4850 Sycamore Dr INSPECTION RECORD
~I ~ OF EAGAN PERMIT TYPE: ~ ~ ' ' ' ~ ' ~
3830 t~ilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ~
(612) 681-4675
SITE ADDRESS: , ; ~ ~ < APPLICANT:
!ti ~z , ~ , ,
PERMIT SUBTYPE: TYPE OF WORK:
. .
,
~ ' ' ~ . ~ ~ ! ~ i I . i
. . . ,1 .'i i ~~I i . ~ S i,~~ ; ~ •,f~ tli i,~ ~a,, . . .
~ ~
~ 9~.
~ _ ~
Pertnit No. PermH Holder Date Telephone 1t
ELECTRIC
PLUMBING ~y{~ Q . 7 y' ~~q'8J ~O
HVAC C, ~ ~ g 57-~"7~
Inspection Date Insp. Comments
FOOTINGS ~~G, ~
FOUND '~~/.2~0 ~ ~L' i
FRAMING ~/~S
ROOFING
ROUGH
PLUMBlNG ~-~~O ~
PI.SG tf
AIR TEST
RQUGH j , j~(
HEA7ING ~(~j
GAS SVC ,~y4'~ • ~f / A _
TEST ~/D {J~t7t ,~.a~til(~e~.
INSUL ~ ~
GYP F30A.RD
FIREPLACE /.~~'/G U~'
! 7
A R TESTCE r~
~
FINAI PLBG
FINAL HTG
ORSAT
TEST
SLDG FINAL ~I/s/
[3SMT R.i.
BSMT FINAL
DECK FTG
DECK FINAL
~
F.~ _
~~i~[CQ#¢ D~ ~CCIi~Q)tC~
~i#~ o~ ~agau
~eparimeut oF ~xi[bing ~n~~?ectiou
This Certifcate issued pursuant to the requirements of ti?e Uniform Building Code
certifying tieat at ti~e time of issuaRCe this structure was in complinnce with the various
ondertnnces of the Ciry regulati~eg building construction or use. For the following:
ux c,~~r~: B F D~1 G swg. No.3 I 5 6 5
~c~r R- 3 U- I ~~,g ~ R- 1 ry~ co~u. V N
M~DONALD ~ONST 76~ l145TH ST W APPLE VALLEY, MN
Owner of Building A~5
B~.~gA~ SY~AMORE DR~~~, L 1, B 1, PINES EDGE RU
f- f~i , ~
/
uxc:
Birildin~ OPficial . .
POST IN A CONSPICUOUS.PLACE
Address - 4 8 5 0 S Y~ AM O R E D R Zip 5512 ~
Lot t ' Blk ~ Sub P I N E S E D G E 3 R D
THESE TTEMS WERE / WERE NOT COMPLETL AT THE TIME OF THE FINAL INSPECfION.
Date: ~ Yes No Inspector:
Final grade (6" from siding) 1/
Permanent steps (garage) ~
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system snd the shut-off of water supply to
We out~ide Iawn faucet before freeze potential exists.
Contact engiaeering division at 681-4645 beforo working in right-0f-way or iagtalling underground sprinkler system. ~
White - City Copy YeUow - Resident Copy Pink - Contractor Copy
INSPECTION REC~RD
~.I-TY OF EAGAN PERMIT TYPE: ' ~ ~ ~ ~ ~ t" ~
f 3830 Pilot Knob Road Permit Number: ''R
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ~ ~ ~ ' ~
(612) 681-4675
SITE ADDRESS: , F, i,,, k, , APPLIGANT:
, ~ ~ (1N ~ . ~ ; ri.
! , . • , . ~e . , , ,
PERMIT SUBTYPE: TYPE OF WORK:
„ .
. .
f•I ;,iJ i.; •'!1 ~i~ i:, ~ i; , .,i~~.i~l
F~; ~
~ ~
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLFiG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG ~ L~'i
71
C d'
DECK FINAL
**~K7KAc7K7K*~K~IC *~k ~K ~K~c~c#h:.~,~~?K?K~;k~:~~k:#~:~ik~~~k~K*~K
rtTV .r-.~~~~
r~~~.~Tr~': 5 TFRhiI~lf~L~ i~C7: i03
Q3/Q`~/98 ~'7i~F: 1~3e~E.5~
' ~r-;: ~'fCI~01~lAl..Ii COi~lS7 INC
~2 ~6 3(]Q 1 485Q 5YC~1hfORC I~ 4~ 526 . 46
Tot~t fi~!eeip+ Ar~,o~.;r•+.- ~t,~?~„46
Gf:~?8~ 101
us~~ zr~: r~r~~cv
`
PERMIT ~ ~
`f CITY OF EAGAN
3830' Pilot K1hob Road PERMIT TYPE: B u z ~ o i N e
Eagan,Minnesota55122-1897 PermitNumber: g~1555
(612) 681-4675 Date Issued: m 3/@ 9 J 9 8
SITE ADDRESS:
4850 5YCAMORE DR
LOT: 1 BLOCK: 1
PINES EDGE 3RD
DESCRIPTION:
~
~u~id~7`i`~'~~'ermit Type 5~ DWG
~~$ir~l`,s3~~f~ ~F~Type NEW
U$C` (3acu,p~t1~ ~ h?-3 U-1
c~ns=~ru~~pn T~ vN
~ ~ ZsA~~.iE~ ,''s R-1
BWi~t#~.nc~ ~~rit,~th 68 ~
~ ~ ` BU~~+3~~9 ~~S~~h ~ 3q'
~~`t~;i~ pu`~e43~~t1~'n~~s€~0~rfas 2
~6~~~c~`"e}~r~~ 1.949
C~=r~s~~"~de 101 1- FAM. DETACH
~
`u a
~°a ~ ~ ~
~ ~ ~
~a„. ~ ~ .
~"°~~:m"v„~.~g_ _ ~ ~ "
REMARKS:
S& W PERMIT: STAR PLBG PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUATION $1A8,000
Base Fee $1,127.25 MISC FEES $1,592.50
Plan Review $732.71 7ota1 Fee $4,526.46
Surcharge $74•00
SAC $1,000.00
SAC ~ 100
SAC Units 1 ~ ~
SLbtotal $2.933.96
r~
CONTRACTOR: _ ppplicant - s7. ~IC.OWNER:
MCDONALD CONST INC 14827601 0602376 MC~ONALp CONST
7601 145TH 5T W 7601 145TH ST W
APPIE VALLEY MN 5512R APPLE VALLEY MN 55124
(612) A32-7601 {612)432-7601
~ ' e ' xa r sr : y, ~ n y ? ~ f'~ '
z tr~r~p~ .~c~~,~~~~~~e ~ha~:~ ~~~~~~~~i~~~, s~~~~~ ~~e
t~f.~~yt..l~^[~rt~~pfoyrr ~}4rt/S"~e~ ~rx'~ ~'~~"'~.~~p h~~r ~vm€~~`5+= w~~h ~P~~~3~~~#1~ =~'~~~e r~i~ ~~x~
p +y~[g~j~ ~ ¢
1 ~ ~u74~~MFr~~d M~~... V.~il~1 *[i~ ~iM~~~ ~Y~~+~k.~~~SY~Yt~ 'T t t b Y~4: ~ ~ f' [2W 9~ ~ .
t i ~>4 ~y .1..~i. ~.4mo i.l,». ,i i~ a ~.s .5r ....'ai, ~ v Lxt .e"., n
vi~. a..~»,
APPLICA T/PEIiMITEE SIGNATURE ~SSUED BY: IGNATU
1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
~ , crr~r oF Enc,~?x ~0 k~
- 3830 PII.OT KNOB RD - 85122 p~,[
681-4695
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copbs of plan
? 2~pies af plens (inGude 6eam 8 window saes; poured fid. design; etc.) ? 2 site survays (exterlor addkions & dedcs)
? 1 energy calwlations ? 1 energy calculations for heated addiGons
? 3 wpies otLee preservation plen M lot plelted after 7/7/93
required: _ Yes ~ No
DATE: 3"' 3~ ~J 0 CONSTRUCTION COST~~~~ Cv D~~
DESCRIPTION OF WORK: S: nfh~I ~-o-.~ ~ ~ir~.~. t
STREETADDRESS: ~~~SS~ Sy1 C~e-m O/d'C.- DQ.'~-c.
LOT: ~ BLOCK: SUBD./P.I.D.#: f~'nrs ~ .r ?QcJ /4Jd
Name: Phone
PROPERTY 1,asc F'vst
OWNER
Saeet Address:
Ciry State: Zip:
Company: ~e ~b nu~ L_(~r'ST Phone ~y 3 y' 7~v Or
CONTRACTOR
Street Address: h(~cJI ~~ar 7~ sT r.~ License # ~~,3 ~~O
c~ty i/wll~ s~~: /2i: z~: .55'~~ v
ARCHiTECT1 , ~7
ENGINEER Company: ' a^ ~tilC. ~
e,~~,e~~`~, _ Phone ~t:
Name: ~J~+ti . G.o-.QSo ~ Registration /~l ~r`~ ~
Sheet Addtess: o~~/~ ~ ~'8lt~Qlse /1~! r.~
csry d~~' w r.~,~, u r- s. s~~: ~i ~ Sa y0. z~p: SS'i ~ v
p ( ly): ~~t`~ -_S"~.2 9 . Penalty applies when address chang
Sewer & water licensed lumber new consWCtion on ~c.
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the information is cortect and agree to Comply with all applicahl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE O Y I
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Require
L . i
r ,
i y
~FFICE USE ONLY '
BUILDING PERMiT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~31 New ? 33 Alterations ? 36 Move
? 32 Addition O 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. i~ 3~ MC/W5 System ~
(Allowable) , Main level sq. ft. ~ i 3 ~ City Water f
UBC Occupancy sZ-3, ~-1 2~ sq. ft. ~o ~rt Fire Sprinklered
Zoning I ~ sq. ft. Si z PRV
# of Stories sq. ft. Booster Pump
Length ~ sq. ft. Census Code. ~ o i
Depth ~ Footprint sq. ft. ~G vy SAC Code i
Census Bldg i
Census Unit t
APPROVALS
Planning Building ~ n Engineering Variance
Permit Fee Valuation: $ 1~l d vaU, r
Surcharge s3as`
Plan Review Z`,~ 3p ay~
License
MC/WSSAC ""'Z~s ,37
City 5AC " Z
Water Conn. " 3~ ~ 5= ~ S s. -
Water Meter ~
f
Acct. Deposit
SNU Permit 5~ e
5!W Surcharge 3~ rousy ~ 3 ya'. -
Treatment PI. z"`~
r
Park Ded. 3 Q~ z~ ~
Trails Ded. ~ o~r s r~ fl s y= S`
Other ~ Y3 ~
, .
~g~85 C~
`iTOt21:~ "~o . 3 3 v z~/ 2~
7
::o~'gq~ ~ IG . 3y u z '~4. S
1f~^/'~ 1 1+ L
E Vf1~~.I lln~ls ~ ~ V / /
' . e S ~ ~ . S r~ ~ I L = ~ Z 9 g~/'=_
_ . . 1~17~ SL7. ~
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' B ILDING PER IT APPLICATION
PROPERTY LEGAL: I
~ ~ DATE OF SURVEY: ~ ~~Ir~ 4~~
~ ~ ~ LATEST REVISION: 2
~ ~
~ DOCUMENT STANDARDS
6 X
Q~ ? • Registered Land Surveyor signature and company
e~~ ? • Building Permit Applicant
? • Legal description
6~~7 ? • Address
? • North arrow and scale
~0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? • Directional drainage arrows with slope/gradient %
~ ? • Proposed/e~dsting sewer and water services 8 invert elevation
? ? • Street name
m ~ ? • Driveway
ELEVATIONS
F~astina
~ ? ? • Sewer service (or Proposed)
~ ? ? • PropeAy corners
~ ? • Top of curb at the driveway
? ? • Elevations of any ebsdng adjacent homes
Prooosed
~o ? • Garege floor
~o ? • First floor
~ • Lowest exposed elevation (walkouUwindow)
~ ? • Property comers
~ ? • Front and rear of home at the foundadon
PONDING AREA fif aoolicablel
? q~o • Easement line
? ~ ? • NWL
? B~ ? • HWL
? ~ ? • Pond # designation
? p~ • Emergency Overtlow Elevation
DIMENSIONS
~0 ? • Lot IinesBearings & dimensions
? • Right-of-way and sheet widfh (to back of curb)
? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
porches, etc. p.e. all structures requiring permanent footings)
Ca~o ? • Show all easemenLs of record and any Cily utilifies wifhin those easements
O~ ? • Setbacks of proposed sVucture and sideyard sethack of adjacent ebstlng structures
? ~ • Retaini~g wall requ' en ' an
J
Reviewed:
N e /Dae
January 1996
CRAIGI YBBIBLIX3PRMf.FM
~ ~~8-r~9
ENERGY CODE WORICSHEET I~ OR 1& 2 FADSTLY DWELLINGS
- SITS AUDRE59 ~/4 - ~ . . . CITY .
COMPLETED BYc C _~L~ ~.(JNSr p1ION6 ~I. AATB
BQILDIt7C CLASSIPICATIOti: ? catagory 1(ntaadatd) or cate o 4
g ry (muet iaaluda veatilation)
tlIt7IHUH CRITSRIA
Foundation Ineulation-k10 Walle G Windawo Roo£ Attia laeulatione
Slab on Grade Iheulation-R10 forenllowable Yercentasese
p 9) R94-With Attic No ifoel
Floor over un}teated epacee-R24
R38-With Attic Raised i1ee1
Foundation Windowe 1/2" , R3B 6 R5-Solid Raftete
inaulated Glaes.
-Wood or Vinyl Frame -
STBP 1 Window 4 Door Area ~ STBP 2 Calculate area ea a percent o£ wall
A. Total Window & Door Area in 8q, Ceet ' ~
WINDOWS (Including Foundation Windowe):
WZLIDOW MANUPAC7vRE NAMHtSi/~~S~L//V~ C. From Step 1 divide box A(Window 6 Door
WINDOW tlA1~IUPACTOR6 TYP6~ c.,5/l.~~r ~ Area) by box B(total wall area) L•Smen 300
- equals the window and door area as a
percent oE wall area (box C).
NINDOW MANUBACq'[7RH Q FACTOR: ';lL~
R. O. QuantiCy oq.fl.A"rea @OX A ~ X 100 = ~
Dimensions pox ~ ~ C
°f4S~
u X '4u I S~
Zi~ ST6P 3 Deoign Featurec
Z~N X S~ pN / ~
1~ (~i ASSEPiBLY
/ vN X ! N n ~
~ I ~L/ PRAMIIJG TYP$:
~r~N X3~`~OH '~'/11 STANOARD FRAMING TC' Qtuda 16" o.c:
X ~ i ~N 'dYT ~ ~9 ADVANC6U FRRMING etude 24" o.c. -
Z<<N X 4~u l~ 7~ CAVITY INSUGATION ~
x
9H6ATHIlItl TYPBt
i ~
X LESS TIIAIQ < R-5
X R-S > OR h10RE
X U-FACTOR p
OOORS: ~ q~, From the [a61e, (reveree eide) detertnine the
~ k - l maximum percent window & door area Eor.the
q p deeign optiono eelected and enter the t value
z CJ X~ O f B ~ in Box D below based,o~ the window mfg. U-
~J factor:
~ X ~ ~ `l~ I~T7
1bta1 Area of ~ D
~ n f~~uq.£t. ~
Windowrs & Doore ' - ~
B. Total Wall Area in Sq. Ft.. The t value from the table in Box D ehall bo
egual to.or greater than~-the } in Box C
Wall ToEal ~tleight Area ~
Perimeter ~ ~
~i ~O .I ~ . . . . .
----,1~,`' /dCo7 l Z 2 7
3`f- 9,~7 3z~ .
13/ .~3 fl.S27
~ 7:ota1 Area of Walls ~ 6=~U f.Gq.tt
,
, ~ ' ~
ONE- &'?'Wp-ppMIj,Y RFSIDfNTIAL p(JJ[,D(NG pRF~rC7~p7.rvg (COOK-DOOK)
nr~°soncat
MAXIMUM WINAOW AND DOOR AREA AS A PERCCNT OF O.VERALL WALL
AREA
Prom Mlnn Ii~lee part 7670 047~,~~alt 2. llem ~
~~~t 8xterior Window U-Faetor
Fremin lnaulalion Sheathin D.49 0.36 0.31 017
STANDARD R-13 2 R- ~ 13.45~s ]7,8% 21.3% 24.3%
STANDARD R•l3 R- 5 12.4% 16.4% 19.7% 22.5%
S7'ANI7ARD R-15 > R- 5 12.9°~6 17.1% 20.1% 23,4"/u
STANDARD R-18-19 < R- 5 12.19'e 16.0~'e 18.8% ~Z,p%
STANDARp R-18_19 R- 5 14.096 18.6% 21.8% 25.3"/0
AbVl~NCED R-18-19 < IZ - 5 12.996 17.1% 20.1% 23.4"/0
ADVANCED R-l8 -19 > R- 5 14.59'a ~9.2Yv 22.59'0 26.1~0
STANDARD R-21 c R- 5 l2.8°/. 17.09', 79.9~'0 23.1%
STANDAI~D R-21 > R- 5 14~5% 19.396 22.5°/a 2fi.1%
ADYANCEQ [L-21 < R- 5 13.6% 19.1% 21.29'0 24.6%
AI~VANCED R-21 R- 5 15.09'e 19.9% 23.2g'o 26.9%
Additlonel ealc~lale~v~~•~Pa
STANDARD R•17 < R- 5 11.9°l0 1b.79'o 18.4% 21.5%
STANDqRD R-17 ~ R• 5 13.89'0 ~8.4'/e 21.5% 25.0%
ADVANCGD R-17 < IZ • 5 12.6% 16.84~0 19.6% 22.9%
ADVANCED R-17 ~ R- 5 14.39'a 19.D9'o 2Z.29'o 25,7%
Notea:
Window srea equals rough opening minus Installatlan clearancea.
Window U-factor mast be determined by either the National Feneslratlon Rating
Cauncil atandard 100-91, or ASHRAE 1993 Handbook o( Fundamentals, Chapter 27,
Table 5.
Po.~-n• F~z No~a ~e~i o.~
rrae
G.~0.pt ~ . .
• p~aN ~ n
' IM• aI . . . . . ~
T0'd i95 02:0T 866T-52-H3~
e
~ ~ . - , . e, ~ ~
/ , r'% ~ ~ ( lJ
2422 Enterprlse Drive
* i~ k. Mendoia He~ghts, MN 55120
* PIdIVEER (612) 881-1914 FAX:881-9488
UJiD 9VP~EYOFS • ONL MdNEfN3
* eAel°"
nBB~.T 9 tu+0 VuNNERS~ w+osowe ~nnon~ecis 625 Highway 10 N.E.
7f B~uine, MN 55434
* * ~ (s~2) ~aa-teeo F~x:~a3-~ee3
~ert~ficate of Survey fior: MCDONALD CONST.
4850 SYCAMORE DRIVE CIIENT-ZAHR ~~~~a„
~
~ ~~0~~ C
OENCH MARK
70P OF PiPE
L'~EV.=975.22.~ BY
PINES EDGE 1~,TE AQDITION 3-5711
BUILDING INSPEC1IOfv,~ ~~P~f.
~ 3 I EXISIING ~
~ ~ (~~3,~,1 eiq.z HousE N89'41~52"E
976.3 ~42.~J2 (l!f'i2..°i~
975.9 975.7
9i.3..S 30.00 ^ 34.00 98a.6
~
973.8 _ ~ ~
Q ~z^----~
~ p nl ^I 10
~ to ~ w~ o~ oi I
"'i 977.6 N'
~ 3 ii i ^ i 978.3 976.8 ~
~ I vWiz r 26.00 i x I O
~ i ~ ~ ~ ~
p ~ri~ ~-iP ~ i~.. ~ O
i n w i i~
~ ~ i ~ ~ ~~0.= ~ ~ ~ ~
0 i Pn o0 oiO- N I
~ I i- p¢,s oi r ~
~ I I 977.9 ~ / ~ Fa ~ 3
~ or'1 n
~ ~ w
' 3 ~ ~ oD
~ I 975.5 ~ I r`'n'3 W 11.67 x % 'ba ~ O
a o~ ~ 2.00 ~ i 978.~ 9~7.5 s7~.8 a ~ I ~
N~ I a~~ j~ ' avWi I O
I ~ O ~ ~ ~.20.3.'~^ ---a ~W I Z
Z HYO.~ ~ 978.3 ~ ~1 i°~ ~
0~978.5 ri ~ ~ 10
a 10 I oi t~~ oi ~ i~, ~
L--°"-----04---------~- ~J
I ~ 979.1 m ~ u' -
r 976.5 30.00 34.00 983.3 983.0
3 f9~~, ) I~ S89'49'18"W ~ 4 ~ 9 8¢.s~~
~ ~ `
;
~ ~ ~
t3
~ _
BENCH MARK PINETR EST ~/_=9`~
TOP OF PiPE .
ELFV.=982.26' . _ .
, , . . .
NOTE: PROPOSfO GRnDES SMOYM PER GRADINC P~AN BY: PIONEEfl pROPOSEO HOUSE EIEVATI
NpT[: ~I~~O~NC OIMENSION$ 9~OWl1 ARE FOP NORIZONTAL PNp VERTICAI LOCATON ~OWEST fL00R ELEVATION: 7 Z'
OF S1RUCNRES ONL7. SEE ARM~TECN~I PUNS FOR BUI~OING AN~
i'OUN~ATION OIMENSIONS. O~ ~
TOP OF BLOCK ElfVa710N:
NOTE: NO SDEPPiC SORS INYESTGSnON XAS BEEN COMPlETEO ON TNIS tOT BY THE
SURVEYOA. TME SVITABIIITT 0~ SOI~S TO ~1PFONT THE SPECIi1C HWSE CARAGE SLAB ELEVATION: y~g.
PROVOSE~ ~S n0T ME RESPONSiBIUT1' OF THE SURVEYOR.
NOTE: TFpS CfflliflC~TE OOES N0T PURPORT TO 3110W eASEMEti;S OTNER TMw+ % WU.OO ~ENOTES ~XiSTINC EIEVAiION
Tr105E St~OWN On TNE RECOROEO PL4T. ( Op0.00 ) OENOlES VROPOSEO ELEVA710N
NOTE: CONTR~CIUN mVST VEqI(Y DRiYEWAV DESiGN. DENQ1pS DRAINAGE AND UTILITT EASEMENT
DENOIES ORAINAGE FIOW D~RECTON
r+OTE~ BEARINGS SFIOWN PPE BASED ON AN ASSUMEO DATUM -0-- DENOlES MONUMEI/T
~ $ DENOTES OFFSEi HUB
wE ~iERC~3v CERT~FY TO MCOONALO CONST. THnT iriiS i5 A TRUE nN0 CORRECT REPRESENTnTiON OF n
SuRVEY 0~ TiiE DOUNOnRiES OF:
LOT 1, BLOCK 1, PINES EDGE 3RD ADOITION
~AKOTA COUNTY, MINNESOTA
IT ~OES NOT PVRPORT TO SHOW IMPROVEMENTS OR ENCHROACHMEN7S, EXCEPT AS SHOWN. AS SURVfYfO BY FAE OR
UNDER MY piRECT SUPERVIS10N 7HIS 1B7H DAY OF FEB.. 1998.
6NE : PIONEER EN41NtERl P,A.
SCA~E : 1 INCH = 30 FEET ~ ~
1982 98073.00 SWK JoM C. Lorson, l,S. Reg. o. 19828
, n - ~
~~~~~~~~~~m~~~~~~~~~~~~~~~~~~m~~~~~~~~~
czrv oF ~-nrnra
CASHIFFi: S TFRNiIAlAI_ i~0: if34
Df~iEa D9/01/98 TSt1F: 15:55a44
ILi
N~MEr CBH RFMOL~.F..L.ING
3?1.0 3DC11. 4850 SYCAMOfiF f.~ SO.OQ
2l°~5 30Ui 4L~50 SYCAMOfiE D 0.50
t
Tnta). Rerei~~t Amo~.an+,: S~.SO
Cfi036832
tJS.F_R IU: NANCV
~k~F%~X~%~X~~tX~%C~F~Y%~~kk~Xt%~~~k~CY~~X~~ ~k%t*#:%#~F~%Xc~t~s%r~~~C~k
PERMIT ~
CITY OF EAGAN PERMir TYPE:
3830 Pilot ~nob Road e u i L D i N G
Eacfan, INinnesota 55122-1897 Permit Number: e 3 3 m 7 3
(612) 681-4675 Date Issued: 0 9 J~ 1 J 9 8
51TE ADDRESS:
4850 SYCAMOf2E OF2
LOT: 1 BLOCK: 1
PINES EDGE 3RD
P.I.N.: 10-57692-010-01
DESCRIPTION:
~~~.a.
Bu;~€~EC~ ng°=~permit Type DECK
6_u~t~ld~ng I.~~k Type NEW
~r~*g`+~~i}i~ Cocle~'"~~ 43A ALT. RESIDENTIAL
'~5.
~ ~ ra
~ ~s
z
; q"#~
R
~h'~i~ h rt"
~~a'~f„~~~aa~~' ~k ~ '~m^' a. r z^x•"s~ r
'~iu. " ' _ _~s~'^
~e h F. ~m~'~~'~'>aw''~ .
~ ~ ~
~ ~
~ kw~
~ ,f1 . kt §ea. 7 ~r` ~ 5`~ R
s°~`
~ ~ ~ J ~ §7•Y L N't,r S ~
~'"v,.~., ~ § fi5 a °mr a ° ~ ~ nh a ~ '~~u P:°
}e u a* ~,m. .:°.:~`avi
_..,:o' ~c..
REMARKS:
PLflN REVIEWEO BY BTLI. ADAMS.
FEE SUMMARY:
Bese Fee $50.00
Surcharge $.50
Total Fee $5~,5g
CONTRACTOR: - Applicant - sT. ~zc. Q~INER:
C B..•H REMOOELING 13225423 0005777 ZAHR ,]ACK
13975 BUNRATTY 4850 SYCAMORE qR
R05EMOUNT MN 55068 EAGAN MN 55123
(61~) 643-7165 {651)322-&546
~~.}ter^~b~i aekn~W'~.u'dg~ ~ha'C I t~~ve read ~~h~s ~`F+i?ii~~ti:br~ ~rktt s~za~~ tt~~~ ~he
` ir~or~na~~on ~s ~~~^r~ct,~nd a~re~ ~o n~rmp~.~+ w~th a~~ aPP~~s~~~.e s~at~ crf' rtr~.
~ ,z', ~~t~~e5 ar~d~CZty bf~.~~tgsr~ Orcf~~ai[cs~..' °
~ . . _ . _ ~ . . _ ~
~-.w P~ l~
APPLICANT/PERMITEE SIGNATUFiE SUED 8Y: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
a ' • CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
33 v`~ 3'~ es i.a6~s ~~v .n
New Constru~tion Reauirements RemodeVReoair Reauirements ~--~x-N`-'~-`'~~ q,
? 3 registerod site surveys ? 2 copies of plan U' 3 ~ ~ r~
? 2 copies of plans (inGUde beam S window saes; pouretl fid. tlesign; etc) • 2 site surveys (exterior add'Rions 8 decks)
? t energy calculations ~ ? 1 energy calwlations tor heated addRions
• 3 wpies of tree preservation plen 'rf lot platted after 717l93 .
required: _ Yes _ No
c
DATE: ~ a ~ CONSTRUCTION COST; ~3 ° ° "
DESCRIP N OF WORK: I~~`~ I ,Q~L
S'fREET ADDRESS: 9 i a c o/2 e ~ ~
LOT: ~.V~w~ ~~A- ~Y
BLOCK: SUBD./P.I.D.
Name: Zr~~fh ~Q~K Phone#: 330~' ~C46
PROPERTY 1-a~t F~at
OWNER
Street Address: 8 T a p„R ~~,,,;,,,P
City ~ State: Zip:
Company: !'f_ /E k m o~~ C i w y Phane a~- 5 Y`~ 3
CONTRACTOR 3~g i r
Street Address: r~ 7~ ~ s f w- L~cense ~l
City lF~.~ 'V a.~e~ State: Zip: ~~/~"L/
ARCHITECT/
ENGINEER Company: IC/ ~-++-c Phone
Name: Regisffation
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construc6on only}: . Penalty applies when address d~ang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this applica6on and state that the information is conect and agree to comply wRh all applicab!
State of Minnesota Statutes and Ciry of Eagan Ordinances.
~
Signature of Applicant: ~ ' ~~'"P"~""'~._----- ~ ~
D uv~
OFFICE USE ONLY
AUG 2 8 f998
Certificates of Survey Received (~~Yes _ No
Tree Preservation Plan Received _ Yes _ No Not Required
OFFICE USE ONLY , " " *
BUILDING PERMIT TYPE
D 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Fi~ish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 .Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~ 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
D 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATI~N
Const. (Actual) Basement sq. ft. MC/WS 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 ( O
Census Bldg ~
Census Unit ~
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°h SAC
SAC Units
~~y~ 0Z:0I 866T-52-H3d
1
+ ~ ~ , . ~ J ~
24Q2 Enterprlse D~ive
* ~f-* Mendota Heights, MN 5512D
PIDN~EFi uHD 9VP~£YONS . qNL EM~NCFPS (812) 681-1914 FAX:881-9488
* engmeer lig ltiMO VININEfli~ ~•wsarc .A~.nccrs 6Z5 HighwOy 10 N.E.
* Blaine, MN 554~4
* * (812) 783-1880 FAl(:783--1883
Certificate of survey tor: MCDONALD CONST.
4850 SYCAMORE ~RIVE CLIENT-2AHR ~^^p~ p~
. C-.M~~Ir]
~ ~ ~ ~ '
DENCH MaRK
70P OF PiPE ~
G~EV.=975.22.~
.
PINES EDGE 1~~,T AD_DITION_._.__.. 3_-s 3~
, ,
u W i.~J~~VCl II~~J~~~li I 1~.,'i ~v ~1~ I,
13 ~ EXISiING
~ 3 ~,j3.~,1 eiq.z HousE N89'41'52"E z~1
~ 9~s.3 142.52 r4~
30.00 ~ 34.00 975.9 975.7 98<.6
9 /3..5
973.8 i ~
Q w'7~----<v ""--^----I
~ t0 ~ w~ oi oi ~ t0
977.6
~ > u' ~i i 976.3 976.8 ~
~ x
~ ~ ~z F- 26.00 i ~ p
~ i ~ i
' 0 ~_II / ~r- ~ O
~ I ~ ~ ~ ~ NN ~ ~ ' ~
~ r~°~ v ~i 1
p~ I i~`" ~x oi~~'c i I
I
W I ; ° ~
~ I 977.9 ~ / ~ P ~a ~
3` ~ 8.00~~ ~
oN'1 ni ~W ~ 3
Q 975.5 ~ ~ N3 w 11.67 x ~ x ~a ~ O
~ I QD I aW~ n` a ~ 978J s~7.5 977.8 `~z tD
o~ 2.00~¢~ ~ Qi„
(n I _c3~ aO~ °/j °1 _ ~ ~ ¢t'''n ' O
' Z HYD I ~^•20.33~ °W I Z
d oi978.5 97B.3 n~ ~
w I oi o~
~ ~ , ~ 10
a 1 0 d i C--~' 6 i ~ J
L--`a'i-----OU---
~ 979.1 ~n ~ ~ - ui
~ ~ 976.5 30.00 34.00 983,3 9~8j3.0
j 7W r~~ i+ J[]9~T9,~ 8~R I'..._` 4 5Z ~ ~7 ~4.~~
~
I I i i~;,~ I , i, t~
I ' ~ I i
, _
BENCH MARK PINETR ~ EST 9~
TOP OF PiPE , -
_~F v. = 982. 26 ~ -
NOTE: PftOPOSCD GR~DES SnOWN PFR GflAOINC PGAN BY_ PIpryEER PROPOS D HO ELEVATIQ,
NOTE: BV40~NC OIMENSIONS SuOwN wRE FOP HORIZONTAI aN0 vERhCwI IOCA¶ON '
Oi 51RUC1LRE5 ONtY. SEE 4RCnITECNn~ P~ANS fOfl BUI~OING ANO LOWEST fL00R ELEVATION: 7~~
FOUNDATIONOiutNSia+s. TOP Of 6~OCK EIEvaTiON:
NOTE: Nn S~EC~PiC SOiLS INV[STicanav HnS BEEN COMPIEtED ON MIS ~OT 9Y ME .,y~q s
SVRbEYOR. TME SUITABIUTY Oi SO~lS ~0 SUPPO(i7 THE SPECIqC HOUSC CARACE SLAB ELEVATION:
PRO~OSEO i5 rvOi ME FESPOrv518Wn' OF TNE SUflVEYON.
NOTE' T~~IS CCp11PICATE DOES NOi PVR~ORi ?O SNOW EASEMENTS OTNER Tn~n % 000.00 OENOTES E%~STNC ELEVe?ON
Tri05E S~~OWN Orv iME RECORDEO Pla~. ( OoO.oa ) OEnOTES vROPO5E0 ELEV~TION
NDT~; ~pNT~nC1UR MVST VERIPI' DRiYEWA~ OE~W+• S OFAINFLE ANO UTkITY EASEMENT
~ S ORAINAGE FLOW DIRfCTON
NOiE• BEARWGS SIIOWN FRE BAS~~ ON AN A55UME0 DATUM
~
~ T U
WE HERCl3V CE:RTiFY TO MCDONALO CONST. THnT THiS iS A~T E T A
SURVEV OF TbtE ~OUNDnRIES OF: e~•' ~='Y~.~r~:~.`7~^+;:'-'-'
LOT 1, BLOCK 1, PINES EDGE 3RD~~'A "2
~AKOTA COUNTY. MiNNE50TA t INSPECTIONS ~.'~i~~
IT UOES NOT RVRPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SNOWN, AS SURVEYED BY ME OF
UNDER MY ~~RECT SUPERVISION THIS 18TH ~AY OF FEB., 1998.
CNE : PIONEER EN(,5 EER~t 2.
SCAI,E : 1 INCf1 = 30 FEET ~ - J
i , ~
i982 90073,00 SWK John C. Larson, 1.5. Reg. o. 198'28
~
~ CITY USE ONLY p O~,~ C
L~ BL ~ ~ RECEIPT ~ T d'd'
SUB~~t.o C~f~ cJ ~ RECEIPT DATE: I ~~O
1998 PL[JI~ING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I4dOB RD
EAGAN, LM7 55122
(612) 661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x = na
Water Closet 3.00 x = ~ ~
Bath Tub 3.00 x = ~,06
Lavatory 3.00 x = i ~,UO
Kitchen Sink 3.00 x / _ fX5
Laundry Tray 3.00 x = 6, do
HotTublSpa 3.00 x = ~o_
Water Heater 3.00 x = •(ki
Floor Drain 3.00 x = On
Gas Piping Outlet ` minimum -1 3.00 x = r)t~
Rough Openings 1.50 x _ '/.SO
Water Softener " for dwellings under construction 5.00 X =
Water Softener ' for existing dwalling 20.00 x =
U.G. Sp~inklBr `fordwe~~ing underconst. 3.00 =
U.G. Sprinkler ' for exisNng dwelling 20.00 =
Alte~ations " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System " MPC i~c. 75.00 =
(new and refurbished systems) ~
Private Disposal Systems'Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL ~3• dd
- -
I hereby acknowledge tMat I have reatl this application, state that the informaGon is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City oi Eagan assumes no ~iability ior any damages caused by the CiTy during its
nortnal operational and maintenance activities to the facilities constructed under this permR wiMin City property/right-of-way/easement.
SITE ADDRESS: V Q S CQ YYIOr~ r i U
OWNER NAME: VI D~ f
~iCJ~ ~ O?1 C.
ENSTALLER NAME: ~ ~ S~ V' m~' C~ C TELEPHONE#: / v`-~/
STREET ADDRESS: ~ V . ~ -
CITY: Ef V~G V ~SV~ STATE: ZIP:
r !I"YV t/ 1.
SIC~NATURE OF PERMITTEE
JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
? CITY USE ONLY
LOT ~ BL ~ ~_I RECEIPT 0 1 v T d
SUBD. ~.u~ a ( p~p . ~ ~ RECEIPT DATE: `~I ~ly
~ G ~ Q~ MECHANICAL PERMIT (RESIDENTIAL>
/ ~ CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
L / _ ~ _ ~ ~ ~ (612) 681-4675
Dste• 7 1l
Complete this section onlv if vou are installin~ IiVAC in single family townhome or condos that are
under construcHon and are not owner /occupied. ~ E w ~o iv s rrz u e ri a~ -
• HVAC: 0-100 M B T U /uRn,~~ E ioo~oo ~ $ 24.00
ADDITIONAL 50 M BTU ~~e 3 T~ti 6.00
• Gas outlets ( minimum of one required @$3.00 ea.) - 3
• State Surcharge: .50
• TOTAL:
~ c/" , s"o
Complete this section onlv if you are remodelin~ addinP to or reoairine ezistinQ sin~le family
dwellings, townLomes, or condos.
_ Add-on fumace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: "T O SD S T ~~6~~~ ~~2/
OWNERNAME: IY) e v0/U.4~-/J L`D /UST2 uCT/o21 PHONE ~~o
INSTALLER NAME: ~J • Dc~',C' qL ~p /U !?1 C PHONE 'SLS 7 ~7~ ~
STREET ADDRESS: o~ a T/~j¢,f'.L~/yJiJ-I7~ /`{~~J ~ /L~
CITY: oS /•~i9 STATE: ~'I lZ/ ZIP: sSd ~ S-
t
~ ~r~-,
~ SIGNATURE OF PERMITTEE
CRY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)687-4675
Please complete for. . all commerciaUndustrial buildings.
~ multi-famiy buildings when separate permits are pQj required for each dwelling
unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee Qr 1°k of contract price, whichever is greater.
• Processed piping - $25.OD
~ State suroharge of $.54 per $1,000 of ~ fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SIT~ ADDRESS: -
OWNER NAME: TELEPHONE#
TENANT NAME: (IMPROVEMENTS ONL`n
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
~ CLAIM VOUCHER- REFUND REQUEST
CITY OF EACAN
MAKE CHECK PAYABLE TO: CONTROLLED AIR INC
ADDRESS: 21210 EATON AVE
FARMINGTON MN 55024
LOCATION: 4850 SYCAMORE DR P.I.D. .Ll, Bl, PINES EDGE 3RD ,
RECEIPT #/DATE: 89534/04-13-98 VALUATION: N/A
REASON FOR REFUND: PER CONTRACTOR REQUEST PERMIT #:N/A
TYPE OF REFUND: Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $
Mechanical Permit 3213-9001 $ 20.00
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MGWS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $
Water Permit 3713-9220 $
Account Deposit 2252-9220 $
Water Me[er 3716-9220 $
Road Unit 3860-9375 S
Water Treatment 3868-9220 $
Surchar~e 2155-9001 S
Utility Acct Overpayment 2250-9220 S
Curb Bax Deposit Refund 2253A220 $
Construction Meter Dep Refund 2254-9220 $
Water Ltsage Charge 371 I-9220 $
TOTAL $ 20.00
1 decla under the penalties of that this account, claim, or demand is just and that no part of it has been paid.
Date: MAY 7 199
~ ~ -
, CITY USE ONI.Y
, LOT BL ~ J RECEIPT Q 7 5 3~
SUBD. ~,~tiL, U1~Q, ~r~ RECEIPT DATE: `~/~~/9a
1998 MECHPiNICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQ~tOB RD ~
EAGAN I+A7 55122
(612) 681-d675
Date: - i r~~
Complete this section onlv if you aze installin HVAC in single family, townhomes or condos under
conshuction and not owner /occupied /
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M 6.OU
• Gas o ets ( m' ' um o m ed @$3.0 ea.} _ ~p. C'~O
• Sta Surchar e: ~ 1 l .50
• TO AL: ~ . -
~o ~n
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechazucal permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fumace Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimuxn fee applies to all remodel or add-ons of existing residences $ 20.00
5tate Surcharge .50
TotaL• $ 20.50
SITE ADDRESS: ~ ~d ~ ~(Y~
OWNER NAME: ~ b C~__ PHONE ii: °Q' rJ ~o C~ T
INSTALLERNAME: R`~1 , ~C'C~`1 ~ f' PHONE#: ~~Dv"~C~c~J~
STREET ADDRESS: C~'n~ C's~-. ~ V t~ J
CITY: ~~'C` 'N~ l Y~G~`~ 6^rl STATE: ~ ZIP: ~d c~~
U
_
S1G A OF PERMIiTEE
15/FORMS BLD/MECH PERMIT (RES) • 1998
CITY USE ONLY
L ~ BL _ RECEIPT#:
SUBD. RECEIPT ~ATE:
1998 1~CAANICAL PERMIT (COb4~RCIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, Mbi 55122
(612) 681-4675
Please complete for. all commercial/industrial buildings
mutti-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRTJCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (5.50 per $1,000 ofnemiit fee due on all permits.)
TOTAL
SI'fE ADDRESS:
OWNER NAME: PHONE
TENANT NAME ([MPROVEMENTS ONLI~:
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATTJRE OF PERMITTEE CITY 1NSPECTOR
`7 S % 3v. o~
zoo~ RESIDENTIAL BUILDING rExmu~r arrLicaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUCtion ReauiremenGs RemodellReoair Reauirements Office~USe:Onlv
3 regislered sde surveys showing sq. h of bt, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd ~ _ Y_ N
(20%maximumbtcoverageallowed) lsetofEnergyCalculationsforheatedadd'N'ons SoilsReport ._Y _N
1 Soils Repod if proposed building is to be placed on disturbed soil 1 site survey for addNOns &decks Tree Pres Pla~ Rectl Y ~N,
2 cbpies of plan showing beam & wirMow sizes; poured found design, etc. Add'N'on - indrrafe i(on-srte sepfic sysfem Tree Pres Required _ Y_ N
lsetofEnergyCalculations A~~(j~ On-siteSep~System ~_Y _N
3 copies of Tree Preservation Plan if lot platted atter 717193 ~?V
Rim Joist Defail Options selection sheet (buildings wifh 3 or less unRs) (LA~ ~
Minnegasco mechanicalvenlilaUonform ~i /
Q~ C!, ~ J
Plans are considered public information unless ou state the are trade secre and the reason.
u
Date ~ / ~ ~ ~ Construction Cost ~ ~ . ~
Site Address ~~~JQ S~-1 C C'r/~/L,U /i-P UniUSte #
(/1/~ ` ..S ~
Description of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 1 1 I_ 2
-~.J
Property Owner ~C.~\ G.y}(/\ Telephone # ( ) - C
~ / ~
Contractor [ J
Address ~)-Q City d~e~ C-~
State _ ~ Zip ~
~ Telephone # '-i~0~7 ~ ~ d- d~ ~
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
su6mission 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 p~an?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
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 an in the case of work which requires a review and
approval ofplans.
~a[~~ ~i~cC
ApplicanYs Printed Name Appli ant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? D2 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ~;p ~5;, Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
~~33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement 'Demolition (Entire Bldg~ - Give PCA handout to applicant
DesC~iption: WaterDamage_Yes , - ~
Valuation Occupancy ~ fj MCES System
Plan Review 100% or 25% Code Edition
Census Code [
f~ Zoning City Water
SAC Units r Stories Booster Pump
# of Units % Sq. Ft. PRV
# of Bldgs / ~ength Fire Sprinklered
Type of Const ?j Width
REQi3IRED INSPECTIONS
_ Footings(new bldg) _ Shee~ock
_ Footings(deck) FinaUC.O.
_ Footings (addition) 1/. 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
Y Fireplace R.I. ~Air Test 3~Fina1 _ Windows
~ Insulation _ Retaining Wall
o
Approved By: 1 4' ~ ~~Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
I
? ~ ~ "f' ~V .
2a07 RESIDENTIAL PLUMBING PERMIT APPLICATION ~
ClTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residentiai dweliings.
Date ~ / /
SiteStreefAddress ~~C'~i.-~~/~ Unit#
Property Owner ~Q G~ J-~ ~a- ~ ~ Telephone # ( ~.S) ) 3Z Z -G ~v
Contractor ~J oLL f~ ~eGY/~z-+`.c-Q ~t~r2'~'!'~G~a~-~ Telephone # ( ~9~1a ~I9Z "L ~S~O
Address Z 16~j ~.~<-<~,~ City ~T''~~"' State Zip ~s3~~
The Applicant is: _ Owner %~ontrector _ Other
Septic System ; New i 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. If you are installing onl a wafer sofrener and/or water
healer, do not complete this section; move to the next section and check the
appliance(s) you are instailing. L/~ yy
d~i
Z-iS' ~
_Septic System Abandonment
Water Turnaround (add $136.OD if a 5/8" meter is required}
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Tota1 $ 5D ~ ~
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 aF the City of Eagan and thdy-~~f u~~,~,~~ t~~~,r•
understand this is not a permit, but only an application for a permit, work is not to start without a(~~mif'an'a w~ork
w~l ~e i
accordance ~ the approv~L~
t~~vent a plan is required to be review~nd a~~ ~~UN 2 7 2007
~ ~ ~'Jli~' f ~l! !7
ApplicanPs Printetl ame ApplicanPs Signatufe
~ Foioffiosuse
I - I
City of E~~~Il j Pertnit# ~v i
,
~ Permit Fee:
3830 Pilot Knob Road ~ ~
Eagan MN 55722 ~ Date Received: ~
Phone: (651) 6755675 i I
Fax: (657) 675-5694 I 5taif: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ ~ G SiteAddress: ~~SU syca~"or~
Tenant: Sui6e
RESIDENT/OWNER Name: Za-1 r Phone:
Address ! City / Zip: _~S'~ svC~-rn o rc
Applicant is: _ Owner ~ Contractor
TYPEOFWORK Descriptionofwork:~ ~ J~~_ reo~
:
Construdion Cost: _5,~--o n Multi-Family Building: (Yes No ~
CONTRACTOR Name: £w~o,r~,. ~.+r1~-. License#: ~-oS~7~o
Address: cr.~o ~Qy.^~a~~
City: 5+ P~ / State: i,.~.~ Zip: .-r~ t~ i',`
Phone: ( la S~ 9_~/ 30 Contact Person: i6c 2 a r:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
CatB901'y Submitted Submitted
(1~ submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporting documents that you submii are considered to be public information. Portions of
the information may be c/ass~ed as non-public if you provide specific reasons that would permit the Cify to
~ n: ' cnnclude ttiat the are trade secret~ .
I hereby acknowledge that this iMormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a pertnit, but only an application for a pertnit, and work is not to start without a pertnit, that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x / - ~~2 ~.~'i-n ~ X
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
CITY USE ONLY gas~~
L BL ~ RECEIPT#:
SUBD. ~ ~ RECEIPT DATE: S~~// o
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(B12) B87~675
Please complete for: . single Tamily dwellings
~ townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTURES /?CH N2 TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' mi~imum - t • 3.00 x =
Rough Openings 1.50 x =
~Water $oftener ' for dwellings uo0ercorrstruction ; 5.00 x ~ _
1Nater Softener ' for existing dwelling 20.00 x =
U.G.Sp~inklef "fordwellingunderconst. 3.00 =
U.G. Sprinkler `Wrexistingdwelling 20.00 =
Alteratlons ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System " Dak Ciy iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' nnandonmen~ 20.00 =
STATE SURCHARGE .50
TOTAL s~
I hereby adcnowledge that I have read this application, state that the infortnation is corred, and agree ta comply with all applicable City
of Eagan ordineno~. tt is the applicenPS reaponsibflity to notify the DropeAy owner that the City of Eagan assumes no liability for any
damages ceused by the City during its normal operationel and meiMenance ectivities to the facilities mnstrudetl urMer this permit wilhin
City propertyMphtof-wayleesement.
SITEADDRESS: ~~V ~ '
OWNER NAME:
INSTALLERNAM : TELEPHONE#: 7~/-3 ~~7
STREETADDRESS: ~ ~ /
CITY: /'(i.!/~"? STATE: ~7/.~~ ZIP: /
SIG T RE F PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4850 Sycamore Dr
Lot: 1 Block: 1 Addition: Pines Edge 3rd
PID:10- 57692- 010 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
e- Fireplace
Gas Fireplace (new)
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
John W Zahr
4850 Sycamore Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA078668
07/05/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4850 Sycamore Dr
Lot: 1 Block: 1 Addition: Pines Edge 3rd
PID:10- 57692- 010 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
John W Zahr
4850 Sycamore Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA092362
12/18/2009
ePermit
Use BLUE or BLACK'Ink
r________________�
I For Office Use �
. � �.3�s� �
Clty of ����� , Permit#:
� ���,�;
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDIN'G PERMIT APPLICATION
Date: lD- �g' I � Site Address: u �v J �'�� l Unit#:
Name: J /�� �--+ ��1`— Phone: c0�)-3a�-�j �1�1p
Resident/
Owner address�city�z�p: � �'�� �---, c G-�-,�,�A �1��
Applicant is: Owner-�Contractor
Type of Work Description of work: C� '�,�1�-��Z f� � ��'�� c� o�
Construction Cost: �i `7 � Multi-Family Building:(Yes /No )
0z-�C�-r vr� `�
Company: �--� `�� �� ] _ Contact: �O�rv1 Il�Z'13L'�
�� �
Contractor Address: SS ) � � �v� n0�/ City: _�C� a
State�'`� Zip:3����- Phone: ��`�'193 I 1�SEmail: v� �..� ,(o
License#: �� Lr���� 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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons fhat would permit fhe City 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.qopherstateonecall.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 1 understand this is not a permit, but oniy 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 Minnesota State Building C de must be completed within 180
days of permit issuance.
x �'�h1 � 7`►a,�v/ X ✓ ___
Applicant's Printed Name Applicant's Sig a re
- Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163257
Date Issued:08/25/2020
Permit Category:ePermit
Site Address: 4850 Sycamore Dr
Lot:1 Block: 1 Addition: Pines Edge 3rd
PID:10-57692-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Benjamin D Holden
4850 Sycamore Dr
Eagan MN 55123
(714) 458-2458
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature