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4906 Sycamore Dr 1N5YLC;`11U1~I KLt;UKl) . , CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Ro~d Permit Number. ~ Eagan, Minnesota 55122-1897 Date Issued: t"' (612) 681-4675 SITE ADDRESS: ~ , . , ~ , ! , APPLICANT: , i~f~ ~-:~i~ , . ~a~ ~ • . , ~~i~ ~ ~ ~ ~ , . PERMiT SUBTYPE: TYPE OF INORK: . . ~ ,,ri; ~~r~fil ; f~. ~ . , ,I;i . ~ . , ri~lli~ll 1 t•7 1! t~. , , ~ 1 . , i 1 , ~ ~ . , i ~'t j~~~t~ i I, ! i s~~.~f: ~ Wti 1~{~~'~'.' .J j ~i~ :-4 ~;~~J . F' t td ht N L V 1 i: l-N 13 r i'~ i; 1 i 1 A U A M'_, . , ~ ~ j ~ ~ x~., i ~x~.~ r~ ~ ' „ ~I , Permit Holder Date Telephone # e PLUMBING . O J~' S(i/7 (PT , HVAC t., d 7 ~OJ`'/~ ~(of~~ ~I.~ ~ Inspection e Insp. Comments FOOTINGS ~ FOUND _ D, ~J, ~ FRAMING ~ ~ ~ ~ `N ~ B S ~L-(fW; (,f1 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING a' ' e h ,e ~ y~ ~•Q~, cas svc / ~ ~C t G,~~,. ~ TEST INSUL ( GYP BOARD FIREPLACE . FIREPLACE AIR TEST . FINAL PLBG i . i • W~~r FINAL HTG J__ ORSAT ~ " TEST ' BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS co~flucTivirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL _ . . . . ss~rti...~ ;-k, ~ A • ~ I ' . , ~ I~; r~~~ ~ r ~ . ~ . . 17 :iY lt~. i . . r~ (~C~t~tCQtC ~CC1t~Q~iC~ ~it~j o~ ~aga~t ~~~e~t ~ ~x~~;~ ~~e~~~~ This Certifcate rssued pursuant to the requirements of !he Ur~iform Buifding Code certifying rfuu ut the tinee of issuance rkis stre~crure was in compliance with the various ordinances of the City ngulating building corrstruction or use. For rhe following: Use Ozssifia~ion: S'F' _ Bldg. Permit No. ~FiFi7 ~F'~Y TYP~ $ 11 Zoning Disaia ~1 Type Consi. Owner of euildins ME1Nf '-F'Y ~ Ad~ess F~~F$ ~WA.S~L17n AF$i'LN~ A'ldtKA s~,;a~g nae~ 4406 SY~ DRIVE ~~ry ~.11:~. PTNEIREF. F17R1?._Sf' ~ j a , / s~a~og ofr'K;~ POST IN A CONSPICUOUS PLACE RESIDENTIAL BUILDING PERMIT APPLICATION ~ y~~~~ CITY OF EAGAN ~ ~o, 3830 PILOT KNOB RD - 55722 651-681-4675 CQ~~~~ ~ ~ f NewConslruction ReauiremeMs RemodellReoafr ReaulremeMS ~ i 1 • 3 registered site surveys showing sq. fl. of lot, sq. R. of house; and all roofed areas • 2 copies of plan (20°,6 maximum lot cove2ge allowed) • 1 set of Ene~gy Calculatbns for heated addi~ons • 2 cop'res of plan showirg beam & window s¢es; poured found design, etc.) . 1 sile survey for exterior addNOns & decks • 1 set of Ene~gy Calculations • Indirale N home served by septic system (or addilions • 3 coDies of Tree Preservatbn Plan'rf bt plaUed after 1/7/93 • Rim Joist DetaO Options selection sheet (bldgs with 3 or less un~s) DATE `-I/S~a 1 VALUATION '~/S, pDJ. pa JOBSITEADDRESS ~~d~o ~ZrGQ~Y70re !~r I~P ~~Qfi1 =~!/l~Iitl .S~S /Z~3 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~ r ' PROPERTYOWNER_Mt~GGt4eI ~ We~t~ $~r'IIi~,S7~( TYPE OF WORK_B~S~~ ~rn.o~~/ FIREPLACE(S) _ 0_ 1 D~ 2 APPLICANT M~Ll~.ae / 5.~~~~~a~~'W~~a-~ PHONE# Gs/- .32Z ~ 7~Y ~ ADDRESS ~9 ~ L S 4~ ~r-e~f' ~v~` v~ a~.vi~. N ZIP CODE .~J r 23 ~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Cate9ory _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler P'ee: $90.00 Water Heater No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical SysLem Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System D~~ f~ ~ r f~ Sewer/Water Contractor. Phone # ' I!~ All a6ove information must be submitted prior to processing of applica6on. BY ~ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf ~T Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatad 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ~719 Lower Level ? 24 Storm Damage ? 08 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 'I'~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demalition (Entire 81dg only) - Give PCA handout to applicant G Valuation ~2~6D Occupancy MC/ES System Census Code 4!3 Zoning ~ City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) Fina7/C.O. _ Footings (deck) `~o FinaUNo C.O. _ Footings (addition) _ Plumbing Foundafion HVAC Drain Tile Roof Ice & Water Final Other ~ Franilng _ Pool _ Ftgs _ Air/Gas Tesu _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucw Stone ~ Insulation _ Windows (new/replacement) Approved By G~ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Addcess 490(i SY! AMf1Rfi 11RTVR ZIP SSiL~_ Lot 1 I Blk 2 SUb PINETREE FOREST THESE TIBMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: 9 Yes No Inspector: Final grade (6" from siding) ~ Permanent steps (gazage) Permanent steps (main entry) Permanent driveway ' Peimanent gas Sod/Seeded grass j Trail/curb damage Porch ~ Basement finish ~ Deck Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W the outside lawn faucet before f~eeze potenfial exists. Contad engineering division at 681-4645 beforo working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Residen[ Copy Pink - ContracWr Copy PERMIT# l RECEIPTDATE: ~002 it~SID~NTI~FL ~LUM~IlY6 ~£i~li~ii'f ~k Pf'LIC~4.'fI~N Ct7'Y oF ~s~?rt S$80 PILOT KNOB RD EkfiAN, MN 551 E~ 65t-6$1-4675 Please complete for: single fami~y dwellings, lownhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: SyC~IM.D7~~ OWNER NAME:: JKI ~ I I nAS~ ~ M I~ TELEPHONE#: ~O~J ~2Z 7~_D~ (AREA CODE) INSTALLER NAME: ~ 1{' IS 1~ I(~(,(^/~ TELEPHONE #:/oS ~-3k~S - ~340 (AREA CODE) STREET ADDRESS: ~Io7 C~ QO R,~ CITY: F~JId M STATE: IVLN ZIP: S~_~ _ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ~ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repairlrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ~ water heater $ 15.00 ~ State Surcharge D JUN Z002 50 $ 1550 TOtal By _ - I hereby acknovAedge that I have read this application, statethatthe information is corred, and agree to complywith all applicable Cityof Eagan ordinances. It is lhe applicanYs responsibilityto notify the property owner that the City of Eagan assumes no liability for any amages wused by the City during its normal oparational and maintenance activkies to the ~cilities construded under this permit vithi ity propertylr h of- ~ rrie t. SI A RE OF PERMITTEE 1/02 FERMIT _Y ' "CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G~ Eagan, Minnesota 55122-1897 Permit Number: 03266T (612) 681-4675 Date Issued: 6 7/ 3 0/ 9 8 SITE ADDRESS: 4906 SYCAMORE DR LOT: 11 BLOCK: 2 PINETREE FOREST P.I.N.: 10-57650-110-02 DESCRIPTION: r~~~~~,.__. &uildiji%~„Permit Type SF ~WG ,$uilding Wvrk Type NEW - UBG Oacupanc~~., R-3/U-1 r~~~Con5truction 'f~pe V-N ~ Zpning R-1 f~ Buildiitg le~tgCH ~ 69 ~ Build3hg W~idth 40 Buiy.di'nej stories ~ 2 SfqLar~ ~ee~~~,~ 2,094 C~nsUS,Co~e 101 1- FAM. DETACN ~ ~i Z. u 1} _._if- t~,- ~E ~ . ~ , ~ + _ ~ . . . ~L: ``a REMARKS: S& W PLUMBER I5 PLYMOUTH PLUMBING PNONE #(612) 553-4357. PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: ' VALUATION $176,000 Base Fee $1,267.25 MISC. FEES $1,592.50, Plan Review $823.71 Total Fee $4,771.46 Surcharge $88.00 5AC $1,000.00 SAC ~ 100 SAC Units 1 Subtotal $3,178.96 CONTRACTOR: - Applicant - sT. ~zC OWNER: ,.~ANLEY BROS CONST ZNC L3863815 2005432 MANLEY BROS 2fl636 JUPITER AVE 5965 CMASEWOOD PKWY 003 1.AKEVILLE MN 55044 MINNETONKA MN 55343 .(612) 386-3815 (612)386-3815 ~ hareb~ ack~owl~dc~e that I have~ r`ead thx's epplic~Cao~~n ar~d~ 5tate tha~ the information is correct and agree to comply with all applicable StaCe of Mn. Statutes and City oY Eagan Ordinances. ~ . _ _ ~ ~ ~ APPLICANT/PERMITEE ~JiTORE ISSUED BV: SIGNAT E ~ ~ ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ , crrr oF Faaax ' ~ -a ~ / 3830 PII,OT KNOB RD - 65122 ~ -J=( ~ l ~ 1°~ 681-4675 New Conatruetion Reauirements RemodeUReoair Reaui2mants , ~.a~-~~ ? 3 registered ske surveys ~ y ~pP~ at P~~ • 2 copies of plans (InGude beam & window saes; poured fnd. design; etc.) ? 2 sita surveys (exterior additiona 8 decks) ? 1 enargy ealaletions ? 1 energy calculeBons for heated atlditions ? 3 copies of tree preservation plan H lot platted a@er 7/1/93 - required: _ Yes _ No . DATE: ~ I I`'t I~ g CONSTRUCTION COST; _ Z~~t DOO ~ D~ DESCRIPTION OF WORK: ?'lC1 W LpY~ S-{-y~_-~ oy~ STREET ADDRESS: _~"~'9 CCo S~1 e0.. ?vi o ir V' t ~ c~-~ vl LOT: ~ ~ BLOCK: Z SUBD./P.I.D. 2--F'v ~ e- { o? e. S~- ~i1.~f-u.?~ Name: ~ l VlG ~q~ I ~ Phone PROPERTY [.asc F;,S~ OWNER ~ . ~ Street Address: ~ Ciry State: •Zip; n/~~ I I 3g1~-3$1 S } Com an . I V~~-~L y~y (~-~-~~p~yS ~"Tphone r~J~ P Y' CONTRACTOR ~y Street Address: ~ b~ ~.v~S..ZSQ W~,~ (~j(,( ~~~~ceJrnse # ciry 1~1'1 ! rt n2r-~17~'LIL~ state: (/u-~ zip: SS,3~' 3 ARCHITECT/ ~n_ 'I{ ENGINEER Company: ~CQ ~.Lp Phone '~J ~ ' ~ ~ ~1,~ ~_T- Name: ~ vyl Registration Street Address:_3 ~ L.Wavc ~ 1rLC~"~-~ City t.-~q--~' , State: ~~V Zip: S~ / a'oZ 5ewer & water licensed plumber (new constructlon only~~ M1A,~~'h ~ I.Lr~~ V~Q . penalty applies when address chang I and lot change is requested once permit is issued. ~ 3 ~~5~ I hereby acknowledge that I have read this application and state that the informatlon is correct and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applip : OFFICE USE ONLY ~CEI Certificates of Survey Received ~ Yes No Tree Preservation Plan Received V Yes _ No _ Not Required BY: ~ _ t OFFICE USE ONLY ~ ' , ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~ 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace 21 Misceilaneous O 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ,181, 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuap Basement sq. ft. / 2~Z MC/WS System (Allowable) ~~'~f M~ain l~ev,~ I sq. ft. J32S City Water UBC Occupancy f~~, h~l.i j K~! sq. ft. Fire Sprinklered Zoning ~ ~ ~ sq. ft. $ /'Z PRV # of Stories ~ sq. ft. Booster Pump Length ~ sq. ft. Census Code. l D/ Depth y~ ~ Footprint sq. ft. Z, r 4~! 5AC Code ~ Census Bldg _L Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: - C~ - W Surcharge ~ ~ f ~ ~ ~ Plan Review ,(j4S~n, r,. 2 8~~ X fs License Gq ?a~ ~ ~~2 7C I(=~' l Z ~ r7 ~I Z MCNVS SAC c~ri sAC ~`'1 p~ N I 32S n s y°` 7/ SSc~ Water Conn. S'ec, o., v~ /33 S X$~/ ~ Water Meter ~Z O -r'/ O Acct. Deposit ~ S/W Permit ~~g~i Z S/W Surcharge ' f ) Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC . SAC Units ~.FF~~L~ CU P F!ZOM': P O N0. : Jul. 06 1997 12:27PM P2 ~ ~t, l~6- 1 I 316c. Z ~ P~n. T~ex -~-ti~-e1L 2~22 cnte.~p~~ee 6rrv. * * MBndo~G Ht•y~+te. MN .°,J;Z~ ~ 612 88t-iB14 FAX:681-9488 * Q~N~Ep u~o soe~c+a+: . ax. ar+~enn. C ) * eng near g tµD Ku~as• ~~NDit~ u~*~SCi; OLS HighwGy :0 N.~. 91o~~e, MN S,K.434 ~ * ~ * ,(s~z} ~e3-~ssa Fax:~s3-~ass Certific~o~$~Y ~ for. ~1AANLEY BROS. CONST. aoos s~~+~oRe oRnrt n;: G~~ p~~g1Pc~ ~ P~PE LEV.=9 Aj ~ C? (VACANT) r~~S ~ . ~ C`L~ ~~d ~~~~y G~° ~2 ~ . 3 962 5(~~I. ``S89'41'52"W 98,.z 136.50 I 9d~-5 9a7.1 3 40.33 Vl o ~ f`~?~' .'"'r'-,°o-~ r'-----ro--'----_-"'--~ ~ t~ i 9d2-.a6. n . 3 9 d1D i 10 Q { or ~ '~y ~ . O ~I v ~ t Wz a oo ba'/rv N~X ~ Q' ~ 98, p ~ I ,~t a/a t ~ %9Hi~ ~ MI ~ Q ~~~ti N~ i 14.00 ~ ~~'q r ~ ~ ~q ~ ~~f ~ ~ : 9.00 _ ~ i ~ 1.6 ~ ~ f. f ~ o w u"'~~` V ~ ~ ~ a/~ I O F w I ~~j ~I. I d ~ I a `i~~ OW i ~ ~ ~ w ~ 0.0 n Z ~ F-' ' 978.9 ~ ~.y ~ 10 ~ ~ ~ pl 980.7 ~ ~ 1 J 98t.1 v+ -Ai - - .~R ~ _ in 37fi.S ~ 980.s 30.00 , a.J3 IsE0.2 l(~l7Cr~, f4~~.9' S$S'41'92"W n 136.50 ~ N ~ ~ ~ ~J7er.g ~ 13 3 ~ ~983.i EXISTING i O (Y~.I ~'R4~s~ o~~ ~ ~ ( ~ ` NOUSE C"~'~L~/ E~y.98~YU'!~ ~w ~'^__'{~K. ~G~'`'~{)~~ Lti 1 NO'IE PRtlf+O5E0 CA9DE$ SMD'~1 pER ORFOWO PL~M 6Y. :.0. qL0 PROPOSEC HDU V I ~N/ Nal[: BUII[UNC OIMENS~ON$ SMOW+1 ARE ~OR MORIZON~a~„ ~Yp Kqn~/y ~p~qPy! LOKE~T FZCOR E!EVATION: b=S„¢_. Oc S~C7UFE5 CNLr. 5EE aNnMlECVx nlahs PCn BwlDwc ~No Gdc cwrro~ipv owEN9oru. TOP Of BLOCK E:Lf.VAT~ON: .~rl.c~. NCTf: NO SPE{9FIC 9RL5 iMVE5nWA0M MAS BEEN CCMVI.E7ED 0.'~ ~9 lC' 9Y iHF. Cf,/~i~ v SURYETOR. ME 7NRIiBplTY pi 9qlS 'O SUpPORT TMfi SPEOfIC 1:WSE GARAGE $L'18 elEVATIUN: PROPOSCO i3 NOT TNE AESNNSIBIIrT~' ff~~~~~- ' MpTE: TM'S ~R'OKyTQ Oq3 NOT PYI6CRT i~ a~dv EniENENTS OM[R Tk~x Y 000.00 OE^iG1E5 E~STNG ELE'~a'~ TMOSE ~'.OWN ON lNE RECORDf.O MT. ( OQ0.00 ) OQJ01E5 ~ROPOSFO E.CV~TIOV _ pENOTES 'JR<IMAOf nN0 U1ILITY EISFMCNT N07E: COM~eAC~OR MUST VENIfY pR1YErM1 OE3~Oh. ~p,p~ ~~y pp~CTpN NOIE' KIWM65 SM~'~M JRE dAYO ON ~rv PS°UM[0 CAR/H 9ENOTES NSl~lIENT OEYCtE$ OP~'9E~ NUB _ ' ..n.,.- . +n~~~ ..,n ~neerr+ eeee~ceu+.nnu ne • ~~m~*~~~~~~~~~~~~~#~~#~~~~~~*~~~~~~~~~~ C.T.TV OF F_AGAN CASHI~R: 5 7FkMINAL NOe 7F2 DATE: Oi130/58 TTME; 15:40:25 IIi : NAt1E: MANI_FY E~fiOTWERS CONST 225Es 9DQ+_ 49UE. SYCFlNiOfiE D 4y i i 1.4E L, . To+,al Receipt Amo~en+. ~ ~r~ i i 1.46 CR035493 USEfi II~: tJANCY Xc r# %%X~ Xc X~ ~k ~ %t ~k ~F ~%X~ ~k ~ X~ ~ X~ ~ ~X ~k ~t X~ ~ ~%X~ ~k ~X ~ ~%~k # k~ ~X ~%~X ~X I . ~~-s~.t~.~.~ 1~cL~'Ky~'-'GJ ~ , , • - . 4~'~•~~~ ~I:. . \ ~ . . ~ ~ ~ ~ i . . _ . _ ~ ~ 1 . : . BROTXERS CUN8TRUCT~ON,INC. .4ward ~nnritg Builder KtirtLtifanley Phone 386-3615 • Fax(612)935=5611 TREE PRESERVATION t. 30' Silver Maple Clump 2. 40' Silver Maple Clump (Remove, in house) 3. 30' Mountain Ash Clump (Remove, STI IIOt1S8~ a. 12' Pine 5. 50' Birth 5. 60' Maple ~~c-f' l 1 r 7. 50' Spruce . ~L~~• 8. 50' SilverMaple 9. 50' Spruce ~ ~ . Q. 10. 20' Pine ~M~~,' ` ~ ~ 11. 15' Pine il~n%f~ ~ ~~~u`'`.~""c/y~'~P/~'C~ - t2. IS' Pine f/ -0 13. 40' Oak ~~/~~L~.~~ ' ~~~~L(~~C~c ia. 40' Oak G~G~/tx~l2E '~G•,~~o3 ~ ~ ~ i s, 40' Oak ' ~li'~ ~ ie. 60' Oak - ~~~/~~i~'~`'`-~" t 60' Oak I I8. 15' Pine (Remove, in house) ~9_ 15' Pine (Remove, in house) 20. 15' Pine (Rcmove, in house) i 1. l 5' Pine (Remove, in house) zz. l5' Pine (Remvve, in house) 22 trees total, 7 removed ~ ~ Ia ~ ~r~ w~ Gt-~-e-~ ~~'~7.~~~-C , 3 ~,~2 r~-u..Z.~Sc:~--~ c~L~C?~ ~,~.Qc~ r. t ~r~ r1.Qw G~°~ O • ~ ' ~98-31~ , ENERGY COD~ WORKSHEET T'OR 1& 2 FA1~tILY DWELLINGS ' SITS ADDRESS I~.t..~ ~~~j`T'y(, '4:~} ;~I.: ' , . . CITY ~ COMPLETED BY t ~A LG I' RI[ON8 ~ q p11TE BOILSIIN~ CLA3SIFICATIONs ? aate o ~ g ry~l (uEandard) or aategory 1(muot inalude veatilation) MINIHUM CRZT2RIA ~ . ' Foundation Ineulation-R10 Walla G Windowo ~ , Roof Attia lnnulation~ Slab oh Grade Insulatlon-R10 (Sea L•ablo on roveree side for allowable percentages) R44-With.AtCic No I(eel Floor over unheated apacee-R29 R38-With Att1c Raieed lieel Foundation Windowe 1/2" R3B ~ RS-SOlid Rafteie ineUlated Glase, ~ -Wood ot Vinyl Frame ~ , sTBP 1 Windaw & Door Area 6T6p 2 Caloulete erea ae a , percent of wall A. Total Window E Door Aroa in Sq, f'eot ' ~ ~ WINDOWS (Including Caundation Windowe~; . WINDOW HAN[IFACTtrRH NAMB~ 1 O" C. From Step 1 divide box A(411ndow 4 Doar WINDOW MAtNPACTORB TYpg~_ ~f~M p~ Aren) by box 0(total wall area) timen S00 equala tlie window and~door area ae a 47INDOW MANOFACTnRS U FnCTOR: ~3 (,(7 percent oE wall area (box C). R. O. Quantity cq.El.Aiea ~OX p'/v / X 100 e Dimeneio is C ~ ' ;~K ~ ~N /11 ~ nox 1 ~u X ~_4~+ ~ u STBp 3 Deaign pastvren ZI ~ X~1 ~"M ~js nsserts~v S!~°" x / IB///~~~ PRAMING TypP-: 4! x~` ~M I ~ STANDARD FRAMIN6 ~ " otude 16~~ o,r, 3~µ~~A ~ ADVANCED FRNIINa „ n ntude 29 o.c.~ I( DN X~, Dr ~ CAVITY INSULATION ~ ~f.-~N ~~N ~~J f~/ < 9NBATHItfO TYpBi . I~ UM X/~°i~ IIII _ ~D LESS TIIAN < R-5 C~ ~oN Xr~p~ ~ R-s > oe wone 2 ~u° ~ x 4! o" ~.f! U-FACTOR~ p DOOR : Z~ k Cv g ~ ~ From tl~o ta61e, (reverse eide) detarmine the ~ maxlmum percent window & door area for.the X deeign optione enleeted and entnr the t value af ° Gj~ ( ~ ' in Oox 0 below baued on the window mEg. U- ~ factar: G' D X ~ ~ D _ . 1bta1 Area oE oq ft ~ , Wlndowe 8 Doore- b - . . . . B. Total Wall Trea in Sq. Ft.. The 4 value from tho CaUle in oox p shall bo equal to or groal-ar tl~an thu t 1n Dox C Wall Total Iteiglit Area ~ Perimeter ~ d ~ 5 D,l~ (y ?~I Li 3 ~'~1 ~ 7_~tal Area of Halls p=~~~~ry ~t . _ ~l ~ _ r • ONE- & 'T-{yp_pq~LY RGSiDENTIAL p(~n,p~G p~~ ~COOK-IIOOK) APl'R~ACiI MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA Fmm MI_~~Fart 7670~SLL~~p~~ ;iem r Cavlt Exterior Wlndow U-Fq~tor Frsmi~ lneulalion Sheathin 0.49 0.36 0.31 . 0.27 STANDARD R-13 R- 7 13.49'e ]7.8% 21.3% 24.3% STANDARD R-13 R- 5 12.4% I6.4°/a 19.7°/s 22.5% S7'ANDARD R-15 > R,- 5 12.9°h 17.1% 20.1% STqNDARD R-l8 -19 < R- 5 12.19'e 16.Ogb 18.89'0 2,p~, STANDARp R-18 _1g it _ g 14.0% 18.69'0 ' 21.8% 25.3'Ye ADVANCED R-18-19 t[Z - 5 12.996 17.19'0 20.1% 23.4Yo ADVANCED R-18 -19 > R- 5 14.59'e 19.29'0 22.5% 26.1% STANDARD R-21 < I2 - 5 12.8°/. 17.0% 19.9% 23.1% STANDARD R•21 > R- 5 14.5% 14.396 22.59'0 26.]% ADVANCED IZ-21 t R- 5 13.6% 18.1% 21.2% 24.6% Af)VANCED R-21 R- 5 15.OYe 19.9% 23.2g'o 26.9% AS~11lQllilialculated val STANDARD R-17 < R- 5 ! 1.9°/a 1$.79'0 18.4% II.S°Yo STANDARD R-17 Z R- 5 13.89'e 18.4Yo . 21.5°/a 25.OYe ADVANCGD R-17 < R• 5 12.6% 16.B4~e 19.6% 22.9qo ADVANCED It-17 R- 5 14.3% 19.0'Y. 22,2y, 25.~y, Notea: Wlndow ~rea equals rough opening minu~ InelallaNan clesrances. Window U-Eac~or musl be determined by either the National Fenestra~ion Rating ~ Couneil atendard 100.g1, or ASHRAE 1993 Haf~dbook of Fundamentals; Chapier 27, I Table 5. Po~!•R• F~x Nota 7B7t o~ ' M1 y~~~ ?le~n Co1WM Ce. R~o~r • . Pno~~ • n Ir• . ~ ~c * ~ Mendota tHeights,DMN 55120 * PIONEEA (612) 681-1914 FAX:681-9488 y L~ND SUROEYORS • GNL ENpNEERS * eng near ng lu1D PUNNERS. LMlUSCME ARCHIIECIS 625 Highway 10 N.E. Bloine, MN 55434 ~ * ~ * (612) 783-1880 FAX:783-1883 Certificate of Sur~ey for: MANLEY BROS. CONST. 4906 SYCAMORE DRIVE a; BENCH MARK TOP OF PIpE ELE V. = 983.07 . ` ~ ~ ( } 1 ~ . ~4 ~ ~ Q~ ' ~~k~„~~'i r~ - .an."~,}• ia DATE ~ ---Z ° I ~ ~JIL~ING INSPECTIONS DEPT. 3 ,`S89'41'52"W 136.50 I 981.7 98 5 30.00 ~ 40.33 983.2 987.5 19v ,01 N'~_o-L--_---JQ-_-_--__~n ~ r"98z.-~~ -I~o io i 70 ~ ~/24.33 982.6 i ~ ~ p ~ o~- ~ ~ /w ° i A{ ~ O i pi ~ N3 0 ~o ¢~N ~ ~.'r Of sai.a °0 ~ o~ ~ o/~ ~ sai.~ xssi.z ; ~ ao ~ I ~~o ~ ~ ta.oo ~a I ~I a ~9.0~- ~ ~ 1~ ~a I O 3. Q ~ 981.4 i o Y ~a 3 ~I a U I p ~ n°,~ ~ i o ~W ~ O V~ ~ ~ wn Q1i „a~/ao/a 'h ~ ¢vWi ~ lD vrn Q..i I O ~ OO I ow ~ I Z ~~'?"~F-- 31.33_ 0.0 x978.9 i~~ ~ Z 10 ~ °oi 980.7 i~ ~ 10 0 981.1 ~n -cd~ -------Jt~------'L ~n 980.6 30.00 ^ 4 .33 976.3 i 980.2 ~ q 7(p,U, 3 S89'41'S2"W ~ 136.50 - ~ f9~u9~ ~ ~ ~ N 13 i 978.6 ' , ,I i ~ i ~ s . i 983_~ EXISTING HOUSE , BENCH MARK / _ ~i ~ TOP OF PIPE i ~ ELE V. = 987.58' ~ ~ f - - - .s`.,.~..'..~..~.'3 Hi.~Tu::%5~~.~'1 ~.~~iJ.L~ ~.~'..i l~i.'~F°, : NOTE: PROPOSEO GRADES SMOWN PER GRaDING PIAN 8~: E.C. RUD PROPOSED HOUSE ELEVATION NO7E: BUIIDING DIMENSIONS $HOYM ARE FOR HORIIONTpL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECNA~ PLMNS FOR BUILDiNG AND LOWEST FLOOR ELEVATION: roor+onnw+ oiMer+sioros. TOP OF BLOCK ELEVATION: C/P5_ ¢ NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON iH15 LOT BY iME q~~ SURVEVOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: LIL= PRDPOSED IS NOT TNE RESVONSIBI~ITY OF THE SUR~EYOR. NOiE: THIS CERTIFICATE DOES NpT PURPORT TO SHOW EASEMENTS OTHER THAN % 000.00 OENO7E5 E%ISnNG EIEVATUN THOSE SHOWN ON THE RECORDED PI,AT;. ( 000.00 ) DENOTES PROPOSEO ELEVAlION NOTE: CONTRACTOR MUST VERIFY DRIVEWAI~~DES~GN. DENOTES URAINAGE AND UTILITY EASEMENT ~ENOTES DRAINAGE FLOW DIRECTIIXJ NOiE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DANM DENOiES MIXJUMENT 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 11, BLOCK 2. PINETREE FOREST OAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15T DAY OF JULY, 1998. SIG E~: IONEER ENGIN RING, P.A. SCALE : 1 INCH = 30 FEET B. r 1968 98275.02 SWK John C. Larson, l.S. Reg. No. 19828 ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL . B ING PERMIT APPLICATION , PROPERTYIEGA~: Z ~ ~ DATE O SURVEY: ,P~ 7~/~~ ~ ~ ~ ~ LATEST REVISION: ~ ~ m pOCUMENTSTANDARDS ~ ti < ~g ~ m~ ? • Registered Land Surveyor signature and company ~ ? ? • Building PermRApplicant p O ? • Legal description ~ ? • Address ~ ? • North arrow and scale B~O ? • House type (rambler, walkout, splft w/o, split enUy, lookout, etc.) ? • Directional drainage arrows with slope/gradient % a~o O • Proposed/e~assting sewer and water services & invert elevation ~~a ? • Street name ? a • ~riveway ELEVATIONS Epstin 0~ ? ? • Sewer service (or Propose~ - 0~~ ? • Properly corners O • Top of curb at the driveway C7 ~ ? • Eievatlons of any e~dsting adjacent homes Prooosed ? ? • Garage floor ? • First floor , ~ ? ? • Lowest exposed elevation (walkout/window) p~ p ? • Property corners ~a ? • Front and rear of home at the foundation PONDING AREA Cf aoolicable) ? ~ ~ Easement line ? p • NWL ? Q~? • HWL ? ~ O • Pond # designa6on ? • Emergency Overflow Elevation DIMENSIONS e5/ O ? • Lot IinesBearings & dimensions p' ? ? • 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 sVuctures requiring permanent footings) ? • Show alt easements of record and any Cily utilides within lhose easements C~ ? • Setbacks of proposed sVUCture and sideyard setback of adjacent ebsdng sVuctures ? 0' ~ • Retaining wali requirements, i Reviewed: ~ v N e / Dat January 1986 CMIG19idHLOGPRhff. FM ~ C1TY USE ONLY LOT ~ BL o'~ RECEIPT / " ~ SUBD~~~~~Q~ ~Q~C[/y~ RECEIPT DATE: 199g M£C~T1C~L ~~ftMIT (ft~SID~NTI~L) crrY oe gnenx S$SO PILOT RNOB i~D 8t46RN MN 551 ES C,'Q (6tY) 68t-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 $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install fumace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minnnum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SI1'EADDRESS: , G ~/Z_ OWNER NAME: PHONE INSTALLER NAME: ~ PHONE ~D S-/ -`/-b Q'JS 1 I~ STREET ADDRESS: ~D ~ ~ ^ CITY: STATE: IP~ o~ - SIGNANRE O E JS/fORMS BLD/MECH PERIv11T (ItES) - 1998 ~ CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: APPROVED BY: ,INSPECTOR 1998 M~c~uic~?~. ~[rr (co~~atc[~L) crrY o~ ~s~ S$SO ~1LOT KNOS ftD ~ ~AHfkN, 6iN 551 YL (6]Y)6$1-4675 Please complete for. all commerciaUndustrial buildings muiti-family buildings when separate pertnits 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 $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE (5.50 per 51,000 of e~m ~rt fee due on all peimits.) TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERNIITTEE L / gL ~ CITY USE ONLY ry Q~ 1~ v ~ RECEIPT D I SUBD. f.~.~p l~~rd JQJ'(Q~ RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, PIIQ 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and candas when permits are required for each unit ? backflow preventer for underground sprinkler system , FIXTURES EACH # T TAL Shower 3.00 x ~ - ~ o~, Water Closet 3.00 x 2 = oc.~ Bath Tub 3.00 x i = 3 cX, Lavatory 3.00 x 2 = C~, c~ Kitchen Sink 3.00 x f = ,3.c:p Laundry Tray 3.00 x _ _ o0 Hot Tub/Spa 3.00 x = Water Heater 3.00 x t = ,3, o0 Floor Drain 3.00 x = vr, Gas Piping Outlet ` minimum -1 3.00 x f = 3, Rough Openings 1.50 x ~ _ ~i ) Water Softener ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Spfinkler * for dwelling under const. 3.00 = U.G. Spfinkler ' for existing dwelling 20.00 = Alteretlons " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and 2furbished systems) Private Disposal Systems "Abandonment 20.00 = RPZ (new installation only) 20.00 = . STATE SURCHARGE 50 TOTAL ~ ~ • ~ I hereby acknowledge that I have read this appliption, stata that the information is correG, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its normal operational and maintenance activities to the facilities construded under this permit within City property/rightof-way/easement. SITE ADDRESS: ~q~~ ~y CC~MO~¢ OWNER NAME: _ ~u~,~~' f ,uYk \ , `Gn`~`~ INSTALLER NAME: 5C°-h~L~C~~ Plumbtilq TELEPHONE#: ~~c~ 3~, STREETADDRESS: ~~OC~ ~d`IQC~ CiC'CS~ S~C. a-rv: ~i~; 1~c~~,z ~ `~j5 3r7L STATE: ~ ~ ZIP: ~ ~IG TURE PERMITTEE CD/PERMIT FORMSlRPLBG PERM~T (RES) - 7998 ~ PERMIT # '~t' O a~ RECEIPT DATE: ~ 1 v I $FSID~NTIRL ~PLUM$INfi ~£fiMTf ~~PPLIC~TION CPfY OF £~4fitkN 3$SO PILOT KNOB RD BR6AN, AiN 551 £Y 651-6$1-4615 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventerfor irrigation system SITEADDRESS: Olo LGLV?!~(I~'~e DVl ~e OWNER NAME: : l G G~ S ~ TELEPHONE ~-s ~ -3 Z Z- rI ~0 y (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 . abandonment of septic system • new installationlrepair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: ~~'n-~~ 7-'1 n~ ~ Septic System, new/refurbished - S 225.00 • includes County & Consulting Inspector fees • requires MPC license Water tumaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 Total Reminder: Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc. I hereby acknovAedge that I have read this application, sWte that the infortnation is correct, and agree to complywith all applipble Cityof Eagan ordinances. It is the applipnt's responsibilityto notify the property owner fhat the City of Eagan assumes no Ilability for any damages pused by the City during its normal operofional and maintenance activides W the Hcilides consWcted under this pertnit vith~ in ~ity p/' e lrightpfOyleaseme~ty~ L~ CJ SIGNATURE OF PERMITfEE Updated 9lot City of Eagan PERMIT 4Permit Type: Mechanical Permit Number: EA104831 Date Issued: 06/12/2012 City of Rigli Permit Category: ePermit Site Address: 4906 Sycamore Dr Lot: 11 Block: 2 Addition: Pinetree Forest PID: 10-57650-02-110 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed 855.00 85.00 0801.4088 9001.2195 Total: $60.00 Contractor: Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 - Applicant - Owner: Justin D Meyer 4906 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 City of Eagan PERMIT Permit Type: Building Permit Number: EA106169 Date Issued: 08/15/2012 • of 3,(j(�Ili Permit Category: ePermit Site Address: 4906 Sycamore Dr Lot: 11 Block: 2 PID: 10-57650-02-110 Use: Addition: Pinetree Forest Description: Sub Type: e-Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K Surcharge - Based on Valuation $4K $103.25 $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: New Exteriors by SMA Inc 10701 93rd Avenue North, Suite E Maple Grove MN 55369 (763) 315-8900 - Applicant - Owner: Justin D Meyer 4906 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:Building Permit Number:EA123974 Date Issued:06/18/2014 Permit Category:ePermit Site Address: 4906 Sycamore Dr Lot:11 Block: 2 Addition: Pinetree Forest PID:10-57650-02-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Justin D Meyer 4906 Sycamore Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature ' i ,.�,..,,.,.,,w..00 i � . Q� i � Pennit#: ��`� � Clt of �aan �� , . . , Y � 5� , � Permit Fee: � 3830 Pilot Knob Road �� SEP 10 2014 � Date Recelved: 1 Eagan MN 55122 i � Phone:(651)675-5675 �Y: I SEaff: � Fax: (651)fi75v694 !....r.______.—�...-.-.,--,----� 2011 t�►ESIDENTIAL BUILDING PERMIT APPLtCATION �;� Date: ��"�l Slte Address: yq o � m � Unit#: �j� �C1 � Name: tvY`(�U ��.v�� Phone.��c'at'�� '� J�� RESIDENT/ OWNER Address/Ciry 1 Zip: Applicant is: Owner Contractor Description of work: w� ' ' � �� TYPE OF WORK Q `�,. �0.�,��,�(' � � jo�OIIU.J Construction Cost• �ol�� 1 � _ Multi-Famlly Building: (Yes / o_) Renewat By Andersen contact: Company:.,.._, 19Z 0 Co�nty Road"C"�W'eSt — Address:� Roseville,MN 55113 _city: CONTRaCTOR License#BC130983 State: 65�,-264-4777 Llcense#: Lead Certificate#: �� a�� If the project is exempt from lead certlflcatlon, please explain why: (see Page 3 for additional 'rnformation) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the laet 12 months,has the City of Eagan lssued a pe�mlt for a s�mllar plan based on a master plan? Yes ^..,_No tf yes,date and address of master plan: Licensed Plumber Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans a�d supporting documenfs that you$ubmlt are consldered fo be publlc lnfdrmetion: Pprtions of , tf►e information may be classlf/ed as non publ/c It you prov/de specl//c reasons thal wou/d perml�the Clty fd conclude th�i the �re ti'ade secreis: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for rotection a ainsc under round utiliry damage. Call 48 hours before you intend to dig to receive locates of underg�ound utilities. . o he�st Il.or I hereby acknowledge that this infortnatlon is complete and accurate;that the work will be in conformance with the ordinances and Codes of the Ciry of Eagan; that I understand Ehis is not a peRnit, but onty an application for a permit, and w rk is not to start without a permi(; that the wortc will be in acco ance with the approved plan in the case of work whiCh requlres a revlew 1nd appro� of plans. acc. a appncan�'s Printed Name Appllcant`s Slgnature . Page 1 of 3 ��1 .��.�x��-�c� �Y� DONOT WRITE BELOW THIS LINE � �� a .SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Storm Damage � Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alteration (Multi) 01 of_Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES � New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair � Window� _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall `Demolition of entire building—give PCA handout to applicant DESCRIPTION ,-� Valuation ,��•- Occupancy ' ��_ MCES System P(an Review Code Edition �.vcrt /ks%�� SAC Units (25%_ 100%� Zoning �--Z, City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED WSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Drain Tile Other: Roof:_Ice &Water _Final Pool: �Footings +Air/Gas Tests Final � Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_Rough In _Air Test _Final Windows � Insulation Retaining Wall:_Footings_ Backfill_ Final Meter Size: Radon Control Erosion Control Reviewed By:_ �� Building Inspector RESIDENTIAL FEES ��'"_ Base Fee �c1� �l�n V"le��" Surcharge �� ,�;�� 9��,� e Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies � TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154001 Date Issued:02/11/2019 Permit Category:ePermit Site Address: 4906 Sycamore Dr Lot:11 Block: 2 Addition: Pinetree Forest PID:10-57650-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Chad R Lonetree Brovold 4906 Sycamore Dr Eagan MN 55123 (612) 702-0873 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature