4669 Stonecliffe Dr Addiess 4669 STONECLIFFE DR Zip 5512?
~At 2 Blk 3 $ub PINETREE PASS 3RD
THESE ITEMS WERE ! WERE NOT COMPLEfE 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 shutoff of water supply W
Ute outside ~awn faucet before freeze potentlal exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
^
r
i Fos
a~
us~
City of Ea~a~ ~ Pe~~t# gD 4~;
~ ~
~ Pertnit Fee:
3830 Pilot Knob Road ~ I
Eagan MN 55722 ~ Date Received: ~ j
Phone: (651) 675-5675 I C('~ _ ~
Fax: (651) 675-5694 t Starr: (fL_ I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `7~0~ ~1 ~+~~~C ~~T i~
Tenant: sr. s~--. .-.S 51~~ Suite p:
RESIDENT / OWNER Name: S~s~. S~^ Phone:
Address I Ciry I Zip: c/ s'~-~-G~! ~ ~,/rfve_
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description ofwork: a~ Y~-oo~ ~.~5-~
Construction Cost: ~ ~ ~ ~~v Multi-Family Building: (Yes _ / No ~
CONTRACTOR Name: ~vs-~a d ~~S c-- License ~3~0 3%8'
Address: f~faA /C,~c~+ LXf _
Ciry: `-/-E-1-~2 ~e Gcf.--_ State: [.r-~ rJ ZiP: SS// ~
Phone: (95 yg~ ~~U ~O Contad Person: ~/~-r ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Enel'gy Code . Residential Ventilahon Category 1 Worksheet • New Energy Code worksheet
C2tegory Submitted Submitted
submission type) • Energy Envelope Calculahons Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan hased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: phone:
Sewer & Water ConVactor: Phone:
NOTE:, Plaris;and supporting documents ~that you s6bmit ar'e considered Lo~tie public iaformation..;Portions of
' the information mey.be.class~ed as non-public,rf you provide
specr~c reasons fhat would permit the,Cify to~:
,
" _ ~ ~ ._conclude that the ~are trade secrets`' ` ~ ~ ~ ' ` ~ ' ° ~ - ~ -
I hereby acknowletlge that this information is wmplete 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 permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ~r lC.. ~ S'~ ~ X ~~2~ ~
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
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38E,E, 93i7 4~F~3 STONECL..'f.F'F' 10D.OQ
34r".'2 'aCl1]:I. 4fiC;9 i70NFCLTFf- 1aG90.C12
~2r'a 92i?0 4L67 S70t~E:CL.:I:~F' 9.r~]39.50
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'r.?1`{S 30!li ~6G9 S7UNE:CL:I:FF 0.:;0
37f3 Jc?c.'.fl 4F,6J ~iT(:INI"C:~.T.F'F 50.(:1Q
^1`.i`i 9(JUi 4E~67 S70N'L•'CI..I1=1" 1.11.00
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ID:
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37i.3 `3c.'.2q 466'~ S'1"C1N1"CL.T.FF SU.CIU
'fit=~~ ::7~'r?0 4f~E,3 STONE(:I_]:~'1= E~~:'s.00
To~;~:l. R?ceipt ARIO~.:77~~" SrJE~J.4'
CFi 1.12943'i
USER ]:Tie NANrY
%~X~~*%~Xc~XcY~X~%~%c~~X~*X~~k Nc~F ~kks~k~%~%c~*#X~%:~ ~M%~*
, ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ ' CITY OF EAGAN ~
3830 PII.OT KNOB RD - 65122
3 ~ (651) 681-4675 ~ ~ i ~ ~~j _ L{ ~
New Constructian Reauirements RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copies of plan ~C~ 4~7
? 2 copies of plans (include beam 8 window sizes; poured fid. tlesign; etc.) ? 7 site surveys (exterior add'Rions 8 decks)
? 1 energy calculations ? t energy caleulations for heated additions
• 3 eopies of lree preservation plan if lot piatted after 7/7/93
required: Yes No
DATE: J~ CONSTRUCTION COST: ~a~ C~, '~'laJ
DESCRIPTION OF WORK:
STREET ADDRESS: 7~G~ ~V
LOT: BLOCK: ~ SUBD./P.I.D. 5 S ~ r~
Name: phone
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company: ~ Phone 7~ aJ r~/S"
CON7RACTOR r/
StreetAddress: L~L~-- License# ~7~~ Exp.~~OO
city state:'7 zip: 3 q/
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Sueet Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): ~nalty applies when address
change and lot change is requested once permR is issued.
1 heY~eby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable
Sta4e of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
I~L ~ / ! lil`
OFFICE USE ONLY ' '
I~'~ , . i ~
Certificates of Survey Received Yes _ No (
11 l;l--yJ-u~
Tree Preservation Plan Received Yes _ No _ Not Required ,
OFFICE USE ONLY • . ~ .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
f~ 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
`E,~ 31 New ? 33 Alterations ? 36 Move
'f~ 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basementsq.ft. ?1 8~ CensusCode
(Allowable) K~ r~T- Main level sq. ft. 1 S I g SAC Code ~
UBC Occupancy R• 3 sq. ft. t 5 8'z- Census Units ~
Zoning ~ sq. ft. Census Bldg ~
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width 6 Footprint sq. ft. 'GL~ Booster Pump
PRV
Fire Sprinklered
APPROVALS •
Planning Builciing Engineering . Variance
Permit Fee Valuation: g 222~ vov ~
Surcharge
Plan Review 1787X t~ = 2 4~~O~°~ -
MC/ESSAC F8L8X 5~ _ ~~2" `
c~ry sAC ~~SVc 54 = gS',4za
Water Conn. ~g x( b _ ~ d o~j
Water Meter
Acct. Deposit
S/W Permit Z Zf ~
S/W Surcharge ~O~" 2 '
Treatment PI.
Park Ded.
Trails Ded. ~
Other •
Copies ~ •
Total: ~ (a S .
% SAC
SAC Units
r y,
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: L~T- 2 bGC3/~~ ~ ~i1/f~k,EE Yfi~SS 3~
DATE OF SURVEY:
LATEST REVISION: li~ ~
DOCUMENTSTANDARDS
y c ? • Registered Land Surveyor signature and eompany
~ ? a • Building Permit Apqicant
~ ? ? • Legaldescripton
~ ? ? • Address
a/ • North anow and scale
~ o o • House type (rembler, walkou~ sp6t wJo, split entry, lookout, etc.)
a • ~irectional drainage artows with alope/gred'ieM %
z~ . Proposed/e~osstlng sewer and water services 8 invert elevaton
~ ? o • Street name
a~ ? a • Driveavay
m' ? a • Lot Square Footage
~ ? o • Lot Coverage
ELEVATIONS
F~asti~a
? ? • Sewer service (or Proposed)
c~ o ? . Property comers
ra~ ? o ~ Top of curb at tlie driveway
~ Eievations of any e~dsti~g adjacent homes
Adequate footing depfh of structures due to adjacent utiGly trenches
Prooosed
5l ? ? • Garege floor
~ a ? • First floar
~ o ? • Lowest exposed elevaEon (walkouUwindow)
~ ? ? • Praperty comers
T/ c? • Front and rear of home at the foundaGOn
PONDING AREA (if aodicadel
? m~/ ? • Easement Bne
? 4Y o • NWL
? r~ ? • HWL
~ p~/ ? • Pond # designatlon
~ m' ? • Emergency OveAlow Elevatlon
/ DIMENSIONS
d o o • lot Iines~Beannga &~mensions
a • Right-oRway and street widlh (to back of curb)
a~ • Proposed home dimensions indu~ng any proposed decks, overhanga greater than T, porches, etc.
(i.e. all structures requinng permanent fooangs)
a~ • Show all easements of record and any Cily uElibes within those easements
? • 5etbacks of proposed structure and sideyard setback of adjacent ebaUng structures
a rs~o • Retaining wall requiremenffi, if any
,
Reviewed: ~
Name ~
Marth 19BB
ca~ucue~oavnMr cM
~
~ . ; ~ • ~~~~1~ U
~~np~~Fn ~~il~ ~
LdR~S. EJItER10R ENVELOPE AYEftAGE U COMPUTATIa11
COr~stRUCnoN `
INL'. /1 n ~ •
Site Address !~(U7 Q.r~a~/F1~, ~at'~'Block~ ~~r~~
SS 3 ~
R a u Facto~s a u
~E Opaque Nal]s .043
w+pp4
H,ill Framing Areas .pg
AU~ourmp55~ii Ce111nq [nsluatian Area _ ~ _ d~j
Cei l i ng Fram f ng Area ~r . Q'7~
R1m Joist .04
Hasonry Mail ^ y,~ . ~'6
Ni ndrnvs .,6}'~
Doors .31
5kylights _55
1) LoNer Leve1 {paseeent)
Tatal Exposed 41a1i Area ~2~ I
Opaque Weil Area ~ X(U) .093 a /
Hoad Frame Area ~ X (U) .09 = /
Rim ,bist IlJ~ X {U) .04 ~ ~
Exposed Block X(U) ~ 14-~'
Nindaw Area q.1 X (U) .35 ~
. S1lding Glass Door ~ x (U) .35 = ~
~oor Area / E (U) .31 ~ ~
tota~ ZI
100'd L9Z£ £ib Z[9 `13,L 'JN'I ~~JIS3Q/S3'IVS trZ 80 (a3M166,L0- 8dV
. a
.
~unpGREn ~
2) First Dr Main Floor
cowsraucuoN 5
Total Exposed Nall Arqa ~i1~
INC.
Opaque Nall Aree ~7JIZ~~X {U) .043 a 5LP•`~
Nood Frame Area ~ ~ S X( U) . 09 = ~
Rin~ Joist I~ X(U) .04 y~•~
Nlndori Area X (U) _ .35 ;
~y,y,x,, Slidlnq Glass Door I f~r~u X(U) _35 ~v
Mhur_saa~57~i Door llrea CJ~~ X(U) _31
(612J477-17JI lo ta 1 Z~ , o
3) Second Floor If Two Story
Total Exposed Wall Area
Opaque Nall Area ~7j~4X (U) .093 = 'ljZ'~
Hood Frame Area I~~! U 1l ( Il) .09
Nlndmt Area X(U) .35 • 1
Sliding Glass Door ~ % (I1) .35 = ~
Door Area _ / lI (U) _.31 ~ ~
Total ~ , ~
4) Total Cefling Area ~~./q0 Q~
Wood Frame Area ~ X (U) , ,92f - ~ $
Opaque Ce111ng Area X(U) •~d
Skyilqht _ / X (U) __55 ~ ~
~otal ~
~ ~ ~v~.a... )
~un'DGREfI
~Ras.
CoNS1uuC~rc~N ~1
iNC. NIHNE50TA U FACTORS Total fxposed Nall Area~~_ X_11 ~""T~~~~
11INN~50TA U FACTORS ToWI Exposed Ceiling ~p~ ~
Area ~ ~ 1 O X ..026 ~ ~
~A~ TOta~ n ~ I l.I, ~
RL5 E Mta~rrala Olyd
wn~~ item 1~i ~y + ltem 2~ + it~ 3 e Item 4~y_u
MW~Ya ~11
~fi12)A~-1231
tf 1ota1 Of Items 1-4 Is less Than IteM (A}, Bufldinq Complies Nith
58C 600fi (C)s
.
lD0'd C9Z~ £Cb Z19 13,L :~HI A~fS3~153'1VS S£ 80 1~3M166,10- 8dtl
~ REVISIONS BY
ilnGM.7v (~j
~ ,j i ~1i
99
~o~a V o ~~~EJt1l1 LLL~a~
~ ~
\
LEGEND U ~
~9 \ lP~, ~ QS DENOTES SANITARY MANHOLE ~ p~
~6' 9~6~ ~ o ~j ~ DENOTES ITYDRANT E"' :
1 ~+ys ~ e3° 4 ~ ~ DENOTES CATCH BASIN ~ ~
- ~~'9~ ~ 'l ~ ~ 5 DENOTES SANITARY SEWER
~I° w ~ ~ Q \ W DENOIES WATERUAIN C7 r
~ y,6 ~ w ~ ST OENOTES STORM SEWER W<
04Jg ELEVC= 931.3G ~ / ~~~paCo~IN L ~ DENOTES STORM MANHOLE R) =
N
62 mp~ ~ 3z i xb \ ~ ~ DENOTES STORM APRON W o
lo a ~
e3~ ' o
s ~ ~ N ~ ~ SETBACKS ~ €
~ 9317X I~ ~ \ ~
~ iO ~"~3J 5 Z~ ~ ~ MIN. FRONT YARD SETBACK = 30' ~ R
`a~o-o ~33' x M e° ~ 75 Q ~ ~ 70 MIN. SIDE YARD SEIBACK = 5', 15' BOTH SIDES
i°' ~ ~ ~ o . N`2 9 2 5.0 ~ 1i 0 M I N. R E A R Y
A R D S E T B A C K = 1 5~ ~a c.~°"s
h ~rt
~ ~ ~ N W CS O
g35.?Y 6 ~2 o u N ~ ~ ~ O ~ v~ 3 ~,ffi
~ / N Z I O1
I ~ < vo~ta+ a o .i _r;. . :,;';T; O N ROOF AREA =2585 S.F. ''`~va ~v''
~ ~ ~ N z~..-,;,,-;;,;:;";~;T;, ~ S LOT AREA =15457 S.F.
^ "%i'- 934.s ROOF AREA 9 =16.7%
~ m a
I ~ Q p '<%:5,2x'.";;
~ 26 < w 1~ ~ ~i ~ " -
L ~ 5 o a ~ ~ ~ = _
t.~.:
N ~ ~ Z '";;;i,:;.",; ` }
N ~ ~ ~
~ DRAINA E & UTILITY ~ ` % ~ , ~ ~ L/]
~ ~ ~ '~'L~_JV/
EA MENT ~ Zo ' Propoaed Top of Foundation Elevation=937.67 ~ ~
~ L__ r~ -_03 - oa0.3 ~ ~35.6 % Im I 10 60 Propoaed Garage Floor Devation= 937.0 ~ O~~
~ Propoaed Lowest Floor devation= 929.67 Z~
u~ ~ ^ ~
~ x s3' x 9az ~ ~ O
(937 2) 48.64 X 9a~,3 W~.~L.~ ~
X 530 ' O Denotes Iron Monument F- ~~i F"'
°35 ' i~ ~ + 910.0 Denotes Existing Elevation < a C7 ~
N86°06'31 "W 166.8g c~~E.;> 3a +(s~o.o) Denotea Proposed Davation
Denotea Direction of Surface ~i ~ z O a
Dminoge F d ~ ~
; 925.0 Denotes San'rtary Sewer Service W r-~
p20~Z i Devation - U
D G ~-'t rE~y CE • I hereby certNy that this ia a true and correct representation
of a survey of ttre boundaries of:
~I LOT 2, BLACK 3, PINETREE PASS 3RD ADDITION
~ ~ n ~ ~ ~ DAKOTA COUNTY, MINNESOTA ~ RS~
II = Md the location of all buildings, if arry, thereon, and all visible
~ ' encroachments, if any, from or on said land. As aurveyed by ~E~m
Ly me this 5 day of June 199 . ~G
DATE
?''s= ~ ~h ~ 08-05-99
i ~ SCALE
. r~n,(~qNkNC'INE "
%i. ~''~ILV4i A.1EF'P, s
~t Gary R. Germond
Liceneed Land Surveyor, Minn. Lic. No. 24764 JOB N0.
5402-505
/~~2~ % 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~i 6U• 5~
{ , cirr oF eacaN
3830 PILOT KNOB RD - 55122 ~Q ~ I((~ ~D~/3/U~
651•881-4875
~aw con~m,cnon neauiren,ema C R~ f Sa r.55 Remodel/Reoalr Reouirements ~
~-a3- o0
D 9 reglsfered dte wrveys fhowlnp sq, fl of lot, ~q. fl. o? house 2 coples o1 Plan
and g~ raoled areaa (TOX mmdmum lot covo~e W bwe~ 1 set ol energy calc~dotlons lor healed addillona
> 2 coples of plaro (~how beam & wlndow q~a; poured fntl. des~gn; etcJ 1 fite survey for exfeAOr addiflons ! tlecks
? 1 aet ol energy calculaNOns
? J caples of hee PretervaHon p~on Il lot plaMed aRer 7/1/9J
DATE: ~ / CONSiRUCTION COST: 'p"' ~ ~ ~ ~
DESCRIPTION OF WORK: C 2C~ 4.n lA~ C~ C~ P c-~
STREET ADDRESS: ~ ~p~~ ~ °1 EC. ` t ~ ~ f •V e ~~~~'l ~ ~ ~ I Z Z
~ Z ~
~or: Z e~oc~: 3 SUBD./P.I.D. R: I~ e-{-re2 ~z s
S 3'" ~~1 ~~d2 ~n,
R~ ~-1-~ ~n n 1
Name:_ ~-c~c~ C N'lt.l ~ ~ ~ Phone ~D 5 ~ ' ~{S T ' ZZ- / 7
PROPERiY last Firs~
OWNER y (a (a ~ S ~P~ I ' Ir,-F~ 1? ? ~ ?C
Sheef Address:
Cny _~c.~.~ State: ~ N Ztp: s S l Z L
Se (-F ~ c~~ ~ 1
. Company: ~ ^ Phone
(area code)
CONTRACTOR
Sheet Address: tlcense A Exp.
CMy Stafe: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Registratlon !Y:
CNy Sfate: Zip:
Sewerlwater licensed plumber (H instatlina sawerhxaterl: Phone
I hereby acknowledge that I have read this applicaFbn, atafe fhat Ihe informalion is cortect, and agree to comply wHh ad applicable Sfate
of Minnesota Stalutes and CNy of Eagan Ordinances.
Signature of ApplicanL• ~
v-
OFFICE USE ONLY
Certificates of Survey Received ~ Yes _ No '
.%1~~U g
Tree Preservatfon Plan Received _ Yes _ No ~ Not Required
~
OFFICE USE ONLY r . ?
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muw
? 02 SF Dwelling ? 08 0&plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of_ plex ? 09 07-plex 18 Deck ? 23 Porch (screened) ? 38 Muiti
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-piex Plbg _Y o~_ N? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 "Accessory Bk1g.
WORK TYPE
~ 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demoiish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ~L # of Stories s4•
No. of Units ~ Length sq. ft.
No. of Buildings T Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code ~`L
(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 Engineering Variance
Permit Fee Valuation: $ ~OZ ~
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
SAC Units
% SAC
.
~ ~ e''.~ "
~
' -
\
O
~o
5g ~ 9 2~~' ~
. e ~;E'' . . 1~ 6., ~ p
` y 19~~ b ~ /n
_ fy~„'`~.~'~ > C~
\i~ ~ ~ ~ O
^E / z „ ~
Y 14V ? Gj~~ / ~Y ^ ~iO ~i `1
~,9 ae+aunr+K „ 5~ r ~ ~ ~
~ a.FV _ sa,.se~ j ~ ~
' ~ 932.1 X
93t.5 % ~ ~n $
S ~ 93t ~ X ~
~ ~ X 935.5 \ D
11 ' 39.75 r/ n a ! ~
,~p99 ~33.1 X ~ ~ b q ,m
~a ,o ~r / 1~ ~ ~ ~ Vx N ll W
}9 ~ ~ ~ ~ p H 2 i~ s2J.4 ~ 1 C~
~ ^ry $ ~ ~ ~ ~ 0
P ~ s3 sx ~ ~ o u ~ ~ \ ~ ~
~ ~ ~ o 'd , ..~i / - O lJ
~ \ - ~6~ - - ~ 2 , / cO S
~ ~ + ~ti ~ab ~ ~ ~ 93a.b
-'".1 m a ,c O
6
L ~ ~~i 25 ~ o ~ ~N~j
~ X g3o.8 2
DRAINAGE & UT1L1iY I ~ "
~ EASEMENT ~ , Zo - -
~ ~ 939.6 X a, ~ ~ 0 6
C ~ - ~sa3 x ~a, ~
O ~ ~f i_.o~l`1 - ~
~ ~ X9<2D ` ~
' • ~937.t
' 9J7.2 X 9<2.3
~ ) 48.64
• X 936.7
N86°06'31 "W 166.89 1936.7) r' s4
t
' , . ~T ~hS~~$
, .
LEGEND
U
~
z~
QS DENOlES SANITARY MANHOLE ~
~o DENOTES ITYDRANT E..~ a
~ DQJOiES CATC~i BASJN ~ ~
5 DENOIES SANITARY SEWER ~
~
W DENOTES WA7Ei2lAA1N C7 z
ST DENOTES STOR}A S~cF~ci2 ¦ :~i~ a
QD Dc"T10'TES STORf~{ AIAIrHOL~ R7 ~
` n DENOTES STORAI APRON W S
R'i °
SETBACKS E ~
d
FAIN. FRONT YARD SETBACK = 30'
~11N. SIDE YARD SETBACK = 5', 15' BOTH SfDES
lAIN. REAR YARD SETBACK = 15~ ~Q~y°"~ a,~,
N ~
y 3 ~
ROQF AREA =2585 S.F.
LOT AREA =15457 S.F.
ROOF AREA ~ =16.7%
f r
~ ~
' Proposed Top of Foundation Elevation=937.67 ~
~ Proposad Garnge Floor Efevation= 937.0 N Q~~
I Prnposad Lowest Ffoor ~evat;on- 923.67 ~ Z~
~ O Denotea Iron Monumant ~ Q Q~~~
' . + 910_0 Denotes E~datin ~evation
+(910.0) Denotes Propo~d Devation ~ W(~
Denotes Direction of Su;face ~ Z
Orainage F ~ ~
9~-~ Denotea Sanitary Sewer Service ~ r-7
Elevation U
I here6y c.ettify tha{ this ts a true and correct rearcsentation !
of a survey af the boundariea of:
lOT Z, BL~CFC 3, PINETREE PiLSS 3RD ADDRION p~~
~AKOTA COUNTY, AtINNESO'fA ~
And the location of ail buildings, ff any, thereon, and all visible ~E~
encrxchmants, if any, from or on said land. !u aurvayed by
me this day of June. 1999. DATE
06-05-99
~ ~ O SCALE
Gary R. Gertnond
Llcansad Land Surveyor, Alfnn. Ltc_ No. ?47fi4 ~ N~-
5402-`.~D5
L a B` `3 cirv use oN~v RECEIPT I~- ~~j
SUBD. V ~"Q'~ ~ ~ RECEIPT DATE: I a-~ ~ /
PERM4T# ~ ~ l/~
1999 ~LUM$INH ~£iiMTi' (~SIDgNTi~lL)
CtrY oF ~ts,uv
3$SO PILOT KNOS RD
f A6RN, MH 551 SE
(6S1)6$1-4695
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
EIX'!''.L2~5 EACH # TOTAL
Bath tub $ 3.00 x Z = $ (o
Floor drain 3.00 x = $ ~
G8S i in OutlEt ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.OD x 1 = $ 3°v
Laund tra 3.00 x = $
Lavato 3.00 x = $ 1 ZpO
Minimum fee alterations to existin dwellin 30.00 x ~ _ $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal 5 stem abandonment 30.00 x - _ $
RPZ new installation/re air 30.00 x _ $
Rou h o enin 1.50 x = $
Shower 3.00 x - _ $ 3
Under round s rinkler if dwellin is under construction 3.00 x _ $
Under round s rinkler if existin dwellin 3D.00 x ~ _ $
Water cioset 3.00 x = $ 9°°
Water heater 3.00 x = $ 3°.~
Water softener if dwelling under construction 5.00 x _ $
Water softener if existin dwellin 30.00 x - _ $
Water turnaround 3Q.00 x _ $
State Surchar e .50 $ .50
TOt81 $ s
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknovrledge that I have read this appliption, state that the informahon is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanfs responsibility to noGfy Ne property owner that !he City of Eagan assumes no liability for any damages pused by the City during ds
normal operational and maintenance activiUes W the facilities consWCted under this permit within City property/right-of-way/easement.
SITE ADDRESS: `7 ~`~d/~ ~ G f L T T
OWNER NAME: : L~ xeq('1C n/,~~o s C~...~ ~ f. TELEPHONE
' (AREA CODE)
INSTALLER NAME: C.~ ve /,+'P~' ~~V
~[7C ~u ~ t C~'Z- TELEPHONE L~~ rb ~6
STREET ADDRESS: ~ S~- ~ ~ (AREA COOE)
L ~ l E~rt f'!!~'`~
CITY: ~~L d~~G~~~~ ST , : ZIP: s ~ ~
~
~
.~9
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT BL 3 ~~E~ 1 a~~~ g
SUBDQ~'v~-e.. l)~~ RECEIPT DATE: ~ a~ r~ f'~ 9
MECHANICAL PERMIT # ~ / ~ ~ 1~
199911~I~Ci~ENIC~L ~'~'.$MIT (ft~ESIDENTI~EL)
crrY oF ~wsnx •
SSSO ~ILOT KNOB itD
gE1fiA1N MA 551YE
g ~ ~ S (651) 6$1-4675
Date: 6`
Complete this section onlv if you are installing HVAC in ~ single family ~wPli_±ng, !a~*m_
~.ome or condo un er
yc::shuc?ior. and iie? c:~me-?eccu~ied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outleu (minimum of one required @$3.00 ea.) J~
State Surchazge .50
Total $~S~
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
_ New Alteration Repau _ Other
Reminder: Ca11681-4675 for inspections.
_ Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS: 7 GO ~ ~ ~r~r' ~ G ~ ~
OWNER NAME: L iuL d2 L~ ~-y+ /,y~~ ~G' S' r PHONE
~ (J1~9l,t'~'s` /6~~C•~~A7'~l'ir~C PHONEnii~nw~/a - Y~f`Y~l`'~-
INSTALLER NAME:
STREETADDRESS: Jj / G~ `frs y-~~ma ~Jj~G/"~ ~A~CODE)
CITY: ~~~~~D~i~~ STATE: ZIP: S.S~s 7`~
~L~=Ge sC~i%°"t!~~
SIGNATURE OF PERMITTEE
_ /
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
19991K£C~ANICRL ~MIT (COb1M~{iCIAL)
CITY 0~ ~fi~+4N
3$SO ~1LOT KNOB RD
~?s1~1v, a~trt 55 i $a
, (65 i ) s81-a.675
Please complete tor: atl comrner~;iaiiindusQriai ouiiui~ ~y~s
muiti-family builtlings when separate permits are nn rsquired for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
••NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of cantract price QR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of e~'t Fee due on all pemvu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANC NAME (IMPROVEMENTS ONLI~:
INSTALLER:
ADDRESS: ~ PHONE -
cnrs~n cooe>
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
~ ~ ~
~~~~35' ~D. ~
2oos RESIDENTIAL PLUMBING PeRMir aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
Date ~L J ~ I ~
Site Street Address Unit #
Property Owner 1 T~C/7 ~~rN Telephone
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ~Owner _ Contractor _Other ~
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
~ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insfalling only a water sokener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing. ~ D
_Septic System Abandonment
_ Wa ter Turnaroun d (a d d $ 1 3 0. 0 0 i f a 5/
8" meter is require d) N~~ ~ 2 ~ ~ 6
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
arcco-rdance with the approved plan in the event a plan is require to be reviewed and approved.
V~ I~T~'~ ~ ~ /vr1'
ApplicanYs Printed Name Appl s r
`7C~ . c2
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenls RemodellRepair Re4uirements Offce Use Onlv
3 registered sde surveys showing sq. k. of IoL sq ft of house, and all roofed areas 2 wpies of plan showing fooUngs, beams, pists Ced of Survey Recd Y_ N
(20Ya maximum lot o~verage allowed) 1 set of Energy Calculations for heated additions Soils RepoA _Y _ N
1 Soils Report if proposed building is to be placed on disWrbed soil 1 site survey for additions & decks Tree Pres Plan Recd _Y N
2 copies oF plan sharving beam & window sizes; poured fountl design, etc. Addition - md~cate ifon-srte sepfic sysfem Tree Pres Required _ Y N
lsetofEnergyCalculalions On-siteSeptic5ystem _Y _N
3 copies o( Tree Preservation Plan if lot platted after )11f93
Rim Joist Detail Oplions selecGon sheet~(buildings with 3 or less units)
Mmnegasco mechanipl ventilaUon form . ~ . ,
, ~ a~
Date ~ / Construction Cost
Site Address ~+lr,s~(,r~`~1 1 }.Tp.s UniUSte #
~ vd?s~~~ o~ir-l
DescripUon of Work W I G V
AZulti-Family Bldg y Y,~, N Firaplace(s) Ir 0 _ 1 _ 2
Property Owner ~ (y ~ ~//V /L~i Telephone ~ ~ ~ !
Contractor ~ L H'
Address City ~ ~ ~ ~ L~ ~
State Zip Pelephorte # (
~'J ; .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDLNG
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~submission typej Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, dale and address of master plan:
Licensed Piumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor 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, 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 ofplans.
~~~V1v~v~ , \
ApplicanYs Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ~ 36 Multi Misc.
? O5 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ~ O, 45 Fire Repair ~
~ 33 Alteration ? 37 Demoli.sh~Building' 4 43 Reroof ~ ,!7+ `46 'ZViyldows/DaQrs
? 34 Replacement 'Demolition (ErfEire~Bldg) - Give PCA HarrdouCto applicant , 4 x ~
, ~
DesCl'iptlOtl: Water~amage_Yes ~ ~ ` ~ ' ' ~ ' ',1 ~ • ;
C~ • . ~ ~ ` . •
Valuation ~ Occupancy° MCES Systerp . -
Plan Review ,/U~ 100% or _ 25% r../
Census,Code ~ ~ ~'1:~~ . , Zoning, ; ~ ~ ~ Ci(y Wateo' . ~
. ~
SAC Units - Staries Baoster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered ~
Type of Const ~ Width ~l~
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deek) FinaUC.O.
Footings (addition) FinaUNo 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: , Building Inspector
-
Base Fee ~ ~ ~
Surcharge
Plan Review
MC/ES SAC
Cify SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies , ,
Other . . , , f ' " > _ r,'
Total
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146150
Date Issued:10/10/2017
Permit Category:ePermit
Site Address: 4669 Stonecliffe Dr
Lot:2 Block: 3 Addition: Pinetree Pass 3rd
PID:10-57662-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Lawrence A Jensen Jr
4669 Stonecliffe Dr
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HETI G�j JOB NO. 115924
1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST)pECpri.III!
ADDRESS Li GO 5fDnec1i. e -9( CITY CIA
OCCUPANT OWNER LJJ(M J.enst'n
SOLD BY 1n421 INSTALLED BY V5 i[
MAKE 1 l,eAnos4 MODEL SL, OUt1 "O b°C1
SERIAL NO. 571 111 h 9.
" `' INPUT 110A
}, ii
THERMOSTATyy�� 1 IO� �I FVENT SIZE
+Jt
VALVE 1 4 Y-4114')(Iz TYPE OF LINER g
D(5 ( 2
ci
LIMIT LINER SIZE `��f
LIMIT SETTING ( y,� FILTERS: S ,L PR v 1 0 NUMBER
FAN SETTING �L 1 Ik WIRING KAM'k(k4
PILOT TYPE l ( TEST TAG Yi c
IGNITION MODEL tji4,I LIGHTING INST. y,e c
PILOT TIMING 'RS
PERCENT CO2 f{- °Li DATE TESTED '� ..12i-
PRESSURE 1, � f
INPUT CFH ., PERCENT 02 /,1 Q
COMPANY TESTING �)1,3'l//L
15 STACK TEMP. c PERCENT CO V NAME OF TESTER 1 tb'
FORM 235(REV.10/10) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148069
Date Issued:03/02/2018
Permit Category:ePermit
Site Address: 4669 Stonecliffe Dr
Lot:2 Block: 3 Addition: Pinetree Pass 3rd
PID:10-57662-03-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Lawrence A Jensen Jr
4669 Stonecliffe Dr
Eagan MN 55122
(651) 452-5767
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179358
Date Issued:09/30/2022
Permit Category:ePermit
Site Address: 4669 Stonecliffe Dr
Lot:2 Block: 3 Addition: Pinetree Pass 3rd
PID:10-57662-03-020
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Lawrence A Jr Jensen
4669 Stonecliffe Dr
Eagan MN 55122--275
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature