4665 Stonecliffe Dr
~T__ I
?~CiTY OF EAGAN PERMIT TYPE: ~
~ 3830 Pilot Knob Road Permit Number: j~' I
Eagan, Minnesota 55122-1897 Date Issued: ' ~
(651)681-4675
i , . ~
~ SITE ADDRESS: , , , ~ ~ j . , , , APPLICANT:
. I 1 f t! Ilh , 1 ~
1
PERAAIT SUBTYPE: TYPE OF WORK:
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3~2. Permit Holder Date Telsphone II
SEWER/
WATER
PIUMBING
HVAC
Inspection OaUS Insp. Comments
FOOTINGS a6ffB,7
FOUND ~ • 1- qs~
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I. •
~
I BSMT FINAL
I DECK FTG
I
I DECK FINAL
I
I
~
R~SIDENTIAL
~I s. ~ v
BUILDING PERMIT APPLICATION
i~ y~~~" CITY OF EAGAN QQ
~ 3830 PILOT KNOB RD - 55122 ~(V/"~~
65'I-681-4675 V
NewConstructionReauirements RemodellReoalrReouirements ~'~lo~
• 3 registered site sutveys showing sq. tt o11oL sq. ft. of house; and all roofed areas • 2 copies of plan
(20°5 maximum lot coverage allowed) . t setof Energy Calculauons for heated additions
• 2 cnpies of plan shaxing beam 8 window siZes; poured found design, etc.) . 1 sile survey for exterior additions & decks ~
• 1 set of Energy Calcula6ons
• 3 copies oF Trea Preservatlon Plan if lot platted akar 7/1193 ~
• Rim Joist Detail OpGans seleciion sheet (bldgs wilh 3 or less uniLs) /
v ~r~,~~
DAiE ~~.~~1~~/ / VALUATION (EXCLUDING LAND) G~l"`""
JOB SITE ADDRESS YI~L,nS S/r~^~C C l(~
IF MULTI-PAMILY BUILDING, HOW MANY U~N`ITS?
PROPERTY OWNER ~/}LLK t~{72f1- ~1'~n I~1 /
TYPE OF WORK ~ (i.S~' / FIREPLAC ~ 0 •1 _2 _3
APPLICANT Q Or~ n7 'Yoo"1e PHONE~ aa~'-~~~
ADDRESS ~~~'~,F-F11~#n!~ C/~ ~ ~ fJH~~2 ~ S~~ZIPICODE ~ Sj7~
PAGER CELL PHONE O,d'~oF~OCo FAX ISc~ "do'~~576~
~ N~N' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ~ ky,
i
~ ~p~YU~~ S
' Energy Code Category _ MIN:\ESOTA RLIL:~S 7670 CATEGORY 1 (Y~ Y`f'
~ (check one) - Residential Ventilation Category 1 Worksheet Submitted i~~ M
~ - Energy Envelope Calculations Submitted l
~ ~ J
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
~ g XY1Pf~~~ ~~u~..~fll~rl Phone ~y `""7 ~7"
, Plumbin Contractor:
~ PIUiT1L~lIla S}ste.cn Lidudcs: _ 1~~Vatcr Softcn~nvn Sprinkler Pce: SJ0.00
~ _ WalerI-Ieater _ Ao. oFR.I. BaClis
_ No. nf Ballu
~
I Mechanical Contractor: Phone #
~[ed~amcal System Includrs: .Air Conditioning Fee: . 570.00
I-IcaC Recovery Sys•tcm
' Sewer/Water Contractor: Phone #
AII above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
R
Signature of Applicant ~
Certificates of Survey Received _ Tree Preservation Plan Re eived _ Not Required _
Updated 1I01
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 ~SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 b2-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Muiti
? 05~ 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Starm 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 Bldg. ? 42 Demolish (Foundation) ? 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 '?t' ~5~ Opp Occupancy Q^ 3 MC/ES System
Census Code 4 3 4 Zoning (z.- ~ 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.
_ Foo«ng> (deck) ~ FinaUNo C.O.
Foatings (addition) Plumbing , R~ I N~ C.
_ Foundation HVAC ~ ~ ~ ~
Drain Tile
Roof Ice & 6Vater Final Other
Framing _ Pool _ Ftgs _ Air,'Gas Tests _ Final
Fireplace _ RL _ Air Test Final Siding Stucco Stone
~ Insulation _ 6Vindows (new/rzplacement)
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
UIC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search ~j , U
Copies
Other
Total
f~ddICSS_4665 STONECLIFrE DRIVE Zip 5512~
IAt 3 $lk 3 Sub PINETREE PASS 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: p 6_ Z 4_ q q Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanentdriveway ~
Pennanent gas ~
Sod/Seeded grass ~f
TraiUcurb damage ~
Porch
Basement finish ?
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn fauce[ before freeze potential exists.
Contacl engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT# C~~_ ~'~if^ RECEIPT DATE: ~
6
~SID~N77~kL ~PLUM$IN6 ~£~iM1T A~LIC~TION
CITY OF £RfiAN
3930 ~ILOT KNOB fiD
£AfirtN, MF 55t EE
651-6$1-4675
Please complete for: ? single tamily dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: ~t~~ ) 7 OIIQ_;~1~~.
OWNER NAME: :/M /M. JL 7 ~~/(L/~- TELEPHONE
, (AREA CODE)
INSTALLER NAME: µti TELEPHONE ~ sa' 3~
p~ (AREA CODE)
STREET ADDRESS: ~-F QGO ,?rM~
CITY: P(~p~~,.¢-GCC STATE: i"'(!~''~- ZIP: ~~1Z
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: ~`~2 `('~e?~"~ ~(J-'~-
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requves MPC license
State Surcharge $ .50
Total $ ~V
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the informaUOn ~s correct, and agree to comply wifh all applicable Cityof Eagan ordinances. It
is the applicanYS responsibtlity to no6(y the property owner that fhe City of Ea9an assumes no liability for any damage caused by the City dunng ils normal
operetional and maintenance acuvdies to the facilities cons[ructed under Ihis permit within Ciry propertylright-of-w eas ent.
SI AT E OF RMITTEE
Updaled 1l01
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MMTMMTTMTTTMMMMMTTTTTTTTTTTMTMTTTTT/I~MTM
ciTV oF ~~,r.,~n
CA:iHTL"R: S TEFMINAI. f~0: i 13
D~TEa p2/19/93 TIME: 12::3E,e48
IL~:
NAME^ LUNIiGf:EN RFOS.
2256 300i. 46r,S STpNECLSfF J~~FJ~I.3.~
Total R~~ceipt Amount: 5~458.33
rfi103063
IISE'R TLi: NANGY
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PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: c u i~ r nt e
Eagan, Minnesota 55122-1897 Permit Number. `3
(651) 681-4675 Date Issued: = ! L `-3 !
SITE ADDRESS:
Ue~; s7oiv~i i i, r-F nr~
t~~r; s ~s~oco-: s
Pr~ver~~F r~~~„ ~~tau
F.~~.,n~.. ~~-~~FS~-vst~-~;~
DESCRIPTION: , -
, ~~X~lel~ni~}Psrm~_t 7yp~ ;P UWI~
- i3,~`tiJ.eiin~7 ~irr!c TVr,a I~lciJ
~ • ,iY~3C t~CCUPBYiCV~\ k-3
~ f'~Cz~ns6~rt~rCiQn Ty'pa~ t+N
q~fl 1 t1 Ct F_. Y
r ~"~'i~'i~fl~inii lenq~h ~
1 6i
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REMARKS:
rLHn! IiE`d'icl•1F.G RY f;fii~kT_G P-au`~1,1CZY6:.
& W FIUIhh3Fft 7S I-1 fiNDi-R fq~ Cfi!}Y~IIC~"l f'fiJPl~ ii(fs121 -7?°-12:.f4e
FEE SUMMARY:
1tALUI~,TT(~N n277.v~9iv
E~~:7 Pe~ 9~'1,f,t5..35 r~IfSC. FEE~~ ~1,G37.SG~
P].an f«~,/3,~w Al.,~d~.~'r3 Tr~t~l Fre 35,!lE~fl.33
5111'chtlf"4]@ :`ylWi_S(A
51d~ ?a.~f'~SP~.~C~
S ti C `g i_ !h ~1
5Ar Unii.v 2
Suf~tot~al ;3,"; r~;.8'3
C~NTRACTOR: - rtu~1~.~.,,nr - ~;7. ~~i:, OWNER:
Lt1P?DGRLN ~~rlt(lS COi~lS7 l~!?'?9231. P.~]s~1~}1'sl LUM1lC1GRPN RF20THF~p2S
9S5 E WA'f~ATf,~ LLtiD 9,?~ WA`f?1~'!'A LI_~<<)
WFI~?AT~n PIIV 55:~S1 I,JAY£RfF4 I~N o5'39l
i612) ~;7 ;--.t23J. (5~: )4'3~.1"3=,
r hrc~re~t,v ~cknawled.qe th~t. I t~~au~ re:~ci this aP~li~~T.i.crrc ans3 st,a~e tha4: the
inYr~rm~stl~ri is c~rr~ct ~n~, ~~,~~-ee tc~ cu~inlv with at1 aPPli.ablro State oY Mn.
~K:a~.~E~es and CiLV ai' E~qan Qrdinarxce~.
~ ~
' / ~~,.4J UL. J~L~tti-a~4r~
APPLICANT/PERMITEE SIGNATU I'SUED BY: IGNATU
~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
" ~ CITY OF EAGAN
~j ~ ~ .~j 3830 PILOT KNOB RD - 55122 ~ ~j , -rj ~j . `~j'?~
(651) 681-4675
New Construction Reauirements RemodeVReoair Requirements C"""'""" l~~-!~
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 'I site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies oF Vee preservation plan if lot platted after 7l1l93 ~
requved' Yes No
DATE: ~OS~~ CONSTRUCTION COST; ~D~ ~o~ v~i
DESCRIPTION OF WORK:
STREET ADDRESS: ? CO ~ •
LOT: cJ BLOCK: ~ SUBD./P.I.D. ~
' n e~
\:mie:------------------------- Phoue
PROPERTY l.ut First
c~~~ vr.ii
s««~ n~ia~t~~ -
City Statc: Zip:
C~>mp:w~~:_!~~1~C-~~~ ~ Ylione k: K.J~Q~.-~~~=fLZS_~
- - G
' COV"I'IL\Cl'OR p~
Street Address:_~~ ~
_ ~~Licec~se # ~ __Exp
~ Slatc: _ ~1~''~~/
~
C~n -
~ ARCHITECT/ " ~
ENGIIVEER Comp;uiy:-------------------- - - Phonc !k'
M1'ame: ltc~nslrrtion
Slrcet Addmss:
Ci1y S[ate: - L~n'
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and Iot change is requested once permit is issued.
~ i a ti y-~- U 4~g a--
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable;
State of Minnesota Statutes and City of Eagan ~rdinances ~
SignatureofApplicant l V~/U'/~n~rx~_
OFFICE USE O Y
Certificates of Survey Received Yes o RECEI- ED
Tree Preservation Plan Received _ Yes No _ Not Required JAN 2 6 1999
. B Y %
w'___
!
OFFICE USE ONLY '
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex ? 11 Apt,/Lodging ? 16 Basement Fi~ish
~l 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) S' Basement sq. ft. l7 Z7 Census Code ~
(Allowable) i Ma~level sq. ft. l~~S SAC Code oL
UBC Occupancy 2. I.a/ sq. ft. I 4~{5 Census Units
Zoning ~ ~~sq. ft. Census Bldg ~
# of Stories 2 sq. ft. MC/WS System
Length ~j sq. ft. City Water
Width ~Z Footprint sq. ft. ~ 6ooster Pump
PRV
Fire Sprinklered ;
APPROVALS ~
Planning Building Engineering Variance
s-
Permit Fee l-~j .3~ Valuation: $ Z ~
Surcharge ~C7
Plan Review 1 O'-lQ ~~2.7 X ~-,~DS~~
License ~,I
MC/WS SAC I O `~Z> .Oc~ `7L~.S~~S `C ~f `~,~jD ?
City SAC
Water Conn. I~~~X ~~%~j Fj D°jP
Water Meter av
Acct. Deposit 7y5J( ((o ~2.~7ZC~~"`
S/+N Permit
SNV Surcharge ~ ~~~A ~ ~3~ 5~
Treatment PI.
' Park Ded.
Trails Ded.
~ Other
, Copies
Total: ~~'jg.3~
% SAC,
SAC Units
t LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ ' ~ BUILDINGPERMITAPPLICATIO
~ PROPERTY LEGAL:
o DATE OF SURVEY: ~`I ~ 9~
a y
~ ~ LATEST REVISION:
v_
~ ~ ~ DOCUMENT STANDARDS
a °z ~
~O ? • Registered Land Surveyor signature and company
? • Building Permit Applicant
~ ? • Legai description
~ ? • Address
? ? • North arrow and scale
ra~ ? ? • House type (rambier, walkout, split w/o, split entry, lookout, etc.)
~a ? • Directional drainage arrows with slope/gradient °k
~o ? • Proposed/ebsting sewer and water services & invert elevation
a~~ ? • Street name
Pl ? ? • Driveway
ELEVATIONS
6ristina
? • Sewer service (or Proposed)
p/~ ? • PropeAy corners
LiY ? ? • Top of curb at the driveway
? C9~o • Elevations of any existing adjacent homes
Prooosed
El ~n ? • Garage floor
? • First floor
L"j~ ? • Lowest exposed elevation (walkouUwindow)
E(/ ? ? • Property corners
E3 ? ? • Front and rear of home at the foundation
/ PONDING AREA fif aoplicablel
C~l ~1 ? • Easement line
C~~1 ? • NWL
Q~ o • HWL
• Pond # designation
? ,5a' o • Emergency Overflow Elevation
DIMENSIONS
.a' ? • ~ot lines/Bearings 8 dimensions
? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
~ porches, etc. (.e. all structures requiring permanent footings)
/,p ? • Show all easements of record and any City utilfies within those easements
~fi?' ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
O ~ • Retaining wall requirements, if any
Reviewed: ~
N e I te
January 1996
CRAIC1908IBLDGPFMT FM
- - F tL~ C~~'~
~ ~
, ~ ~~~~y ~ ~ ~ ~J~ ~
f ~4 ~~'Sr~~~~y :r`~ ~ ~1~..~~.~'°<j ;
. ~ y ~ ~ ~
. .~,It~t~i.fi~ _
~ ~ f ~ x ,.,3~ ~'u'~~ ~ ~,S ~ ~ .
(SEE ATTACHMENTS)
Development ~t n c ~ ve.F l'a S 9 ( J LF[ 1
Lot Number 3 Block Number 3
Address ~~~5 $~vroL,~I VLt Uv~,.~
Builder ~;H,~~;~e~. Q~oi. ~ cY,
Tree Protection Requirements:
)C Tree Fencing
Oak Tree Pruning (Seal wounds during April 75 to July 1)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
As Follows:
Attachments:
Yes
Y No
T
Additional Notes:
' ~C31~DG~~'u'G°~17 DOMU~O~C~
w~o~c^~r~
o~
~ ~la`U~t, ~7 - ~_6~G
s
~
0
5 7
I I ~~~~'a~~~~~ _ aon
Wt~V UtSVGICIVI
I WETLAND AS LOCAiED v u
BY SVOBODA ECOLOGICAL~ 6p D~
I - RESOUftCES AND ~
SURVEYED BY SAiHRE
BERGOUIST, INC.
~ l (96B% 93613A V~
r 5
6°51 53 E ~ p'~ ' _ ~
I ~~u~u ~
~ p?r°~ BUILDER: LUNDGREN BROS. CONSTRUC110N
g~s ~ ~ p p~J, 935 E. WAYZATA BLVD.
x I 6' WAYZATA, MN
/ O ~ 9D5 (612) 473-1232
~ / x
o ~ /i/ ~ PROPERTY: 4665 STONECLIFFE DRIVE ~
DRAINAGE & UTILITY ` ~ ~ LOT 3, BLOCK 3, PINETREE PASS
o ~ ~ EASEMENT / ~ ~ i ~C ~ ~o ,n 3RD ADDITION ~
N \
N ~~9 ~i ~,o F'~ (n DAKOTA COUNTY, MINNESOTA R
W N8~' 83 axa ~ / ~ ~ ~a Q p~°` °.y~
s ~ x ~ r \ ~ '~A f
~ rY ~t
~ ~ xazi~ 9R95J~ ~ ~ o+
~ NOA~ND9B 0-57 / / 9%23 % ~ 9R96 Zl~ \ Ml IF
939 6 \y l
~ HWL 918.0 ~ ~ ~ ~ ~ 'rQ , ~_1• •~`a 1REE SUMMARY PROPOSED CONDITlONS
~ Qo~° ~6 ~ 921 ~ ~~4~ SIGNIFlCANT TREES = 3
%911.5 (~j~L ~ ~/1• ~LT fE~l ~lt % a eY ~ ~c~ ` ~ s3~. 7REES REMOVED = 0 ~ ~
Eo P
oR •a o'• `~•f, o~ ~ x PERCENTAGE OF TREES REMOVED = 0~ a o
/ 1~~ s ~6 e3os~ALLOWABLE TREE REMOVAL = 20% = 0 TREES ~~~z
x 9:sa x x < z
/ E ~ ~-~1
/ s`S1o \ OAK20 ~ \\ns /~i/ 929.8 TRE,~-LEGEND >sW
aF~
i g ~
7 , h HE ~e1G~
/ R EASDAENT p~g y9 ~ z o a
F ' ~3a xs3,s ~ ~ ~aaU
68 ~ 0~9
I 2g \ ~ ~
I xs~o, 6~ ~f~ TREE TO BE SAVED TREE TO BE REMOVED
~ aiecr~n
I &R&
PLAN PREPARER: ,
p'~~ ~~--~-a-~ ~
.
SATHRE-HERGQT7IST, INC. No.
sw2-su
, ~ 612 473 9131
. q 612-473-9131 LUNDGREN~BROS 168 P02 JRN 27 '99 16:09
Q~1~/S~~ ~''a~.'`.~'°`'~~ -
~~.If~~~a~~[1
EXTECtI~R EPIYELOPf AVCRt~GE U COMPUTATION
COtI51RUClION 'r~
irzc.. Lo~fllock~ ~~%/C'~c`'
S1te Address ~ ~ ~
~
R& U FaGiars R U
Opaque 4falls .643
!1~`'i E. V~Y[aly IIWJ. •
Wall Frair~ing Areas '09
WaY~~~4t 4
y~hp~~~p~ teiling instuatlon Aren dx`
ta~ZMT~ ~2ii Cei 11 ng Frami n9 Area
Rim JoisC 'p4
hfasonry 41a11 ~
Ni ndows '
poors .31
Skyl#ghts .55
1) Lawet^ Level (6asetnent)
Tota! ExQosed ~lall Area ~
flpaque 41a11 Area X (Ul .043
Woad Frame Area ~_~X I~) .09 ° '~'.-y'
R1m ,loist 1~~,~, X (ll) .OA ° .tA
Exposed Block x l~) '
Wincluw Area ~,~tax .35_ _ ~ lf.~'`~'
S{tdtn<~ Qlass Oaor _ "Q _ x fu) .3fi
x ( u ) . 31 ^
poor Area -
To tal
. . . 612 473 9131
~ 612-473-9131 LUNDGREN BROS 168 P03 SAN 27 '99 16:16
, ~r.,. ~ . , = ,
_1~~f1~Gl~~f~
2) first Ur Main 1`loor Q~
":QI ISIRUCIIUN ` ~u • v
Totul Ex~~osed Nall Area
~ . u
ppaque , ~11 11rea ~'~~i•F'~X (l1} _.Q43 = ~
~~{1•~X {U) .04 1~ •Z'
4JooA (rame Area
Rlm Joist !L."! $ .a`~ g•~
Wlndow AreA '~~-1~•~ X (U) .35 °
~u;~ r. wTY~,i, ~si~
Sliding G)ass Doar X (ll) .35 ~
w,~y~~la
Minvr,snlA5fi7!IV ~oor Area 3"~ •`b X(U} .31
(fif2~17a ~211 Tol.al 1~~~
3) Seeond floor 1f Twn 5tory ~
iotal Exposed l~all 11rea t~~`'
Opacjue 41a11 Area ~~~~X {U) .DA3 °
Wood Frame Area 1`~ ~ X~u~ •09 x
Wlndow Area ~~~1-~~K ..--3r'- °
Sliding Glass Door X{U} W.35 =
r 1( (U~ .3l - ~
noot~ nrea
To ta 1
A) Tatal Celling Aree ~2~ b~
idood Frame I!rea ~~x tU) ~ --'~'a
y~j d 2.1 /~,~Q., ~j
~paque Ce111ny Aree ~~i~.~ x i~) ' G.
• x iu) .55
Skyl t ~I~t
iotai
. , _ bl2 473 9131
, . 612-473-9131 LUNDGREN BRDS 168 P04 SAN 27 '99 16:10
~ . ~ ~ • • ~ ~ - ~ - ~
. C~~~~~~
~un~~R~n
~~ca~.
conisraucrioN ~2
iNC MINNESOTA U FACTORS Total Expased Wall Area `jj~1X .I1 =~~7J'
MINNESOTA U FACTORS Total Expased Ceiling '"1
Area ~ d X .026 ~
(A) Total = 5~~ ' ~
975 L WayiaLt 61v~~. p.
L~ , 7J
w~yn~~ T tem 1~,Q l,~ I tem 2 I tam 3~~ 4 I Cem 4"T~ ?
Mf~uusaLt 553F11
~si~ra-izai
If Total Of Items 1-0. Ts Less 7han Item {A), Buildiny Complies With
SBC 6006 (C}s
~
REVISIONS BY
• I I
I W
ETLAND AS LOCATED
I - 8Y SVOBODA ECOLOGICAL ~ '
RESOURCES AND 6
SURVEYED BY SATHRE
~ BERGQUIST, INC. ,9zE 3~ I $
I / 16~ 9z5.a x v LEGEND z~
y 'A S :
I ~ 60 5~' S3"E ~6 s~a~,,o SO DENOiES SANITARY MANHOLE ~ ~
_ P
N 11 ~ ~~`~f p ~ DENO~ CACH BAS7N
x ' ~~v ~ b Q p S DENOTES SANITARY SEWER C~' <
/ O f / ` ~ W DENOTES WAlERMAIN W~
~ 'A ST DENOTES STORM SEWER RI:
~ / BQJqiMARK v \ ~ DENOiES STORM MANHOLE ~ `
~ O \ ~ ELEV = 928.08 w @
~ DENOIES STORM APRON p$ °
DRAINAGE & UTILITY O ~
aj EASEMENT ~ 32~ ~ ~f1
~ Q / ~ i~s ~02• ` v'y SETBACKS ~ ~
°o s2o.o ~ ° ~ , ~ ~
/'S8 1~ ~ / MIN. FRONT YARD SETBACI< = 30 as
6g i ~ ~ ~
~ ~ ° k9 ' ~ ~ ~ \
~ MIN. SIDE YARD SETBACK = 5 , 15 BOTH SIDES ~~j0 $3N
i„~ ~ x _ _ x ~ ~ a' , ~ MIN. REAR YARD SETHACK = 15' » `t
~ze.s~ ~
N POND BLP-57 ~ ~q ? , x J ~ ~~a~ . ; ~
i~ / ~ ~ Z_- ' ~ • , : . ~ - ~ ~
NWL 911.0 o x s 5 X 9296 "r ti 1 1~• til~M3
o ~6~' ~ ~ ~ s e 9'~"~~ i'O'` L,S.
~ ~
HWL 918.0 ~ P o , ~<;,.:i ~o
p~ ~~o ~ ~ ~ o~ ~F~ ~r ,o ~ < ~ : r~ ~ _ = - ~ - - -
Z OF ~gb~ ezi a X a y ~ ~ ~ ° ~l~ ~ . ~ ,.,~~a~" • }
xstts E p~ ~ p a. o ~OTP ?=r,z ':nn-i ~ n_Yar, ~ -~r, W ~
~pG ~p1 ~ , c ~ v` r~, , \ • - ,_~I'_Ai.,,.:f'~_<„ >
~ t~ s x ~y~ p`" ,'",Z > ~ z \ Proposed Top of Foundation Elevation=933A j 0
J ?o . y J ,~~0 5 Propoaed Garage Floor Devation= 9320 ~ fY ~ U
i ~ az~.o \ 21~ ,~g5 / 0,~6 ,9so.s) Proposed Lowest Floor Elevation= 924.0 c.7 z~
/ /SS'O, - ~ ~ ~ X szs e x ~6 ~ ~ L.oweat Allowable Floor Elewtionm 920.0 0~''
a?~ z i ~29.e ~ Z
31 y h i~~ 5 1~ p~6 59 + 910.0 Den tes ExistiMg ~Elevation Q<~~~
/ ~ ~ ~ DRAINAGE & UTILITYC~ ~G/6• 1 \ +(910.0) Denotea Propoaed pevetion U~ A Z~
F ~ EASEMENT / Denotea Direction of Surtace ~i ~ z O ZT
~2 ~,393 x 931 6~~ Drainage F p. a U
I St 6,8 /s ~ 10.0 Denotes Sewer 8e Water Service Elevation W
I / o g9 c,
Nrp2 I hereby certify that thia is a true and correct repreaentation
of a survoy of the boundarfea of:
I x 9so.•, - LOT 3, BLOCK 3, PINEfREE PASS 3RD A~~IT10N
~ DAKOTA COUNiY, MINNESOTA DRAWN
I, And the location of all buildinga, if any, thereon, and atl viaible BDR
, encroachments, ff any, from or on said land. As surveyed by CHECKm
( me this 14th day of December, 1998. G.R.G.
~ DATE
1/ 12-14-98
, SCALE
Gory R. Gertnond 1'=30'
Lieensed Land Surveyor, Minn. Lic. No. 24764 JOB N0.
5402-423
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 07:36:08
ID: '
NAME:
3210 9001 4665 STNCLIFF D 60.00
2155 9001 4665 STNCLIFF D 0.50
Total Receipt Amount: 60.50
CR135702
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~y , r-,G
F ya i 5-~ ~~~oF~~,~
3830 PILOT KNOB RD • 55122 ~~~~d c~.g-oo
651•881-4875
Naw Consfiucflon Reaulrements Remodel/Reoalr Reaulremeoh
a 9 reglsteretl Yte aurveys ~howing aq. ft ol bf, aq. fl. ot frouse 2 coptes ol plan
anC ~ roofed areas (2M6 maxlmum loi oovemae ollowetl7 1 seT ol eMrgy caiculal~ons for tfe Wed addlHons
? 2 coplas ol plane qhow 6eam & wlndow slzea: Poured fnd. tlealyn; efC.) 1 site survey tor extaAOr additlcns decks
D 1 ael Of en9fgy aACUlaHau
+ S caplea ol tree pretervailon plan it lo} platted after 7/1/93 '
ppiE; r~ o v CONSiRUCTION COST: ~S~D ~
DESCRIPTION OF WORK: ?)K G!-C ,,r~ /JJJI %
/o/•?
STREET ADDRESS: ~ 6~ .~J'^vr~Fz C L//-.= p,~li ?is
LOT: ~ BLOCK: SUBD./P.I.D. ~~iN,~ ~Af~ ~ ~o A~~-
Name: .S/"7 ~ rh' i~i~~~ ~ r~~fQ•~.o rnoRa ~si- 9~s~ -,~~6
PRO~R'fY tast ' flrst
OWNER
Street Address: ~'/ld ~c~ ~i~O~/.~Ca ~f.~' vi2tl~/£
City ~~.'~lr~~f - State: i
o~/ Zip: L 2
Company:~.~ fl.c~tJi Awo pcw.+z Co_ tntc Phone ~ ~L
(area code)
CONTRACTOR P3,~
Sheet Addre~://G3 Z .~k,CoN ,9-v,~ i~ . _ ucanse u ~ 7 ~ ~ ~
ci~y f~(l/•~ ~od~ ~i~~~~-r,r stare: -~i,~ ztp: <~ro 77
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Addresa: RegishaHon
City State: ~iP~
SeweNwater licensed plumber (H instal ina sewer/waterl: Phone
1 hereby acknowledqe Ihat I have rec~d Ifits apptlcafbn, atate that fhe infortnatlon Is cortect, and agree io comply wHh atl applicabie State
of Minnesofa Slatutes and CHy of Eagan Ordinances.
Signafure of ApplicanY. ~
~~j Y j~iz'MNiF~.~/
OFFICE USE ONLY
Certificates of Survey Received ~ Yes _ No l
Tree Preservation Plan Recefved _ Yes _ No Not Required AUG - 7
OFFICE USE ONLY ,
, =
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OSplex O 13 16-plex ? 21 Poroh (3-sea.) ? 37 Ext Ait - Multi
? 02 SF Dwelling ? OS O6-piex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ~ 18 Deck ? 23 Porch (screened) ? 36 Mutti
? U4 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex 0 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
woRK nrPe
? 31 New ? 36 Mave Bldg. O 43 Reroof
~ 32 Addition O 37 Demolish {Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior} ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ~L # of Stories sq•
No. of Units ~ Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) ~ Basement sq. ft. Census Code ~
(Allowa6le) Main level sq. ft. MC/ES System
UBC Occupancy ~3 sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit "
S/W Surcharge
Treatment PI.
Park Dad.
Trails Ded.
Other
Copies
Total:
SAC UNts
% SAC
. I ~ 1
REVISIONS BY
?
I
WETLAND AS LOCATED
I - BY SVOBODA ECOLOGICAL '
RESOURCES AND 60 `
SURVEYED BY SATHRE
BERGQUIST, INC. ;5z~ , 3~ I
~ 925.9
16' v S LEGEND z~
I / 60 5~+CJ3'~E ~ O QS DENOTES SANITARY MANHOI.E
N ` `,~5~, ~ { ~ ~ ~S DENOiES ITYDRANT ~
` ~ ~ ~6 ~ 0~.~ ~ DENOiES CA7CH BASIN ~
„
x-'' e J~ L ~ Q~~ 5 DENOTES SANITARY SE1MQ2 ('J <
/ O _ ' W DENOTES WAiERMAIN W~
~ ST DENQTES STORM SEWER Cp :
~1 ~ .n
n ~ E~v~ 92aKOa v.~ \ ~ DENOTES STORU MANHOLE W o
/ DENOTES STORM APRON a' o
~ DRAINAGE & Ul1UTY ' Q x ~
aj EASEMENT ~ , ~jl €
ao Q / ~ ~>~y, ~o~• ` ~ SETBACKS ~ ~
~ s2o.o ^ ° ~ ~ ~
~g'S8 ~ ~ < MIN. FRONT YARD SETBACK = 30' ~+oR= ~3
3 N69 ~ j ~ MIN. SIDE YARO SETBACK = 5, 15 BOTH SIDES ~ ~
x ~ ~ ~ ~i ~ MIN. REAR YARD SE7BACK = 15 »P w ~t
M ~ r9^~.~ v~ \
N POND BLP-57 r ~Q" o,y ,s 3z9x' s~ ~3~^. f
; 3~
4
cV ~ i ` ~\'z _ ~ J \ " \ ' , :
N NWL 911.0 ~ , o x ~s ~O~a ~ ~-a ~ ` ~ Q ~~M3 ,~r~
.
o HWL 918.0 ~ ~ 69 ~ ~ 6, o ~-;;".`;:~,~o,~.. ~
~ ~
o ~o . / o ~ s , . : ~ ! r' L ~ _ _
~ ~ ,r ~ _
z ~ OF e / ~6 ~ ~ r' ~ ~ , " ~ : ~ `~J`~' }
xsii.s G Ei~ 2. o ~~-a ~ s~r.z ~:~::.i'' f~.,'-°_-
F-p ~ ' ~a'~ ~ s~, -t~ ~e~'~~ : ; . , 6~ ~ _ _ - - - ~ - a ~ ~ U2
~C~ ~ ~'y-` ~ J ~ ~ ~ ~ ~3?05 \ Pr1DpO3°d Top of Foundation Elevation=933A j ~
i ezz.o ti~5 ~ 5 (950.6) Proposed Garage Floor Elevction~ 9320 N~~ U
~ ~ a tis• ~~'I6 Proposad Lowest Floor ~evation= 924.0 ~
~S - ~ ~ ~ x 929 o Y ~ ~6 y Loweet Allowable Floor Elewtionm 920.0 ~-+t
S~O \ ~ ~ 9?7 2 329.d ~ W W ~ ty
~ ~ 13; \ ~ - ~C~ o Denotes Iron Monument ~ ~ ~y, E-~ ~
/ ~ DRAINAGE & UTI~ITY~~ ~t%6 y" 5~ 1 Ar
6' + 910.0 Denotea ExisUng Elevatlon Q~~~
F EASEMENT 1 +(910.0) Denotea Proposad ~evation U W A Z~
`C y ~ \ Denotes Direction of Surface ~i ~ O~
I J? ~39 x 931 6~~ Drninage F a z C.>
St 6,8 /s ~ 910. Denotea Sewer & Water Service ~evution W a
/ o ~jg c~
N(~Z i hereby certify that this is a true and correct repreaentation
of a survey of the boundaries of:
~ x 93o.i LOT 3, BLOCK 3, PINE7REE PASS 3RD ADDfTION
DAKOTA COUNTY, MINNESOTA DRAWN
` Md the location of all buiidings, 'rf any, thereon, and all visible BDR
, encroachments, if ony, from or on satd land. As surveyed by CHECKm
~ ; me this 14th day of December, 7998. G.R.G.
~ ~ DAiE
12-14-98
1 Gary R. Germond ~ SC O
Licenaed Lond Surveyor, Minn. Lic. No.24764 JOB N0.
5402-423
~r„
~
CITY USE ONLY
LOT ~ BL ~ RECEIPT ~D / 5O7
S[;BD.,~~~ ~~d~li ~ RECEIPT DATE: _T/~
'~//J %
~.Qy-~ i t 1999 M~Cf~4NIC~kL ~fiM1T (R£SIDENTIAI.)
355~ crrY oe ~?snx
3$30 fILOT KNOB RD
f.~?&AN M1V 5518E
Q (651) 681-4675
Date: Z~ ! (
Complete this section onlv if you aze 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 6.00
• Gas outlets (minimum of one required @$3.00 ea.) ~ ~ 2- ~ o
• State Surcharge: .50
v
• TOTAL: S`
Complete this section 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
Renrir~der: Call 681-4675 jor inspections. $ 30.00
5tate Surcharge: . 50
Total: $30.50
SITE ADDRESS: ~(O~~ ~~`U~/ GCr / ~lZ~ ?
O~V':~IER NAME: L[~l v~ GC C~-t K/,/ 0 5 Co S T. PHONE y 7 3~/~ 3/
/ g
I?YSi'ALLER NAME: 4 ~-c C(~ G ~ ct / G ~ ~ PHONE G` l~ -~~-f - ~6 /
STREET ADDRESS: S~( ~~cL o-+ ~ v'~
C[TY:_~K~GLOJ~~~ STATE: ZIP: SS ~7
~~~~~i~'Grr~-~.
SIGNATURE OF PERMITTEE
15, F02NS BLD/~1ECH PERMIT (RES) - I999
CITY USE ONLY
L BL~ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 M£CHANICAL i'~RMIT (COMM£RCI~lW
CITY OF ~kfiAN
3$30 PILOT KN08 RD
~?s~ri, Mrt 551 Q~
(s5~) s$i-~s~5
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are n~~ 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 $1,000 of Qemut fee due on all pemuts.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
r~ CITY USE ONLY ~j
L BL o~- RECEIPT O/ Jr'
U~
SUBD. ~ ~f'iv o , . ~~di]~ ~ ~j ~ RECEIPT DATE: ~~9
~-GV Wi l
~ ~ t.~ ~ Z 1999 ~LUM$llve P~iMIT (f~SIDFIVTI~tL)
CITY OF EAfiAN
8930 PILOT KNOB 8D
£AfiAN, MN 551 EE
(6S1)6$t-4B75
Please complete for: ? single family dwellings
9 townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $ oa
• Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 x = $ °
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x / _ $ °
Laund tra 3.00 x = $ °O
Lavato 3.00 x = $
Minimum fee alteretions to existin dwellin 30 00 x _ $
Private Dis osal S stem new/refurbished ' re uires MPC i~c. 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 = $ ~S`a
Shower 300 x = $ O°
Under round s rinkler if dwellin is under construction 3.00 x - _ $
Under round s rinkler if existln dwellin 30.00 x _ $
Water closet 3.00 x = $ Z"-°-
Waterheater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ 50
TOtal $ .BO
Reminder. Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
I hereby acknowledge that I have read this application, state ihat the infortnation is cortect, and agree to comply with all applicable City of Eagan wdinances.
It is the appliqnYS responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages pused by the City during its normal
operational and maintenance activities to the facilities consdvcted under this permit within Ciry property/right-of•way/easement.
SITEADDRESS: ~(O~~ S~/~e ~ !~-TTG ~/i U-G_.
OWNERNAME: ~~KGY~/L~~ ~?~aS ~~S%
INSTAILER NAME: Cc r~c G~-( TELEPHONE G~Z - yys y69~
STREETADDRESS: Syl~~ [.-c ~Y`rovl
CITY: ~`Z ~~t-D/1'~ STATE: ~"1 ZIP: J J ~ 7~
C~~~~
SIGNATURE OF PERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES} - 1999
~ ,;~ilb~~~i`s~
City of Ea~a~ j Permii# 7J~ ~ T t ;
I permit Fee' ~ ~
3830 Pilot Knob Road i ~,a' ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 ~i start ~L'Q i
Fax:(651)675-5694 i ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ ~r~~ ~ Site Address: Z 6~~ ~%dn~ C(. F'r ~-r
Tenant: Suite ii:
RESIDENT/OWNER Name: /~ac~t ~r-e.`~G. Phone: 6~/ - `t`- `l~$~o
Address / City ! Zip: y~~.s S~a?~ C l•~ ~ r
Applicant is: _ Owner Contrador
TYPE OF WORK Description ofwork: XE. ~ fS~v ~
" Construction Cost: Multi-Family Building. (Yes_/ No~
CONTRACTOR Name: l`/uX ~c•i rt ~v.-. License ~,~2Q1~f ~i
Address: ~ 0~/~ /K. a.n ~.-i
City: ~~`~~2~ ~un~~ State: Yl7 ?l Zip: ~S Z[ 7
Phone: ~Sf~~`~o2` ~OZ~ ContactPerson: ~//Q-N
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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:
° NOTE P/ans aod sapporbng docuinenfis'thaYyou subm~t aie~considered Yo be public informatta'n;.: Portions of<:
? the rnforinatlon ma be classrfied as non ~ ublic rf ~ou "
'y . w concfude~ttiatthe aetrad secrets.~~so.nsthativoWdper_m~4~}fhe'Cityta,~i'~'
I hereby acknowledqe 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 no to staR without a permit; that the work will be in
accordance with the approved plan in the rase of work which requires a review and approval of ~
X C"' ~JIJ~I`, ~~G_ V i° S x ~
Applicant's Printed Name A icanYs S n
Page 1 of 3
~ For Office use ~
City of E~~~Il ; Pe~,~ 3~. ~ i
~ Pertnit Fee: D- ~ ~
3830 Pilot Knob Road i~7
Eagan MN 55122 j ~a~e Received: i
Phone: (651) 675-5675
Faz: (651) 6755694 i Staff: ~ i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address; ~co ~ s G 1 f++~ ~P' i~
Tenant: Suite
RESIDENT / OWNER Name: ~~~C 5.•~-f Phone:
,1~+ ~ +
Address/CiTy/Zip: '7(oCD 5 ~~bn,~Ll 'Jr~~/e~
Applicant is: _ Owner ~ Contractor
! ~
TYPE OF WORK Descriptian of work: ~_2< r ~ ~~~1 v u'~ l fc~ ~-SC'_
Gonstruction Cost: ~ a S~~ Multi-Family Building: (Yes_! NopJ
CONTRACTOR Name: ~/~.st~.c~ ~.~s ~ 1-~L l.icenseu: o?G3o~CJ3~~4
Address: Iga2ry It./c~ L- ~
City: ~ ~ o.~ ~ ~Jc- State: iJ Zip: .~S/~ ~
Phone: (~5 7~( ~-UU 7U Contact Person: /7 /C~~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenlial Ven~ila5on Category 1 Worksheet • New Energy Code Worksheel
CategOry Submitted Submitted
SubmissiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a slmllar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanlcal Contrector: Phone:
Sewer & Water Contractor. Phone:
NOTE: Plans and supportlng documents that you submlt are cons/dered to be publlc Information. Portlons of
the /nformatlon may be classff/ed as non public it yau provlde specific reasons that would permit the City to
canclude thaf fhe are trade secrefs.
I hereby acknowledge that this infortnation is complete and accurete; that the work will be in contormence with the ordinances and codas of the Ciry oi
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to starl without a permit; that the work will be in
aCwrdance with the approved plan In the case of work which requires a review and approval of plans.
x /fi ( ~ ?`fv 5 ~C~'/ x 6 e%~~
Applicant's Printed Name Applicant's Signature
Page t of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 1&plex ? AccessoryBullding ? Pool
? Single Famlly ? Obplex O Pireplace ? Porch (3•season) ? Ext. Alt. - MuRi
? Ot of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - 9F
? 02-Plex ? 0&plex ? Deck ? Porch (screeNgazebo/pergola) ? Multi MisC.
? 03-Plex ? 10-plex ? Lower Levei ? 3torm Damage
? 04•Plex ? 12-plex ? MisCellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish FoundaHon
? Replacement ? Egress Window ? Water Damage
' Demoli~ion (entire building) - give PCA handou~ to applicant
DESCRIPTION:
Valuation . Occupancy MCES System
Plan Revlew Code Edition SAC Units
(25°/<100%_~ Zoning CityWater
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings(deck) Pinal/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other•
Roof:_ICe&Water _Final Pool:_Footings _Air/GasTests Final
Framing Siding:_Stucco Lath _Stone Lath _8ridc
Fireplace:_R.I. _AirTest _Final Windowa
_ Insulation Retaining Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Pee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Use BLUE or BLACK Ink
--------, �(5�
� r-------- �
'� I For Office Use
' � Permit#: I � � /S�� / ,� !��
City of Ea�a� � Permit Fee: � . I l !� 1 ? !
3830 Pilot Knob Road � �' �
Eagan MN 55122 R��EIVED � Date Received: �'( ' � I
Fax: (651)567 5-5694 7 5 I� 1O� I Staff: � I
�C� � I ' �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �l� � � Site Address: `�bbS S'fa��-�-�F{to �2, Unit#:
��
� ���`��� h 1-l�412k-- � (�-� S V''�-!r�-t
� '' Name: Phone:
n ��Sld�l�� . : ;�
�w�i+�T x� Address/City/Zip: ��oS 5?or-6 �FF t/ 2� ��s,r�� . M�1.� ,s�I Z2
���� � '
���w� `' Applicant is: Owner �Contractor
��.�� � ::
,.. . ��' �
Description of work: �v�w �'R-o�T {�o a..�-� {a p�a�T t b F�
Type o#�i�rk ;
� �
'# '' Construction Cost:'�7D��v � Multi-Family Building:(Yes /No (�)
� ;;.
�� Company: S� C,��/`�v��a��-E-5 L�-G Contact: ����
�����'�C#Or Address: �Ot� I�Qr-aGN� L� City: 1'�N�oTK? �6lG,l-}TS
� �� �„,
��wrro '. State:N\'� Zip:�5 l Zu Phone:bS 1 -2-�� �`�'�1`�Email:,s.¢1�.v1 Q Sd't�o���.S .C�v�
�� r
�������:, License#: �(��3�q.S 3 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
�3�.�r ��✓ 99 �"�
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�f.Plans an�l��p��rting docur»e»ts that yv�� �►�`1f,.�re con����r��1 tt�be,�tiblic irifo��t��ra �a��rrs of
the rn�for��r#�on������assr�e,d'as n�n-p��bli����� ���iride s������sons thaf woul�� �ti'ait�i�e Crt,��t�
��,,. �. �.: � v�� � ��� •� �,.;
U; m rt:x. conclud�tt�at�� are tra��1��������. ��;_ w: t .�. x�. . ��. �
<. ... ., .
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)45M0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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.
x J E�r� �6`'lL.-E , x *
Applicant's Printed Name Appl' 's nature
Page 1 of 3
� � � � �O NOTGWRITE BELOW THIS LINE � J�
�/�/ _ ����� c_< < � / �� S
SUB TYPES
_ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single�arr�ily)
_ Single Family _ Garage � Porch(4-Season) _ Exterior Alteration (Multi) '
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 07 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 W811 *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �
Valuation q �y c�d'f Occupancy ,�aG- � MCES System —
Plan Review ��� Code Edition �i/;� SAC Units —"
(25%_100°/a� Zoning n-'1 City Water —
Census Code y� Stories � Booster Pump —
#of Units / Square Feet �d PRV �
#of Buildings / Length 5 Fire Suppression Required �
Type of Construction �v� Width /O
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
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES /J-�� Z� � S�T�'✓ A�O��pC� �l�J' �j,� y7G�' �
Base Fee 3 `� �' "
Surcharge �../U � �`O!�'lL/1/� r��'�i'i I'Tcrr�G.A L�� / U �G� '�
Plan Review �,�j g' -�'' L-, �
MCES SAC ��i{'',ea�vtif ''/��
City SAC ' �G�j �
Utility Connection Charge 5���`��1
S&W Permit&Surcharge �� �G��
Treatment Plant
Copies gQ«�� ���
TOTAL
Page 2 of 3
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CERTIFICATE OF SURVEY
$m �� No �m �� PREPARED Ft3R r�~���RS 5��4�jP �
Nz �� �� �� �D LUNDGREN BRQS. '" '°N SATHRE--HERGQUIST� INC�
� �� ,� � � iS0 SOl11N BROA6WAY�WAYZATA, MN. 35391�(612)470-G000 " �
w � CON�T., INC. �
�rY oF �►c�w ��RS �.'��" �.
, �:
.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145794
Date Issued:09/26/2017
Permit Category:ePermit
Site Address: 4665 Stonecliffe Dr
Lot:3 Block: 3 Addition: Pinetree Pass 3rd
PID:10-57662-03-030
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Mark J Smith Trust
4665 Stonecliffe Dr
Eagan MN 55122
(651) 808-3852
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153366
Date Issued:12/13/2018
Permit Category:ePermit
Site Address: 4665 Stonecliffe Dr
Lot:3 Block: 3 Addition: Pinetree Pass 3rd
PID:10-57662-03-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Mark J Smith Trust
4665 Stonecliffe Dr
Eagan MN 55122
(651) 808-3852
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175597
Date Issued:04/08/2022
Permit Category:ePermit
Site Address: 4665 Stonecliffe Dr
Lot:3 Block: 3 Addition: Pinetree Pass 3rd
PID:10-57662-03-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph Edward King
4665 Stonecliffe Dr
Eagan MN 55122
Fulsaas Exteriors Inc
14206 Audobon Way
Rosemount MN 55068
(952) 564-1695
Applicant/Permitee: Signature Issued By: Signature