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4890 Sycamore Dr IN5PECTIUN RECQRD CITY OF EAGAN PERMIT TYPE: ~ ~3830 Pilot Knob Road Permit Number: + ? Eagan, Minnesota 55122-1897 Date Issued: (651)681-4675 SITE ADDRESS: , APPLICANT: , ir , ~ . PERMIT SUBTYPE: TYPE OF WORK: , . . ~ , , . . ~ ~ ~ ~ ' ~ ' . ~ f . ~ ~ ~ ~ . , ~ 6•1 PL{~l41.t.I{ I`~ ~.C111 Itf fr 1•'ll~ifa! Il'44i tir ?q_ ~ ~ ~ ~ Permit Holder Date Telephone # SEWER/ WATER $ PLUMBING /S ~9 8j ~j H VAC ~J' , 8(! 3,~ inspection Date Insp. Comments FOOTINGS 1/` G FOUIVD A 7 FRAMING ROOFING ROUGN ~ PLUMBWG - ~ ~-~A PLBG AIR TEST ROUGH HEATING » s- GAS SVC ~ TEST ~ ~ gUL GYP BOARD FIREPLACE FIREPLACE AIR TEST /s FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL _ ~T..,...~..- . _ ` _ _ ~ . ~ ~ . . - ' ~.,y `s . ~ hw ~;e~ti~cate o~ ~ccu~anc~ ~ ~it~j o~ ~agan ~e~rartmtut of 8ai[bing ~n~pection This Cerrificate issued pursuant to the requirements of the Urtiform Building Code certifying that at the ti~ne of issuance this structure was irt compliance with the various ordinances of tf~e Ciry ngulating building construction or use. For the followrng: ~u c~~r~: SF~'TM~ _ sa~. r~. 34241 p~~Ky Iy~ j~ 7~~~ p~ R~ Type Cons~. VN Ownerd6uildi~ MIANIFY T~f7iFaR.RR Admessl(177R ~7_Tq~1 AY~ TN~lfs[t C~JE. ET~ AN - Building Addrcss S'~•A_~ ~T~? t.ocaliry T 1~_ iU ~ ~ _ ~ / i ' 1 i , ~ ~ Dalt: , ~ ~ Baild~eg O(ficial , POST IN A CONSPICUOUS PLACE L ~ ~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN ~ G~02. ~ 3830 PILOT KNOB RD - 55122 651-681-4675 ~ 7~. V Naw ConatrucBan Raaulrements RemodeUReoair Reouiremenla (y~ 7_ 0 r • 3 registered site surveys sMwing sq. R. ot lot, sq. ft. of house: arid all roofed areas • Y cdpies o1 plan ~ ~ ~ (20 % maximum lot coverage allaxed) • 1 set of Energy CalalaUons lor heated additbns • 2 copies of plan Shawing beam 8 window s¢es; poured found desgn, etc.) • 1 site survey lor eMerior additlons & decks ~ . 7 set of Energy Calculations • Indicate H hane served by septic syslem for addNOns • 3 copies of Tree Preservation Plan if IW platted after 711l93 • Rim Joist DeWO Optiore seleclian sheel (ddgs with 3 or less units) DATE ~ ~ VALUATION ~ JOB SITE ADDRESS ~2 Sy Cfl~'aRE ~5Z1V'~ E~RMk+~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~n^` 'R• 1 1'~clwllpSan~ TYPE Of WORK Dti~~L FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Joh1 Q• j~~ScrJ PHONE#_~es~`~~y'1~G~I ADDRE55 ~~~2 $~~nnqi2~ D2~v~ ~ ZIPCODE SS1"2-3 PAGER # CELL PHONE # FAX # NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths ~ No. of Baths Mechanical Contraetor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contraetor. Phone D I~ ~ ~ / r All above information must be submitted prior to processing of application. I hereby acknowledge ihat I have read this application, state that the informatio _ omply with all applicable State of Minnesota Statutes and City of Eagan O in es. Signature ot Apptica Certificates of Survey Recefved _ Tree Preservation Plan Received _ Not Require _ . Updated 7/Ot OFFICE USE ONLY ; ? Ot Foundation O 07 OSplex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OB-plex I~ 18 ~eck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous f~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 48 Windows~Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation aGOU m~ Occupancy ~'~3 MC/ESSystem Census Code y3y Zoning ( City Water SAC Units ~ Stories Booster Pump Nhr. of Units P Sq. Ft. PRV Nbr. of Bldgs -j ~ Length Fire Sprinklered Type of Const 3 A/ Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. ~O Footings (deck) V~ FinallNo C.O. _ Footings (addition) ~ PI~~S Foundation _ ~'AC Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tesks _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Smcco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector - Base Fee Surcharge Plan Review MGES SAC City SAC W ater Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total Address 4s9o SYCar~~ DruvE Zip 5512~_ I.ot 13 Blk Z Sub P~~ THESE ITEMS WERE / WERE NOT COMPLETE AT TE~ TIME OF THE FINAL INSPECTION. Date: / 9~ Yes No Inspector: Final grade (6" from siding) ~ ' Permanent steps (garage) Permanent steps (main entry) Petmanent driveway Pertnanent gas Sod/Seeded grass TraiUcutb damage Porch Basement finish Deck Please verify witt~ lhe builder t6e removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division et 681-4645 before working in right~of-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy L~.AA~ a ~-r h t ~~~I ~J- ~ ~ ~ RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55922 651-681-4675 New Construdion Reauirements Remodel/Reoair Reauirements • 3 registered site surveys showing sq. R. of lot, sq. R of house; and all roofed areas • 2 wpies of pian (20No mazimum lot coverege allowed) . 1 sel of Ene~gy Calculations kr haated additians • 2 copies of plan showing beam 8 window sizes; poured tound dasgn, etc.) • 1 site survey for exterioredditlor~s 8 decks • I set af Energy Calculatior~s . Indicate if home served by seplic system for additions • 3 copies of Tree Preserve6on Plan'rf lot platled afler 7l1193 ,~O • Rim Jaist ~etail Options selection sheel (bldgs wAh 3 or less units) ~ ~G,j ~ r DATE I~-f ~lD Z VALUAiION D~~ S1TE ADDRESS ~~q~ -S~G~'~~~ I~ MULTI•FAMILY BLDG Y N ~ - - TYPE OF WORK GvwFl2 ~/~~/FL T7~J~Sff PIREPLACE(S) _ 0_ 1_ 2 APPLICANT S~~"/1F/L ,l~6S~~~ ~,6U%GQ ~~uC STREETADDRESS /~G~/3Z P~~V 1~~/~.~ CITY~D6fJ/~+~i?iiI%/i STATEI~~ZIP~ TELEPHONE # ~Z RzQ ,~~629 CELL PHONE # ~~7 ~i~ 4~/~ FAX S'2 ~3Z~ %D8d PROPERTYOWNER .T?11zN0~~ ~/~~~r? .L7U2~1~ TELEPHONE#~S/-3z2~/7Z~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~I:VNESOT:1 RULES 767D CATI:GORY I MINNESOTA RULF.S 7672 (d submission type) . Residential Ventilation Ca~egory 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths,-~, r~ ~ _ No. of Ba~hs I , - ' ~ ~ . ^ Mechanical Conhactor: Phone Mechanical system includes: rlir Conditioning i Pee: $70.0(~ HcaL Recovery System iBY- ~ Sewer/Water Contracfor: Phone # I hereby acknowledge that I have read this application, state that the inf rrn tion' c rrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ~ s. Signature of Applicant ~ OFFICE USE ONLY Certficates 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 Bidg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 70-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 Bidg. ? 42 Demolish (Foundation) ? 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 ~ 3 MC/ES System Census Code ~~3 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const U ln Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) ~ FinallNo C.O. _ Footings (addition) plumbing _ Foundation ~ HVAC _ Dcain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Hir/Gas Tests Final ~ Framing _ Siding _ Smcco _ Stone Fireplace ~ R.I. ~ Air Test Final _ Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By ~ i`"' , Building Inspectar ' Base Fee Surcharge Plan Review ~D uJ e~Z 1- rU~E ~ ~D_ MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION ~ ~ ~S CITY OF EAGAN ~ ~ ~ r~ 3830 PILOT KNOB RD, EACAN MN 55'122 651-681-4675 New Conatruction Reauiremants RemodellRaoair Reauiremenls • 9 regislered site surveys showirg sq. ft. o( lot, sq. fl. af hause; and ~II roofed areas • 2 copies of plan (20% m~imum bt cpverage allowed) . 1 set ot Energy Calculatlons for healad aQditlons . 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for extenor addNons & decks . 1 set ol Energy CalcWations . Indicate iF home served 6y septic system for additions . 3 copies ol Tree Preservation Plan if lot plaried aRer 111/93 . Rirn Joist OetaO Oplians sdection sheet (bldgs wiN 3 or less unita) DATE ~a ~f ~ b 2-- VALUATION ~ SITEADDRESS GU S~fAC'-~rr~~r`~ ~J1~iJ~--MULTI-FAMILYBLDG_Y ~N TYPE OF WORK ~r~~~ FIREPLACE(5) _y0 _ 1_ 2 APPLICANT -S STREET Ap DR)ESS rIS~ ~1 (,l~ Sl~ CITY i TAT~I~ ZIP 5 J~ TELEPHORfsr#'~rr~iS'(`7~C~ CELL PHON~r~I~~ 3~- ~7QC~ PAX ~(a~f~ ~~I.~-fYJ 1(~ PROPERTYOWNER V~~(Y:~~.C~ ~UO~CSh TELEPHONEl~~~)3zz-U~a~ COMPLETE THIS SECTION FOR "NEW°' RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLILES 7670 CATEGORY l MINN~SOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet S~bmitted • Energy Envelope Calculations Su6mitted Plumbing Coniractor: Phone # _ Plumbing system includes: _ Water Softener _ Iawn 5prinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditiorung D~(~ Fee: ~ ~~70.Of~ Hcat Rccovery System 'I ~ Ci,T 2~' Z~QZ I I Sewer/Wqter Contractor: Phone # I hereby acknowledge that I have read this application, state that the rformation is correct, and pgree to comply with all applicable State of Minnesota Statutes and City of Eagan inances. 7 /~t~~ Slgnature of Applicant v~ ai J OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 FoundaGon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF ~welling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 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 ? OS 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 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg anly) • 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 Canst Width REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addifion) _ pl~~g Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ F~~g _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (newlreplacement) _ Insulatiou _ Retaining Wall Approved By , Buiiding fnspector 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 Total ~r ",!ti::g~;r.{<96xP,<~.w;k;~(y;>~.;+d~,:%~:;:±, :;~v,;u•:,:c~,n;cY..::X'r,o~a•';y;x::::'~. C:f.TY Cil'' ~:1~'~nr; (:A~.:!i:Lft~ S TEI.,iiIt.F~!... t~D~ ~4;3 J;"~"f~:, :I.i'ii.~ri9ft '('TNd:~:~ :'.°ir."ide ~-`_i Ii+;. h!~,ME:' A1:4i2l...Fi:~C' r,~:i(1'iFU_"Fi~ C:OR!£il'r>U~'T'Ti14 , ,~i~ , ~ . . r..r_.~., r)L...~ 4C33~ SYCr`;h.(.'F;I: S) '~y(.r....i~.c. { lo'~;a7. `irr:q'.i.~:rF, ilm;c:71~;;: 'iii.~(J25,"r'i. C~i7.f;:L('~'i'.~ . U~>f:::Fi :!:Clr ~:rl~[:Y >S~X?X"<;;Y:m:k:X.v,~:~ ~~3~:!i9r?~:°F}r~;Y,.S':Y,~Y,::e~FS':niU~i:, t'~.G:Lr!i~:M~XS+R( PERMIT ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U z L D I N G " Eagan, Minnesota 55122-7897 Permit Number: 0 3 4 2 41. (651) 681-4675 Date Issued: 12 i 1 7 15 8 SITE ADDRESS: 40943 S'r'CFiMOF2E DR LOT~ l:i F31.QC1:: 2 PINFTREE FOftEuT P.J"<IV.a 10-5765C~-13m-~72_ DESCRIPTION; . Bu` d"znS~~' ei•mit Type SF UWG t3~3.1~cS~inq i.~J~`x`k "Cyoe IVEW j!!'~C OG~up,~nev ~ R--3 1`Constructian Tv~~ VN Fcsnin4 R-1 ~ Buildinq Lanc~th 1 6q i H~rildin9 WidtM 3a 6u~,l.S~'lt5rt stat~_es r`~ 2 ~Z.`"-~f=.~~~M~S God~~~ 1~:L 1- FHM. UETflCH ~'1 t Q ~ l c.> i _ . F ~i-~~:; _`3 ';-;l ~ ~ n~,~ F~ --'1., <5)5 I L> ~ ~r'~._~'J REMARKS: PLAN RE'JI~~WFU .P.Y CkAT.G P!OVRC7_YK. 5& l~l h'LUhIBL-R IS 5L'HERER PHONE #44;'~E;734. FEE SUMMARY: VAWFlTIUN $2~S.~DO~i Bas~ Fee $1.412<25 mTSC. PEES ~1,_592._59 Plan Raview $917.~J6 Total Fee $5,4~25.;?1 Sur~charqe ~1~0, .5f9 SRC $1~~i~i~.G@ : f~1 C ~ 14~ 0 SAC Units 1 ~ Subt'oTal ----'$3. R32~.71 ~ CONTRACTOR: - ~~policant: - yr. ~zc. OWNER: 1+1ANL.EY BROS CONST 146q4933 2C~~i54327 MANLEY CiI~(7TFiEkS :t()7?S ALLISUN Wfl'f 7.~i77S ni.i_ssora WHY I'ryVER Gh2qV~ HGTS PIN 56~77 INVER GROVE HCTS MIV 56~77 {F~12) 454-~4933 (61'.,')459-4J33 C here6y acknQa~ledg~ that T have read Chi~ aaplicatian and state thaT: Lha infinrmatipi~ is correaC ~nd a~lrae to cr~mply~ with all applieabl.~ stat:e 41- Mn, St~L'utes and Citu ai' ~ac{aro Urd`znar~ces. ~ J ` ~ AP LICAN7/PEfiMITEE SIG E UED BY: SIGN URE 1998 BUILDING PERMIT 1~PLICATION (RE3II)ENTIAL) 3`~' `~f ~ 3830 P~o ~oa Rn ssi~a ~ . `~_i P~ 681-4675 New Construction Reaui2menta RemodeUReoair Reauirertrents ? 3 registered ade surveys ? 2 aopies of plan ~ ~ ~ a" ? 2 copies of Dlana (inGude beam 8 windaw saes; poured fid. Gesign: etcJ ? 2 site surveys (exteriw adCitiona 8 deeks) ? t energy alwlations ~ ? 1 energy cakuWtions for heated addkions • 3 copies of tree Dreacrvatian plan if bt plaVed after 7!7l93 ~equiiad: _ Yea _ No ~ DATE: ~ yT ~ CONSTRUCTION COST; c~L~CT, (~'h DESCRIPTION OF WORK: ~2.c (`~in~ ~1~.~.c~M STREET ADDRESS: '~t ~CS ~ ~ LOT: BLOCK: 1,~_ SUBD. .I.D. ~ti~UZA F~A~" Name: Phone PROPERTY ~st Firs~ OWNER Street Address: Ciry Stare: Zip: Company: q~~~_ Phone '7 ~~J - T 9.3~ WNTRACTOR ~ Street Address: License # City ~(3-~°.,i~n.~n e: ~i'\ Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City C State: Zip: Sewer & water licensed plumber (new construetion ony): Penally applies when address chang and lot change is requested once permit is issued. y,~ ,7 c~ 3~ I hereby acknowledge tfiat I have read this application and state that the infurtnation is carreCt and agree to compty wiM all applicabl State of Minnesota Statute5 and Ciry of Eagan Ordinances. Signature of Applicant: ' ` OFFICE USE ONLY RE EIVED Certificates of Survey Received Yes _ No DEC 0 4 19Q_ Tree Preservation Plan Received _ Yes ~o _ Not Required , BUILDING PERMIT T ~ ~ ~ ~ ~ ? 01 Foundation C ~ S'- i ~ Q i ~02 SF Dweiling C ~ ? 03 SF lXddition ~ ? 04 SF Porch G , _ y ? 05 5F Misc. L~, M WORK TYPE ~ , ~ ~ ~ ~ ~ ~ ~ 31 New O ? 32 Addition ~ GENERAL INFORMAI.._..._. - Const. (Actuaq ~ Basement sq. ft. i~o i MC/WS System (Allowable) s~ Main ievel sq. ft. ,J 7b I City Water UBC Occupancy (L-~i 2oDLJ sq. g. ~ ~ q~ Fire Sprinklered Zoning F2- f ~-e sq. ft. S2L PRV # of Stories 2 sq. ft. Booster Pump Length ~ sq. ft. Census Code. ~ Depth Footprint sq. ft. ~ S~ 5AC Code Census Bidg ~ Census Unit APPROVALS ~ Planning Building ~ Engineering Variance Permit Fee ~41 a.a- j Valuation: $~Y'~ ~93 Surcharge lOa. ~ PlanReview ~l I'-7.9~ ~6o X l~l ,[oU~_ ~'v~~~N,s~~ License ~ ~ MC/WS SAC 1 l~ U C~ . DO X 2~/~ ,`L3~ ~Z~s 6 F i NlSH~~'~ City SAC Water Conn. ~"jp Si.~~- ~ I ~ S°S~'~ Water Meter r-~ _ Acct. Deposit ~ ~ Cj (o x~~ = ~~~Q' T~ ~ Surcharge ~ ZO X _ ~ Z o~ Treatment PI. Park Ded. 1 S°i 2, S C~ Trails Ded. ~ 5 1""- Other Copies ~ ros~i: 5c7as.2 ~ ~io sa,c SAC Units M. . ; . ~S -~~3 ENEI2GY CODE WORKSHEET I'OR 1& 2 FAMILY DWELLINGS ' SITB~ ApDRESS U~~S ' '4~i~~.~ • + ~ ~ • CITY • COHPLETED BYt `L C~s~ PlfONBI~~ • ' ' DATB BUILpIliG CLA9SIFICATION: ? cate o ~ 4 ly 1(otandard) ar ~'aategory 1(muet include veahilation) tlIN2lfUH CRIT6RIA ~ . , Foundation Ineulation-R10 , Walle G Windowa ~ Roo£ Attia lnoulationt slab on Grade Ineulation-Rlo (See table on reveree eide for allowable percentages) R44-With Attic No fieel Floor over unheated epacee-R24 R38-With Attic Raised Iteel Foundation Windowe 1/2" R38 & RS-3olid RaEtere ineulated Glase. ~ -Wood or Vinyl Frame ' 8T8P 1 Window & Door Area 8T6P 2 Caloulate area ae a parcent o£ wall ~ A•~ Total Window 4 Door Area in Sq. Feet ' • - WINOOWS (Including.Foundation Windowe): ~ WIlJDOW MADI[IFACTURB N7~MH~ ~ 0. From Step 1 divide box A(Window 6 poor WINDOW ~MANt1pACTOItg TYpSi7y1p4'y/ ~S(~ ~~t Area) by box B(total Wall area) timeo 100 - equals the window and door area ae a ~WZ2iDOW~MANIIPACTUR6 O~FACTORi ~~7~ percent oE wall area (box C). . R. O. Quantity eq.fl'.Ai-ea p Dimeps one Q~~ X 100 e C~~ L~'~~ k~J~ J H l~ ' eox l! ZU~ ~ / ~ , N X~~~~ IJ STBp 3 Deeign Fealuroo ~ 2~ 10 X3~ UN ~'I g7~ ASSCt4BLY Z' ~ N X I'' ~~N - lY I . - ` PRAHITJC TYPB~ . :l~~M 7C 7~ (pN ~ Z STANDARD FRAMINO X etude 16~~ o.c. Zl~~ x~ I`UN ~~I AbVANCfiO FRAMING . . ,~~~N X n~Aw ) ntude 24" o.c. . ~T _ ~lQ CAVITY INSULATION R ~~NX~~K 1 12 ~ ~ y,~ 9H6ATHINa TYp6i ~~-0 x-l'~ ~ ' ~Z LESS TIIAN < R-5 z~co" x ' L" -Hf~ I/ R-5 > OR MORB (~N.X . ~ . . U-FACTOR Q DOO (Q 8 ) ~Q From tho [able, (reverse eide) datermine the C~ maximum percent window E door area for.the X~8 ~ deeign optione eelected and entetr the t'valtie , ~ in Box D below based on the window mEg. U- ~ factor: O X ! D ~ - D 1'utal Area oE n- aq.ft. ' Wlndows & Doore ~z • . . H.~ Total Wall Area in Sq. Ft. ~ The 4 value Erom tho tnble in Dox U eliall 6a equal to or~greater than the k in Box C Wa1L Total , . ~ Height~ . Area ` ~Perimeter ~ . ' G `t_.. _ 5.r..~ 345 ~ C~ o' ~'.SS _~~o~ _1'qtal Area of Nalls - ~ U= _ t~ .(t ~ ~ . ~ . , : ~ . ~i . . . ~ ; . . . . : • ONE- & TWO-P~?MILY RESIDEN7IAL D[JILUING PRFSqt(p77yE (COOiC-HOOK) API'ROACfI MAXIMUM WINpOW qNd DOOR AREA AS A PERCENT OF OVERAL[. WALL AREA 77 Cavlt Exterlor Wlndow U-Factor Ersmin Insulation Sheathin 0.49 0.36 0.31 0.2) $TANDARD R-13 L R• 7 13.49's ]7.8°/s 21.3% 24:3% STANDARD R-13 R- 5 12.4% 16.4% 19.79'e 22.gqa STANDARD R-15 R- 5 1I.996 17.1% 20.1°!0 23.44~0 STANDARD R-]8 -19 < R- 5 12.19'e 16.096 18.8%. Zj,p% STANDARD R-18_19 R- 5 14.096 18.69', 21.8~0 25.3% AbVANCED R-18-19 < R• 5 12.9% 17.1% 20.1°Ya 23.4"/a ADVANCED R-18-19 ~ R- 5 14.5% 19.29'v 22.5% 26.1% STANDARD R-21 < R- 5 12.8% 17.0% 19.9g'o 23.1% STANDARD R-2l ~ R- 5 14.5% 19.396 22.5% 26.1% ADVANCED R-21 < R- 5 13.696 18.1% 21.2% 2q,6'/a ADVANCED R-21 R- 5 15.OY. 19.9% 23.29'0 26.9% Atlditlonal ~a} ~1a1 ~v .~o $TANDARD R-17 < R- 5 11.9% 15.79'0 18.9°h 21.5% _ STANDARD R-17 ~ R- 5 13.8% 18.4Ye 21.5% 25.09'0 ADVANCED R-l7 < R• 5 12.6% 16.89'0 19.696 22.99'0 ~ ' _ ADVANCED R-17 R- 5 14.396 19.0% 22.2% 25J9'o Notea: . Wlndow arta equala rough opening minue InelallaNon clesrancea. Wlndow U-factor musl be determined by either the Nationa! Fenestratlon Rating _ Council ~tandard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapfer 27, ` Table 5. . ..~Po~4ft• faK No1e 7871 o+M : ~ rran G /pK ~ . ~w ~ ~ LM • V G~ . 2422 Enterprise Drive * 7~ Mendota Heights, MN 55120 * PIONEEFf ~~,R~S • dNL ENQNEEf1S (612) 681-1914 FAX:681-9488 ~ eng neer ng 1AN°"~"""~• u"°~'~'pa~TS 625 Highwoy 10 N.E. * * Blaine, MN 55434 ~ * * (s~2) ~a3-~sso Fnx:~sa-~sa3 Certificate of Survey for: MANLEY BROS. CONST. 4890 SYCAMORE DRIVE BENCH MARK 4 . TOP OF PIPE ELEV.=984.28 ~ ~ ~1 4(~~1 y ~1 \~'-r 11 i%'I~~ V~`-~ ~ , ~ _ : ' - _ I __`_i ~ . - 3 . .....,-^__r,~: ' ~3~3 ga'2~ N89'41'52"E 136.50 ~~i83. I 9 1.4 30.00 - 51.34- - 985.5 983.0 979.9 r~ -pj F- - Jp ~1 w ~Q . I ~0 ~ ~ ~ 984.1 x O ~ p F----- 0 34.34 85.2 ~ 984.4 ~ O ~ I aj ~~f ~ N\ Oi o ~ W ~ ~ ~ i ~ ^u~oo ~ ~ I ~ ~ ~ r:\ ~9 y~ I ~ / ~ ~ i U`, 03.00~°w~ o y f ~ Nw . i 3 9 t.2 i~.i u°i ao\N ~ ~ 3~a ~ W U ap 97!•Z984.277.00 ` v I O ~ ~ ~ ` , ~ ° ~w ~ ~'!a I CD ~ i 980. O p~~yEWAY~ N\~ ' 25.67 i aw ~ O 4.00 a\ 84.8 " z~ ~ O I ~ ~ ~ ~ o ~ ° ~ , i ~ 984.4 aN (n Z~ . O\\~ ~ I Kd I I 10 L_-~ 1.67 ^ _~~J 10 I "5. 3 ~n ' 4.2 82.5 980~8 ~,7 30.00 51.34 ssa.a 98~°~ \q~l~/,. S89'41'S2°W 136.50 3 I . ~ a N,T I BENCH MARK ' 1 2 TOP OF PIPE ELEV.=984.66 NOTE: PROPOSED GRAUES SHOWN PER GRADING PI.AN BY: E.C. RUD PROPOSED HOUSE ELEGV~AoT.IO~~N e~~ NOIE: BUILDING DIMEN90N5 SRONTJ ARE FOR HORIZONTAL AND VERIICAL LOCA710N LOWEST FLOOR ELEVATION: OF STRUCTURES ONLY. SEE ARCHITECNAL PLANS FOR BUIIUING AND ' ~ FWNDA710N DIMENSIONS. ~'f'~;'~s' TOP OF BLOCK ELEVATION: NOTE: NO SPEQFIC SOILS INVES71GA710N HAS BEEN COMPLEIED ON ~ 7H15 LOT BY THE p.~., SURVEVOR. TNE SUITABNTY Oi' SOILS TO SUPPORT iHE SPEpFlC HWSE GARAGE SLAB ELEVATION: PROPOSED IS NOT ME RESPONSIBILItt OP THE SURVEYOR. NOTE: TMIS CERTIflCATE ~OES N0T PURPORT TO SHOW EASEMENTS OTHER TiM! X 000.00 DENOTES E%ISTING ELEVAl10N T105E SMOwN ON 7HE RECORDED PLAT. ( 000.00 ) DENOTE$ PROPOSED ELEVATION - DEND7F5 ORAINAGE ANO U1ILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESiGN. - DENOTES DRAINAGE F~OW DIREC110N NOTE: BEARINGS SHOWH ARE BaSED ON AN ASSl1MED DA7UM ~ DENOTES MONUMEN7 $ DENOTES OFFSET HU9 WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 13~ BLOCK 2~ PINETREE FOREST DACOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, ASySURVEYED BY ME OR UNOER MY DIRECT SUPERVISION THIS 13 DAY OF NOVEMBER, 1998. ~j[ V i Si d 1~--9- 9~ SI ED: ONEER ENGIN ING, P.A. SCALE : 1 INCH = 30 FEET ~~~'P' E~~' ~ e : 1968 98275.14 SN7C John C. Larson, L.S. Reg. No. 19828 .~a. _ _ LOT SURVEY CHECKLIST FOR RESIDENTIAL 1~' ' B DING PERMIT APPLICATION • PROPERTY LEGAL: S~ ~ u.C~zu-/ ~~-f~ ~ ~ DATE OF SURVEY: J' ~ LATEST REVISION: ~ 7/ I~` ~ ~ ~ ' ~ ~ N DOCUMENT STANDARDS a z ~ ? • Registered Land Surveyor signature and company ~ ? o • Building Permit Applicant ~ ? ? • Legaldescription Ca~ ? ? ~ Address ~ ? ? • North arrow and scale ? ? • House type (rambler, walkout, splitw/o, split entry, lookout, etc.) d' ? ? • Directional drainage arrows with slopelgradient °h ? • Proposedlepsting sewer and water services & invert elevation ~ ? ? • Street name ? ? ? • Driveway ELEVATIONS E '~stina ? • Sewer service (or Proposed) ef ? ? • Property corners ~ ? ? • Top of curb at the driveway CG1~0 ? • Elevations of any existing adjacent homes Prooosed ~ ? ? • Garage floor 1C~ ? ? • First flaor F~' ? ? • Lowest exposed elevation (walkouUwindow) ~ ? ? • Property corners ? ? • Front and rear of home at the foundation PONDING AREA Cf aoolicable) ? [3/" ? • Easement line ? O ? • NWL ? ~ ? • HWL ? ~ ? • Pond # designation o ? ? • Emergency Overflow Elevation DIMENSIONS . ? • Lot IinesBearings & dimensions C~ ? o • Right-of-way and street width (to back of curb) ~ O ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) ? • Show all easements of record and any Cily util'~ties within those easements ? • Setbacks of proposed structure and sideyard setback of adjacent e~risting sVuctures ? ~ • Retaining wall requirements, if a y Reviewed: ~ z " ~ Na e / ate January 1996 CRAIGI BB8IBLOGPRAfr.FM . . _ : ° ~ TREE-PR~SERVATIONrnP,L~~A,`"NsSUMMAR~( ~ , CITY OF.~EAGAN F9RESTRY DMSION ' M.,..;,„ . „ s ~ „ . " ':"-65t-68'1-4~00 ~ ~ r r ~ ~ (SEE ATTACHMENTS) ~i .~-L¢~ 4-cM2J Development 1 t v.e, ` Lot Number ~ 3 Bloek Number Address S ~c~,..~c~t Builder V~ c,...~ ~ ~roti . Cov.c Y~ v Tree Protectio~ Requirements: _ ~ Tree Fencing Oak Tree Pruning (Seal wounds during April 15 to July 1) Therapeutic Pruning Retaining Wall Other: Reolacement Trees: Not Required n ~ ~ ~ As Follows: l rct' Z C G~c~ ~-y ~~o, C' i~~, Attaehments: ` _~c ve5 4 C~~ ESTRY DIV1S~~~ No EAGAN FO~ R~VIEW~q Additional Notes: ~..r ~.~v~.,, v~. wu... o~., ~~~w BY ~ ~ pATE ~ " ~ w,:~ 1 o...~.~ ~-e ~ ~ _.f---__,_. { \ ''~tY ~.k, 1 FW 5~2~..1~ (Ct~.1 \ ?'C v:IIw . . I J ~ u ,"."w'~ !Z~ ~ u S s . y~' ~./V*.ci'"LYWwLf ' ~ ~~1w_ I~,7~G ~ /~7M+i~ ~iC 6"~vjfi~ ~~4ti ~~~Q.Ltvt ':.L.1~2/~ wl~,.. ~ti,-~~-~~ ku.~l ~,,.~1t ~ ~Lp...-~l. ~ 612 4546830 /~7 ~/~n~ . L/ d FROM : ~:*NLEY BRDTHERS CONSTRUCTION PHONE NO. : 612 4546030 Dec. 1998 10:37HM P2 • ' F7~ONtYA ~ le1Z) oa~~ttr~~ rnw+ov~-~+~r~ ~ # ~~n0 ~ ~OY . C~r YO~fIM ~Aa ~~r ~ u"'a . uwst~r[ ~~fwRen 625 Hi9~~r 10 N.E. ~ yr Bialna. MN 5045~ ' f` a~ ~ . (612) 7A3-leem FAX:Y03-7~3 T Ce~tificote of S~r..ey for: M NLEY 5.~~.E G~ D6~9 W ~01~ Tp[ ~p ~~P~.E1c" ~ EI.EV.~96t.pte . _ _ - Ua~ I ~2 ~ ~ . ~ I 3~ I v~~µ~' I ~ 's's ~TO'Z~ tV89'41',S2'E ~~f ~ 865.5 `~ID~ oESO ~.a 30. - 91. M ! 9~9.8 N ~y, 1 ~o r-e 3`---:~ - -a;$" go ~ ~ tb i p 1 i o i~ m p ~ I aG F 34. ? ~ 9Ct.4 ~ O Ci % ~ ~ p~ e o { ~L ~ i 00 I i Ore1 LV3.0 ~e : f~ ~ ( ~ ~ I ~ I ' ~ ~ ~8 ~ y r ~ i ~ k a t.2 ~ ~E i - ~ ` 1 r3 ~a I ; O ~ E r9XL9la.2 t e~ ~ ( i ~ t 00 : ~ '~W ~ N ~ 900_ ~ p F.\~ ~ ~ .B7 s ~ ~ ~ ~ . ~ ~ v.00 . 8~. ~ eN-4 g 0 j ° ~ t. = ~ ~S~W J 10 Ixs 1O r. . -^F~- -n--- i 980.8 g2.1 . O Bt. i 82-5 o~ ~,t?Y-/~ '41'~2"W se~.e1 .30 . °?es. { ~ V~ ~ a;,,-~ „r ~e~ ~ upA~[ ' 12 ~ 9HaP00 i I W1C NIOPOS[o WfwO[~ NO~ Ii11 QR/~W~O /~M~ T: [A Mlp A ~1 rroic- ~wn~w6 MO~aos sqR+ ~M M~ MalNSOwf~l Au0 ~!~MK LOCAnw ~OM~E57 PLOOR E' VA710N: •'L- ar anacnwes o~r. sEC .wo.ncnu~ rwrc ron ~~A_O NM ~~p ~ rwrqwllpN pYEN}aN. TpP OF BLOCK EL~VATQfi: ~/~.L.. rqR: MO YCdI1C 9.~15 wKSTOAI~P+ nws OL~M GOM1.C*CY n~i6 ~OT Sv 1NC T~ i1MtfR~pG TI[ lNiMI~~Y p!df 10 iV~p~T M~C WVfL C.~RAGE 3Lwb ELEVATON: A0~01[p 16 NOi TIL 11(yOwfo41T'/ OI M 9/MK+'00. ; NO7[: ~IOT C(AMICAR DOCS 1IOT iWpORT l0 ]I101~ [114ClIdf~ OIMp MAN ¦ OOROO EFM016 LI~{ANO R[VAT~ON nq# 9,01M/ W T4 NECOROtD Plwl. ~ C OO0.0D ) Op01lt M+OIORA Ca[~'~TW noR: CP~swwGiOn rVf~ M.RM~ OIIM~4r oWOw. . - O{~+0~ Y,D YRIn [~LCMUn 0[~1 ~ ~LOw Ca[~AP+ NoIE: Ku~wcc wo1~N ~u[ e~s[D Or+ ~N I.SSU~[C D~Rw ' oWORf T prylpl[S SCi ~N~ WE MERG9Y CERnfv TO MeN_EY 9R05. CON57. t1tAf TMIS IS 4 TRUE ~wD COr<RCCT RtvRE3WTATiON Oc A SVRVEY ~ 7HC BOUHOARICS Of: : o~o w couNr~v. M~raC+cmr?' PIIVEIREE ;FOREST I IT DOE$ NOT PURYORT r0 SMOW WPRO~/EMCN75 ~ ENI,`FiROACHMENTS, CxCEP? AS SHOWN, AS SVRVE`~ED BV ME OR U~DER MY WREGT SNPERVIS~ON TMIS 1 S dAY OF OwEM9ER. 199Q. Rjp Vi< I~'-'9" ~ SI E7: ~ER ENGIN P.A. SCALE : 1 INCFi = 30 FEET 1~ Y~~ ~ e. l' n . Lw n. . p• a 7 7 7 4 NK ZO'd ~ Wd Ll:li 966:-60-03G ~ ~ ~ • f ~ ~ i ERO1kERS CONSTR~C~ION, IN~ ~I .~Q. ~~~a,-~- ~ 3 a ~~.---c- ~ a~ ~s~~ ` 3~ 15` ~ ~ _ ~s' ~ _ ~~-~s s~} ~sig~ ~ a~" ~ a o 9 ~ ~ o ' ~ n~`~ ~o~ 30 ` t~~ IS" v~a~ ./W.h,~.o~-2. r ~a) ?s" r~.~.R.e ~ 3 ~ 1 S ' ` r~,~~A.4. l`') 15 ` . .~?.s~ l S , . ~ s) ~ ~'J~ ~l ~ i i ii ii ~ ~,l tr z°) ~ ,L%y,y ~ 0778 Alison Way • Inver Grove Heights, MN 55077 - Business 454-4933 - Mobile 386-3359 Td Wd£7:£0 866i 9L '~aQ 0£09b54 ZL9 ~'ON 3NOHd NOIl~flalSNO~ S2i3HlOZIH ,l3~NCW : W021~ 0~09D57 2I9 . CITY WSE ONLY L ~ BL RECEIPT ~0.3~~~ SUBD. ~-Y~~.E~ ~S`0l~Cfv~/ RECEIPT DATE: ~S/9!n _r4~~~`~"''k' Y 999 ~PLUMBiNfi ~~iMIT (it~SIDENT1~kL) 3 ~ G S ^ Cl1'YOFEkfii41V 0 7 s8so ~aoT ~uuos Rn f~46AN, MN 551EE (651)681-4678 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system ,~-------------~~~-----~~~~~~____-------e~~~~________~~~_____----------»~~° FIXTURES EACH TOTAL Shawer 3.00 x ~ = 3. Water Closet 3,pp „ ,3 - 9• no Bath Tub 3.00 x 1 = ~ Lavatory 3.00 x 3 = q- on Kitchen Sink 3.00 x ~ = 3• ~ Laundry Tray 3.00 x _L = 3• ~ Hot Tub/Spa 3.00 x _L = 3•~ Water Heater 3.00 x _L = 3. ~ FloorDrain 3.00 x / = 3•ce~ Gas Piping Outlet ' minimum - ~ 3.00 x = 3• 60 Rough Openings 1.50 x = I• 50 WatefSoftenef ' fordwellingsunderconsWction 5.00 X ~ _ Water Softener ' for existing dwelling 30.00 X = U.G. Sprinkle~ ' for dwelling under const. 3.00 = U.G. Sprinkle~ ` (or existing dwelling 30.00 = Alteretions ` to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbished syslems) Private Disposal Systems ' Abandonmenc 30.00 = RPZ (new instaliation/repair) 30.00 = STATE SURCHARGE .50 Reminder. Call 681-4675 for inspectlons of water heaters, water softeners, alterattons, etc. /1,L TOTAL 77- DD • • I hereby acknowledge that I have read this appliption, shate that the infom~aGOn is mrrect, and a9ree to comply with all appliqble City of Eagan ordinances. It is the applipnYs responsibility to nofi(y the property owner that the Ciry of Eagan assumes no liability for any damages pused by the City tluring its normal operetional and maintenance activities to the Yadlities consWcted under this pertnit wifhin City propertyJright-of-way/easement. ~ SITE ADDRESS: 7~9O cs!'Cccmo2¢ 1~-s-~'d-e OWNER NAME: INSTALLER NAME: ~OGG /YLe.~IQ~ %c TELEPHONE ~yD - ~G,~~ STREET ADDRESS: ~l~3~~ I~~ ~~y-.`~ S~ CITY: ~y'~ o r ~a,~~, STATE: ZIP: -~~~~~7~ SIGNATURE OF PERMITTEE CDfPERM1T FORMS/RPLBG PERMIT (RES) - 1999 ~~a? ~ ~ ~ CITY USE 0i~1LY ? LOT BL ~ RECEIPT#: /D~FI'~~ f~O~~fS~ SI.BD. ~~y~~GNX.UC..e.c~ ~ RECEIPT DATE: '3~5I9/ 1999 M£C~IANICkL ~~iMIT (ft£SID~NTI~Ia crrY oF snsncr saso ~v.or Kxoa Rn ERfiRN MN $$1 EE ` ~ ~ (BSI)681-4675 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 $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) GD • State Surcharge: .50 • TOTAL: ~`f~JrU Complete this section onrv if you are remodeling, adding to, or repairing existing single family dwellings, to~~ nhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _ New _ Replacement _ Repair _ Other _ Fumace _ Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other Ren~inder: Call 681-4675 for inspections. $ 30.00 State Surcharge: . 50 Total: $30.50 SITE ADDRESS: L/6 ~yC~ ~ °~z-e O~\';~ER NAME: PHONE I~ST.4LLER 1AIvIE: ~u~~ ~'~-e~- ~a ~ ~ ti--L~ PHOIv'E ~ ~~3/ STREET.4DDRESS: ~C.C3l~f ~/G~-rv'.~- ~c~ r«e CITY:_~f"'iOr Ga/~ STATE: ZIP: js-3~a2 .~~'co~~-~ _ 5~ ~ SIGNATURE O ERMITTEE JS. FO R.~IS BLD, b1ECH PEIL'NIT (RES) - 1999 - CITY USE ONLY ~ B~ _ RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR 1999 M£CHANICRL ~~fiMf!' (COMM£RCIRW C[TY OF ~E6AN 3$SO ~ILOT KNOB RD fA6ikN, biN 551 EE (651) 6$1-4675 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 greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($,50 per S 1,000 of e it Fee due on all permiu.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE • , CITY: STATE: ZIP: SIGNATURE OF PERMITTEE PERMIT# 1 O~ RECEIPTDATE: 8008 ~SIDENTI~kL ~'LU1~INfi ~MIT A~P~PLIC~TION CITY OF f~kfiikN S$SO ~II.OT KPOB RD ~AHAA, MN 551 EP 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: / O SY~'7?~~r O~~ OWNER NAME: : TELEPHONE (AREA CODE) INSTALLER NAME: ~ i v l,3' ~JS~~O~"~ Q dm~j/~TELEPHONE 7C~3 O~O ~ _ //~~O J n f~,.~ ~~f ~ (AREACODE) STREET ADDRESS: `t• q"~ Z CITY: ,~"~~~d!/ II/~ ~f`~/7(~~ STATE: / ~ ZIP: ~~`y ~ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. y 50.00 _ Abandonment of septlc system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ! ~ ~ 1 G~ C Irn ~ ~ _ ~ I'<~ ~J I'~~ e-.~ n II.~ j ti J~~~, fl, ReplacemenUadditional: _ water softener _ w~ter heater U $ 15.00 ~y----- State Surcharge $ .50 So Total $ ~ ? I here6yacknowledge that I have read this appliration, state that ihe information is correct, and agree to comply with a applica le ity of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assume liabilily for any dama s caus e City during its nortnal operational and maintenance activities to the hacilities constructed under this permit wi In Ci ope !ri t f- /e SI A URE OF PERMITTEE 1/02 City of Eagan PERMIT 4111' C!ty of Eaali Permit Type: Permit Number: Date Issued: Mechanical EA106207 08/16/2012 ePermit Site Address: 4890 Sycamore Dr Lot: PID: Use: 13 Block: 2 10-57650-02-130 Addition: Pinetree Forest Description: Sub Type: Work Type: Description: e - Air Conditioner New Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Scott Lofgren 5708 Upper 147th St W #102 Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $55.00 $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 - Applicant - Owner: Brenden R Buresh 4890 Sycamore Dr Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107576 Date Issued:10/17/2012 Permit Category:ePermit Site Address: 4890 Sycamore Dr Lot:13 Block: 2 Addition: Pinetree Forest PID:10-57650-02-130 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Valuation: 2,200.00 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Brenden R Buresh 4890 Sycamore Dr Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160996 Date Issued:04/28/2020 Permit Category:ePermit Site Address: 4890 Sycamore Dr Lot:13 Block: 2 Addition: Pinetree Forest PID:10-57650-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Brenden R Buresh 4890 Sycamore Dr Eagan MN 55123 (651) 322-4720 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature