4618 Summit Pass I°'~~~~~~ l~
~
~ AUG 2 ~ 20nR ' ~ . Q ~7 i
Clt~ of Ea~aIl B , P~rt#: ~ ~
~ ~
y- ~ Permi~ r-ee: C ~
3830 Pllot Knob Road - - ~ ~
Eagan MN 55122 j oate Received: j
Phone: (651) 675-5675 i statt: i
FBX: (651) 675-5694 ~ I
2008 RESIDENTIAL BUILDING ~ERnnr7 APP~icaT ~ D
gheAdd~~. 1 ~,,,,,i 4~ AUG 2 1 2008
Tenent: Sui
B'y
RESlDENT / QWNER Name: Q~/~Q S ~hone: 7l" ~ -Z~~
Address / City / Zip: ~ ~ AM~L 1M1~ ~ ~ ~a~T iGi ~Q,lil ~ Zz
Applicant is: ~ Owner ~ Contrador
TYPE OF WORK Description of work: ~-P
.I~~ ~ U ~~~~C
Construction Cost: Multi-Family Building: (Yes No ~
j
i ~1
CONTRACTOR Name: ~ License ZDI ~-1 ~-I I C~
Address~ ~U
~1~ 7 ~ Z~~
Ciry: , V~ V vf State: ~ l f~ Zip:
Phone:~SZ - O b 0" S~1 ~ ~ Contact Person: C~V~ ~Gt~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
EnergY Code • ResideMial Yentilation Cffiegory 1 WoAcsAeet . New Eirergy Cade WoAcsheet
Category suemmed sunmmed
(+1 submission type) • Erte'gy Errvelape CaIwlaUOns Su6mitted
In the lest 12 mOMhs, has the City of Eagan issued a permit for a slmilar plan based o~ a master plan9
~Yes _No If yes, da[e arxi address of mas[er plan:
Lieensed Plumber: Phone:
Mechanical ContraCtor. phpne:
Sewer & Water CoMractor: phune:
'NQ'~~e`t~fahs~and"supporfing docwrnertts fha't you SutimRare cohsfdered to be perblic~iniomtation. Porffons of
the`iMannatiex? may be classiHed as non-perblk H you proWde speclllc reasons that wouM permrt ihe City to
corrclude ihat the are t?ade sec~ts.
1 hereby ackrw~Medge that this iMorm~n ~ complete and accurale; that ihe work will be in coMOrtnance with the ordinances and codes of ihe City of
Eagan; that I uiWers[antl tlus is not a permit, but onty an application for a permi[, and work is rrot to start wiflwut a parmit; that the xrork vrill be in
accor n vrith the approved plan In the case af vrorlc which requires a review and ap Af I~ans.
i n
X C X
App t's Printed Name 'o nYs re
Page 1 of 3
2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
. }
City Of Eagan ~T ~ 0 a~
5,~~ 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ~Q,~~ Nn,~-~~-~'
i0-l U~-
New ConsWclion Reouiremenfs RemodeVReoair Reauiremenis O~Iw Use OhW
3 registered site surveys showing sq. ft of lot sq. ft. of house, and all roofed areas 2 capies oF plan CeROf Survey Recd ' _.1~, N
(20% maximum bt coverege allowed) 1 setof Energy Calculations for healed additions Treepres plan Recd _ Y_N,
2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for addiYions & decks Tree Pres ReqUired Y_ N
lsetofEnergyGala~Uons Addifron-iMicatedon-sdesepficsystem OnsdeSepticSyBtem, _Y _N
3 copies of Trce Preservation Plan if lot platted after 711l93
Rim Joist Dehail OpUons selection sheet (bldgs with 3 or less unib
Date / 24 / ZD~ Constructlon Cost i b ua
Site Address 4 5~.~.~m UniUSte #
DescriptionotWork N~W ~Z 'L~
Multi-Family Bidg _ Y?N Fireplace(s) 0 _ 1 _ 2
Property Owner I bm ~~~i. ~ l L ~nh P~ Telephone #((~51 ) l0 4itn 2 t3D~
Contractor ~Wy~-~.t ? C~~-~y~ a r
address 149a ~u.~,~~~~ilf_ Pl~w~r City gN,~ncv~I~e_
State _ {~+l ~J Zip S53u lo Telephone N(~jS2) ~}q o- ~`~SD
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
(~(submissiontype) 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 l5 ~ u~ Telephone ~
Mechanical Contractor SEP 2 4 2004 Telephone )
Sewer/Water Contractor Telephone )
By
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only xn application for a pernut, 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. ~
)Lrz ra Ll~ v~ 5-{~ P 1.~
ApplicanYs Printed Name ApplicanYs Signat
OFFICE USE ONLY
Sub Types T ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg „
? 02 SF Owalling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_YOr_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Z,D~ Occupancy MCES System
Census Code ~ 3 y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst ~ Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
~C Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Ftaming _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RL _ Air Test _ Final Windows
_ Insularion _ Retaining Wall
Approved By: ~ , Building Inspector
Base Fee
Surcharge / 1 ~ ~ ~
Plan Review ~ v
MC/ES SAC
~~tv SA~ 7U
Utility Connection Charge ;
S&W Permit & Surcharge
Treatment Plant
License Search
Cop ies -
Other
Total
~ REVISIONS BY
30 15 0 75 30 60
~EC'D
SCALE IN FEET
LEGEND
. / QS DENOTESSANITARYMANHOLE
3,1 ~~(jYY1U W~~"' rs~~ ~ ~ DENOTES ITYDR4NT ~
inin ~ ~ " ~ °
o~
R~~~r~ ~ ~ DENOTES CATCH BASIN ~ z:
~ Q S DENOTES SANITARY SEWER Z ~ ~
O
j~ W D E NOTE S W
A
T ERMAI N f~ n I
~p ,y ST DENOTES STORM SEWER ~ n
~ QD DENOTES STORM MANHOLE ~
~O " °'~h s96`1S C'S
~ ~ DO~ • 3~ J n DENOTES STORM APRON a? N
ih~ ~o~29s39 ~ ~ ~ 3
~~Q,.~ ~ ~ ~ 6'6
s6o~8 / SETBACKS W s
O~ ^ ~ "j~ ~ A¢~ `3~'~ MIN.FRONTYARDSETBACK=30' ~ m
~
p. ~ ~ S ~ ~~Ji MIN. SIDE YARD SETBACK = 5', 10' BOTH SIDES F€
P ~~Q ti~ 9s22~ 8 ~A1 MIN. REAR YARD SETBACK= 15' Q~
~ - ~ ` /y~ ,Lh 3~ ' ' / `/v ` V~ in
~ Lp ~
c G7 4 ~Op ~„~i s ~pJyc~ / PROPOSED TOP OF FOUNDATION ELEVATION= 967.34 ~yoas
/ ~ - q \ a o P ~ , PROPOSED GARAGE FLOOR ELEVA710N= 967.00 + ~
~ D~".'~ ~ ~ o Q (9 x :
~ ~a ~ ~ ~~ti - ~ sp PROPOSED LOWEST FIOOR ELEVATION= ' 958.59 ~
4~~G~ G~~ ~ ~ a SSy ~ y4,~~~ ~y \ 960 sJ LOOKOUT WINDOW ELEVATION= 96175 „ ;
O O ^~1~~ ~ rN ~O ^ ~ 'y7 O ~i`l '72'~"/ r7 B ~ ?c,°'
~ \ 0 P \ 1 ~ N
L~~^ ~OO~ `9 g ry~ Q~~`o ~'h1 ~ 1 ~J ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS °~S~
~gsA~ " E~ Q~p1 ~~o~~ ~ °y W ~ OP A FOOT AND CAN BE USED AS BENCHMARKS.
~ sSpJ ~ \ = ,`l' VP~A^ S ` C~
~ a ` ~96) . ~ 15 W ~ O DENOTES IRON _
g F~j ~ N ~ MONUMENT ~
/ , .
~i / ss~~ J ~c X 000.0 DENOTES EXISTING ~
~ ~ ~ ~ ELEVATION ~
P ^ RA ~°j ~000.0~ DENOTESPROPOSED ~ ~
s, ~O ~ ~ 5 0~ ELEVATION P-i' Z
~ ' V .F°~° a ~ DENOTES DIRECTION ~ O ~ 'Z ~
3 8/ S./ L T 3 S ~6~8 / OF SURFACE DRAINAGE ~y V- Z
G~ ~ D E N O T E S S
A N I T
A R Y O ~ z <
/ f~
N ` 2~J , B Qqi,~
q 954.0 SEWER SERVICE ELEVATION (yj W
!y \ FqsF ~ 3 ~Q~~W
a c5
_ ~ ~ ; ,6~9~3 e~
~(~TJ- I NOR W
S A 8
EC~IFIAC TITO
E
9EARCHE
OR THE EXI~STE CE OR ~i ~ z O~
^ NON-EXISTENCE OF RECORDED OR UNRECORDED F- a, C.~ -
\ I\i / ^ O EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF W a V
(O THIS SURVEY. U
, , , ~ ; ~ ~5 ~ I hereby certdy that this is a true and wrrect represenWtion
TREE SUMMARY , _ ~gss~ of a survey of the boundaries of:
S~ 9 LOT 2, BLOCK 2, PINETREE PASS 7TH ADDITION
EXISTING TREES = 0 " ~sJ DAKOTA COUNTY, MINNESOTA
~ ~ And the location of all buildings, 'rf any, thereon, and all visble RS
~ i~J~~~~-~~--~-= ----"„~~.,-s ~ encroachments. rfany, from or on said land. As surveyed by CHECKED
HARDCOVER CALCS - t x j.::':r GRG
, , me this 3rd day of September, 2002.
l0T AREA = 13,074 S.F. ~ ~ ~ ~ ~ ~ ~ ^ DATE
HOUSE AREA = 2,299 S.F 9/4/02
COVERA~E = 17J_!a - - - - . - . - _ -
- -SCALE -
° - - - l - Gary R. Ge nd AS SHOWN
Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
5402-703
~ ~Q ~3 RESIDENTIAL BUII.DING ~ ~
Permit Application
City Of Eagan /
3830 Pilot Knob Road, Eagan MN 55122 /Liq ~Q3
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered stte surveys showing sq. ft. of lot, sq fl. of house; and all roofed areas 2 copies of plan Cert of 5urvey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heatetl addifions Tree Pres Plan Recd _Y _ N
2 copi~s of plan showing 6eam & window sizes; poured found design, etc 1 site survey (or addNOns & decks Tree Pres Reqd _ Y_ N
7 set of Energy Calalations Adddion -mdicafe ifon-site sepNc system On-site 5eptic System _ Y_ N
3 copies of Trea Praservation Plan'rf bt platted afler 7/1/93
Rim Jo'st Deta~l OpGons selection sheet (hldgs with 3 or less uniLs
Date / S / 0.3 Construction Cost
Site Address y(p ~ Q~ SU vn 1~'Q S S UniUSte #
/Ll
Description of Work ~Q$.~J~2?~N,~` ~n 15~.
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ~ ~ J/,~, f
~ ~ J~ ~ $ Telephone # (~S~ ) ~p~(o -z gDa
Contractor
Address City
State Zip Telephone # ( )
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
(~submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanicai Contractor Telephone
~~r~~~1[~
Sewer/WaterContractor Telephone#~ Q
I hereby apply for a Residential Building Permit and acknowledge that the informa n is co and acc rate;
that the work will be in conformance with the ordinances and codes of the City o~'agan- atg-a MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ~
T m f~ Jo~res ~ /
ApplicanYs Printed Name ApplicanYs Si ture
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~ 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) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicaM
Valuation .,L7 t~+C~` Occupancy ~r~~~- MC/ESSystem
Census Code ~r~T Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinallNo C.O.
_ Foo[ings (addi[ion) Plum6ing
_ Foundation HVAC
Drain Tile Other
~ Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Fracning Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
~C Insulahon _ Retaining Wall
Approved By ~ , Building Inspector
Base Fee
Surcharge
Plan Review ~-rj ~
MC/ES SAC ~
City SAC
Utility Connection Charge
S&W Permit & Surcharge e~
Treatment Plant
License Search
Copies
Other
Total
T.
~ a~I-~Y~.~~t.~ P~ ~ R SID NTIAL ~ aP" '~~3 4~
, " BUILDINC PERMIT APPLICATION
CITY OF EACAN ~ n- n> ~~j ~ O~
3830 PILOT KNOB RD, EACAN MN 55 22
651-681•4675
PP-~~3c~ ~0.~
New Canstruction Reauirements RamodeNReoair Reouiremenb
• 3 regislered site surveys showing sq. fl. of lof, sq. ft. of houu; and all roofed areas • 2 copies of plan
(20°~ maximum lot coverage allowed) . 1 set of Eneryy Calculations Por heated additions ~"I q
. 2 copies of plan showi~g beam 8 window srzes; poured found design, etc ) • 1 site survey for ~tenor addNons & decks ~
• 7 set of Eneigy Calculatbns . Indicate il home served by septic System for adtldions
. 3 copies ot Tree Preservahon Plan if Io1 platted aRer 117l93 1,~ ~ 1 J~ I ~
. R~m Joist Oetail Op6ons selection sheet (bidgs wAh 3 or less unds) l~ ~ y
a,~~
DATE ~ D2 VALUATION vZJ~~ R~~
La, Sa, ne~},-~cc ~ass
SITE ADDRE55 ~~o/R ~ ~~p~ MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK -c~' F1.7 FIREPLACE(S) _ D~C 1_ 2
APPLICANT ~y
STREET ADDRESS ~1~~~ ~L~?!n ~82~-!~?~' G CITY STATE~ZIP~
TELEPHONE #~Jr~~~3-O 3CELt PHONE # AX # ~~5~~}73--9/ 3~
PROPERTY OWNER TELEPHONE #
~ ~ ~ ~ i~ ~ ~v
,
COMPLETE THIS SECTION FOR ~NEW^ RESIDENTIAL BUILDING ~`N~3'~; .
~
' ~r,, , ~
~'u~
Energy Code Cateqory b1INV1~;SOTA RULES 7670 CATEGORY t ~IINNE. ' RCLES 767? '
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Co rkshe~ d
• Energy Envelope Calculadons Submitted
Plumbing Contractor: _ ~X~~9~~~,f~~iLCi/l,/r~ Phone # ~ T ~5 - ~Z-
Plumbing system includes: _ Water Softener Iawn Sprinkler Fcc: $90.00
_ Water Heater ~ No. of R.I. Baths
No. of Baths
Mechanical Conhactor: ~~~'~~~~~.C~Q~~A Phone # ~~5~`7~ Z
~fech-uiical system includes: _ Air Conditiom~ Pec: ~70.00
HeaL Recovery Syslem
Sewer/Water Contractor. ~ Phone # Jr2 $~T ^ ~7 9
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
-------Y Signalure of Appllcant ~ ~
~iia.~:~ ~'Sa)as!~~!~s
/ OFFICE USE ONLY
Certificates of Survey Received "J Tree Preservation Plan Received _ Not Required ~
j
O ^ _ ~ Updated 4~02
~.f
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg'
~02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 (screened) ? 36 Multi
Cl 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~ 31 New ? 35 Int Improvement ? 3S Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windowsl~oors
C] 34 Replacement "Demalition (Entire Bldg only) - Give PCA handout to applicant
Valuation a Occupancy ~ MC/ES System
Census Code ~(~T Zoning City Water
r
SAC Units Stories d, Booster Pump
Nbr. of Units Sq. Ft. ~1~ PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W itlth ~
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbmg
~ Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final
Framing Siding S[ucco Stone
~j F'veplace ~ RI. ~ Air Test ~Final Windows (new/replacemen[)
Insulahon ~ Retaining Wall
~
Approved By ~ , Building Inspector
~ ------~--------`°V'------~--------`---v~---~
Base Fee , ~ S ~ ~,l
Surcharge ~/,~j~ ~ ~ ~ ~ _ " ~
P "
Plan Review / .p ~
MC/ES SAC ~~r-,
Ciry SAC ~ ~ ~ ~ X l t~ ~ V
W ater Supply & Storage
S&W Permit & Surcharge ~ ~?1~ ' a +~t j j ~ v~
Treatment Plant r~/ ~
Plumbing Permit ~~/~'Y~,~~ 7~~ 4/ /~p - ~ I
V
Mechanical Permit / ~l
License Search ~ v~~ (y I ~ ~ I~ - s ~ ~
Copies
Other 1 ~ y J ~ ~
Total
~
I ~
MNCheck COMPLIANCE REPORT ~ ~
Minnesota Energy Code Permit # ~
MNCheck Software Version 3.0 I~ ~
~ I
~ Checked by/Date ~
~ ~
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: B-21-2002
DATE OF PLANS: 8-21-02
TITLE: TOM & JULIE JONES RESZDENCE
PROJECT INFORMATION:
CHATHAM B
4618 SUMMIT PASS
STONECLIFFE .
COMPANY INFORMATZON:
LUNDGREN SROS. CONSTRUCTION, INC
545 INDIAN MOL7ND EAST
WAYZATA, MN
NOTES:
9' FOUNDATION
LOOKOUT
2' TO GARAGE
2' TO SACK OF HOUSE
COMPLIANCE: PASSES
Requ~red UA = 6'3
'iour i?ome = 525
20.8% P,etter Than Code
_ ..,,,,..,.~n,,..,-
'_.h`
' ~.s;=~:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ , ~ ' BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ~ d~~ U G(~ ~~r f/~PP, 4 C ~I~r~
DATE OF SURVEY: 9-_~~
~ LATEST REVISION:
c
m
!L,7 DOCUMENTSTANDAROS
Y ¢ a
O Z Q •
? • Registered Land Surveyor signature and company
p'/~ ? • Building PermitApplicant
? ? . Legaldescription
0 ? • Address
? ? • North arcow and scale
L/ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
r?? • Directional drainage arrows with slope/gradient %
• Proposed/euisting sewer and water services 8 invert elevation
~ ? ? • Street nama
? G • Driveway
G~I ? ? • Lot Square Foofage
t~ ? ? • lot Coverage
ELEVATIONS
/ Ewstinq
~J ? ? • Sewer service (or Proposed)
d ? ? • Property comers
? • Top of curb at the driveway and property line eMensions
0~? • Elevations of any existing adjacent homes
? • Adequate footing depth of structures due to adjacent utility trenches
? G' ? • Waterways (pond, stream, etc.)
Prooosed
o ? • Garage floor
~,y ? ? • Basement floor
~ ? ? • Lowest exposed elevation (walkouUwindow)
~ G ? • Property comers
? • Front and rear of home at the foundation
PONDING AREA frf aoolicable)
? ~ ? • Easement line
? [3~ ? . NWL
0 f~ ? • HWL
? ~F7 • Pond # designation
? ~ ? . Emergency Overtlow ElevaGon
/ DIMENSIONS
p~ ? ? • Lot lines/8earings & dimensions
? • Right-of-way and street width (to back of cur6)
9' • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. ali structures requiring permanent footings)
u • Show all easements of record and any City utilities within those easements
. Setbacks of proposed stracture and sideyard setback of adjacent existing structures
? G • Retaining wall requirements, if any
Reviewed: ' ~3-
Name / ~ate
REVISIONS BY
3~ 15 0 15 30 60
_ S E P 1 9 RE~'D
SCALEIN FEET
LEGEND
1 SO DENOTES SANITARY MANHOLE
~.9 ~;~n S~ / ~ ~ DENOTES ITYDRANT ~ ~
Wall Wfa ~ ~
or Fl~4m~n~~9 ~ ~ DENOTES CATCH BASIN Z z:
~ R~V~r~ O~ / / S DENOTES SANITARY SEWER 2 ~
~ W DENOTES WATERMAIN f%]
~~(p~ 5T DENOTES STORM SEWER 'a ~
~i~QO ~ ~96 ~ DENOTES STORM MANHOLE ~
V~/ ~ O~~ 9s`}3 sJ n DENOTES STORM APRON a+ N
~ ~iiJ ~ 70~ 2'9S3 ~ ~ ~ s
~ ~Q,.,~ ~ ~ \ ss'~ss6o~ / SETBACKS W 3
~ / ~ 6
OD~ y~ R4 ps
~'•1'" MIN. FRONT YARD SETBACK=30' a&
~ / ~ ~y MIN. SIDE YARD SETBACK = 5', 10' BOTH SIDES E o
~ /~Q ~ \ 962 1
J8 / MIN. REAR YARD SET&4CK = 15' ~
~ ~ J ` ~h~~ ~Lh ~ ~2 2j 12 V~ ~
G7 ~Op pJ 5 "J'~ PROPOSED TOP OF FOUNDATION ELEVATION= 967.34 aas
/ ~~0~ b 6 op~' Q~' ~ ~9 PROPOSED GARAGE FLOOR ELEVATION= 967.00 ~.+~'y µSd3kt.
O c v~Q ~ sp PROPOSED LOWEST FLOOR ELEVATION= 958 59
Q~ Ol ~ + S ~ O.~ / ~ ,7 6
~G~ GOC~ \ r S ~ ~y E'O J LOOKOUT WINDOW ELEVATION= 961 75 ~ ;
~ D~ a,•,~"~ ~O $ o~ oQ°~y 7p,` \~i 8 N a~"' ¢p
'a`~ _T y, ~ ~ 2~ ~ Q~b~o~~ ~~y1 ~ ~ N ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS ry~~~~ °~s~
Q Q' ~
gs?> h PV 01 ~
r
o~ W ~ OF A FOOT AND CAN BE USEDAS BENCHMARKS
/ 6 ~1 ` O
~ `SqJ~7 ~ ^`L c'Ppi~° S 1 W ~
V a~? F~9s) 5 W~ p DENOTES IRON
9 3J .o ~ N MONUMENT ~
~C i-`~ X 000.0 DENOTES EXISTING
/ ~ ~ ~ b'~ ~ ELEVATION 5 ~
S gR0 f ~ (000.0~ DENOTESPROPOSED ~ ~
~ ~ ~ Q a ELEVATION ~ ~ ~i ~ 2
~ S ,~~`Q rn~n - DENOTES OIRECTION N O(T~ 'Z ~
5 3 3 8/ ~ `3 S 96~8 / ` OF SURfACE ~RAINAGE ~y ~ Z
2• 8 OR DENOTES SANITARY O 0 Z <
/ ~~~G~ ~J ~ \ q~~CF / ~ 954.0 SEWERSERVICE ELEVATION ~ ~ ~ ~ ~
,6 \ qSe~Fti~
T~~ r A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR U~ Q Z~
_ ! . - ; 893 ~ ~ TY NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR L~ ~ Z O~
^ NON-EXISTENCE OF RECORDED OR UNRECORDED H d U
\ I\+ / ^ O EASEMENTS CONDUGTED BY THE SURVEYOR AS PART OF W a ~
/ (O THIS SURVEY. U
~ - , ~~i S ~ 1 hereby certify that this is a true and correQ representa6on
~ i ~ ~ ~ r ~ ~ ~ • ~ s of a survey of the boundanes of:
TREE SUMMARY ~ ~i~ J/~--^
~/r ~9Sj
s LOT 2, BLOCK 2, PINETREE PAS57TH ADDITION
EXISTING TREES = 0 " r/~ ,Q.m •61 DAKOTA COUNTY. MINNESOTA DR.4WN
~ ~ And the location of all bwldings, N any, thereon, and all visible RS
i~~~2 - encroachments.'rfany, from or on said land. As surveyed by CHECKED
HARDCOVERCALCS ` ,.~,,~~~-.,<<;;~.~1'=;l?i+~i`. methis3rddayofSeptember,2o02. GRG
LOT AREA = 13,074 S.F. ' ~ " ' ~ ~ ~ DATE
HOUSE AREA = 2,299 S.F 9/4/02
. _ _ COVERA~ZE= 77J_°/s. - - - - - - - - - - - - ~ - - - - - - -SCALE ~ -
Gary R. Ge mond AS SHOWN
Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
5402-703
/
Sita adoress. ~~~~~~C[,J/J Lc~o~ Blcr.~ S~bd ~y{~,p~_t~ri~~,~dCJ '
On April 15, 200o the P~linnesota cnergy Code, Caeagory I 8uildmg ftequ~~emenfs fnr insula~icn proi2cl~~n, a~r
tigh,ress, and vanhla~ion, ~vas adoptad. As a resuli, ~he C,ry of Eagan is requ~ring that ~he following informahon be
submitted prior lo issuance oi a Ceruticate of Occupancy
_ This structure. is cons[ruc(ed lo meal minimum requiremenls of fhe Mn Energy Code, Chapter 7670
~ OR
This structure: will be constructed ~o meel more restrictivz rzqwremen(s of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MO~EL BTU'S VENTING TYPE
Water Heater F~'j D DDO 1~~
Fumace
r ~ oo a C~
Dryer
VENTED
E~HAUST SYSTEM LOCATIQN TYPE MODEL CPM's ves Na
Kitchen kilchen
Bathroom 1 _ J ~
Bathroom 2 ~D x
8athroom 3 ~ J ~ ~j
Bathroom 4 ~ ~ 5~ x
O~her
VENTING
FIREPLACE S LOCATION GAS WOOO MANUFACTURER MODEL BTU'S oiRECT arrnos
~ ~ ~ srrc X
MAKE-UP AIR MODEL TYPE CFM's
g
I hereby acknowledge that the ahove information is correct and agree ro compty with the ~Ninnesofa Energy Code and Ciry of Eagan
requirements.
~ 9-i~ -~a
Si n ure I~ Date
~ /Airt.NE./i0 ~-~L , . _ _ - .
Company Nam
' This torm is the responsibility of fhe General Contractor.
_
12/23/2002 76:48 E'.41 851AA4D300 T.4PPF. CO\STRUCTION ~ 002l002
.1 , ~°aa~,r~Q~ ~ J~4~~
a ~ ~~~+.p ~
a~ ~~~~p
December 23, 2002
(o S-~ _ 7~Y - oa a'
Scott Behnke
Tappe Construction, Co.
915 Biue Gentian Rd,
Eagan, MN 55 i 21
C3axy Reinhold PE
2565 Hwy 12
Woodville, WI54028
RE: Structural analysis of exterior wall of the "fsimily roan" for the:
Tom and Julie Jones Residence
4618 Summit Pass
L,ot 2, Block 2; 3tonecliffe, Chathain "B"
Eagan, MN 55122
5cott:
tJsing the drawings of the referencaci project Phat you aent me, I reviewed the structural
capacity of the above-menrioned wall and found it to be skvctw~ally adequate, including
the wind and snow loads it was designed for,
r C..~-
S~IY, ~ . ~ .
Gary Rei d PE
l herebY ~~tSy that thn P?BPo• g~at~ou
or report weg p~~ared bY rt~e or under my
tfiat I am a duly
Qisect supervis+°'1 ~ under
ReB~~red ProfesSt te' ta.
the laws ~ ~ ~
X - g, Na 018561
t~te
715 698 2868
= B~~2; •31 ' 02 O 1: 40p 715 698 2868 p• 1
Dec 31, 02
To: Jeff Wheeler
Pax:ti51-675-5694
From: Gery Reinhold PE
2565 Hwy, 12
Woodville, WI 54028
Re:
~Structnral analysis of eacterior wall of the "family room°
for the: Tom 8c Julie Jones Residence
4618 Summit Pass, Eagan MN 55122
Development:
Stonecliffe, Chattxam `B", Lot 2 Block 2
Jeff;
[ncluded with this fa~c is the main drawing I used of the referenced project to review the
structural capacity of the above mentioned wall. I also met with Seott Behnke and discussed the
connections of the structural members. He explained to me exactly how the connections of the
structural members were made, and 1 found them to be more than structw'ally adequate. If you
have any questions, feel free to give me a call at 715-309-903 5.
~ Sincerely
, J:
- G~r ~rary Reinhold PE
~~ec 31 02 01:40p 715 698 2868 p.2
. 4.~
12/31/2002 12:52 RAX 6519940300 TAPPF. CQNSTRLCTION ~J002
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lX DC~ I `7 PLUMBING (RESIDENTIAL)
Permit Application ~ • ~
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Si~gle Family Dwellings
Townhomes and Condos when pemvts are required for each unit
Date ~ l Z3 / ~J~ JONES, TOM ~
4618 SUMITT PASS
Site Address EAGAN, MN 55122 Unit #
(651)686-2808
Property Owner _ Telephone # ( )
Contractor ~~.~L.~ ~~4~
(612) ~327-4i033
aaaT~s C;~y
State • ~p Telephone # ( }
The Applicant is _ Owner ~ Contractor ~ Other
Septic System New Refurbished Submit 2 sels of plans and MPC license $ 100.00
Includes County fee. Addttlonal consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding 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 Y- new 4nstallation _ repair _ rebuild $ 30.00
Law~~ irrigation system U uL XYJwJ ~'~YW1Tr.s Wry+7/~ ((il ~ Cq ~ ~ j I 11
Ilu,~~s~-~ i
;i~' JUL v A ~ I!~)I
_ Water softener _ Water hea[er $ 15.00
_ replacement _ additional B~` f_",,,,vi ~
State Surcharge $ .50
Tota] $ ~j~ . Jr~
I hereby apply for a Resiclential Plumbing Pernnt 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 Plumbing Codes; that I understand this is not a
permit, but only an application for a pernilt, 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.
Je.-~ t
1oc-blwv~ , ~
Applicant's Printed Name A Signature
C~ a ~ Sz~
2004 RE51DEIdTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please compiete for modifications to existing residential dwellings.
~ ~y
S'rteeStreet Address I ~G, ~'+9Y~11 ~ ~G'15S unit #
Property Owner ~a h~ 5 Telephone )
Contractor ~/'~Y1 Q-C~ l6 Telephone # ~l~ ) ~ (rJ"~ ~
Address e2 0.G AL• Cicy e°~ ~ a i/ Stater~ Zip~~
The Applicant is: _ Owner J~ Contractor _Other
Alterations to existing dwelling $ 50.D0
~ Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.D0
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuiid $ 30.00
State Surcharge $ 50
Total $
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 is 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 quired to be reviewed and approved.
r-=~----
ApplicanYs Pr te Name App nYs Sign u ~ I);
~I
l7~ vr~ ~/~~e~~. ~ . ~
Y 3y
RESIDENT OWNER
Name: TOM 1�i\---Q, Phone: li J 1 1) a e cD&
Address City /Zip: LI Is t q c lA e4 SS e la
5 5
1
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work:
Ye ci �Q
Construction Cost: 0 OD (0 W Multi-Family Building: (Yes No
CONTRACTOR
Name: 9 ,r0(r i License Or O 1 J I'D
Address: L 6 LL r /(/LPL S /ow
City: Ih1Y r S 7\ State: S r Il V �',,s`� 7 l
Zip:
P al6
g d 1 t i t
Phone: C on t ac t Person: .Q
COMPLETE
In the last 12 months, has
_Yes No If yes,
THIS AREA
the City of Eagan issued
date and address of master
ONLY IF CONSTRUCTING A NEW BUILDING
a permit for a similar plan based on a master plan?
plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considead to bre pttfic information: Pd
the information may be classified as non public if you provide spec C ity
conclude that they are trade see
tt
411
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x
V11i1 Na6 (4
Applicant's Printed me
‘N SEP 1 1 2009
x
Ap
Permit*:
Permit Fee:
Date Received:
Use BLUE or BLACK Ink
Staff:
q C j .9
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t l q Site Address: 2 0 f QS 41' ,?1 SS
Tenant:
Suite
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
L
icant's Si, ture 4
Pagel of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122417
Date Issued:05/07/2014
Permit Category:ePermit
Site Address: 4618 Summit Pass
Lot:2 Block: 2 Addition: Pinetree Pass 7th
PID:10-57666-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:replacing all vallies and roof vents-only
Census Code:434 -
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 by law in ALL single family homes .
Colleen Jacobsen
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 -
Tom A Jones
4618 Summit Pass
Eagan MN 55122
(612) 799-3597
1 derful Roofing & Restoration
2973 S Nova Rd
Pine CO 80470
(303) 984-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146941
Date Issued:11/27/2017
Permit Category:ePermit
Site Address: 4618 Summit Pass
Lot:2 Block: 2 Addition: Pinetree Pass 7th
PID:10-57666-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael C Johnson
4618 Summit Pass
Eagan MN 55122
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146942
Date Issued:11/27/2017
Permit Category:ePermit
Site Address: 4618 Summit Pass
Lot:2 Block: 2 Addition: Pinetree Pass 7th
PID:10-57666-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Michael C Johnson
4618 Summit Pass
Eagan MN 55122
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature