4914 Sycamore Dr ` INSPECTION RECORD ~
• ~ CI~Y OF EAGAN PERMIT TYPE: ' ` ' ` ' ' ~
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
~ ~ . ,
SITE ADDRESS: ; , , t;; ; APPLICANT:
. ~ nr~na~- nrr . , , , .
;
~ ~ . , , , , . ,
PERMIT SUBTYPE: TYPE OF WORK:
,
. .
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Permit No. Permft Holder ~ate Telephona N
w
; ELECTRIC
~
PLUMBING 5~- j~f
HVAC y !yC - ~
Inspectlon Date Ins Comments
FOOTINGS jl~yD/~y' ~l
!
FOUND
FRAMtNG "7~~/~ G~
ROOFING
FiOUGH ~ Z ~ y ~fJd3 r~ ~7
PLUMBING ~
PLBG dj •r
AIR TEST
ROUGH f)
HEATING - ~p
GAS SVC , ~
TEST
1
INSUL
GYP BOARD
FIREPLACE ~ ~
FIREPLACE
AIR TEST
FINAL PLBG ~ ,/j/,,~
'~PaV
FINAL HTG I ~ Y(
ORSAT
TEST
BLDG FINAL
/0
BSMT R.1. _
BSMT FINAL
DECK FTG
DECK FlNAL
~ ~ . .
~ ~ ' ~ ,
~ ~ * ~ns- j ~ ,
'
~e~ti~icate a~ ~ccu~pa~cc~
~it~j o~ ~agatt
~c~at~eat o~ Builbing ~n~~¢crion
This Certifcate issued purstfani to the r~equirements of the Uniforrn 8wilding Code
cerrifying that at 1he time of isse~ance thrs srructure was in compliance wi~h the variaus
ordrnances of the City ~gulating building canstnictioa or use. For rhe following:
ux a~~rM.~: SF Bldg. Permit No. ~1291
Vn
co~~.
°c"'~"°`Y T'~P` '~~RD ~
A~
T~TTLE CANADA MN
Ownerof Building A~
~ L10, B2~ PINETREE FOREST
Building AdtLcss «ity
- _ ~ ~ \ ~ /
a~~og ar~
POST IN A CONSPICUOUS PLACE
~7
~
~ r -
~,~~.s
AdUress 4914 STCAMORE DR Zip 5512~
,
LAt 1~ $]k Z $Ub pINETREE FOREST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ~ ~ ( ~ g Yes No Inspector: ~ ~ ~
Final grade (6" from siding)
Pecmanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the rorooval of roof test caps from the plumbing system and the shutoff of water supply to
the oufside ~awu faucet before freeze potential exista.
Contact engineering division at 681-4645 before workiag in rightof-way or installing underground sprinkler system. ~
W6ite - City Copy Yellow - Resident Copy Pink - Convactor Copy
~4~~~~W~~~~*~~~k~~~
CITY ~C ~
CA~NIER: MG -~.~SINf~!_ NOe. 537
LF;~:Ec 12!?F~/3i T]:MEe i.3:2i.ei4
ICi a
NH`MF~ MA~iTE.fiF'IEC~ HOM~S INC
?2i6 `3f]01 4'314 SYCAi'fORE L.~ 4, 583. i 1
Tot~l fiecnipt, Ama~lnt: ~i ~-.°,89.'i
CFU850C)8
IJSFF SD: MARI._YNN
~kX~*~X~k~~k%cXc~~k~k ~k ~k ~~k ~k~k~k~K~k~X~k~t~X~ka~ %~~~~X ~X~%%~%~ X~ ~Xk~%c
PERMIT
CI'F~Y 0~ EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u z ~ o z N~
Eagan, Minnesota 55122-1897 Permit Number: 031291
(612) 681-4675 Date Issued: y, 2~ z~~ g ~
SITE ADDRESS:
4914 SYCAMORE DR
LOT: 1@ BIOCK: 2
PINETREE FOREST
P.I.N.: 10-57680-100-02
DESCRIPTION: p.
µ ~TT4 m
R i,L,dr.ne~'erm3t Type 5F DW~
~3ui3~ang ~e?~~ 7YPe NEW
UBC ~~Ctfp~~l~y'~ R-3 U-1
C01"Y~~hl.t~.~a.orJ~ `F~~p,
~e V-N
~ ~ ,Ztttt~~€g ~ R-1
~ ° ~u,~,~4~xr~r~ C~iit~~ e ~ 66
Bu ~ r~i~ ~Fi!d'~~i R: ~ 54 ,
' ' B~U~~tSi~~ "'~~~8~s 2
`~"~y"~~~`~' e~2 z, 4 2 4
Cert~s~'~~p"c7~£" 101 1- FAM. DETACH
~ ~
~ ~ a, ~~ar a~. ~ ~ :
~ S ~ ~SE ~E
aaa ~a~ ~
~m~
a. ~ ~
REMARKS:
S& W PLBR - C& N SEWER AND WATER
FEE SUMMARY:
VALUA7TON $167,000
Base Fee $L,222.25 MISCELLANEOUS $1,539.50
Plan Review $794.46 Total Fee $4,589.71
Swrcharge $83.50
SAC $950.00
SAC ~ 100
SAC Units 1 . ~ -
, Subtotal $3,0b0.21
r
CONTRACTOR: - Applicant - ST. ~IC OWNER:
MASTERPIEGE HOMES INC 14843244 0001435 MASTERPIECE HOMES TNC
127 E COUNTY ROAD C 127 COUNTY ROAD C EAST
LIT7LE CANADA MN 55117 LITTLE CANADA MN 55117
(612) 484-3244 (612)484-3244
i $ k
_=r E x° 5 _ 1 -.u $Y ~ k ~'R Y.- m~ 9
' ' ~ ' } vi°.
~ ~~ar~~.~~° ~~~r~ow~e-d~~~ ~n~~`.~ r~~~~~h~~ ~~r~~~~~~=~~,n.~~`~' ~'~~~~~v~~t~A~ ~
:~ti3`#~"~~;G~:=ttr~ zs aGsrr~ct a.~iYl a~~r~~ ~'~~S ~~zr€tr~S~~ hw~:t~x ~,~,~a~p~--~.~~~~;~ ~t~'t+~~t,
~ '.~t.~:~t`~iF~~~i~6` AF1~ ~P ~~~-~f~': ~7`~1'FC~dCilfl~kSE r "-x . ,~a,- t`4: ~ r seF # ~a ~
<i1E ~ ,r ~ e~i......G~~_'Fti.E._ i : ~ ~~```4~a,....a.~.,F~ xe«~c.~,~.....aw,.~a.~
z ~(tl~ri ~<a~f~ ~1~
. ICANTlPERMITEE SIGNATURE ~ S ED B: S
.
~
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~
cirr oF eacnN
3830 PILOT KNOB RD - 55122 ~ P~a ~ y~
681 ~675 ~
New Construdion Reauirements ggmodeVReoair Reaui2ments
? 3 registered site surveys ? 2 copies of plan
• 2 copies ot plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 sde surveys (exterior addNions 8 tlecks)
? 1 energy plculations • 1 energy plwlations for heated additions
? 3 copies of tree preservaHon plen 'rf lot O~attM after 7/1 /93
required: _Yes _ No '
DATE: 12/11/97 CONSTRUCTION COST: 138. 000
DESCRIPTION OF WORK: New construction- sinale familv
STREETADDRESS: 4914 Svcamore Drive
LOT 10 BLOCK 2 SUBD./P.I.D. Pinetree Forest
PROPERTY Nen'Ie: Masterpiece Homes, INc. PhO~@#:~84-3244
OWNER u..
StreetAddress: 12~ co xa c East
CI~: Little Canada State: MN Z~p: 55117
CONTRACTOR COmpa~y: Masterpiece Homes, Inc. PhO~@#:484-3244
Street Address: 12 ~ co xd c Eas t License o 0 o i 4 s s
CItY: Little Canada State: MN Z~p:55117
ARCHITECTI COrppa~Y: DACOTAH DESIGN Phone#: 464-3o2s
ENGINEER
Name: Dean steiner Registration#: Zo11386i
St~eBtAddfeSS:4729 252nd St N
Clty: Wyoming StBte: MN Z~p: 55092
Sewer & water licer~ed plumber (new construction only): C& N Sewe r& Water . Penalty applies when address change
and lot change are ~equested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is co an to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
( D
OPFICE USE ONLY I
Certificates of Survey Received ? Yes _ No D- . Z ~JQ7
Tree Preservation Plan Received ~ Yes _ No _ Not Required
,
, ,
OFFICE USE ONLY ~ ~ ~
BUILDING PERMIT TYPE ~ ~ R ~'K. ~ ~
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Misceilaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE '
1~ 31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. i~o I MC/WS System ~
(Allowable) Main level sq. ft. 3z City Water i
UBC Occupancy R_3• J_ i a~ sq. ft. ~Zn Fire Sprinkiered
Zoning i ~ sq. ft. '1~ 2. PRV
# of Stories 2 ~ sq, ft. Booster Pump
Length s~' sq. ft. Census Code. ic~~
Depth s~! ' Footprint sq. ft. ~2<I SAC Code r, i
Census Bldg
Census Unit i
APPROVALS
Pianning Building ~1M3 Engineering Variance
Permit Fee Valuation: $ i~~ ooo. ~
Surcharge 3"~ r
Plan Review 3~ x 50 ,~o
License zz. Ls,~ z YY. T
MCNUS SAC y x'ti _ Srr
City SAC is~- i,~oo.5' +tb
~ , 2 s, ~08. ^
Water Conn.
Water Meter 5"'"v'" ~"s
2.sK 8,s iLOO.S
Acct. Deposit z r. z S
S/W Permit ~u r
S/W Surcharge Z..a - 5--~
Treatment PL i c- 3 r. s~~ sN = 88, ro i,-
Road Unit 3v x zy
Park Ded. ' ?yv ~ s N = 3 8, g p o.~
Trails Ded. • -
Other
Copies - ' zz x 3~/ ~y ~
zxza K~
l,TOtal`:}~~~_i ~
~ ~qz ~ ~ _ ~z, ~ZZ.-
SAC
! SAC Units ` ~ ~ ~ Z ~ ~ •
r .
C~RT ~ Gwi~~ ~~r1~~ NORTN
. ~
~OR: M~48TERPIECE NOMEb °
Cf-Zl I~ ~ ~ L'JJ
BY ~ ~
DATE ~2'~7'97
, : BUILDING INSPECTIONS ~EPT.
i
~ i ~ Droinage and Utility Easement
~ I
~ ' ~ B~' - 30.5 - S89°4f'S2' W 136.50 7e•
~ X
--------------i
. r - -
~ ~
I ~ ~ I
! ~ (P ~ af o io 0 2s.o ~ I 10 0
, j ~ N ~ O ~ o Porch ' 14. ~ ~
I I ~N 1,p ~ I ON N A .36.~ g I ~
~ Sf ~ S p ' ~ ~ o o ' \ r.? . ~ O
~ ~ ' Cp .W~rISVC. f 4.0 ~ ~ ~ w
i ~ 0 ~ .Sv~r.SvC. 1 00 n f o ~ I ~
AcR o Proposed ~ N ~
~ 1 N I
i ~ m c~ I 22.4 House ~,o
c
d 80. ~a 30.5 ,nNi ~ m ~ ~ c~o
~ i .y~ x o ~ o Garage ~ x P~ ~ O
I IV ~ 10~ ~2.0 ~ o ~ ~ ~
~ n
I ~i ~ ~ ~ ~
! i c3 I 2 ~
'i C L__---- --J
I ~ 80. ~
' x
I I 8.~ 30.5 ~ 75.
~ 1 g4' B-8 ~ T ~ S89°41'S2"W 136~1~ ~ ti ~
~ ~ .
I I T~
G°' R/ ~ ',,.te_~ Z l6 -
J '~AG2eN EI~~u~:~Ri7.v is
?~~Fy`: -
PROPOSED ELEVATIONS:
GARAGE FLOOR = 983.3 ~ DENOTES WOOD HUB AT 11 FT. OFFSET.
TOP OF BLOCK = 983.7 05. DENOTES PROPOSED ELEVATION.
LOWEST FLOOR = 975.8 (12 Crs.) ~ DENOTES DIRECTION OF DRAINAGE.
DIAG. = 78.0 x 54.4 = 95.10
LOT 10, BLOCK 2, PINETREE FOREST, DAKOTA COUNTY, MINNESOTA.
Addson i wofer ,rprvicef ' road w widfb,~ ~2 ~S 9
Scale 1"=30' Drawn By.JER DiSC: Job No.:9]62ZHS
o Denotes Iron Set • Denotes Iron Found Bearings shown are on an assumed datum.
We hereby certify that this is o t~ue and currect representation of E. C~. RUD 0 8dN5, ~N~i
a survey of thE boundaries of the above :iescribed land and of the LANL7 SURI/~YOR.g
location of all buildings, if any, thereon, and all visible encroachments, 918(d LEXINCsTON AYE. NO.
if any, from or on said land. C~RGLE PINES, MINN~SOTA
Doted this ~da of ~S~71~*~ ,1997 BM eso c Lic. N. 3¢¢ 55fD14-3625 TFL. ~86-5556
I 1(1 R')
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• B LDING PERMIT APPLICATION
~ PROPERTY LEGAL: ~I~,
~
~T ~
~ ~ DATE OF SURVEY:
~ ~ ~ LATEST REVISION:
~ ~ ~ DOCUMENT STANDARDS
°z
? • Registered Land Surveyor signature and company
~ ? ? • Building Permit Applicant
? • Legal description
? ? • Address
~ ? ? • North arrow and scale
O • House type (rambler, walkout, spiit w/o, spl'd entry, lookout, etc.)
~ • Directlonal drainage arrows with slope/gradieM %
? • Proposed/e~dsting sewer and water services & invert elevation
~ ? • Sheet name
C~' ? ? • Driveway
ELEVATIONS
Existina
~ ? • Sewer service (or Proposed)
? ? • Properly corners
e~ ? ? • Top of curb at the driveway
? • Elevations of any e~asting adjacent homes
Prooosed
? • Garage floor
~O ? • First floor
? • Lowest exposed elevation (walkout/window)
? ? • Property corners
? • Front and rear of home at the foundation
PONDING AREA fif a~olicablel
? • Easement line
? O~ ~ • NWL
o ? • HWL
? ? • Pond # designation
? ~ ? • Emergency Overtlow Elevation
DIMENSIONS
e~ ? ? • Lot IinesJBearings 8 dimensions
0' ? ? • Right-of-way and street widih (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all struct~res requiring permanent footings)
lL~ ? ? • Show all easements of record and any Cily utili~es within those easements
? • Setbacks of proposed sVucture and sideyard seffiack of adJacer~t ebsting sVuctures
? ? • Retaining wall requirements ' ny
Reviewed: Z ~
me / at
January 1998
cw~rcsi eaeie~ocwenrr.~
I
, • 612 484 7723
12;~9 '97 11~25 ID~MASTERPfECE HOMES INC FAX:612-484-7723 PAGE 3
~ ~ 12i17i`if 1Dtr+9 bRGFlN MTCE FHC + 612 484 7727 ~J0,6Q10 P002/003
~ i.EC-le-l9°J^ p0+~~1 rROM E.G. IiUD 6 50r5 TO fi~iiAlE MQA6 P-0~ ,
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s ,o ~ ~ ~ r' C~ ~ ,,q,, ,c
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~ S88'If'SB"W ls6.60 I,
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GARAGE FL.QOR ~ 9DS.3 i DENOTES W000 HUB AT t] F7. OFFSET.
TOP Oi BLOCIC - 98J.7 ~ DENOTES PROPOSED EL£VAT10N.
LOWEST f'LO~R ~ 978.8 (12 Crp.) ~ DEN07ES AIRECTION ~ DRAINAOE.
-
DIAG. ~ 78.0 x 5a.? ~.95.10 f. T~wi a1~s- y-~7' '?i•?~_'wy,.
.~'eKt- h+f~~!1~lNR ~
y - -
l.OT 10, BLOCK 7, PINETFtEE POREST. DAK07A COUNTY. MINNES~TA.
Scoie t"~ 30' Drawn B. JER Oisr: Job No.: ~]BQ~~$
O ~enotes lron Sbt • psnotes lron Found 8eoringa shown pra on an ossumed dotum.
Wa hrr~by certify that thl9 ie a trus ond oorr~e! repr~~entotian o~ f, d. ~~Q {~1{~~ ~~1~
a aurvey of <n• boundGflsc Of tns a6ove deac~ibed land and ot th• ~(~Y~
IOCOtlO~ o~ olf bus~inqa. ~t ony, therson, YRG CII ViSibl• MCfQOChTMLY~ 91~ ~~~~7~ Oy~
~t any, irom or on sald fand. CII~G(.E PIW~S, MINIB~OTA
Ooted this ~ da o? i 97 ~~A es ta Lia. M. d ibmN?-9i76 TEL. 18i-8b6i
TOTF7l P.03
- ~ - - -
` - - . _
; Go NTR+~CCLO R,S ~oP
~ - - ~ .
. - - 612 484 7723
12;i9 '97 11~25 lD~MASTERPIECE HOMES INC FAX:612-484-7723 PAGE 2
, • 12%1'/ ~ 97 10: 25 EqGHry p11 CE FFiC -l 61'~ 4B4 7723 M7. 6610 Pt~B3/Op3
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_ : ,
CITY OF EAGAN
TREE PRESERVATION REQUIREMENTS
All appliccmts of approved Tree Preservatron Plans are responsible for the following:
• Required tree protection fencing sha11 be installed and inspected by the CYty Forester
prior to the beanning of grading and/or tree removal. Tree protection fencing shall
be in compliance with standazds set forth on the Tree Fencing Plate (attached).
• .411-tree protectdon measures shald remain in place until all grading and construction
activity is terminafed~ oi
until" a iequast is made and approved by the City Forestei.
• No=encroachmenC, grade change, construcfion activity, filling, compaction, trenching,
or storage of materials shall occur within the fenced iree protectiori area.
- - _
~ No change in soil chemistry due to concrete washout-and leakage or'spillage of toxic
materials _such as fuel-orpaint, shall occur within fenced tree protection azeas. ~
• Any oak trees pruned between April 15 and July 1 shall have cut areas sealed with an
appropriate non-toxic wound sealant nnmediately. Any oak trees wounded during tlus
same time period sball be properly pruned and sealed similarly.
MINNESOTA ENERGY CODE
1-2 Family Residential Building ~
RESIDENTIAL ~~COOKBOOK" WORKSHEET
Phone Date This building is a: Statemeut of Compilsnce:
ppplicant Name 1Te proposed building design icprcsented in
'1,~'r ? Category 2 Building (meets minimum code ~~y~t ~
. A/~ h n~., I~LFy f-~,#[,g ~~C ~ ~-t'pY~ ~ requiremenu for air righfiess and wind wash bazriers) building plans. speci6carions, and oUxr
~I~'1Y71 P'1~~ /
calculadons suhmitted with the.P~rtnit
Applicant Address ~ ? Category 1 Building (meets all Catcgory 2 a~~~~h~ ~e proposed building hsa been
~i requiremenu. hes additioaat air aghNess. end a d~~ ~~t of tAc
' Iy7 GQVN~ F~WIa 'G ResidentialMechanicalVmtilationSysum)
L ?'Nl.~• 's~"''S//'7 Code-
G!'~ ' ~
Building Address: ~ Plans. must be clearly marked with
- insulation R-values, window and door U-values,
~ and heating end cooling equipment efficiencia. ApplicanUEngineer .
MINIMUM.gEQUIREMENTS for "Cookbook" Option: ~m oist
Et~try Doors 1-3/4" solid wood w/ storm Ceiling with anergY truss R-38** j R-19
dooi or equivalent (7'/s" or more -top plate to
Maximum U-value: 0.30 roo~ Floor over unconditioned R-24
Foundation 1/2" Insulated Glass in wood or Ceiling with low heel tnzss R-44'•
I Windows'. vinyl frame (7%x" or less--top plate to roo~ space
*Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
I to determiue above grade Wmdow U-Value. *'Insulation Performance at Winter Design Conditions
! ~ _ 3oyy ~ ~/.o ^io wmmowu- uE: :3•
~ Window and Door Area 100 a
i As % of Esposed W~ Area Window/Door Ares Gross WsR Area R'indow
j or Area Source: NFRC or ASHRAE 1993 Handbook
~MUM WINDOW U VALUES ;
~keck : ~Aa~.x, T3(1'L 11~ie1J~T11'tUM ~'I~IIXI~tl!'lj' ~lND DQi'.k~t e1~A ~s ~F '~!~~'~S~A~,~./lREsi ,
j ~'~'~"J'P~; 12% 14°~'a,:.,3~°.Q 1'I~J~d Z8"~A .<2'l°I`o 24bI~a 3~~'/aV ;~28°!c 3~'!n _'3'~'~i& 3+i'~~ .I.
- ; < _
I ~3~! < ,
TYPE A 2x4 frauung, R-13 msulation, sheathwg R-7 or greater. 0.55 0.47 0.41 0.36 0.33 030 0.27 0.25 0.23 0.22 0.20 0.19
~ Z'ypg g 2x4 framing, R-15 insulatioq shesUung R-5 or greater. 0.52 0.45 039 035 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18
~ T'PPE C 2x6 framing, R-19 insulatioq sheathing less than R-5. 0.48 0.41 036 0.32 0.29 0.26 0.24 0.22 0.21 0.79 0.18 0.17
i T'yPE D 2x6 framing, R-19 insularion, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 . 0.28 0.26 0.24 0.22 021 0.20
T1'PE E 2x6 framing, R
21 insulation, sheathing less than R-5. 0.51 0.43 038 0.34 030 0.28 0.25 0.23 0.22 0.20 0.19 0.18
I Typg g 2x6 &ammg, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 032 0.29 0.27 0.25 0.23 0.22 0.21
I This table contains interpolaNons of the values in the Snergy Code, Part 7670.0475, Subp. 2.
This is a summary only. Otha requiremrnu may spp1Y• Sce the Minnesom Energy Code.
Questions? Call Department of Public Smice Information Center at 612/296-5175 or 1-800I657-3710.
~ ~
5/9/96
~ CITY USE ONLY
LOT 1~, BL oZ RECEIPT O'~ 9~j~
SUBD. ( ~
.,.1 ~ire ~ RECEIPT DATE: 9
1998 MECHANICAL PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PIIAT I4i0B RD
EAGAN I+II~1 55122
Date: ~ ~ (612) 681-4675
Complete tlris 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 Surchazge: .50
~ 3 ~ Sa
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not reauired for alterauon/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fiunace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Totsl: $ 20.50
SITE ADDRESS: ~ `~l ~ ~ ~ rk e +•x. 1J ~'L
OWNER NAME: I~ S i~'dZ P«,Gi ~J K-~'~ 5 PHONE `~I Z`~~
INSTALLER NAME: C~~~-~ ~t ~ N 6, LL ~ 2~ c~ PHONE ~ I~ y' z`~' ~ J
STREET ADDRESS: 1 y' v~F~ ~1 ~ K-c S+~'~-
CITY: ~ n STATE: ZIP: ~~~j O
SIGNATURE ITIEE
JS/FORMS BLD/IvIECH PERMIT (RES) - 1998
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. RECEIPT DATE:
1998 I~CBANICAI. PERMIT (CO2Q~RCIAL)
CITY OF EAGAN
3830 PILOT 1Q~IOB RD
EAGAN, !~i 55122
(612) 681-4675
Please complete for: all commerciaUindustrial buildings
muki-family buildings when separate permits are not required for each dwelling unR
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 $1,000 of rmit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IIvIPROVEMENTS ONLi~:
INSTALLER:
ADDRESS: PHONE
C~'~ STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
~ L ~O/ g~ CITYU3E~NLY RECEIPT#: ~O~7D°~
SUBD. ( 7"iMe ~ . RECEIPT DATE: '
/~/9~
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES ~ N2. TOTAL
Shower 3.00 x I = 3. "-a
Water Closet 3.00 x _ °"O
Bath Tub 3.00 x ~ = l? . e~
Lavatory 3.00 x _ • ~
Kitchen Sink 3.00 x f = z. an
Laundry Tray 3.00 x 1 = 3. o0
Hot TublSpa 3.00 x =
Water Heater ~~os) 3.00 x I = 3. ~
Floor Drain 3.00 x I = 3. e-o
Gas Piping Outlet • minimum - ~ 3.00 x _f_ = 3. ~
Rough Openings 1.50 x ~ _ (m. o0
- Water SOftener "for dwellings under construdion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under wnst. 3.00 =
U.G.Sprinkler 'Porexistingdwelling 20.00 =
Alterations ' to existing residence 20.OD =
Water Turn Around 20.D0 =
Private Disposal System ` Dak Cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ~ Abandonment 20.00 =
STATE SURCHARGE .50
0
TOTAL `5~ ~
I hereby acknowledge that I have read this epplication, state thet ttre infortnation is correU, and agree to comply wkh all applicable City
of Eegan ordinances. It is the applicaM's responsibility to notify the propeAy owner tbat the Ciry oT Eagan assumes no liability for any
dameges caused by the City during ks nortnal operetional end maintenance activiBeb to the facilkies construded under this permit wRhin
City property/right-of-wey/easement.
SITEADDRESS: ~~'MI'"~ ~~-~r~~~~D ~ ~YI I~ ~
OWNER NAME: 'r I~ ~ , ~S ,I
INSTALLERNAME: ~~IUY}~~I.~~YY1
~II~~~f'Vl TELEPHONE#:{~~'?i - ~i~~
STREETpA~DDRESS: «^~M ~
CITY: CXI~~~1Ui~ ~~~~1 STATE: m ZIP:
~r w
SIGNATURE OF PERMITTEE
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Use BLUE or BLACK Ink
I For Office Use^-~ 2
j Permit 1
City 01 Eli I Permit Fee: ) 00?
.
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received: ® I ) j
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: 1119 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION 11'A
Date: / Q ite
Address: S G4 .n-a Pl-, Unit
Name: ir®► dr / A / ~#O'-Phone:
RestdenU
Owner Address / City / Zip: ~yCf /hd/e
Applicant is: Owner ~<ontractor
Type of Work Description of work: i elx.,& f Construction Cost: o
Multi-Family Building: (Yes /No
Company: Contact: i~<Q i► / t0isfo/1
' 3y City: /126M-- T ,
Contractor Address: 12o
State: Zip: 'S V Phone: - J, : 7
6 lP~wy a-~4w o~
License#: 06 69 PS3'9 Lead Certificate JA T~"70_7 10-4 -303 -it, - 563(p
If the project is exempt from lead certification, please explain why: (see `Page 3 for additional information)
,n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan ased on a master plan?
Yes Akio If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and su ortin documents that ou submit are coness►dered_. ' be
pp g y to public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x'XFf,a 1 t'V elfdc~ - l ~~°~~il~1 L x
Applicant's Printed Name Applicant' gnature
Page 1 of 3
Lg lq Syceino Or',
I 113? 7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
_ Accessory Building
WORK TYPES f ft ()New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
`'*-/Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation O 7 Occupancy MCES System
Plan Review Code Edition o ~ SAC Units
on, it -
(25%_ 100%Zoning City Water
Census Code TT~~ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction I /I Width
V 1,/
REQUIRED INSPECTIONS
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
Surcharge
Plan Review `
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge O .C.0-0
Treatment Plant Owl
` ' ' l
Copies
TOTAL
Page 2 of 2
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157219
Date Issued:08/09/2019
Permit Category:ePermit
Site Address: 4914 Sycamore Dr
Lot:10 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bradley Tste T Forester
4914 Sycamore Dr
Eagan MN 55123
(612) 239-6444
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165686
Date Issued:11/13/2020
Permit Category:ePermit
Site Address: 4914 Sycamore Dr
Lot:10 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Bradley T Tste Forester
4914 Sycamore Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169919
Date Issued:06/15/2021
Permit Category:ePermit
Site Address: 4914 Sycamore Dr
Lot:10 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-100
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Bradley T Tste Forester
4914 Sycamore Dr
Eagan MN 55123
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature
• • t r
Structural Plates. Brackets and Devices
Skyline Joist Repair
415 Elm Ave SW ( Roanoke, VA 24016
540-345-2750 I www.JoistRepair.com
sales@joistrepair.com
I -Joist Web Hole Reinforcer Engineering
Certification for Plywood 1-Joist Products
*Date: 6/18/21 Building Permit #: EA169242 *order #: 2612 *Reinforcer:
*Customer: Brad Forester
*Address: 4914 Sycamore Drive
*City: Eagan *State: MN *Zip: 55123
Contractor:
Fox Creek Construction
Job Name: Forester Master Bath *Job Location: Eagan, MN
I -Joist
*I -Joist Mfr. Boise Cascade *Model: *Height: 12" *Joist Spacing: 16"
Please fill in the dimensions in the drawing below indicating the overall Joist length, height, hole or
notch dimensions and location, and distance to bearing points(in). Note: All fields are required.
14� I—
'Joist Length
-Notch Depth
Notch Width
*Joist Height:
!/%!/!%!/!%!%///!/!!!/11700
This is to certify that the Metwood Joist Reinforcer under appropriate Joist design
load conditions and installed according to instructions published by Metwood, Inc., will
assure the following load carrying capacities.
Live Load (psf): 40psf _-B *Dead Load (psf): 15psf __a
Signed
4 Digitally signed
by Jason M.
Conn, P.E.
Date: 2021.07.27
17:13:08-04'00'
I hereby certify that this plan, speck
fication, or report was prepared by
me or under my direct supervision
and that I a Fo
ensed Pro-
fession ginthe laws of
the a of Mi
JAS N M. CONN
DATE 7/27/21 REG. NO.46080
R VI D
By: `�
?Z-
Date:o 2 t
Eagan Building Inspections Division