4874 Sycamore Dr RESIDENTIAL
r ~ BUILDING PERMIT APPLICATION 7D 0~
CITY OF EAGAN ~ ~
~ (~5~~ C~ 3830 PILOT KNOB RD - 55122
~ ~ 651-681-4675 /'afl _,J ~~o/
1 el~ ~
lew Canetn~ction Reauirementa RemadeVReoair Reauiremants
3 registered site surveys showing sq. ft. of lot, sq. fi. af house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Ene~gy Calculations for heated additions
2 copies of plan showing beam 8 window s¢es; poured found design, etc.) . 1 site survey for ezlerior additians & decks
1 set of Energy Calcula5ons . Indicate d home served by septic system for additions
3 capies of Tree Preservation Poan if lot platted a(ler 7/1193
Rim Jois! Detail Options selection sheet (61dgs with 3 or less units)
)ATE ~ - 9- ~ ~ VALUATION
10B SITE ADDRESS y 8 7 y 5`/ cai +n o Rt fl i2 , q N ~~D'1 N Ss /'a.'3
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNER Rav~~~l G ~ ~ ~C~~~
'YPE OF WORK W o o d De-c ~ FIREPLACE(S) _0 _1 _2 _3
~PPLICANT Ra~~., (~v~ PHONE# 65~-3 aa- ~o~t~
~DDRESS SA`^^C ZIPCODE
'AGER # CELL PHONE # G I~-3 as' s FAX #
N~N' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETE
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 D~~~~ U~
(check one) - Residential Ventilation Category 1 Worksheet Submitted ~
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672 By
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: Water Softener _ I.awn Sprinklcr Fee: $90.00
Water Heater No. of R.I. Baths
No. of 13aths
Mechanical Contractor: Phone #
Mechanical Syslem Includes: Air Condiiioning Fec: ~70.00
Hcat Recovery Sys[cm
Sewer/Water Contractor: Phone #
~II above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the infor 'on is correct, a a e to comply with
~II applicable State of Minnesota Statutes and City of Eagan Ordinan s.
Slgnature of Applicant
;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
OFFICE USE ONLY `
] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
] 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
] 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
] 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screened) ? 36 Multi
7 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
] O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
7 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
] 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
/aluation ~
~~af.b Occupancy 3 MC/ES System
;ensus Code ~ 4~ Zoning ~ City Water
iAC Units D ~ Stories Booster Pump
Jbr. of Units U Sq. Ft. PRV
dbr. of Bldgs ~ Length Fire Sprinklered
-ype of Const v' N Width
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile
Roof _ Ice & Water Final Other
_ Fiam~ng _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
-------------------------------------------------------------------------------------------------APProved By Building Inspector
- ~
3ase Fee
iurcharge
'lan Review
AC/ES SAC
:ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
"reatment Plant
'lumbing Permit
Aechanical Permif
.icense Search
;opies
~ther
rotal
INSPECTI()N RE[:UK~
?CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:' ' ' ~ ' ' APPLICANT:
i i: ~ r
, . r~In~,Y ni` , ,
PERMIT SUBTYPE: ~ TYPE OF WORK:
. .
, ,~.~i i rt~ , t ,
.i;i ~ ~ r~ ~ i i '
~i~i . ~ r+ . , ~ ~ ~ ,
'i.~ ~ ~ ~ ~ ,
, ~ ~ . , ~ ~ . ~.i ~.i . ~ ~ ~ , , , ~ . i , . ,
1~ f•1 pl !fl~kt;F:t? 1'~; ~t} f~1-P' F'Ii~~Nt # 4A J~~7:iA ~
~ ~
~ J
~ PermR Holder Date Telephone M
SEWER/
WATER
~ PLUMBING ,(3 9 ry. 'j~
~ HVAC ` ~60-83/3
Inspectlon Da Insp. Commeots
FOpTINGS /
l ~ !i~
FOUND d~~,
Q
FRAMING
ROOFING
ROUGH ~ - « - < <//Q
PLUMBING
PLBG -
AIR TEST 7 '
`
ROUGH ~s/y 9
HEATING
GAS SVC ~r/~
TEST
INSUL .~_1 J~L'
y[ ~ ~C:
GYP BOARD
FIREPLACE - ,p ~
f
FIREPLACE ,7j _
AIR TEST 7 ~
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IiiRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. . . . . ~--'~++w~.~..~. . .T--•- . .
. )1
~RL`tt~iCQte 0~ ~CCli~lQliC~
~it~j o~ ~agan
#}e~rartmeut oF ~ui[bing ~u~pectian
This Cenijicate issued pursunnt to the riequirements of the Uneform Building Code
certifying that at tiu time of issuance this structure was in compliance with 1he variaus
ordirtances of tiu City regulatirtg building corestruction or use. For rhe following:
Use ClLVificatian- r~' Bldg. Permi~ No. 9i'n~
~P~h, ~,P~ ~ Zoning pi.wict SM Type Cons[. ~
.
Orner o( 8ui1~nS Add~ess ~ f~
Buildins AdMea~ ~ ~AO~~ _
' ,i~/.%, j
y .
- s~w~o6 arK;,i -
POST IN A CONSPICUOUS PLACE ,
/
Address _~7r.~cnrx~ttE nx~vE Zip 5512 3
L.ot IS Blk 2 Sub rr~r~ Fo~sr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: ' o?.p y' Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage) v
Permanent steps (main entry)
Permanent driveway
Permanentgas
Sod/Seeded grass
TraiU~rb damage
Porch
Basement finish
Deck
Please verify with the builder tt~e removal of roof test caps ftom the plumbing system and the shutoff of water supply W
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
lI RESIDENTIAL ~ l~, a~
S?~ I~~ BUILDING PERMIT APPLICATION ~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55'122
651-681-4675
New Construction ReouiremenM Remodel/Reoair Reuuirements '
• 3 registered site surveys showing sq. R. o( lot, sq. fl. ot house; aM all mofed areas • 2 copies of plan
(20% max'unum lot caverage allaweC) • 1 set of Ene~gy Calwlations kr heated additlons
• 2 copies of plan shawing 6eam & wirMow s¢es; poured found design, etc.) . 7 sAe survey for extenor additions & decks ~ ~
• 1 set of Er~ergy Calcula6ons • Indicate if Mme served by septic system (or additions
• 3 wpies ot Tree PreservaGOn Plan N lot pla@ed aRer 1/1/93
• Rim Joisl Detail Options selection sheet (bldgs wiU 3 or less uniLs)
DATE ~I ~a ~(9 2- VALUATION ~ ~
SITE ADDRESS ~ C.~YY~~-`~ ~ Y MULTI-FAMILY BLDG Y'~-~N
TYPE OF WORK /1 FIREPLACE(S) _ 0_ 1_ 2
APPLICAN~~ ~Q-~~
STREET ADDRESS 7~O P~ W~`~'l S~ CITY~~J;~J~STATE~ZIPS ~ ~
TELEPHONE ~~SIYn~-Q~C~ CELL PHONE ~IC~lS~7~O'E~jJ~I Fax #~~)G~eY-o~/9
PROPERTYOWNER TELEPHONE~~S 1 ~2~- ~ ~by I
COMPLETE THIS SECTION POR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~Ih`NGSOTA RULES 7670 CA"fEGORY 1 MINYGSO"CA RULES 7672
(J submission type) . Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniraetor: _ Phone # _ _
Plutnbing system includes: Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater No. oF R.I. Baths
No. oC Ballis
Mechanical Contraetor.
Vlcchanical syscem includes: _ :lir Conditioning D ~ ~,IhI ~70.00
Heat Recovery System AUG 0 8 2002 U
Sewer/Water Contractor: e #
By
I hereby acknowledge that I have read this application, state that the information is correct, and agree comply
with all applicable State of Minnesota Statutes and City of Eagan O ances.
Signature of Applicont
. OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan ReceiVed _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait- Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_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 Windows/Doors
? 34 Replacement *Demolitlon (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 (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AuiGas Tests _ Final
_ Fratning _ Siding SNcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ lnsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
FRGF; : MANLEY BROTHERS CONSTRLICTTON PFqNE N0. : 6514549371 Jun. B7 1999 10:03AM P2
2422 Entorpriae Drive
Mendoto Meiqhts, MN SS1Y0
*
* PION@61~ ,,,,o ,,.,,R,,,,, . a,,. (g12) 881-1914 FAX:881-9488
* eng near ng "MD `"ND~iN°~~ 623 Hiqhwoy 10 N.E.
Blaina. MN 65634
* * * * (812) 783--1880 FAX:783-1883
~ertit~cate of survey for: MANLEY BR4S. CONST.
4874 SYCAYORE DRIVE
v~
a
°~y~?~~ 16
ww`~~ ~
I ~ ~ I ~ BpENpCH MpA~REK. I
I ii h EIEV~
982P62
~ 30 s.~ N89'41'S2"E 983.95 14d.95 ~C~g-q~ ~
,
C.B. 97~1 ~ 34.33 42.33
~ 984.9
~ ~ ~-987'j~--'iaQr-`\-I-------i
' 10 r - - .r ~ ~982.y' 9ES,S I. 70
r 26.3T ~ S
I - ` I , 6 / a .
..N(~ ~ i ^ ~2.0 ~
I I ~ tS~ a`'' f' I
~ ~ 98o.e ~ d ~.a, I
978J g 1a.00 ~ 2.00 ~5 ~a. I 3
;0 ~ ~cn ~ I ~ 1O .4 ~ ~c~~ ~ co.
5 ~
~ ; q V H( 0
m ~p m ~ 13.6~6 x P ~zwy ~ ~
v~ ~ i~ g i~' 983.5 Z~! ~ O
I • ~ w67/_ ---i ~ Z
~i 10 ~!!~°ni a1.7 982.3 i~i ~ ~ t0
L~_~L- .-.._t~__ _-....-i~J
I m ~ i~ 983. ~ Y~~~' .
979.1 tl. 29.88 4Z• 82.42 887.4
30 ~ 98t•~ ~ S8g•41'S2"W 136.50
U~ ~
I ~ I BENCN AIARK I
TOP OF PIPE
ELEV.~982.02
14
wott: aqav0.5E0 fYU0f5 3wOrt+ Pfl+ CRAOW~ PW+ dr. 4G AuD , oononceD HOUSF EI EGV4.~TIcO.N.J
r~re: euuprw pn~asp~s y~owr, ,u[ rat ~za+~u.'rwo ~sanc~t t0una~ LOMiES7 FLOOR EIEVATION; LE~...
COU TION OWf.N510NSEE ARCYpTECNAI PLANS NN MlONO MIU
. - TOP Of BLOCK ELEVAiION:~
ND7E: NO SPEGFIC 504S ~NVtSTfuWDON HAS BEEN COMPlE1LD ON 1M~S lOT 91' 1NE ~
sumhrp~, ~t suii~9iun a sa~s To swva~r m[ sveana NwsE G~RACE SLAB EIEVATION:
PAOPOS(0 IS NOT 1HE RfSPONtIB~UT/ 0~ 1HE SURVEI'G~•
N01E: 7MOSE SMOMN ON 1ME RECIXtOLPUNORTT
0 SNO'r CAS[wEM74 0111EI1 fNAN ( 000.00 I DGqTES iN 570iOSE0 [LCY~110N
D[NO~ES OR4NAGL ANC UM11Y EASEMpIi
NO1E: CONTILtCTOR YVST VERIf7 ORrvEWAY ~E.SIGN. - DLNOl[5 ORNNACE ~LO~'~ ONEC110N
N07E: BCANWGS SMOWN AN( 9t5E0 ON AN ~SSUMEO O~IYM ' - 0[MOlEB MONtMFNT .
~ $ OEN07E5 OFiSEf MYB
WE HEREBY CERTFY TO MANIEY 6R05. CONST. 7NAT THIS IS A iRUE ANO CORRECT REPRESENTATION OF A
SURVEY OP THE 80UNDARIES OF:
LOT 15, . BLOCK 2~ PINETREE FOREST
D~OTA COUNTY. IAWNESOTA
IT OOES N~T PURPORT TO SHOW IMPROVEMENTS OR ENCHROACNYENTS, EXCEPT AS SNOWN. AS SURVEYE~ 8Y ME OR
UNOER~MY DIREGT SUPERVISION 7H~5 2ET?1 DAY 0~ OCT., 7998.
~ . $I ED: ONEER ENCINEERI . P.
SCALE : 1 INCH = 30 FEET ; g r
~ ~ ~ . ~ ohn C. Lerson. i. . Re9. o., t99Z8 ~
1968 98275.1~ Swic
Y;: ~iX.'{cxn,
:rimX:'1i ~X ;<Y„9n?Xi;c.F
;i$cYdt:;o;(d~k:Y,i$cY,:Y,(~:Yi$i;ii;iYU':~::k~
~~.IiY i.1F I"Fl:;lj^'
C;AiS'.:G(: fir il~:FiNi::P1F31... ~U;:
D^.T;ii: 11.,/2C)1Safi l'ItiF.=:; J.t~•s<ifl°`f3
IDr.
~lA~F_'r, I.1N:fVf::R3F11... 'i'.[11...F_
~~?:;6 '~i:lUi 4f174 t>\'t;AMQIt'~ Li 4;,:,nrJe00,
22.`dl~ `)f)p:L 4f7i~~ iY~,Ai"S(I~?I::. U 61..4b
I
"i~hg~l r~~~~=;.p'I: r'i1pU.71'Y,: b~ySf~.:L.A~~';
CRU9`i~.`.~~:'!~
l.lSL i :f.Y..~: ~!APlCY
~(prY,:Y,t:~nkC)KYri~'~.n?K%r1M1?;tik:~~~n'%f:y~'h.~,'tu>FM?:'~< ~(;Y;,:'m": r,;:;t`:;~F;;s:'v:~;n.
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number: B U I L D 7 N G
~ Eagarf, Minnesota 55122-1897 B 3 4 e 7 9
(651) 681-4675 Date Issued: 11 / 2 4/ 9 8
SITE ADDRESS:
AB%4 SYCAMORF DR
I.OT: 15 B~OCK: 2
PTIVETREE FOREST
P.I.N.: 1~0-57650-15G~-02
DESCRIPTION:
BuiLdinq~~~Permi'C Type SF UWG
[3uildinq Work~Tyu~ NEW
.UBC Occupancy~'~ R-3,U-1
~ CpnstrucCi.on 7vp'e ~ 5N
Zonina - ~ R-1
Buildinq Lenqth 60
t3uildinq Width 40
8u..ildinq Stories ~ 2 ~
~ ~SC~ti~~rs Feet _ 1,845
Cen'~SUS'Cpde 101 1- FAMe DETACH
~ ;
~ ~ ~
~ . . . . I ~ . ~ . . . . ,
~
REMARKS: ' ~
PLAN REVIEW~O EY WAYME MILIr_2.
S& W PLUMBER IS SCHERER PHONER 447-6734.
FEE SUMMARY:
VALUH1"ION $7.52.000
Ba~a Fee $1.7.47.25 MISC. FEES _..~_$1,,_592_ 50
p].an Review $745.71 7oY.al Fee $4.561.R6
Surcharqe $76.00
SAL' $1,0F70,00
SAC ~S 100
SHC Units 1
Subtotal ~ $2.968.96
CONTRACTOR: - qpplicant - sT. ~IC. OWNER:
M~VNLEY SROS CONST 14544933 20054327 MANLEY BftOTHERS
1h778 ALLISON WRY 10778 ALLISON 6JFlV
INVER GROVE HGTS MN 55077 SNVER GROVE H6TS MN 55077
(•612) 454-4933 (6121454-4327
I hereby acknowledqe thaC I havs read th.is application and state L'hat thE
intormatipn is correct and aqree to comply with all aoplicable State ot I+In.
~ Statui' s and City of Eaqsn 0 inances. J
[
APPLICA ERM E SI NAT ISSUED B SIGNAT
~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 y ~ 3830 PII.OT KNOB RD - 55122 ~ ~E , ~ ~ ~ > ~ (P
681-4675 pp
Ne•N Construr~ion Reauirements RemodeUReoair Reauirements C`
~3 regislered site surveys ? 2 copies of plan
l!D~ 2 copies of plans (inGude beam 8 window s¢es; pouretl fnd. Aesign; etc.) ? 2 sRe surveys (exterior additions 3 decks) .
k~ 7 energy Wlculations ? 1 onergy wlculations for ~eated add8ions
• 3 copies of Uee preservation plan 'rf lot platted after 7Hl93
required: JG Yes No
DATE: I I-~f 8 CONSTRUCTION COST; ~~,CYX~
h/ 1 C~,,,,,
DESCRIPTION OF WORK: _/~~w c 7~/ ~,lC~s/7
STREET ADDRESS: _ ~f0 /`T 6~/,~~YI~rG ~r~
LOT: ~ BLOCK: SUBD./P.I.D. ! /G'P ~)~~,5!
Name: Phone
PROPERTY 1-azt First
OWNER
Sueet Address:
Ciry State: Zip:
Company: I,~/ `l rS ( N~ Phone ? I kX(/' ~:3J`~~ D- ~-~g.3;
CONTRACTOR n I I n z
Street Address: I l ~tJ~ License # ~i0~~~ c~a ~
I~I},~,. ~l
City,~N IUC-~ ~r~~ ~L~~
State: Zip: C~C 1CJ~~
ARCHITECT/ J~ n y~
ENGINEER Company: (-~/~/~C(`/ Phone ~~a _ ( J ~
Name: Registration
StreMAddress: ")~'~J~ I,~/,C.~ l~/~~~ ~r/
c;ri ~a ~C~--n srace: / zp: ~
Sewer 8 water ficensed plumber (new construction ony):~he~P~ 7" CC` ~ . Penalty applies when address chang
and lot change is requested once permit is issued. ~
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of MinnesoW Statutes and Ciry, of Eagan Ordinances. . ~/n
Signature of Applicant:
D C~ C~ Z
OFFICE USE ONLY
i 2~~~8~
Certificates af Survey Received ? Yes _ No
Tree Preservation Plan Received ~ Yes _ No _ Not Requir d
.
OFFICE USE ONLY •
, '
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
~ 03 SF Addition ? 08 S-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 ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V~ Basement sq. ft. /o`f7,7~ MC/WS System X
(Allowable) V~? Ma' evel sq. ft. ~ City Water
tlBC Occupancy R 3,d~ I~ sq. ft. ~ Fire Sprinklered
Zoning sq. ft. ~.~d~ 5~_ PRV
# of Stories sq. ft. ~~66,~ Booster Pump
Length ~ sq. ft. Census Code. ~
Depth Yv Footprint sq. ft. ~ SAC Code d!
Census Bidg Oi
Census Unit a!
APPROVALS
a
Pianning Building Engineering Variance
Permit Fee Valuation: $ /5 02~ DO~
Surcharge
Plan Review ~r5~`~~
License 4~6 K l:l = S76
MC/WSSAC _ 3sX~~__ ya~
City SAC x a = a
WaterConn. toy7,~rx/~+-~ I s 7/6,~.ti
Water Meter Mu;n
Acct. Deposit B"' 6 - ~Oy~' ~s
S/W Pertnit r~ x 7 = i a,so H i~ ~ iv r, SO
+ o6'a' • ~s" x 5
S/W Surcharge uPVGR
Treatment PI. au5c = r ov~,75
Park Ded. - 2 x// y= a~,
Trails Ded. 5 ~t 6 H= v3, ~5 E p N~b
Other ~ q x S y=
Copies lsoNUS Rn
~a4 ~~s = a~o.~
Total: ~R ~~x z~J = ~l'"~lO
~oyX26y_ 53r 5
~iaSAC -S" 6.,:
SAC Units ~$6 ~ x~6 a S~v
. i ~,ov
DEG/~ I y lc/77l]~J
R
ti
~
2422 Enterprise Drive
' * * Mendota Heights, MN 55120
* PIONEBA (612) 681-1914 FAX:681-9488
UNp SURYEYd15 • GNl ENGINEENS
* eng neer ng PLANNEPS• UNOSCAPE ~RGHIIECTS 625 Highway 10 N.E.
Bloine, MN 55434
* * ~ * (612) 783-1880 FAX:783-1883
Certificate of Sur~ey for: MANLEY BROS. CONST.
. 4874 SYCAMORE DRIVE
~o
's~r~~ 16 J ~l
~ ~ ~ ~ ~
T,~~~ I
I s p a1 BENCH MARK ~
i; I~• TOP OF PIPE
~ ~ ELEV.=982.0
~ so ; ~~~`s~s.~ N89' '52"E 983.95 140.95
I 978~i1 ~ 34.33 42.33 - ~$y, ~ .
C.B. ~ "984.9
~3` ~ -ss~:s~~~Y.~-~m-
~ 10 r ~ i ~ 956 09 ~ 482.~ 983.5 ~ 10
~ r 6 26 33 M~ ~X ~ p
I ~ i ~p x n/p/°- ~ O' }.1 ~ ~
,.N~i ~ ~ Vj ~ ~ vwiN~2.00 P ~ i~.~'~ QO
~ I 980.6 i a a ¢?/~v ~a ~
I O N O= O ~ I/ I
69. a Z.00
i 978.7 14.00 i ~ 15 ~ 3
e
~ I ~ ()1 ~ m ~ w ~ o~ ~ ~ i v~/~ ~
r1'' O ~ ~ 03 M• ~ cw.~ ~ ~o i eMp " ~ p
I ~ W ~ m L~I ~ 04? 2 O O~ Q 1 3. 6 6 x ¢ w ~ ~
~ I J~ 3 n,o i~/c~ oa - i 982.3 983.5 Q~ ~ O
s ~ F= 24.67/~ ow ~ Z
m i ~Q ~ `,°~i ~J81.7 982.3 i~°n ~ ~ 10
~---`~-------~-------f~.J
~n s~'~ 983.0 % ~i5t7,o)
979.1 13 x 29.88 42.33 .
82.42 987.4
' 30 9 q~ S89'41'S2"W 136.50
I \A^ BENCH MARK I
I~. TOP OF PIPE
ELEV.=982.02
~ 4~, . , , ~
;L ° , • \,`i
\ ~
~ -
n , 1 -ya> :;i,~r:j ~ e .
NOTE: PROPOSED GRADES SHONN PER CRAD~NG PLAN BY: E.G. RUD PROPOSED HOUSE ELEVATION
NOTE: BVIIDING OIMENSIONS SHONN ARE FOR HORIZONTAL AND VERTCAL LOCATION LOWEST FLOOR ELEVATION:
OF STRUCNRES ONLY. SEE ARCHITECNAL PLANS FOR BUILDING nND
~OUNDATION DIMENSIONS. 9 ~(v 3 .
TOP OF BLOCK ELEVATION:
NOTE: NO SPECIflC SOILS INVES7ICATON HAS BEEN COMPLETED ON TNIS l0T BY THE ~`r93 ~
SURVEYOR. THE SUITABILITY OF SpILS TO SUPPORT 7HE SPEtlFlC MOUSE GARACE SLAB ELEVATION:
PROPOSED IS NOT THE RESPONSIBILItt OF 7HE SURVEYOR.
NDTE: T115 CER71fICATE DOES NOT CURPORT TO SHOW EASEMEN75 OTiER 1HAN % 000,00 DENOlES E%ISTINC ELE~~TiON
TMOSE SHOWN ON iME RECORDED PLAT. ( 000.00 ) OENOlES PROPOSED ELEVATON
N07E: CON7t7ACTOR NUST VEftIFY DRIVEWRY OE9GN. OENOtES DRAINACE AND UnLITY EASEMENT
UENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASE~ ON AN ASSUMED UATUM • DENOTE$ MONUMENT
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 15, BLOCK 2, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT St1PERVI510N THIS 28TH DAY OF OCT., 1998.
SI ED: PIONEER ENG EERI G, P.A.
SCALE : 1 INCH = 30 FEET ~
1968 98275.11 SWK John C. Larson, L.S. Reg. No. 19628
.
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
" B ILDING PERMIT PPLICATION
~ PROPERTY LEGAL: ~~S -2 ,1/A+1~ ~ L~
~ ~ DATE OF SURVEY: 7 O~a 9~
~ ~ ' LATEST REVISION: -T
~ ~ ~
~ N DOCUMENT STANDARDS
~
~ ? • Registered Land Surveyor signature and company
/o ? • BuildingPermitApplicant
V ~ • Legaldescripbon
~ ? • Address
~ ? • North arrow and scale
• House type (rambler, walkout, split w/o, splk entry, lookout, etc.)
fa~ O ? • Directional drainage arrows with slope/gradient %
fi~ ? ? • Proposed/e~dsting sewer and water services & invert elevation
e' p ? • Streetname
~ ? ? • Driveway
ELEVATIONS
6dstina
m' O ~ ~ Sewer service (or Proposed)
~ ? • Properly corners
~ • Top of curb at the driveway
~t" ? • Elevations of any existing adjacent homes
o sed
? • Garage floor
e~ ? ? • First floor
fa~? ? • Lowest exposed elevation (walkouUwindow)
[3~0 ? • Property corners
o~ ? • Fro~t and rear of home at the foundaGon
PONDING AREA fif anolicable)
? Ca~ ? • Easement line
? [X~0 • NWL
? ~f~o • HWL
? [7-~~? • Pond # designation
? G~ ? • Emergency Overtlow Elevation
DIMENSIONS
tf ? • Lot IinesBearings 8 dimensions
~ ? • Right-of-way and sVeet width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (i.e. all structures requiring permanent footings)
~ ? • Show all easements of record and any City utilities within those easemenls
? ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
O o~ • Retaining wall requirements, i any
Reviewed: ~ a ~
N e / ate
Jamiary 1998 ~
CRAIGI9YBIBLDGPRMT.fM
~ ' ~ ga
~ ENERGY COD~ WORKSFiEET 1~ OR 1& 2 FAI~IILY DWELLINGS
SZTB As~DRE55 ~~DS ~
CZTY
~ COHpLETED BYi __p~~pNg ~ DATE
BOILDIti~ CLASSIPICATZOtii ? categoiy 1(ulendard) or~catagory 2(muat inalude veatilatiott)
HIpZHUH CRITERIA
Foundation lnsulation-R10 ~ Fialle i Wiadowa
Roo£ Attio Inoulations
Slab on Grade Ineulation-R10 (See table on reveree sida
Eor ullowable porcentages) R44-With Attic No Iieel
Floor over unheated epacee-RZ4
R3B-With Attic Raieed t{eal
Foundatlon Windowa 1/2"
ineulated Glase. . R38 ~ RS-SOlid RaEtare
-F7ood or Vinyl Frame
ST6p 1 Windaw 4 Door Are4 STBP 2 Calculate area sq a percent of wall
A. To[al Window & Door Area in Sq. Ceot ' •
WINDOWS (Including Foundation W;udowo);
WI27DOW MAtNPACTURE NAMHt 0. From Step 1 divide box A(Hindow & Door
~ Y7Zt7DOW MAINPACTOR6 TypgiGj~~,r ~ Area) by box 6(total wall ai•ea) Limea 100
~ equalo tl~e window and door area as a
WINDOH MAlInFACTURH U pACTOR:,1~~ percent of wall area (box C~.
R. O. Quat~tity cq.(C.AYea ~nX A f X 100 =
Dimensions C
Box [3 ~y.-7 Z -
/ ~ ~ 1~ ~
y! co~ 3-~" r
r STEP 3 Danign Peaturco
X p ~)'I~ 7 ? P.SSEPIBLY
Z -0M X "l ~M 17 , .
I~ PRAMIIIC TYpE: -
Zr~I~~X ~~pH r~~~ ~0 . .
S7'ANDARD FRNIINO ~_otude 16" o.c.
r~ N X 3'"~N A~VANCED FRNIINa ntude 24" o.c. '
-y~
(_ON~ ~ ~II~ ~D / CAVITY INSULATION - R~_
ZIUN Xaf6N ZO
~ 91(HATiSZtiO TYp$t
i - - '
X LE59 T~[AIJ < R-5 'X
X ~ R-S > OR p1oRG
X 0-FACTOR p
DOORS;
o ~a , Ftom tlie [able, (reverae uide) determina the
maximi~m percent window 4 door area for tha
x deeign optiona eelectnd and enter Lha t value
La ~,8 , ~ ~ in Dox D below bnocd oti tlie window mfg. U-
fac[or:
~
z , , ~ -
~ D
1'otal Area of T- oq.ft. ~
Windowu & Ooors • - .
B• Total Wall Area in Sq. Ft. Tlie t value Ezom Cl~n Cable in Oox D eliall be
cyval to or gruator than thc t 1n Dox C
Wall Total Ileiglit Aroa ~
Perimeter '
0 4 t~
b Z /D' (p'7 (p22
53 8,93 13~~
7'otal Area of Walle p~~3~~
- ft
- . . . .
`
° `~.``r~t+5 '
rr • .
^
ONE- & 'pyyp_p~LY RtS[DUI'il/?(, pU~~G p~~.rv~ ~COOK-13oOK)
~'1'ROACII
MAXIMUM WINDOW qND DOOR AR6A AS A PERCGNT OF OVERALL WALL
AREA
PL4¢tMinn. t2~1ee parR 7670 Od~s ti
~v~~ Exterior Window U-Fattor
Frem}n ineulation Sheathin
0.49 0.36 0.31 0.27
STANDAftD R-13 Z ~ . ~
STANDARD R_13 13.4'Ye 17.8~e I1.3qo 24.3q,
S1'ANDARD R~ 5 ~Z•4% 16.4°/a 14.7% 22.5%
R-15 > R- 5 12.996 I7.1% 20.i% 23.4%
STANDARD R-18-19 < R• 5 IZ.l9'e 16.0g'o 18.8% 22.0%
STANDAR~ R-18..19 R- 5 14.096 18.6Ye 21~8% 25.3"/0
ADVANCED R-IB-19 < IZ - 5 12.996 17.1Yo 20.1% 23.4"/v
ADVANCED R-18-19 Z R- 5 14.5% 19.2Yo 22.5% 26.1%
SI'ANDARD R-21 < R- 5 12.6°/. 17.0% 19.9% 23.1%
STANDARD R-21 > R - 5
ADYANCED 14.5% 19.3% 22,59'0 26,~~~,
R-21 t R- 5 13.6°r6 18.1% 21.2% 24.6%
ADVANCED R•21 R - 5
15.09'a 19.9% 23.29'0 26.9%
~1S3lsS~lAted
v~Iuee .
STANDARD R-17 <!i _ 5 11.9% 1s.7°!o 18.4% Zt.S%
STANDARD R-17 ~ IZ . 5 13.8"/e 18.4Ye . 21,5% 25.OYe
ADVANCGU R-17 < R - 5 ~
ADVANCED 12.6% 16.@% 19.6% 22.9'Yo
R-17 R- 5 14.3'/0 19.0~'0 22.2% 2$.7"/e
Notee: -
Window ~rca equala rough opening minus Inatallatlan clearances.
Wlndow U-tactor musl be determined by elther the National Fenestratlon Rating
. Coundl etandard 100-91, or ASf~RAE 1993 Habdbook of Fundamentals, Chapter 27,
Table 5.
Po~t.n• F.x Not. 781t o«. ~
n ~
rre~n
W.~ApI G.
~
Pha.~ ~ A
/Y~
4~
{t ~snd~o H~iqn~e. MN 5513G ~~~f
* Pt4N66F7 ~.,u a~K~~ - n,<<~~M 612 681-1914 FAX:881-8488 v
* eng nee~ ng ~..A ,,,A~..~ ..~R<n eas H~~,,.0y 10 N.E. CV ~ l
Y.. ' * * , Blolne. NN 954J~
(812) 783-1880 FAX:763-iB83
~ Certificvte of Survey Por. MANLEY BRf)S. CONST.
4EJ4 SvC,~IAWNE ORIVf
~1 ~
v .
~
a~
~ ~ ~
' ~'~~1~ 16 ~ ~
V ~ I~ B7EpNCH MANER I
~ I ~ EI.EV..88~P03
30 1'~~ e.r N89'41~52"E 983.99 i40.95 c~q. ~
97~1 ~ a 7 ~Y J3
C.6. ~1 ~n ~"5 _ ri ' 984.0
~ - -'r°~' '46E.7' ` izr - _ _ _ ' _ ~
~ i 10 i~ Yi Y c ~ 983.5 ~ 10
I _ /~p~' ~98Z.9 ~
~ 6 8
~ ; „/Z~~~ `p- ~/f!I rn
d i n/ F~• T.00 ~p h i.~'~ W
i 1I i~~.tiv o'v'1~ g ~J i~~ I
. ~I ~ ' 9B0.6~i ~ ~
h
, e~e.~ i~ao ~.co ~ J ~ ~ ~
(7J .
m~ 'r ~j ~ ~Ia ~ ~J d iLy \ ° ~ ~
~ a ~
1 Cn !Pa g~~~..i.ao~`~ ~~.hs ~ YR w~ o0
ta
~i .Wi~ ~ 3 a ~ p/ g y- ~ eaz.} xnss ~ $
~ ~ G 467/- W ~ z
1~1' 1a ~~J~i 81.7 9825 i9i 1 ~ lo
I L__rl____~__~~_~__ J .
979.1 x ° ~ " 9BJ.0 ~ ~P~~~,
~ 29. ~2.33 82.~2 9E7.a
~o ^ 9ei.a ~ 588'41'82'W 138.5 ~
' V ' ~,I >
NCN M~RK , ~y~
I I ~ ~ PIPE V~~
E v.~9B2.07
' ~ t~i ~
~pOf~o m~o[t ypr~ry pq q~prvG r~~x E4 RuG pqOPOSFO HO 1~' E~EVATIOK
M01f, w
Sr~VC tTME] dls'.
~[C[
MOIIR NC ~l PUNf ~UN &IILWOA~ A~'•N ~o+~sr Fioon e~v~noN~ ri7S:2
~OIINOIIIQV pN{NPONS.
xpr[; /q SP[prF SPl! Ixv(fn4~AM ~uE 9EEp CWp((i[o pv Mi5 LDt BY ME T~P Of BLOCK ElE`~APON:9q PG. "5
s.,n~xw, nc~ xurt.wn a aru ia awron. n[ mtarc xwsc GARACE SLAB ELEYAiION: b-
rnnovo rs wor m[ nema+nourv a he aunverqe.
wort~ ms nnnnan oxs xor .wvanr ro sHOn usawrs oacx n~~x ¦ o».oo o!rom ~nsn~.c nzv~va~
*iwc ~+oMx a n¢ xtp~a[o ru~ ( ooo.o0 1 oU+oftc tA10o0tto n[wna.
NOfC: LAlip~[Tql YVSI ~(M~v OPI~CWAY p[fktA, pCNOICi OR~FI.CE µp UT~IiY F~SL~tNt
NO~{: 9FMpy'S 9101M N[ B~~CD PI AN ~SSUII[O 0~1U4 aNORf OR~NnIL RO/ pnECnON
O[N01ES YblJy[NT
oEworts ar.gr i.,e
M HEREBY CFRiIfY TO uANIEY BRO$, CONST. THAT Tq15 IS A TRUE AND CORRECT REPRESENiATON pF A
SVRYEY OF TIiC BOUHOARIES W:
LOT 15, BLOCK 2, PINETREE FOREST
o.KOU couwrr, rnir~nesprn
li OOES NOi Pl/1tPOqT 70 SHtlW IMPRpV~ENTS Oft ENCHkOAf,wMENTS, EXCEOT AS 51-~OWN, AS SUflVE~'EO er uE pp
UNOER uY DIR¢CT SJPERVI510N TNIS ]LT+ o~r OF OCL, +ppi,
SCALf ; 1 INCH ~ 0
~Pf191P~1~ r~R~S 1 VYY ~I~~~7I EEP ENGNEERiM1 ,?,q
r
196 9B2T 11 SYIK onn . L wn, L.S ~q. e. t9B
iQ'd ~ - - N lc'.~EO BE6I-50-,iON
, DA~E _ ~1~~~~,~
C .
~
~o S~ ~1~-~ ne~c~- ~v
YYI,~u~'_d ~ u~o(~ `~a v-~ ~ n,~ ~u~~~--~~n~,
C'~- ~~~n _ ~~3~~~ ~.1.1~
~
~i~
V ~1 CITY USE ONLY p
' L~ 8L d RECEIPT P~~ J~
SUBD~~ 1~~1 RECEIPT DATE: ~ /
1999 ~LUM$IN6 ~~fiMIT' (f{£SIDENTI~4L)
CfCYOF £AfiAN
S$SO PILOT KNOB RD
~:A6AN, DfN 551 YE
(851) B$l-~YB75
Please complete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EAGH T TAL
Shower 3.00 x _ ,j. ~
Water Closet 3.00 x 2 =
Bath Tub 3.00 x l = 3•a^,
Lavatory 3.OD x 2 = 1n~M
Kitchen Sink 3.00 x _ _3 - c~o
Laundry Tray 3.00 x ~ = 3• n-~
Hot TublSpa 3.00 x y~
Water Heater 3.00 x ~ _
Floor Drain 3.00 x _
Gas Piping Outlet * minimum-~ 3.00 x ~ _ ~
Rough Openings 1.50 x
Water Softener ` for dwellings untler construction 5.~0 X =
Water Softener ' for existlng dwelling 30.00 x =
U.G. Sprinkler ' tor awening under cons:. 3.00 =
U.G.Sprinkler ' forexistingdwelling 30.00 =
Alte~atlonS ' to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems) ~
Private Disposal SystemS ` Abandonment 30.00 =
RPZ (new installationlrepair) 30.00 =
STATE SURCHARGE 5D
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alleretions, efc, li ~
TOTAL
- • • ~
I hereby adcnowledge that I have read this appliqtion, state that the infortnation is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
tt is the appliCanYS responsibilily to notliy the property owner that the Cily of Eagan assumes rw liability for any damages caused by the City during its nortnal
apara6onal and maintenance activities to the hadlities constructetl under this permit within City propertyfight-of-way/easement.
SITEADDRESS: 'I~~I~I SyCa-MOT~ D~i~(2.
OWNER NAME: C~ac~~0~ D~oS. C,oC15~~1~c.~~cl
WSTALLERNAME: SL`-~~Q-~ P~UCt1F~i~G 7ELEPHONE#: ~O~Z-yy7' (~`73~
STREETADDRESS: ~I~G narlc~n G~c~~ S~
CITY: ~~~or ~.,0.~ STATE: +`~'1N ZIP: 553r1Z
Qy _
SI NATURE O PERMITTEE
CD/PERMfT FORMS/RPLBG PERMIT (RESJ - 1999
~ CITY USE ONLY
~ LOT ~ BL ~ RECEIPT IaoS
StiBD.4,~'~Z,¢,c1 ~y01Z~ RECEIPT DATE: %
Y 999 M£Cii~4NIC~FI. ~~iMIT (it£SID~NTI~I.)
C1TY Of f.t4fiAiN
3$SO ~ILOT KNOB i~D
~4fiAN MN SS1 YY
/ G~y (651)6$1-4675
Date: 7 ( /
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
~,oo
• Gas outlets (minimum of one required @ 53.00 ea.)
• State Surcharge: .gp ~
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement _ Repair _ Other
_ Furnace _ Air conditioning
_ Air exchanger, i.e. Vanee system, etc. _ Other
Reminder: Cal! 681-4675 jor inspections. $ 30.00
State Surcharge: . 50
Total: $30.50
SITE ADDRESS: ( ~ ~ dL'I
OR'i~'ER NAME: PHONE
IVSTALLER NAME: 'L.O J' PHONE f~: ~S/'~ 7`C7O 13
STREET ADDRESS: ) •
C[TY: _ STATE: d' / - Z : ~
SIGNA O P EE
15, F02~1S BL~, M1tECH PERW T(RES) - 1999
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1 g99 M~ctt,alvtC,~L ~~[rr (co~t~tct~L)
crrY o~ ~~,~v
S$SO PILOT KNOB iiD
~'rkfiAN, MN 551 EE
(651) 6$i-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°/a of contract price ~$30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (S.SQ per ~1,00~ ofnecmit fee due on all pemuts.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
I~ENANT NAIVIE (IIvIPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119195
Date Issued:11/19/2013
Permit Category:ePermit
Site Address: 4874 Sycamore Dr
Lot:15 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Jamie Rippel
12850 Chestnut Blvd
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Luke Murray
4874 Sycamore Dr
Eagan MN 55123
Appliance Connections Inc
1313 Danita Circle
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA142640
Date Issued:05/12/2017
Permit Category:ePermit
Site Address: 4874 Sycamore Dr
Lot:15 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Luke Murray
4874 Sycamore Dr
Eagan MN 55123
(612) 963-6864
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144061
Date Issued:07/11/2017
Permit Category:ePermit
Site Address: 4874 Sycamore Dr
Lot:15 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-150
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 -
Luke Murray
4874 Sycamore Dr
Eagan MN 55123
(612) 963-6864
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature