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4653 Summit Pass (~SG~b .30~5?.~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ / I ~'I / ~ ~ C I nG~ Site Street Address ~-Y~L ` Jv~ ~'1'1 itiLc i-/t ~~lT~.U Unit # Property Owner l~~C'~C%~ ~J~,~.~Cx-~ 1r~ "CJ~ Telephone# F%~~ '~7~ '~"f `J - Contractor JtC:.~: -~~i , '~i..~11~~~~\ X Telephone# ~I~~i G~ ~~i~j ~ ~ I1' Address i~~t~~~'l ~~-~C'a~ ~Z~ 1~.7 City~ Lc~-~-~~. State Zip ~'v The Applicant is: _ Owner ~Ctontractor Other ~ Alterations to existing dweiling ~~`y ~ 4 $ 50.00 _Add fixtures to rooms, excluding water soft n~r ~~d~y~~t~ rceater _Septic5ystemAbandonmeM ~~j _WaterTurnaround (add $121.00 if a 5/8" me r is r~r _ Other: gy Water Softener _ Water Heater $ 15.00 _ replacement _ additional _Lawn Irrigation System RPZ_ new pair _rebuild $ 30.00 State Surcharge $ .50 ~SC~ Total ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the +nformation is complete and accurate; that the work will 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. ~~,u,~~~ ~ ~~rlf~' / ,/G~ `7_~ AppiicanYs Printed~ ~---J j'' ApplicanYs Signature ' Address: 4653 Summit Pass Zip: 55123 Lot: 4 Block: 1 Subdivision: Pinetree Pass Sth THE FOLLOWING ITEMS WEIiElWERE NOT COMPI,ETE AT FINAL IT'SPECTION ON ~'Z~ /Q ~ Yes No Gomments Final ade - 6" from sidin Pertnanent steps - arage Permanent st s- main ent Permanent drivewa Permanent as ReYainin Wall ar 3:1 Max Slo e Sod/Seeded lawn Trail/curb dasna e Porch Lower level finish Deck Fire lace f~ i~ 6 • Verify with your builder that roof test caps from the plumbing system have been removed. • T~im off water supply to the outside lawn faucets before freeze potential e~cists. e Call the Cih;'s Engi;.~ering Depar:ment at 651-675-55A6 pr.or-to wozking in right-~: ~.n~ay oz instal:ing - : irrigation system. ` "4-~ Y BUILDING INSPECTOR: CONTRACTOR: Lundgren Brothers Construction 935 Wayaata Blvd E Wayzata MN 55391 Sileaddress: ~~p ~(a i`~~5 Lot~ 81ock~ Subd. ~/~I~T/Z~~ 5 On 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 sWCture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 ~ OR This structure: wlll be construcled to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MO~EL BTU'S VENTING TYPE waterHeater ~ (,S - c~ PV~- Furnace ~Q ~ Z Q (2 U ~ Dryer VENTEO EXHAUSTSYSTEM LOCATION TYPE MODEL CFM'S Yes Na Kitchen kitchen Bathroomi Q~v~~~ p C ~ - Batnroom2 L~ ~~v s ~ ~~o ~ ' M 56 Bathroom 3 Z ~ 56 ~ Bathroom 4 Other VENTING FIREPLACE S LOCATION GAS WOOD MANUFpCTURER MODEL BTU'S DIFECT qrntos I ~ ~ ' ST L '~J ~J MAKE-UP AIR MODEL TYPE CFM's ~ ~ ~ i Z,O ~ I I hereby acknowiedge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan requirements. - /~-9 -6~ 3 Sig ature Date /"c s, S72P~1'ld7~ CompanyName ' This form is the responsibility of the General Contractor. ~~--=w ~a~~:3-- ~Q_~aglZ ~~~~~-~.3~ ~of- +-I- (3 l oc~- i ~SIDENTIAL BUILDING Permit Application '(~'1 (Q Z$13 ~ ~ ~1 ~ City Of Eagan P P,~ Zg ~ y ~1'D .,Sa ~~R-~~ ~~S 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 ~~g, 3S New Construcdon Reauiremenls RamodeVReoairReauiremenis Oflice Use On 3 registered sRe surveys showing sq. R of loi, sq. (t ot house; and all roofed areas 2 wpies of plan rt of Survey Recd ~ ~ Zt0 ~ (20% manimum lol coverage allawed) 1 set af Energy Calculations for heated ~ditions Tree Pres Plan Recd 2 copies af plan showing h~m & window sizes; poured found design, etc. 1 site survey for edtlitions 8 ded~s ~ Tree Pres Not Read 1 set of Ene~gy Calculatiars Addition -indicate ilon-sde sepGc system _ Oo-site Septic System 3 wP~s of Tree Pmservation Ptan i( bt platted after 7f1193 y Rim Joist ~efail OpUons selec0on shcet (bldgs wAh 3 or less units ; ri l. Date _L / ~ / (~.3 n Construction Cost ~ ~ ~ J~~ Site Address YCo 5~ ~ L+ rn vn i t t`~JSS UniGSte # ~ Description o[ Work S~ n Multi-Family Bldg _ Y x N Fireplace(s) _ 0 ~j L _ 2 Property Owner Telephone # ( ) Cootractor ~-,~~)DG2E,l1 ~}t.S l.c1n 757 Rt~l~T/ O wS Address 5 ~15 ~ /~ouna ~ ~ . c~ty )R Yz T~ 5tate ~ ~ Zip 553~ I Telephone # (~J'S71 a, - q ~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCT S's._A,.NEW BUILDING Minnesota Rules 7670 Cateaorv 1~~ esota Rules 7672 Energy Code Category ~ - I • Residential Ventllation Category 1 ~~~C 0 9 2003 New Energy Code Worksheet (J suhmission rype) Submifled I Su6mitted . Energy Envelopa CalculaUons Suh d Licensed Plumber L DE By ~ ep one l,~ `~~S'~(~9 Z Mechanical Contractor ~ ~A ht DF,2 !~'1 E '(~{ft ! C ~ Telephone # (R~ L~ ' ~(~~''i ~ Sewer/WaterContractor ST~96L ~LG m E,l ,u ~r Telephone #~?7~~4~1f g~~ 1 hereby apply for a Residential Building Permit and acknowledge that the infarmation 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 plan in the case of work which requires a review and approval of plans. ~~1-Ra~~/LA LLF~U2D h~ , ~ Y ~4./~' ~SV ApplicanYs Printed Name App i~t's Signature /1 aE'~9sz~~~9 ~~/s~~l i OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-p~ex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. 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 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ~ 31 New ? 35 Int Improvement ? 38 Demolish (Inte~ar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (FoundationJ ? 45 Fire Repair ? 33 Alteration ? 37 Demotish {Bidg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ~%l ~l.l~~ Occupancy (G'3 MC/ESSystem Census Code D ~ Zoning ~Z. ~ j City Water SAC Units I Stories Z- Booster Pump Nbr. of Units I Sq. Ft. Z S~O S PRV Nbr. of Bidgs ~ Length y Z Fire Sprinklered Type of Const ~(1`1 Width , REQUIRED INSPECTIONS ~ Footings (new bldg) ~g FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) _ p~~~g ~ Foundarion _ ~pC LO Drain Tile Other Roof ~ Ice & Water 1? Final _ Pool _ Ftgs _ Air/Gas Tests Final ~q FraTrung _ Siding SNcco _ Stone ~Q Fueplace ~ R.I. Air Test ~ Final _ Windows (new/replacement) ~j Insulation _ Retau~ing Wall Approved By,~~ Building Inspector ~ BaseFee ~4~~0~,~~ S+~-UP X,?'~~°O = ~8~~' ~ Surcharge ~ Plan Review ~~2~~j 'i-° ~ z sx ~b. o~ - by ~ 'D MC/ESSAC V~~S~»~etaf iy7~ X i!'ao = ZZ~y~~Q~ c~cysac mr~,~F~oa~. ty9y ~cS~l. ou ~ ~jO~i'7to.Od UtilityConnection Charge UPP B~ ~1on~ l/~~ X~y~ = ~j 77' S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Permi[ Number MECcheck Compliance Report 1999 Minnesota Energy Code MECcheck Software Version 3.2 Release 1 Checked By/Date TITLE: Chatham "B" Inventory Home COUNTY: Dakota STATE: Mirmesota ZONE: 2 CONSTRUCT[ON TYPE: Single Family DATE: 12/24/03 DATE OF PLANS: ] 2-4-03 PROJECT INFORMATION: 4653 Summit Pass ' Stonecliffe COMPANY INFORMATION: Lundgren Bros. Construction, Inc. 545 Indian Mound East Wayzata, MN NOTES: 9' Foundation Full Foundation COMPLIANCE: Passes Maximum UA = 574 Your Home = 492 14.3% Better Than Code Gross Glazing Area or Cavity Cont. or poor Pe~imeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Tmss 1710 44.0 0.0 46 Wall 1: Wood Frame, 16" o.c. 184 12.0 2.0 14 Wall 2: Wood Frame, 16" o.c. 22 19.0 2.0 1 Window I: Above Grade, Vinyl Frame, Double Pane 9 0320 3 Wall 3: Wood Frame, 16" o.c. 128 12.0 2.0 10 Wall 4: Wood Frame, 16" o.c. 1800 19.0 2.0 85 Window 2; Above Grade, Vinyl Frame, Double Pane 212 0320 68 Door 1: Solid 18 0.067 1 Door 2: Glass 47 0320 15 Wall 5: Wood Frame, 16" o.c. 1296 19.0 2.0 64 W indow 3: Above Grade, Vinyl Frame, Double Pane 154 0320 49 Basement Wall 1: Solid Concrete or Masonry, 9.0' hU8.5' b~9.0' insul 1616 0.0 5.0 129 Floor 1: All-Wood Joist/Truss, Over Outside Air 44 33.0 0.0 1 Floor 2: All-Wood Joist/Truss, Over Unconditioned Space 195 33.0 0.0 6 Furnace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Giass Doors 0320 0370 (ncludes Foundation Windows> 5.6 ft2 Floors Over Unconditioned Space 0.030 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations suhmitted with the permit application. The proposed building has been designed to meet the 1999 inneso E y Code requirements in MECcheck Version 3.2 Release I. Builder/Designer Date~~~ ~~A~7 ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL 6 BUIIDING PERMR APPIICATION 3 ' ~ PROPERTYLEGAL: ~oT 4 Bcaek / ~,vEt2E~ ~QSS" 5 ~H LIDDirioN DATE OF SURVEY: LATEST REVISION: m ~ c m L U Ya ~ O~ Q DOCUMENTSTANDARDS ? . Registered ~and Surveyor signature and company ~1~ ? ~ • 8uilding Pertnit Applicant ~ ? ? • Legaldescriptlon ~ ? ? • Address ~ ? ? . North arrow and scale d~ • House type (rambler, walkout, spl'd wlo, split entry, bokout, etc.) Q~ • Directional drainage arrows with slape/gradfent Yo 0' • Proposed/existing sewer and water services 8 invert elevation ~ ? ? • SVeet name ? ? • Driveway ES~ ? 0 • Lot Square Footage ? • lotCoverage ELEVATIONS ~ Existin ~O ? • Sewer service (or Propased) ~ ? ? • Property comers LA~ ? C • Top of curb at the driveway and property line extensions ? • Elevations of any existing adjacent homes • Adequate footlng depth of sWCtures due to adjacent utllity Venches a ~ ? • Waterways (pond, stream, etc.) Prooosed H" 0 C • Garage floor ? ? • Basement floor ~je G • Lowest exposed elevation (walkouUwindow) Lg'~ ? • Property comers 6' ? C • Front and rear of home at the foundation PONDING AREA (ff applicablel ? d./ ? • Easement line ? H/ 0 • NWL ? L7/ 0 . HWL ? 6 ? • Pond # designation ? f~ ? • Emergency Overflow Elevation ? ~ ? • Pond/Wetland buffer delineation DIMENSIONS Ls3 ? ? • Lot Iines/Bearin9s & dimensions ? • Right•of-way and street width (to back of curb) 0~ ? a • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc. (i.e. all structures requiring pertnanentfooUngs) ? • Show all easements of record and any Ciry utilities within those easements C7 ? • Setbacks of proposed sWcture and sideyard setback of adjacent e~risting sWctures ? LN~? • Retaining wall requirements,'rfany Reviewed: ~ ~~--3~-03 Name Date GJFORMSlBuild(ng Permrt Appliratlon ~ 30 15 0 15 30 60 • REVISIONS ~ LEGEND RES i imroa as , - fl 3:9 ~m O$ DENOTES SANITARY MANHOLE ~ iyuyoa Rs SCALE IN FEET ~~~~llll~~ ~r ~ DENOTES ITYDRANT REV79/03OGRGRSS 5a ' ' ~ v\\ ,i{~~ ` ~jO T ^ 1 ~ ~~Ulf~ ~ ~ DENOTES CATCH BASIN U ~ DENOTES STORM MANHOLE ~ ~ ~ 12 M~p~ ~ ~ DENOTES STORM APRON " ~ \ - ~ - DENOTES APPROXIMATE REAR OF BUILDING PAD ~ o ~ O DENOTESIRON MONUMENT NORTH Z~ I ~ 1 a,s . Na _ < ~Z f 0 ~ ~ $ /y x 000 .7 DENOTES EXISTING ELEVATION ~ m EX~ D N= 9 3 4. 6 E! D~~"`~ 6~~~~~a~~~ D~ ~ \ (OOO.O) DENOTES PROPOSED ELEVATION N'm' N ~p~~ ~i , og4 47 g33.93 O , i ~~l ~ " ~ V DENOTES DIRECTION OF SURFACE DRAINAGE ~ a 183.80 N89°19 27"E w °r ~ ~ ~ 953.3 a ~7j ~ O J "'r 922. DENOTES SANITARY SEWER SERVICE ELEVATION S 9. 4 x 9 3 3 7 9 4 9 8 x 9 3 3. 3 0 ~ o ,,s ~ Q N ~ W 3 m> ~9''~. Zo_33 ° y~ . ' ~~i ~ / HARDCOVER TREE SUMMARY N N N N + E t. P S i O ~ Q I ' O I ~V %9FSZF3 „~jT N i~~ 5 ~~~~I 5 6X i~~ I " 0~.•:;~ ' Q~ LOT AREA = 16.838 S.F. EXISTING TREES' 0 ~ m O I~ CANT. Q~ Za ~.~~„,p, ._g , H O U S E A R E A = 2, 0 7 3 S. F. T R E E S R E M O V E D = 0 ~ . 4.02 00 o, 19.65 Z ~ Q; = ~ _ ~.N ls., COVERAGE = 12.3% ~ o ~ ( ~ W N fl ~ ~ f/1 P~~4.~C Q V1 Q ~.~G ~~§~L.... "'C. ~j ~ N ~ x 9 a 0 2 7~ ~33 11 x ai 5.0 m a m vi ~ . J ~ / ~yoas gb~ H N I 932.%a h In ~ O J~ S ~ o, p' f (t,~~ NOTES: 6 N y N I 6A ` Ci ~ v ~?-9-2}--- S BUILDING PAD CORRECTION PER GRA~ING PLAN APPROVED BY w n~ ~ o THE CIN OF EAGAN. THE CONTRACTOR SHALL BE RESPONSIBLE ; O I x I a,°; y~ a ~ ~n ~,ti~' ~ ~ r.~ FOR THE FIELD VERIFICATION OF THE EXACT LOCATION OF THE "'m,~ ~2'~ O 9`'i~g~ ~rn a a ° o'd BUILDING PAD. ~roj oES` _w y I o ri o ~ rn G~ Q Z I DRAINAGE & UTILITY x 937 fi3 2; a ' / R/ ~O 4~• :A ~ 3 MUST MAINTAIN A MINIMUM 2% SLOPE GRADIENT TO ACCOMODATE • ~ EASEMENT ~ = 29~96 ~ POSITIVE DRAINAGE. ~ ~ p No 937y53 93a.5) -01 ~ ~Q.~ 931 .,2 x ~ ~ 932 23 (93~}x O ~ ALL OFFSET IRONS ARE MEASURED TO HUNDREDTHS OF A FOOT x^ + Ncy1 ~`l~ O ~ / AND CAN BE USED AS BENCHMARKS. } "sa5 a~ ys~.r31 as 4.84 ~y°~ o,. ~ W ~ a (946.4) N89° 19~27~~E g32 83 ~ 8~~~32 68 L 0 ~ D O E S N O T P U R P O R T T O S H O W E X A C T LYO H O W T H ~ R I V E W A Y ~ ~ U~ H~~ / / SHALL BE BUILT. (n o m Z Z 1FDN~933.4 ~ ~ u- LL ~ I A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR NOR ~ w ~ z W A S A S P E C I F I C T I T L E S E A R C H F O R T H E E X I S T E N C E O R y tq NON-EXISTENCE OF RECORDED OR UNRECORDED EASEMENTS ~ a W / CONDUCTED BY THE SURVEYOR AS PART OF THIS SURVEY. U~~ Z w ~ y~ l~ a ~ ~ o ` ' ~ 1 / ~ - 1 i , ~ Z ~ ',i . I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT ~ ~ U U I l / REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: V J ~ 6O LOT 4, BLOCK 1, PINETREE PASS STH ADDITION /Z ~ ' DAKOTA COUNTY, MINNESOTA ' L ' . AND THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AN~ ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS DRAWN SURVEYED BY ME THIS 20TH DAY OF OCTOBER, 2003. DBPIRS CHECKED PROPOSED ELEVATIONS SETBACKS GRG PROPOSED GARAGE FLOOR ELEVATION= 934.63 MIN. FRONT YARD SETBACK = 30' DATE `(~(,L, 11/18/03 PROPOSED TOP OF FOUNDATION ELEVATION= 935 MIN. SIDE YARD SETBACK = 5' GARAGE, 10' HOUSE PROPOSED BASEMENT FLOOR ELEVATION= 926.33 MIN. REAR YARD SETBACK = 15' SCALE Gary R. Germond AS SHOWN Licensed Land Surveyor, Minn. Lic. No. 24764 ,106 NO. 5402-673 ~ ' ) t~, B~ b~b Zoo~ RESIDENTIAL BUILDING rExn7iT arrLrcaTioN ~ J City Of Eagan ~/l S 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUuc6on Reauirements RemodeUReoair ReQUiremen6 O(fice Use Onlv 3 registered site surveys showmg sq. ft. of lot, sq 8 of house; antl all roofed a2as 2 copies of plan showing footings, beams, joists CeR of Survey Recd _ Y_ N (20% manimum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report Y_ N 1 Soils Report if pmposed buiMing is to 6e placed on disturhed soil 1 site survey for addihons & decks Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes~ poured found design, etc. 4^~~ldd8ion - mdicate ifon-s8e septic sysfem Tree Pres Required _Y _ N 1 set of Ene~gy Calculations ~1 9 1 L On-site Septic System _Y _ N 3 copies of Tree Preservahon Plan H bt platled aRer 711193 Mp,` a Rim Joist Dehail Options selectbn sheet (buildings with 3 or less unifs) Minnegasco mechaniral ventilation form ~ / Ptans are considered public information unless ou state the are trati) e~c~et and h reasan. Date ~ S / S/ / n 7 Construction Cost ~ Z~~ Site Address ~d~ ~ S ~ -S ' ~ UniUSte # Description of Work / ~'-P"~ ~ Multi-Family Bldg _ Y~N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~ r-` ~7 4 a 9~~ Telephone 6~/ ) ~2- g 9 Y~ Contractor ~ ~ ~ ~ ~ ~4a ~T` ~ Address g~12 ~a`•",a`, w`'d City ?~c ~~is State Zip ~S3 Telephone S! ) Z 3 S S~l'7 Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New E~ergy Code Worksheet (~submissiontype) Su6mitted . Submitted . 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? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) 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 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 plan in the case of work which requires a review and approval of plans. Po.~~/~ Sa~~4~~~ ApplicanYs Printed Name A plic s ignature^-~~ DO NOT WRITE BELOW THIS LINE . - Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? D2 SF ~welling ? OS 06-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 ? 04 02-plex ? 10 08-plex l~ 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. / ? OS 03-plex ? 11 10-plex ? 19 Lower Level. ? 24 Storm Damage ? O6 04-plex O 12 12-plex ? 25, Miscellaneous Work TVUes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteratlon ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 RBp18Cement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation /y~~ Occupancy MCES System Plan Review ~ 100% or _ 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock ~C Footings (deck) FinallC.O. 7 Footings (addition) ~ FinaUNo C.O Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Ficeplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall / Approved By: ( ~ , Building Inspector Base Fee Surcharge y ) / /C ~ c7 Plan Review Z/(.-'1 C/ w~? MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 30 15 0 15 30 60 REVISIONS LEGEND RESTAKE 3.y M OO DENDTESSANITARYMANHOLE 112vo3R5 SCALE IN FEET aXlln[~m ivoama Rs REV. PRO. GRADES ~jO 8~~~~~~1~f19W~ w~ ~ DENOTESITYDRANT H9/03GRGRS 3p 1 ~~qUired DENOTES CATCH BASIN ~ ~ - ~ 7,, ~ v ' -.o ''~,['~5,~' ~ ` ~f Q DENOTESSTORMMANHOLE ~p H ~s f ~m~~*~J~~ J V - 12 ~ ~ DENOTESSTORMAPRON ~~~I~ ~ \ DENOTES APPROXIMATE REAR OF BUILDING PAD U o °w I , ; _;a . N~ O D E N O T E S I R O N M O N U M E N T N O R T H Z a p~ ~ ~z' 3 ~ p' S ~ x!~00 0 ~ENOTES EXISTING ELEVATION ~ m EXISiING HOUSE, , O~~!? ~~~'~~~~~tl`~~ ~ ~ ~ (000.0) DENOTES PROPOSED ELEVATION ? ~ • TFDN 934.6 a34_47 ~933.9? ~ i ; ~ f DENOTES DIRECTION OF SURFACE DRAINAGE 953.3) N89°19~27~~E o ~F33.HO ; c)~~~~ Vo J~`~i ~ \ 22. DENOTESSANITARYSEWERSERVICEELEVATION gt p .c x 933.79 47.9$ x9..3.3D ;o ~ ~ / W 3 .N _ 9 1.,-_ ~ ~e . q~ ~ m Q ~ ~ ~ zo.33 ~ ~1~,q-. o ~ / HARDCOVER TREE SUMMARY ~j o ~ ~ ~ O~,'~° > ~ ~6V Q x g43.26 ~ p ~ ~ ~ rai u ~ ~ ~ ~ E ~S 6z ~ ~;1 ~ ' S7~ ~ LOT AREA = ~6,838 6.F. EXISTING TREES = 0 ~ & CANLa' ¢ ~ 20 m.~ " ~t'~'.~'~r~{t~~'~.~ "~j$' S ~ P a a . ~ n ~F ~,.k.q j ~ ~ . HOUSE AREA = 2,073 S.F. TREES REMOVED = 0 ~ j ~ ~ 4.02 rn 19.65 c9 0~ n C ~.1 zr a, n.„ ',S. z y, h~..~ \ COVERAGE = 12.3% p N ~~3'.,s.:~:1~'~.:.53~,'+IYS~.'=.= \ Q N ~ I ~ W 4.~2 UD W N '.1qi, ':.k~JY;';_'.'ii~.`„~ J 1 ~ Si V VI Q 1.02 .n j~ - N . x 9a0.2' ~33 1~3 oi 5.0 m a 10 . J ~ S/ ~~oas gy~ry I C~ ~ i(~-~` NOTES: e "6 Jg ~ q µ 6 N 6.0 ~ ~i 3~?:4~---- S BUILDING PAD CORRECTION PER GRADING PLAN APPROVED BY p u~ a o`" ~ ~ THE CITY OF EAGAN. THE CONTRACTOR SHALL BE RESPONSIBLE ~ ; p O °i „a~ ri $'iv"'i d I~ q`ti ~ ~ FOR THE FIELD VERIFICATION OF THE EXACT LOCATION OF THE "'my ~a" ~ I ~ 9 a a °o ~„'~j , BUILDING PAD. ~~3 o£s• z „ ~ ~ ~ ~ h p ~ DRAINAGE & UTILJTY " 9~''~=3 I 29 96 ~I v ~0~~' t~' MUST MAINTAIN A MINIMUM 2% SLOPE GRA~IENT TO ACCOMODATE EASEMEN7 ~ ~ '~j~ ` POSITIVE DRAINAGE. L~ 937 82 _ ~ 93}` 3 93~.5) 01 ~ ~Q./.. ~ ~ ^ 932 25 (93t)x O t~ ALL OFFSET IRONS ARE MEASURED TO HUNDREOTHS OF A FOOT "~ee.a~ X ys~ s~ 4. ~ ~s- 4. 8 4 ~,a ~~J / AND CAN BE USED AS BENCHMARKS. w (946.4~ Nggo ~ 9'27"E 932.83 ~ 86 I932 ES ~O~ ~ THE PROPOSED DRIVEWAY SHOWN IS CONCEPTUAL ONLY AND ~ O O pp511NG I / DOES NOT PURPORT TO SHOW EXACTLY HOW THE DRIVEWAY ~ ~ U cn HWSE / A SHALL BE BUILT. (n o m Z Z ~-9~4 ~y~ A TITLE DPINION WAS NOT FURNISHED TO THE SURVEYOR NOR Q W Z~i Z 1 ~ t WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR W~ W a Q~, 1~ rj y NON-EXISTENCE OF RECORDED OR UNRECORDED EASEMENTS F- a~ \(.\O ~ / CONDUCTED BY THE SURVEYOR AS PART OF THIS SURVEY. U~ Ur z w 1 y~ LL a ~ ~~`O i - V y~ I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT W J U V ~j~ ~ T s .3¢ / REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: V I / y Z c~~r~n~~f--_- 'v ~".e.-~,...-.- I ~ ~ 6O LOT 4, BLOCK 1, PINETREE PASS 5TH ADDITION DAKOTA COUNTY, MINNESOTA . AND THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL DRAWN VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS DBP/RS SURVEYED BY ME THIS 20TH DAY OF OCTOBER, 2~03. CHECKED PROPOSED ELEVATIONS SETBACKS ~ GRG on-re PROPOSED GAR4GE FLOOR ELEVATION= 934.63 MIN. FRONT YARD SETBACK = 30' 11/18/03 PROPOSED TOP OF FOUNDATION ELEVATION= 935 MIN. SIDE YARD SETBACK = 5' GARAGE, 10' HOUSE SCALE PROPOSED BASEMENT FLOOR ELEVATION= 926.33 MIN. REAR YARD SETBACK = 15' GB~y R. GeffllO~d AS SHOWN Licensed Land Surveyor, Minn. Lic. No. 24764 JOB NO. 5402-673 City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit Fee: Date Received: Staff: Permit #: / D / Y 3 Io,3LI2, 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: 3 Jv cwt LSA ---------- ---- Tenanti,`'k�GYtt.�� Date: Suite #: RESIDENT / OWNER Name: 3kkrV-&__-. D r " Address / City / Zip: /P� Si/11't1 alK -- Phone: (P5 I - 46Z - ,� 1 $ S CONTRACTOR 31-1115874 Name: APFi i License #: 5-12-0q Pivk Address: ; 1313 Danita Circle City: Shakopee, MN 55379 ,i , t State: Zip: --- Phone: �h �' `1 b '"` `t .." Contact: - tU tom PC--` Email: k. 11 CLA e e -C 0 nAcc C n s e4661.co . coil TYPE OF WORK New Replacement Repair __ Rebuild Modify Space Work in R.O.W. — ___ — ___ Description of work: rev\OCe,y�a.+a-s of t' h - PERMIT TYPE RESIDENTIAL Water Heater - Water Softener ____ Add Plumbing Fixtures L__ Main / ___ Lower Level) Water Turnaround _ Lawn Irrigation (_ RPZ / _ PUB) _._ Septic System New_ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) U[%`� TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecalf.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. Applicant's Printed Name FOR OFFICE USE Applicant's 'i : nature Reviewed By: Required Inspections: Under Ground Rough -In Air Test Gas Test Final City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 'tJgLj Permit Fee: Date Received: 3- I ?H3 Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION', Date: 3-12- /3 Site Address: Tenant: y(53 5wn Pa SS FajctiA ulV Suite #: Resident/Owner Contractor Name: Phone: Address / City / Zip: Name: Prec,s/crt flu -04/j /AC . License #: PGS, '.? ' Address: 11/21/ keifzie City: S/:/el State: Contact: NA/ Zip: 5:5376 Type of Work Phone: 74,3-gf97-7 8t * These Email: S New _ Replacement _ Repair Rebuild Modify Space Work in R.O.W. Description of work: Permit Type laSestek, lathier* toee RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Water Turnaround Lower Level) RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surchlarge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 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) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances ani 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 dt K i peruk Applicant's Printed Name FOR OFFICE USE x Applicant"s gnature Reviewed By: Date: Required Inspections: - Under Ground _Rough -In Air Test _Gas Test Final *' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUR or BLACK Ink For Office Use Permit #: t iC Li Permit Fee: Date Received: Staff: /3 f 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 5 `! Site Address: +053 UpikMUM I I 5 Unit Resident/ Owner Type of Work Contractor Name: <.Lt g.,\I P e6 1 . Phone((es,'+S' Address / City / Zip: 4-14.0 E1 ‘..1A-84.0/1 t'1' -fks r E1q h Poi 5.5122 Applicant is: Owner kContractor s4q (o Description of work: 1-1't?- (XV ?)'' 11 t1/4.14,--1 Construction Cost: 2.51 `O Company: r,.l iSP1 Lli (• vyk - Address: ( 0(0 Vs -14X, tt/-3-- Multi -Family Building: (Yes Contact: City: 2 lilt -i-- Coo 3 State: Zip: G 53 4 Phone: License #:C. o`? ) 2251 /N q6 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informatio the information may be classified as non-public if you provide specific reasons that would per conclude that the are trade secrets. Portions of it the City to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damag before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances an 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; th accordance with the approved plan in the case of work which requires a review and approval of plans. Call 48 hours codes of the City of t the work will be in Exterior work authorized by a building permit issued in accordance with the Minnesota Stye Building Code must be comp eted within 180 days of permit issuance. x Applicant's Printed Name x Applicant] Signature Page 1 of 3 L+11) 53 SUL ?Cis°�' DO NOT WRITE BELOW THIS LINE oi4DT SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex �jtower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In _Air Test Final Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width S. Insulation Sheathing Sheetrock Reviewed By: 1 , Building Inspector Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant 14 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149893 Date Issued:06/13/2018 Permit Category:ePermit Site Address: 4653 Summit Pass Lot:4 Block: 1 Addition: Pinetree Pass 5th PID:10-57664-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Suryanaray A Duggirala 4653 Summit Pass Eagan MN 55122 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155389 Date Issued:05/14/2019 Permit Category:ePermit Site Address: 4653 Summit Pass Lot:4 Block: 1 Addition: Pinetree Pass 5th PID:10-57664-01-040 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 - Suryanaray A Duggirala 4653 Summit Pass Eagan MN 55122 (651) 452-8946 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