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4838 Sycamore Dr INSPECTION RECORD ' ~ CIT~',f OF EAGAN PERMIT TYPE: ~ ° ~ ~ ? + ~ ~ ~ - ~ ~ 3830 Pilot Knob Road Permit Number: 4> Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDRESS: ` ~ ~ ~ ~ ~ ~ ~ " APPLICANT: t„i , i;t:~;; ~ nrl~?rt . , , ~ ni~ PERMIT SUBTYPE: TYPE OF WORK: . . ~ ~ ~ ~ ~ ~ 1 ~~iir Ir1~~ , 1 i I i! I~1i 1 . I itlli,~~ { i' {1 i ! t t i;i~ , 11~l1i i ~ ~;~I.I ~ ~~:I ! t. r1i I t~l I!'•..'4 ~ 1 r;i 'r' 1~~rr~s ; 11~, ~ ~ ~ ~ Permlt No. Permit Holder Date Telephona +1 ELECTRIC ~ ~9~ , IS /~S ~ ~ ~ PIUMBING , ~ 9 S •S~o~J- 8`(~ HVAC ~(p 95 ~(p0 ' ~ Inspectlon Date Insp. Comments FOOTINGS L/~/(~ FOUND ~j ~ FRAMING N ,~c.c - s r- ROOFING . C.v Gl. /Y'" ~ ~ ROUGH ~ PLUMBING ~~D ~ PLBG X AIR TEST ROUGH ~ f~ HEATING { (3AS SVC ~r TEST INSUL GYP80ARD FIREPLACE ~ ~3,.~ ~ FIFEPLACE ~ /S~/ AIR TEST JI K~ FINAL PLBG _ d FINAL HTG ~O~ ORSAT TEST ~ BLDG FINAL ~ ~Q ' BSMT R.1. BSMT FINAL DECK FTG ~ECK FINAL ~ ~e~~cate a~ ~ccu.~a~.c~ ~itig o~ ~agan ~e~artmeMt ai ~~bi~g ~a~}~ection T'his Cert~fcate issued pursuant ro the requirements of the Uniform Building Code certifying tltat at the lime of issuartce this strurturie was in cornpliance wirh the uarious oidinances of the City r~gulating building constructron or use. Far the fo!lowing: ux c+~~~: Bldg. Permil No. ZS7ZO Occ„pa„cy Type I~/MI Zoo;ng Di~uK., RI Type Const. ~ o~~re~~ia~~MUO[~1AID ~]ST A~ 7601 145th ST W, APPtE VAi~.'Y 8~~~ nae~+838 SYCAt~Dl~ DRIVE ~;cy L2, &3, ~'Il3FS ID(~ 1ST ' ~ ~/i~~/y ~ , - ~,~w~~ o~;~ : ~ P05T IN A CONSPICUOUS PLACE Address 4838 5'tc[~xE ~uve Zip 5512 3 I.ot a Blk • 3 Sub P~s mc~ Isr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ~,~'j 5 Yas No Inspector: Final grade (6" from siding) Permanents[eps (garage) Permanent steps (main entry) ~ Permanent driveway l~ Permanent gas Sod/Seeded grass ? TraiU~~b damage ~ Porch ~ Basement finish ~ 6 O vG ~ Deck Please verify wi[h the buildet the removal of roof test caps from the plumbing system and the shut-off of water supply to [he outside lawn faucet before freeze potential exists. Contaq engineering division at 681-4645 before working in rightof-way or instelling underground~ sprinkler system. ~ While - City Copy Yellow - Resident,Copy Pink - Contractor Copy ~ 0- 55-992 ~~,~~~8~ Rap ~at / ~re No. RdugRln inspec~ion Required Insp~on O~her Th ugh-In ~ ~ h (You t call inspector when reatly) ~ Reatly Nav ~Will No~ity~clor ~,f ~es ? o Dale Ready O I licensed contractor ?owner hereby request inspection of above ec[riral Job A r ( ree eox or R le NoJ Ci~y f~. • Seclion No. Township Name w Pange No. Cou ~ Occupan [P I T) PM1O a ~ 3a- I PowerSu -er Adtlress ~ . E cal Contra tor (COr~pany Name) C ract r's License ~e . M'ling tltlr s ~ o actor ner Making Ins~ell 'on) Au ietl Signature ( o raclor/Owner M i Installatim Pp e bor a.~ ma - 3 MINNESOTA ST TE BOAflD OF ELECTRICRV THIS INSPECTION RE~UEST WILL NOT GrlggsMidway 91tlg. - Room 5-128 II II I:I I II I I I I I I I I I I II BE ACCEPTED BY TME STATE BOARO 1821 University Ava., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS P~one (612) 642-0800 ENGLOSEO. ~~(~s~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os See ins[ruc[ions for mmpletinq [his ~orm on back of yellow copy. d - "X" Below VL'ork ~~vered by This Request 7~' N Ad ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Dupiex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner O~her(speciy) ' Convacmr's Remarks: ~ Compufe (nspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps A ve 700 -Am s Signs InspeciorsUseDnly: . TOT L f_ r ~rrigation Booms J'(fj¢~ /,z j~-Q ~~7~~1'J o~J~~ Special Inspection ~ W Alarm/Communication ~ ~ THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETE~ WITHIN 18 MON HS. I, the Electrical Inspector, hereby Rough-in oai J certity that the above inspecNon has Final , oa been made. OFFlCE USE ONLY TTis request voitl 18 monihs hom + ~v ~ ~ ~ ~ 3 ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Constructlon ReauiramerMa RemodeVReoalr ReuuiremeMe 3 registered site surveys shawing sq. R of lat, sq. R of house; aiM ~II roofed areas • 2 copies of plan . ~ (20% mauimian bt coverage allowed) . 1 set of Energy Calculations for heated addifions • 2 copies of plan shmvog 6eam & wiMOw s¢es; poured ku~ design, ete.) • 1 sile survey for ezterror addAions & decks • 1 set of Eneyy Cakulatbns . Ind~ate'rf home served by septk system for additiore • 3 copies of Tree Preservation Plan'rf bt plaNed eftet 7/1/93 • RlmJoist~efailOpptionsselectionsheM(bldgswdh3arlessunRs) DATE Gf (J VALUATION ~0~(~(1(2`~ JOB SITE ADDRE y~~~~_S'~ri yi~l~~ ~j^i'(/ P. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER h ~E f i TYPE OF WORK 1'u ~ L' en i?' k ~°N IREPLACE(S) _ 0~1 _ 2 APPUCANT r~v'2S ~ i ~ PHONE# QS~ iP'~Y~ D~S~6~ ADDRESS _ ~~~n ~ ~L!/f~ GfY'y1,sUl ~ ZIPCODE ~533~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Confractor. Phone Plumbing System Includes: _ Water SoFtener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor. Y~I~J` QSl~~D (~C91/'Yf Phone # 7j~-~Y~~a Mechanical System Includes: _ Rir Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. 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 Ordi nces. ~ Slgnature of Applicant ~il~~ / Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Required _ Updated 2002 i OFFICE USE ONLY " ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? i6 Fireplace ? 27 Porch (3-sea.) ? 31 F~ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garege ? 22 PordUAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck O 23 Porch (screened) ? 38 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Stortn Damage 0 06 04plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors ? 34 Replacement "DemoliUon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System ~ Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Foo[ings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding SNcco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee ' ^ ~ Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit . Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDINC PERMIT APPLICATION ~T~'',9 3830 PILOT KNOB RD~EAGAN MN 55122 I~--~-"a. S ~ ~ 651•681-4675 New ConsWction Reaufremenn RemodeURemir Reauiremente • 3 registered sile surveys shawing sq. ft. W lot, sq. fl. of twuse; and all roofed areas • 2 copies af plan (20%ma~cimum IW coverage allowed) . t set of Energy Calculatbns for heated additlons • 2 copies ol plan shaxirg beam 8 window s¢es; poured fouM desgn, etc.) • 1 site survey for eMerior additans 8 decks . 1 set of Eneqy Calculatiore . Indiqte if hane served 6y septic system for additiora • 3 copies of Tree Preservalbn Plan H lot plaHed aftei 1/1/93 • Rim Joist Detaa OpUOns seieclian sheet (bldgs wAh 3 or less unhs) DATE ~ ~~~~a 2 VALUATION ~ °Ot~ SITE ADDRESS ~~b~J`'r~ Sy C~oeE MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Re- r~ fIREPLACE(S) _ 0_ 1_ 2 ~ APPLICANT ~~YrLp. ~.~'i~~s ,,~,I, STREET ADDRESS N-t~ .~'1 S~ CITY Qi.~ 7~ STATE ~ ZIP SS(/~ TELEPHONE~Q~1 ~L~S~OoZS~CELLPHONE (n!-7)3~S70S~ FAX#~i?~~ (a3S"_Or-c6 Y _ PRC. cRTYOWNER ~~'Y~t~ YYL7 I~e( TELEPHONE# ~a~" ~3~} 05~~ ; ~ COMPLETE FOR "NEW^ RESIDENTIAL BUILDINGS ONLY i - Energy Code Cate9o~Y - MINNFSOTA RULFS 7670 CATEGORY 1 MINNESOTA RliLES 7674 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted ~ n~ n~;~ r p ' SEP 3 0 2002 I Plumbing Conhactor: Phone # ~ Plumbing system includes: _ Water Softener _ Lawn Sprinkle~ Fee: $90~00 _ Water Heater _ No. of R.I. Ba t~ s,, i No. of Baths - Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that i have read this application, state that the formation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan ~ance~ ~ Signature of Appllcant ~ M1~•~S OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addidon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width • REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing ~ _ Foundarion HVAC _ Drain Tile Other - Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Frarning _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemern) Insulation - - - - - - - ' - _ i_ ^ s ~ ~ ` ~ ilding Inspector Base Fee T 1 ~ ~y ~ , l~ ~ Surcharg~ ~ ~ ~ ~ n ~ ~ ~ z Plan Revi ~ ~ 7> MC/ES S~ ~ ~ , ~ ~ ~ ~ ~ ciry sac ~ S ~ Water Su~ ~ ~ ~ ` . ~ ~ ~ S Q ~ ~ ~ ~ ~ S&W Perr 1~ ~ ~ ~ ~ ~ ~ Treatmenl ~ M ~ ~ ~ Plumbing ~ D ~ ~ ~ ~ (\~n Mechanica ~ ~ ~ ~ ~ ~ p ,1~,y(1 ~ ~.1 License S~ ~ ~ ~ ~ ~ ~ J ' ~ Copies ~ _11. ~ ~ Z ~ ~ , ~ ~ i Other ~j ~ ~ ' I Total - - - PERMIT ~eo~3a~~ CITY~ OF EAGAN ~~q/95 3830 Pilot Knob Road PERMIT TYPE: s u~ ~ o r N ~ Eagan, Mi nnesota 55122-1897 Permit Number: 0 2 5 7 2 0 (612) 681-4fi75 Date Issued: 0 6/ 0 8/ 9 5 SITE ADDRESS: 4838 SYCAMORE DR LOT: 2 BLOCK: 3 PINES EDGE 1ST P.I.N.s 10-57690-020-03 DESCRIPTION: B~uildi~n~g~Permit Type SF DWG ~ Building Work Type NEW '~'UB~C Occupincy~, R-3 M-1 ' Construction Typ,e VN / Zoning R-1 euilding Length 66 Buildin=g Width 'l 5z B~„zleiirlg stQries 2 ~ Sc~c7.dre F~et . 2,336 ..~~,~~a~ ~r ~ tg 'i ~z"'i. ; !i . , . . . ` . . _ . ~ . . ~ ~ , - _ ~ ' - _ . ' - z.; REMARKS: S&W CONTRACTOR - FIVE-STAR PLUMBING FEE SUMMARY: VALUATION $171,000 Base Fee $1,242.25 MISC FEES {1,892•S0 Plan Review $434.79 Total Fee $4,505.04 Surcharge $85.50 SAC $850.00 SAC ~ 100 SAC Units 1 5ubtotal $2,612.54 CONTRACTOR: - nppl~cant - s-r. ~zc OWNER: MCDONALD CONST INC 14327601 0002376 MCDONALD CONST 7601 1457H ST W 7601 145TH ST W APPLE VpLLEY MN 55124 APPLE VALLEY MN 55124 (612) 432-7601 (612)432-7601 I hereby acknaWledge that I have read this applicat3on and state that the infiormation is correct and agr~e to comply with all applicable State of Mn. ~ Statutes and City of fagarr Ordinances. ~ r' Y~~t,,~~ s~. ~7 ~ ~ ~ II JA/ l~ APPLICANT/PERMITEE Sv IGN~UF~~- - ISSUEO B: IG~N, T1JRE ~ ~ iNSPECTION RECURD CITYOF EAGAN PERMITTYPE: suz~orNc 3830 Pilot Knob Road Permit Number: 025720 Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 0 8/ 9 5 (612) 681-4675 SITEADDRESS: P'I•N.` 1e-a~s~e-e2e-es APPLICANT: LOT: 2 BLOCK: 3 4838 SYCAMORE DR MCDONALD CONST INC PINES EDGE 1ST (612) 432-7601 PERMIT SUBTYPE: TYPE OF WORK: SF OWG NEW . . FOOTINGS FOUNDATION FRAMING ROOFING SNSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL pLBG FINAL REMARKS: S&W CONTRpCTOR - FIVE-STAR PLUMBING ~ ~ ~ . ~ ~;5 a~ 3830 PIL1ClT KNOB RDN 55122 ~~~J . v y 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) /~r~ ~ ~ 681-4675 ~X~-@C~ i~ New ConsWetion Reauirements RemodeVRenair Reauirements ? 3 registemd site suneys ? 2 copies of plan ? 2 oopies of plans (inGude beam 8 window s¢es; poured fnd. design; etc.) ? 2 site surveys (enterior additions & dedcs) ? 1 energy calculations ? 1 energy calculetions for heated addHions ? 1 tree preservatlon plan 'rf lot platted after 7/7/93 requi~ed: _ Yes _ No DATE: ~~S CONSTRUCTION COST: R~ DESCRIPTION OF WORK: s~~"~Q~ ~ v~ F' STREETADDRESS: g~~-A w~c~~. ~~:-~e LOT ~ BLOCK .3 SUBD./P.I.D.#: P~~~'S ~~a~ F~nsT Adc~~~~:a~-. 0 PROPERTY Name: N~~~~ e z RahdA ~r Phone OWNER Street Address~ - City: State: Zip: CONTRACTOR Company: lM o v~ ~e ~.l Ce~ s'Y T~., Phone N~~ o~ ~ Street Address: 7~0( l~5~~ s~ U-~ License ~~~a 3 J~ c~:~.~.~~ ~ ~ ~ ~t ~ P~ S S ( ~ ~ ' ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address~ Ciry: State: Zip: Sewer & water licensed plumber: Fi V e s"t ~a ~2 ~~~,MMM1a 3 ~ 9,2 YY~-1 Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. Q~/~~~ Q\ Signature of Applicant: l ~ OFFICE USE ONLY / ~ -~S' C~' Certificates of Survey Received Yes o MAY 2 5 tgg5 Tree Preservation Plan Received _ Yes ~o OFFICE USE ONLY _ BUILDING PERMIT TYPE ? 01 Foundation ? O6 Duplex o 11 Apt./Lodging ? 16 Basement Finish ~--02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool 0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ~31 New ? 33 Aiterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demo~ition GENERAL INFORMATION Const. (Actual) y~~ Basement sq. ft. S(o MC/WS System C~ (Allowable) Main level sq. ft. ~ City Water ~ UBC Occupancy ~-3 1/drar~ sq. ft. 96o Fire Sprinklered Zoning /z-/ sq. ft. PRV # of Stories 2~/~cr„f sq. ft. Booster Pump Length sq. ft. Census Code. /O/ Depth Sz Footprint sq. ft. 33 SAC Code ~ ~ c Census Bldg Sr'Pr, ~ Census Unit _L APPROVALS s+`0" ^ Planning Building Engineering Variance ~ Permit Fee Valuation: $ ~ 7~~ 0 a ~ Surcharge Plan Review /~la~ti C«=~ License y~ g ~ MCMlS SAC r~ 2~/ x~O 3yY City SAC 2V,~ r~ _ l, 3~y ZK ~z Water Conn. c,.»f zx ~ ' _ ~yo WaterMeter 6,~ 3~ ' ~ ' Acct. Deposit 5~S(o xS~' 6-2 Cr ( /S= S/W Permit ~ ~ 02 3, ~ U S!W Surcharge Treatment PL ~f~~~ 1~ / - Road Unit ~p o x SY = c~~ ~ o Park Ded. 32 n s a= 9 2~ Y o ~ Trails Ded. ~'S~' D Zz K z z ~ y~Y Other - Copies ~ ~y ~ ~~~,~,y To~~: % SAC SAC Units Y ` • ` ~ 1 & 2 Family Residential "Cookbook" I~4elhoa ~~s Z ~~1 < SfTE ADDRFSS I Gty I LV 9UILDER Q110 MGpoNaLr~ Go~yT IN~, MInimum Criteria: Rim IoisL• R-19 insulation Founda~on wudows: Insulat~d glass, 1R' air space, w ood or ~•inyl framc Entry dooa: l'/a inch solid wood with storm or better STEP 1 Window & Door Area STEP 2 Calculate area as a percent o[ ~~all Total Window & DoorArea in Sq. Fcet Box A(window & door ana) dividcd by Box B(~ocal WINDOVJS (iacluding fcundatioa windo as): ~'~1 ~es 100 equzs t~c window ~d door uea Dimensions Qnty. . Area az a perccnt of wall arca (Boz L7. Z~-o x 3~ o Boz A z 100 = I~ Z~ D x~ fv~~ ~ Boz B 2 ~ C Z~-~" X5! o rN~ll 10~ Zi ~i LL~~ ~ IZ ~ ST'EP3 Design Features x 2~ z3~ !o~ ~I . ASSEMBLY OPTIOV Z'-a~ x S~o'~ ff Zp ~2AMEwAL.I.: X S'CANDARD FRA2.IING ~ z ~ z ADVANCED FRAh@7G X CAV[lY iNSUCATION R- Z! x SHEA'[7~IG: DUORS• LESS'[IiwN R-5 X ~ ° ~ R-5 OR hfORE ' ~p z 1' ~ WWDpWS (ezccpt foundacion windows): X U-FACTOR U-,'~j~ Total Area of ~ / A PT~indow & Doon c~ From [he table, determioe tbe ma~cimum pcrccnt wiodow Total Wall Area in Sq. FL & door area for the dcsign options selected and entcr thc Wall Total Perimetcr Hcight Arca value in box D bclow: ~7~~ O ~ Q, ~ 4 ~ b~ A Z~ ~~B Boz C must bc less t6an or equal to Box l~ Total Arca ot wall ~ ~ , . P. The building must not exceed the maximum windo~~~ and door area as a percentage of overall exposed tvail area listed below for tlie combination of framing technique, R-vah~e of insulation within tlie insulated ca~•ity, ' sheathing R-value, and window iJ-factor. Other components" musf ineet the requirements of this subpart. , MAXI~IUM WINDOiN AND DOOR AREA AS A PGRCENT OF OVERAL[. rXPOSEp WAI.L Cavity . Windou~ L'-Factor Framing • fnsulation ' Sheathing 0.99 0.36 631 0?7 Sl'ANDARD R-73 2R•7 13A% 17.8% 21.3% 24.3°b STANDARp R-15 2R-5 12.9% 17.1% 20.1°0 33.9°~ STANDARD R-]8 '<R-5 „ 11.1% 16.0°; 78.8;b 22.0°6 STANDARD R-18 2R-5 13.5°5 18.G°o 21.8°a 25.3;~ ADVANCGD , R=19 dt-5 ll.l°o `'77.1% 20.1°0 23.9;~ ADVANCED R-18 2K-5 13.S,o 192% 22.5°~ 26.]",L STANDARD l{-21 <It-5 11.8~ ; 77.0°; 79.9 0 23.1°L STANpAILD R-21 ?R•5 19.0°b 19.3°6 22.5".~ 26.1°S~ ADVANCCD K-21. Ql-S 11.8°.a 18.1% 21.?°L 2d.(°~ ApVANCLD R-21 ?It-5 . 1~1.0°~ 19.9°b 23.2°~ 26.9;0 Subp.3. Perfonnance criteria. The combined thermal transmittance (Uo) factors for walls, rooF/ceilings, and Floors over unheated spaces musf Ue less lhan or . , equal to: A. 0.110 Btu/l~ ftz °P for tvalls; B. 0.026 Ah,/h ft2 °P for roof/ceilings; and ' C. 0.04 i~tu/h ftz °F for Floors. STAT A LITH: MS § 216C.19 HIS7: 18 SR 2361 7670.0480 Repen(ed, 18 SR 2361 ~ " i Minn. Rules Chapler 767Q 26 )un,: 19~~ l _ . ' ~ * Mendota tHeights,DMN 55~20 P1011!/iFl (612) B81-1914 FAx:681-9488 LMID SuRYEY0R5 • CML ENGINEERS 'k eAQ AA~p ne inrm v~a,HUU. LANOSCADE ARLM7ECT5 625 Hlghway 10 N.E. ~ ~ Bioine, MN 55434 ~ ~ ~ (612) 783-1880 FAX:783-1883 Certificate of Survey for: MCD()NALD CONSTRUCTION 4838 SYCAMORE ORIVE BENCH MARk ~ TOP OF PIPE ~ ELEV,=963.60 1 ' ~ I ~o ~ yU~ g~ N8 °41'S2"E 142.52 , 1 G.~ q961.5~ 964.430.00 52.33 964.47 966.8 I 'k / p~ ui N ~o ' r--Ta1 -~X --%-Y'~"~ 'I ~ ~ 965.0~ 24.33 68.5 966.4 `~`I ~ i5 ~j I $ II ~ ~ a/ ~ ~ O 1 ~(J II ~ jl' ~ N 1}...- J I ~ ~j w 1 ~ V ~9 ~ ~ ~ `-j~~ N~-~ ~ ll~ 5.6~ OW o~~` 1 ~w ~ 3~11 sss.z; o°~/oo~~ ~ as0. I ~ ~ ~ o~~ 0 22. 3 ~ 2 4 w ~ GO Q al~c a~ a ~ Z W ~ O pp n1~964.6~ ~ O~~ N ¢ ~ ~ ~ a ~ 00 ~ i 1~ (T t4' ~ o w ~ ~r^ ~ 2.00 ; ~ 2a.oa u. x , ~ ~ U Q ~ ~ ' o o - i969.1 969.1 ~ h~y_ ~ } Z 10 ~ ~ ° 26.33/0 -1 ~ ~ i5 ~ ~ 967.7x o 966` ° i ~ I il L_.._ ._~.o ----o~------- 969.9 I(966.~ 968.7 D.00 52,33 969.04 G 1%J ~ ~~,.6~ N89°41'S2"E 142.52 30~' ~ ~ \ 3 ~ ~ , s ' ~-t f t, ~ D R E' i ~nl E ~~'aART ~T ~VEEItIlVG YD~ ~ i ~ dY i \ BENCH MARK j TOP OF PIPE I 'D~P~ S~~ ~r EIEV.=968.56 i NO1E: PROPOSED GRADES SHOWN PER GftADING PIAN BY: PIONEER PROPOSEO HOUSE ELEVn7~ON I NOIE: BUILO~NG DINENSIONS SHOV.N ARE FOR HORIZONTAL AND VERT1CAl IOCATON LOWEST FLOOR E~EVAiION: (G I. G OF STRUCNRES ONLV. SEE ~RCInTECPJ~~ PLaNS FOR 6uit~iNC aNp I FOUNOATION DIMENSIONS. J('~~ ~ TOP OF BLOCK ELEVATION: N01E' NO SPEdFI~ $pILS INVESTICqTION HAS BEEN CO~D4ETE0 ON T17~5 LOT BY THE SVRVCYOR. THE S1ITABILITY OF SOILS TO SUPPORT THE SPEGFIC HWSE GARAGE SLAB EIEVATION: G~ I PROPOSEb IS NOT 1HE ftESPONSYe1LITY OF THE SURVEYOR. ~ NOTE: TF115 CERpFIGTE OOES n07 PUFPORT 70 SHOW EaSEMENIS O1NER 1HAN z 000.00 OfNOTES E%IS7ING EIEVATON ' THOSE SHOYM ON THE RECOROED PLAT. ( 000.00 ) OENOTfS PROP0~0 E1.EVAt10N I N01E: C~NTRACTOR ldUST OERIiY ORIVEwnY OESIGN. DEN07ES DRAINACE AND U7ILITV EASEI.IENT V DEN01E5 ORAINACE FLOW DIRECTION ~ N01E: BEARINGS SHOVM ARE BASED ON nN n$SUMEO DA1UM ~ OENOIFS MONUMENT I $ DEN0IES OFFSET HUB WE HEREBY CER7IFY TO MCDONALD CONSTRUCPON THAT iHIS IS A TRUE AND CORRECT REPRESENTATION QF A I SURVEY OP THE BOUNDARIES OF: ~ LOT 2, BLOCK 3, PINES EDGE 1ST ADDITION OAKOTA COUNTY, MINNESOTA ~ IT pOES NOT PURPORT TO SHOW IMPROVEMENT5 OR ENCHRQACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 6Y ME OR VNDER MY DIRECT SUPERY75lON 7H15 115YH DAY OF MAY, 1995. ~ SI NEO~ IONEER ENCI tERINC P.A. SCALE : 1 INCN = 30 FEET BY: , ~ 975 9i330.06 ohn C. Larson, LS. F2eg. No. 19828 i TEMP.NYD. W/GV - GND. EL 959.4 w MH ~ S7A. 1+30 ~ OUTLOT D _ ' 12 s= o+~~ . ; ~3 ; ; - '3 ; , , ~ ~ , , INV= 948.9 ~ I; 2 S= 2+42 .d`~ CS= 958.8 ~ ,S= 0+68 ~ ~ S= 1+58 ; ; INV= 958A ; ; ~ ~ ~ 8"x8"CROSS ;INV=.950.2 ; ~ INV= 953.3 ~ I CS= 968.0 ~ ~ 8"x6"REDUCER ~CS= 959.4 ; ~ CS= 863.3 ~ ~ " " ~ ~ ~ , , , ~ , , 8x8TEE 1 ~ ~ , ~ ~ ~ ~ ~ ~ . ~ ~ . , _ a h . PARCEL 1 ~ ~ _ - + ~ i i + ~ ~ SYCAMORE DRIVE ~ 8"GV . . , r . . ~ ' . . ; 8"C'V~i > . . . r------------'--- . g= 0+~5 , ~ ~ ~ cTi 5 ~ ~ s~cv iNV= s4sls , , , ~ 6 ; ' OCS= 958~8 ' 1 ~ f ; ~ ~ ~3 ; ~ ~ 9 _ ; O ; MH ~ srA. o+~0 4 • 15 ~ . _ SEE SHEET 3 ~n !e ~yr~ SEE . . . - ~if~V~lY~~'~::l:e~~~~~UVf.:ili~i,'I~~~~~.~~I•~~3~..~ - . P /1?4• • . i;-~~ a..~,~.~t?~ICY 0~ U i 11_I i Y~ C3v^r~iiCl:~v ~ . . . - ~ ~ . : ~~{~L~f~i t "~E~~e~iTIOfi:J. II'~I.J i i~~~. {J ~ r:~ ~ ~ it:=~;3n, .AiiO~~ FURP0:.~3 C":~,'t F~~.~ . e~c~~,'_ :':a;:; U~li\G IT ShO1J1 ?i J~~„' =1' + ~~c l~L~=G~~.~Fa~ IO~~ OU TN~ SI-i . - ~ SYCAMORE DRIV _ E ~ IAT B~RVEY CHECRLIST FOR RESIDENTSAL BIIILDING PERMIT ]1PPLICATIODi ! ~ S~2• ?ROPERTY LEG~p ~ ~ ~ - t ~ nat~ o! surveys 9~-- ~ F ~ DOCVMENT 8TANDARns ~ 0 • Reqistered Land Surveyor siqnature and company ~ ~ • Building Permit Applicant ~ 0 • Leqal description A~0 0 • Address iYD 0 • North arrow and~bar scale 'tY~! 0 • House type (rambler, walkout, Bplit w/o, split entry, Iookout, etc.) ~ 0 • Directional drainage arrows with slope/qradient ~ 0 • Proposed/existing ~ewer and Water services 0 • Street name D~ D 0 • Drivevay ELEVATIONS Lxf atina ID/~A ~ • Sewer aervice 0 0 - Lot cozners IY~ • Top of cvrb at the driveway fl 0 • Elevations of any existing adjacent homes Propo~ed Ld' 0 ~ • Garaqe floor ~0 0 • First floor ~~i 0 • Lowest exposed elevation (walkovt/window) i~'!~~'" 0 • Property corners ~ ~ 0 • Front and rear of home at the foundation P4NDING ]1REA8 (if a~nlicable) ? Fd~ • Easement line o ~ • NwL D 8~ 0 • Hwi. D $~~0 • Pond # desiqnation D 0~ 0 • Emergency Overflow Elevation pxa~xBioxs Li" 0 D • I.ot lines 0~0 0 ~ Riqht-of-way and street width (to back of curb) Ld~ 0 0 • Proposed home dimensions includfnq any proposed decks, overhangs qreater than 2', porches~ etc. (i.e. all structures requirinq permanent footings) 0 0 • Show all easements of record and any City utilities vithin those easements ~0 0 • Setbacks ot proposed structure and setback of adjacent existing homes ~ D • Retaining 11 r quirements, if any ~?t~a • ~ ZS ~ . me / ate Oetober 1992 • . . PROPOSED GRADE:....:...:... . . ~ : , ' . ~ . °,Y : . - . . ~ . . . . . . , . . . . . . . . . . : EXISTING. GROUND . . . . : : . : . : : : : : ~RE_.959.24. . . . . . .MH . ~RE=958:20 : : : : ' . : : : : : . : : : : . . : . . ' : : : : . : : 15 BLQ=11:.05 12 . BLD~11 0~. : . . . . : ~ . : . y , . ~~_-:T:~ : : y~i : : : ' / : : . ~ o : . . . . . . $qp~e ~ . . ~7.5 - . . . . : COVER. . ~ . 6~ ~ : : : : , - . . . ~ 9 ~4:17 ' . . . : : : : • . . • . . . ; . . . . . . . .~.2„RCP : ` ; . . : ~ 3 ; . . , . . : R 3~ . 5~ : : s" D.1. CL: 52 ~ ~ : : ~ 38, ~a"p~c . . . . : : • ' . , • : : . . . ::~3. . . , . . ~ . . . • ~.~CGit ;~;Qr ~',-~CF,.~JEC~ra'P~i~~ ti i.•.l,~A~JI~;. : , 124~=8°PVC SDR: 35 . . ~ F~~ F ~~l1~,~vY ; Or U~I~l~'V ~ (~~i,T~O~:J : . : ~.O.SOX• . . . . ~,~kA~,(~ ~ ~LEF~1`f,IQ~~~ . .~Hi~ 1 ; 0;~ : . . ; . . • • ' ! r:~.~n!'~t iG~;! . .F~'i?~1;:~~ C~ ;~.Y . ~ : ' : ~ . . P~~...~.r~~d lFYifVG:IT SFiO:lL~~ ~v~ 1 i{-~r : - . . . : . . . : . ~ . ~ : . ~ . . . : : . : . : ~ti:~c~, aAYiO~~:Qtv T~;~:~i~E . . . : ~ . . . : . : . . . . _ . . ~ - :3z . : r•• . . . . . . . • ~ ~ . . • : : . II 'Bj .-N ; • . ~ . . . . " ~ '~d' . . . . " Z ~Z'.. . . . . . .O)Q)... . . . ' ~ - . . ...~r1 . . • , CITY USE ONLY , /90~ L ~ BL ~ RECEIPT H SUBD. y..,,~, (o~ DATE: 7`~ 95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.0~ x = Water Closet 3.00 x ~ = o~. 00 Bath Tub 3.00 x 3 = 0 Lavatory 3.00 x 6 = f~'f, 00 Kitchen Sink 3.00 x Z = 3. 00 Laundry Tray 3.00 x ~ _ ?.(k~ Hot TublSpa 3.00 x = Water Heater 3.00 x = 0 Floor Drain 3.00 x = 3,OQ Gas Piping Outlet * minimum - 1 3.00 x = 3,Q~ Rough Openings 1.50 x = Water Softener 5.00 x ~ _ Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprinkle~ ' home under const. 3.00 = Alterations ` co existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL . ~~6 SITE ADDRESS: ' ~ ~ ~ G ~ ~ OWNER NAME: Ct- s' r' G 0 I1C INSTALLER NAME: `Ve ~ ~ STREET ADDRESS: ~ ~ ~G~WG~ ~ V . ^So ~ CITY: G~ 0~ STATE: h ZIP: ~ ~ PHONE ( ) N 7 ~6 C,. , , Q ~/`c~t/ ! ? CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 7995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are ~t required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of conVact price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT CITY OF EAGAN I ` CITY USE ONLY L ~ BL ~ RECEIPT 5~8 SUB~(,y,_,w~, lfJ Grc.p, I'~ DATE: ~ ~5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, IMN 55722 (612)687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning F'ireplace conversion (to existing fireplace) Date: 7' 3 - /s FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $.28:0~ ? HVAC: 0-100 M BTU ~24~..U~ Additional 50 M BTU __6,86~ ? Gas Outlets (minimum of 1 required ~$3.00 each) ? State Surcharge .50 TOTAL .3D ~ SITE ADDRESS:~ 7~38 ~yG~~d~~ ,0/P/UE OWNER NAME: CC/4/l~~G~ ~~/I~~r• PHONE ~~2 -7~D( INSTALLER NAME: ~N~'OG ~ El) STREETADDRESS: ~y~ Sr" CITY: STATE: ZIP: SS~2y PHONE ( ~/2. ) y~~' -~4Z~- ~J~1 ~L~~ ~f F~EI~1~I1 CITY USE ONLY s ' , L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercial~nciustrial buildings. ? multi-family buildings when separate permits are n~c required for each dwelling unit. DATE: CONTRACT PRICE: WGRK ~IYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ $25.00 minimum fee gL 1% of contract price, whichever is greater. . Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of Rermit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE _ TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVeMer~s oN~v) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR SUB ~ ~ NEW RECEIPT 1! ~/~f9 / RECELPT DATE_~~.~ DATE ~ ~J' c TO y~'3~ J~ ~ PLE15E BE ADVISED THAT T'F~RE IS A FEE SHORTACE ON T}~ ABOVE W ELECTAICAI. I2STALLATION IN Tt~ AMOUNT OF $ SHOATAGE N16T BE PAID uNITHIN 14 DAYS. REHARKS ~Q• 0 to 30 amp, circuits= l~' ~ 31 to 100 amp. circuits= ~ 0 to 100 amp service= GcJ _ ~ 101 to 200 amp, service= TOTAL FEE DUE= l0` G~ O~J LESS FEE RECIEVE?/~-/J-f" ~j~! ~ 7 7~ TOTAL FEE SHORTAGE DUE = S D.~ PERMII~I (l ,f"'~ 02 ORIG. RECEIPTI! y3 ~ RECEIPT DATE ~ - 9~J RETURN A COPY OF THIS FORM WITH REMITTANCE. is, 5a 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 ~ l1~ 1 (9 ~ Site Street Address 'S~~ i,~,}e. Unit # Property Owner ~CLttdLa_uk' `1/4LeF'.L~r-J Telephone # (~5 j ) ~30 -~~311 Contractor ~ ~ `P~-t!]b-t.~2d~ Telephone # (l05() ~65 -l~ ~f~ Address 20 J~~ ~~c7~ City ~ d..d~~ State /Y! /I ~ Zip ~S/~ 3 The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater _SeptiCSystem Abandonment _Water Turnaround (add $121.D0 if a 5/8" meter is required) Other: Water Softener r Water Heater $ 15.00 ~ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild S 30.00 State Surcharge $ 50 Total $ /5~•~a I hereby apply for a Residential Plumbing 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 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 #he approved plan in the event a plan is required to be reviewed and approved. ~ !~/2 ~~`-~e,~C~i~~s a Applicant's Printed Name ApplicanYs Si nature ~ ~ D JUN 2 3 2004 By ~ 200~ RESIDENTIAL PLUMBING PeRnniT aPPUCarioN ~ CITY OF EAGAN C~"' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 8 ! 3 1 ~7 Site Street Address y 3 S a rvt aY J Unit # PropertyOwner~y~~A q ~k:p ~~k, (L Telephone# ((~S~ ) ~{95-`I560 ~ Contractor No,r blcMn~`ww~~i~ .~c~ Telephone b~2 ) 827 -`/U 33 . Address Z~IOS ~~ju„-y~e ~c/ ~C- o. City dv~p(S State~],) Zip .t;syo~' The Applicant is: _ Owner Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 ~ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are instafling onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) _OthOf: ~Lv,nt - .~,cile,r ~-o~.~v.~ r~ICVq'~u.U + wa~ b~ SY~K - Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ,50.50 I hereby apply for a Residential Plumbing 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 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 plen in the event a plan is required to be reviewed and approved. J~~ Nochl~ Applicant's Printed Name Ap~ nYs Signa ure 3 g~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION 3V '~O City Of Eagaa 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reauiremenls RemodeVFte~air Reauirements Office~Use OnN 3 regisle2d site surveys showirg sq. R of lot; sq. ff. of house; and au roofed areas 2 copies of plan showing foo6ngs, beams, pists Cert of Survey_Recd ~_Y. _N (20°,6 maximum lot coverage allowed) 7 set of Enert~y Calalations for heated eddifbns Soils Repod _Y _ N 1 Soils Reporl N proposed buildi~g is to be placed on d'sNrbed soil '~-~-7~c0esWy for additions & decks Tree Pms PlanRecd _ Y_ N, 2 copies of plan showing beam 8 windowsizes; poured found desgn, etc. D~((~i[~n(7n pfic system Tree Pres Required _Y _ N isetofEnergyCalculations L~ LS ~J ~ p On-sAeSephcSystem.. _Y- ~_N 3 cop'~es of Tree Preservatbn PWn H lot platted after 7li/93 ~I p RimJoisl~efailOpfionsselecfionsheet(buildingswith3orlessuniLS) AUG 1~5 2007 /~G`~-'~-C~- Minnegasco mechanical ventilation torm . inQ, ,~l ~ l/V i Pians are considered ublic informatio state the are trade secret and the reason. Date 1~ l~ll(S / ^ Construction Cost ~d ~ /9~'ed'~ Site Address ~lJ~ ~i ~~C?1.~c 42~ r U~ Unit/Ste # Description of Work ~ o~e.~ L£ ULL ~,.»5/~I Multi-Family Btdg _ Y?N Fireplace(s) _ 0~1 _ 2 Property Owner ~ ~.J Ton~ S~iP ~^'o Telephone #(7l03 ) 9/3- CJ Contractor ~~~7~A~ ~ C~S7Cu~T~o~1 S~,2VIGfS /ML, ~ ~Oy/3f~~ Address /(o z / ~ ~{q ?£Lr~cK L~~° f~ City ~/iY1 ?~••s State 1'y)n~ Zip ~$D7 Telephone #(9SZ ) 2/ Z- /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 Energy Code Worksheet (J submission type) Submitted 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 ~ Mechanical Contractor Telephone ~ Sewer/WaterContractor 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 pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro~ of ans~ ///~RK f;utSFCL ApplicanYs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck , ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19. Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes , ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Additlon ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair . ~l 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors / ? 34 ReplaCement ~ `Demolitian (Entire Bldg) - Give PCA handout to applicant DesC~lptiOn: WaterDamage_Yes ~ Valuation V V~ Occupancy MCES System Plan Review ~700% 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 • I'-~ Width REQUIREDINSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings(deck) _ FinaUC.O. _ Footings (addirion) ~c Final/No C.O. _ Foundation ~ HVAC Diain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath _Brick ~ Fireplace ~ R.L ~AirTest YFinal = Windows Insularion Retaining Wall Approved By: , Building Inspector Base Fee Surcharge / / ~j ~ y 1~ Plan Review Ll~ ,ry MC/ES SAC Q C~ ~ City SAC ~ Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies . Other Total ±'CityofEaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FEB 11 1011 Use BLUE or BLACK ink For Office Use Permit*. I0317 -AP %^ v� Permit Fee: W Date Received: Z-' 11'i 1 Staff. INFLOW & INFILTRATION PERMIT APPLICATION X Plumbing / Sewer & Water Date: Site Address: Tenant: Address / City / Zip: J Suite #: Phone: bS/ 33d 33 tl S`s/ Name: k e 5 i c n t l ,M h ,, z r v c 'h c. License #: PC- CD II 11 3 53 Address: P. 0 , B e ) 1 a City: 3`.1 ri State: YY)` Zip: 5 S f Phone: USI --(0%1- 2 S Contact: rh i r Si) -1- Z Email: i1) i lcz. h cs S 1,, 6, PLUMBING (Within the building envelope) SEWER 8 WATER (Outside the building envelope) E OFWORK /\ Sump Pump Repair Repair Other: Other FEES jpwr� Check to $60.00 / Each (includes $5.00 State Surcharge) w__ TOTAL FEE $ ( t rr *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 111 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qooherstateonecall.orq 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 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. 1K0— x f lA Applicant's Printed Name Applicant's Signature FOR OFFICE U Requsire i lnsoectioa Under Grourtd Rou PERMIT City of Eagan Permit Type:Building Permit Number:EA113041 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 4838 Sycamore Dr Lot:2 Block: 3 Addition: Pines Edge 1st PID:10-57690-03-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Randall Miller 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 - Randall D Miller 4838 Sycamore Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124051 Date Issued:06/19/2014 Permit Category:ePermit Site Address: 4838 Sycamore Dr Lot:2 Block: 3 Addition: Pines Edge 1st PID:10-57690-03-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Peggy Olson 6225 Cambridge Street Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Randall D Miller 4838 Sycamore Dr Eagan MN 55123 (651) 214-9203 Stafford Home Service 6225 Cambridge Street, Suite 30 Minneapolis MN 55416 (952) 927-7194 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143671 Date Issued:06/22/2017 Permit Category:ePermit Site Address: 4838 Sycamore Dr Lot:2 Block: 3 Addition: Pines Edge 1st PID:10-57690-03-020 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Randall D Miller 4838 Sycamore Dr Eagan MN 55123 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature