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4617 Summit Pass I~I - ~ Fo~:Offc`e'Usje~ ~ ~ Permrt#. I ~ Clty of Ea~a~ I Permit Fee: 3830 Pilot Knob Road ~ ~ Eagan MN 55122 ~ ~ate Received j Phone:(651)675-5675 I I Fax: (651) 675-5694 i Staff i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~9-/6-4~ Site Address: y~~~ ~~~~G ~~A-S T`"~'~~ S'~ Tenant: Suite RESIDENT/OWNER Name: wG~G~ ~~ke~ Phone 6~a'~~~-OIDy Address / City / Zip: y6~7 a~Gc f'Y1/1tc ~ ~~S$ ,~G~~Q,~~ fJ~~u~a Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: G'J1LOUiI~ p6~~/2~'~eS' ~ ~~..,~^74GGc~~p /cp+~o Construction Cost: 3O~ Multi-Family Building. (Yes _ 1 No~ CONTRACTOR Name: .1 !/f~i? ~ ~iP~.C,O,GLi[/iC0 License ~!/~6~` 7d~9 Address: ~7.~~/~ 9T~ /-~~Ce /V City. /la9f7~2 (5~f'2~t/2. State' /`~!y Zip: 5~J ~ Phone: 6/~' 9P-96/7 ContactPerson: -1YA~ ~~~~~iDeh~tO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residenhal Ventilatwn Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a 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 tlocuments that you submit "are considered to 6e public informationC Portions of ` fhe inforination may be classified as non-pqblic if you provide s'pecific reasons fhaf would permit the.Cify'Yo: conclude thaf the are trade secrets. ° 1 hereby acknowledge that this information is complete and accurate; that the work will be in c with the ordinances antl codes of the City of Eagan, that I understand this is not a permit, but only an application for a permit, and r is not to st without a permit; that the work w in accordance with the approved plan in the case of work which requires a review and appro al of Qlans l x L V /~i ~~-~i~O.~~J x ~ - Applicant's Printed Name App' anYs Signatur Page 1 of 3 L~?- 1 , ~~e~. l ~~s~y~ ~u~8 ~ ~P~~18 ~~O ~ , RESIDENTIAL BUILDING - ,r g ~ ~ l~ Permit Application f~ P ~ 7 D, ~7 ~ f '~d~~~2~ 1"GSS (a~r7~~'l, CityOfEagan ~I~- 5gl~~j~ ~ c~Q,~ 3830 Pilot Knob Road, Eagan Mn 55122 - Telephone # 651-675-5675 FAX # 651-675-5674 c~ ~~C/ NewCansWCtionReouirem~ts RemadeUReoairReauiremen~s ~OificeUs On~l ~~4~ 3~2,7~Qi 3 registered site surveys showing sq. R of lot, sa ft, of house; and aA roofed areas 2 copies of plan _ Ce? rt of Survey Recd (20% maximum lot coverage allowed) 7 set of Eneyy Calcula0ons foi heated addi~ons IV Pres Plan Recd 2 copies of plan shaxing 6eam & window sizes; poured found design, etc. t sife su for additions & decks ~ Pres Nat R rveY eqd 1 set of Energy Calculations Add'rtion - indieete ~Yonsrte septic system _ n-site Sep~ System 3 copies of Tree Pmservation Plan if lot pWBed a@er 7/1193 Rim Joist Defail Options selec6on sheet (bidgs with 3 or less uniFS ~ ~ ~~J n y 6~ S tA?J2~6 S ev~~ ~'D , ~r.a .a1-o~ C Date / ~ / Construction Cost ~ C~ C~ ~ ~ 7 ~O Site Address ' / ~ vp ~~7 /T ~f~SS UniUSte # Description of Work Multi-Family Bldg _ Y/~ N Fireplace(s) _ 0~/ 1 _ 2 Property Owner Telephone # ( ) , Contractor ~Ud~D~r2F~tJ~/lo5-C_O,US7'~GfG7'//1/J Address ~Z~-/S_~~~n} ly~U~vD ~ City ~~(/~1YZq7A- State M N Zip 5~3~j / Telephone )~-{~3' ~ 9 cl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilatlon Category t Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculafions Submitted Licensed Plumber ~ Ll+r~DE/C~ l~'r~Cµ~}NiGr~~-- Telephone #~52J ~-{~s ' y(~~j Z MechanicalContractor ~LkA~t~C~'~- ~~CHq~fGA~ Telephone#(95~ ~4f5-~L~/Z Sewer/Water Contractor ~J f-"~ i ~,r- ~ ~ ~ 1~ I ~Telephone # (q~Z) ~ ~ ` T ~ `I l U~ , i I~ r~ ~ ~ U I hereby apply for a Residential Building Permi d ac ~ ledge_~hat_ e information is complete and accurate; that the work will be in conformance with the ances an 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 of plans. ~?/~-1~-/SR~~ ~/~~~~-~r~ ~/v u~ AppiicanPs Printed Name A~plicant's Signature q~~~~ ~ y - ~s~ ~ OFFICE USE ONLY Sub Types ~ ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg p~ 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti / ' ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 70 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Misce!larteous Work Types ~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplBCemCnt ~ 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation ~ ~~~7 Occupancy ~ MC/ES System Census Code Zoning ~ City Water SAC Units Stories Booster Pump Nhr. of Units Sq. Ft. 7'S PRV N6r. of Bldgs ~ Length ~ Fire Sprinklered Type of Const Width ~ . REQUIRED INSPECTIONS ~ Footings(new bldg) ~ FinaUC.O. _ Footings(deck) FinaVNo C.O. Footings (addition) _ Plumbing ~ Foundarion _ HVAC Drain Tile Other ~ Roof _ Ice & Water _ Final = Pool Air/Gas Tests _ Final Framing Siding Stuc Stone Fireplace ~ R.I. ~i Air Test ~ Final Windows (n placement) V Insulation Retaining Wall Approved By~ , Building Inspector Base Fee f~i ~ Surcharge ~j ~~j~ r b ~ X ~ ~ / f Plan Review MC/ES SAC yv~ r~~ 1 ~ 3`~ y City SAC 1 ~ ~ ( ~e LJ 1~' _ ~ ~ / ~ ~ ! { ~ Utility Connection Charge S&W Permit & Surcharge L ~ ~ ~ ~ G = / ~ j] ~ T7 Treatment Plant License searcn [ S- ~ eo+ ~ ~ ,~,3 ~ Capies ~'~5 1 F4 Other L.~ Q Total ~ I ~ ~J~ } - • Permit N~mber MECcheck Gompliance Report - 1999 Minnesota Energy Code MECcheck Software Version 3.2 Release 1 Checked By/Date TITLC: Olker Residence COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 02/25/03 DATE OF PLANS: 2-25-03 PROJECT INFORMATION: 4617 Summit Pass Stonecliffe COMPANY INFORMAT[ON: Lund~ren Bros. Cons. 545 Indian Mound East Wayzata, MN 55391 NOTES: Site Specific LookouUWalkout 9 ft. Foundation Box Bay at Nook COMPLIANCE: Passes Maximum UA = 675 Your Home ° 548 18.8% 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 2074 44.0 0.0 56 Wall l: Wood Frame, 16" o.c. 427 19.0 2.0 19 Window 1: Above Grade, Wood Frame, Double Pane with Low-E 96 0360 35 Wall 2: Wood Frame, 16" o.c. 182 12.0 2.0 14 Wall 3: Wood Frame, 16" o.c. 97 I1.0 2.0 4 Window 2: Above Grade, Wood Frame, Double Pane with Low-E 43 0360 IS Wall4: Wood Frame, 16" o.c. 1538 19.0 2.0 70 W indow 3: Ahove Grade, Wood Frame, Double Pane with Low-E 251 0360 90 Door 1: Solid 38 0350 13 Wall 5: Wood Frame, 16" o.c. 200 12.0 2.0 IS Wa116: Wood Frame, 16" o.c. 1600 19.0 2.0 79 Window 4: Above Grade, Wood Frame, Double Pane with Low-E 1 S6 0360 67 Basement Wall L Solid Concrete or Masonry, 9.0' hU8.5' bg/9.0' insul 1122 0.0 10.0 63 Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 144 30.0 0.0 5 T / Floor 2: All-Wood Joist/Truss, Over Outside Air 90 30.0 0.0 3 Fumace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 036D 0370 Includes Foundation Windows> 5.6 ft2 Floors Over Unconditioned Space 0.033 0.033 COMPL[ANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been Aesi~ned to meet the 1999 Minnesota Energy Code requirements in MECcheck Version 32 Aelease l. [3uilder/Designer~4~~1~J~./1~/lrt Date Z'~~5'03 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION n / ~ PROPERTYLEGAL: ~-Ufi I ~Inr.K ~ P~nP,~rCP~ ~/-4>S 7-~j~'! /`/d.~~/~~n DATE OF SURVEY: I~I = D 3 LATEST REVISION: d m c m r U O'z Q DOCUMENTSTANDARDS • Registered Land Surveyor signature and company ? • Building Permit Applicant ~ ~ ? • Legaldescripdon ? ? • Address 1~ • North arrow and scale hf . House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? . Directional drainage arrows with slope/gradie~t % ? . Proposed/existing sewer and water services & invert elevation B'/ o ? . Street name ¢ ? ? . Driveway ? ? . Lot Square Footage B' O 0 • Lot Coverage ELEVATIONS / Existina 5Y/ ? ? . Sewer service (or Proposed) ~'/o ? . Property comers fC3" ~[7 ? . Top of cur6 at the driveway and properry line extensions p~ • Elevations of any existing adjacent homes ? rY ? . Adequate tooting depth of sWctures due to adjacent utiliry Venches ? Ca~O • Waterways (pond, stream, etc.) Prooosed Ja ? • Garage floor ? • Basement floor ? • Lowest exposed elevation (walkouUwindow) EX p ? • Property comers ? ~ • Front and rear of home at the foundation PONDING AREA lif applicable) ? ~ 0 • Easement line ? fJ~ ? • NWl ? fd~ ? • HWL ? d ? • Pond # designation ? r~ ? • Emergency Overflow Elevation ? q/p • Pond/Wetland buffer delineation ~ DIMENSIONS p~~[] ? • Lot lines/Bearings & dimensians B~~ ? . Right-of-way and street width (to back of curb) q/ ? CI . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. ~ (i.e. all sWCtures requiring permanent footings) G'/~ ? • Show all easements of record and any City utilities within those easements ~CJ n . Setbacks of proposed strudure and sideyard setback of adjacent existing structures t~' • Retaining wall requirements, 'rf any Reviewed: ~f13 Name Date G:/FORMS/Building Permit Applicatlon REVISIONS \ ~~~Q q~ 30 15 0 15 30 80 Rensed 2-17-03 R.S M 6J ~y 357.n x J \ SCALE IN PEET ~C`7~ _ LEGEND ,o ' ~ ` 9 ~ 5~ j6.~ ~ ~ SQ DENOTES SANITARY MANHOLE , I \ \ ' S8 C, e \ ~ ~ ' ~ OENOTES ITYDRANT ~ \ ~ R `S9 , ' ~ DENOTES CATCH BASIN • I \ FqCE, Q~ 4 2 22 "c S o 5 DENOTES SANITARY SEWER ~ U~ ~e,yF c.,, 2°4g~ ` ~ p W ~ENOTESWATERMAIN ~ \~~Ty~ ~8 ' ~y ST DENOTES STORM SEWER 2 Ey a 951.5 .1- I ~ o S8p0 ~ TD ~ y ~ DENOTES STORM MANHOLE ~ x 36 3~ E ~Q.Sg (956.9) N~~' tFF~ D DENOTESSTORMAPRON ~ ~ _ x s55.r RIV~, ~ s ~ I ~7 ENG x9~~ ~ ° SETBACKS py < ~ x965.3 ~ O~ 49. ~ W < i/ ~ MIN. FRONT YARD SETBACK = 30' I~ ; ~ ?h~ s ~ < ~ I ss6.6 `965) ~ MIN. SIDE YARD SETBACK = 5' GARAGE, 10' HOUSE I' ~ ( 4.0) x I 966.2 I ` MIN. REAR YARD SETBACK = 15' ~ I `p~e .~~~(9~ 196~~ ~o~ ~ x 5.9 \ ~ *~j h',( pl ~ PROPOSED TOP OF FOUNDATION ELEVATION= 973.3 € N I x97a,s ~ °~~Oy ~`9~ ~ PROPOSEO GARAGE FLOOR ELEVATION= 973.0 ~i ~ (966.0) ~ J~~9 O / PROPOSED LOWEST FLOOR ELEVATION= 965.3 N xeza.z 0 ~°~e" 3i.2'S ~ O I ~9$8.4 9 y`P. Q I ~ n ~+`ypai 9~2- z o~ o Q h I L Z I ~ p~c ~ oy~vy~ a~p~~^~y- J N ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS `~um S` O~ / ~972 8~ Q~o~^ (973.Oy ~ / OF A FOOT AND CAN BE USE~ AS BENCHMARKS. ~ Q~~j~ ~ tl`~~'0 ~ ~ 2 I ~ DENOTES IRON I 3:, ~v~~n`~9~~1 ~ ` 4 ~'e l ~ MONUMENT J °r R~,~ d ~ e`"~ ' 97 Z ~ x(972 ~ ~ X 000.6 DENOTES EXISTING I ,~~re . ~6 4'`~~ 0 ~ ~ . / ELEVATION _ / O \ ti` ~ r_ ~ _ DENOTES PROPOSED ~^v~'(972.8) o "4 ~ _ 1 ELEVATION w • h Z I rp 975.35 915.3 z~ 63 (9» 0) w o ~ DENOTES DIRECTION ~ ~ F / _ ~r g~p,3 ~ S7 o OF SURFACE DRAINAGE ~ O O ~ 949.0 ?~sy w a I ~ (972 8~ i ~`~t,~ "g V ~ 910, ¢,53,•E ~ / D SEWER SERVICE ELEVATION ~ U z 5 ,y~o% q.h,pl ` ,~~'/~H b~k, : z ~ ~„z.n~._ s8a~.o1 ' 1 , p ~ F~1 Z V.J ~ry / ~ ~ ~n = a~`:i' ~ S-I~ - `r •w ~O~ L` . ~ IO.sH--~ ~~S~OX- ~a^^+ ~e> Q> ATITLEOPINIONWASNOTFURNISHEDTOTHESURVEYOR Oo ~ • m ~ - ~ - - - ~ ~ ~ 96 ~ ~v~'.' " ~ = ~ k n~~ NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR w ~ ~ Es ~ 5 . ~ •~L M 4~~ NON-EXISTENCE OF RECORDED OR UNRECORDED ~ a ~1 - (q~. ~ EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF Q w ~(n w 52.97 (9~~~ 58.18a~io.sie'~ `~e)* . ~ ~ ' ~ ~ Q;~~~ O ~ a THIS SURVEY. S89°37 37 W 139.42 969.4 l°~ S 7 ~ 0 1 7 p + bi ~ " ~0~-=`;`~ O U a o g 075 oi "~~•S~ ~ / ~ ~O } . ~ r ~ 9b9 ~ 3„E ~ ry1p + ~~0~ ~ W I hereby certify that this is a true and corcect representation ~ V ~ ~ ~ l ~ ;l S~ i . ~ _ , ~ ~ , jS''$ e EXISTING HOUS ~ ' ~ if ~ , . r; , ~ TFDN=970.2 ~ `~~oy„~"~Q~,'~ O~~ ~i ~ of a survey of the boundaries of: U a I LOT 1, BLOCK 1, PINETREE PASS 7TH ADDITION - ;~r~ ' 3'~; ~ J DAKOTA COUNTY, MINNESOTA " e~ / -~-G~` " 2-~ And the location of all buildings, if any, thereon, and all visible 4 ~ encroachments, if any, from or on said land. As surveyed by DRAWN ...._::r~:' :::~~ti~' ;..'_',~:~+T:in?uF~' RS ,x c ~s / 2 me this 14th day of January, 2003. HARDCO!/€R - ~ / CHECKED TREE SUMMARY ~C~-7 GRG ~.OT AREA = 26.173 S.F. TREES REMOVED = 0 ~1 / ~ ~ DATE HOUSE AR~71~4,54 .2S F. 1b ~/Q~L~j~,~~ 1/16/03 I COVeRAGE = 9.7°/~ ` ' / 3 Gary- R,~nd G SCALE 1 Licensed Land Surveyor, Minn. Lic. No. 24764 AS SHOWN 1 JOB NO. 5402-695 . Address: 4617 Summit Pass Zip: 55122 Lot: 1 Block: 1 Subdivision: Pinetree Pass 7th TNE FOLLOWING iTEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION OV ~j ~ Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/Seeded lawn Trail/curb dama e Porch Lower level finish Deck Fireplace . Verify with your builder that roof test caps from the plumbing system have been removed. • Tum off water supply to the outside lawn faucets beFore freeze potential exists. • Calf the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrioation svstem. r ~r'"') V BUILDING INSPECTOR: ( L / CONTRACTOR: Lundgren Brothers 935 Wayzata Blvd E WayzataMN 55391 . , Site address: 'I ~.~l7 ~k mm ~T ~q5 S Lot ~ Block ~ Subd. V! uE7ILF~ Y fl SS On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, antl ventilation, was atlopted. As a result, the City of Eagan is requiring that the following information be submittetl prior to issuance of a Certificate of Occupancy. _ This structure: is consWcted to meet minimum requiremenls of the Mn Energy Code, Chapter 7670 OR ~ This structure: wfll 6e constructed to meet more restric~ive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE water Heater X b ~ ~ s ~ic~~vo ~IC Furnace x ` ~~~so ft- ~O(~ b 12 0 o co P~,~ C. Dryer VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No Kitchen kitchen Bathroom 1 ~owaE/z-- ~2~ i~ FM 5b ~ 5 ~ ~a~~ ~rocm 2 L r~ 2 ~~o N C r r~! ~Za 5"c Bathroom 3 ST~ ~Z .ti N ~ ~ b ~ Bathroom 4 l Other ~ , _ /'-Oca,ti ~%F"M 5 VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S ~~AECT arMOs ~ 1V 7 ~ 1~~ 36 0 MAKE-UP AIR MODEL TYPE CFM's ~A2 ~ 's ~u o 2. 0 r~ ~/k,tJC~.n / ~ ~ I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry oi Eagan requirements. ~ ~ ~ . ~ " ~ ~ ~~~-G~ Signat e ~ ~ . Date 9 ,~~.i /~,,s.n ~7Jr n~n o'n Company Name 0 ' This (orm is the responsibility of the General Contractor. (~$0(~~ ~3CR. So 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwel~ings & townhomes/condos when pennits are required for each unit Date / / f)~ / ~7 > ~ h Site Address L~(r ~/lJ~j k1c~~ Unit # Property Owner ~ Telephone S~) q S Z G ( Coutractor ~ Street Address City --~~~i~ State Zip Telephone # ( ) Bond J ~ ~J(~ L"~~~ Eapires: The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger aircondi,t/i~o,ner _New Replacement ~ other I ?~J ~rh~ `~~1d9~~~/~~ State Surcharge ` ~ ~ c~ $ .50 ~ 1.,~ :~n4' l. ~s ~ Total ~~1 _ $ ~v , E`J-~~ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 acwrdance with the approved plan in the case of work which requires a review and approval of plans. I1 ~ ~ l ~/G'h ~ ~ ~ Applicant's Printed Name ~ Applicaxi Signature ~ 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when scpara[e permits aze not required for each dwelling uni[ Date ~ Site Street Address ~7 ~ ~,~/jJJ1~/v7 Unit k Tenant Name if applicable) ~evious Tenant Name ~ ~ ~ \ Property Owner ~elepho ( ) ~ i ~ v 7 ~ ' Contractor Street Address ~ ~ ~ ~ ~ 'ty 5 State ~ Zip ~ Liv~ Telepha~ne # ( ~j / ~ ) ~r~ S ~~%J Bond ~ Expires: ~ / ~ / ~ i The Applica t is _ Owne ~ntractor /Other ~ j , Work Type New nstruction Undergro a Install Remove "see below Interi r mprovement ' ing _Processed _Gas Nature of W r ~ r ~ / 1~ "When insta 'n /removing underground tan cal! for nspection by Fire Marsha! and Plumbing Inspector P¢CmESP¢0S: $7GSU roundta~ atio:vhemov $50.50 Mircim mcludes State Si ge) or Contract Value $ x 1% Pertnit Fee • If eo rmit fee is $1,000 or less, add $.50 ~ $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permih, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: f,/~ RESIDENTIAI, PLUMBING ~ 3 b S~ `'I Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date I d9 / o~ L.~G~SS ,I i Site Address ry~o rl ,5~=~--i Unit # wK Property Owner ~?R~~ oLA~4 Telephone #(7vS )?y~' ti' Contractor /I~cµ~09 64flS, Address /°~W 6qa u f ~t . C~ty f'J: State r a Zip ~ll ~3 Telephone # (bI ~ ) fFf ' ~y 1O The Appticant is _ Owner ~ Contractor _ Other Septic System New Refurbished Submit 2 sets of p~ans and MPC license $ 100.00 InGudes County fee. Additional consultant fees may apply. Alterations to existing dwelling $ 50.00 _ Add fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new _ repair _ rebuild $ 30.00 ~ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional ~ $ so State Surcharge Tota~ 0 C T`1, ~ 2003 $ 3a y,i ~ I hereby apply for a Residential Plumbing Pemilt and acknowledge that the accurate; that the work will be in confom~auce with the ordinances and codes of the Ciry of Eagan and with the Plumbing Coder, that I understand this is not a pernvt, but only an application for a pernut, and work is not to start without a pemut that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /~or. 25Ci*(0~9 ApplicanYs Printed Name Applicant's Signature 1~~~~ o ~~o, ~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION C`~x-r-Ckl City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 (~(~J j Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodellReoair Reauirements O~ce Use Onlv 3 registered site surveys shaxing sq. ft. of lot, sq. ot house; and all roofed areas 2 copies of plan Ce~t of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 setof Eneryy Calculalions for hea[ed additbns Tree Pres Plan Recd Y_ N, 2 copies af plan showing 6eam & window saes; poured found design, etc. 1 sile survey for addNOns & decks Tree Pres Required _ Y_ N isetofEnert~yCalculations Addilion-mdicateifon-sdesepficsystem On-siteSepticSyslem _Y _N 3 cop~es of Tree PreservaGon Plan if lot platted after 7/1/93 Rim Joist Delail Op6ons selection sheet (buildings with 3 0~ less unAS) Date ~ / / ~ / n Construction Cost l.~ Q' ~ SiteAddress 9(Q~~~ J~l".y~~~ TQ.SS UniUSte # Description of Work ,(y~w-~U Multi-Family Bldg _ Y ~N Fireplace(s) _ 0~_ 2 Property Owner `/~fj~Q `i ( ~~d Telephone # ((~pS/ ) q$ ~ -O / ~ Contractor T~T d`~~~ bnS Address r/(,i~.S- ~"0~~ ~/(~Iy~P !~~'IV~ ~(,~,~(I City ~d'~s~i ~r~c~~ State Zip Telephone # ~c~ ~ - ~ a~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (~submissionrype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone # ( c~~o~r~ Sewer/Water Contractor Telephone ~ ~ JAN I hereby apply far a Residential Building Permit and acknowledge that the informati n is com e and acc ate; that the work will be in conformance with the ordinances and codes of the City 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 of plans. ~ ~r ~'a;-~ e l-~e,r, se / l~--~-- Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? Ot Faundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-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 EM. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ~3J 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding O 32 Addition ? 36 Move Building ? 42 ~emolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demalitlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code ~r ~ y Zoning 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) FinaUC.O. _ Footings (deck) ? FinaVNo C.O. _ Footings (addition) Plumbing _ Foundation y HVAC Drain Tile T Other Roof Ice & Water Final Pool Ftgs AidGas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick Fireplace ~ R.I. ~AirTest ~Final _ Windows ~ Insulation _ Retaining Wall Approved By: ~ Z , Building Inspector Base Fee Surcharge ~L ~j'1„~,fi~~ Plan Review MGES SAC ~ ~ Urr ~ City SAC ~ Utility Connection Charge . i ~ S&W Permit & Surcharge ~ ~1 Treatment Plant License Search Copies Other Total ~`~-o ~ ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION :ti , CITY OF EAGAN = l ' ~ ~ ~ ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 ,'i FEB 1~4 2005 ~ 651-675-5675 Please complete for modifications to existing residential dwellings B Date / / S~^`^'nM'-4' QasS SiteStreetAddress ~/(D~/ ~b-~~~f' 1~Q5'S ~aSa«. 3S/x~ Unit# Property Owner (it/t2zL'c_= ~ ~ !~e(~C~ ~~.C ~ ~ Telephone # ) ySAZ-ll/~ Contractor C I~(,~ ~(CGGei I Gc4 f°cz.j~ L~c~i Telephone #~j)~o~ s.Z Address l q 3~t 7z. ~GZc` G• ,~i~P City ,S'~~- State~~ Zip The Applicant is: _ Owner ~Contractor _Other Altera ' ns to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 0 Total $ r0`.'~~' I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this i$ not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approv . ~i~/L>.+~ ~~6ro~r~ ~ _ , Applicant's Printed Name Applica s Signature r~ ~ 7~ r9' . • zoo6 RESIDENTIAL BUILDING rE~iT aPrLicnTioN fi'°~S City Of Eagan `~l~ • ~ 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Conshudion Reouirements RemodeVReoair Reouirements DNice`Us`e'Oni'v 3 registered stte surveys shaving sq. ft of Iot aq. ft of house; end ~ roofed areas ?2 copies of plan 5howing footings, heams, psfs Cetf o(;Soiv`eyReoi~~, ; F~,Y`=~~N (20Yomaximumlotcove[ageallowed) lselofEnergyCalcula8onsforheatedaddNore 7ree'?~esPlaaF,iecd`~'c`F•_,~',",,_~N 2 coples of plan showing beam & window sizes; poured found design, ete. ;~t site survey for addNons & decks 7{Be~?(2~~~I.!Ed~~~~'°~ Y~=~'=N 1 set of Ene~gy Calculations Addifion - indicate ifon-site septic system On site Septic Syst'em :z', =1' -_.N 3 copies of Trce Preservation Plan if lot platted aker 711193 Rim Joist Detail Options selection sheet (buildingswifh 3 orless units) Minnegasco mechanical ventila6on (orm t l- H? ~ , 9~ / Date ~ / I~ E' Construction Cost b~+'~10 Site Address ~y j, ("~1 -S~^ M M ~ I^ ~-.1 s Unit/Ste # r t~ Description of Work C c`~°~ ~ ~ ~ / ` ~z z ~ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner r ~`-A~~~ ~ ~K-~~~ Telep6one#( ~ i) uS2 ~a ~0'`~ Contractor ~ `~~5 -T 9 Address ~~7$ J~<~ (,l^ G~ City L-<i ~ Z State ~ Zip ~S S Telephone # (~)z ) 3 ~ y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 M' ules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • E p~V~q~csheet (~I submission type) Submitted mitted /a . Energy Envelope Calculations Submitted J~A` ~P l In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _~~~s _ Y _ N If yes, date and address of master plqn: Licensed Plumber Telephone # ( ) Mechanicai Contractor Telephone # ( ) Sewer/WaterContractor Telephone#~ ) I hereby apply for a Residential Building Pernut 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 approve lan in the case work which requires a review and approval ofplans. _-~S ~ ~c r~. ApplicanYs Printed Name pplican ' ature DO NOT WRITE BELOW THIS LINE • . Sub Tvpes ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 3D Accessory Bidg ? 02 SF Dwelling ? 08 06-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 D2-plex ? 10 08-plex f8 1 S Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? OS 03-plex ? 71 1D-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex ? 25 Miscellaneous Work Tvnes ~ 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire 81dg) - Give PCA handout to appiicant D@SC~Ipt1011: WaYerDamage_Yes Valuation c~i~aQO•'~~ Occupancy R•3 MCESSystem Plan Review 100% or 25% Census Code 1~ Zoning ~,-1 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Z Z~ Fire Sprinklered Type of Const Y/3 Width / y~ REQUIRED INSPECTIONS _ Footings(new bldg) Shee~ock ~o Footings(deck) FinaUC.O. _ Footings (addition) ~ FinzUNo C.O. _ Foundation G _ HVAC Drain Tile ' Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ AirTest'~~ Final _ Windows _ Insularion : _ Retaining Wall Approved By:`~~~~~ Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies r~~ Other Total II ' \ " REVISIONS ' s. R~~ 30 15 0 15 30 60 RehseG 2-17-03 k.S.M. ~y ~ ' ~ t~ ~U ~ x 7~ \ SCALE IN FEET ~ jC`1~j _ ` LEGEND ; ~•9 ~ 5 I~ \1~, ~ ~ ` QS DENOTES SANITARY MANHOLE _ ~ I ~ \ I S8 C e \ ~ 1 ` ~ DENOTES ITYDRANT QR ~ \~s9 ~~2 2 ' ~ DENOTES CATCH BASIN U g I ~ f~CF a~ 4 O 2~F S o ~ 5 DENOTES SANITARY SEWER , ~ f,{ ~ Nl T~~~T 2 4 8'~&~ ~ `r~__ W D E N O T E S W A T E R M A I N ~ \ Y\ I 5T DENOTES STORM SEWER 2 [y a xsst.s I / ~ S8po3 31 ,r~ 7Q. Jr9 (956.9) '~T ~N~CLIFF~? DD O DENOTES STORM APRON LE ~ I ~,~NG'U x ~ x l~l Y~ SETBACKS p~~, a N ~ ~ ' , 955 3 ~ ~ O~ 49. _ W ; 00 I ~ gh' ~5 MIN. FRONT YARD SETBACK = 30' W. ~ ` ' s ~ `965) ~ _ MIN. SIDE YARD SETBACK = 5' GAR.4GE, 10' HOUSE I 3 ^ `~'f.!~ ( 4.OS~ ~ ~2~ ~ / 96a2 ` MIN.REARYARDSETBACK=15' o I J ~ 4~ , ~ `O 96$/ / ~ ~ m ~ ~ ^"'h~ (9s8t ` ~ tl" PROPOSED TOP OF FOUNDATION ELEVATION= 973.3 [ti ~ ~ x 5. \ ~o~y ~ ocU ~j ',~vi'l9~01 PROPOSEO GARAGE FLOOR EIEVATION= 973.0 d~ (~J x974.6 ~ Y o~ Pi ~ i I (966.0) ~-!J 47~~9 O / PROPOSED LOWEST FLOOR ELEVATION= 965.3 V~ ~ N x 973.2 ~ ~ ,E~Py 3~.25 ~ 0 I (968.4) 3e ~ ~ III 3 2 ,`a~5 ~ 9~1~ '°(~~2 Qy~y~~ °~~o~^ti N ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS ~ Z I / y o~ (973.0 OF A FOOT AND CAN BE USED AS BENCHMARKS. ~ µ b ~a~.,m4 (972.8) p^ I ~ / ,m~n' r~„s~_ Q~~~ ~ } o oc~`°~. 3.~~~.p;1 «y°~, ~ a ~P I O DENOTESIRON J I Of `'j;~ / ~ ,~h P4.O . s~4.2 ~ x(972.Q ~ X OC0.0 D NOTESEE ISTING ~ ~ 80 ~ ' ~ / O ~ ~ ~~~h' 2 t ~~i ~ ELEVATION ~OOO.O~ DENOTESPROPOSED ~ ~~V~'(972.8) ry0,. qs f ELEVATION w . 975'3 ~2 ~ „ DENOTES DIRECTION Z 975.35 ~ (971.0) > ~ a O ~ (972.8) ` y,'~`'~€,- 972~3 ~ 4$79a OF SURFACE DRAINAGE ~ O ~ o U ~ O st t~~" ~ a,,'~- ~ 110 Q'~3••E ~ 949 Q DENOTES SANITARY ~ ~y V w O i i~ , ~'.l ~ ~':~KB~"~.'a°` - ~:r,: S u SEWER SERVICE ELEVATION ~ ~ ~ ~ z Q 5 ~o~ n.~ ~g~,o1 ,~~'/~w ~ 'I~sb ~_a .~~'a;~~~:~o~;.~,~.,,~-x_~_ sazo) ~ , o z W Z ~ ~n ~:~'~h~.""~~~~SOZ~~~-^`'~'"`-. y~'°' ~ ~ ATITLEOPINIONWASNOTFURNISHEDTOTHESURVEYOR Op : ~ ~ 0.68.-~ m ~ - - - - ~ ~ ~ ~ ' w f C ;~,~,:y;,~'~~~'~~"~~~~~~ ~ Cb~ ~ NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR ~ ~ ~ ` ~ ~ 967 ~ , ~~z ~~*:.~t~ _ /~L~`~ 4~~ NON-EXISTENCE OF RECORDED OR UNRECORDED ¢ ~ ~y ~ 52.97 ~9~ ~ SH.~Hq'~ ~Q~~~ ~ ~ w~~ ~"~;r;~„~~'u~„,~i~y~~`~A"~%~fy;a''~. n. O EASEMENTSCONDUCTEDBYTHESURVEYORASPARTOF Q w ~1 ~ w p r &6~ p.01' ~x~.,^ oi"€ ..:_Or 0~.e~:= O THISSURVEY. V a z o ' S89 37 37 W 139.42 _ ~ 969.4 ~"S796 pl~ p £ ~o~ =:~maw , ~~a:yj~;> D / ~ ~ U } ^ ° ' I hereb certi that this is a true and correct re resentation ~ ~ a: : r ~ ; - - - ; i: ExisnNC Hous O ~ v P ~ a u " < " ` ~ TFDN=97o.2 ~ `6 ,,~ay P~,'~ O~~ ~ ~ of a survey of the boundaries of: U I ' - ~ T ~ LOT 1, BLOCK 1, PINETREE PASS 7TH ADDITION ~L~LGGi'.-~~ 3; C., ~ DAKOTA COUNTY, MINNESOTA ~ ~ ' ' a Y And the location of all buildings, if any, thereon, and all visibie - "'"'r'~^ j ~ encroachments, if an from or on said land. As surve ed b DRAWN ~ .....:_:~C:t:':~;.,'.:::~.~,~s<::~5.. > '4 Z Y' Y Y RS ; " ~ K SS me this 14th day of January, 2003. CHECKED HAF~DCOVER - - TREE SUMMARY 1i~T AREA = 26,173 S.F. TREES REMOVED = 0 J~ GRG HOUSE A~R~7C~4,54 S.~ F. ~ ~ DATE 1l16/03 I COVERAGE = 9.7%~ ` ~ / 3 Gary R. Germond SCALE AS SHOWN Licensed Land Surveyor, Minn. Lic. No. 24764 ` _ JOB NO. 5402-695 PERMIT City of Eagan Permit Type:Building Permit Number:EA151400 Date Issued:08/22/2018 Permit Category:ePermit Site Address: 4617 Summit Pass Lot:1 Block: 1 Addition: Pinetree Pass 7th PID:10-57666-01-010 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: 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 - Padmaja Vasireddi 4617 Summit Pass Eagan MN 55122 (651) 269-7039 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:Building Permit Number:EA160905 Date Issued:04/22/2020 Permit Category:ePermit Site Address: 4617 Summit Pass Lot:1 Block: 1 Addition: Pinetree Pass 7th PID:10-57666-01-010 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 - Padmaja Vasireddi 4617 Summit Pass Eagan MN 55122 (651) 269-7039 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