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4626 Summit Pass ~ ~aNl~s:~i~~ , i City of ~a~a~ ~ Pe~~t# ,~~'s^1/1 ~ ~ Pertnit Fee: ~ v Cr I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone:(651)675-5675 ~ ~ Fax: (651) 675-5694 I Staff: I 2Q08 RESIDENTIAL BUILDING PERMIT APPLICATION Date:~b t,~~_SiteAddress: ~LL'.G~ ~/~r~rr•~~5~ ~Tenant: ~ r! .n Suite RESIUENT / OWNER Name: Phone:~~'l ~~2 ' Address / City / Zip Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work /P~~ of~F ~~C ~ 6~~" Conshuction Cost: '~f" ~ 7~'! Multi-Famiry 8uilding: (Yes No CONTRACTOR Name: ~ ~.pf~c?l-~ fn~'YF_" +.S' License ,2U' Address 1 ~1 ~t~ ///c<</G-•^~ C ~ City:__~~~" ~f~t=~r State: i7o~ Zip: r l~~r~ Phone: ~1~. ~l6 ~~~~j Contact Person~ `7.hh ~cc-~-~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheei Category Submitted Submitted (1~ 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 Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE.= Plans'andsupporflog docuirients'thai•you submif are considered to be public informatinn: ` Poriions ot~° the mfarmatio'n;inay-be classrSed asenon-public ~t you provlde spec~f+c reasoris tfiat,would permit the City.to.r~ =:-concfude that the ~are trade`secrets ,c~:~. I hereby acknowledge that this infortnation is complete and accurate; that ihe work will be in conformance with the ordinances and codes of the City of Eagan, that ! understand this is not a permit, but only an application for a permit, and work is not to start without a permrt; that the work will he in accordance with the approved plan in the case of work which requires a review and approval of plans x~o V e' %~...~e'~.-.,~1 drn x~'" i// - ApplicanYs Printed Name ApplicanY ' nature Page 1 of 3 !G 5 8> o ~ -a, 71) °_o ' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~`d ~r City Of Eagan • 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWchon Reauirements RemodeVReoair Reauiremants Office Use Only 3 2gistered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (70°h macimum lol coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N. 2 copies of plan showing 6eam & wlndow sizes: poured foond desgn, etc. 1 site survey tor additrons & decks 7ree Pres Required Y_ N lsetofEnargyCalculatwns AddRion-ina'icateilonsftesepGcsystem OnsiteSepllcSystem _Y _N 3 copies of Tree Preservation Plan if lot plaked after 7f 1/93 Rim Jaist ~etail Options selection sheet (bidgs with 3 or less units Date ~ / ~ / ~ ~ ~ ^ ~r r~ Construction Cost cX~~ Site Address ~C7pZ ~p ScJ ~+h rt~ ! 6 ~jQ-~S ~ UnidSte # ~ ~ ~ Description of Work ~(/~'G~ Multi-Family Bldg _ Y_ N ~ Fireplace(s) _ 0 _ 1 _ 2 PrapertyOwner ~/J~Q~jpM ~ KEZVAn1 N2~m~ Telephone#(~) 7$~'o2~~Cc Contractor 1~J L O N S/-~PuC ~/C-n) Address ~[5/~ C~.F~ ~G~ City ~IftCis/..~ State j~'J N zip 55/d-3 Telephone #(6$/ "7~~y C ~ 3/ - 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 76~2 Energy Code Category . Residential Ventilation Cafegory 1 Worksheel • New Energy Code Worksheet (Jsubmissionlype) Submitted Submitted • Energy Envelope Calculati0ns Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Pl~mber Teiephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor `~I" Telephone ~ T hereby apply far 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 an application for a permit, and work is not to start without a permit; that the work will be in accordance with tha approved plan in the case of work which requires a review and approval of plans. /7"dQ~' ~E u' ~~Sf~i,Uf.t" !J~ Applicant's rinted Name Applicant's Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea ) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 ~8-plex ~'18 Deck ? 23 Porch (screenigazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plhg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire 81dg) -Give PCA handout to applicant Valuation Occupancy MCES System Census Code toning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~ ~l Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. V Footings (deck) ~ FinaUNo C.O. 7~ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final _ Frammg _ Siding _ Stucco _ Stone _ Bnck _ Fireplace _ RI. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee ~,/,1~ Surcharge " ~ "G i" D Plan Review /f/ ~ MC/ES SAC ~ ~ City SAC Utility Connection Charge S&W Pertnit 8 Suroharge Treatment Plant License Search Copies Other Total I " , , REw5i0N5 ; v ~;x.°h` 30 15 0 15 30 60 /e~ ~ r . n , . . - „ /13/01 RS { ~ A,ps"- = SCALE IN FEET / MAY 1 5 REC'D ~ _ ~ `r 3 ~,.:r- O / _ ' 8 4~~1~~y~~ f"J:T<' ~ s ~ ~~~965.2~ - 3~''~il... ~ ;e~ v~, ~ Z ~ ~M1 ti ~~~iv`'°-r~? ` ~ lD r'` t S3 ss N,2 0 ,s`~ 0 2 z E., ~ ~ ~ o ~ 3 ' - a _ vi ~I3 I/ ssp S2 J''S' ~1?~.efz ~ H n Q 0.36~ x ~s.i o js ~w ~8 _ N z S ~ ^~p _ 23.5 ) 4S 6, ~ ~ s [ ~ ' ~ rN i-. _ ~ d h ~4 6% o O~ D~ O ~ a> ~ ~iF~~ ~ Ol n FPLC. W; I = ~ ~ . ~ V, ~ ~ O m 27.5 x 96 J 5 ` (9s 3.1 M8~1YM1~T1 S~~$ ~ ( ~ .,y t N" p ~ ` 3J8) or Retainin g Wall Will W g I ~ a I 9 N- N o ~ h 3~ s e R e y u ~ r e d a~ ~ ass~~lx , sao_~ ~ ~ ~ . ~ ~ T ~ x ~ v / ~ ~ 4 s E.. ~ I / I~ N" r'-O \ A -Zi~ 1' W ~ -i O ~ O ~ p~ ~ STOOP .o 0 4 J ~ O L - D o % ~ as W X`'~~ ` ~ I v n N N~ DRAINAGE & Ui1LITY a-'~i~ ~3"'M1d r,,~ ~ ~ I Z " EASEMENT I~ ~ ALL OFFSETIRONS ARE MEASURED TO HUNDREDTHS ~ r'~ N ~ ~ x~5~5 ASH10 C ~ OF A FOOT AND CAN BE USED AS BENCHMARKS. ~ ; . o ~ _ ~ 10.8i x 10.81s X - ~5 ~ ~,ry~ s~,a r - ~n z O DENOTES IRON '~a a~' p~ aeo ~ 36.42 51.00 e'r t0 vso.3 MONUMENT 961.1 ~ ~ X 000.0 DENOTES EXISTINC ~ ~ ) S89°19~27~~W ~82.28 950.0 ELEVATION ~ v~ 3 (000.0) DENOTES PROPOSED ~ 5~ S~ LT ELEVATION } DENOTES DIRECTION W ~ ~ ~~NG ~ ~ I OF SURFACE DRAINAGE ~ ~ ~ DENOTES SANITARY ~ ~ U O 950.0 SEWER SERVICE ELEVnTiON Z W ~ ~ ~ ~ i NOTE: - ~ MUST MAINTAIN A MINIMUM 27 SLOPE TO PROMOTE LEGEND TREE SUMMARY POSITIVE DRn~nIAGE Q a~~~ c~ EXISI7NG TREES = 7 A TITLE OP1NlON WAS NOT FURNISHED TO THE U W Q ~ 05 DENOTES SANITARY MANHOLE iREES REMOVED = 0 SURVEYOR NOR WAS A SPECIFIC TITLE SEARCH FOR Z O IL ~ OENOTES ITYDRANT THE EXISTENCE OR NON-EXISTENCE Of RECORDED OR f=. a a(„) a ^~10 DENOTES TREE TYFE, UNRECOROEO EASEMENTS CONDUCTED BY THE ~ a ~ x SURVEYOR AS PART OF THIS SURVEY. W ~ DENOTES CnTCH BASiN SIZE, nND LOCATION S DENOTES SANITARY SEWER I hereby certify thot this is o true ond correcl representotion W DENOTES wATERMAIN of o survey o( the boundaries of: ST DENOTES STORM SEWER LOT 4, BLOCK 2, PINETREE PA55 7TH ADDITION DAKOTA COUNTY, MINNESOTA DRANM DQ DENOTES STORM MANHOLE LOT AREA = 13,986 S.F, Md the lototion of all buildings, if ony, thereon, ond oll visible RS n DENOTES STORM APRON HSE AREA = 2,464 S.F. encroachments, if ony, from or on said lond. As surveyed by CFIECKED COVERAGE = 17.61% me this 2nd day of Moy, 2 2. ~G SETBACKS pROPOSED TOP OF FOUNDATION ELEVATION= 967.0 5~~2 MIN. FRON7 YnRD SETBACK = 30' PROPOSEO GARAGE FLOOR ELEVAnON= 966.0 ~ ~ ~ SCALE MIN. SIDE YARD SETBACK = 5' (GARAGE), 10' (DWELLING) PROPOSED lOWEST FLOOR ELEVATION= 958.25 AS SHOWN MIN. REAR YARD SETBACK = 75' LOOKOUT ELEVATIpN= 961.4 Gary R. Germond Licensed Lond Surveyor, Minn. Lic. No. 24764 J08 N0. 5402-705 ~ s d I a~ BUILDINCRP RMIT APPLICATION ? l o' D 7 P, s o y a 7 CITY OF EAGAN ~ S~' 1~ ,p j a~~'t~ 3830 PILOT KNOB RD - 55122 9 U. ~ d r { ~ ~ ~a9 651-681-4675 f~ 0 New Constructlon Reauirementa RemodellReoalr Reauiremenb ~ U " / • 3 registeied site surveys showing sq. fl. of lot, sq. ft of house; aiM all roof~ areas • 2 copies oi plan (20% mazimum bl wverage allowed) . 1 sel of Energy Calculadons for heated additions ~ • 2 copies of plan showinp beam & windovr saes; poured found design, etc.) . 1 site survey foi exlerior addNions & decks • 1 set of Ene~gy Cakulatbns . Indicale if hane served by septic system for addttions • 3copiesatTreePreservatbnPlan'rflotplattedaRu7/1193 S~ . Rhn Joist Detail Options selection sheel (bidgs with 3 or less unils) DATE - VALUATION JOB SITE ADDRESS ~(p ~ Co ./~//Il~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNEF~I,/iI1~C~1/~P.n ?~Q_I~~Tyt,~wut~'~,r~~7~ TYPE OF WORK FIREPLACE(S) _ 0 1_ 2 APPLICANT PHONE# ~ ~ ADDRESS a ZIP CODE~~/~ ~ PAGER # CELL PHONE # FAX # '~1_,_,5~~~~I''~~ NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY (check one) - Residential Ventilation Category 1 Worksheet 8~e~I.J r' ~ - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 J MAY 1 p 1i,,,~a , - New Energy Code Worksheet Submitted , BY Plumbing Contractor: ~ .~ai1 ~~~7~.r,~X Phone Plumbing System Includes: _ Waler Softener _ Lawn Spruikler F e: $90.00 WaLer Heatcr No. of R.I. Ba~hs No. of Baths Mechanical Contractor: IQ!'1~l~t~U.C~I' Phone 5~ /`7TS~`~`~ Mechuucal System Includes: _ Air Condiuoning Tee: $70.00 Hcat Recovery System Sewer/Water Contractor: TLUV ~ Phone # ~J~~- A 07 `7~`~` ~ All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this appiication, state that the information is corr~jct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. ~}5~/o~l~~J -~j° / G~ litJ Slgnature of Applicant CeRificates of Survey Received V Tree Preservation Plan Received ? Not Required _ ~ Updated 2002 ~ , ~ - V p ~ --t OFFICE USE ONLY ~ , . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? 08 06-plex ? i 6 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Stortn Damage ? O6 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg onl~ - Give PCA handout to applicant Valuation ~ ~ ~V~ Occupancy 2~ ~~il~ MGES System Census Code / U~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length ~ Fire Sprinklered Type of Const Width ~ REQUIRED INSPECTIONS ~ Footings(new bldg) ~ FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framiug Siding _ Stucco _ Stone Fireplace ~ R.I. ~AirTest ~Final Windows(new/replacement) Insularion ~ Retaining Wall Approved By , Building Inspector Base Fee Surcharge n ~ ~ ~ / ~S J~d ~ Plan Review ; J ~ MGES SAC y ~ ~ L~ 77~ CitySAC ~ R'~YJ ~ ~ ~ _ Water Supply & Storage ~ ~ ~ ~~L/ y ~ ~ n ~ S8W Permit & Surcharge l 3 y Treatment Plant Plumbing Permit / a~ ~ ~ ~ Q Y / / ~ / ~O~-/ (f~'' ~ t° 13 Mechanical Permit License Search ~j f / ~ ~ Y ~ 2/ ! ~ b i ~ lJ~ v~ .J ~v Copies ~n~~It ~ro ~j Other n ~ ~ Total ` i ' ,MNcheck COMPLIANCE REPORT II I C~innesota Energy Code ~ Permit # ~ blNCheclc Software Version 3.0 I ~ ~ ~ ~ Checked by/Date I ~ ~ COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 5-2-2002 D4TE OF PLANS: 4-24-02 TITLE: Hampton "B" Inventory Home PROJECT INFORNIFITION: 4626 Summit Pass Stonecliffe COMPANY INFORMATION: Lundgren Sros. Construction 545 Indian Mound East Wayzata, MN 55391 NOTLS: Lookout Stone ~levations 9' Poundation COMYLIPSICE: PASSES 12equired UA = 731 Your :iome = 565 22.7% 3etter Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 2073 44.0 0.0 56 WALLS: Wood Frame, 16" O.C. 1528 19.0 2.0 86 WALLS: Wood Frame, 16" O.C. 1412 19.0 2.0 ~9 WALLS: iVOOd Frame, 16° O.C. 77 11.0 2.0 6 ,4ALL5: Wood Frame, 16" O.C. 273 19.0 2.0 15 ~rIALLS: Wood Frame, 16" O.C. 210 12.0 2.0 16 I~dALLS. Wood Frame, 16" O.C. 202 ~ 12.0 2.0 16 ;35MT: Conc. 9.0' ht/8.5' bg/9.0' insul 1422 10.0 0.0 B~ GLAZING: Windows or poors, Above Grade 52 0.350 18 GLAZIIQG: Windows or poors, Above Grade 251 0.350 88 GLAZING: Windows or poors, Above Grade 75 0.350 26 GLAZING: Windows or poors, Above Grade 152 0.350 53 DOORS 20 0.350 7 PLOOR~: Over Unconditioned Space 29'7 30.0 0.0 10 PLOORS: Over Outside Air 45 30.0 0.0 2 HVAC EQUIPMENT: Furnace, 50.0 AFUE IOMPLi~NCE STATEMENT: The praposed bullding design described here is ~onsistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Date C Q Z r3uilder/Designer ~L~ .i ' ~ . 1 i i ' MNcheck COMPLIANCE REPORT I I Minne~ota Energy Code ~ Permit # ~ M17Ncheck Software Version 3.0 ~ ~ ~ ~ ~ Checked by/Date ~ ~ ~ COUNTY: Dakota STATE: Minnesota 'LONE: 2 CONSTRUCTION TYPE: Single Family DATE: 5-2-2002 DATE OF PLANS: 4-24-02 TITLE: Hampton "B" Inventory Home PROJECT INFORMATION: 4626 Summit Pass Stonecliffe COMPANY INFORMATION: Lundgren Bros. Construction 545 Indian Mound East Wayzata, MN 55391 NOTES: Lookout Stone Elevations 9' Foundation COMPLIANCE: PASSES Required UA = 731 Your Home = 565 22.7$ Bettei Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 2073 44.0 0.0 56 WALLS: S4ood Frame, 16" O.C. 1528 19.0 2.0 86 WALLS: Wood Frame, 16" O.C. 1412 19.0 2.0 79 WALLS: Wood Frame, 16" O.C. 77 11.0 2.0 6 WALLS: Wood Frame, 16" O.C. 273 19.0 2.0 15 WALLS: Wood Frame, 16" O.C. 210 12.0 2.0 16 WALLS: Wood Frame, 16" O.C. 202 ~ 12.0 2.0 16 BSMT: Conc. 9.0' ht/6.5' bg/9.0' insul 1422 10.0 0.0 87 GLAZING: Windows or poors, Above Grade 52 0.350 18 GLAZING: Windows or poors, Above Grade 251 0.350 88 GLAZING: Windows or poors, Above Grade 75 0.350 26 GLAZING: windows or poors, Above Grade 152 0.350 53 DOORS 20 0.350 7 FLOORS: Over Unconditioned Space 297 30.0 0.0 10 PLOORS: Over Outside Air 49 30.0 0.0 2 EiVAC LQUIPMENT: Furnace, 90.0 AFUE COMPLIaivCE 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 designed to meet the requirements of the Minnesota Energy Code. Builder/Designer ~~l.~~n~.~,_t.l Date C Q~L , ~ . c~FE'~C ~ ~'l ~ ~ ~CG `C TREE RRESER1lATION uPLAN SUM ~x~~ ° ~ ~ ` s CISI~ OE E'AGAkI FOR~STRY~DIViSIQN ~ ~ ~ ' ~ - r%~ _ 4-:'c651-681rd'3,00 ~'r ~ a. s_ rt~' v r~: er.F+; > t ~x (SEE ATTACHMENTS) Development < ~ ~ ~ - Lot Number ~ Block Number ~ Address ~F A ~~~r1t ~ j ~1 ~ ~ j Builder V~~~~~~~-~`~ Tree Protection Requirements: f Tree Fencing ( S ~ ~ ~ ~C ~ ~ Oak Tree Pruning (Immediately seal wounds during April 1 to Juiy 31) Therapeutic Pruning Retaining Wall Other: Replacement Trees: ? Not Required As Follows: ~a~~~~~ Attachments: ~~~~~~~Qp , Yes . ~ No 6~I_ Additional Notes: ~p~ H:\ghove~2000f1e\treepres\Tree Preservalion Pian Summary-2000 REh5iprv5 30 15 0 15 30 60 ~ery~,z ' ~ SCALE IN PEE1 ' Y / / ~ (955 ` S ZI CJ n o - / F z: ~ ° " ~ 3~'° r~~ z.. 653.s6 ">Zos g ~ ry 'r3036~ / ' ?SS•,w ~ r - I I r 5 M~-.~ x3s ~a5 ~86.71 `C\ o 1 ~1 y~ ~`s-6X: o ~D m FPLC ~ I / W 3 ~ ~ ~ ~ ~ Om ~]5 \ ~ ~ 1`9.~'.;.8~ ~ ~l o, . , I m o ~ ~ W ~ ~ ~ ~ ` T~ m ~ ~"m ~m ~s ~ ~ f/ ~~,N,~ ;o -:o a W d~ - - O i~is,o~ o ~ ~ o ° o W m ~Iv ~ DRnINqGE&ViILIiY 5 fii V ALL OFFSET IRONS ARE MEASURED TO HUNOREpiHS M ~ i~ ~ EASEMENT y. ~ ~ ; M N ~ 1 pSMlp C ~ OF A FDOT ANO CAN Bf OSE~ AS BENGHMARKS o ~i ~o~, - ~ iosi_ ~oais~_ x _ ~L ~s ~ ~,a ~Jr` v N 2 p DENOTES IRpN xs° " 36 4z 5~ MONUMENT ° (96i t) S89°19'27°W 182.28 (~7500)J x o000 ~EELEYA11pNiING N 3 (000 OJ DENOTES PROPOSED v ELEVAiiON } 50 I pENOTES OIRECTiON {~J OF SURFRCE DRniNnGE > ~ < DENOIES SANITARY ~ ~ U ~O 950.0 ~µER SERNCE EIEVATION ~ K 4.' y~j NOW~-. Z NOTE: ~ _ ~ MUSi MAINTAIN A MINIMUM 2R SLOPE TO PROMOTE LEGEND 7REE SUMMARY P09TbE ORAINAGE ~~~~.'y'., s QQ~~c<~ OO OENOTES SANITARY NRNHOLE E%IS?NG iREES = t p iiiLE OPirv~ON WAS NOi FVRN~SHEO TO ME U W[~ z W TREES REMDOEO = 0 SqRVEYOR NOR WAS A SPECIFIC ilttE SEARCM FOR z O LL ~ OENOiES ITYDRANi THE EXISiENCE OR NON-EXISTENLE OP RECOROED OR P a~ U ~ OENOTES iREE TiPE. VNRECOROE~ EASEAIENTS CONOUCTED B'/ iHg ~ a ~ ~ OENOTES CATCH BASN yjE. FND 40CATION SURV[YOR AS PART pF iH~S SUFVEY U 5 OENOiES SANRARY SEKER W ~ENOiE$ WAiERMAIN olM1a~surveyrolYtne~,boonCanes ole and correq represenlaLO~ 57 DENOiES SiOP.M SE~SLF L01 a, BLOCK 2, PINETREE PA55 ]TH ADDIiiON OAKOiA COUNTY, AttNMESOTA DRAYM ~ OENOiE$ SiORM MANHOLC LOi ARER = 1~,986 $.F pnC tM1e IowUOn o1 0ll bmlC~nqs. d any, lnereon, and all hs0~e RS ~ DENOiES SiOP.M aPRDN HSE AREA = 2,464 SF. ¢naoo<hmenls, il an Irom or on soie IanO As surve tl by CHECKED WOERAGE = I]61R y ~ SETBACK$ me this 2 tlay ol May, 2p ckG PROPOSE~ TOP 0< <OUNDATION EIEVATION= 36] 0 MIN GRONT YARO $E~BAIX =}0~ PROPOSED GARAGE FLDOR EIEVAPON= 9660 X ~,t~- -/1'f~°iLV~~ SCAIE MW SiDE YnRO SEiBnCK = 5' (GnRaGEj, 10' (~wLLLiNG) PROPOSEO LOWEST fLOpR ELEVAiION= 95325 ~T MiN ftEAR YARp SETBnCK = 15 ~OOKWi ELEVAPON= 9614 Gory R G¢rmond A$ SHOWN Licensed LanO Surveyor, Mrnn lm No 29]64 JOB N0. 5402-705 , - ~ LOT SURVEY CHECKUST FOR RESI~ENTIA~ BUILDING PERMIT APPLICATION PROPERTY LEGAL. L o f ~ ~~o~ k~~yyP ~rf~ ~R SS ~~I~ DATE OF SURVEY: S'~Z - D a ~ LATEST REVISION: s- ~3 ~ ~ ~ rn c m ~ DOCUMENTSTANDARDS Y a ~ O Z Q ~',F7 ? • Registered Land Surveyor sgnature and company La~ o? • Buiiding Pertnd AppNcant p:?~ ? u • Legal descriptian L~ ? ? • Address g~ t7 ? . NoRh artow and scale 1i1~ ? i7 • House type (rambler, walkout, splR w/o, split entry, lookout, etc ) r3~ • Diredional dreinage arrows wflh slope/gradient % 4Y • Proposedlexisting sewer and water services 8 invert elevation ~ ? ? • Street name r~ ? ? • Driveway F? ? ? • Lot Square Footage [J/ ? ? • Lot Coverage C-~? ? . Benchmark ELEVATIONS Existinq ~ ? ? • Sewer service (or Proposed) [9~? ? . Propertycorners ? . Top of curb at the driveway and property line extensions ? Gi~ ? • Elevations of any existing adjacent homes ? f~/ ? • Adequate footing depth of structures due to adjacent utiiity trenches ? rd ? . Waterways (pond, stream, etc.) / Pro~osed ~1 U U • Garage floor I~? ? • Firstfioor r~ ? ? • Lowest e~osetl elevation (walkouUwindow) ? ? . Property comers ~1 . Front and rear of home at the (oundation PONDING AREA (if aoolicablel ? ~ ? • Easement Gne ? [.3~? . NWL ? f.]' ? . N W L ? r.?/~ • Pond # desgnation f7 La' ? . Emergency Overflow Elevafion DIMENSIONS I~? ? • Lot Iines/Beanngs & dimenswns R~n ? . RightoFway and street width (to back af cur6) i;.1~n ? . Proposed home dimensions including any proposed decks, overhangs greaterthan 2', porches, etc. (i.e. all structures requmng pertnanent footings) 6F~C1 ? . Show all easements of record and any City utilRies wRhin those easements f I . Setbacks of proposed sWcture and sideyard setback of adjacent existing structures ~ Cd~ rl ? . Retaining wall requirements, 'rf any Re~riewed: L/y~ ~~J~~ 5- / .5 - /I~ Name /''-'L' ! Date ~ REV~510N5 • 30 75 0 75 30 60 roro2 ps _ . . _._...--.v_.. , - _ _ n~Mi rts SCALE IN FEET / ~A~ ~ 5 REC'D ~r 3p ^ / ~ ~ ` ,i r 8 ~9sg.2 ~ `'i~'~ k ~ 9g4 ~ ~ - z e ; . 1,~7 _ .,~.a-r ~ r„ ~o r\ 963'~5 S3 S N>2o i s- n~ °z E., a - ~.1 3 3 I~ 6 9 S2'ss.. - :"£.r.t~37 .i S~TE~'IdING I?EP'E' ~ ~ N so ~ ~ ~ 0.36~ % 963 o j w 8 ~ z ' I s C S ~;~~'__-.-'x~.,,~;i:~:.'-y~~-,~~°_. ^5 ~ ~ 45 00~. 6~ ~ ~ ~ ~ ~ l~1 ~ ~ : < ~ ; ° ~ A O ~ ` \ W v~ ~ ~ u~, ~ o~ vP~z~~s sso h ~ 3:1 Me)dPIN~m Sbp88 W 3 ~ i~ . ~ ~ ~s53 g~ or Retaining bilall Will ~ ~ ~ ~ ~ ~ v~~. rd N p s~ W s ~ > N ~ A ~ ~ 3, 8 e R e q W r e d p: ~ ~ 4 ' 9~,~ ~ ~ ~ ~ x = ~ss alx ~ o x 3 / N C m 4 C~ ~O ~ 5 ~'o -f I / ~ t0 ~ ~ro P y~ W ~ n°, O ~ p~ I STOOP ~ 0 4 ~ I ' n o x ~ ~RS 4J -~z£' ~ i~'' ~ ~"c' DRAINAGE & UTIUTY ~ ~ o~ ~~6 rn n ~ I~ o ALL OfFSETIRONS ARE MEASURED TO HUNDREDTHS d ~ y E A S E M E N T OF A FOOT AND CAN BE USED AS BENCHMARKS. p,~ N IF, t ~ ggg s a5H10 cD s ; 10 I~ ~~.8~%4fit'~Q.B~ X ~rJ Q i WJ''i ~ ~ - - S - Z p DENOTES IRON v50.3 MONUMENT O~° ~5~' 36.42 ~ & 51.00 (950.0) X 000.0 DENOTES EXiSTING ° (sst.~) S89°19'27"W 182.28 ELEVATION h N 3 (000.0) DENO E AT ONPOSED r ~ 50 ,S~ LT DENOTES DIRECTION ~~NL / r OF SURFACE DRAINAGE ~ I~- C ~i ~ DENOTES SANITARY ~ ~ ~ 950.0 SEWER SERViCE ELEVATION a+ Z~ ~ ~ ~ ~ 2 NorE: o o z - ~ MUST MAINTpIN A MINIMUM 2~ SLOPE TO PROMOTE LEGEND TREE SUMMARY PosirivE ~RniNncE Q Q~~~ ~t 5 DENOTES SANITARY MANHOLE EXISTING TREES = 1 A TITLE OPINION WAS NOT FURNISHED TO THE U W A Z W O TREES REMOvEO = 0 - SURVEYOR NOR WAS A SPECIFIC TITLE SEARCH FOR ~i ~ z O 1~ THE EXISTENCE OR NON-E7CISTENCE OF RECORDED OR F= ~ CJ ~ DENOTES ITYORnNT UNRECORDED EASEMENTS CONDUCTED 8Y THE R "5"io DENOTES TREE TYFE, 4J a ~ ~ DENOTES CATCH BASIN x SIZE, AND LOCATION SURVEYOR AS PART OF THIS SURVEY. V S ~ENOTES SANITARY SEWER I hereby certify thot this is o true and correcl representation W DENOTES WATERAIAIN o( o s~rvey of the boundories o(: ST DENOTES STORM SEWER LOT 4, BLOCK 2, PINETREE PASS 7TH ADDITION DAKOTA COUNTY, MINNESOTA DRANM Q DENOTES STORM MANHOLE ~OT AREA = 13,986 S.F. And the locotion of oll buildings, it any, thereon, ond oll visible RS n DENOTES STORM APRON HSE AREA = 2,464 S.F. encroachments, if ony, trom or on soid lond. As surveyed by ~HGRGED COVERAGE = 17.61% me this 2nd doy of May. 2 2. SETBACKS • PROPOSED TOP OF FOUNDATION ELEVATION= 967.0 5 2 02 MIN. FRONT YARD SETBACK = 30' PROPOSED GARAGE FLOOR ELEVATION= 966.0 ~ MIN. SIDE YARD SETBACK = 5' GARAGE), 10' (DWELLING) PROPOSED LOWEST F~OOR ELEVATION= 958.25 AS $HONM ~ LOOKOUT ELEVATION= 961.4 Gary R. Germond MIN. REAR YARO SETBACK = 15' Licensed Lond Surveyor, Minn. lic. No. 24764 JOB NO. 5402-705 •3 Use BLUE or BLACK Ink For Office Use I I ii b~ 1 (I y ( 1 I Permit t 101 IL ff 1 Of Eap I Permit Fee: 1 r~ I 1 3830 Pilot Knob Road 1 15I f' Eagan MN 55122 I Date Received: 3 I 1 Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I 1----------------- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: fkwra Phone: 65) , 1 d u o~ 954, Resident! a~D ~jgrf1A q,S5 &G&1A r>5 t ol 7~) Owner Address / city / Zip: `t14 Applicant is: Owner X Contractor Type of Work Description of work: Luve'r lty6l A vt L ea Construction Cost'*:~L~ , ®o Multi-Family Building: (Yes / No ) Company: tV_Q ri ki V fl- l a(f S T LX- ►Jt)A Contact: 91c k i 6 tV_r0d Contractor Address: SNO Pia al Lf City: tVICUSLIA State: VYV!y Zip: Phone: q5 ea _ -l 4',Q - Lllo a License ► Lead Certificate*. ~rr~^ `~4 S 2Q If the project is exempt from lead certification, please explain why. (see Page 3 for additional informatio 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. i 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.goaherstateonecall.org 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. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building {node must be completed within 180 days `o~f~perm-~it issuance. xQ ~4 Fe)UCrl)1 x } Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES 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 Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath ^Stone Lath -Brick Fireplace: Rough In !Air Test Final Windows Insulation Retaining Wail: _ Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Perm** 1 1633g Permit Fee: Date Received: Staff, 2013 MECHANICAL PERMIT APPLICATION Li Please submit two (2) sets of plans with all commercial applications. Date: Site Address: pfv55 Tenant: Resident/Owner Suite 8: Name Phone Contractor Type of Work Name: i- A 14.1.T.A*TioNlto License #, we.,..vr tc.e. 4.17.1Z -..r City ST' V> PAtt-tc. Address:c.e OQ State: PAK) Zip 554-0-4. Phone Go 1-/...--70 GaG2.1. Contact. ‘.1'4,44.117-- 5 C4 LILA- Emau .31441%4 E 314 LE9,..$4 NJ co Permit Type RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes 5500 State Surcharge) $100,00 Fire repair (replace burned out appliances ductwork etc.) (includes $500 State Surcharge) = ICOMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 minimum if the project valuation is over 51 million please call for Surcharge New Replacement Addrtiona Description of work: NOTE: Roof mounted and tend Mountedemecha nicateltuiPmentisliqui to be screened by Mechanical ifttigtepfor for*'" f CitY Code. Please contact the fde tn ormation on 'motrinteati. RESIDENTIAL Alteration Demolition Furnace Air Conditioner Air Exchanger Heat Pump Other ISA>C1vNe*ST COMMERCIAL New Construction interior Impravement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank (. r Remove) TOTAL FEE Contract Value $ x 1% = $ Permit Fee I I ! $ 5.00 Surcharge* = $ 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.00pherstateonecalLom ; hereby acknowledge that this information is compiete and accurate, Mat the work wit 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 permitthat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. TOTAL FEE x \vv.. No -c. Applicant's Printed Name FOR OFFICE USE Required inspections: Underground Rough In Air Test Gas Service Test tri -floor Heat Final HVAC Screening ApplJpe Reviewed By: Date: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110421 Date Issued:05/10/2013 Permit Category:ePermit Site Address: 4626 Summit Pass Lot:4 Block: 2 Addition: Pinetree Pass 7th PID:10-57666-02-040 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement 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. Fixtures:toilet, lavatory, shower, bar rough in Raymond Sufka 229 Dustin Road Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 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 - Parham Alaei 4626 Summit Pass Eagan MN 55121 (952) 473-9228 Sufka Plumbing & Water Conditioning 229 Dustin Rd Chaska MN 55318 (612) 280-7241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115684 Date Issued:09/27/2013 Permit Category:ePermit Site Address: 4256 Sun Cliff Rd Lot:19 Block: 3 Addition: Sun Cliff 2nd PID:10-72976-03-190 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Pavel Pilich 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 - Arun A Eden 4256 Sun Cliff Rd Eagan MN 55122 (952) 292-8499 Smart Construction 8432 Xerxes Ave N Brooklyn MN 55444 (612) 216-1186 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA133012 Date Issued:09/16/2015 Permit Category:ePermit Site Address: 4626 Summit Pass Lot:4 Block: 2 Addition: Pinetree Pass 7th PID:10-57666-02-040 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Parham Alaei 4626 Summit Pass Eagan MN 55121 (651) 452-2856 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature