water Contractor: Phone:
i
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to'be public information. Portins
of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets. w
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.gooherstateonecall.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 work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
144
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Applicant's Pri ed Name Applic. • • iatur,
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142397
Date Issued:05/02/2017
Permit Category:ePermit
Site Address: 4662 Stonecliffe Dr
Lot:2 Block: 2 Addition: Pinetree Pass 3rd
PID:10-57662-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Joseph D Lamott
4662 Stonecliffe Dr
Eagan MN 55122
(612) 418-8557
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature