4846 Sycamore Dr INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~ ` } ~ ` ~
(612) 681-4675
, t .
SITE ADDRESS: i~, E~. k, APPLICANT:
, ~~rAMt1R#~ nR i; t ~~.~ii~i
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PERMIT SUBTYPE: TYPE OF WORK:
(~I E l 7
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Permit No. Permit Holder Date Telephone #
ELECTRIC I
PLUMBING
HVAC I
inspection Date Insp. Comments
FOOTING5
FOUND I
I
FRAMING I
ROOFING I
I
ftOUGFi I
PLUMBING
pLgG I
AIR TEST I
ROUGH
HEATING
GAS SVC I
TEST I
INSUL I
GYP BOARD I
FIREPLACE
FIREPLACE
AIR TEST I
FINAL PLBG I
I
FINAL HTG i
DRSA7 1
TEST
I
eLDG FINAL I
I
BSMT R.I.
BSMT FINAL
DECK FfG _ ~
DECK FINAL q _~~1 I
O
~ ; t INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~ PJ'•
3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55122-1897 Date Issued: "
(612) 681-4675
t _ r _ rs ~ c~ „ ~
SITE ADDRESS: APPLICANT:
1 U 1 7 ;ii ~i~ ~
r,., }`t' AM[lldF fllr r;~ I~c~N .i 1~ , iaid'. f ~ td~
i I I~li • ~ I'i~l ~ ' ~ ~ ! f : I ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
. I~~~;~ r~; ii
. .
,~~~i ~ ~~i. , t i~~~h~~.~~~ I~+~:'
; i t 6'i I IJi~ ~,i+t~i 11.l,~
~~I',1)f fi 1 I li~~~ F 1 1 itf ~1r ~
1'iitli~l; 1 ~ , I ~Ilf:,ll : f± ; i
ti;r1r3i i l1~+~ f iNF11
1~ h{A.Ki;:.. ~ t~ il f't 1.t{: t i`~~t i++: ~(;.t,
. ,
~ - ~ ~ ~ ~ ~ ~
~ ~
~ Permit No. Permit Holder Date Telephone #
~ ELECTRIC ~(p ~ ' ~ ,S -
~ PLUMBING II ryC~
~Y ~ ~~d
HVAC ~ 7 S (p ~Q
Inspection Date Insp. Comments
F~OTINGS ~i//~f/ ~
Zl b~~
FOUND ~'/Q~ ~
FRAMING
ll,~,
RDOFING
ROUGH + G /~I~
PLUMBING ~f ~
PLBG ~j • h
AIR TEST
ROUGH ,/J
HEATING ~0" ~(Jf
GAS SVC t~ k
TEST
INSUL ~ ~
GYP BOARD
FIREPLACE ~ 1 ~f,,! ~
/ ~(9
FIREPLACE
AIR TEST
FINALPLI3G ~3/
~t/
FINAL HTG ~~3 /
l
ORSAT
TEST
BLQG FINAL ._~Q
4
BSMT R.I ~
BSMT FINAL
DEGK FTG
DECK FlNAL
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145090
Date Issued:08/22/2017
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
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: 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 -
Kevin A Gliva
4846 Sycamore Dr
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
~ . • ~ ~ . ~ . r : . . ,
~ _ , .
~ .
~erti~icate n~ ~ccu~anc~
~it~ o~ ~agan
. ~~~t ~ ~~?e~~
~
This Certificate issued pursuant to the rieqair~ements of tiee Uniform Building Code
cert~ing that at the time of issuance this structu~r was in compliance with the various
ordinances ojthe Ciry riegrrlati~g buildi~eg construction or use. Far the followiag:
SF DF1G/GAR 27602
Use Qassificatiore Bbdg. Permil No.
~,y .Ty~ R-3 U-1 R-1 Type Const. Vri
~~Bw~ M~DONALD ~NST ~ 7601 145TH ST. , APPLE VALLEY, MN
Bw~ ~ 4846 SYCAMORE DR L4. B3, P1NES EDGE iST
i ,
~ - ~ ~ ~ i !F
o.k:
~s o~;ai ~ "
POST IN A CX)NISPICl10US PLACE
Address 4846 SYCAMORE DR ZIp $$12_
LAt ' 4 $Ik 3 Sllb PINES EDGE 1ST
THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ (o Yes No Inspector. /(1j~~.
Final grade (6" from siding) ~
Permanent steps (gazage) ~
Permanent steps (main entry) ~
Permanent driveway ~
Permanent gas ~
Sod/Seeded grass /
TraiUcurb damage
Porch ~
Basement finish ,
Deck /
Please verify with the builder the removal of roof test caps from the plumbing system and ihe shut-off of water supply [o
the outside lawn faucet before freeze potential exists.
Con[act engineering division at 651-4645 before working in rightrof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
2 1 V-18 6~ OFFIC USE ONLY This requesl void 18 monlhs from wlidotion dote pnnlad in thi~~i//
~~~/~9 ~
~ ~f°~
PLEASE PRINT OR 7YPE ~ ,
Reqveaf k Roogh~in impecfion required2 es ~ Inzpernon Otherihon Roogh.ln: ~ Reudy Now Will Call
~ (Yau mun mll ~he inzpecror wh reody) Dak Ready.
I, licensed contrador ? owner hereby requesf inspetlion of the above eledriml work at:
lob aqf51~, ox, or h No.~ Ciry Zip Code ~
\j
O
Se~ ryO. To~ip Name Range Na. Fire No~ Coon
4`
Ocwpam Phone No.
~D o1~ ~ eo ~ , a - ~
PowerSupplier ~ naa,e„ ~
Elechic Comracror ~ ampany Nome~ Contmclor Li No. Momr lic No. (Plom Elec}. Only)
/T ~
Mallirg Mdress ~ConHa Owner Padorming Inswllotion ,
Au ' ed Signmure (Conirodqr or Owner PerformLg Insmllonon~ Pho No. ~
EB-OOW1A-10 6/95 STATEBOAPO PY-SEEINSTAUCTIONSONBACNOFYELLOWCOPV
I II I) II11~~ III RE~UEST FOR ELECTRICAL INSPECTION j~
Minnesota State Board of Electriciry
1821 Univarsity Ave., Rm. S- 8, S. Paul, MN 55104
* ~ 7 6 1 8 6 4* Phone (612) 842-0800 y'(~ ~
Home Apf.8ldg. Olher: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Hfg, Equip. Wafer Htr. Load Mgmf. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work cavered by this request. Enier remarks in this spoce and on fhe back of the white copy only.
Colculate Inspecfion Fee - 7his Inspecfion Request will not be ocrepted wiffiout ihe corred fee:
Olher Fee #E $ervice EMrance $ae Fee # Circuils/Feeders Fee
Mo6ile Home Park Stoll 0 to 200 Amps 0 to 100 Amps
Sireet L}g./TraHic Sig. Above 200 Amps Above 100 Amps
Tronsformer/Generotor INSiECTOR'SUSEONLY T ~ V~h
Sign/Ou}line Lig. Xfmr. GO U
Alorm/Remote Conhol
Swimming Pool i he~b aM mo~ i m: Kxd ei 'mi ~n ~~h. dob: rn
Irrigation Boom Roogh-In , oa _1v '
Special Inspeciion ~
Ffnol Do ~
InvesTigotive Fee
THIS INSTAW4TION MAV BE ORDERED DISCONNEC NOT COMPLETED WITHIN 18 MONTHS.
~ PERMIT ~5~~~`7
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: aur~aiN~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 6 0 2
(612) 681-4675 Date Issued: 0 5/ 2 2 J 9 6
SITE ADDRESS:
4846 5YCAMORE DR
LO7: 4 BLOCK: 3
PINES EDGE 1S7
P.I.N.: 10-57690-040-03
DESCRIPTION:
~~`,~;i$~t1, Permit 7ype SF ~WG
~~1,~3+`tg k Type NEW
~ t~'~~~ ~3[L'^c~rp~~~ R--3 U-1
~~'taas~ru~tt~prtA e V-N
~i , ~~ri`t`~y , R-1
~ r~~ '~s~f',~~€~.~9 ~4.~r~qtk~ 62
$ ~ ~t~ix*~3~~4~Jid~~ ~ ~ 40
'~w~d" ~a~'~s`ie~s,`p 2
' ~t^~ ~ 1,964
C~ ~La~ 101 1- FAM. DETACH
~
. ~~r~~~~~~~ :~`~~a~~~~~~~~~j~ 3
REMARKS:
S& W PLBR - FIVE STAR PLB6
FEE SUAAMARY:
VALUATIDN $154.000
Base Fee $1,157.25 MISCELLANEOUS ~1.923.50
Plan Review $578.63 7ota1 Fee $4,636.38
5urcharge $77.00
SAC $900.00
SAC ~ 100
5RC Units 1
Subtotal $2,712.88
CONTRACTOR: - Applicant - sr. ~IC.OWNER:
MCDONI{LD CONST SNC 14327601 0002376 MCpdNALO CtlNST INC
7601 1457N ST W 7601 145TH ST
APPLE VALLEY MN 55124 ' APPLE VALLEY MN 55124
(612) 432-7601 (612)432-7601
t im (N , 6 Y" °t' 4 3.. . ` . i . V ~ G .
~ -6Y kq` i S R . ~ .
T h~t"~~k~~ ~~Gtsar~.~~C~~, ~Lt~`C,.~ 'hs~~ rew~d' thri5,8=#i.Plics•tisirt z~ri'e1 stat~',thaet t~~ ,
~~~csrr~;~~~~~ .t~ ~~t~tFr~~~~ f~'ri~ ~a~[-~~ £~s cs„~~p~Y' ,~i,th aX~, '~~P1%cabls' 5~a~e ¢fi ~tn.
S~~u~~~ a~'~~~c~`~ o~d~r-~~~~~. : ;
~
~ •_.L E~. a r ~ m~v ~ ^n.~a~x~.~ti .s s e..x _ ~
,
- . . v., x m......_.... r ~ ,
~ ~ Pn R,~tr~ I fh1~
APPLICAN ERMITEE SIGNATURE ISSITED e. SIG TUR~~
~ C1TY OF EAGAN ~s "
~ ~ 1996 BUILDING PERMIT APPLBICATION (RESIDENTIAL) 4' ~r J~
681-4675 C~1-t-C;~t, J~',~o
Nnw Construdlon Reauirements RamodeVReoair Reauirements
? 3 registered aile surveys ? 2 coples oi ptan
? 2 wplas ot plans (indude beam R window sizes; paured Tnd. design; elc.) ? 2 site surveys (exterior addNions 8 decks)
? 7 energy calculations ? 1 energy ealeulatlons tor healed addilions
? 3 wpies of tree preservatlon plan H IM pteNed after 7l1193
requhed: _ Yes _ No .
DATE: ~ ~ ~cf (r. CONSTRUCTION COST: ~ ~ ~ ~ ~
DESCRIPTION OF WORK: r v~~ ' ~~l ~i e k~A
STREET ADDRESS: ~ S v V`'~ O R-
LOT BLOCK ~ SUBD.(P.I.D. ~ w ~
PROPERTY Name: G 1 i v~ tC e o~~ Phone
OWNER `~RS'
Street Address~
City: State: Zip:
CONTRAC70R Company: ~ ohs~ .,.L~.•c_ Phone -7 ~ ~ ~
Street Address: 7~ O~ 1~57~ 5~ ' _ License a37 ~
City: ~~OD ~ E U~ i~c-~ 5tate: r Zip: s~I
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address~
City: State: Zip:
Sewe~ 8 water licensed plumber. ~v e S`A ~2 V m i u~~ q~ Penalty 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 infartnation is correct and agree to comply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
t
Signature of Applicant: ~ o -
OFFICEUSEONLY /
/
Certificates of Survey Received _bL Yes No i~j~V jj $~~96
Tree P~eservatioa Pla~ Received _ Yes No
, ~
OFFICE USE ONLY `
BUILDING PERMIT TYPE
0 01 Foundatiort ? Q6 Duplex ? 11 Apt./Lodging o 16 Basement Finish
~2 SF Dwelling ? 07 4~plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
~ 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
~ 31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. Zz~ MC/WS System
(Allowable) ~ Main level sq. ft. ~ City Water c~C
UBC Occupancy a~-3 7~"j sq. ft. ~hs~Y Fire Sprinklered
Zoning R- / sq. ft. PRV
# of Stories a s.~ sq. ft. Booster Pump
Length 6z sq. ft. Census Code. LO /
Depth ~ Footprint sq. ft. (a N SAC Code
Census Bldg i
~ ~ ` y~ Census Unit /
t~PPRaVAIS ~/5 ~
z~$ ~ q,~
Planning Building Engineering Variance
Permit Fee Valuation: $ ~s~ooo ~
Surcharge
Plan Review ~~,_~l/~ 5~,,1-.
License
Mc~ws sAC /rx~_-S` = ~ 3 = y~oo
Clty SAC e.,,,Y 6 X/-S' " IZ I~X ~ ~
Water Conn. ~6 "~D y pd~ (ox 3 y ~ 3
Water Meter ~6 n 3 z ~ 3z° ° K~S
Acct. Deposit ~,~r,~ ~ ~ o0
SNV Permit ~ 25- ~ x,-y= /l>(, 3
S/W 5urcharge ~ g
Treatment PI. ~O 7 ~ / ~ ,
Road t/nit L
Park Ded. Z KA ~-y
Trails Ded. ~ 33 _ ~oo
Other 3~x 32 = g5Z Z° 3~ : 3S
Copies yY~ y ~ f =
I Z ~ ~ ~ ,31 ~ ~ z ~
Total: Z~! ~7 ~ 6 KI~ '
~ /D, 336
% SAC
5AC Units
~~G - ~5~~
~----I
i I~~-~I/ ~
; ' • ~~VA-
2422 Enterprise Drive
~ 7f Mcndota Hcight5. MN 55170
* PIONEER uwD 8UR'~EYOR9 • GNL ENGWEFA9 ~6~2~ 68~'~914 FAX;$81-9488
* eng near ng IAND vW1NU13• LWOSp~PC AflG11TECfS 625 Ntghwoy 10 N.E.
* Blaine, MN 5543A
i~ 'F * (612) 783-189Q FAX: 783-1883
Certificvte of Survey for: MCDONALD CONST.
AB46 SYCAMORE OR~~f
R ~ ~ 'y~~~~v
S
~ r..~----- ~
BENCH MARK ~Y S Zd y~Of wA ~`v
70P OF vlpE ' .~1-
ELEV.=973.76.` )ATE - z
~ J
I ` I
I 1~
30 ~ I
' ~ 3 ~ o'y~ N8~°41'52"E 42.52 ~ y 7/ ~ (q 75C 2~
I ~~1 . - s~~.s - - 9n.
30,00 40.3J 97g~Z
9)1.5 ~ i o,r_ ~ J 25.D0
970.2 r---iJO 3.2 - I
i _
3~~ ~ ~ r 28.00 472.9 x 974.9 ~
il
~ ~ O ~ ~ ^ ~/o ~ l~~ ~
~ • ~`~SERVICE n o~ fl~ i~ v I,~ ~
~ I ~ INV.~961.~ ~ ~s~o v ~ tiQ ~ Q
975.5 ~ a' 'n A 4 ~4 I ~
~ I 12.3 ~ ~ ~3
~ 0 ~ o~ M~ w~ ~ V ~ °~a O
Q I O I~~ a~ Q ~ ~ ~ ~z ~
V ~ 972.7 ~ aw ^ ^33/Q ~ t7.6~ ~ x Z~ >o ?n
~ GD ~~a lT~ 2.0~~
jg ~ 973:1 w~"~ GO
p ~ 976.1 a~ ' o
~ a i~20.33.`~ 973.4 i q'~ N
~ ~p ~ 974.9io "'io ~i ~
------',r'----'- >
, ~ ,n ~ ao.oo ~9~I•9
a~a.o ~ ~ sea.~
973.2 30,00 40.33 9~3 9 9~5.8
30 ~ 97;.s) ~ N89°41~52"E 142.52 ( S~S'g~
,
I ( I
, ~
,
,
, ~
BENCH MARK i
70P OF PIPE ~j~
ELEV.=976. ~4~
~
•~r r
E~iLs~_~~.~1 ..:~T::-:A'~~~'•_1.IYer 1}L[~1~.
NOTE: PFOPOSEO ORAOES SHOwN PER CFADINC PLnN BT. PIONEER p~QPOSED HOUSE_FI FVA710N/
NOTE: BVILO~NC OIMENAON$ SHOMN ARE Fpfi MORRONTAL ANO YERTICAL LOCATION LOWEST FLOOR ELEVAl10N: ~U' `
OF STRUCTUNES ONLY. SEE ARGN~7ECNAL PLANS fOR BUiLDINC AND
iouNO~7ia+ o~uENS~ons, TOP OF BLOCK ElEyA1'ION: ~
~ p
NOTE: NO SPEU~iC SOILS INVESnCA710N HAS BEEN COMPLETEO ON TMIS l0~ BY TNE CJ 7~.
SuRVEYON. T~1E SViTn91LITY'OF 5045 70 SUPPORT tNE SOEC~FiC HWSE GARAGE SLAB EIEVqTION:
PROPOSFA 15 IiOY ME FESPOf<S~BW7Y Of 7HE SiIRVEYOR.
NOTE: TM~5 CEAnFICA7E DOES NOi PIIRPORT TO SHOW EASEMEM~S OMEN 7HAN % 000.00 DENOTES Ex~SnNC E~.EvAiION '
Tu05E SMONR7 ON mE RECOR~EO PLAT. ( 000.00 ) DENDTES PROPOSEU EIE~~nOw
OENOTES ORniNnGE ~ND UTIUn' E45Ew6NT
NOTE' CANTRFC~ON MUST VERIFY ORIVEM'nY DESIGN. OENOTES ORNNAGE FLOW D~RECTiON
NOTE: BEARINGS SF10WN ARE BASfA ON AN ASSUMfO DANM ~ OENOTES MONUIIEN7
pFNOifS OFFSET HUB
WE HEREBY CERTIFY TO MCDONALD CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE 80UNDARIES OF:
o~o
a4ou8LOCKso
d PINES EOGE 1S7 ADDI110N
IT OOES N07 PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHA~ENTS, EXCEPT AS SHOWN. AS SURVEYED OY ME OR
UNDER MY OIRECT SUPERVISION TH~S 157H DAY OF APRIL, 1996.
SI~D:y ~ONEER ENCIN E I~NG P.A,
SCA~E : 1 INCH = 30 FEET e „ ~
975 943J0. 7, SWK hn C. Larson. L.S. Reg. No. 19828
r~ , i ~
~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ BUILDING PERMIT APPLICATION
~ PROPERTY LEGAL: ~,,..~~v
~ ~ DATE OF SURVEY: .T is/ ~ CT
~ ~ LATEST REVISION:
~ ~ ~
~ ~ DOCUMENTSTANDARDS
a
~~~/o ~ ~ Registered Land Surveyor signature and company
4~~/~ ? • Building PermftApplicant
~ ~ • Legaldescription
~o ? • Address
~o ? • North arrow and scale
~o ? • House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
~ • Directional drainage arrows wi[h slope/gradient %
~O O • Proposed/eristing sewer and water services & irnert elevation
Gl~ ~ ~ • Street name
? • Driveway
ELEVATIONS
E~dstina
~a ? • Sewer serv~ca (or Proposed)
? • Property comers
• Top of curb at the driveway
~ ? • Elevations of any eristing adjacent homes
Prooosed
~0 ? • Garage floor
? • Frst floor
~o ? • Lowestexposed elevation (walkouUwindow)
? • Properly comers
g~ ? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
? e' ~ • Easement line
? [3~ ? • NWL
? ~ ? • HWL
? d~ • Pond # designation
~ ? ? • Emergency Overflow Elevation
DIMENSIONS
? ? • Lot IinesBearings & dimensions
? ? ? • Right-of-way and street witlth (to back of curb)
C~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. ali structures requiring permanent footings)
? • Show all easements of record and any City utilfies within those easements
C~ ? ? • Setbacks of proposed structure and sideyard setback of adjacer~t ebsting structures
? ~ o • Retaining wall require , if any
Reviewed: ~ ~ / S~
ame Date
January 1996
CRAPG18Bfl~BLOCiiPRMT.FM
HYpRANT
8"x 6" ?tE
TA. 1+30 11'-6"DIP, CL 52
GND. EL. 956.2 ~
3
2 ~ s= z+4.z ~ 4 ~ OU TLOT A
S= 1+58 INV= 958.0 S= 3+28 ~
INV= 953.3 ' ~ CS= 968.0 S= 0+75 ~
~ „ INV= 961.5 INV= 964.4
CS= 963.3 i 8 x8 TEE CS= 971.5 CS= 974.4 '
_--1' - ~ ~ ~ _ , '
---a
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SYCAMORE DRlVE " ~
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5 6 ; Z 5 -
I MH ~ STA. 4+i6g. 7
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NCTE: POUR INYE;~T FOn
~~';URE PIPE TO SOUTf-;.
~SEE ~hEc? 3
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1 M~
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.
' MN RE= 976.60
f~1H . RE=971.7Q ~ B~_~=14.02r
" ±3 : BLD=14.33'- :
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z~z ~z
-
~RY-~8-1996 14~10 PLRNCO, INC. 1 612 452 3659 P.a2/03
. . .ii' -Sog
• ENERGY CODE WORKS$EET FOR,1 & 2 F.AMILY DWELLINGS
~ SZTH AODRGS9 ' CI=Y
COLIFLETEb aY;~/,~n~qLD PIIONB p DATL~
BQILCIING CLA9SIpICATZOt7: p categoty 1(ntandard) or caeegory 2(muet iaalude vqatilwtion)
MINZHV~1 CRIT6R7A
Foundation Ineultltion•R10 Walla 6 HSndoxn Roo£ ACtia lneulaCionr
~ (See ~able on roveree eide
Slah on Grade Ineulation-R10 for allovable percencagea) R44-With Ateic No Heol
Floor over unheated epaces-R29 R3B-With Actic Raieed Iloel .
Foundation Winclowe 1/2" R3e ~ RS-Solid RafEeie
inoulated Glasa.
-Wood or vinyl F'rame
8'I8P 1 Hiadeyl & Door Area STBP 2 Calculate area ae s pereent eE well
A. ToCal Hindow iF Door Area in Sq. Feet ' '
WINDOWS (Including Foundation~ Windowa): ~
HINDOH lSALRTFACTLlRC NAMB:~~(~if ~/IV~ C. From S[ep 1 divide box A(4findow & Ooot
. Area) by box B(tocal wall area) timea 100
WINDOW {tA1dUPACxvRB Typgi Gt~S~.,f?~/,P~ oquale cl~e window and donr aroa ae a
perceiic oE wa)1 area (box C).
WSNDOW MAN[TFACIVR6 II FACTOR:__~J'~p
K~ Quanl'ily r,q.EL.Area BOX A~~ X 100 = C~_ 2
Dimensiona Box H 2L~Z 1J
~
Lr~pX !~rf~~l S7EP 3 Deelgn Pastureo
ZI'CO" X III ~~lp P.SSEFiHLY
X~!t ~Iy I I~' PRAHII7G T P6~
ri~~ X ~±D~ I~~' o~ 3TANDTRD FAAMING 1\ u[ude 26" o.C.
~ ~ n
y~ X~ D « ADV7INCED FRAMING ~stude 24° a.c.
OM x~O, Ok ~ Z4 CAVT'IY INSULATION It,~
SlpN X~,~ ~ 9HSA7RI[i0 TYPH:
LESS 1'HRN e R-5
X ' ~
x R-S > OR MORE
X V-FRCTOR II .
~~R~' 6 , From tl~a [able, (rpverae cide) d~termine the
maxim~m percen[ window 4 doot area to= ~he
dceign optionn eoleeced and encer the ~ valae
7~D X~8 ~ in Box 0 balaw baoed on the window mfg. U-
~ 1 Eac[or:
D X ~ ~ ~n
2'utal Aroa oE a= oq.Pt. .
Hlndowe & Doore ~
9. Total Wull Area in Sq. Ft. 'Ihe t value from l'hc table in Dox O ehall bo
equal co or groateY Cl~an the ~ in 6ox C
Nall Total Heigt~[ Atoa
P~lrimeter
_ I (~S D~(O"7 ZL/
~ 3 ~ ~ 1 -
o sa
~1'uCal Area of Nalle O=~JZ~Zvq.Et
MRY-bd-1996 14~11 PLRNCO~ INC. 1 612 452 3659 P.03/03
, .
! r ~ ^ - '
. ~ .
F• The building niust not exceed Ilie maxi~num windotiv and door area as a
percentage of overall exposed ~vall area listed belo~v for tl~e comUination
of framing tedinique, R-value of insulatioo wiihin the insuiated caritv,
' siteathing R-vah.ie, and ~vindow U-factor. nther components must meet
tlie requirements uf tl~is subpart.
1~4AXIA4UM LVINDOIY AI~lD DOOR AREA
AS A PrItCCNTOF'OVL•RAI.I.I:XPOSL•n WAl1.
~ Ca~•ity , Windou• l:-i-aclor ~
_Framing • lnsulalion " SlteathingW~ 0_99 ~~0.36_ 0.31 f1.z7_~
S'CANDARI~ R-13 ~Tt•7 13.9%, 17.8% 21,3% 2•1,3°6
STANDARf) R-15 2R•5 12.9%b l~.l~< 20.1°b 33,q°~
STANOARD R-IB . <It-5 , 11.1% :16.U°e 18.8~~ 22,0°.b
STANDAItfI R-1B 2R-5 ]3.5°a 18.6°6 3i.B°~ 25.3;~
RDVANCEI7 . R=10 cll-5 fl.l°.e `17.1% 20.1"0 23.9"/
ADVANCED I1-18 ?(.-5 . 13.5°,e 17.2"lu 22.5°~ 26.1':~
STANDARD 3{-21 clt•5 11.8°L r]~.0".L 19.9:~ 23.7",L
STANDAltD 1t-21 31t-5 1h.0°.~ 19.3 0 22 5°.0 26.1°u
nUVANCCp R-2t dt-5 lt.e°~ 19.1% 21.? ~ 2d.G%
ADVANCF.D Id-21 ?(t-5 , 19.0°6 {9.9".a 23.?°0 26.9°L
Subp. 3. Pcrfonnance aileria. The coo~bined lhermal fransmittance ([Jo)
factors for walls, rooF/ceilings, an~l floors over ~mheated spaces musl be less lh~n or
. equal to:
A. 0.110 T3tu/h ft~ °I~ for ~valls; •
B. 0.[126 Dlu/h flz °r for roo((teilin~;s; an~l
' C. ~ 0.04 Dtu/h ftz °P For [loors.
STATAIf]"N: MS§216C.19
FflST: 78 SIZ 236I
J670.Ot8D f2epealed, IB SR 2361
: '
MiN1. Itnlcs Cliaolcr 767f1 26 ux~ ~
TOTAL P.63
a c~rv us`~ ~N~Y
L~ BL e3 RECEIPT W~z~~
SUBD. (Y',t.1n,c~ (-n-G~C.C~ l ~ DATE: ~~7/~~
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551:!2
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ttQ, TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 :c =
Gas Piping Outlet * minimum -1 3.00 :c = ,
Rough Openings 1.50 _ ~ ~
Water Softener 5.~0 x
Private Disposal ` Dakota Cty. flcense 65.00 = ~
(new and refurbished systems)
U.G. Sprinkier " home under const. 3.00 =
Alterations " fo existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL SZ
SITE ADDRESS: '"~"D ~"fo ~~/~'C~I~"~=~-P fuv+~a~c--~J _ ~
OWNER NAME ~ ~
INSTALLER NAME: ~~~~~-~-J
STREET ADDRESS: ~~~~0 ~~7~ ~ J ~ ~
CITY: ~yd ~S STATE: ZIP: J~~~
PHONE { Ct ~ r~I ~ '
i
i
~t
R ~
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE'
1996 PLUMBING PERMIT (COMMERCIAL~
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672)681-46T5
Please compiete for' ~ all commerciallindustrial buildings.
~ multi-family buildings when separate permits are ~ required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION A~D ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
, WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
~ IF 50, YOU MUST APPLY POR A SEPARATE U.G. SPRINYCLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whiche~•er is greater. State surcharge of $.5D per
$1,000 of mi 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 SIGNATURF:
APPLICANT
OFFICE USE ONLY
METER S2E: " DATE: INSPECTOR:
$~~~~~~~~~J(~~~~~~~~~~~~*~~~~~~~~~~~>K~*~
GLTY Of-" L.AI:,AN
CA'.3H]:~Fi: S 7E:1;MIht~l... NOe 39
n~rr;; ot/2i/3i ~['TMIE;, 15.2F.c"c'i
ID;;
NAME=r. CiEF;RTE ;I r,L:fVF,
3r'.i.(7 ?OQl 4846 SYCAt1C.lkf= L~ :;U.[]0
2i.:S Qt]O:L 4H4r SYrAMQRF_ U Cl.SrJ
3430 ~OOt 4fS~rc, $YCFlM01",L D 0.25
'1~o'F,~:L hec~i~_~t Are~n~.ertii;: S!1.75
cF.o~r.~-r~
~.~sf:~ SC~: NANC.Y
~R~F%~~~k~k~~:X~X~~k~k~*~kY,:?X~X%~Nc~k%~?X~kh~?~~k~kM~F~X~Xi%~~4~ N~X~
PERMIT
1~ OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u I ~ D z N~
Eagan, Minnesota 55122-7897 Permii Number: ~ 3~ 2 8~4
(612) 681-4675 Date Issued: ~ G/ Z 7 J 3 7
SITE ADDRESS:
AFJQb S`fCAh70RE DR
LOT: 4 BLOCKe 3
PINES EDGE
p.I.N.: 10-57690-~40-~473
DESCRIPTION:
~~~,~w
E ,~1c(a~~
~P,2rmit 7,YPe qECK
~~~-~,tri~,3't`~~rk Tyoe NEW
.y~
~~t~~~a'~ ~`~z,~~~":~.~~ 439 AL7. RESIDENTIfrL
~
re ~
+
~ r'
, •x.
~ ~~;~,9~
~ ae
~s`B^.,
$~Z5 ~ s~ . °3 ~
~ ~
^~3°.~~ . e~= ~.u
~
„ ~ ' s~,~ ~ 3
~ # @~ v~. p}, g p¢~.~
~k ~ 2a.~, ~3~a`¢*~ iti "~c5..~ aL.m" ~~~~p'~~~ ~kv .~3
. ~'g~''i~t''61y9k..~`~ {~.ib.Y d..
REMARKS: '
FEE SUMMARY:
(3a~e Fee $5~.00 COPY R.25
5urc;~ai•ge ~ ~".56 Total Fee ~ 9~50•7S
Sub~CoCal $SP,.SQ
CONTRACTOR: OWNER: - A~plicant -
GLIVA KcVTN
~ q34~, SYCFli~IORE DR
EA6FlPd m~
~ {G12}225-19~5
X her~tz~ a~~3trts~u~.~~t~~ ~~a~ :'~3~ ~~p2,~~~~~.~ar~,~ai~ ~ht+'~ ~h~ "
, ~ ~ ~
~~,.~~s`~arrn~~~~~ ~~~z~~~~ ~a~i'~~~: ~~~~5~'~+~~~ a~.~~~ ~~p~~~~k~~~~~~~~~~~ AF~z.
a~
~~a~u~~~° ~r~c€ ~~.~q ~ .~~'~~r~ ~~°tif~rr~r~c~~ ~
~ ~ . . er . ~
I- ~ _.s._ ° _._ae. , , > _l
~ MIT ESIGNAT~ ' ISSU :SIGNATURE
~s-~. ~s
; 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY aF EAGAN
~ 3830 PILOT KNOB RD - 55122 ~ la`/
681~4675 T,
New Construdian Reauirements RemodellReoair Renuirements , .
? 3 registered sIM surveys ? 2 copies of plan
• 2 capies ot plans ((~dutle beam 8 wiMow saes; poured fntl. design; etc.j • 2 site surveys (exterior additians & decks)
? 1 energy calailatians • 1 anergy ealculations Por heatetl addi~ons
• 3 copiea of tree preservation plan H lot platted aRer 7N/93
~epuired: _ Yes _ No -
DATE: ( CONSTRUCTIONCOST: PO1'OX Z~S~~~~
DESCRIPTION OF WORK: ~ X~ti ~ CP c~a r~~ C~
STREET ADD SS: 7~7 SYC:2r i'rt W~ Dc •
LO7 T' BLOCK ~ SUBD./P.I.D.
/ JN Z2~ - ID~I~
PROPERTY Name: ~ ~ a ,I1~vir~ Phone ~Z3 7S~
OWNER
Street Address; S Y~ ~ mcr~~°
City: Y~ State: ~ ~l Zip: s-s~z-~
~ ^
CONTRACTOR
Company: S~G~ Phone
Street Address; License
City: State: Zip:
aRCHRecT1 Company: 5~1~ - Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
5ewer 8 water licer.aed plumber (new construcdon only): . Penalty applies when address change
and iot change am ,,equested once permit is issued.
I hereby acknowledge that I have read this appiiption and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. /~i~~//~~a
.E~ /
Signature of Applicant: ~r
RECENED
OFFICE USE ONLY ~~N ? 9 1997
CBrtificates of Survey Received _ Yes _ No B~,:
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
.
BUILDlNG PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Mufti RepaidRem. 0 17 Swim Pool
? 03 SF Addition o 08 8•plex n 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous
? 05 SF Misc. 0 10 ! plex ~ 15 Deck
WORK TYPE
~ 31 New o 33 Afterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq, ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump ~
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ~
Census Bldg
Census Unit 0
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
r .
, ~
\ 2422 Enterprisa Driva
Mandota Hnights. MN 55170
* PIONEL=R ~ IAND 7URKYOR9 • GML ENCNEFA9 (612) 681-1914 FAX: BB1-9498
* eng neer ng uno Pw+Nrns. U1IDSCAPC MGU7CCf5 625 Hlghwoy 10 N.E.
Blaine. MN 55434
~ * 'f * (612) 783-1880 FAX: 783-1883
, Certificate of Survey for: MCDUNALD CONST.
~ R646 SYCAMORE ORIVE
I
I
.
I
BENCH MARK
' TOP OF PIPE
i ELEV.=973.76.\ ~
~
I`' I I ` I
~
~
30 i
~ ~ 13 ~o'y~ N8g°41'S2"E 142.52 ( y7/ ~ (R7SC2~
~ (~1 i 971.6 971.
^ ,..34.40 ; a0.3J ~ _ 979.2
9~1.5 ° N 1 _
~ 970.2 ~-N --i'~°.~=----i'R.------ - 25.G0
i i~973.2 _ i~
10 ~ F--- x 974.9 ~ w
~ ~ -~I-- 28.00 972.9 ~ E
1 ~ I O~ I ~ ~ / ~ r`n ~
- W
O ~ i n ~ O n N~ ii ~ •
I lyJ a ``I INVR~~961.~ ~ o=o/ o~ ~ ~v9 r}-a O
Q' I O ~ 975.5 ~ n~.~ 'n ~ ~~a ~ N
i 0I ~ 12.3 ~ ~ 3
i. ~ ~ wa "n~/ v~~ ~i^ ~Wr- ~ v~ 0
a ~ 972.7 ~ o~ ~j a i 7.67 ~ ~ ¢w
~ V ~ if? a~' ~ Z.33~¢ ~ ° ~
' } tA l~ ~ o - 973:1~ " zW aD
, ~ I _ o,~~~ i ~ 975.1 aa ~ c°n
~ ~ ~20.33.`~ 973.4 ~ qw
A
i 10 ~ 974.9 j N ~
L---~-------'-----~-'~ °
s~a.o ~ ~ ~ ~ ~ ~ ~ ao.oo ~9~f1•)
I 973.2 30.00 40.33 973.9 975.8 984.7
~ So ~ 973.s) ~ N89°41'S2"E 142.52 ( S~f
I 13 I ~ I
i
i
i
i
BENCH A~ARK i
TOP OF PIPE
~ E~EV.a 976.74 ~
~
NOTE: OROPOSEO CRAOES SHOWN PEN CRADINC P~~N 8Y: PIONEER PgQPQSED HOUSE F! FVATt~N
, NOTE: BVILDINC O~NENSIONS SMOWN ARE Fpfi FIORIZONiAL .1ND ~ERTICAI. IOCATION LOWEST FLOOR ELEVAl10N: 'r17U, l
- OF STRVCNRES ONLY. SEE MCHrtEC7UAl PLM7S c00. Bua~INC AND
rouNO~noN oi~NS~ons. i0P OF BIOCK ELEvA7'IDN: ~
7~'
P
' ~12: !Y~-5PEGi'M:~SOIL4~~W~3'Gi~TiDiJ"HA3 uEEN'C07FPli.5ED GN iNi570Y-BY"iNE ~ " ~ - -
~ SURVEYOAMTNE SVIiABIUTY pF 501LS 70 SUPPORi 1ME SVECIFIC HWSE GARACE SLAB EI,EVqnON: ~o
PROPOSED IS N01 ME RESPON519~UTY OP 7HE SVRVEYOR. ~
N07E: 7H4 CERTIf1tA7E DOES NOT PURPORT TO SNOW EASEMENIS 07HfA 7NAN X 000.00 DENOTES ExisnNC E~Ev~TIpN
iNOSE SHOWN ON THG RECOROED PUT, ( 000.00 ) OFNOTES PROPOSED ElE~~71ON
- nrunne nce~ueCC ~un uinin ceS~uCNi
• ~ , CITY USE ONLY
~ ~ gL ~ RECEIPT 59
SUBD. ~~~.e.~ DATE: ~ ~~9~
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551.".2
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos whc~n permits are required for each unit
FIXTURES EACH ~Q TOTAL
Shower 3.00 x = aa
Water Closet 3.00 x 3 = ; Od
Bath Tub 3.00 x d o
Lavatory 3.i,~ x = de
Kitchen Sink 3.00 :r = 3, oa
Laundry Tray 3.00 x = 3. 0~
Hot Tub/Spa 3.00 ;c _ ~
Water Heater 3.00 :c _ ~b
Floor Drain 3.00 x _ ~
Gas Piping Outlet ' minimum -1 3.00 x ~ = 3, ~ a
Rough Openings 1.50 x ~ _ ~0
Wa4er Softener 5.00 :c =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. 5pfinkler ' home under eonst. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 3 ~ ~ ~
SITE ADDRESS: ~ ~ ~ ~ ~ -
OWNER NAME: L ~ d NU T G C
INSTALLER NAME• ~~qr h ~ C -
STREET ADDRESS: ~O? ~ ~ e ~ -
CITY: a C~ Uov~ STATE: ZIP: ~~D ~
PHONE la ) Y..~ / ` a ~ ~0 ~ ~X/~3~~
OFFICE U3E ONLY
L BL RECEIPT ` ` ~
SUBD. DATE'
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please compiete for. ~ all commercial~ndustrial buildings.
? muRi-family bu(Idings when separete permits are pgs required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
'vr3Cnii-Tiviv ~F ~vi~~'cn:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi(LER PERMIT.
FEE: $25.00 minimum fee or 1~0 of contract price, whiche~~er is greater. State surcharge oF $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE AO~RESS:
?FlJANT NP4~!E: STE. # _
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONIY
METER SIZE: " DATE: INSPECTOR:
f .
~ ~ CITY USE ONLY ~pDS`-S
L BL RECEIPT
SUBD. ~.o DATE: 'S
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB ~tD
EAGAN, MN 55122
(612) 681 ~675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
r./` New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc,
Date: 6 - a?~-
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) ~0~
? NVAC: 0-100 M BTU 24.D0
Additional 50 M BTU -~8~
? Gas Outlets (minimum of 1 required @$3.00 each) 1.?.~0
? State Surcharge .50
TOTAL 3G. Sz>
SITE ADDRE55: y~y~ S~~~ Mai~
OWNER NAME: /~'1 ~ Od ~~l~ ~.~.s ~ PHONE ys?" ~
INSTALLER NAME: ~+'lle~ ~ ~
STREET ADDRESS: ~ ~'e .
CITY: STATE: /!'/~f/ 21P: ~~°7~
~
PHONE ((,~a- ) ~~d n ^
/C
. . ,
cirr use oN~v
L BL RECEIPT
SUB~. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
F'lease complete for: ? all commerciaVindustrial buildings.
? multi-family buildings when separate permits are g9~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.~0 minimum fee QC 1°/a of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI~
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
51GNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA106952
Date Issued:09/18/2012
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors-New/Replacement
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Kevin A Gliva
4846 Sycamore Dr
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109579
Date Issued:03/19/2013
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
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.
Crystal Cochran
7588 Washington Ave S
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 -
Kevin A Gliva
7601 145th St W
Apple Valley MN 55124
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2Q13
Use BLUE or BLACK Ink
For Office Use j
Permit #: 1 i 1 ( 09
S o o�
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v `>U' / .3 Site Address:4€ 4 (.F S y C.c`kl\s_
Unit #:
Resident/.:.
Owner
Name: 1,<-t_ `). %. N -4( l) i ),Y ,,- 6 ( c l i..Ci Phone: (-0`7"-(`"- LP -347 51
Address / City / Zip: 44E:4 (c cS C6 e1 - i.) —
%
Applicant is: Owner K Contractor
Type of Work
Description of work: I\\C+-',1. . (,�:..t___I / lcr l -•c i 1
Construction Cost: 4C,) k Multi -Family Building: (Yes / No )
Contractor
Company: ' I • << . _ .(�..� . Contact: e 1"\ i ti.. S
Address: in C -,n.. L,..,. c _ t i City: 1^clik_c_c. 5 iv
State: Art 1.--\ Zip: S Li Li Phone: Q S — t-/ c G --Co q6 0
License #: 0 c "t t'7(3 Lead Certificate #: /Vf4 i - aQ I — 1
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
1
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.Portions of
he information may be classified as non-public if you provide specific;reasons .that would permit theCity to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minne ota State Building ode must be completed within 180
days of permit issuance.
x ,\jr` (i'\C.\\<‘; x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
LI l ° J'%C°et m Cf. Dr
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace
)(' Single Family _ Garage
Multi _ Deck
01 of _ Plex _ Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation /OvO
Plan Review
(25% 100%_Zr
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
• Framing
Fireplace: Rough In
>f, Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
.2907
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 _
Siding: Stucco Lath _Stone Lath
Air Test _Final Windows
Retaining Wall: Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
3d9
e, ,zo
Final
Brick
Final
/ 7 7$o
Page 2 of 3
r
City otEagp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
//
Date: 7 l r —(? Site Address: ( D %' ecimorC,sa
Tenant:
Suite #:
Resdent/Owner
Name: 42(." -rel'[ 2Phone: C"/:57— 295717,241
/< <.•
Address / City / Zip:
... ..
ontrac
Name: ,,Qitl /G 6/'i✓i ii c License #: 477?,579--- /9/4i
Address: /4g1/C I r5 4 C'� City: d;'197
State: /�11+� Zip: $$' Phone: �f� ��
Contact: f_.✓> 7 Email:
Type of Work
�/
^�✓� k O 4
New Replacement Repair Rebuild Modify Space Work in R.O.W.
—
— —Description of work: KL/'✓Ndef / //YcMnJ/W1",4'p s, �
Permit Type
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
—
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Water Softener, or Water Heater and Softener
(includes $5.00 State Surcharge)
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(includes $5.00 minimum State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $200.00 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 damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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
accordanc- •' e approved plan '. • - "of work which requires a review and approval of plans.
x
Applicant's Printed
x
Applicant's'Signature
FOROFFICE USE
Required Inspections:
eviewed By:
ate:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137386
Date Issued:06/30/2016
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Kevin A Gliva
4846 Sycamore Dr
Eagan MN 55123
(651) 295-2661
Tollefson Brothers Exteriors
5131 Overlook Dr
Bloomington MN 55437
(952) 881-2218
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168363
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kevin A & Debbie J Gliva
4846 Sycamore Dr
Eagan MN 55123--490
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177423
Date Issued:06/30/2022
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Kevin A & Debbie Jean Tstes Gliva
4846 Sycamore Dr
Eagan MN 55123
Riverside Mechanical Inc
8600 Xylon Ave N Suite 106
Brooklyn Park MN 55445
(952) 894-7600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178751
Date Issued:09/01/2022
Permit Category:ePermit
Site Address: 4846 Sycamore Dr
Lot:4 Block: 3 Addition: Pines Edge 1st
PID:10-57690-03-040
Use:
Description:
Sub Type:Ductwork
Work Type:Alteration
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kevin A & Debbie Jean Tstes Gliva
4846 Sycamore Dr
Eagan MN 55123
Binder Heating & Air Conditioning
222 Hardman Ave N
South St Paul MN 55075
(651) 457-8781
Applicant/Permitee: Signature Issued By: Signature