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4622 Summit Pass Address ~L+~v~~ vti1+ ~ t"~("x_~~_S Zip 55123 Lot ~ Blk a' Sub ~~~e ~Y~f°<- C~~ 5~I~`~ Tf~SE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ~ c~ j Yes No Inspector: Final grade (6" from siding) ' ~ ~y,t J~ r ,z ~vr / ~ ia~t- . aY Pecmanent steps (gazage) j~ Permanent steps (main entry) X Permanent driveway x Permanent gas ~C Sod/Seeded grass TraiUcurb damage c:?i,7, ; Porch ~ Basement finish x Deck Please verify with the builder the removal of toof test caps from the plumbing system and the shut-off of water supply to the oufside iawn faucet before fceeze potential exists. Contact engineering division at 681-4645 before worMng in righFOf-way ar installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~a P~ s~~~P.~~~~~__Z~ Cfl nF•(~~ i~, ?ODU I~;2 ~i~Il1f~85Ci2 Ef12S]V ~.OC6, ~8P3y0f'/ ~ ~cL"i.''n~ R°~'.:;2(('~BfliS f0( 1f13u~d:~0~ ~,(0~.'CC,~C, d.~ !!~Ili~~~c~5, r'.iln 4'2fih~flilOfl, b'!a5 2~C~i2d, ~-°+5 8 icjl:~:, [i~lc ~',IDi Of ~c?~flfiS f9CUl~lfil7 I~'d: f!19 iO~~Q::'ifly i~i0if,l"c~Cfi 0~' su'omi~.2d ~rior te issuanc2 cr a Cer;ihc2~2 oi Gccuparcy. , Tnis structure: is carstrucfed tc mecl minimum reqwr2men~s af ~h2 Nln Er,~~gy Cec2, Ch2pt2r 7&7~ ~ OR This shucture: will be consUUC[2d lo meet more r2strictr~e reqwrements oi Chapt2rs 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER i410DEL BTU'S VENTING 7YPE WaterHea;er ~ S~ v Furnaca U p 00 V~ Oryec VENTE~ I EXHAUST SYSTEM LDCATION TYPE MODEL CFM's YES No Kifchen kitchen Bathroom 1 I L~ A 2o q} C F ~j Bathroom2 ~,quNURy ,F D ~ 5 a~ Bathroom 3 ~ ~ V~a ~ ~j„~ ~ a OO 8athroom 4 ^ 7 ~j20 N J~ < Other ~J c~ 7" ~ f( 2dR/~-} ~iF S ~ VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER h10DEL 8TU'S 0{qELT arrnos i F x .p v 3 oea MAKE-UP AIR MO~EL TYPE CFM's c'rl7 MF1~2 , O ~ u I~ I hereby acknowledge that the above informa~ion is correct and agree to comply with the Minnesota Energy Code and Ciry of E2gan requirements. G?1L~ (.(J / ~ - 0~- Si n re Date - J Company Nam ' This form is the responsibiliry of the Generaf Contrector. 1~t 3 ~-c~13 (3Q_ ~+35~ ~aaS.~ (~c~.~a `1`~ ~~~ID~NTIAL BUILDING PERMIT APPLICATION ~ CITY OF EAGAN Y~ ~ ~y ~5 ~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-68'I-4675 ~~{'~5ti4 ~10.~ New Construction Reauirements RemodaUReoair Reauiraments • 3 ra3¢tered site surveys shovring sq. tt. of lot, sq. k. of house, and all roofed are~ • 2 cop~es of plan (20% manimum lot coverage allowed) . 1 set of Eneryy Calculations for healed additions~' ~°p ~~g • 2 copies of plan showirig beam & vnndow s¢es; poured found design, etc.) . 1 sAe survey for extenor additions 8 decks Lo~-+~~ 1 set of Energy Calalations ~1 . Indicale if home served by septic syslem for addi6ons • Rim Joist DeWd Oprtons seledPan sheet (bdgs wthr3 or~ess unitsa 3a~~~J d~ DATE ~-~CJ- O~ VALUATION . ~3~ '7"~T G SITEADDRESS ~~Dr.~~ ~ia~irr,a~ /"Q~O MULTI-FAMILYBLDG _Y _N TYPE OF WORK S~7) ' Q a R~L~E(S~ ~ 0_ 1_ 2 APPLICANT L~/,~ ~ ~~(h~i~tr~~'1 STREET ADDRESS J~S~S c~YL~.I./~~.Il7,cir~,~l CIT~~STATE~jpZIP ~3 TELEPHONE #~JSa ELL PHONE # ~ FAX # I~-~Z3--q(~~ PROPERTY OWNER TELEPHONE # _ COMPLETE THIS SECTION POR KNEW" RESIDE L Btj'IL~I~~~ ,1~~ 2 2 20 Energy Code Category _ LIINNESO'l:~ RULES 7670 CATEGORY 1 Q~ _ NIIVN~~O 2ULL'S 7672 (J submission type) • Residential Ventilatlon Category 1 Worksheet Su6m • New Ene ode Worksheet Su6mitted . Energy Envelope Calculahons Su6mitted Piumbing Contractor: __<~~CLl~f1~`~1~L~l1~~ Phone # L~ ~~~5~ ~~1a Plumbing system includes: _ Water SoFtener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanicai Conhactor: ~'_~_~~Q i a Phone # % Sa S~~a9a Mechanical systcm includes: Air Conditioning Pee: ~70.00 Heat Recovery System Sewer/Water Contractor: ~ ~a-, Pho~e # ~ ~fT - ~ ~ 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 Or inances. , Signature of Applicant ~ x/ 5~~~ s~~ ~-~s---`-F-------.._-_._._ OFFICE USE ONLY Certificates of Survey Received D~ Tree Preservation Plan Received ~ Not Required _ Ta ~ ~ ' ~~~t~ 6Z Updated4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex D 13 16-plex ? 20 Pool ? 30 Accessory 81dg ~ 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex O 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Btdg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolitian (Entire Bldg only) - Give PCA handout to applicant ~ Valuation ~UC7 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. -i~~ PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const ~l~ W idth G/. ~ , ~ REQWRED INSPECTIONS Footings (new hldg) c taallC.O. _ Fcutmgs (deck) _ FinaUNo C.O. Footings (addition) _ Plutnbmg Foundaaon _ HVAC Dcain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final x Framing Siding _ Stucco _ Stone Fireplace R.I. ~Air Test Final Windows (new/replacement) ~ Insulahon 7~ Y Retaining Wall Approved By , Building Inspector Base Fee ~ ~ - ~ Surcharge ~ ~ ~ _ - ~ ~ l~ Jr ~vh~ < ~ ~ i~ Plan Review MC/ES SAC ~ /~n~ ~ $'"L~ ~ D~I City SAC ~ Water Supply & Storage ~ y 5&W Permit & Surcharge y~~ ' ~ ~ ~ ~ y ~ ~ ~ ~ j Treatment Plant ` G C/ Plumbing Permit ~~'7%'~~ (~I U ~ ~ l D Mechanical Permit License Search ~~I~~~ ~,a ~ "a ~ : ~ ~ ,v 6 Copies ~ ~ - ~ - Other Total ~"V~ 3/ 7~/0 i i MNcheck COMPLIANCE REPORT ~ ~ Minnesota Energy Code ~ Permit # ~ NINCheck Software Version 3.0 ~ ~ ~ ~ ~ Checked by/Date ~ ~ ~ COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-18-2002 DATE OP PLANS: 6-20-02 TITLE: TIMOTHY & DAWN OSTREM PROJECT INFORMATION: CORNELL "E" 4622 SLJMMIT PASS STONECLIFPE COMPANY INFORMATION: LUNDGREN BROS. CONSTRUCTION, INC. 545 INDIAN MOUND EAST WAYZATA, MN NOTES: 9' FOUNDATION LOOICOUT FINISHED BASEMENT BAY AT NOOIC COMPLZANCE: PASSES Required UA = 681 YouY Home = 549 19.4% Better. Thar. Code nrPa or Cavity Cont. Glazing/Door c~'-~'t~~~ El ~.E Co i ~ ~ ; TREE P~tES~ 1~AT~Q ` ,~~A ~~U ~ ~r CYTY OF~/~GAI~ E~~R~Rl~DIV~N,~ "'~"r~~~ ~r r `„%`651 681:-430a..a~~~?," ,~v*~"~ ~'.z;^~~w~r; (SEE ATTACHMENTS) Development ~Rliv ~~I S) Lot Number 3 Biock Number Z, Address ~,ZZ S~l.~~lT~~l Builder ~~~~>(~IZrN l~I~()S ~'(}NSI - ZNC~ C'r~ ~ T~CT =(3 ~ UJ ( Z~ Tree Protection Requirements: Tree Fencing Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Retaining Wall Other: Replacement Trees: ? Not Required .-r„~.,. ~a~0~~~r{ As Foilows: ~0~~~~ ~ Attachments: ~~r~e~~ ~ Yes ~ No ~~~2~-0~ Additional Notes: v ~ 4~ C~~.~ ~~t~ ~ ~ o~ s< < ~u~~.-~ ~ s~~ ~w~ '~z ~e ~~e.l e~~ H:\ghove\2000fi1e\treepres\Tree Preservation Plan Summary-2000 3_ .,~i..~e~.~._,'C. RENSiONF 00 1$ 0 15 3p 60 VISmLECrOE ns SCALE ~N FEEf / LEGEND 5/ / 5O DENOTESSANITARYMqNHOLE ~ DENOTESITYORFNT U g $ / a ~ OENOTESCNTCH&951N Z z a ~ ~(~y~ 5 DENOiE55NNITMYSEWER g ~ + w` W oENOTES WATERM4IN ~ ` J~ ryry 23 57 DENOTESSTORMSEWER P J Op o~~[ `flf N ` ~ ~ENOTES STORM M4NHOLE ~yV ~ ^ n ~ENOTESSTORMMRON V # 4` ~ ~ W ry ' p ' ^w~~ DENOTESTREEttPE SRE,ANOLOCATON ~ ~ ~ ~~3~ d?`:' "<tii,_> , ~ / s 0 ~ ; ~YS _ pw'- ~ PG~ ~ ~ ~z Jo 3 O ^d' ~~~o `S2' i TREE SUMMARY .~C n n°' ~';._,:i`. ~~0 3~~ e-a < EkISTING TREE5=2 ~ p ~ ~Jp1 ~z'/ Z ~~p~ ~ \ TREES REMOVEO=O ~ R / (p p s~~ J ~ ' q' ~rn ~ /b` ~ ~ Q- ,:45 ~ B9 COVEftAGE w* a. ~1 tl $ lo°~n `3 ~ornaen=iaeossv 3~ V Q m/ ~ N ~P~C. ~ O \ HOWEAREN4,5365F d ~ ^ / ~N$ ry 13 _ ~ ~ ~ COVERAGF=18ax ) k ~ ~ a ¢ + ~ ~ 0.LLOFiSETIRONSAREMEFSURE~TOHUNpRE0TH5 ~so r O~ 0 / ~ 1 0 3 ~o~ ry 2 ~ ~`9 S) O F F F O O T A N D C A N B E U S E O A S B E N C H M A R K S "1 h L ~e m a ~ H g rv sJ ~ N ~ ` . ~ , O OENOT£SIRON MONUMENT 55 ~ ~ ' 39,g~ ` ~~~•6 ~ ~ A$H76 " % 0000 ~ELEVATpNSTING } 3 - _ ~ '~0 ~ ~ ASH~7 5 (0000) oeNOTESPROPOSED ~ Q U 5 N ~ ~ W ELEVATqN z ,]Q 9E.po < \ '%4__ I ~ OENOTESOIRECTION VJ 0 ~ j 5 B N~ O ~ DRAINAGE & UTILIiT a O OFSURFACEORAINqGE ~ li 2 - , x OENOTESSIWRAAY ~j SZ~SS.~~ ~`\ASE4ENT ~ `p O 956.0 SEVJERSERVICEELEVATION O W W 0.+ (~j lgs~~ ~i IS o QQ~~~ J Z A TITLE OPINbN WAS NOT FURNISMEDTOTNE SIIRVEYOR U W Q z, ~ NOR WAS A SPECIFIC TRLE SFAPCH FOR THE E%ISTENCE OR ~ a. z O> A ~ NON-EXISTENCEOFRECOPOEpOR11NRECORDED f •r r9SJ,8J EqSEMENTSCON~UCTEDBTTHESURVEYORASPAfiTOF ~ a~ U ~ THISSURVEY W ,.a - - U I I bereby ceMy Inal ln¢ is a Irue ana cameq repreuntalon ol a survey M ~~e boundaries W LOT BLOCI( I, p~NETREE PqSS TM AODRION DAKOTFCOUNiY,MINNESDTA p~~ AnOOabra~anofallGUtlJlrgz.~am~.Nercw aMaYdsAk RS enueecnmenis.nany,homwon~awiantl Pzsurveyetlby CHECKED me Ue 19U EnY ol June 200'r%~ GRG SETBACKS l7 DATE PROPOSEDTOVOFiOUNDATpryE~Eyp110N=%B3C g~zrypZ MIN FRONLYARDSET9PCK=dO' PROGOSEOGARAGEFLOOREIEWTION= ~CO SCALE MIN SIpEYAROSETBACN=5'(GMAGE).1tl~DWELIING~ GROPoSEDLOWESTFLOIXSELEVqT10N~ BS]59 GaryR Ge ASSHOWN MINqENRYAPOSElBl1CK=15' LOOROUTELEVATION= 962I5 ~qp~p~~a~dSurveyor,Mnn~cNO24]6G JOBNO 5402-]p0 LOT SURVEY CHECKLIST FOR RESIDENTIAL ' , BUILDING PERMIT APPLICATION PROPERTY LEGA~. Lo~ ~~~G~ ~ J/,~p-/'ryP, "q j'y DATE OF SURVEY: ~ 'I~-~ ~ LATEST REVISION: m rn c m L U DOCUMENTSTANDARDS `v O Z Q ~f/ • Registered Land Surveyor sgnature and company IS~/ ? ? • Bwlding Pertnk Applicant ~l" ? ? • legal descnptlon ? • Address q~ • North arrow and scale i,7/ • House type (rambler, walkout, spiR w/o, splR entry, lookout, etc.) E~/ • Directional drainage artows wdh slope/gredient °k P~d~~ . Proposedfe~sting sewer and water services & invert elevaTion Lr ~ ~ • Street name o • Drneway ? ? • Lot Square Footage ~,L7 ? • Lot Coverage ~ ? ? • Benchmark ELEVATIONS Existina ~ ? ? • Sewer sernce (or Proposed) Gd~ U ? . Property corners ? • Top of curb at the driveway and property line extensions ? f~ ? • Elevations of any existing ad~acent homes ? Ye~~/ ? • Adequate footing depth of structures due to adjacent utility trenches ? I~' ? . Waterways (pond, stream, etc.) Proposed ~o ? • Garage Boor ? ? • First floor N/ ? ? • Lowest exposed elevation (walkout/window) Fl/ ? ? • Property corners f~ 0? . Front and rear of home at the foundation PONDING AREA (if aoolicablel ? F.~/ ? • Easement line ? ~iX ? • NWL ? [d' ? • HW L ? ? • Pond # desgnation ? ik' ? • Emergency Overflow Elevation / DIMENSIONS f+~~/ • Lot lines/8earings 8 dimensions Y.r . Rght-of-way and sVeet width (to back of curb) y,? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent faotings) d~ u? • Show all easements of record and any City utilRies w8hin ihose easements iG~JI n • Setbacks of proposed sWcture and sideyard set6ack of adjacent existing structures tY n? • Retainmg wall requirements, 'rf any Reviewed. I ~Jt,Y/~~,t(~,G-C~ % o(J ~ Name ! Date 1 REVISIONS aeviseo ~ecn~ ~sc - ' 30 15 0 15 30 60 srza~oz as REVISEO HSE ELEVS ]/2U02 RS SCALE IN FEET LEGEND 5/ / SQ ~ENOTES SANITARY MANHOLE ~ / ~ DENOTES ITYDRANT ~ ~ ~ DENOTES CATCH BASIN Z ?zr / ~try~ S DENOTES SANITARY SEWER ~ w ~~y~ H`Di W DENOTES WATERMAIN ~ n s o~' ST OENOTES STORM SEWER a~ a~ ys ~`39S ~ QD DENOTES STORM MANHOLE ~ f On~~ ~0 ^ g~,3 L ~ENOTES STORM APRON Y i \ ~ ~S WM s R ~ / ~r ASH74 a w ~ y (7~0,°' ly 't tl. DENOTES TREE TYPE, SIZE, AND LOCATION ~'a r''. ~ //y ` ~ ~ n5n27nZi ; p % ° ~ ~ m ~ ~ tis / 5 qg t30 y V E' o S ~ TREE SUMMARY F€ 3 ~~„'hy? . N W "1 ~ ~ ~ ~ ,y~ = v p % ~J EXISTING TREES=2 Q~. o !4 V~; ~ ' ` Z ~ Qj ry ~ TREES REMOVED=O ~ 5 ~ ~30 ~ Q c0 ~ / ~ /j ?s~ s~`~,'': N rn"J ~ 16 COVERAGE +°AS µsr3 ~ O O Q r~,LU 89~ LOTAREA=13,809S.F HOUSE AREA=2,536 S.F ~ N~ ~/~i FP I O h i V °j n-I u7 <C._ Vj.O COVERAGE=18.4% W a~ ~ / ~ ~ O h Q zz ~ ~ \ ~ ~~~N3 11~5~•¢' / ~y y~~ ay ^ ~ ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS ~ Q~~ \ r.qs OF A FOOT AND GAN BE USED AS BENCHMARKS. /p / ~ ,L8"S 40op j N ~ ~ ri~ .1 / I~O a 4~. ti ~R ~ ,4a 6J p DHNOTES IRON •~1 N . ~ Lry mW ry ~ ~us MONUMENT ~ ~p ~'~sy R6 v 2 '^~,4SH14 ~ X 000.0 DENOTESEXISTING ~ gs O~ ,j9 ~ m 4 ELEVATION ~ . ~ ~ ~v ASHL7`:~~` ~ ~OOQO~ DENOTESPROPOSED ~ ~ L,~ ~ 3 ~E3 ~ r'~~5` LJ ELEVATION ~ ~ ~i 'z 2 1 30 ~ 46~ Op ~ ~ ~ °icT j'._~ ~ ~ ~ DENOTES DIRECTION ~ O W ~ ~ ~ ~ OF SURFACE DRAINAGE ~ S g N~ O ~ r DRAINAGE & UTII ITY DENOTES SANITARY Q 0"z r S~ T G2 SS 'rV ~86, `~\AS~ \ f I`Q ~ 956.0 SEWER SERVICE ELEVATION Q Q~~~ F GNG~+ 1 ~ ~ J S ~ A T I T L E O P I N I O N W A S N O T F l 1 R N I S H E D T O T H E S U R V E Y O R U W Q Z 0 ~n Z NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR L~ ~ Z O~ 9g3 7 NON-EXISTENCE OF RECOR~ED OR UNRECORDED H a, ~ U~ r- ~ q~ ~ t ~9$ EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF G~' W a ~ ~ ~ ~ ~ f+-- ~ 'y^- ~ 3' 8I THIS SURVEY. ~ I hereby certify that this is a true and correct representation U ~3r ~ '"~~'~~1 ~ of a survey of the boundaries of ^ ~7~~.w•• ~ j ,Tq}; 'yt G~ LOT 3, BLOCK 2, PINETREE PASS 7TH ADDITION ~ ~ Ifl~n9 DAKOTA COUNTY, MINNESOTA ~ '~i,~i~Fi1~T E;Ia;~L~LuE~T~TG' DEFZ' 84& _,a RS ~ ~ R~Ulfw+ And the location ot all buildings, if any, thereon, and all visible ~ encroachments, if any, from or on said land As surveyed by CHECKED me this 19th day of June, 2002. GRG SETBACKS DATE PROPOSED TOP OF FOUNDATION ELEVATION= 968.34 / 6/25l02 MIN. FRONT YARD SETBACK = 30' PROPOSED GARAGE FLOOR ELEVFrTION= 968.0 SCALE MIN. SIDE YARD SETBACK = 5' (GARAGE), 10' (~WELLING) PROPOSED LOWEST FLOOR ELEVATION= 959 59 Gary R Gertnond AS SHONM MIN REARYARD SETBACK= 15' LOOKOUT ELEVATION= 962.75 Licensed Land Surveyor, Minn Lic. No.24764 J08 NO. 5402-704 - ~ ~ RESIDENTIAL BUILDING J„~~j~ Permit Application i-7 ~s~ City Of Eagan ~ / 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenfs RemodeUReoair ReawremenLc Ott'~ce Use OnN 3 registered sile surveys showing sq. fl of lot sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum bt coverage ailowed) 1 sel of Ene~gy Calculadons fw heated adtliGons _ Tree Pres Plan Recd 2 copies of plan showing 6eam 8 window sizes; poured found design, etc. 1 site survey for adtlNOns & decks Tree Pres Not Reqd 1 set of Energy Cakulatlons Addifion - indicate ~f on-sAe septic sysfem _ On•sRe Septlc System 3 capies of Tree Preservabon Plan d lot platled aker 711/93 Rim Joist DetaA Options selec[ron sheet (hldgs wiN 3 or less umts Date / 3 / ~ 3 Construction Cost Site Address y6a~ .~~~.nT p~s UniUSte # Description ot Work ~/C~i/ DCUC Multi-Family Bldg _ Y ~N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ///JG?/) D~fI~ Telep6one # (b~~ ) 6E~- ~~.22 Contractor - Address ~ ~ City r/i.c.~wi~ ~-,~p State Zip ~~Q Telephone # ( ) (a7~" -3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J submission type) Residenpal Ventiiatlon Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted . Energy Bnvelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Coniractor Telephane # ( ) SewedWater Contractor ~ Teleph 4~ne ) II ~ I~L_ 1 ,i ~ ' i~'ll~ _J~ I hereby apply for a Residential Building Permit and~$~o.w.ledg~~t=~e~formation 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 approved p in the case of work which requires a review and approval of plans. ~Al/iD /.i}~ ~ ~ ApplicanYs Printed Name App icant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y o~_ 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 DemoGsh (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement '~emolilion (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy R"~ MC/ES System Census Code ~ _ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V~l Width REQUIRED INSPECTIONS _ Footings(new 61dg) FinaUC.O. ~ Footings (deck) ~ FinaUNo C.O. Foohngs (addition) _ Plumbing Foundation HVAC Dram Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Franung _ Siding Stucco Stone _ Fireplace _ R.I. _ AIr Test _ Final _ Windows (new/replacement) _ Insularion _ Retaicung 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 Other Total ' REVISIOhS ` 30 15 0 15 30 gp aEViseo ieca~ r~sc . 624~02 RS REVISEO HSE ELEVS SCALE IN FEET ~naozas ~ _ LEGEND y ~"~'~pfy~~~1 ~ OO DENOTES SANITARY MqNHOIE , / p,~~~~ 2~~~~ .yr~ DENOTES ITYDR4NT ~ $ 0 ~ y~ o / ~ `0 OT ~ DENOTES CATCH BASIN Z ,Z m H`O~~h F,..,~r~ _ r~~ 5 DENOTESSANITARYSEWER ~ N ~ : o~'° ~ . ~,t,1,ti.~ 6'~~ g ~ W DENOTES WATERMAIN ~ E" t/~. ~ ST DENOTES STORM SEV4ER ~ N ~ f O^~~ ^ 9`S gs ` OD ~ENOTES STORM MANHOLE `7 ~ ~ ~ M `~9S ~ n DENOTE S S T ORM APRON s ~1~~,~ ~ ~b~~ ' ' w r ~ ~ . 3 ~ ~ 5 ~ e~ ~ h'o`O \ ? A~Z~Ti DENOTES TREE TYPE, SIZE, AND LOCATION ' r ~ p n~, s~ 9~. ~z ~`~s.~o ~ w~ s 3 ~ ry~; p ~ s~~ ~ TREE SUMMARY ~ m Q \~,7p , ' ? Q ~ ~ ~ry ~ ~ ~ EXISTING TREE5=2 F ~ / C 26~' " ~'O~ ~ ` J TREES REMOVED=O ~ N oco D ~ ~X N v 68 / ~ "~~O Q ~ ~ ~ 9i~ LOTAOREAE1~3,8095.F. .,~yOps ~'3~ ~ / A W~ a Fp~ ~ O h µ trj_O HOVSEAREA=2,5365.F y~ ` ~~o N ~ 22 ^ ~ \ COVERAGE=184% ; ~ / V I /~O WtiQ~ O p ~ 3 ~Y ~ 'n ~ \ ~ ~ ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS ~~y~~"3 °°"s+~~~ ~ .1 J~ ~m 2a p p j~ N~ \ 9iS~ OF q FOOT AND CAN BE USED AS BENCHMARKS. Q ~~n o ry " N ~ ~ - ~ _ = ~~s~~~ O DENOTES IRON <p ' ~r 's V ti~ 3 MONUMENT ~ ~ 9•9j ~ ~ UQ ; ~ /~Sf~14 ° x OOQ.Q DENOTES EXISTING ~ ~ h ~ 5 ELEVATION 50 3 ~O"~2 ~r ASH27-~~';' (000.0~ DENOTESPROPOSED 30 4 rn s ~O ~ .;;g:n;- ~ ELEVATION ~ ~ ~ S 8 N ~ 1 ~ DENOTES DIRECTION Z Z 1 O °6j O OF SURFACE DRAINqGE N~~~~ 2 S o3 ~ DRAINAGE & UTI~ITY ~ L~. 2' ~p DENOTES SANITARY S~L? SS"w ~ EASEMENT I p 956.0 0 ~ ` n ~ o SEWER SERVICE ELEVATION 0 Z FEN~~ 86~ ~5 o Q Q~~~ ~t Z A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR W A z~ Y - 3 # NOR WA S A S P E C I FIC TITLE SEARCH FOR THE EXISTENCE OR y j{ F";~ ° ~ 3 ~ NON-EXISTENCE DF RECORDED OR UNRECORDED ~ a ~Z ~ ^ ' ' ~ i! ' ` ' ' `t (y'S.3 8) EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF ~ U ~ ~ ~ Y ~ : THIS SURVEY. ~ ~ - ~ ~ ~ ~ I hereby certiFy that this is a true and corted representation ~"s G=-- v ~~mW~ W 1 of a survey of the boundaries of: t`.: - , ~;a ~ or Retaining i ~ LOT 3, BLOCK 2, PINETREE PASS 7TH A~DITION ' ge Requ+{~ DAKOTA COUNTY, MINNESOTA DRAWN And the location of all buildings, if any, thereon, and all visible RS enaoachments, if any, (rom or on said land As surveyed by CHECKED SETBACKS me ihis 19th day ofJune, 2002. GRG MIN. FRONT YARD SET&qCK = 30' PROPOSED TOP OF FOUNDATION ELEVATION= g68 34 DATE MIN. SIDE YARD SETBACK = 5' (GARqGE), 10' (DWELLING) PROPOSED GARAGE FLOOR ELEVA710N= 968.0 ~/Lt~y~ 6/25/02 MIN. REAR YARD SETBACK = 15' PROPOSED LOWEST FLOOR ELEVA~'ION= 95g Sg SCALE LOOKOUT ELEVATION= 96z ~5 Gary R. Germond AS SHOWN Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO. 54D2-704 i . ~ ~ C~ (Y 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: Single Faxnily Dwellings Townhomes and Condos when pemuts are required for each unit Date ~P / , ~ / O 3 Site Address `f lp c~ ~ ~/,/iyyL~~~ Unit # Property Owner ~(i17'1 ! /~~l%~i~Qiyy~ Telephone # ('P' n ,(08( -d~~oaa Contractor Address y~ ~J~ ~ City ~ State -~/(/1'l/ Zip v u ~-.S Telephone #(lp/~} c/' The Applicant is _ Owner ~ Contractor _ Other Septic System New Refurbished Submit z sets of plans and MPC license $ 100.00 Includes County fea. Additional consultant fees may apply. Alterations To Ezisting Dwelling Unlt, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawu irrigution system r`a je ' ~ 1i , ~~I ~ Water softener Water heater ~ - ' ~ $ 15.00 6y / _ replacement _ additional _ ~ f State Surcharge ~i $ .50 Total $ 3Q S'~ I hereby apply for a Residential Plumbing Pemut 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 flus is not a pemut, 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 wluch requires a review and approval of pl s. ~L~~ flf~ i ,~~eH~c~w ~ Applic 's Printed Name Applicant' Signature ëü þ ý ÿþõþü ûÿÿ ýúüüû ì ÷ ÿÿ ì ÿ ø ø ÷ñ÷ ø÷ûúùõô ÿ÷ùø ÷ñ÷ ó÷òó÷ûúùó ñ ÷ õ ïðõ ò ú Ü ÷÷ ïõí öÚþ û ýóõ äã ÷ðëêøéè÷øöçæåäåä ÷û æåãåã öõõô øóò ùù ñÙÿ ûð úßíÿ÷ð ï ù â ðð ÿÿ þ óõ êçäã ÷üú ô â÷ ÿ ùù ÿ ñ÷ð ÿ÷÷ ÷ðùúô ùù ü ñóÿ ÿ áúñþ í÷ ÿå ùù è ÷ð ÿÿ ú ÷ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110591 Date Issued:05/17/2013 Permit Category:ePermit Site Address: 4622 Summit Pass Lot:3 Block: 2 Addition: Pinetree Pass 7th PID:10-57666-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Dayna Gardner 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Timothy J Ostrem 4622 Summit Pass Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127323 Date Issued:09/26/2014 Permit Category:ePermit Site Address: 4622 Summit Pass Lot:3 Block: 2 Addition: Pinetree Pass 7th PID:10-57666-02-030 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. Ann Hoffman 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Timothy J Ostrem 4622 Summit Pass Eagan MN 55122 (651) 686-8622 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127347 Date Issued:09/29/2014 Permit Category:ePermit Site Address: 4622 Summit Pass Lot:3 Block: 2 Addition: Pinetree Pass 7th PID:10-57666-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Timothy J Ostrem 4622 Summit Pass Eagan MN 55122 New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature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`C0'A_\]U"YO77'7X7!OF7X( G--'C3//*.&1 ;<0%N/0I.8K+R.*U!O77'Y77!OW!Y" "(%*41 HDBIBB' #(,%.*F%(.1JK,-.1 8'')@@$+%/,''8 #,P.a3'4$<M=+,I'`'_./+,I>+MN?'\['L30.M "7"'D/,*$@N')2.F9WW';<MM+'4/33 ;'4/<$'E\\''""!7WZ/I/,'E\\''""!WW S9"!\]'WWX8Y7(!S9"!\]'9X98X9WW 5'N.0.=?'/%&,B$.*I.'N/'5'N/2.'0./*'N+3'/@@$+%/+,'/,*'3/.'N/'N.'+,P0M/+,'+3'%00.%'/,*'/I0..''%M@$?'B+N'/$$'/@@$+%/=$.';/.' P'E+,,.3/';/<.3'/,*'-+?'P'Z/I/,'L0*+,/,%.3O )@@$+%/,C4.0M+.. ';+I,/<0.533<.*'#? ';+I,/<0. PERMIT City of Eagan Permit Type:Building Permit Number:EA166883 Date Issued:02/10/2021 Permit Category:ePermit Site Address: 4622 Summit Pass Lot:3 Block: 2 Addition: Pinetree Pass 7th PID:10-57666-02-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Timothy J & Dawn L Ostrem 4622 Summit Pass Eagan MN 55122 (612) 201-8464 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature