4866 Sycamore Dr41,1/
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
_,
Date: CI tJ(Anka °( Site Address: 4())6C S y CGt. r'2 o'e
Tenant: C c `7 /Jry .J
D.
-J
Suite #:
RESIDENT / OWNER
Name: J'awV C 6jJz)r e,/l.v...- Phone:
Address / City / Zip: YC c sycA,r4o►"'Q
CONTRACTOR
Name: 54 -1r -e-/ f / IeJo ' L I -C #: 15 J6 -7 /-/ f
/�jLicense
Address: 6' s—'/ / CC? *C71 54- City: 5.4tab, e P
State: fit'"/ Zip: S C3 7 b Phone: 7f.9- a V'1'780 `-
IA —3� ?
Contact: +2//` EmNail31: ‘OY ,.. ,% ,>4 z¢ J ,
Gi
TYPE OF WORK_
)
New Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
/
( Add Plumbing Fixtures ( Main / /tower Level)
Lawn Irrigation (_ RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances 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 w;1' e approved plan in the case of work which requires a review and approval f plans.
Z� V s -
x
Applicant's Printed ame
x
Applicant's Si nature
Date:
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUN 1 7 2011
Use BLUE or BLACK Ink
For ice se �J
Permit #: qq
Permit Fee: �(.!/ r
Date Received: 14
e-47-1/
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 646 Syr Unit #:
RESIDENT /
OWNER
Name: Cary ✓►rovJtn._... Phone: 657-(29.6- 05-31
\
Address / City / Zip: '1 /g( SyCA w.ov`c IX
Applicant is: lit Owner VContractor
TYPE OF WORK
Description of work: 411E 5 "1,P ,�' 144115 � j Akec,..1 M4 4$,i
Lie& , L/C6 7 di 1NRITPB LE OW THIS LINE
SUB:TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Tl•
Siding
Reroof
Windows
Egress Window
7 ec(
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
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
Other:
Pool: !Footings
Siding: Stucco Lath
Windows
Retaining Wall:
Radon Control
Erosion Control
, Building Inspector
Gas Line Air Test
Air/Gas Tests Final
Stone Lath Brick
Footings Backfill Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
if2to
(1_600 (vifrml
/ 0
Page 2 of 3
City of Eapil go°
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: 3 S
Date Received:
Staff:
1)0
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: / 1 \ Site Address: Li S&a IJJ S\ Vt (S ,
Tenant:
Suite #:
RESIDENT / OWNER Name: 6Y1 Phone: (V-t(D l ai
Address I City / Zip: ACL /I11, as 6
CONTRACTOR Name: Vit S Pl1 R �(Yl l �(l9-� License #: p tD \ 3ca?j
Address: .9c S- Su `- 2.Q E IV City: 'WcI0u/A
State:MI Zip: Phone: (St .)Q 14t 0D,
Contact: J acs -"Y) Email:
TYPE OF WORK _ New Replacement ` Repair Rebuild Modify Space Work in R.O.W.
Descri • tion of work: I ��,YY t {13 T— 1 th ,J I\ 1 c it i
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / XPVB) ( Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.
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 ns.
x ��c IGi
Applicant's Printed Name
FOR OFFICE USE
plicant' ignature
Reviewed By: Date:
Required Inspections: Under Ground _Rough -In Air Test Gas Test Final
~~~*~~~~~~~*~~~~~~~~~*~#~~~~~~~~*X:~>k~*~
C:C'fY UF E:AG4~N
rA~iHIEh^ S 1'EkNiINAI_ N0: i i 1
UATE;~ Or/19/39 'i:LML: ~J£3:44::1.~
II~ :
NAMEr MANI..E.:Y ~ROTFIEI"i5 CON:iT
r2.`'i2 `3~2U 4866 SYCAPSORf-:.' 30.00
32:1.0 `3QCl:l, qHE,6 SYL'AMOf;E 1~31?.95
3U`66 33'i~J 486E, SYCAMORC' 1.OU.00
34c i?, 90(']9. 486f'_~ SYCAMORL !3.`i3.42
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'r?155 9fJU1 4866 SYC(~MOkC i'F3.°i0
3~;f,F3 ~220 4£~E,6 ~YCAMORC 4E,£3„C10
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CASHTEFi~ S 1'FFMSNAL NQa i i i.
DATE: Or/~.9/'.39 TIi1Ed 0~3:h4:i6
~
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.~r
RESIDENTIAL
BUILDING PERMIT APPLICATION
~I' CITY OF EACAN ~
~J T~'4" 3830 PILOT KNOB RQ, FJIGAN MN 55122
65'I-681-4675
Naw ConsW cdon Renuirements RemodellReoair RenuiremeMs
• 3 registered site surveys showirq sq. ft. ot lot, sq. ft. of Iwuse; and ~II roofed areas • 2 copies of plan
(20°k maximum bt coverage allowed) . 1 set of Energy Calculatlons tor heated add'Aions
• 2 copies of plan shawing beam & window srzes; poured found design, etc.) . 1 site survey for extenor addilions & decks
• 1 set of Energy Calculations . Indicate if home served by septic syslem for addilions
• 3 copies of Tree PreservaGon Plan i( lot platted aRer 711193
• Rim Jast Detail Op6ons selectlo~ sheet (bldgs with 3 or less unds)
DATE ~~i3I~2 VALUATION ~r
SITE ADDRESS ~g~~4 S~ CtFa+v~p~L~ V~ MULTI-FAMILY BLDG _Y ?N
TYPE OF WORK IC-~~~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT~RP~ ~~~`"a~S~`t~-S
STREETADDRESS L~~N~~- CITY~ r~ STAT@'~w ZI~~~~-Z
TELEPHONE ~~1) t~3S~~~ CEII PHONE #(~~S~7roO"O~(o l FAX # L251 Q~^~~ ~~lc/
PROPERTYOWNER l TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT~ RULES 7670 CATEGORY i MINNESOTA RULES 7672
(J submission type) . Residential Ventllation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envetope Calculations Submitted
Plumbing Contractor: Phone # _ _
Plumbing system includes: Water Softener ~ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Bat~is
Mechan(cal Contracfor. Phone D_ L Il n r~ "'Y
Mechanical system includes: :1ir Conditioning `~'ee: 0
Heat Recovery System A~~ 1 5 200? ~
Sewer/Water Contractor: Phon
I hereby acknowledge that I have read this application, state that the information is co , and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga dinan es.
Signature of Applica
.............°---°-°--°__-----------___------~----------------i
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex Q 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 E#. A!t - SF
? 04 02-plex p 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ Pl ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish {Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndaGOn) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 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 INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina( _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. ~ Air Test _ Final _ Windows (new/replacement)
_ Insula[ion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
3, ~ 1999 BUIL~INC PERMIT APPLICATION (RESIDENTIAL~ `T ~~a' 3~
- CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122
` 651-681-4675
New Conshuctbn Rea~6emenh Remodel/Reoah ReauhemenTs ` 7~~~
D 3 regisfered sHe :urveys ihow~ng sq. R. ol lot, sq. R, of house 2 copies ol plan
and gy roofed areas (20~ ma:imum lof coveraae allowed) 1 set of energy calculaNons for heafed addlNons
D 2 coples of plans (show beam t window sizes; poured (nd. design; efc.) 1 sMe suney for exfeAor addXions 3 decks
D 1 set M energy calculaNons
D 3 cople~ W hee preservatlon plan B bt plaHed alfer 7/1 /93
DATE: _~f~'IZ`f I~~ CONSTRUCTION COST: ~~~1 U~O.~~
DESCRIPTION OF WORK: Res~ ~~t~l~(M~ c~1Y~G~ ~ ei 1(A,fl,4
STREET ADDRESS: ~~O.QO ~LI C~~I~V~ ~VQ~~V L~ ~
LOT: ( ~ BLOCK: ~ SUBD./P.I.D.1~: 1rl~t 1' ~XJ ~Y~g~
Name:S~.~VY~~ ~S ~D~(1~7~1_l:itZ~lr Phone#:
PROPERTY ~a~ First
OWNER
Sheet Address:
CFty State: Zip:
386- 38
Company:~,~Y~,I~ dJrOS. ~lSl1~ u(.l I~~l ~ I~'l~ . Phone Z r n~l f~
(area code)
CONTRACTOR ~2~
Street Address:~ ~;YJY~ ~~l V~U Ul~ C~ • License # 2ot~.~321 Exp. a3 1 ZIJbU
City ~~V~I~QL~CI ~ LLS State: l WI V Zip:
ARCHITECT/ `~~q +o
ENC:~IEER Company: ~ i u,~~, ~ Name: ~n~ V T~
Telephonelk: area code (~QSI )~i-J2~ V I Z'-f'
Sheet Address:~'Y"f3CJ ~~INV
11_
Y~ ~~V Re~istratlon
CHy ~~a~.~ State: ~ ZIp: J~~ 2 Z
pp~~~ ,/'/~l 2- p~
Sewer R water Ileensed plumber (reauhed tor new consirueNon onlv): ~ 7 J lM Ul ~.~T_k1V `YA~/ys uu ~ 4e o~~I
Pun~My applies when address change and lot change Is requested once permH h bsued.
I her~sby acknowledge thaf I have read ihis application, stafe thaf the infor Ion Is conecf, an agree to comply wHh all appllcabl
State of Minnesota Stafutes and Clty of Eagan Ordinances.
Signafure of Appllcant '
OFFICE USE ONLY ~
~
LCc;Cr:fi~~%
Certificates of Survey Received Yes _ No I~~ t,
~ ~ i - ,p~1
Tree Preservation Plan Received _ Yes No _ Not Required I'i ~yyy,~~~~
~~~,1_ ~
i
OFFICE USE ONLY ~y ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
~ 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck O 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. Census Code /O /
(Allowable) Main level sq. ft. SAC Code C'J L
UBC Occupancy ~ sq. ft. 2~/~ No. of Units ~
Zoning sq. ft. ~a~ No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width ~ Footprint sq. ft. Booster Pump
PRV
Fire 5prinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~ S~~
Surcharge
Plan Review f2 /S= / 7.35
MC/ES SAC ~7 y~`I't S y- G 7 ryC
c~cy sAC G~~ S~/= ~7 ~ ~ Z
Water Conn.
Water Meter Z S X ` f 3 2~' ~
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. •
Park Ded. '
Trails Ded.
Other ~
Copies
Total:
SAC Units
% SAC
~ bG~.~ ~
~
~r~. a ~
~ . .
~
~s=~
::<e:~'
(SEE ATTACHMENTS)
~
Development ~ t n e ~1
Lot Number ~ Y~ Block Number ~
Address `~Xbb S~, far~~ ~r~vt
Builder ~ 1~G-..lD~ C~ vi~C l CM.d~ ~
_ ?
Tree Proteetion Reauirements•
Tree Fencing
Oak Tree Pruning (Seal wounds during April 15 to July 1)
, Therepeutlc Pruning
Retaining Wall
Other:
Reolacement Trees:
Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
C~ T-v.l~ l~ T~.eo Pv~l9cftiw, h~~-c.-~ EAGP+~ ~o6~~sY~Y ~9@l~~i~~
G-S .('~..uw~, a~i~- ~I~l~6lE!'~~~
+rer^'~~ru~ o~/ ~k.~ suil o_.~
~5-
(,~.~,u c~fi~-E~.~~~a
1 ~-<<".."
i
~
ENERGY CODE WORICSHEET FOR 1&?. FAMILY DWELLINGS~ t~r
SITS~ADDRESS ~ ~ ~ CITY
COMPLETED 8Y: i PfIONB p_ DATE
BIIILDING CLASSIFICATION: ? catagovy 1(etandard) or~category 2(muet includa vantilation)
lSSNIlfUM CAITERIA
Foundation InsulaCion-R10 Y7alle E Wiadowo Roof Attic Ineulation:
(See cable on revezse sida
Slab on Grade Insulation-R10 for allowa6le perczntages) R94-With Atti.c No Heel
Floor over ~nheated a~aces-R29 R38-With Attic Raised I{eel
Foundation Windowe 1/2" R38 & R5-Solid RaEters
insulated Glass.
-Nood or Vinyl Frame ~
STBP 1 Window 4 Door Area STBP Z Calculata area ae a percent o£ wall
A. ToGal Window 4. Door Area in Sq. Feet
~ WINDOWS (Including Found3tion Windowe):
MNDOW MAN[JFACTURL~ NAMH: C. Frorn S[ep 1 divida box A(Window 4 Duor
Areal t:y box 6(total wall area) cime~ 100
WINDOW MASNNACT[JRE TYPH: equal> Che window and door area as a
~j~j~ percanc oE wall area (box C).
WIf7DOH MANIIFACTUR& U FACTOR: • ! !Y
i R. O. QuantiCy cq.EC.A.ea POX A~~~__ X 100 = C 1
i Dimensions P~%, ~~QDQ 1~
r
~0~~ X K "11 IL~q ST2P 3 Danign Featureo
{~_i'~-
L N y- /1N ~ ~ z,SSGhB LY
V
~~~~t y ~~~~N PP.AMZIIG T~PE:
!.s__
bn x ~QN II I STAtIDARD FRAMING _~c[uds 16" o.c.
-+F
M g ADVANCED FRNIING r,tude 24" o.c.
6~-0h x 5~~p CF.VITY I~ISULATION }t~
Ij X~I~N I I i~ SHEATHZti(: TYPH:
i
LESS THAf% c R-5
~ ~ X L u~ ~ J
X R-5 > OR ?fOR6
~X U-FACTOR L7
DOORS: From the table, (revcrce side) determine the
maximum peccen[ window 6 door area for the
design op:ions eei.ected and enter the t valuc
/,Q X ~ ~ in 0ox D helow based on tha window mEg. U-
~r~ factor:
Z~ X ~ o
Rbtal Area of :.-~y{,~~q.ft. ~ ~
Windows & Doors ~ I
H. Total Wall Area in Sq. F[. The t ~al.ie Erom the Cabla in i3ox D shall b~:
cqual to ;r greaCer than thc t in Hox C
Wall Total Height Area
Perimeter
v , ~o
3 .
7'otal Area oE Walls D= ~W
r _
~ . 2422 Enterprise Drive
Mendoto Heights, MN 55120
* (851) 681-1914 FAX:881-9488
* PION6EF1 uno wm~cra+s • aNi Exa~ms E-moil: PIONEER~PRESSENTER.COM
ang neer ng UN0 0.ANNOiSi ""tl11EC1$ 625 Highway 10 N.E.
* * Blaine, MN 55434
* ~c ~ (812) 783-1880 FAX:783-1883
E-moil: PIONEER20PRESSENTER.COM
Certificate of Sur~ey for: MANLEY BROS. CONST.
4866 SYCAMORE DR GL BECKER
~ t,,,. ~
LOT AREA =72,659 SQ. FT.
i} ~ ~ ~ ` HOUSE AREA =2140 50. FT.
N~ ~y COVERAGE =16.9h'
::p ~y .yti HOUSE TYPE-2 STORY 12 COURSE
D :'~E _
_
~ ^ n ArT E~TC-IIVEERIIVG DEPT.
BENCH MARK`~
TOP°"'OF PIPE. 1 ~
ELEV.=980.17 ~
~
. I
3 ~ ~
~ 73 I ELEC.\\\\~980.6 EGARING 980.8 S*.~.'f f~'~l"+gy
CATV. ~
89~4~ `5 980.76 ~42.`52 983.3 984.0
~ 776~ 30.82 38.3
977.3 979.3 o ~i u~ I
W ,O --JO-.__---~-_----_-
A 982.2 N~98a.0 x983.6 ~ 10
~ p F---- 15.83 f
~ ~ ~ i 11.50~~°. ~ O
~ ~ ~ \ I~` ~ Oi
D' °o ~ i~ M ^ ~ ao
I~
~ ~ I t0 N~ p . IF
. O ERV. I~ ~~\OD M~ ~ ~ ~a
T ELEV.~966.4 i ` ~2 ~n ~ ~ ~ 6 I r 3
/V a v ~K
~ i D ~ 981.6 ~ ~ d1a ~
~ I977.8 ~ ^ 77.00 i ~ wZ O
~ I `yo\\ I aw OD
~ ~ PROPOSED i Zs
, ~ i ~ DRINEWAY ~ N\Q ~ 10.00 987. " 986.9 O
~
I ~ i30.54 ~~\~\o i TREE LINE--' I ow Z
J G~ i`D a0 ~ ~ 10
i a _ ~ 26.33 ^
I u~ 980.2 ~ 9 .3
" 79. ~ 29.7 38.33 979.59 N 984.9 984.9
s~s., ~~y / S8 ' 2"W ~ 140.95 IC995.o)
I I 981.0 = ^ 981.0
3 ~ ~ EXISTING I
o HOUSE
d
- BENCH MARK ~ ~
TOP OF PIPE~~
ELEV.=979.0~ ~~~.~=N -DRAIN~G~ SUTALE"S oIJ
7"NE ~yoRTH £ SotA,TH ~p`,c(~Y L=N~
d~~' To TNF CURB.
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES SHONN PER CRAOINC PLAN BY: E.G. RUD LOWEST FLOOR ELEVATION: q73.q
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION TOP Of BLOCK ELEVATION: 9BZ,~
OF S7RUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BVILDING ANO
FOUNOAPON D~MENSIONS. 9P,~.~,
GARnGE SLAB ELEVATION:
NOTE: NO SPECIFIC SOILS INVESTIGATION NAS BEEN COMPLETED ON TMIS LOT BY THE
SURVEYOR. THE SUITABIIITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB ~ LOOKOUT ELEVn7i0N:
PROPOSEO ~5 NOT TNE RESPONSIBILIiY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE OOES NOT PURPORT TO SHOW E/.SEkENTS OTHER THAN X 000.00 OENOTES EXISTING ELEVATON
TNOSE SHOwN PN- TNE RECOROED PL~1T. ~ 000.00 ) DENOTES PROPOSED ELEVATION
DENOlES DRAINACE AND UTILItt EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
DENOTES DRAINAGE PIOw OIRECTOn
NOTE: BEARINGS SMOWN ARE BASED ON AN ASSUME~ DANM • DENOTES MONUMENT
DENOTES OfFSET NUB
WE HEREBY CERTIFY TO MAN~EY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEV OF THE BOUNDaRIES OF:
LOT 16, BLOCK 2, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT j~ SHOWN, AS S11.RVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 15 DAY OF JUNE, 1999. ~
S~GNED PiONEER ENGiNE G P.A.
SCALE : 1 INCH = 30 FEET ~
t~~:~~~ ~~l .J (1 L ~ ~g~j a : ~
1968 98275.26 JJS t~ John C. Lorson, L.S. Reg. No. 79828
.
' .
- LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ~ C~iT BLOC~ y~ f-~iNFT/eE~ r vl~~ ST
DATE OF SURVEY: ~O "
LATEST REVIStON:
DOCUMENTSTANDARDS
? • Registered Land Surveyorsignature and company
s~ ? ? • Building Permit AppAcant
q~/ ? o • Legal descriptlon
yy ? ? • Address
yi a o • Nortfi arrow and scale
~/o ? . House rype (rembler, walkout, spfR wlo, spht entry, lookout, e4c.)
? o • Directianal drainage arrows wilh slopelgradient %
~o ? . Proposed/ebstlng aewer and water sernces 8 invert elevadon
~p ? • Streetname -
ip/o ? • Driveway
~y p ? • Lot Square FoWage
m. ? ? • Lot Coverege
ELEVATIONS
Ebs6na
,~o ? • Sewerservice(orProposed)
m~a ? • Properry comers
m~o ? • Tap of curb at ttie driveway
? • ElevaGOns of any e~asting adjacent hom~
?~o Adequate foodng depth of strucWres due to adjaceM u~ih~ trenchea
Prooosed
m/ ? ? • Garagefloor
m/ ? ? • First fioor
~o ? • Lowest exposed elevalien (walkouVwindow)
p/'a ? • Property comets
? • Front and rear of home at ~e foundaOion
PONDING AREA (if aodicadel
? m~ ? • E~emerrt Nne
? ra/ ? • NWL
? ~ a • FIVYL
? ~ ? • Pond # designation
? ~ ? • Emergency OveTow Elevatlon
DIMENSIONS
~ ? ? • ~ot IineslBearinga 8 dimensions
oYp ? • RighRof-way and street widlh (to back of curb)
a • Proposed home dimet~sions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requinng pemianent tooDn~)
~o ? • Show all easemen~ of recard and any City utilitles within those easements
? • Setbacks ot proposed structure and sideyard setback of ad' cent epating structures
a o~ o • Retaining wall requirameMa, if a
R~~~: f 9
Name ~
Maroh 19BB
CpAq~gLpGPIiMI.FM .
Cities Di i~ tal Qualitv Control ~
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~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 U- S~
3 651-681-4675 "I ~ ~
New Consiniction Reaulrements Remodel/Reoalr Reautremen}s ~
? 3 reglaiered sNe surveys ahowtng sq. H. of lof, sq. N. of house 2 copies of plan
and g~ roofed areaa (20°6 mqxlmum loi coveraae allowed) 7 sef of energy calculatione for heated addHlom
? 2 coples ot plans (show beam i window shes; poured Ind. de~lgn; etc.) 7 sHe survey for e~cfeAor addBtons S decks
> 7 se} of energy cakulatlons
> 3 copies of hee preservaNon plan M lof plaHed alfer 7/1/93
DATE: i~I~` "~`~1 CONSTRUCTION COST: ~3i b0o
DESCRIPTION OF WORK: ~~y'~~~r ~
STREEfADDRESS: ~gCo ~,`iC}~MO ~IZ\~lE
LOT: BLOCK: ~ SUeD./P.I.D. I~i ~ ~ ~ C
~
Name: ~~c~L~~ Phone#: CoSI °3Z.~---11~30
PROPERTY tas? First
OWNER
StreetAddress: ~~~~n S`~C~MO ~ ~2~-F
c~ty state: M~1 zip: .Sc, i 2Z
Company: l~_`f ~'~S"C'Cu~~b~1 Phone C.a\Z Z21 J b~.
{area code)
CONTRACTOR
Sheet Address: ~"~6~T A3~-- S License # Exp.
• c~y ~~~~~•c~< <S state: v-~~ Zip: ~.~'~O~j
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Stree't Address: RegisfraHon
City Stafe: Zip:
.
Sewer 3 water Ilcensed plumber (reauired for new conshuctton onN):
Penalty applles when add~ess change and lof change Is requested onee permR Is Issued.
I hereby acknowledge that I have read thts appllccHon, stafe that the Informatio is conecf, d agree to compy wRh all applicabl
State o( Mlnnesota Sfatutes and City of Eagan Ordinances.
. Signature of ApplicanY. A
OFFICE USE ONLY
r~ii~~~,l ~ J
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes _ No _ Not Required '
~
.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ~ 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 2D Pool ? 25 Miscellaneous
WORK TYPE
~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Mo~e Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) r5 Basement sq. ft. Census Code ~
(Allowable) ~ Main level sq. ft. SAC Code o~
UBC Occupancy R•''~ sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs rs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building l~Vl~~ Engineering Variance '
V
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC .
City SAC
Water Conn.
Water Meter
.
Acct. Deposit
S/W Permit
5/W Surcharge '
Treatment PI'
Park Ded.
Trails Ded.
Other
Copies
Total:
5AC Units
% SAC
. 2azz~E~~aw;n U~:~+
Mr~eota Maiqhls. MN 55120
s ~ • (d51) a61-tYt4 FA7C0l1-i~l6 ,
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• i,.c n.a.n~. ..wa~ uuarn 625 Hlpqra 10 N.E.
* • ~ i/' Ra Bloin~. MN ~55131
# * * (612) 765-9090 FAX:78D-tlSJ
F-moN: GIONEER7CPRESSENTEN.Cp1
~ Certif~cate of sUrvey tor: MANLEY BROS. CONST. '
4888 S~'CAYORE OR C4ENT-BECKER .
lOT RREA ~12.659 50. FT
H0o
vu~ cAREA 5~~~~0 SQ. FT.
HW~SE~TVPE~2~ ~ORr 72 COURSE
BENCN MARK
00 OF PIPE. 7
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rqrz: PNOVOSED GMIOES 910M~ VER GMOIMC RIJI BY: E.C. AUD LOflE51 FLOOR ELEVA710N: q7p~3Q~
rro~[: euxuwe or[xsans swo~w w[ rort Howid+na u1o ~venck ~ouna+ lOP OF BLOCK EIEVATION: ~'l'.~.fi_ ~
a smuttui+ES axlr. SEE ueCwt[C1uAL aLUrs Id1 91nLD~rw uiD
iO'~"~ ~~s' ' G~RAGE SLAB ELEVATION; 9~1.~`
N01f.: !10 SMEpIK SUILS WKSnfdM1N IUS lECM COYPLCIEO d1 1M~5 lOT !Y T1E
s~,n~c.on. n,c s~n..w~.r a sans io su~* +~c svccs~c ~a'u TOB O LOOKOUT EIEVAT10N:
cFOO05F0 ~5 MOi ME NESVpyB4~lY M ME SUR~E'~OM.
NOiE: iW5 LERiIfYCAIE OOES NOi WIIPdIT TD 5110W E~SFLCxtS OMEA TMAN M OU~.DO ~CM~1(S C%IgTXfi (~EVAT411
r.wsc mo~.+ a' mc arcanoco n... ~ ooaao ~ awo.cs rnonosm aer.na,
r a~ohs ort~wu~ .we uman ews[wcni
NOiE: Cd~Iq~Cidt YUST Y[M!x OmKK~r oESCr~. a~~s pp,~,~ r~or ow[Ct~
~OtE: BElJi/q5 $NOw 111C BASEp pN 41 ~SSWEO O~TUY tlLNO~EE YONU~ENf
$ OEMOlCS WI7[T MUB
wE HEREBY CERiIFY TO MANLEV BROS. CONST. THAT TMIS !S A TRUE AND CORREC7 REPRESENTATfON OF n
SUFVEY OF THE BOl1NDARIES QF:
.OT 16, BLOCK 2, PINETREE FOREST
U4KOTA COLINTY, MINNESOTA
rt UOES NQT PURPORT TO SHGW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOVM, AS ~1RVEYED BY ME OR
UNDER MV DIftEC~ SUPERVISION TNIS ~5 DAY OF ,NNE. 1999. ~
5 NEO PiONEER EwGINEERIFG/ P.n.
SCALE : 1 INCH = JO FEET B: ~ ~
196B 98275.26 JJ5 C. Lonon, L.S. Rp. No. 19828
~
L J~ L CITY USE ONLY RECEIP7 I( S cI ~ T
SUBD. "r"'^~' RECEIPT DATE: U Ia S I 1
~ PERMIT# ~ ~ ~O
Y 399 ~LUM$INe ~P~tMiT Q~StD~1v1T~hL)
crrY o~ ~ea~
3$30 P[LOT KNO$ iiD
~kfiAN, MN 5512Y
(ssi)ssi-~s~s
Please complete for: : single family dwellings
? townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTIIRES EACH # TOTAL
Bath tub $ 3.00 x ~ _ $ . va
Floor drain 3.00 x / _ $ , csrj
Gas i in outlet ' minimum - t 3.00 x = $ 3~ c~
Hot tub/s a 3.00 x = $ 3. ~
Kitchen sink 3.00 x ~ _ $ 3- av
Laund tra 3.00 x = $ c~
Lavato 3.00 x H = $ ~ . ~
Minimum fee alteretions to existin dwellin 3D.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
Ri'Z iic'vv h-,sta~idi~unhe~ air 3u.v0 X = ~
Rou h o enin 1.50 x = $
Shower 3.00 x o2- _ $ (o,
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x ~ _ $ /3-C3p
Water heater 3.D0 x = $ 3_ ad
Water Softener if dwelling untler construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .SD
TOtal $ ,.5"f~
Reminder: Call for inspectians of alterations, i.e. water heaters, water softeners, etc.
~
I hereby aCknowledge that I have reatl this application, stete that tha informatlon is cortect, and agree to comply with all applica6le City of Eagan ordinances.
It is the applicanYS responsibiliry to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Ciry during its
~~~~7=~ ~v~~ation=~ ar~'. ~~~aint~r~ao~z a~5oii~zs i~ ii~e feciii~ies wri_u~cied under i~iis permic wiUin Giry property/righi-oi-wayieasement.
SITEADDRESS: ~~l~C~' ~J.i~/~CLrhf~/?~ ~/"i/iL°
OWNER NAME: : ~~/~'7~ •-w ~ TELEPHONE
(AREA CODE)
INSTALLER NAME: ~ /J'ZC~Q~~c~ TELEPHONE ~~D -dG.~~
(AREA CODE)
STREET ADDRESS: 3/~ /~i~ ~r-~ ~~vc S~
CITY: ~y-i..r~- /~2 STATE: ZIP: SS37eZ.
f~a~~ ~~~./C"
. d
SIGNATURE OF PERMITTEE
CITY DSE ONLY
LOT ~ BL REGEIPT I ~ ~ ~ ~ ~
SUBD. ~~1~..~/~-~ i' ~"`'d' Y RECEIPT DATE: b a 5~ l/
MECHANICAL PERMIT # ~ -'7 U (n `S
1999 M~C~Il~cNIClSxL ~~i~MIT Q~£S1D~NTI~kL~
CITY OF £Afi1kN
S$SO PILOT KNOB RD
f~RfiAN 1NN 551 P2
~asQ: 8,~ - 9~ (65t) 68~-as~5
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied,
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets 1minimum of one required @$3.00 ea.) ~
State Surchazge .50
Total $
Complete this section anlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11681-A675 for inspecTions.
Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITEADDRESS: '~~~rLP ~v~'Q~'»~~e ~-•`4'"e
OWNERNAME: ~ ~ PHONE -
INSTALLER NAME: ~~-f--~- /~2~C~7t2-n-/c c~(~ PHONE A Cl~ - y~D ~~-3~
/ ~ (AREA CADE)
STREET ADDRESS: ~~3~~ ~/G7'~7~i`
CITl': !~/"/dr ~~~~Y STATE: ~~Z. z~r: -~.53»
~i7G~ ~ ~-~tiG~.~
SIGNATURE OF RMITTEE
CITY USE ONLY
L _ BL _ RECEtPT#:
SUBD. RECEIPT ~ATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT#:
r
1499 M~Cii~NICl4L i'£iiMIT f COMMERCIAL)
C1TY Of ~kfiA1V
S$SO ~1LOT KNOS iiD
f.,a~fii4N. MN 551 EE
(65t)6$t-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is grenter.
Processed piping - $30.D0
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of nermit fee due on all pertniu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TEIVANT?~TANTF (IEnpunyE?v~NTC p*ILy);
INSTALLER:
ADDRESS: PHONE -
(AREA CO~E) ~
CITY: STATE; ZIP:
SIGNANRE OF PERMITTEE
September 28, 2011
Permit#99784
RE: 4866 SYCAMORE DRIVE
Granite Construction Services, LLC was responsible to build four new interior walls in
the basement of this project. All exterior walls (finished walls) were completed prior to
Granite Construction Services involvement in the project. No insulation or vapor barrier
inspections applied to our scope of work and we did not disturb any of the exterior walls.
If yo questions, please let us know.
Nate Armstrong
Granite Construction Services LLC
971 Sibley Memorial Hwy., #100
West St. Paul MN 55118
Nate@graniteconst.com
612-293-8632
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