Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
4629 Summit Pass
I o~Oflice:Use - ~i__... / Permit Clty of Ea~an j # ~ E~ I Pertnit Fee: ~ 3830 Pilot Knob Road ~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 I Staff: i Fax: (651) 6755694 I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 2-,~10 Site Address: S~Z~ J" m m~ t d~s S S Tenant: k0 "i Suite RESIDENT / OWNER Name: 7~. (L(-o~ Phone: 6 S( _($b -S'-L S'Z Address ! City ! Zip: 1 6 Z 7 S S S Applicant is X Owner _ Contractor - 0 TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes No K-) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 5ubmiSSion type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit far a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer& WaterContractor: Phone: ' NOTE: Plans and suppoiYing documents ihaf you submit are considered _tabe putilic, information::;Portion's'of' ' , . ;.i the mformafron niay be classifletl as non public if youprov~de specdre reasons thaf would per`mlt the City fo r conclude that the are trade secrets _ , . ?u, .o~...i 'n•.,;,. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wdh the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a pertnit, 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. x R0 o T-4" (2--O,j X ApplicanYs Printed Name ApplicanYs Sig ture Page 1 of 3 ~ Cit~ of j Permit# ~`1'~ I Permd Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (657) 675-5675 I Staff: Fax: (651) 675-5694 i I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z!I Uf_ Site Address: S Tenant: /?/%d{f/ ~ Suite RESIDENT/OWNER Name. O'q / UYC'7 Phone: Address/City/Zip: S5Applicant is: _ Owner J(_ ConEractor TYPE OF WORK Description of work: ~lev or_ Construction Cost. OdO, Dd Multi-Family Building: (Yes_I No~ CONTRACTOR Name: ii' Z~'7'7. License#: aZOeT C`'J4/o"L'- ~ Address: lC'6/C ~ City: s% YF-~f G r/L State/~~, Zip _$"5-,5 7 Phone6/v2 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventdation Category 1 Worksheet • New Energy Code Worksheet CaYegory Submittetl Submitted (J submissiori type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan hased 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 suppoi fing, documenfs fhaf you submit are consi$ered to'6e pu6lrcinformation`:; Porflons of.., qU ~:the tnformaUon may be classrfied as non, publie~d you pFovide spec,rfic reasons thaf would perm~t the Ctty to ~t = r.onalu`de=th`atthe aretrade:sec.efs AIf,~..~-. : I hereby acknowledge that this information is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I u derstand this is not a permit, but onty an application for a permit, antl work is not to start wdhout a permR; that the work will be in accordance ~~the approved plan in the case of work which requires a review and approval of plans. Applican rinte pme Applicant's Signature v/ , Page 1 of 3 Address: 4629 Smmiiit Pass Zip: 55122 Lot: 5 Block: 1 Subdivision: Pinetree Pass 7th T$E FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL InSPECTION ON G•~. O3 Yes No Comments Final grade - 6" &om sidin Permanent ste s- ara e Permanent ste s- main entry Permanent driveway Permanent gas Sod/Seeded lawn TraiUcurb damage Porch Lower level finish Deck Fireplace • Venfy with yoiu builder that roo£ test caps from tbe plumbing system have been xemoved. • Turn off water supply to the outside lawn faucets hefore freeze potential exists. • Call the City's Engineering Departrnent at 651-675-5646 piior W working in nghY-of-rovay or installing irrigation systam. ' ~ BUILDING INSPECTOR: ~ FC L e~ ~e. CONTRACTOR: Lundgren Bros Construction 935 Wayzata Blvd E Wayzata MN 55391 t , 45-r- s 6 Sa ~ s-6yl. is g~ RESIDENTIAL mP s~ s 3/ o,~ L S' A,. BUILDING PERMIT APPLTC~-TI0W32 Sa CITY OF EACAN 5-,+3 S1~S 33 Sg p Z, ti 3830 PILOT KNOB RD, EAGAN MN 55122 L_11~ 651•681•4675 NewConsWCdonReaviremenb RemodellReoalrReauirements 10 • 3 registered site surveys showing sq. ft. of lot, sq. k. of Muse; and all roafed areas • 2 copies of plan (20%maximum lol coverage ailowed) . 1 sel of Energy CalcWafions lor heated additions • 2 wpies of plan showmg heam & window s¢es, poured found desgn, etc.) . 1 site survey for exlenor addAions 8 decks • t set of Energy Cakulations ~ . Indicate if twme served by septic system for addilions • 3 copies of Tree Preservatlon Plan if IM plafled after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION ~4 SITE ADDRESS :~60,?qdltc~n'r m7A~(Y~~~J MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK5)a~*FIREPLACE(S) _ 0/t 1_ 2 APPLICANT ~ STREET ADDRESS 5 G~r~ CITY STATE ZIP~ TELEPHONE # S2 -6 CELL PHONE # FAX PROPERTY OWNER TELEPHONE # COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(I[VNESO'1'A RCiLES 7670 CATlGOl2Y l MIi 1FJIrF_Y`766 2 (J submission type) . Residential Ventilahon Calegory 1 Worksheet Submitted • N nergy Code Worksheet Suo itted • EnergyEnvelope Calculations Submitted OCT 2 1 2002 -!55 Plumbing Contractor: Phone # - Plumbing system includes: _ Water Softener _ Lawn Sprinkler Pec: $90.00 Water Heater No. oF R.I. Baths No. of Baths Mechanical Contractor. Phone # Sa S- 902 Vlechanical syslem includes: .4ir Condilioning Cee: $70.00 Heat Recovery• System Sewer/Water Contractor. Phone # 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 Or inances. Signature of Applicant ~Q/tRi OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received ~ Not Required V Updated 4l02 OFFICE USE ONLY ' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 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 ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous 31 New ? 35 Int Improvement ? 38 Demalish (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 'Demofltion (Entire Bldg only) - Give PCA handout to applicant Valuation ~(X7d Occupancy 9_~ - 1y MC/ES System Census Code ~OZoning ~cv(City Water SAC Units Stories 6L Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Z\ Footings (new bldg) ~ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumbing ~ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framing - Sidmg _ Stucco _ Stone Fireplace _X R.I. -gAir Test # Final Windows (new/replacement) Insulation ~ Retaining Wall Approved By ~ Z-- , Building Inspector - - Base Fee Surcharge 5' Pian Review MC/ES SAC ~7 y City SAC Water Supply & Storage ~U y S8W Permit & Surcharge Treatment Plant Plumbing Permit ~~l~L•' j~ Y Mechanical Permit -3 Z) ? 050 License Search Copies ~~~7 Other C/ 3/ Total ,r LOT SURVEV CHECKLIST FOR RESIDENTWL • BUILDING PERMIT APPLtCAT10N , PROPERTYLEGAL: LDT S 5IDt'k I 2p/?ic'~et DATE OF SURVEY: 9- / a- D 2 LATEST REVISION: ^ m a c A t v v` Ya a < DOCUMENT STANDARDS ? • Registered Land Survey~or signature and company Fu • Building PermR AppNCant 6d/ ? ? • Lagal description ~d~ ? ? • Address o? . North arrow and scale a~~7 ? • House type (rambler, waqcout, sp6t wlo, spl4 entry, bokout, etc.) e' ? L • Directbnal dreinage arrows wilh sbpe/gradient % te/~? ? . Proposedlexissting sewer and water services 8 invert elevation HJ ? ? • Sfreet name Id ? ? . pljyCWBy H~ ? ? • Lot Square Footage ~ ? ? • Lot Coverage ELEVATIONS / Ebsi ? ? • Sewer service (or Proposed) ? 0 • Property comers H" . Top of curb at the drnreway and property 6ne extensions [ia~ ? C . Eleva[ions of any existing adjecent homes • Adequate footing depfh of strucWres due to adjacent utitiry Venches ? ? • Watetways (pond, sVeam, etc.) ' Prooosed ? • Garage floor ~ ? ? • Basementfloor ~ ? ? • Lowest exposed elevation (walkouVwindow) ? ? • Property comers ~i" • Front and rear of home at the toundation PONDiNG AREA ('rf aooHcable) ? ? • Easement Nne ? ) ? • NWL ? ~ ? . HWL ? qY ? • Pond # designatlon ? 4?/ ? • Emergency OveAbw Elevation ? I~ ? • PondANetiand butfer deGneat(on / DIMENSIONS ? • Lot fineslBearings & dimensions ~ ? • Rightof-way and sVeet widM (to beck of curb) Ga' • Proposed home dimensions fncluding arry proposed decks, overhangs greater than 2', porches, etc. / (i.e. alt structures requ'ving pemianent fooffiigs) FY A? • Show aA easements of record and any Ciry utiAties wdhin those easements • Setbacks of proposed structure and sideyerd selback of adjacent epstlng s4uctures • Refaining waN requirements, H any Reviewed: / - 22- D Name Date GJFORMSBuilding Permit Applicffiion VI ~'1 R ' . UD HOUSE, REVISE ES 9l27/02 RS 30 15 0 75 30 60 0 C-I 2~. REC/D SCALE IN FEET LEGEND SO DENOTES SANITARY MANHOLE 1 ~ DENOTES ITYDRANT ^ ~ DENOTES CATCH BASIN Z ~ `r L"FIRIC iNG Hq 1SE $ DENOTES SANITARY SEWER ~970.8 ' w DENOTES WATERMAIN ~ E- ° 5T DENOTES STORM SEWER ~ N Q DENOTES STORM MANHOLE i PK NAIL SET DENOTES STORM APRON a F W TRA\ ~ PK NAIL SE7 4 S$ 9° 1 g' 2 6'~ W~ 162.15 ~ /~~A~ 965.2) ~ HOUSE COYERAGE W; 5.1 e~ L O T= 1 3, 959 S.P. pq> 971.4 81T. TRAIL r 42.02 965.39 1 36. 38 HOUSE = 2,212 S F. W o 5.6 aa DRAINAGE & UTILITY EA COVERAGE = 15.84°~ o 4 6 70 ~ s' x m ~ KS E+ € ~~7 x 22 5` Bes.~ p S ' SETBAC 5 ~ % 9 67.t g64'~ 0 MIN. FRONT YARD SETBACK = 3d ~ R I 96$ 4 x x cv 19.5 M I N. S I D E Y A R D S E T B A C K = 5', 10' BOTH SIDES 4 W.. °o II MIN. REAR YARD SETBACK = 15' 964,5 N d 2 Z 0 I x q ~`n v°: v+ PROPOSED TOP OF FOUNOATION ELEVATION= 968.0 ; ~ uWi ¢ pROPOSED GARAGE FLOOR EL.EVATION= 967.0 J ^ J~ w 1- PROPOSED LOWEST FLOOR ELEVATION= 959-2 3 I r 'n °D a 9 96aa N I 4m'' cNV o 0 L 0 ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS N ED AS BENCHMARK . ~ ~ OF A FOOT AND CAN BE US m ~ x4 a ~n f~ K 0 I 4 Ow J ~ rc O Q. o, x 963.6 I 963. N 0 DENOTES IRON ~ r O 965.6 X x a 28 ~ ~ MONUMENT ~ U) 7- w 964'1 PLC. 10.00~ 9 62~ 1 0 M X p~ Q DENOTES EXISTING ~ O L 7j ELEVATION Z 0 Q~ Z~ ~ 5 r- 95p 7 42.0 s6i.09 31.28 96t 3 ~ (000.0) DEN~ATIONO~SED ~ $ 976.9 (961.5) O DENOTES DIRECTION ~ ~ Z OF SURFACE DRAINAGE (474.0) '27"E 155.06 O N89019 ^ C! ~ 955.0 DENOTES SANITARY ~ LLJ W 'T SEWER SERVICE ELEVATION 12 3 .r. a A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR V W A LL. NOR WAS A SPECIFIC TITLE SEARCH FOR THE IXISTENCE OR ~ a~~ a ~ J - 0( R8~n`~Vtl~` A NON-EXISTENCE OF RECORDED OR UNRECORDED r ;a t T°° EASEMENTS CONDUCTED BY THE SURVEYORAS PART OF W € ( - eq~icecl ~ ..7 ui niIs suRVEV. I here6y ceYiy that this is a We and corted rePresentation I of a surve of the boundaries ofi LOT 5, BLOCK 1, PINETREE PA55 7TH ADDDRION DAKOTA COUNTY, MINNESOTA k And the location of all buildings,'rf any, thereon, and a0 visible [E5402-699 N NOTE: BUILDING CORNER STAKES IN FIELD DIFFER FROM THOSE SHOWN ON THIS DRAWING. encroacnmenuifany,fromoronsaidland. Assu~veyedby a me this 12th day af SeQtem6er, 2002. ~ BUILDING OFFSET MONUMENTS 1N FIELD ARE AS SHOWTJ. ~ ~ ///J ~ /~y ? Gary R. Germond ~ Licensed Land Surveyor, Minn. lic. Na. 24764 0 n` 3 ' ~ e MATERIALS ~ CONGRETE: 3000 PSI e 28 DAYS ACsGREGATE: FTG. -I I/2" MAk WALLS - 3/4" MAX Your Neighborhood Builder REINFORGING: A5?M A6I5 GR.4DE 60 GR.4NIILAR t LIGH7 GLAY C GROUP II ) BACKFILL: EQUIVALENT FLt11D PRE55URE C 45 PGF I hereby certify that this plan, speciR- cation, or re p was pre ared by me or un my d'u t perv ion and that I am y!te iste i A chitect under the I W •E 50ta- FL. SY6TEM PER PLAN w~ CTRI ?xb SILL PLATE D2t G O y ~IStI'1t10I1 NO. 24~ W/ SILL SEALER SIMPSIXJ W/ MIN. (2) AB. WITH ONE A34 ANGH'R II WITNIN EA END W/ 4 10d NAILS 11 EAGN LEG N.S. e .5. OF J015T 11 R~f~i B Z:~ FL. 5V9TEM I~~ T L. PER/P LAN ` BOTT. SILL PLAT i ~ II• ~in" Lha. X im^ ANGHOR II. II D ~ BOLf AT 17" O,G. MINi~'1" EMBEDMENT GiZQDE, MIN. 8" BELOW SILL 1444#0000J 7X4S?UDS IIN~ ~?k \ ~ ~~A.T.:BFI~ Q a24" O.C. '6~V~RT o 36" O.G. 'GC ~I 3 R-II BATT ° \ ~`•~~~j iNSUL. Z STIJDSBEiW. (4) 04-NORIZ. ON TIES Z Q . % ~ p _ . REt3lSTERED s 0 . LL : : ARCHITECTb(! : ~ VAPOR WATER PROOFING artl!=~/.` 2 r O{ ~ BARRIER II . ~~~~~p o:~,~~ ~•4-24" DOWEL a 6'-0" D.C. T. POIJRED GONC. I4 ~P G~~ GONG. SLA FOUNDATION WALL ~~sr~ MlN~~ . p II `p ~20" x B" CONG. ~r FOO?INCa . • . ' f'EAROGK DRAIN TILE ,4dderolum Number: Date: ID8/2g/02 Lot: 5 Block: 1 Addition: -Ith ,4ddress: 4629 Summit Pass Eaean MN Buyer Name: LUheaton Inventoru Nome Developm~nt Stonecliff'e . I ~ MNcheck COMPLIANCE REPORT I ~ Minnesota Energy CodE ~ Permit # ~ NlNCheck Software Version 3.0 ~ Checked by/Date ~ ~ i COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family ' DATE: 8-29-2002 DATE OF PLANS: OB-28-02 TITLE: Wheaton "E" Inventory Home PROJECT INFORMATION: Wheaton "E" Inventory Home 4629 Summit Pass Eagan, MN 55122 Stoneclif£e COMPANY INFORMATION: Lundgren Bros. Construction NOTES: 91 Basement Great itoom Bonus Loft COMPLIPS7CE: PASSES Required UA = 654 Your Home = 559 14.5°s Better Than Code Area or Cavity Cont. Glazing/DOOr Perimeter R-Value R-Value U-Value UA CEILINGS 21 44.0 0.0 1 CEILINGS 1724 44.0 0.0 47 WALLS: Wood Frame, 16" O.C. 45 19.0 2.0 3 WALLS: Wood Frame, 16" O.C. 211 12.0 2.0 16 WALLS: Wood Frame, 16" O.C. 1203 19.0 2.0 67 WALLS: Wood Frame, 16" O.C. 1392 19.0 2.0 78 WALLS: Wood Frame, 16" O.C. 181 12.0 2.0 14 SSMT: Conc. 9.0' ht/8.5' bg/9.0' insul 1665 10.0 0.0 102 GLAZING: Windows or poors, Above Grade 48 0.350 17 GLAZING: Windows or poors, Above Grade 305 0.350 107 GLAZING: Windows or poors, Above Grade 241 0.350 84 DOORS 58 0.350 20 FLOORS: Over Outside Air 21 30.0 0.0 1 FLOORS: Over Outside Air 10 30.0 0.0 0 FLOORS; Over Unconditioned Space 72 30.0 0.0 2 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 submitted with the permit application. The propos=_d building has been designed to meet the requirements of the Minnesota Energy Code. Date CI``-,z Builder/Desi ner Sile 2ddrass lct "57 Blcck ~ Sucd ll~..//Il0,l~ paY~l On Apnl 15, 20100 the Nlinnesota Ensrgy Coda, Category I 6uilding Requirements for irsulation proieciic',, air Gghtness, and ventilaCion, was adoptetl As a result, rhe Ciry of Eagan Is requiring that the following informalion be submittetl prer to issuance cr a Cerirficate of Cccupancy _ This structure: is cons,ructed to mael minimum rzquirement; of tne Mn Enerey Ccde, Chapter 7070 OR ~ Tnis suucture: will be constructed to meet more restric[ive r2qwrements of Chapt2rs 7672 or 7674 APPLIANCE GAS ELEC MANUFACTUFER MODEL BTU'S VENTING TYPE Wa(er Heater A ~ P.S 'fD~O VC. Fumace av 35lf o b'a a OD Dryer VENTED EkHAUST SYSTEM LOCATION TYPE MOOEL CFM's YES No Kitchen kitchen Bathroom 1 ~ 8alhroom 2 a e- ~ p Bathroom3 ! Bathroom 4 Other VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS L, S' G D DE)O MAKE•UP A!R MODEL TYPE CFM's uC-_ 2 NceD ~ I hereby acknowledge fhat lhe above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. I ~ / C~ • D ~ ig ture ~ - Date ompany Nam~ m ' This form is the responsibility of the General Contractor. Use BLUE or BLACK Ink r For Office Us �16� O1 Perm 1 Permit Fee: 60 0r) 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 2017 RESIDENTIAL� PLUMBING PERMIT APPLICATION Date: [MI/ 17 Site Address: -(]/ (J Su ill Tenant: // Suite#: Name: L--() (�t°..ad..�,,...�.,�� .�.. e _.�.._.Phone:_.,�._..__�.,._....�__ .._..�,.__w_�_...... Restdent/Owner / j� I Address/Ci•ty/ •Zip 21 (1 Z () NC" r 1�=c S> Name: r 1 IPu tr (uc-�,� �. .:_ . m.Ze7C., License#: pc 700-/o Address: tl '5&f 7 CL r r I c �' k/f //c pi City: C�c.v�j ri c contractor I G �/ State: /1 (0 Zip: > cdO(� Phone: 7C3-/-13 l /O 6 e Contact: 12CA.0 1 Email eG,_u fP�f r fi cSCO T e of Work —New Replacement —Repair Rebuild —Modify Space —Work in R.O.W. yp Description of work �n � . 1 u(f )2,4* 7�c / n 3c,_.SL'r't C!� RESIDENTIAL Water Heater Water Softener t Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures ( Main/ 11 Lower Level) Septic System _New Water Turnaround 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 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. ,all 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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. PC, ) ( lec kpplicant's Printed Name App icant's Signature OR OFFICE USE Reviewed By: Date tequired Inspections: Under Ground Rough-in Air Test _cis Test Final. Aster Related Items; Meter Size Radio Read . Manometer Staff: . Use BLUE or BLACK Ink,, For Office Use /y/ 9 lc) I City of Eapil Permit ft: i , n Permit Fee: / ,d% '1/ �% 3830 Pilot Knob Road? (i ��it Eagan MN 55122 Date Received: / Phone:(651)675-5675 Fax:(651)675-5694 Staff: 1 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/24/17 Site Address: 4629 summit pass eagan unit#: Name: Luke & Emily Lange Phone: 612.600.3511 Address/city/zip: 4629 summit pass eagan 55122 Applicant is: Owner X Contractor of Description of work: basement finish aConstruction Cost: 14000 Multi-Family Building:(Yes /No X ) • Company: precision remodeling & const Contact matt bogut a � 25813 irwin ave Address: City: medford state: mn Zip: 55049 Phone: 507.676.5938 Email: bogutma©gmail.com 722454 License#: Lead Certificate#: na If the project is exempt from lead certification,please explain why: built in 2004 N(LJr 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: NOT" S= :**:6�g.114cum�91S:t* Itt cons d s t r 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.000herstateonecall.orq 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 Minneso . c Building Code must be completed within 180 days of permit issuance. xmatthew bogutx 1 -ififf Applicant's Printed Name Appli .n s Signatu Page 1 of 3 io,,, . . /a l (//oitiliF DO NOT WRITE BELOW THIS LINE /� *Z 7 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 X Lower Level Pool _ Accessory Building WORK TYPES _ New Interior Improvement Siding i 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 i)ji 2 U 0 Occupancy iht.4, MCES System Plan Review Code Edition j.)t( SAC Units (25% 100%) Zoning lit City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction yyt, Width REQUIRED INSPECTIONS // Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) x Final/No C.O.Required Foundation Foundation Before Backfill fx HVAC_Gas Service Test Gas Line Air Test Roof:__Ice&Water _Final Pool: Footings Air/Gas Tests Final -lc Framing S., 30 Minutes 1 Hour Drain Tile — Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick EFTS X insulation Windows Sheathing Retaining Wall:^Footings—Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: I c.,' ,Building inspector RESIDENTIAL FEES Base Fee Surcharge(icrsi-L3f Plan Review MCES SAC City SAC Utility Connection Charge / I ( 0 )( ) 0 :7. 22 ,D S&W Permit&Surcharge11 Treatment Plant Copies TOTAL Page 2 of 3