4621 Summit Pass
Address: 4621 Sutnmit Pass Zip: 55122
Lot: 3 Block: 1 Subdivision: Pinetree Pass 7th '
THE FOLLOW[NC ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON ~~g O`"~
Yes No Comments
Fina1 ade - 6" from siding
Permanent ste s- gara e
Permanent ste s- main en
Permanent driveway f
Permanent gas v'~
Sod/Seeded lawn
TraiUcurb damage
Porch
Lower level finish
Deck
Fire lace
• Verify wiffi your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-681-4645 prior to worldng in right-of-way or installing ~
irrigation system.
BUIL?ING 1NSP8CTOR ~ L
V
cd/bldglnsp/forms/2002/6nalinapection checklis[
05/29/2DOJ D9:20 FA% 95247JSIJ1 LIINDGREN BRO5. CONST. ~ 002/002
sir~ a:+,Cr~as. ~i0~
1-,~C~.i7J~,~Lero - L, , ; g,p,;k ~ ~ S~~td ~,(s7~i~~C~~...1-~-
~
~,fl h~.•fl~ ~J, ?~~U ii;2 ~!inn25Gt~ Enercy f~C~:, ~+.~ty~~~; f E~JlI~I^.C~ R8'1,L~~1'2~TF,•Ci5 i0( 111JL'E~iiD'l p(Di?CIiO~, ~~t
tightness, anc~ vzntila!ion, was adapted. As a r~ sul,, th2 C~~~ o~ Eagan Is raq: irng tha~ ~he foilo~~rirg informz~ion c2
submi«ed prior to issuance oi a Certihcat2 0' Occupancy.
_ This structu~e: is cons<<ucted to me9t mtnim~m rsquirement, of the ~n Enargy Cods, Ch2~Ier 7670
~ This structure: will he conStruCt?d to meel more ~asliictlve rzqwr2~+ents of Chapt2rs 7672 0~ 767a
Ai'Pt1ANGE GAS ELEC MANIJFACTUaER PdODEL BTU'S VENT~NGTYpE
WalefHeatzr ~ S~ul ~ O " ~ ~
Furnace ~ j~ ~ G' 1/ C
6ryer
- VENTED
EXHAUST SYSFEM L6CA'fION 1'YPE 'MODEL CfP~'s YES MO
KI[chen kitchen
Bathroom i ~
8athraom 2
8athroom 3 ~
Bafhroom 4
Other ~
VENTING
FIREPLACE S LOCA710N GAS WOQ? AIANUFACTURER MCOEL eTU'S oinecT ATMOS
~ 0 Co X
MAKE•UP A1R MC~DEL ~ TYPE CFM's
1~!~ /JNsrILG.c~D. a ~ O -
1 hereby acknowledge that ~he above information s ccrreci and agree to Comply with lhe Minnesota Energy Cod~: and Giry of Eagan
requiremenis.
i~r n.~ ~.C~~~ -0 Z' -
i wre ~ y~ Da1e
n.n~rns~ ~_~L~~l.a.L/iU~f~~~ ~ - . - .
" Compazry N e
' This Sarm is H+e respons~biliry of the Generaf Contr<ctor.
_i 3 !J~ o~ I ~~_RESIDENTIAL ~ 5~3~~ ~ e3 i.. `k I
~~,.,~~,w- ~ass~6UILDING PERMIT APPLICATIONm~ =b3a-`~ ~°°S`~'
CITY OF EACAN 5~33~ c`v. S~
; ~ 3830 PILOT KNOB RD, EACAN MN 55122 P~
651-681-4675 ` ~r~
New Canstruction Reoulremenb RemodeURenair Renuirements ~ c` 1
• 3 registered site surveys shornng sq. ft. of lot, sq. ft. of house; and a~ roofed areas • 2 wpies of plan
(20No maximum lot coverage allowed) 1 sel of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window s¢es, poured found design, etc ) ~ . 7 s~te survey for extenar additions ffi decks
• 7 set of Ene~gy Calculations (ry~i da . Indicale it home served by sephc system for additbre
. 3 copies of Tree Praservalion Plan if lol platted after 711f93 V, l~ n~k~ ;
• Rim Joist Detail OpGons selechon sheet (bldgs with 3 or less units) ~ ~
v~
DATE U - O ~ VALUATION ~~~.~~5
SITE ADDRESS `F~o~l ,~rrvrv~ l"Cl.o~ MULTI-FAMILY BLDG _Y N
TYPE OF WORK 5~1~ ~'`""'`'~''A-' ~~""7~FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~G(/JL~~1' ~ ~~~2~(/ti.u~>K~
STREET ADDRESS J"~~ c~l~Lc,t.~~ Yn6~ ~ CITY~STATE~ZIPS53
TELEPHONE # ~3~ CELL PHONE # ~ FAX #~~,~73'~.3 ~
~5.~ ~ ~a ~ ~
PROPERTY OWNER TELEPHONE #
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~[INNESOTA RULES 7670 CAT~GORY 1 MINNESOTA 12ULES 767`2
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. _~i~~ , Phone # ~,c,~'Y~S - `T~9~,
Plumbing system includes: _ Water Sofiener _ Iawn Sprinkler ree: ~90.00
_ Water Heater No. of R.I. Baths
_ No. of IIaths
Mechanical Contractor. 1~ Ar~,r ~ Phone # 5~ ~ sr~~g~
Mechanical system includes: _ Air Conditiocung Pec: $70.00
Hca[ Recovery Systcm
Sewer/Water Contractor: Phone # `cb~ 0 g7 ~9
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of AppUcant ~ //u~ ^
9sa a ~9- ~ 5"/~
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received ~ Not Required _
lJpdated 4l02
~
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 2U Pool ? 30 Accessory Bidg
~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AP, - Multi ^
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (sweened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~ 31 New ? 35 Int Improvement ? 38 Demotish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Uemolitfon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code /6/ Zoning ( City Water ~
SACUnits o/ Stories ~ BoosterPump ~
Nbr. of Units Sq. Ft. O~rl-,~5 PRV ~
i
Nbr. of Bldgs O/ Length ~l3 Fire Sprinklered
Type of Const W idth ~
REQIJIRED INSPECTIONS
~ Footings (new bldg) y~ FinaVC.O.
_ Footmgs(deck) FinaUNo C.O.
_ Footings (addition) _ Plum6ing
~ Foundahon _ HVAC
Drai~ Tile Other
Roof Ice & Water ~ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
~ Framing _ Siding Stucco Stone
~ Fireplace ~ R.I. ~ Air Test ~CFinal = Windows (new/replacement)
Insulation Retaining Wall
Approved By , Building Inspector
- - -
U
y - J
ease Fee /.7 7D i3S~rt y / ~/`j 1~1 ~~-~~1
~
Surcharge ~ ~L~ ~ ~ ~ ~ ~~p~
Plan Review ~ ~7 ~K= by5~g~
MCIES SAC ~ u
CitySAC ~6inrt~'~L. j~G ll7`)G
Water Supply & Storage
S&W Permit & Surcharge ~7 d~ ~ 7 7
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies ~ S
Other
Total
1
Si~e addrass ~ x~'~(,G9YLi9~9'A,¢o i_o~ _J Block L Subd V l~~Q/JO
on April 15, 200G the ~biinnesola Eneray Cod2, Ca~ayon~ I 3widing ~equirements (or insulation protec~ion, 2ir
:igntn2ss, and venhl~tion. ~.vas atlop~ed. As a result, ~he Ciry oi Eagan is raquinrg lha! tne felio~.~:irg iniormation oe
submitted pnor te issuance cr a Certiticat2 of Cccupancy
_ This s~ructure is consVUCfed to mee~ mmimum r2quirements of the Mn 'cnergy Code, Chapter 7670
~ OR
Tnis sWCture. will be consfructed to meet more restridive reqwrements of Chapter5 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MO~EL BTU'S VENTING TYPE
Water Heater ~ ~ ~ O
Furnace U p V~t
Oryer
4ENTEQ
EkHAUST SYSTEM LOCATIQN TYPE MODEL CfM's YES No
Kitchen kitchen
Bathroom 1 ~
d~r~
Bathroom 2
Bathroom 3
Bathroom 4
Other
VENTING
FIAEPLACE S LOCATION GAS W000 MANUFACTURER MODEL BTU'S ~~RECT ATMOS
O 0 co X
MAKE-UP AIR MODEL TYPE CFM's
~ s c a,0 ~
I hereby acknowledge tha~ the ahove information is correct and agree to comply wdh the Minnesota Energy Code and City of Eagan
requirements.
1,~.,.P.~1~1 /0 - ~ -4 2
Si ture ? Date
ia.n~~~e~ ~ ~]_~C~/0~'` . . .
Company N e
' This form is the responsibility of fhe General Contractor.
i i
MNCheck COMPLIANCE REPORT ~ ~
Minnesota Energy Code ~ Permit # I
MNCheck Software version 3.0 ~ ~
~ ~
~ Checked by/Date ~
~ ~
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-30-2002
DATE OF PLANS: 9-11-02
TITLE: venkatesh Sanjeeva Residence
PROJECT INFORMATION:
4621 Summit Pass
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Cons.
545 Indian Mound East
Wayzata, MN 55391
COMPLIANCE: PASSES
Required OA = 625
Your Home = 490
21.So Better Than Code
z~rea or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Va1ue UA
CEILINGS 17G8 44.0 0.0 46
VdALLS: Wood Frame, 16" O.C. 1185 19.0 2.0 66
V'aLLS: Flood Fiame, 16" O.C. 905 19.0 2.0 23
WALLS: Wood Frame, 16" O.C. 1078 19.0 ~.0 60
[aALLS: Wood Frame, 16" O.C. B 19.0 2.0 0
WALLS: Wood Frame, 16" O.C. 170 12.0 2.0 13
WALLS: Wood Frame, 16" O.C 1b5 12.0 2 0 14
BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 1438 10.0 0.0 91
GLAZING: Windows or poors, Above Grade 11 0.350 4
GLAZZNG: Windows or poors, Above Grade 264 0.350 92
GLAZING: Windows or poor&, e'~bove Grade 175 0.350 61
?OORS 38 0.350 13
FLOORS: Over Outside Air 39 30.0 0.0 1
FLOORS: Over Unconditioned Space 193 30.0 D.0 6
HVAC EQUIPMENT: Furnace, 90.0 AFUL
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit applicaCion. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
suilder/Designer ~ nate ~I •?~O' OZ
~ i i
MNCheck COMPLIANCE REPORT I I
MinneSOta Energy Code I Permit # ~
MNcheck Software Version 3.0 ~ ~
~ ~
~ Checked by/Date ~
~ ~
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTZON TYPE: Single Family
DATE: 9-30-2002
DATE OF PLANS: 9-11-02
TITLE: Venkatesh Sanjeeva Residence
PROJECT INFORMATION:
4621 Summit Pass
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Cons.
545 Indian Mound East
Wayzata, MN 55391
COMPLIANCE: PASSES
Required UA = 625
Your Home = 490
21.5°s aetter Than Code
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value UA
CEILINGS 1708 44.0 0.0 46
WALLS: Wood Frame, 16" O.C. 1185 19.0 2.0 66
WALLS: Wood Frame, 16" O.C. 405 19.0 2.0 23
V7ALL5: Wood Frame, 16" O.C. 1078 19.0 2.0 60
WALLS: Wood Frame, 16" O.C. 8 19.0 2.0 0
WALLS: Wood Frame, 16" O.C. 170 12.0 2.0 13
WALLS: Wood Frame, 16" O.C. 185 1z.0 2.0 14
BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 1438 10.0 D.0 91
GLAZING: Windows or poors, Above Grade 11 0.350 4
GLAZING: Windows or poors, Above Grade 264 0.350 92
GLAZING: Windows or poors, Above Grade 175 0.35D 61
DOORS 36 0.350 13
FLOORS: Over Outside Air 39 30.0 0.0 1
FLOORS: Over Unconditioned Space 193 30.0 0.0 6
HVAC EQUIPMENT: Furnace, 90.0 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, speci£ications, and other calculations
cubmitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer ~ i ' Date ~ • ,~0' ~Z
~ ~ ~'~~~CC~ F't LC C'C~ I
~
`.Tk~EE PRE~EI~VAT~O~V.~PLAN;SUMM =~~x,
~ ~ ~ ~ ~ ~ '
CITY~dF EAGAN FOR~SSRYDIVISIQN ~ ~~s
~ ~ ~ x : ~^.651 68`1 ,4300 ~ ~ . ~F~.
(SEE ATTACHMENTS)
ti
Development ~lNl~ lP.rr~ t (3"~S ~S io[~~C~.~fF~~
Lot Number Block Number I
Address k6 Z l S~-vin pti1 '~1~t S S
Builder ~'lv ~O$ Cc.)`'~ S
i. S'~ VC
c~~.i~~r ~ • a~.~ N c~r~~s~~~ti~~c~zs~,;~
I - - 'o3z-
Tree Protection Requirements:
Tree Fencing
Oak Tree Pruning (Immediately sea4 wounds during April 1 tu July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
As Fo~~oWS: ~~~~~~v ~t~6s~o~
r~~~o~~r~~
Attachments:
Yes -
No
~AT~- l~~-~-d2.~
Additional Notes:
H:\ghove12000fi1e\treepres\Tree Preservation Plan Summary-2000
0.EVISIONS BY
JO t5 0 t5 30 80 '
I
~ SC~LEIN FEEf
~ ~
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LEGEN~ d y `t 3 i
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l7/ DEN NIT ~
~
~ OENOTESITYURANT j ~
~ DENOTES G1iGH 9a51N ~ / j Q V w
5 DENOTESSANRARYSENER ~ LL O ~
W OENOIESWNTEPMWN 4 .
ST DENOTES STORM SENER A TfRE OPINION WRS NOT FURNISHEDTOIHE SURVEYOR i
DENOTESSTOfUAMANHOLE NONWASRSPECIFICTRlESEARCHFORTHEE%ISTENCEOR ~ ~Zr~ ¢
~ PROPOSEOTOPOFFOUNDATIONELEVATION.g]05 NON£%ISTENCEOFREGORDEOORUNRECOROEO ti a W Q
~ OENOTESSTORMMRON PROPOSEOC~JNGEFLOOftELEVATON= B>Oi FASEMEtRSCON~UCTE~BYTHESURVEY0AA5PMTOF Q~ (Y~ W
/ PROPOSEOLOWESTFIOORELEVATON= 9624 THISSURVEY. 4 C7O O
~ DENOTESiREETYPE, z U F
S2E,NNDLOCAl10N q~~OFFSETIRONSMEMEASUREDTOHVNOREDTIIS Iherebycerlifytha[ihisisaWeandmrtect representation w ~
~ OFA FOOTAN~ CAN BE USEDAS BENCNMPRItS. Of 2 SuNEy 0( IhC DD~lltldf1850f: U a U
SEfBACKS
MIN. FRONT YARD SETB~CK=3a' O DENOiES IRON LOT 3, BLOCK 1, PINETREE PASS 7TH ADDITION
MIN SIDE YARDSETH4CK~5',1P MONUMEN~ ~AKOTA COUNT', MINNESOTA
MW RFAR VARD SEfBACN=15' % 000.0 OENOTES IXISnNG And Ne localbn of all buiWi~gs, i! airy. Ne~eon, and all viSiEIC
COVERAGE (000.0) oenohswmvoseo enuoachments,ilany,iromoronsaitllanE.ASSUrveyedEy ~RS~
LOT RRFA = ts~as S F ELEVATION me this 25Ih day af Septem6e4 2002. GHECKE~
HOUSERREA=3.3WSF DENOTESDIRECTON ~J GRG
LOVER4GE=13.5% OFSURFACE~RAIN4GE / /L~~Yr/YH'1?7[ DATE
95~ ~ DENOTES S4NRPRY 8R6roZ
TREESUMMARY sEwEa5FRV1CEEtEVnnod ll.~.. d~
SCALE
E%ISTING TREES~ 2 NOTE: MU9T IMINATAM A MINIMIIM 2X SLOPE Gary R. Gemrontl FS SHONM
THEES REMOVED= 0 GRADIENT TO ACCOMODATE POSITIVE DMIHAGE LICRIIS¢0 L311tl Surveya~, MIOn. Lic. No. 24764 JOB NO.
5402~89!
~
LOT SURVEY CHECKLIST FOR RESIDENTIAL
, , BUILDINGPERMITAPPLICATlON
PROPERTY LEGAL: L 6 ~ p ~ C
DATE OF SURVEY:
m LATEST REVISION:
~
c
m
L
U DOCUMENT STANDARDS
Y $ a
O Z Q
u1/7 . Registered Land Surveyor signature and company
~~/C C • Building Permit Applicant
? C • Legal description
? • Address
1!/~ ? . North arrow and scale
I,~ . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
O ~ • Directional drainage arrows with slope/gradieni °.6
~7/ ? r . proposed/existing sewer and water services & inveR elevation
~A ? G • Street name
ti~/ ? ? . Driveway
~l/ ? ? ~ • Lot Square Footage
? ~ • Lot Coverage
ELEVATIONS
Existin
- • Sewer service (or Proposed)
~l/ r ~ . Property corners
W/ G~ • Top of curb at the driveway and property line extensions
il C . Elevations of any existing adjacent homes
~ P/C . Adequate footing depth of structures due to adjacent utility trenches
CJ ? • Watenvays (pond, stream, etc.)
~y Prooosed
il/? C • Garagefloor
d-N G • Basementfloor
. ~~`~7 G • Lowest exposed elevation (walkout/window)
~~/u • Property corners
? . Front and rear of home at the foundation
PONDING AREA (if apoiicable)
? ~ ? • Easement line
? • NWL
? ~ ? • HWL
? ~ • Pond # designation
~C • Emergency Overflow Elevation
/ DIMENSIONS
a • Lot Iines/Bearings & dimensions
C • Right-of-way and street width (to back of curb)
L' • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
~ (i.e. all structures requiring permanent footings)
p • Show all easements of record and any City utilities within those easements
~?f~ J • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? ~ = • Retaining wall requirements, if any
Reviewed: / d-
Name / Date
• REVISIONS BY
. ,
30 15 0 15 30 60
~icT a ~ ~~c~o ~
SCALEIN FEET
' ti /
~
~ S89°37'37"W 139.42 a.oo ~
-r_ 970.15 ~ 35.f$ g a9O~7~SJ,. ysQ'~
_ , &2 E
~ ~ 5~ - - - - - - - - ~ ~ 6605 7O bhryc GO~G S S~ z S
L 7 E ~ X r: 3p ~ 1 v ` q`°h / F C
C/ Q x I~ 4 ~ I ~ ~ V ~ N
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N' 3 ,o c~o, ~°v ~o,~; o71rn / '0~~
o+ r- `nwfna y ~b ~ ~ ~ s
~ N I DRAINAGE & UTILITY ~ ~ ~ ~m~ 6 ,o y~~ ~ ~ t
(YJ p EASEMENT ~ rn S a ° ~ ko ~ w~
~ a ~ ~
~ $ ~ ~c o' w 1 ~ / . \ / ~ ~ ;
k ~ L
Z x 19, ~ O t~~' ~ 3
Z E7 U N
~ ~ ~ W S
9~~.z 1 ~ ~ ~aNr. ~ ° } ~ ~ D~' ~ 0: ~
~ ' ~ 1 ~ ~ ~ ~ ~oy ~ o`ti 4 x €
~ ~ ~ ° y o E"~
N7go28,S4» ssa.o9 ?3.33 ~0 v~i ~ '
.,i 9, w`° k~,{ 11 ~s ~g,.
I w 19~.70 6.>6 43.00 967 v~ , V S
68 9 ~ ~`L~~~~ \ 4+` »
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Fi UIf9d ~ ~ / ~ ^~~~e~l~d- v,"~~,
LEGEND ~ ~R ~ Y ~i
~ ~t~w~
$ QS DENOTES SANITARY MANHOLE . , { ~ . u ~ ~
~ . ~ ~ ~ . 't `,M1 ~ Il i~_ ~ 1 , S qA~~~~~~~~~% ~
o ~ DENOTES ITYDRANT , '~,r'~ - ~ ~ i `t' N~\: ~ ' ~ ~ ~ ' - ~
i
~ s y' ~ ~x . - ° ~ ~ ' /G ' _ > • o
~ ~ DENOTES CATCH BASIN ` , ~ , ~ ~ U ~
. o a~ Z
N $ DENOTES SANITARY SEWER ~ ' " ~d~~~~~~ ~ ' - ~ - (n ~ ~ Z• ~
~ W ~ENOTES WATERMAIN _ d r r ~ ~ ~ ~
ti~~ = L;^-. ~~'+~'-~d ~ D'-`'-`~ A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR • Z
~ ST DENOTES STORM SEWER ~ ~ ~ ~y
o . NOR WAS A SPECIFIC TITLE SFARCH FOR THE EXISTENCE OR w~ Zr ¢
: QD DENOTES STORM MANHOLE - PROPOSED TOP OF FOUNDATION ELEVATION= 970.4 NON-EXISTENCE OF RECORDED OR UNRECORDED ~ a L'~ Q
~ n DENOTES STORM APRON PROPOSED GARAGE FLOOR ELEVATION= 970.7 EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF Q w V~ w
9 ` t PROPOSED LOWEST FLOOR ELEVATION= 962.4 THIS SURVEY. ~ d O O
y : ~ DENOTES TREE TYPE, F- y U~
m ~~Cr~ ~ SIZE, AND LOCATION ALL OFFSET IRONS ARE MEASURE~ TO HUN~REDTHS I hereby certify that this is a true and correct representation W ~
~ OF A FOOT AND CAN BE USED AS BENGHMARKS. Of e Sl1NBy Of lh0 bOUfld8f125 OF. U a U
Y SETBACKS
m MIN. FRONTYARD SETBACK=30' p ~ENOTES IRON LOT 3, BLOCK 1, PINETREE PASS 7TH ADDITION
o MIN. SIDE YARD SETBACK= 5', 10' MONUMENT DAKOTA COUNTY, MINNESOTA
MIN. REAR YARD SETBACK = 15' X p~~.p DENOTES EXISTING And the location of all buildings, if any, thereon, and all visible
~ ELEVATION DRAWN
y COVERAGE (000.0) DENOTES PROPOSED encroachments, if any, from or on said land. As surveyed by RS
a LOT AREA= 16,245 S.F. ELEVA710N me this 25th day of September, 2002. CHECKED
w HOUSE AREA = 2,203 S.F. DENOTES ~IRECTION GRG
w COVERAGE = 13.5% OF SURFACE DRAINAGE
a DENOTES SANITARY DATE
m TREE SUMMARY 957'0 SEWER SERVICE ELEVATION 9Y26/02
N SCALE
EXISTING TREES = 2 NOTE: MUST MAINATAIN A MINIMUM 2%SLOPE Gary R. Germond AS SHOWN
y TREES REMOVED = 0 GRADIENT TO ACCOMODATE POSITIVE ORAINAGE Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
a 5402-697
3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4621 Summit Pass
Lot: 3 Block: 1 Addition: Pinetree Pass 7th
PID:10- 57666- 030 -01
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
e- Reroof & Siding Construction Type:
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Jen Ulick
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$132.75
$3.00
$135.75
Owner:
David Molitor
4621 Summit Pass
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA086866
10/14/2008
ePermit
07/23/2014 WED 11: 49 FAX 8774423424 Craftsman Restoration IID001/001
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Use BLUE or BIACK Ink
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_ Clt of Eaoa� j Permit#: I ���1� ;
� F� � Permit Fee: �� `�� �
3830 Pilot Knob Road
Eagan MN 55122 j Date Received; � � � j
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Stafi: I
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2013 RESIDENTIAL BUILDING PERMlT APPLtCATION ,��
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Date. Stte Address:���� �VI,M.NI,C'�" P�S Unit#: �,
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� Construction Cost: "�/�� Multi-Family Building:(Yes_!No
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% Company: �����N1�N � �T1b�o��9�Pxc��
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� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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��m� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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� In the last 12 months,has the City of Eaga issued a pennit for a similar plan based on a master plan?
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� � _Yes _No If yes,date and address of ma r pla • � �
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� � Licensed Plumber: Phone: � �
� � Mechanical Contractor. Phone:. � j
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j � Sewer&UVater Gontractor, Phone: ;
� ' N.OTE Plans,an�t s.upporrting documentis that,you subm►tare considered to be publtc�niormatron Portrons of: �
� ` the�nforn�aho�may be classitied as non publrc rf you prov►de speci�c reasons that,would permrt the C�ty�fo �
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CALL BEFORE YOU DIG. Call GopAerState One Gall at(651)454-0002 for protection against underground utility damage. Call 48 hours �
before you intend to dig to reseive loptes of undergtound utilities. v�nvw:aoahersEateonecall.ora i
. �
I hereby adcnowiedge thaYthis information is complete and accurate;that the wo[k will be in conformance wilh the orrlinances and codes of the City of '
Eagan;thaf I understand this is not a permit, but only an application fo�a pertnR,antl wo�ic is not to stait without a pertnit;tha.t the work will be in �
accordance with the approved plan in the case of work which requires a reyiew and approval of plans. i
E�cterior work authorized by a building pertnit issued in accordance with the Minnesota State Buiiding Code must ompleted wifhin�180
days of per.mit issuance. �
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Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152800
Date Issued:11/01/2018
Permit Category:ePermit
Site Address: 4621 Summit Pass
Lot:3 Block: 1 Addition: Pinetree Pass 7th
PID:10-57666-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
David Molitor
4621 Summit Pass
Eagan MN 55122
(612) 802-2854
Total Comfort Heating & Cooling
8818 7th Ave N
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature
-3--
�E1For Office Use
' � Permit#: S
TT�� 50 7
E AG N
�
JUN 2 7 20j
Permit Fee: 6 ply. is(
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(acitvofeagan.com u
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: June 27th, 19 Site Address: 4621 Summit Pass unit#:
Name: David & Sara Molitor Phone: 612-868-9927
Resident/ 4621 Summit Pass
Owner Address/City/Zip:
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Finish basement
Construction Cost: 65'000 Multi-Family Building: (Yes /No )
Company: Country Creek Builders Inc Contact: Dan Drenckhahn
Contractor
Address: 23885 Beard Ave N city: Lakeville
State: MN Zip: 55044 Phone: 952-484-9812 Email: Dan@countrycreekbuilders.com
License#: BC636393 Lead Certificate#: NA
If the project is exempt from lead certification, please explain why:
Home built in 2003
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.cjopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the • dinan - a .des of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work i not to start wit,. t a :- ', t . the work will be in
accordance with the approved plan in the case of work which requires a review and approval • • -ns.
XDan Drenckhahn
Applicant's Printed Name f'plicant s S gnature
1 7 Z-4. / Su/Yin,i P � /- 4.0
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex >a Lower Level Pool Accessory Building
WORK TYPES
yo New Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION g
Valuation s 2 2-/ b ito' i Occupancy X —I MCES System
Plan Review Code Edition ma 20 1 S' SAC Units
(25% 100% >4)) Zoning 12' - ) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v5 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) - Final/C.O. Required
Footings(Addition) )0 Final/No C.O. Required
Foundation Foundation Before Backfill 2.0 HVAC Service Test Gas Line Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
)0 Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
V Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower PanOther:
_
Reviewed By: j 0•N1 %le-tyA , Building Inspector
RESIDENTIAL FEES
Il yZ ' i ? 44) ZO. oc, S' ' `.
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
1 Page 2 of 3
a , RECEIVED For Office Use CAlk
`a � , Permit#: /5-6 /I�-I
J27EAGAN
Z019
- 10 $(1
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 l TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(c cityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6/26/19 Site Address: 4621 Summit Pass
Tenant: Suite#:
Resident/Owner
Name: Dave Molitor Phone: 612-868-9927
Address/City/Zip: 4621 Summit Pass
Name: BoeVaag Plumbing License#: PM 062966
Contractor
Address: PO Box 1257 city: Prior Lake
State: MN Zip: 55372 Phone: 612-270-6872
Contact: Joe Boe Email: Boevaag@Boevaagplumbing.com
T e of Work ✓ New Replacement Repair Rebuild Modify Space Work in R.O.W.
YP
Description of work: add dwv for new bathroom, plumb wet bar - basement
Water Heater
Lawn Irrigation( RPZ/ PVB)
Water Softener ✓ Lower Level
Description Add Plumbing Fixtures( Main/ )
Septic System
Description: 3/4 bath, wet bar
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
XJoe Boe X Ze
Applicant's Printed Name Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166419
Date Issued:01/08/2021
Permit Category:ePermit
Site Address: 4621 Summit Pass
Lot:3 Block: 1 Addition: Pinetree Pass 7th
PID:10-57666-01-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
David & Sara Tste Molitor
4621 Summit Pass
Eagan MN 55122
Boevaag Plumbing
P.O. Box 1257
Prior Lake MN 55372
(952) 292-1511
Applicant/Permitee: Signature Issued By: Signature