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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 ~ ~ QO~~ LEGEN~ O DENOTESSPN~TARYRVWHOLE ~ ~ OENOTES HVORANT ~ S TpN ~ OENOTES CATGH BASIN 5 OENOTESSANITAf2YSEWER ~ CLI FE DRII~E OENOTES WATEItMNN 1~~ ,5,~ ST ~ENOTESSTORMSEN(ER ~ ~ ~ ~9 ~ENOTESSTORMM1UWHOLE 2 ~ 59z 80° S ~ ~ENOTESSTORMAPRON N~ j~s9 36,3~ - -OENOTESPPPROX.ftEAROFBUILDINGPAO ME * _ 9E039 5~ q 9~9~> ~960.]~ ~ ~ 9eg~~ ' 9599~ WS' ~ r ~pu¢ ooAR ~ sa. ` ~a ~ ° • SETBACKS • ~j ~ r ~ „ DRAINAGE k q~ W$ ~ ~ ( o~ ANT~z~ ~ ~Q UTILITY~~O ~ MIN.FRONiYMOSETBACK-30' Q'y~ ) N p MIN.SIDEVARDSETBACK=5'Jtl ~ 3 1~96 0 EASEM^Nt/ M~rv.REPRYARDSETBACK=ts• F~ E%ISTNCHWY a/ / w~ ~ N~ / PROPOSEDTOPOFFOONDATIONELEVATlON=9690 (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~ ~ ~ ~ ~Y c W y (/1 ^ j / a ~ ry N /.a// / ~Ory~ ~~O L~ / ALLOFFSETIRONSAREME45URED TOMUNDREDTNS 0. ~,r , e ~ ~ ?oz / ryqW~ V. y OFAfOOTAN~CANBEUSE~hSBENCHMNiKS. ~b ,~o LL ~ / u~ 0 4 ~ ry/.5y,~..~i / q OENOTES IRON ~ ~ a 3f y o - MONUMENT ~ / X 000.0 _ _ . ~ 9>i ~ fC, ~~6 20 £a`b~qS ~ ~p ~ i OENOTE3IXISTING ELEVATIOw ~ , - * f ' ~ . (9h p~ ~ ~ ~ ~ 2 Q n ~B~ ~l`_~w.:~ ~1^ D E~L£ ATiONOPoSEO r ~-~,3'~`~'§s~ (OOD.O) w . (9]2A) - ' _ 9>0 G t JS ~ $ R'~~'a~~`x^n-ax~963 ] - ~ 1 DENOTES DIRECTION > ~ ~ _ " ~ 4 < _'ata~.I'~ ~~:r.,: /~V OFSURFAGEORAINAGE ~ a(y~ O ' - _(eio.o _ ~ ~ `S>9opj,_2.3j ss oo nti °r ^ ssa J oeNOres sawrnnr v~i ~ i ~ ~`53~ A9 z 954-5 SEWERSERVICEELEVqTiON O~^3 ~ _ _ ~ (sea.o) _ ' ' E. 70.48` ;y~._. ee.sa ~ ~ ~ ',~'~966.0 ~ 9f~A6~ ~6J5 S / ATITLEOPINIONWPSNOTNRNISHEOTOTHESIIRVEYOR ~ w s ~ 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