4642 Summit Pass
(o(oD 1 !
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3$30 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date V I 15 loq MCIEAN, NORMA
S(te Street Address 4642 SUMMIT PASS I _ Unit #
i EAGAN, MN 55122
(651)452-1468
Property Owner _ l e # ( )
.
Contractor (612) 827-4033 Telephone # ( )
Address 2905 GARFIEI.D AVE. 80. city seace ziP
,
The Applicant is: Owner ~ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Tumaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
~ replacement _ additional
X Lawn Irrigatlon System RPZ new , repair _rebuild $ 30.00
State Surcharge D~5 l~J l5 0 u~ $ .50
AU 2
Total , SO
By
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wiil be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Jg~ ~o (-btw~ Applicant's Printed Name pl~' anYs Signature
~ RESIDENTIAL BUILDING A ~
Permit Application
City Of Eagan So
`D.. ij 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reauirements RemodelRteoair Reauiremenis Otfice Use On ~ lO `435' ~°3
3 registered site survays shaving sq R of lot, sq. ft of house; and all roofed a2as 2 copies W plan ert of Survey Reod
(20°k maximum lot coverage allowed) 1 set of Energy Calculations far heated addifions _ Tree Pres Plan Recd
2 copies of plan showing 6eam 8 window sizes; poured found desgn, etc. 7 sde survey far additions & decks _ Tree Pres Not Reqd
isetofEnergyCalalations Add'Aion-indicefeifon-sitesepfksysfem _OnsiteSeptlcSystem
3 copies of Tree Preservation Plan if lot plalled after 711193 q ~'j _ ~ 3 ~5~. ~~v~A„j, •
Rim Joist Defaii Options selectlon sheet (bldgs wAh 3 or less units ' S
Date 5 l)_ l_ 0 3 Constructlon Cost q(5 51 ~
Site Address !V7- _Sb: z4 mi 710455 UniUSte #
Description of Work _ '~LED
Multi-Family Bldg _ YA N Fireplace(s) _ 0t 1 _ 2
Property Owner Telephone # ( )
Contractor L A p Vis rQE0 IY"~~os ~oN~K0.CT/OK)
Address ~jq5 7n~aN 1"~ouNo e City ~fl~ZrFrfh
State m 0 Zip 553`~'I 1 Telephone #(9w 4 - Cf Sci3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
~ Minnesota Rules 7670 Cateeorv 1 ti r Minnesota Rules 7672
r
~
Energy Code Category . New Energy Code worksheet
• ResidenUal Ventilation Cate ock~e§4
(Jsubmissionrype) Submitted Submitted
• Energy Envalope Calalation mitted 2f~Q3
Licensed Plumber &~L EC ~ Telephon #(9,A 4 45-
Mechanical Contractor ~L Y Telephone r52) LNS- ZA0 9Z~
Sewer/Water Contractor ST~flJL I~c-umBi NG- Telephone #65Z) gd y - 41 q
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate 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 plan in the case of work which requires a review and
approval of plans.
6U.+P4&A
ApplicanYs Printed Name Ap licant's Signatu
I OFFICE USE OIVLY
Sub Types ° ^ .
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~ 02 SF Dwelling ? 08 06-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 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex rlbg_YOr_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 ~emolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement ~ 'Demolitlon (Entire Bldg) - Give PCA handout to applicant
/
Valuation ~ ~ ~ ~ Occupancy ~ ~ ~ MGES System
Census Code Zoning ~ City Water
T-~
SAC Units ~ Stories ~ Booster Pump
Nbr. of Units ) Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const Width ~
REQUIRED INSPECTIONS
~ Footings (new bldg) FinaVC.O.
_ Footings (deck) ~ FinaUNo C.O.
Footings (addirion) _ Plumbing
ZC Foundarion HVpC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
~ Framing _ Siding Smcco Stone
1Q Fireplace ~ R.I. ~u Test Final Windows (new/replacement)
~ Insulation ~ _ Retaining Wall
Approved By , Building Inspector
- -
Base Fee UNI~ ek ~ S~ ; G~
Surcharge r ~ n ~1
Plan Review 1 a~' x d' S ~ ~j V) 0
MC/ES SAC
cty sAC ~s~r=~~v ! ~ `s ~ ~ - / 1 ~
Utility Connection Charge / ~ Y ~ ~ ~ ~ - f / S?~
S&W Permit 8 Surcharge ~ v~
TreatmentPlant ~?e~~'~-~~`~.-- ~"~Q ~ ~ ~ : ~'f 0
License Search /T~,6~ ~ ~,-.y~ ~ ~ ~ y ~
Copies ~ v
Other ~,-y
Total ~~F`/ r~v~
!
4 .
r ,
LU I
BLOCK 1 BLOCK 2 2 ND
4633
LOT 3 ~ LOT 6
7 TH 4637 ~ 7 TH STONECLIFFE
SUMMIT ~ 4634 DRIVE
suMMiT BLOCK 5
T PASS PASS LOT 6 _
BLOCK 2 ND -
63L.OC:K;~;~; 4s3%
LOT I. , LOT
STONECLIFFE
BLOCK 5
fi
/-~:TDRIVE F~
LOT 7
2 ND ~ f
;-PA,
SS , - BLOCK 5 asai W ~
STONECLIFf E ~
LOT 8 DRIVE
i..~' ~~I• ~
2 ND 4645
STONECUFFE
i / / / i ~i i i ;i ~ .a•
DRIVE
BLOC '
i.
LOl
~ • ~
0
BLOCK 4 src m
LO N~
~
rT,;; : . • g a ~ x
4646 w 3 PASS i. , BLOCK 4 STONECLIFFE ~
BLOCK 3 [3LOCK 1 ~oT 9
2 ND DRIVE z
LOT 5 LOT 7 0.
3 RD 3 RD 4650
4657 STONECLIFFE
STONECLIFFE 4654 DRIVE ~ -
DRIVE , STONECLIFFE ~
\ QLOCK 3 _ DRIV~=_
LOT 4 :7,
'
r~-o "21
i
Of~~CE ~ 'eLLe, C'oeY
.
.
M A 3
TF~EP PRESERVATION S~1M•~
n CITY QF EAGAN FORESTRY
651, 675;53d0
(SEE ATTACHMENTS)
Development yIIUkF -nZ,rt'ie PASS
Lot Number 1 Block Nymber Z^
4-'t-'~%- SS
Addl'@SS
Builder l,i.~.ND~r[ZG1J c`~RUS CUNST ~NC,~
Tree Protection Reauirements:
Tree Fencing
~ Oak Tree Pruning (Immediately seal wounds during April 1 to July 37)
( ( Therapeutic Pruning
IV Retaining Wall
Other:
Replacement Trees:
X Not Required
As Follows:
Attachments: ~~~H FORES
Yes
'Y X No
Additional Notes: ~ATE
No St&?vtFtcv~-t
H:\ghove~2002B1e1treepres\Tree Preservation Plan Summary-2002
e
REVISIONS
`EbSTNC HWSE 1 30 15 Q 15 30 BO AFV xs¢ rvaE
OCT _R - 9l3
8 WRNI WiG
50 9462 9a~ C / SCALE IN FEET
30 LEGEND
9d ~1' yOOy DENOTESSANIiPRYMANHOLE
I Q rDaA'j8 ~^~l spb DENOiESITYORANT
O S6~ en 1~ 01ry~9yg02 OENOTESCATCHBASIN U$
7 O F 2~ ~ Y \ ;J1 5 DENOTES SANITARYSEWER
L W~1 2$N /~~I j(953) 01 2 0
W DENOTES WATERM4IN R ~
~ Si pENOTESSi0RM 5EWER
~ Z [r~'
~ i~ 22 W 1 \ s~ ~ OENOTESSTORMMANHOLE
935 ~ (T n OENOTESST0f3MAPRON ~
s4R SE78ACKS ~ r
a's
c~S g5~0 FP~~~m ~ g1g6 MINFRONTYAROSET9AGK=30'
zq ` MIN. SIDE YApp SET&1CK= 9 (GBRAGE), iP (HOUSE) I
EwSnxGNp15[ MIN.RFARYAAOSET9NCH=15'
GM fIR = sZC.} $
PROGOSEOTOPDFFDUNOAVONELEVATION=93934 €
~~}a ° N y qy60 PROPOSEOG4RAGEFLOORELEVATION- 938.0
PftOPO5E0lOWESTFIOORELEVATiON= 930.34 6
ia
9) ~
LANt.e6 % `g2~ 3
/r0~~ ~9zg.B) o`~ 5 / ALLOFF$ETIRONSNREMEASIIREDTOHUNDRFDTHS
~
O \ y506 \ 929~p~\V 5\~~ yqq OFAiOpTANDCANBEUSEDA50ENLHMNRKS. 7~ r
5 \ / O~yyi~~ 1 g9 0 DENOTES N
MONUMENT e~
69' i X 000.0 OENOTESE%ISTING
EIEVATION
(OOO.O) DENOTESGROPOSED
O 9M19~ OIF~~ 5 ELEUATION i~
O \ ~ 6(y r~- OENOTESDIRECTION 7 VJ F
OFSURFACEOFAIN4GE K Q p
N tP V'O ~ 920.5 DENOTESSANITARY _D
(J~ 9~9h1 yO SEWERSERVICEELEVATION
~g'~9 R2R ` ~ / ATIILEOPINIONWASNOTFURNISHEDTOTHESURVEY00. ~O
NORWASASPEGIFICTfTLESEARCHFORTHEFJ(ISTENCEDR W Q N~w ~
99
• `,~Q ~~t~ NON-El(ISTENLEOFRECOHDED ORUNRECORDEO
f EASEMENTSCONDUCTEOBYTIESURVEYORASPpRTOF Q~ V2 w
THISSURVEY. U a O
A O f ~ ~ ~
`t
5 \ / I hereby certfy that this is a true antl coneq representation
ot a sUrvey of the boundaries of U a
5 ~ LOT 2, BLOCK 2, PINETREE PA55 STH qDDITION
/ DAKOTA WUNN, MINNESOTA
And the IowGon of all builtlmgs, if any, ihereon, and all Nsible pRAWN
• ~ ' encroachments, rf any, 6om or on said land. As surveyetl by RS
me ihis 26th Gay of February, 2003 CHECKED
GRG
HqRDCOVER onre
LOTqREA= 18.089SF avzeroa
HouseaeEn=z,smsF. TREESUMMARY Gary q.Gemr ona nssHOwN
COyERAGE=t5.56% EXISTINGTREES=0 LiceOsed! LandSurveyor,Minn LiC.N0.24764 J08N0.
SA02 6]5
. ~
Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 32 Release 1 Checked By/Date
TITLE: McLean Residence
COUNTY: Dakota
STATE: Minnesota
ZON E: 2
CONSTRUCT[ON TYPE: Single Family
DATE: 04/28/03
DATE OF PLANS: 2-21-03
PROJECT INFORMAT[ON:
4642 Summi[ Pass
Stonecliffe
COMPANY INFORMATION:
Lundgren Bros. Cons. .
545 [ndian Mound East ,
Wayzata, MN 55391 NOTES:
Lookou[
9 ft. Foundation
Finished Basement
J&d Bath Option
Bay at Nook
Bay at Dining Room
COMPLIANCE: Passes
Maximum UA = 634
Your Home = 570
10.1% Better Than Code
Gross Glazing
Area or Cavity Cont. or poor
Perime[er R-Value R-Value U-Factor iIA
Ceiling 1: Flat Ceiling or Scissar Truss 2088 44.0 0.0 56
Wall l: Wood Frame, 16" o.c. 514 19.0 2.0 23
Window 1: Above Grade, Wood Frame, Double Pane with Low-E 109 0.320 35
Wal12: Wood Frame, 16" o.c. 324 11.0 2.0 13
Window 2: Above Grade, Wood Frame, Double Pane with Low-E 158 0320 51
Wa113: Wood Prame, 16" o.c. 1314 19.0 2.0 61
Window 3: Above Grade, Wood Frame, Double Pane with Low-E 150 0320 48
Door 1: Solid 67 0350 23
Wall 4: Wood Frame, 16" o.c. 1600 19A 2.0 79
Window 4: Above Grade, Wood Frame, Double Pane with Low-E 190 0320 61
Wall 5: Wood Frame, 16" o.c. 180 12.0 2.0 14
Wall 6: Wood Frame, 16" o.c. 198 12.0 2.0 15
Basement Wall l:
Solid Concrete or Masonry, 9.0' hU8.5' bg19.0' insul 1035 0.0 5.0 83
Floor L All-Wood Joist/Truss, Over Unconditioned Space 144 30.0 0.0 5
Floor 2: A!l-Wood JoisdTruss, Over Outside Air 104 30.0 0.0 3
Furnace l: Forced Hot Air, 90 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-0rade Windows and Glass Doors 0320 0370
Includes Foundaeion Windows> 5.6 ft2
Ploors Over Unconditioned Space 0.033 0.033
COMPL[ANCE Sl'ATEMENT: The proposed building desi1-n described here is consistent with tha buildirig plans,
specifica[ions, and other calculations submitted with the permii application. The proposed building has been
desi;ned to mcet the 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release 1.
Builder/Designer Date 4 Z 03
~
LOT SURIIEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY IEGAL: L- o`~ .Z I~ ~ d c, 7~u~
DATE OF SURVEY: = -2~ ~
LATEST REVISION:
m
~
c
m
t
U
Ya ~
O~ Q DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
H ? ? • Building Permit Applicant
R~ ? ? • Legal description
~~C] ? . Address
? • North arrow and scale
• House typa (rambler, walkout, split w/o, split entry, Iookout, etc.)
? • Directional drainage arrows with slope/gradient %
B/?? • Proposed/existing sewer and water services & inveR elevaGon
E3 ~ ? • Street name
0 ? . Driveway
GYp ? . Lot Square Footage
a~a ? • Lot Coverage
ELEVATIONS
Existin
~ ? ? • Sewer service (or Proposed)
V? ? . Property comers
9/ . Top of curb at the driveway and property Iine extensions
FJ1? 0 • Elevations of any existing adjacenT homes
?Q/ ? • Adequate footing depth of structures due to adjacent utility Venches
? ? • Waterways (pond, stream, etc.)
Proaosed
~0 ? • Garage floor
? . Basement floor
v' ? ? • Lowest exposed elevation (walkouUwindow)
tY? ? • Property comers
0~0 D • Front and rear of home at the foundation
PONDING AREA (if applicable)
0 q/0 • Easement line
? f9'? • NWL
o o'? . HWL
? L~ ? . Pond # designation
? • Emergency Overflow Elevation
? ~ ? . PondM/eUand buffer delineation
DIMENSIONS
E~,E] ? • Lot Iines/Bearings & dimensions
? • Right-of-way and street width (to hack of curb)
• Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc.
(i.e. all sWCtures requiring permanent footings)
C~p ? • Show all easements of record and any City utilifies wifbin those easements
? . Setbacks of proposed structure and sideyard setback of adjacent existing structures
? ? • Retaining wal) requiremenGS,'rf any
Reviewed:
Name Date
G•IFORMSlBullding Permit Application
• ' REVISIONS~-
~ I REV HSE NPE
EXISTING HWSE 30 15 0 15 30 60 RE . ESS
8 Mi FLR = 941.
04/25/03 GRG
$ / SCALE IN FEET ~IA~ ~
94&
2 94i 0 ~~A
so ~ o~ LEGEND
so i cD0 0
I 9k~ ~ "";.r,t1 S~ DENOTES SANITARY MANHOLE
~ ~
I O yLy~ DENOTESITYDRANT
O SrpSQ ~ JW DENOTES CATCH BASIN ~ g
~
S DENOTES SANITARY SEWER
L Ln 0 :E pe
(,rd J w Z$?~~~1 ~ `g3g,1) W DENOTES WATERMAIN f~. r
~
S~ W e 9~9 y~ N~~ ~ X O
~o eT ST DENOTES STORM SEWER 2 ~ w
0
g DENOTES STORM MANHOLE t1 „
N ~ ~ lu i/ g 3 6.6 22 0 D E N O T E S S T O R M A P R O N g
N SETBACKS
QD v ~ 1 /p2 W i
~00
St ~jp. fp~C~ 1 ,~66 MIN. FRONT YARD SETBACK = 30' ~ y
MIN SIDE YARD SETBACK = 5' (GARAGE), 10' (HOUSE)
EXISTNG HOUSE MIN. REAR YARD SETBACK = 15' W 3
• ~ ~ t. q ~ oGAR FLR = 926.3
PROPOSED TOP OF FOUNDATION ELEVATION= 939.34'
y Nr.n o ° ~ 9y 60 PROPOSED GARAGE FLOOR ELEVATION= 939.0 ~
b~ w N p N;CNn n~ ~9G~ 9~ PROPOSED LOWEST FLOOR ELEVATION= 930.34 rn
01 ~O 0 ~ ? R ~ `a ypas ~y
' /\'Q_ ~ CApS. 46 ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS
1 r '0 y5OF A FOOT AND CAN BE USED AS BENCHMARKS.
9306 0
` 01 \ 929 g4U ~'N 92 p DENOTES IRON
p g3p77 MONUMENT y- CI '-I
S X 000.0 DENOTES EXISTING
ELEVATION
~OOO.O~ DENOTESPROPOSED >
9,y90 ELEVATION W •
DENOTES DIRECTION > 00 ~ F
OF SURFACE DRAINAGE O
~ O V
'n DENOTESSANITARY aj
_ v^ %13 ~l ~0 6 ~ 92O.S SEWER SERVICE ELEVATION ~ o aI Fd z
V + f
Ik y
i L gti`~ 2 ~ A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR . . 0
° ~ry ~ Z
t D~ E NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR w Q NL~ ¢
OO1 NON-EXISTENCE OF RECORDED OR UNRECORDED _ F- a~y r Q
\ 929.0 D~11 E~ y1 1~E / EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF~'- Q~ 0
y w
THIS SURVEY. C-) a Fy O
L~ 0
r $~O~ I hereby certify that this is a true and correct representation w a U U
of a survey of the boundaries of: U
S ~ LOT 2, BLOCK 2, PINETREE PASS 5TH ADDITiON
/ DAKOTA COUNTY, MINNESOTA
And the location of all buildings, if any, thereon, and all visible DRAWN
~ encroachments, if any, from or on said land. As surveyed by RS
me this 26th day of February, 2003.
~ CHECKED
GRG
HARDCOVER Ov28 03
LornRen= is,oass.F. TREE SUMMARY SCALE
HousE nREA = 2,520 S.F. Gary R. Germond AS SHOWN
COVERAGE = 15.66°h EXISTING TREES = 0 Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO.
5402-675
Address: 4642 Summit Pass Zip: 55122
Lot: 2 B1ock: 2 Subdivision: Pinetree Pass Sth
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON f~ •,f
Yes No Comments
Final rade - 6" from siding
Permanent ste s- gaza e
Permanent ste s- main entry
?
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fire lace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the ouuide lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in righbof-way or installing
irrigation system.
~ BUILDING INSPECTOR: ~ Ctl
CONTRACTOR:
Lundgren Brothers Construction
935 E Wayzata Blvd
Wayzata, MN 55391
Site address ~~~'Z SU m+r 47', V S ' Lot o? Bloo§j
Subd. C i IJETre6c /014~;s rJ m
~+..«..n. ,-e._.---..._._ .."rOn April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was atloptetl. As a result, the City of Eagan is requiring that the following intormation be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapler 7670 '
~ OR
This siructure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
water Heater PS ~ boU vG
furnace
a5-0 D ) --c, tw) VCl
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's ves No
Kitchen kitchen
Bathroom 1 LL 3~4
Batnroom 2 PO ~
Bathroom 3
sr~2 1 O O
la
AT`r w
Bathroom4 a w n~p C~/t,1 Slj J06
S~
Olh@f /'~13UfV7~R. ~ ~ SC7 Jr~ ~ WFL
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S F DIAECT prMOs
~ R s G (o w0
MAKE-UP AIR MODEL TYPE CFM's
Ve-1) 1 E7 2.(, L- ELD so
I hereby acknowledge that the above informalion is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
,
Sign ure ~ Date
Company Name
' This form is the responsibiliry of the General Contractor.
PLiIMBING (RESIDENTIAL) $S65-"
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts aze required for each unit
Date /0 / ~3l / G~
Site Address Y679 Unit if
Property Owner 'Sd~ff qLOm.l [ ) Telephoue # ( )
Con?ractor •
Address _/5~4 w,4 L, ,u i(n J City Iz~Ai L.t _
State )t ,C , Zip _~t'f Telephone #
The Applicant is _ Owner ? Contractot _ Other
Septic System New Refurbished Su6mit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consuitant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
? Adding fiMures to lower levels or room additions, excluding water soRener and water heater
_ Aban\onment of septic system
_ Water tumaround 5~/}8" meter if need d-$121.00)
_ Other. f~ Q~l, i)-C_p
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ addifional
Stacesurcharge NOV 3 4 2013 50
Total BY g
I hereby apply for a Residential Plumbing Pernnt and aclmowledge that the information is complete and accurate; tUat the work will
be in conformance with ffie ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tkris is not a
permit, but only an application for a pernut, and work is not to start without a pemvr, ttiat the work will be in accordance with the
approved plan in the case of work wlilch requires a reNiew and approval of plans '
ElaJne kukou ieX] 11
Appli ant's Printed Name Applica Ys Signa re
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4642 Summit Pass
Lot: 2 Block: 2 Addition: Pinetree Pass 5th
PID:10- 57664- 020 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Warren Mclean
4642 Summit Pass
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA085901
09/08/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (551) 675-5694
QED ?
2m1Cr'
Use BLUE or BLACK Ink
1
Permit#:1 OOP'
Permit Fee: 55, O /d
Date Recelypd:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 46 2— 514,11 /n; I.
ie-C,c,.._ S / Z
Tenant:
Suite #:
RESIDENT 1 OWNER
CONTRACTOR
Name: LA) 0/1rY 01n 141 1 Phone: 6*".5) "0-4 LlG
Address / City / Zip: f' ' ?y„L 7 v �J /22—
Name: MILBERT COMPANY INC.ciba CULLIGAN WATER
Address: 1801 50TH ST EAST City: INVER GROVE HGTS.
State: MN Zip: 55077Phone: 651 .451-2241
Contact BILLMILBERT Email:
TYPE OF WORK
New Replacement _ Repair Rebuild _ Modify Space _ Work in,R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
_pater Softener
Add Plumbing Fixtures Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $3�d�
CALL BEFORE YOU DIG. Cali Gopher State One Cali 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.00vherstateonecaliorq
1 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 sta without a peAa. that the work will be in
accordance with approved plan in th case of work which requires a review and approval of plans.
/ /kin / ief 'WA*
Applicant's Printed Name Applicant's S , na ur
4
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156606
Date Issued:07/09/2019
Permit Category:ePermit
Site Address: 4642 Summit Pass
Lot:2 Block: 2 Addition: Pinetree Pass 5th
PID:10-57664-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Warren Mclean
4642 Summit Pass
Eagan MN 55122
(651) 452-1468
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature