4613 Summit Pass 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ~ ~j ,
3830 Pilot Knob Road, Eagan MN 55122 VvW~-a-ei-~---
a~' Telephone # 651-675-5675 FAX # 651-675-5694 C-~ S-
New Constmc[ion Reauirements RemodeVReoair Reauirements S~~I°"~~'~i
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies M plan ~df,~(i ~ ey ~'Cd ""~"~`~°W
(20% maximum bt cove2ge allowed) 7 setof Ene~gy Calcula8ons for heated additions ~~t±+"~~Y« -~d~
2 copies of plan showing beam & windax sizes; poured found design, etc 7 site survey for additions & decks ~~LL' ~=N
lsetofEnergyCalcuWlions Addifion-indicafeifon-sifesepticsystem ~ -
3 cop'ies of Tree Preservation Plan rf lol plaUed after 711193
Rim Joist ~eiail Oplions selection sheet (bidgs wAh 3 or less unils
Date D~ Construction Cost ~~-t-~ ~O~ -{-o ~ 5,~j~=0
Site Address l{-(~( 3 ~ .SKw~vn+~ ~p~S 5 UniUSte #
!V S ! Z.2
Description of Work ~G~i ~G ~ 6~ X~~~ CX2C ~
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner C~-1~0!J~ S(QC.~ ~ ~-E QU NCx Telephone i 2) 7~S 2~
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTINt's A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventllation Category 1 Worksheet • New Energy Code Worksheet
(~J su6mission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor T ~
Sewer/water Contractor T D hMAY 0~ 2004
I hereby apply for a Aesidential Building Permit and acknowledge tha ~~e information is co plete and accurate;
that the work will be in conformance with the ordinances and codes e i y o agan 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 w' 1-be'iri
accordanc with the approved plan in the se- f work which requi s a review and
approval of plans:-'' ~
CI-~'EONGSAC(C/% ` ~
~-10 1JG . _
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
4 : - 1,
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex p 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
t
? 32 Addition ? 36 Move Building 0 42 Demolish Foundahon ? 45 Fire Repair
? 33 Alteration ? 37 Demalish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplacerYient `Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Z~ ~ Occupancy i~~~ MCES System
Census Code Zoning R-1 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs - Length Fire Sprinklered
7ype of Const 'U~ Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
~O Footings (deck) ~ FinaUNo C.O.
_ Faatings (eddition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Co~nection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies _ c*5~-
Other T
Total
n ~
FtEVdSIOMS
3D 'I$ O 'IS 30 BO REV.HSE.TYPE
oi
REV. PER CITV
~ SCALE IN FEET R
~ ~ ~e.F'~' :
~ ~ I LEGEND ~
~ ~
O DENOTES SANITARY MANHOLE
~ ~ DENOTES ITYDRANT
~
S STpNEC,LI~~E D ~ DENOTES CATCH BASIN
5 DENOTES SANITARY SEWER ~ $
q-~p RI~j~7 W DENOTES WATERMAIN Z
` ~ LJ gs$~6 ~C, y ST DENOTESSTORMSEWER ~ ti
~Y~ (956.g) 'r~LT O DENOTESSTORMMANHOLE 2 E~
D
' ~{5 92 9`~' ` O f~~G~ 5 n DENOTES STORM APRON
x J~Mqp .~+8
3'~HE ~ 960 4 DENOTES APPROX. REAR OF BUILDING PA~ _
~
3:1 Niaximum Slopes 3
PINF ` °j I~ 3 P1NE 9560.~) W~
w Fi~tafning Wall Will / ~ a ^ k 3
Bs Re uired ~ 3 PIN~ o° °
q ~ ~ ~ f E,~ o R•, sa. ~~1 ~ SETBACKS I 3
~ t} ~ h~ r ~ JDRAINAGE Q~ W 3
rv Q 1 MIN. FRONT YARD SETBACK = 30' I~
i m
O I AN r962 a~" ~ EA EM NT O~ M I N. S I D E Y A R D S E T B A C K = 5', 1 0' ~ 7: ~
3~ ?5 ~ ; ~ ~ - gs ~ ~ ~ O ~ / fV M MIN. REAR YARD SETBACK = 15' ~ ~
~J ~ ° ~ h
EXIST~NC HWSE 3 a ` ~ oi ~ ~ n/ ~'J PROPOSED TOP OF FOUNDATION ELEVATION= 968.0 ~ g-'
(UNDER CONSTRUCiION) - 2 a v~ 3 v^~ ~ ~ Ory PROPOSED GARACaE FLOOR ELEVATION= 967.0
CAR FLR = 972.5 N} I y~ 0~4 ~ J~~ PROPOSED LOWEST FLOOR ELEVATION= 960.0 ~~.~s ~
^ w h o\ N~~`/ / PROPOSED LOOKOUT ELEVATION= 9632 ~
4 ` o~.~ ry ~o
f ~ ~
~ ~ p ~n ~ / ~D ' ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS
~ ~ pn ~ a ~ a~' ~ OF A FOOT AND CAN BE USED AS BENCHMARKS. ~ ocs"°
~ / a ? ro 9.0 ~ (J'
:v-'..~;',,,.a~_.. ~ o Q a 2 ~
...J:.' f.' / ~ o,, 0 4, as tC p DENOTES IRON
a_-. a, ~o a p c~ N n~{ ~;~a;s;,, ~i MONUMENT
rn J c o w•~~~:~= X 000.0
r-, 4 v , is 0~
5~~ IO.g Q 2p G:~'.~'~:"'-.~.~..~.""`~'^~ / ~ ~ 'I DENOTESEXISTING
. _ ' ( ; v ~o a.~wa~..
.;_'s,~=,x-;':....:er.~:.~a:'.~ 9~. £Q ` iys'.fr~.~ :.~~,_,..,~f.:~,j. ry- 1 ELEVATION
] 37 k ~ ~ ~M'F(~ o o in~ik. 8.g - ~ }
~~1~~?,°~' OOO.O DENOTES PROPOSED w ,
~ e.qy ' ;i; ~971.0) ~ ro~ N ~ 'a" rro~ j~," ~ ~
< - \ x . ~ 22 c~ /nr~~~ ELEVATION ~ C/~ a
~ ~ 5 , ~ ~
(972 0) ,r x . ~ ~+r~ ~ 963 7~' ~ DENOTES DIRECTION
~ ti r~ " i ~ . r X' :x 9J'p ~ja ~ at~,-~.-, t... r..... ~
tf~?'-:'~-e-;~- p..-.'-j,--~ + A~s,J~i
x;-S7 ' 42' ~ ~j~~.;~~I - OFSURFACEDRAINAGE ~ O w
~
..r.: u.-x,._k-:~~9J ".,._;,,:.,~k ~ . O 3 37_' ~E „ ,~g~~ 963 ~ DENOTE9 SANITARY
~ •~i~ " 0.~~~ yt`I'1~, ~ ~ . 49 ~ ~ 'roii~~z-° 2 9rJ4_S ~ p ~ ~ ~
„ r ~ + ,d ,E ) ~ ~ , ._~.9 x 96a.5 ~L. SEWER SERVICE ELEVATION
o y: `%Al
,h.~-f ea.oC,<<,;,r:r:,,.4 ~ 8 p .
~ ) -f-,.~r 8' ~w „ . (964.6 ~ .
` _=,~'e"; . Oq , ` k ` 9 ~ Q
3 ~ -K:_~:~x y + _ ~ x , 964_~g__ 63~5~ ATITIEOPINIONWASNOTFURNISHEDTOTHESURVEYOR
p ~ 66.0) ",y' i1 k, S NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR ~ a .~j Q
>
`y`'~~' NON-EXISTENCE OF RECORDED OR UNRECORDED Q w (n w
1.>.:: ~ ~
- Z~t~ ~3 i ~ EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF ~ a 4
~ i ; ~ S ~ THIS SURVEY. U o
' !
s l ~~si~ ~ ~ i ~ ~ I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT ~ ~ v
~ a~, ~ e~ REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: W
~ :i U
m ~'3' / LOT 2, BLOCK 1, PMETREE PAS5 7TH ADDITION
~ ~ ' 7 ~ ~ DAKOTA COUNTY,MINNESOTA
,
s ~-25- ~ / ` ~
~ ~ ~
N ~:`e LjrT~~-~'jv' ~~t~. ~ ~ AND THE LOCATION OF ALL BUILDINGS. IF ANY, THEREON, AND
ALL VISIBLE ENCROACHMENTS, IFANY, FROM OR ON SAID DRAWN
w _ ~ LAND. AS SURVEYED BY ME THIS 4TH DAY OF JUNE, 2003. RS
~ HARDCOVER ~ ~ CHECKED
~ ~ornRen=~3,szas.F. TREE SUMMARY ~ GRG
a
~ HOUSE AREA = 2,152 S.F. EXISTING TREES = 5 ~ ~ ~ 06105 03
~ COVERAGE = 15.8 k ~`7
~ TREES REMOVED = 0 ~ SCALE
a Nore: Gary R. Germond AS SHOwN
a BUILDING PAD CORRECTION PER GRADING PLAN APPROVED BY THE CITY OF EAGAN THE CONTRACTOR Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
3 SHAIL BE RESPONSIBLE FOR THE FIELD VERIFICATION OF THE EXACT LOCATION OF THE BUILDING PAD. 5402-696
1~~a5~
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION '1
City Of Eagan ~'r"j 0.~ v
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiret~nls RemodellReoair Reauirements
3 registered site surveys showing sq. % of lo( sq. it of house; and all roofed areas 2 wples of plan
(20% maximum lot ~»verage allowed) 1 set of Energy Calculations for heated addiflons
2 copies of plan showing beam & window 5izes; poured found design, etc. 1 site survey for addRions & decks
lsetofEnergyCalwlations Add'~iwr-indicateifon-aReseptlcsystem
3 cnpies ot Trce Preservalion Plan if lot plaried aTter 7/7193
Rim Joist Oefail OpUOns selettion sheet (61dgs with 3 or less unils
Da[e ~ / ~ / Constructlon Cost 3 0 ~ ~ `c~
Stte Address S v rn rv~ .S UniUSte #
Descrip6on of Wark
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner 2/v Telephone S~) U 4 D ~/v 2
Contractor ' S ~ •
Address ~ 8 ~ ~ ( _ ~ Q S ~ j' " ~J City
State ~,r`.~-- Zip s~ Telephone #((j G~ Z Z!f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- 1vlinnesota Rules 7670 Cateeorv I Minuesota Rules 7672
Energy Code Category . ~~dential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone D )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the infortn curate;
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 pemut, but o an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the a d plan in e case of work which requires a review and
proval of plans.
~ ~ V~~~~~
ApplicanPs Printed Name Applicant's Signature
OFFICE USE ONLY
.
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling C7 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex Pibg_vor_N ? 25 Miscellaneous
Work Types ~ ~
~ 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation ~I ~ ~ ` Occupancy MCES System
Census Code `~3''l Zoning I City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length ~ Fire Sprinklered
Type of Const Width ~
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
~o Footings (deck) ~e FinaUNo C.O.
_ Footings (addition) _ Plumbing
FoundaTion HVAC
Drain Tile Otber
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~i Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows ,
_ Insulation _ Retaining Wall
Approved By: 1 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
REVISIONS BY
~ 30 15 0 15 30 60
UCT 0'7 REC`D
SCALE IN FEET
~ ~ /
~
~
`~~E°~ S89°37'37°W 139.42 970.158.00 5~9~~~~ ~ ~ ~,P~.t-
~ . 3s.~5 9se.sz 53~E
G" o
~ ~ 5~ _ - _ _ _ _ _ _ _ X , ~ ~ 66og 7o h o- G~~ S 3 U~J'~ 8
.f v~ 6 h / ^
~ r ~ ~ n 30 v L°j o~~ h :
o h ~ ~ h C
C~ v v J ~ f~D lD % 1~ 4 y b , O~P
~ 2 ~ry^ w
~ u m ro ^'J 4 ~ ~ n rn ~Q ~ ~`o
/ Vi ~
N;i(y ~ ' f Z OWNa O~'b n~~~ ~3
` M m Oi - ~ O 2 N O~'~ / V ~ o-'~ n
I y
~ N I DRAINAGE & UTILITY ~ v ~~N4 6,0 '7~~ ~j ~ s
~TJ O 7 EASEMENT q ~ N n a v ~ \ 4~ P+'<
O 5~/ x X P^ t~ / , ? Y / 7
Z ~ x ~s.s~ W-. n~ Ot~ry ` ~1s
ti~ U.~ N` Q l...PSl.CV~ai
9752 - ~ ` r ~aNr Q ~ , / ~ a~ ~ , ~ a: ~
- ~ ~ ~ ~ ~ ~o~ ,o ~a~~~ F ~
~ e- ~ ii : ~_7~n ~a
N7go2g,$4..w 1g0. 7p `s.~ aa.~ 2
673 ~ ~ * ~ ~ ~ : .o+~ ^
_
se ~ f~ rC~~ 6~~~P~+C'~R+(~. P~ _ ~y,~
S!L'~ ~ 29.7g~ ~ J ~
f~NGg ~y~'3 z /
~4~ ~ ss$ ~ \
or ~
tain~ ~ ~ } ~ ~ -
LEGEND B~ RAGUlf6d t ~ / " ~g;~~,~i
~ ~ .
~ SQ DENOTES SANITARY MANHOLE _ . 3 ~
e; SS . G~/Ll~ n E„-~,..,_ r
W ¢
o~ ~ DENOTES ITYDRANT . : " ` ° ~~v 1' - y/
asr ~ ,r:` . , / /D - ~G - ~ > • ~o
N ~ DENOTES CATCH BASM ~ ' }f~ . / ~ ~ U ~
~ S DENOTES SANITARY SEWER - "-`~i'~~`~ ~ - ' (n ~ ~~y T-• Z
f D ~~j.V
~~---.z~._.. O I+w hr Z
g W DENOTES WATERMAIN _ 1.., . ~ ~
~ P+~r. i~~
~~r~ `Y ~ A TITLE OPINION WAS NOT PURNISHED TO THE SURVEYOR
ST DENOTESSTORMSEWER ~ ~ - - ~ ~ ~ - " = w Z
~ , ~ NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR W~ ZE Q
~ DENOTES STORM MANHOLE - PROPOSED TOP OF FOUNDATION ELEVATION= 970.4 NON-EXISTENCE OF RECORDED OR UNRECORDED 1- a W C^ Q
~ DENOTES STORM APRON PROPOSED GAR4GE FLOOR ELEVATION= 970.1 EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF Q~+1 a V~ w
a t~ PROPOSED LOWEST FLOOR ELEVATION= 962.4 THIS SURVEY. U a ~T-. t~
~ ~ AQ O
w ~ DENOTES TREE TYPE, ~ z U~
m SIZE, AND LOCATION ALL OFFSET IRONS ARE MEASURED TO HUNOREDTHS I here6y certify that this is a true and correct representation w ~
~ OF A FOOT AND CAN BE USED AS BENCHMARKS. Of 8 SUNBy Of Yh@ bOUfldefl85 Of: U a U
r SETBACKS
m MIN. FRONTYARD SETBACK= 30' p DENOTES IRON LOT 3, BLOCK 1, PINETREE PASS 7TH ADDITION
~ MIN. SIDE YARD SETBACK= 5', 10' MONUMENT DAKOTA COUNTY, MINNESOTA
~ MIN. REAR YARD SETBACK = 15' X OOO.O DENOTES EXISTING
k And the location of all buildings, 'rf any, thereon, and all visible
ELEVATION DRAWN
~ COVERAGE (000.0) OENOTES PROPOSED encroachments, if any, from or on said land. As surveyed by RS
a LOTAREA = 16,245 S.F. ELEVATION me this 25th day of September, 2002. CHECKED
w HOUSE AREA = 2,203 S.F. DENOTES DIRECTION GRG
w COVERAGE = 13.5% OF SURFACE DR4INAGE
a DENOTES SANITARY DATE
q TREE SUMMARY 957~0 SEWER SERVICE ELEVATION 9/26l02
r SCALE
~ EXISTING TREES = 2 NOTE: MUST MAINATAIN A MINIMUM 2% SLOPE Gary R. Germond AS SHOWN
m TREES REMOVED = 0 GRADIENT TO ACCOMODATE POSITIVE DRAINAGE Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
g 5402-697
3
(~5~5~
~
~ ~
.
~~J ~ ~ ~ PLUMBING (RESIDENTIAL) S~
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuu are required for each unit
Date~_/Q~/_~ ~
Site Address /3 ~ Unit #
Property Owner ej4~` Al G~t~/u~' Telephone #(6', j~/;- g6' 9 j~
Contractor ~
Address City ~/¢,C~(~/~L ~
!
State //~1~ ZiB~'j,-~~~ Telephone# (~~~~~`~`~~gc~~~
. ,
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consuitant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.~D
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
~ Water soFtener _ Water heater $ 15.00
~replacement _ additional
State Sureharge $ 50
Total $
I hereby apply for a Residenria] Plumbing Permit and aclaiowledge 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 with the Plumbing Codes; that I understand tlris is not a
permit, but only an application for a permit, and work is not to start without a pennit; that the w k will be in accordance with the
appro ec~ plan in case f work which requires a review and approval of plans.
o ~ ~ f~
ApplicanYs Printed Name pp icanYs ' atur
'I~ck- ~ loooo~~ 5ga~. 3~f
W ~o l~ -
~}„~u~~~~, PCti SS • RESIDENTIAL BUILDING • ~p - (~tj 00 ~ ~ ~ 0 • ~
Permit Application
, CityOfEagan P~~ ~?DO~~ ~0•~
_ - 3530 Pilot Knob Road, Eagan Mn 55122 ~ sp~ ~g
Telephone # 651-675-5675 ~FAX # 651-675-5674
~ ,p~~~ „Q.t- f 'n'i°°"`J~ (a .i7 0,3
New Conshuc6on Reaui2menfs ~`-'C' RemodeVReoair Reauire~nts ce On ~ /
3 registered site suneys showing sq. ft oF lo4 sq. ft of house, and ali roofed areas 2 mpies of plan ert of Survey Recd
(20% mazimum lot coverage allowed) 1 set ot Enert~y CalculaEais for heated additions _ Tree Pres Plan Reed
2 wpi~s of plan showing beam 8 windaw sizes; poured found design, etc. 1 site survey lor addNOns & decks Trae Pres Not Reqd
i5eto~EneryyCaltwlafions Add'~ion-ind'rcateJon•' septicsystem On-stteSepticSystem
3 copies of Tree Preservation Plan if bt pWtted after 7!1l93 / 1~, ~ `~O ~ I~p
Rim Joisl Defaii Options selection sheel (bldgs with 3 or less units ~O! ~~~.0 ~~"'(-~'f. J~S S l~.x~ w\~ -~fTJ ~~,~.t
5 Y 2 ~.e,,.~ -4-c~ ? V _
Date / / Construction Cost ,~52
SiteAddress ~t(p~-~ .S/w~m/T ~~s UniUSte # /
Description oF Work S~~
Multi-Family Bldg _ Y x N Fireplace(s) _ 0~( 1 _ 2
Property Owner Telephone # ( )
Contractor ~A~DC-s/-Z7E~~~ ~5• [ 6pJST2GrC.r~/biLl
Address Jr~ ~~-/UDIfFIV I~DUND ~ City j~4yZ T.4
State ~M JJ Zip `j3 ~ / Telephone # ( 9.'r~ ~ 4{7;~j- !5 g GI' ~
COMPLETE THIS AREA ONLY IF CONST~tUCTING A NE1Af BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residentlal Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calwiations Submitted
LicensedPlumber~-,UDE/t. /~'r~~H,4,V/CfYL Telephone#~9S2f ~~5~~~~2.
Mechanical Contractor ~/,FIN/~E2 /"~EC/fANICfFL Telephone #~J~ZI ~5~~' ~~92
Sewer/WaterContractor 2/' G- ~ l~. ~~,Teleph~~1l~2a $ gy' ~~'1 g
U -
~nn~
~ I .~uiv i ~ I
I'~IL~ IJ
I hereby apply for a Residential Building Permit and ackriowledge that fh~n tion is complete and accurate;
that the work witl be in conformance with the ordinances~~arid 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. ,
~ A~~ ~ ,~J ~ 1a~, G1
Applicant's Printed Name p~Ys Signature
r~
• OFFICE USE ONLY •
Sub Types ~ ' ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool .30 Accessory 81dg
~ 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 ~emolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement ~ •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation z ~~1 ~°D Occupancy ~Z'3 MC/ES System
Census Code ~ ~ Zoning City Water
SAC Units ~ Stories Z Booster Pump
Nbr. of Units r Sq. Ft. Z.:'.I PRV
Nbr. of Bldgs ~ Length " Z Fire Sprinklered
Type of Const ~~1 W idth ~p~
REQUIRED INSPECTIONS
ZG Footings (new bldg) ~ FinaVC.O.
_ Footings (deck) FinaVNo C.O.
Footings (addition) _ Plumbin~
ZC Foundatiou HVAC
Drain Tile Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing Siding Stucco ~ Stone
~ Fireplace ZC R.I. Air Test ~ Final _ Windows (newJreplacement)
Insulation _ Retaining Wall
_ Approved By , Building Inspector
Base Fee
Surcharge C° 1/'Q2eD S TO a~ - 3 O~'?I / 3 S~ ~
Plan Review ~~¢.y~F Q-~ 1 6~X b ~ ~c ~
MC/ES SAC -X 1~b3 = Z~ SyS
~jr~,~ernen'~ uA~sn ~SM~D
c~ty sac r~t~~ ~a r= I~~ ~ ~yd S k' a
5" ic
UtilityConnection Charge PP,~R ~~~tz S-y 17 2 c~ _ q 3.~Qb
S&W Permit & Surcharge
Treatment Plant
License Search
Copies _ r1 ~
Other
Total
~ A
/ ' ' '
- TREE,Pl2ESERVATIOf~I PLAN SU~IIIV~ " n
CITY QP EAGAN FORESTRY DIVISIQN ` ~ . ~ ~ ~
~
, ~ ~ ~ 65t-fi75=5300 _ ~ ~ ~ _ ~ `~SS~. ~
(SEE ATTACHMENTS)
Development I~' I t~3F l R,C E ~ 1`~ S~
Lot Number Z. Biock Number ~
Address ~(7 ~ 3 S l.~ VY1 YY1 l T ~P!"~ S
Builder ~U.N t~ 12~N 'bRC~S C> ti ST. .a-N C,.
l'I~UNC`• ~i~2- `-t'13-0`1~1~
CoNTv~ C'C ~ht~~1~
Tree Protection Reauirements:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during April 7 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
~ Not Required
As Follows:
Attachments:
Yes
"O ~~G~9 G~OL~~S'~RY ~B~l1590N
• Additional Notes: ~~~8~~~
~
~Yr ~
~ ~~4~ Z~,~~
H:\ghove~2002fi1e\treepres\Tree Preservation Plan Summary-2002
ryng .rf yq.~ 30 15 0 15 SI 60 4EVISIONS ,
1(1~ LL ~~ts' ~P~'V'~ fl ~MS TrvE
I ~ SCALE IN FEET '
1 ~ ~
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5 OENOTESSANITAf2YSEWER
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~ 3 1~96 0 EASEM^Nt/ M~rv.REPRYARDSETBACK=ts• F~
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(ur+oea consmurna+) N Z t H ~ N^~
G~ iLR ~ 9~Z5 n / ~y '~O ~ O PROPOSEDGARAGEFLOORELEVATION= 96].0
l ~ ~ ~ (p f~, PROPOSEOLOWESTFLOOREIEVATION= 960.0 ~
p~,°~ ~ n a ~i.¢ ry&~~l / z~V V1 PROGOSEDlO0K0UTElEVAT10N= 9632 j~ ~
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(/1 ^ j / a ~ ry N /.a// / ~Ory~ ~~O L~ / ALLOFFSETIRONSAREME45URED TOMUNDREDTNS 0. ~,r
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~ _ _ ~ (sea.o) _ ' ' E. 70.48` ;y~._. ee.sa ~ ~ ~
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~ p• ~ NORWASASPECIFICTITLESEARCHFpRTMEEXISTENCEOR ~ ~
` / \ NON-EXI3TENCEOFftECOROE~ORUNRECAROE~ ~
P ~ ~ ~ EASEMENTSCpNDUCLE08YTHE5URYEYORA$PARTOF a~
a 3 \ THIS SIIRVEY.
~ Q~l~' ~~Q~ J IHEREBYCEftTIFYTH4iTHI315AlRUEPNOCORREGT ~
~ ~n~U o
~ \ ~ ~ \ REPRESENTATIONOFASURVEYOFTHEBOIIN~ARIESOF: U la
a 1`k4\0',~~KQh lOT2,BLOCHt,PINETREEPASS]THPDORION
~ ~0.Y~ ~Sa 4"13~OqR3 ~ OAKOTACDUNtt,MINNE50TA
/ FND THE LOCATION OF ALL BUIL~INGS. IF ANY. THEREON, MID
~ , ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAI~ ~~WN
LAND ASSURVEYEDBVMETHISiTH~AYOFJUNE,200J. RS
s HARDCOVER
CHECKEO
n
s ~ornaEn=~3.bzssF. TREESUMMARY cac
HOUSE MEA= 2,152 5 G. /J
~ EXiSiING TREES = 5 DATE
COVERAGE=15.8% ~ W/05l03
~ TREES REMOVE~=O ~~^'3^"
SCALE
NOTE~ Gary R. Ge~montl AS SHOWN
BUIL~INGGNOCORRECTIONPERGRA~INGPIANRPPROVEOBYTHECITYOFEAGAN THECIXJTRACTOR lrcznsa~la`WSurveyor,MUxf.Lic No.24764 JOBNO~
3 SH/yLBERESPON51BlEFORT1EfffLOVERIFlCATIONOFTNEEXAGlLOCATIONOFT1E604~INGPM Sq02-696
„y Y
Permit Number
MECc~eck- Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1 Checked By/Date
TITLE: Cheong Hoong and Foo Phuah
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 06/ll/03
DATE OF PLANS: May 19, 2003
PROJEC'I' INFORMATION:
5407012
4613 Summit Pass
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Construction
NOTES:
Wheatan "E" Base Plan
COMPL(ANCE: Passes
Maximum UA = 577
Youx Home = 546
5.4% Better Than Code
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1744 44.0 OA 4~
Wall 1: Wood Frame, 16" o.a 18 19.0 2.0 1
Window 1: Above Grade, Wood Frame, Double Pane with Low-E 9 0320 3
Wall2: Wood Frame, 16" o.c. 1602 19.0 2.0 ~1
Window 2: Above Grade, Wood Frame, Double Pane with Low-E 285 0330 94
Door 1: Solid 49 0.350 17
Wall 3: Wood Frame, 16" o.c. 1424 19.0 2•0 6$
Window 3: Above Grade, Wood Frame, Double Pane with Low-E 214 0330 71
Wa114: Wood Frame, 16" o.c. 356 11.0 2.0 29
Wall 5: Wood Frame, 16" o.c. 63 19.0 2.0 2
Window 4: Above Grade, Wood Frame, Double Pane with Low-E 34 0330 11
Basement Wall 1:
Solid Concrete or Masonry, 8.3' ht/7.8' bg/8.3' insul 1453 0.0 5.0 121
Floor 1: All-Wood JoisUTruss, Over Outside Air 20 30.0 0.0 1
Floor 2: All-Wood 7oist/Truss, Over Unconditioned Space 295 30.0 U.0 10
Furnace 1: Forced Hot Air, 90 AFIIE
Proposed and Maximum U-Factor Averages
~ , M
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0330 0370
Includes Foundation Windows> 5,6 ft2
Floors Over Uncanditioned Space 0.033 0.033
COMPLIANCE STATEMENT: The proposed buitding des+gn described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
desi~ned to meet the 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release 1.
BuildedDesigner 1.N~7~---y V Date ~9~~
Address: 4613 Summit Pass Zip: 55123
Lot: 2 Block: 1 Subdivision: Pinetree Pass 7th
THE FOLLOWING ITEMS WERE/WERE NOT COMPLE'PE AT FINAL INSPECTION ON __JI ~
Yes No Comments
Final ade - 6" from sidin
Permanent steps - azage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Tum offwater supply m the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or mstalling
irrigation system.
~ 6UILDINC INSPECTOR: ~ l~
CONTRACTOR:
Lundgren Brothers Construction
935 E. Wayzata Blvd
Wayzata MN 55391
~ ~
Site address: `~P IJa Su m NY11T Pj~f 5 5 Lot ~ Block. ~ Subd. 0'!~ ET~CEE Y RSS 7~
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: fs constructed to meet minimum requiremen~s of the Mn Energy Cotle, Chapter 7670
~ OR
This structure: w111 he constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
WaterHeater x Sryt iT ~S~-1 p06 P?~
Furnace Q 606 ~i
Dryer
VENTED
EXHAUS7 SYSTEM LOCATION TYPE MODEL CFM's rES No
Kitchen kitchen
Batnroom 1 0 6 2 0 /J ~ ~ J~ b ~
Bathroom 2
~ z Ro iv G~M ~U X
Bathroom 3 ~ 20 ~
Bathroom 4
Other
VENTING
FIREPLACE S L~CATION GAS WOOD MANUFACTURER MODEL BTU'S DIflECT ATMOS
~ 0 X S D 3~a ~ X'
MAKE-UP AIR MODEL TYPE CFM's
M~r~- C~ °S„~ 2, o ~
I hereby acknowtedge that the above information is correct and agree ro comply with the Minnesota Energy Code and City of Eagan
requirements. ~
~ r'~-/ ~7-03
Signature ~ Date
f~ C~d,c~572GtG%/O~'~
Company Name
' This form is the responsibiliry of the General Contractor.
~
~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: fi 2 6Ie ~ I T/».~. ~'i~., YA~S
' DATE OF SURVEY: 4-~ d S
LATEST REVISION: G - ~}~-~3
m
~
c
a
L
U
Ya 9
O z a DOCUMENTSTANDARDS
9~? ? • Registered Land Surveyor signature and company
~ ? ? • Building Pertnit Applicant
? • Legaldescription
? ? • Address
C~ • North arrow and scale
R~ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
Pj • Proposed/existing sewer and water services 8 invert elevation
~ ? ? • Street name
C~ ? ? • Driveway
(9~ ? ? • Lot Square Footage
C9~ ? ? • Lot Coverage
ELEVATIONS
Existina
? o • Sewer service (or Proposed)
CY ? ? • Praperty comers
? • Top of curb at the driveway and property line extensions
0~ • Elevations of any existing adjacent homes
? R-'/ ? • Adequate footing depth of structures due ta adjacent utility Uenches
G Id ? • Waterways (pond, stream, etc.)
Prooosed
~ ? ? • Garage floor
Cd~? ? • Basementfloor
[J/~ ? • Lowest exposed elevation (walkoutlwindow)
Cd~~~ ? . Praperty comers
~1 • Front and rear of home at the foundation
PONDING AREA ('rf applicable)
? 0-~/ ? . NWLment line
? Pd ? • HWL
? R~ ? • Pond # designation
? 6F~/ ? • Emergency Overflow ElevaHon
? @' ? . PondM/etland 6uffer delineation
DIMENSIONS
~ ? ? • Lot lineslBearings & dimensions
? . Right-of-way and street width (to back of curb)
LA~O ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sWCtures requiring permanentfootings)
? • Show all easements of record and any City utilities within those easements
~ ? • Setbacks of proposed sWcture and sideyard setback of adjacent existing structures
• Retaining wall requirements, if any
Reviewed: / ~ ' ~S /l
Name Date
G:lFORMSfBuilding Pertnit Applfcatlon
n
. ~
~ REVISIONS
' ~ 30 ~5 ~ ~5 3~ 6~ REV HSE TVPE
1 3 RS
REV PERCITY
J o , 3 RS
\ Z I I SCALE IN FEET e~,
~ ~ ~ LEGEND ~4~~C,0
~ ~
O ~ENOTES SANITARY MANHOLE
` ~ ~ DENOTES ITYDRANT
S STO ~ DENOTES CATCH BASIN
N~'CLIFF T S DENOTESSANITARYSEWER ~ ~
E j~J DENOTES WATERMAIN F z Y
~ ~ gs~-s r~f I,~/ w Z Fi
~ ~ ST DENOTES STORM SEWER ~
~YO ~9~•9) ~~j'Tr . DENOTES STORM MANHOLE 2
_ 9S5 g2 ~~AP ~F•AJGC S ~ DENOTES STORM APRON p~y y
S80
3
p~ 59 o gfi~ 4 DENOTES APPROX. REAR OF BUILDING PAD a~
NE
8X ~
.3:1 ~8X11~41JM .S~C'~8 3
PINE ' ~ 3'P~NE 9560. ~ a >
or Fte4sinin VUall V4~11 ~ ~ `
g gy9 3 a'o 1~ ~1 ` 93 W;
~e Required ~ ~rn / 3 PME -~,~~"ooA~ I sa. ` ° SETBACKS ~j s
~ V- ~ h ! JDRAINAGE & / , w <
O f /~j C9 ~1' Q UTILITY ~ MIN. FRONT YARD SETBACK = 30' °o-~
~ qNT s~ ~ a p MIN. SIDE YARD SETBACK = 5', 10'
" ~ ~ EASEMENT C* ~
~ 27 o~O, ^i~ 0 ^ (V ~ MIN. REAR YARD SETBACK = 15'
~ 31.Y`s - 2.~~ 96 rn v~ / d~
E%ISTING HOUSE ~ m~ I ~ \ ~ N ~ ~ ~
UNDER CONSTRUCTION , j y PROPOSED TOP OF FOUNDATION ELEVATION= 968.0
( ) 2!~ o y 3. p v.~i pry PROPOSED GARAGE FLOOR ELEVATION= 967.0 S
GAR FLR = 972.5 N } / . ~ ~ ~y4Q ^ ~ 1. PROPOSED LOWEST FLOOR ELEVATION= 960.0 ~,~am'
^ ^ / ~ ~ o\ N o ~ / ~N PROPOSED LOOKOUT ELEVATION= 9632 ~ ~
f t
/
~ p ~ n p~n~ N y~/ / ~Ory / Q~ ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS t,
~ p y 02 ~ ~Q~' ~ a`O y / OF A FOOT AND CAN BE USED AS BENCHMARKS. ~~qy ~,4~
j{~.~ ~°v I ~ g o a o t~ ~~~~~~h, ~ p DENOTES IRON
~a O
8 m 3.4 v pe o r~ ~ p~ ~7 MONUMENT
' 5 ~ , ~~•6 ~Q ra ~O ~ / / ~ J( OOO.O DENOTES EXISTING
~ ~ ELEVATION
„ * ' " (9~~.37 ~ f
~wF\ ~ o ry~~'(~drBgR~;i(~Y ~~!~~k ry ~OOO.O~ DENOTES PROPOSED W •
~2
~ ~i .yt,~9720) ~~'l_. - x ~ ~.g ~~~t 7~~"i ,i31~"~~(i~~g~`~.~.~<O ELEVATION ~ ~ • ~
~ 1,~ ~ i^~ ~ p-? . 97p p ' s -"=~J~ ~ r DENOTES DIRECTION ~ O O
~ x -r--~----°~` + ' -r-" . ~i r 42 ~ ?/~y ~ _ OF SURFACE DRAINAGE ~ a+ V v~
S7 O~ •37 ~ ~
~ (s~o.o : 9 07' • . ss ss3 DENOTESSANITARY fn ~ Z
~ ~ ~ ) 5~~ ~ - . . as n „ ~ asa.s RI ~
+
SEWER SERVICE ELEVATION ~ Z
x '
g -'S , y,~ ~r.-. ~~98 r ~'r ' , ~Q. s 9 964.58 L~ ~
~ ~ 8.0)~ . '~3 ~ 4$ ~984.6 ~ o Z :
~ ~ ~ ~ ' - , ; (966, p~ ~ ~ n 56a Sg ~r 9b3.gt~c-1 / A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR ~ ~ Q
~ , i ~y - ; ~ 1~ ' ~L'~J .C NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR ¢ i .~,y
o k"' \ NON-EXISTENCE OF RECORDED OR UNRECORDED Q w w
~ ,A 6 l~~ - J EASEMENTS CONDUCTE~ BY THE SURVEYOR AS PART OF U a ~
~ r S \ THIS SURVEY. ~ O o
U ' ly, ~ ]T a. ,~i ~
~ >
s f f1 ,A s`- j~ Y' ~ I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT ~ ~ U u
U ~'~7 ~ ~ \ REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: W M'~
~ ~ U
m ~-v ~ LOT 2, BLOCK t, PINETREE PASS 7TH ADDITION
o - ~ / ` DAKOTA COUNTY, MINNESOTA
, i•_.~~
~ ~'~iCiAA~ ENGII~TL''.EI~IG DEPT ~ AND THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND
" L' - ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAI~ ~ RS N
~ HARDCOVER r LAND. AS SURVEYE~ 8Y ME THIS 4TH DAY OF JUNE, 2003. CHECKED
a ~ornREn= is,szas.F. TREE SUMMARY GRG
m HOUSE AREA = 2,152 S.F. DATE
g COVERAGE = 15.8°/a EXISTING TREES = 5 06l05/03
~ TREES REMOVED = 0 v
SCALE
v Nore: Gary R. Germond AS SHOWN
g BUIIDING PAD CORRECTION PER GRADING PLAN APPROVED BY THE CI7Y OF EAGAN. THE CONTRACTOR Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
3 SHALL BE RESPONSIBLE FOR THE FIELD VERIFICATION OF THE EXACT LOCATION OF THE BUILDING PAD. 5402-696
--------i
I F.,oa;,~~ce.~J~e I
I
I
Pertnit # ~
Y ~ ~ ~
1 O I Permit Fee f~
3830 Pilot Knob Road ~ ~
Eagan MN 55122 ~ oate fteceived: j
Phone:~651)675-5675 i ~
Fax: (651) 675-5694 j Staff i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
~ate: ~ l`~( Site Address: .J/~la1~n<~ ra'~`"'
Tenant: Suite
RESI~ENT/OWNER Name: ~y~~~r,,, ffd~/~' Phone:~~ $6~
Address 1 City / Zip:
Applicant is: _ Owner ~"L Contrador
TYPE OF WORK Description af work: 7.>c~s" t~~ cj«Q
Construction Cost: / ~ MWti-Family Building: (Yes _ / No
CONTRACTOR Name " ~ ~ 6' .-Y ~ License ~ OS _
Address: ~ ~~~G ~~~?~~.X ~ T
C~ty: .Tr~'~11 J~i~~/~~~ State: h?,-c~ Zip: JT"%~~l~
Phone:~iTl~ ~v 7~ ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Cat090n/ Submitted Submitted
5ubmis5ion type) • Energy Envelope Calculations Su6mitted
In the last 12 months, has the City af 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:
NOTE: Plans and supporting documents thaY you suhmit are considered to be pubJic information. Portions of -
ihe information may be classified as non-pubfic if you provide specific reasons that wauJd permit the City to
conclude that the are trade secrets. "
I hereby acknowledge that this information is complete and accurate, that the work will be in conformance wdh the ordinances and codes of [he Cdy of
Eagan; that I understand this is not a permit, 6ut only an application for a permd, antl work is not to start without a permil, that the work wdl be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x f'SF'~v'Y ,~.?f~1l~ x -
ApplicanYs Printed Name Applicanf 'gnatu~e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115569
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 4613 Summit Pass
Lot:2 Block: 1 Addition: Pinetree Pass 7th
PID:10-57666-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Gireesh K Nair
4613 Summit Pass
Eagan MN 55122
(763) 300-0070
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
411101
CllyofEap,all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
%, QLVG W 113160.noR 1111k
For Office Use
Permit #:
Permit Fee:
17o30
Date Received:
Staff:
J
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Oa 106110 14, Site Address: 4 01 SWUM] T PINS I CkCIA l^' 1 MK) SSI 22
Tenant: Suite 1:
Resided/Owner
Name: G I i2ee-C F-1 k).464/, Phone: 763-36o - b0 7 o
Address/City/Zip: 46SLkMMIT hPS EPNCAly , MIz2
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work
New _ Replacementt_ Repair _ Rebuild _ Modify1ifSpace _ Work in R.O.W.
Description of work: i � $wre_ 14\ Ci
Permit Type
RESIDENTIAL
Water Heater
Lavin Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener /�
t/ A/dd Plumbing Fixtures ( Main / /Lower Level)
Water Turnaround
RESIDENTIAL FEES: _ 1
$60.00 Water Heater, Water Softener, or Water Heater and Softener (untudes $5.00 Sthe Surdewe)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 Std Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. lwww.gopherstateonecall.orq 1
1 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 pia
x it ees NAC
Applicant's Printed Name
x
Applicant' = . f° ture
FOR OFFICE USE Reviewed By: Dade:
Required ns: Under Ground Rough -in Air Test Gas Test Final
fackhar Rs+iatwi Mama- tar Ri,'a Renin Road Staff-
4401 CllyofEapii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 0 6 2014
Use BLUE or BLACK Ink
For Office Use u
Permit #: Cs -0 6 2u
(
Permit Fee: 57 r6°
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Oa)d b 12o1(4. Site Address: 4 b 13 SU MM 1 T P ASS r EAC, A w M+J SS 22 units:
Resident/
Owner
Ntlrrrte: 112 FCS ti k)A [ Phone 763 _ 30 0 - 00 7
o
Address / City / Z,p: 461.1 S UM It1 f T Pr \-- t" - i A lU / 144° S r t2-2-
22Applicant
Applicantis: y Owner Contractor
Type of Work
Description of work: PL R 1'j E sC e_ g .B i
J�
Construction Cost: c 0 t' 0 Multi -Family Budding: (Yes / No _,)
Contractor
Company: Contact
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
R--- I 603
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plats based on a master plat?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:/e
,/ �..� iw`
NOTE: Plans and a � a e 7 i r! dOcumr that you submit =weaned ,..to 1 public '' i tion:.
the information may be �- ' . - - a as non-public i1 yoi% that wouldCit
conclude that they are trruk Secrets.
to
•
CALL BEFORE YOU D1G. Cali Gopher
before you intend to dig to receive locates of un
One Calf at 661) 454-0002 for protection against underground utility damage. Cali 48 hours
round utilities. (www.aopherstateonecall.orq I
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x alPG-CE'NAtIZ
Applicant's Printed Name
x
Applicant's
Page 1 of 3
213 S . I- r4 ss
DO NOT WRI BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
4, Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Fireplace
_ Garage
Deck
\, Lower Level
_ Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola) _
Pool
Interior improvement
Move Building
Fire Repair
_ Repair
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
)( Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
11
(p)=
o, 53--
Page
2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155937
Date Issued:06/10/2019
Permit Category:ePermit
Site Address: 4613 Summit Pass
Lot:2 Block: 1 Addition: Pinetree Pass 7th
PID:10-57666-01-020
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Gireesh K Nair
4613 Summit Pass
Eagan MN 55122
(763) 300-0070
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175300
Date Issued:03/28/2022
Permit Category:ePermit
Site Address: 4613 Summit Pass
Lot:2 Block: 1 Addition: Pinetree Pass 7th
PID:10-57666-01-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gireesh K Nair
4613 Summit Pass
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature