4858 Sycamore Dr INSPECTION RECORD
. i Y 4F EAGAN PERMIT TYPE: ' ~ " ` ' ' ' '
~830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 ' ' %
9 Date Issued:
(612) 681-4675
SITE ADDRESS: , . ~ il; ~ APPLICANT:
f1N , , . ~ ~ rl~. i
, ~ . . . ~ , . , ~ I - ~ . i ~ . . . ~
PERMIT SUBTYPE: TYPE OF 1NORK:
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.
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Permlt Holder at Telephone k
PLUMBING ~ ~ 'Jr
HVAC ~ l~
Inspection Date Insp. Comments
FOOTINGS ~ ~
FOUND ~~~/jy~
•a
FRAMING ¢ t"i l~DEti2.. , ~~3 ~ - 6
O e
ROOFING
ROUGH
PLUMBING
PLBG •
AIR TEST
ROUGH
HEATING '~i~~
GAS SVC ~ ~
TEST
INSUL ~3~ / , , ~7
~ L-~R
GYP BOARD
FIREPLACE
FIREPLACE ~ ~
AIR TEST
FINAL PLBG G _~i/
FINAL HTG J(
ORSAT A
TEST
BLDG FlNAL ~~~(J'/j~ ~
~ 7 ~4J
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDAOSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
~e~~ica#e v~ ~ccu~a~c~
~it~ o~ ~agatt
~e~artrneut oF ~ai[bing ~n,~~ection
This Certificate issued pursuanr to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
orriinarsces of the City negulating 6ailding cons~ructioR or use. For the foilowrng:
SF DWG 32436
Use Clusification_ Bldg. Pertni~ No.
~„F,,,,,~r T~ R-3 U-1 ~,,;,,E o;~ R-1 Type Consi. VTI
o~ofBwim„s GERALD BROS :;ONST A~ 1704 28~TH ST W. , NEW PRAGUE MN
~~~~~g~~ 48.58 S~::AMORE DR ~~ry L17, B2, 1NETREE FOREST
,
/ ~ , ~
o~-
s~ ; g o~rk ;
POST IN A CONSPICUOUS PLACE
1
8 ~ ~ Zip 55123_
17 Blk 2 $Ub PINETREE FOREST
E ITEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ~/9 Yes No Inspector:
Fiaal grade (6" from siding) ? ~
Permanent steps (garege) ~
Permaaent steps (main entry) ~
Permanent driveway f/
Pertnanent gas v
Sod/Seeded grass v
Trail/curb damage ~
Porch ? ~
Basement Snish
Deck ~
Please verify with the builder the removal of roof test ceps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential e~cists. ~
Contact engineering division at 651-4645 before working in rightof-way or ins[alling undergcound sprinkler system. ~
White - Cily Copy Yellow - Resident Copy Pink - Conuaaor CoPY
RESIDENTIAL ~S
-~~~-}17 BUILDING PERMIT APPLICATION `a~ ~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55'122
651-681-4675
New ConsWction ReauiremeMS RemodeVRaoair ReauiremeMs
• 3 registered site surveys slqwirig sq. k. of lof, sq. ft. of house; and all rooled areas • 2 cnDies oF plan
(20%maximum lot wverage allowed) • 1 sel of Energy Calwlations for heated addNOns
• 2 copies of plan showing heam & window sizes; poured found design, etc.) • 1 site survey lor exterior add'Aions 8 decks
. i set of Energy Calalations . Indicate if hame served by septic system tor additions
• 3 copies of Tree PreservaGon Plan'rf bt platted afler 7l1N3
. Rim Joist Detail Opfions seledion sheel (61dgs vnth 3 or less uniGs)
DATE a 1~~ I~a' VALUATION ~t ~ ~ ~
SITE ADDRESS `i'~~ -~C~C`(L~~~- p~ MUlil-FAMILY BLDG/ _Y ~N
TYPE OF WORK P.rf~- FIREPLACE(S) e/0 _ 1_ 2
APPLICANT ~~l?Y~'~~77~
STREET ADDRESS ~ N ~~"t' S/~ CITY~ ~`'LSTAT2 ~'=ZI~ ( ~ Z_
TELEPHONE ~k~~~ 3~~~SZ' CELL PHONE #l 3~,- =S'Io~ FAX # C~~~~ Cs3 ~
PROPERTYOWNER ~dl:-~ TELEPHONE#~~~I 3~'7 ~~7 ~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIYNESO'f'A HLJLES 7670 CATEGORY l MINNESOTA RUL~S 767`l
(d submission [ype) • Residential VentilaGon Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Controctor: _ Phone # _
Plumbing system includes: _ Water Softener Lawn Spruikler Fee: $90.00
_ ~Vater Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Confractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
4;~~~~~~~~~~
Sewer/Water Contraetor: Phone # ~
~ '~i S~P 2 a 200
I hereby acknowledge that I have read this application, state that the information is correct, and agree to co ply
with all applicable State of Minnesota Statutes and City of Eagan O'nances. ~3~~ _
Signature of Applicant
/s~77~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 1D 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mu{ti
? 05 03-plex ? 11 10-pVex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement '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 IN5PECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Foorings (addition) _ plumbing
Foundarion HVAC
Drain Tile Dther
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulakon _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
. , .
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~ , PERMIT
~'CITY OF EAGAN PERMITTYPE: BWS1-oI"~
383D Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 4 3 6
Date Issued: 0 7/ 0 7/ 9 8
(612)681-4675
SITE ADDRESS:
4858 SYCAMORE DR
LOT: 17 BLOCK: 2
PINETREE FOREST .
P.I.N.: 10-57650-170-02
DESCRIPTION:
, .
BtYildi~t'~,_ Permit Type SF DWG
~uilding ~7prk Type NEW
F°~JBC Occu~~pertCy~ R-9, U-1
Construction 7ype VN
i' ~aning R-1
r` k3uild3ny Length ,r 65
+ building Widt}i 54
~ ~uildirry stories 2
S~uare Feet - 2,375
C~~p~. C d>e 101 1- PAM. CJETACH
~~v;~ 4-
„G.
i ; , i ; l, °
=a;, a a ~ _
Y/ CJ,':.`~~.A::":.iY.~'.
REMARKS: '
PLAN REVIEWED BY MIKE BARCK
S&W PLUMBER PARSON PLUMBING
FEE SUMMARY:
VALUATION $157,000
Base Fee $1,172.25 MISC FEES $1,592.50
Plan Review $761.96 Total Fee $4,605.21
Surcharge $78.50
SAC $1,000.00
SAC ~ 100
SAC Units 1
Subtotal $3,012.71
CONTRACTOR: - Applicant - ST. ~IC pWNER:
GEROL~ BROS CONST 17582$42 0001115 GERALO BROTHERS CONST
1'~04 280TN ST W , 1704 280TH ST W
NEW PRAGUE MN 56071 NEW PRAGUE MN 56071
~ (1i12) 758-2842 (612)758-2842
1 harelay acknowledge that I h~ve read this applic~-t5.an artt=d stat~ thaG Ghe
i:
information is correct and agree to comply with all applicable State of Mn.
Statutes and City ot Eagan Ordinances.
~ _ _ . . _ t ~ J
~ri~~{
APPL CANT/PERMITEE SIGNATURE ISS D B: SIGNATURE
BUILDING PERMIT APPLICATION (RESIDENTIAI,~u 4 D5 ~ Z~
CITY OF EAGAN
3830 PII.OT KN08 RD - 55122
681-4675
New Construction ReauiremeMS RemodeVReoair Reauirementa
? 3 registered sRe surveys ? 2 copias of plan
? 2 copies of plans (inGUde beam 8 window sizes; poured Tnd. design; etc.) 2 site surveys (exterior addiGans & decks)
? 1 energy plculations ? 7 energy calculaGons for heated additions
? 3 copies of tree pxservation plan 'rf lot plaltod aRe~ 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST; I cY~~
DESCRIPTION OF WORK: S( iar,C~ (
STREETADDRESS: '~I~S~ 5YG~9-rt.to2c
LOT: BLOCK: ~ SUBD./P.I.D. '-`«e ~
Name: Phone
PROPERTY Lesi Firsi
OWNER
Street Address:
City State: Zip:
Company: L_1?-rrccl('1 ~~/~SS `G11~~S1 `/~C~-cr,~.. Phone ~.~~-o~d i ~
CONTRACTOR
Street Address: c~~6 `S ~ . License # ~~6! ( C ~
City (~/Q,c, ) ~1ts~~ State: ~ Zip: ~~~7 t
ARCHITECT/
ENGINEER Company: Phone
Name: Regish~ation
Street Address:
City State: Zip:
Sewer & water licensed plumber (new constructian ony): ~ S~~ ~ . Penalry applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and sfate that the iniortnation is correct and agree to comply with all appliqbl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE O ~ D ~ ~
~ss~
Certificates of Survey Received _ es _ Na~~Q~ ~ ~~iw
Tree Preservation Plan Received V Ye~ ~o _ Not Required
p~.~ b
, ul~~~~~f~
OFFICE U5E ONLY r ~
~
BUILUING PERMIT TYPE
Q Di Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~
~ 02 SF Dweliing ? 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
? 32 Addition p 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. i3~z MC/WS System
(Allowable) vN Main level sq. ft. ~ 3~ z City Water
UBC Occupancy Q_3,,~-~ z~'° sq. ft. so~ Fire Sprinklered
Zoning 2- i 5~,~,~ sq. ft. ao 7 PRV
# of Stories z- ~¢r~,, r~awsq. ft. ~9l. Booster Pump
Length ~y, F" sq. ft. Census Code. iv i
Depth st1 , Footprint sq. ft. z~~ s SAC Code o i
Census Bldg _L
APPROVAL5 Census Unit ~
Planning Building A~ Engineering Vanance
Permit Fee Valuation: $ ~ s~, v~v. ~
Surcharge 8~s~-~^^s~r
Plan Review zy x yq
license ~vzy
MCNVS SAC z- S Y Q ~ 4y
City 5AC zu ~4
Water Conn.
WaterMeter `37z = . 2°, ss°,--
5.4?~n L
Acct. Deposit +3~z ~b ~ sv - ~y, vqy. ~
S/W Pertnit a.r-
5/W Suroharge 3z, s~ z~~ ,~So
Treatment PI. s u~°• 2-°/ ~ s. s
Park Ded. ~ x . ~
Trails Ded. ~
Other so c, i~, ~ ds~( = ti3, s 3z, t,~
Copies.-;.fl..-~-{------- l Z u 3z
i ~t`^I U ~ z,~ zv -rc</
Total:._:~.. v u is. c_-~ ~!o
~2. 7
S~Q6 w~ '~p-7
~
%SA~ ~ I _ ~,~uc y - di~ _ ~z~Gm.2a
$/~C r~.. ~y ~i~~
30 ~ s,sao.--
' rSL~~I $7 ~'O
i , ~
EXIERIORENVELOPE
1& 2 FAIv1II.Y RESIDSNCIAL "COOKBOOK" METHOD
La I
srre nnDxESS: crrY: ~
Q
B~gt. DATE:
~ r- . ~o
M'inimam Critaia: Rnof: R-38 witL energy wsses or R-44 with standard
Rim Joist: R-19 insulaflon Foundation Nfndows: Insulatod glass, l/Z° air space, a~ood or vinyt frame.
En doors: 1314 inch solid wood with storm or better
~ STEP 1 Window & Door Area STEP 3 Daign Featuna
Total Window ~ Door Area In Sq. Feet
~ WINDOWS(inclndingfamdarionwin~ws?: ASSEMBLY OPTION
Dimensioas Qnty. Area FRAME WALL:
~ X ~ O
S X S 1 STANDARD FRAMIDIG
X
g ADVANCID FRAMING
X
X ~
ar .S X .J CAVITYINSULATTON -
R ( ~ _ -
DOORS: SFIEATFIING: ' -
3 X Z~ LESS THAN R-5 ~
g R-5 OR MORE
X
7{ WINDOWS (exapt foandation wiadows?:
Total Area of A ~
Window 8c Doors ~C> U-FACTOR ~
~
Total Wall Area ia Sq. Ft
Wall Total Perimeter Height Area Fmm the table, determine the maximum percent wiadow 8t door
' azea foc the design options selacted and ~ the value ia lwx D
a ! 6 below.
a 1
T«~ n~ 3 a,~ ! 8 8 D
Step 2 Calculate srea as a pereent of wall
Box A(window & door area) divided by Box B(total waR
area) times 100 equaLs the window and door area as a percent Box C must be less than or equal to Boac D
of aall area (Hox C7.
~XA 3y~ X~~= ~a.s ~
~XB 3,a~ ~
i
.
F. The buiiding must not exceed ihe maximwn window and door area as a percentage of ovecall exposed wall area listed
below for the combinarion of framing technique, R-value of insulation within ilre insulated cavity, sheathing R-value,
~ and window U-factor. Other compa~e.nts must meet tl~e requirem~ts of this subpart.
MAXIIKUM WINDOW AND DOOR AREA
AS A PERCENT OF OVERALL EXPOSED WALL
Cavity Window U-Factor
Framine in~ilaNnn Shrathine 0 49 0 36 031 027
STANDARD R-13 >R
7 13.4% 17.8% 21_3% 24.3°iG
STANDARD R 15 >R
5 12.990 17.1% ~ 23.4°k
STANDARD R 18 4t-S 11.1% 16.0% 18.8% 22.0%
STANDARD R-18 >R 5 13.5% 18.6% 253%
ADVANCED R-18 <R-5 11.1% 17.1% 20.1% 23.4%
pDVANCED R-18 >R-5 13.5% 19.2% 22.5% Z6.1%
STANDARD R-21 QL-5 11.8% 17.0`/0 19.9% 23.1%
STANDARD R-21 >R-5 14.0% 19.3% 22.5% 26.1%
ADVANCED R
21 <R
5 11.8% 18.1% 21.2% 24.6%
ADVANCED R-21 >R-5 14.0% 19.9'/0 23.2% 26.9%
Subp. 3. Performance criteria The cambined thermal transmittance N, ) factors for walls, rooflceilings, and
floocs over unheated spaces must be less tl~an or equal to:
A. 0.110 Btu/h ft°F for wa1Ls;
B. 0.026 Bta/h ft°F for roof/ceilings; and
C. 0.04 Btu/h fl°F for floors.
STAT AUTH: MS § 216C.19
HIST: 18 SR 2361
7670.0480 Repealed, 18 SR 2361
~ 612 440 7279
6-2d~ 1 998 1: 37PP1 FROP1 GEROLD BROS. HO~~tES 61 2 dQ0 7279 , P. 2
JUtl~-IY'YL14N11 16~CA P0.UtlE ENG~hF,ER1rv0 Gu TS6-612 •33 3']3 P.00] ~
~ CU
GERQLD $f2C1$. C41'~$T.
'~06E cn'm~'~e~°~w'~~a'~ r~o~cr Mo, ea~e.oo M~~~
. ~R : .
~~i v ~~R. . ~ P1LE -
1900 f/tl1T 1NlM lI~C ~MlI~MLLL ~MOOiA l6131 pN Iaq-'
CERTI~ICATE OF SU#tV~1f
~~ri~: LOT 17. Bt,QCK 2 PINE TREE FOREST p
DAKSJTA COUHtY I~NNNESaTA Y Pb~ ~C.:ao... . R'l~~¢, Sc~
~QB3:d~ p~,IpfES EXLSitNG E3.tYATpN
r~~9.5 ~+o,s ~ ~ 0 6~-~ta a~s,
u~,es ~ nc st~i~ owvr+i~cE
aNr~t+m cr~ FtooR ~noN
~ ~arr Ftooit o~romow C~t`~` - ~~1~
; - 7oP oF t0~l~Ki~ON ELEVAndt
?~„u :(6ra~-~s8-a~~ta
sc~ : _
~t"N A~~: 7.VN AT L /7
~ ~~i~x`AN ~oR~~u~~~ ~~~~S~o~ ~Q.vt
ELGN_ ~ 978.4p
lDDJSG~S : 455~ SYCAA~ DRniE ~~VIL~~D
ao.w ~De~ ~ ~l'6 ~ ~
~4c~C,~-~~
. ~ ».oo (}ii.~, ~~R'q~ f1wuNAGE AND~ .~"h~
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~ $ ~9. ~r g $ ~ ~ ~ _ yv.ou~ O
a~ r z ~ a°~ o z~.so o~ a g~v~~ ~ C 1 ~ a e~.~l Sau¢
$ m~ o~1w~'R~Qt -
~ 6,5g'. R ~ ~.St L _ ~ ~ J ~T]
a.oo 4aq$ . ~.a I '~"~..~to_ ~w~ana~r`~
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+i a' ~i, 4j ri~.mr ~a,?~ ~w,, rri..o ~y4~t> ig, ,k• n~ 9: TAi i~'rr~a~'..
F1~p'NMy ~g~.S' p~~y~fp~ ~S:•l r~~u•ner ~s~~ s~, n'~s c~~rri.~lQ~- fJba.e - rt~t '~-swQ
hereby zrllTy lhat thb ~b o We end cor.ect rtaentatlon d a traet as shorn and de~eAbed h0.'~`Q- ~ Sp~~
meon. M p~lparad Dy ma wi¦ L aoy or n . ta91l. - ~ °~*"'M~ av¢a
tv 6-n•ne ~aoeo -~Fee wuwrrewr I~ AJw.L-_ Minn. Reg. Na. I9aB6 ~ p'~
~
•l "
ca~su~nNC aaN~as. GEROLD BROS. CONST.
ENGINEEAING ~NNERS and UWD SURVEYORS PROJECBOOK 274 479.00
COMPANY, INC. PAGE 3
~ 1000 EAST 146th STREET, BURNSVILIE, MINNESOTA 55337 PH 432-3000~`~.
CERTIFICATE OF SURVEY
Legal Description: ~oT 17, BLOCK 2, PINE TREE FOREST,
DAKOTA COUNTY, MINNESOTA.
C83, g, DENOTES EXISTING ELEVATION
C~ 79• DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
= FINISHED GARAGE FLOOR ELEVAl10N
~ = BASEMENT FLOOR ELEVATION
9 82. r ~ = TOP OF FOUNDATION ELEVATION
SCALE : t" = 30'
~vcH ~ ~ -r~vy ar ~ i~-e2
E[EV. = 978.4~
ADDR~ : 4858 5Yc.4MotzE vrz~vE ~
k~
wz
ti
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~
30.00 ~
- DRAINAGE AND
~~oo L~?`~_3, (y-195' UTILIT`( EASEMENT
9~8.0 ~ Y85. ~
~ Nucs= qa~.s~ S89'49'18"W H~B=9A3.~3 ~y85.8
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~ ~ I o0
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0
im~ " f--- ° 74,o Cs~25,67 ~n _
n322.qn 142.52 Nu6= 9B?.bo C`JB~=`~~
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i~ ~ s79.5 ~
9"I9.~ N~,g, yB2.`i? N89'41 52"E ~9g3.4~
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~ ~IQ~Q~I LoT p= ~ /~1 i' ~~,~~~I' '
t~~~ ~Q T. - , . _
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_ .
c„~1L~ING IP,SrECTiCr~;, -PT. "
I hereby certify thot this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this day of JutiiE , 19~f2.
~..,~h:'t.C'~' J"•~ /~:ts, (',r-.. Minn. Reg. No. I`jOc"~
.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPI.ICATION ~
PROPERTY LEGAL: ~ ~ 7 ~ z- ~
~ ~ DATE OF SURVEY: ~
~/6~~_
5 LATEST REVISION:
~ ~ DOCUMENTSTANDARDS
~ ~
a ~
~o O ~ Registered Land Surveyor signature and company
~O ? • Building Permit Applicant
~~o ? • Legal descripdon
t9~? ? • Address
Ca~~ ? • North arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
~/o ? • Directionai drainage arcows with slope/gradient %
0' ~ ? • Proposed/e~asting sewer and water services & imert elevation
? • Streetname
? • Driveway
ELEVATIONS
Ew'stina
p~ ? ? • Sewer service (or Proposed)
~ ? ? • Property comers
? • Top of curb at the driveway
? • Elevations of any e~asting adjacent homes
Prooosed
[~o ? • Garage floor
? ? • Firstfloor ~
. ? ? • Lowest exposed elevadon (walkouUwindow)
~ ? ? • Properly comers
o • Front and rear of home at the foundation
PONDING AREA Cd aoolicablel
? o~o • Easement line
? d~? • NWL
? ~ ? • HWL
? a~/
o • Pond # designation
? o • Emergency Overflow Elevation
DIMENSIONS
o~o ? • Lot IinesBearings 8 dimensions
C~ ? ? • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
~a ? • Show all easements of record and any Cily utilides within those easements
H~ ? ? • Setbacks of proposed structure and sideyard setback of adjacent e~dsting structures
? ~o • Retaining wall requiremen if any
Reviewed: °
ame Date
January 7996
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~~~01° ~
1999 FIREPLACE PERMIT APPL[CATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: _ Construct new fireplace _Gas _Masonry _ Alterations to existing
_ Install ~as insert only _ Install gas line on/v
_ Other ~j~SY~ ~Oo S~ 'f~ ~G~~,Q/ w/G~G(JT"~O~
Job address: ~~J 8 ~ ~ /~~OG/~
Lot: Block: Subdivision/P.I.D. p
Applicant (circle one only): Owner ontractor Pernrit Fee: $60.50
4 1~
Name: sGVT~ ~~/+C,E Phone tp.~~ ~ZZ' 7I~7
PROPERTY Last First
OW?r'ER p
StreetAddress:_ ~p 6
$ S //(!~¢/Y~ri~GE
City ~+C/ I~N State: ~ Zip: 1
Company: (~'..~~J.~/!~ / C//~M lC d~C~ Phone Q 0~~
(aiea code)
FIREPLACE ~27 ^ ~^JL~~~ A/'~ ~w -
INSTALLER Street Address: 'T/N V Tn/ o1..~J
City State: ~ Zip: S S~Y~
Company: Phone
(azea code)
GAS LINE ~
INSTALLER Street Address: ~r'~~
t, Ciry State~ Zip:
°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 Minnesot tatutes a d ity o Eagan Ordinances.
vv
~ mre ( ; ' ~
,-r__'..
I~l ~L
'i_I I~f . ~Lf I IS~J
I
j - -i i
~ _
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fueplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repau ? 40 Gas Insert
GENERALINFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
J CITY USE ONLY
LOT I7 BL 2 RECEIPT ~
SUBD. P~.~/G IR~C ~~25 r RECEIPT DATE: o' I~• l~
Y 99$ M~Cii~klVlC~L i'~gMIT (i~~SID~NT1~Ia
cirY o~ e,~snP
S$SO PILOT KHOB ~D
fJk6kP !IN 551 YE
`~?5 cs~E)s9i-~e~s
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
• Gas oudets ( minunum of one required @$3.00 ea.) a , Bfl
3a. ao
• State Surcharge: .50
• TOTAL: ~30,.5`O
Complete this section on[v if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Instail furnace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-0ns of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: S C
OWNER NAME: ! °t~ SCO ~ PHONE ~1-- ~.SS~- 9aT l"~~
INSTALLER NAME: ~p7 /QSONS H' o~ W°~ PHONE Q7 ~"3G ~'~~0~
STREET ADDRESS: _ ~40 ISTSor~~li
CITY: /%Owl 9/~!?TG~lG/ STATE:~1
t~ ZIP: li0
?
~ SIG ANRE OF P TTEE
JS/FORMS BLD/MECH PERMIT (RES) - 1998 L
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
199$16iEC~lAN[C~4L ~£RbIIT (COMINERCIi4L)
CITY Of £AfiAN
8$SO PILOT KPOB ~D ~
£AHAN, MN 551EE
fs1E) s9t-~?s~5
Please complete for: all commerciaUindustrial buildings
mutti-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRI,PTION 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 S I,000 of 't fee due on all pemiits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IIvIPROVEMENTS oNL1~:
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY ~ ~ l
? L ~ BL o2 RECEIPT
SUBD. l/.U~ ~RG'Pi ~DI~PE'S~ RECEIPT DATE: l o-~
1998 PLLiN~ING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PIIAT I@70B RD
EAGAN, tMI 55122
(612) 681-6675
Piease 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 Z = ~
Water Closet 3.D0 x 3 =
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.OQ x ~ _ -3
Floar Drain 3.00 x = ~
Gas Piping Outlet ' minimum - t 3.00 x ~ _ _
Rough Openings 1.50 x ~ = y sv
Water Softener ' for dwellings under construction 5.00 7C =
Water Softener ' Por existing dwelling 20.00 x =
U.G. SprinklBr ' for dwelling under wnst. 3.OD =
U.G.Sprinkler `forexistingdwelling 20.00 =
Altefations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems) ~
Private Disposal Systems " Abandonment 20.00 = L
STATE SURGHARGE 50
TOTAL ~ y7,
I hereby acknowledge that I have read this application, state that the infortnatian is correct, and agree W comply with all applicable Ciry of Eagan ordinances.
It is the applicanYs responsi6ility to notify the property owner that lhe City of Eagan assumes no liability for any damages ceused by the City during its
normal operetional and maintenance adivities to the facilBies constructed under this pertnit within City propertylrightof-way/easement.
SITE ADDRESS: 8 S G ~.'10~ G D
OWNER NAME: / ~ -~G [7 / l
INSTALLER NAME: PG~~Z~Oe~(~S /`fC!/n/ P~ TELEPHONE#: ~d7
3~~
~G~
STREET ADDRESS: ~ ~Q ~S l SO~~~J
CITY: /(b~(/ l~D.~'Jf r°i~~ STATE: ZIP: J~~O~
SIGNAT OF PERMI EE
JSlFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
y
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118723
Date Issued:11/06/2013
Permit Category:ePermit
Site Address: 4858 Sycamore Dr
Lot:17 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-170
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 .
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 -
Michael Scott
4858 Sycamore Dr
Eagan MN 55123
(651) 675-5901
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Jul 0617 01:18p H2C Inc 6517889657 p.1
' /� 1 Use BLUE or BLACK Ink
r
Col
C C For Office Use
4,*City of Eap Permit#: /4397//
' • c
3830 Pilot Knob Road ? V ;T) Permit 40,8) CC,
Eagan MN 55122
Phone:(651)675-5675 Date Received: -7-40 - 1 7
��.d-
Fax: (651)675-5894
2017
Staff:
L
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: ,
Tenant: 0G ''7-4,7- 1 -7 Site Address: c; ��J ��ie �^( 44 J
Suite#:_
MIllni
J �` X01 d� —�/dT ; 5l{
Resident/Owner Name: - d Phone:
rv- i Address I City I Zip:
Name: i-/, n C - -
License#: i
F Address: V �D J_j�(„ �� � 4
Contractor . -ncof City: ,` I_( v t
` S0 a
State: ,, Zip: c-0? Phone: j` _� ( � og r
t Contact: I, Fl Cr C___- Email: n 7 Pll `L fri 1
' New 2(Replacement Additional Alteration Demolition (
i d
i
Type of Work Description of work: .e_1-) , _.,,/ p ._ c__�__
____,
i NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
s Code. Please contact the Mechanical Inspector for information on permitted scrwpr►ir%!!netted.
•
RESIDENTIAL COMMERCIAL
Fumace —
New Construction _Interior Improvement
Air Conditioner ° i
Permit Type _Install Piping Prnrncseo
_Air Exchanger•
-Gas Exterior HVAC Unit
i -Heat Pump _Under/Above ground Tank ( Install/ Remove) $
}.-�n_.. _Other
RESIDENTIAL FEES ---
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge )
$100.00 Residential New,includes State Surcharge n i
_$ c�C,(� c� TOTAL FEE
i
COMMERCIAL FEES
Contract Value$ x.01 1
$60.00 Permit Fee Minimum
575.00 Underground tank installation/removal, includes State Surcharge =S Permit Fee
Surcharge=Contract Value x$0.0005 '$ Surcharge fj
If the project valuation is over S1 million,please call for Surcharge _$ t
1------- -
_ TOTAL FEE s.
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 i 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. j
r
. x \'''''')rts---\-er\,,, 1 \!\ ,�Irl .ci--, /! ) L, 0. . _ i I 9n7i.Ps'70
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144119
Date Issued:07/13/2017
Permit Category:ePermit
Site Address: 4858 Sycamore Dr
Lot:17 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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 -
Jeffrey M Halvorson
4858 Sycamore Dr
Eagan MN 55123
Superior Exteriors Mn Inc.
4520 Tower Street
Edina MN 55424
(612) 382-2549
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174760
Date Issued:02/17/2022
Permit Category:ePermit
Site Address: 4858 Sycamore Dr
Lot:17 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-170
Use:
Description:
Sub Type:Furnace
Work Type:Replace
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:
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 -
Jeffrey M Halvorson
4858 Sycamore Dr
Eagan MN 55123
(612) 701-2877
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature