4929 Sycamore Dr*.
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: c 3.(
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: -i 9 9 sy es.. v .% o re- LDC` f V
Tenant:
Suite #:
RESIDENT / OWNER¢
Name: Y•C J 97o- 656 --5$s7
G C1tl"� � Phone:
/
� Of -Ax -
Address /City /Zip: / 5' 2 9 Sy c a. reuMe_
Applicant is: Owner X Contractor
TYPE OF WORK
��- � � -P-�1
S
Description of work: ) ,A�ov`T /421^�
,,
/17//
Construction Cost: / 7j// 3 75- Multi -Family Building: (Yes / No x )
CONTRACTOR
Name: xt (to, Zenv4,/44.4Ri^ per t,,, 1/54-s License#: ?U6 37306
Address: 7/O C. -v en mer u, Di•fvc_ K,./ / 5---t) City: ',..%(Nc114-7
State: P1 l' '5-
Zip: S—/? Phone: 65-7 -
2 - �5 0 <IContact:
/7v
4/f14 N g-1 U Email: a,a, Nt. 3 as'EXfer4..mr ;; easy,,,.
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE:: Plans and supporting documents that you submit are considered to be 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 they 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wit be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Xrn 5L 7
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 2
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1N SYEC'1'lUN 1ZEC;UKD
ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675 '
SITE ADDRESS: APPLICANT:
. , Ilir
PERIVIIT SUBTYPE: TYPE OF WORK:
INSPECTION .
; f1M k ~JI~
~'~~ffi,li I tJ ~
: w f, tum?lt ir, ,.a~k V 1 IibH1No PHi1Mf 0 t;H 4 4 ?4,a
F.it~~'~7?.it.:: r ~ _",pa1
. - . ' ~ : _ _ . -r. , . . . . .
~ ~
31:6 ~ PermR Holdsr Deta Tiisphone k
SEWER/
WATER
PLUMBI
HVAC r
Inspeclfon D nsp. Com"*mIr
FOOTINGS 0
FOUND
FRAMING
• ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBO
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRiGATION
METER
FLUSH
MAINS
coNnucnviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. ` - _ . . . . . .
CerttJiCQt¢ df CCC1tpQ1iCv
9" of G~agan
~}lepartraeat oF 8uitbing ~a~yection
This Certifecate issued pursuant to the requirements of the Uniform Building Code
tertifyixg rfeat at the time of issuance this structrere was in carnpliance with 1he various '
3
ordrnanres of fhe City negalatirsg 6uildiRg construction or use. For the followrng:
Use Clusificatan: SF DW Bldg. Portnit No. 3384fi
O-P-Y TYPe Zonin Disaici Ri Type Const. ~
~1ST~S GO WATE~R~tD Il~ Ws EA('aAN
Owner of Buildia~ q2q ~ MM p~~E ~r
i6ding Address l.oa~~
Dzteq~i- 28, + C
~
BtdwmgoMcW
POST IN A CONSPICUOUS PLACE _
- ~ i
• .
~
Address ,4029 str,,,nxE DRIVE Zip 5512 3
IAt 6 Blk 3 $ub PINETREE FOREST
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECITON.
Date: fiJ Ll 01 Yes No Inspedo :
Final grade (6" from siding) ~
. ~
~
Pecmanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please ver~'j' with ihe buildet the removal of roof test caps from the plumbing system and the shutoff of water supply m
the outside lawn faucet before freeze potential exisLS.
Contact engineering division at 681-4645 before working in righ[of-way or instalGng underground sprinkler system ~
Whice - City Copy Yellow - Resident Copy fink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION r~
CITY OF EAGAN o~
?)3830 PILOT KNOB RD - 55122
651-681-4675
NewConsWcllonReuuiremenb RemodeVRe airRe uire anb ~ ~-0 a-
• 3 registered sHe surveys showing sq. R. of lot, sq. fi. of hause; aM all roofed areas • 2 copies of plan •
(20% maximum lol coverage allowed) . 1 sel of Energy Calculatioiu for heated additions
• 2 copies of plan showiig beam & window saes; poured found design, etc.) • 7 sile survey for exterior additions 8 decks
• i set of Energy Calculatlons . Indicate if home served by septic system for additions
• 3 copies of Tree Preservatlon Plan if lot platled after 7/1193
• RimJoistDetailOplionsselectionsheet(bldgswith3orlessunits)
DATE VALUATION
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ? 'AyI"' G. &I~Oi2Sc
TYPE OF WORK ~(/Jff`t- FIREPLACE(S) _ O_ 1_ 2
APPUCANT WA4+vG G, t~~vesc PHONE# ~ 5(' "-5-
ADDRESS ZIPCODE
PAGER# CELLPHONE# FAX#
NEW 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 Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbirg Syslem Includes: _ Water SofLener Lawn Sprinkler P'ee: $90.00
_ Water Hea[er _ No. of R.I. Baths
No. of Bal}is
Mechanical Contractor: Phone #
Mechanical Syslem Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System [r-), Sewer/Water Contractor. Phone # ~
All above information must be submitted prior to processing of application. lgv
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Or 'nances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-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
? 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
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation 14~o Occupancy Ot'~ -_Uj, MC/ES System
Census Code li 7,l' Zoning City Water
SAC Units Stories Booster Pump
Nbr. af Units Sq. Ft. PRV
Nhr. of Bldgs Length Fire Sprinklered
Type of Const ItJ Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addirion) plumbing
_ Foundatioa IIVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final
~ Framing - Siding Stucco _ Stone
F'ueplace ~ R.I. Air Test Final Windows (new/replacement)
Insulation r ~~y Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review ~ ~ ~ ? v
MC/ES SAC ~
City SAC
Water Supply & Storage ic,
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Y~)Y 1.(X~YF ~c:;;M3<X~%RYF?k~X~:{;k~mad:~F?k'ntiY;~;~<yd>X'f,ok;~w',~:R<;;:;k>~<;~ck~;~
C:[TY ['lF EAGF*4
(:ASH:Cf::F::: S 1li:l"tMIhNAI._ NOr, 862
I!AtE: ii./02/538 T7:ME: 00905
ILi.
KIAML'-"s 14I1 ...1 ...:f.6tt? I-IUTit\11"R rOt45i'FI)CT:[;::)N
2256 9001 4729 SYCAM0RG' D 4yR76.46
~
. _..7
70t.]7. Fir.re7.[ii; r"rttini.!ilt^ 478i6.4$
CF.09_d0?8
USER :t;J: NFl\(:;Y
~C%K>K>'F.Yn>kM1,~~"i 9A?K'MYFYt%k:YFiY?X~~1F%n~;::,:~)n~k"
~
~ CITY OF EAGAN PERMIT
PERMIT TYPE:
38' 0 Pilot Knob Road B U I L D I N G
. Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 8 9 6
(651) 681-4675 Date Issued: 11 / 0 2/ 9 S
SITE ADDRESS:
4929 SYCAMORE DR
LOT: 6 BLOCK: 3
PTNETREE FOREST
P.I.N.: 10-57650-060-03
DESCRIPTION:
Budlding Rermit Type SF DWG
Building Woi~,k Type NEW
,t7'BC Occupency--, R-3,U-1
/ConstrucCion 7ype, VN
r Zoning - ~ R-1
Building Lenqth ' 71
~ Building WLdth j qg
. Building staries ~ 2
'5' +~0' re, Peet 2,153
CetT$U,q,C~O~-e-'"101 1- FAM. DETACH
1
r ±J~.
V
REMARKS:
PLAN REVIEWED BY WHYNE MiLLER.
S& W PLUMBER: STAR PLUMf3ING PHONG #884-4149.
FEE SUMMARY:
VALUATION $188,000
Base Fee $1,327.25 MISC. FEES 592.50
Plan Review $862.71 1"otal Fee $4.876.46
5urcharge $94.00
SAC $1,090.00
5AC % 100
SAC Units 1
Subtotal ~ $3,283.96
CONTRACTOR: - Apolicanr. - s-r. LrC. OWNER:
NUTTNER CONST WM 14523085 00001653 WILLTAM HUTTNER CONS7
960 f Wp1'ERFORD DR W 960 WATERFOR(7 DR W
EAGAN MN 55123 EAGAN MN 55123
(612`p 452-3685 (651)452-3085
I hereby acknowledge Chat I have read this appli.catian and state that the
information is correct and agree to comply with aJ.l appl,icable 5tate ofi Mn.
Statutes and City ofi Eagan Ordinances. J
~
-
APPLICANT/PERMITEE SIGNATURE SUED eY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ~ CITY OF EAGAN
9 / 3830 PII.OT KNOS RD - 55122 4 ~
. LO 681-4675
New ConsYruction Reauirements RemodeVReoair ReCUirements
? 3 registered site survays ? 2 copies of plan
? 2 coDies of plans (inGude beam 8 window sizes; poured tnd. design; a[c) ? 2 aite surveys (euterior addkions & tlecks)
? 7 energy calculations ? 7 energy wlculations for heated ad0itions
? 3 copies of tree pr servation plan i/ lot platted after 7/7/93
required: , Yes _ No
DATE: lD- u, ? 00~ CONSTRUCTION COST; ~452 06 U
DESCRIPTION OF WORK: SlGw"2_ ~~(I~
STREETADDRESS: z- CZI& oI'e l/e
LOT: ~ BLOCK: ~ SUBD./P.I.D. f d~ /eSl
Name: Phone
PROPERTY I~t Firs[
OWNER
Street Address:
City State: Zip:
/ ~-ISa-~ 30
~
Company:_ CC h~ ~S( Phone '
CONTRACTOR Street Address: ft%/ / O l~d _ r Z~'t /.~i „ /
License #
City Stare: Zip:
ARCHITECT/
ENGINEER Company: Phone 1!:
Name: RegisRation
Street Address:
City State: Zip:
Sewer & water licensed plumber (new conshuction only): ZIi . Penalty applies when address chang
and lot change is requested once permit is issued.
Is~ ~114
I hereby acknowledge that I have read this applicafion and state that the ininrtnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ~ -
QFFICE USE ONLY
Certificates of Survey Received ? Yes _ No LL i L o
Tree Preservation Plan Received ? Yes _ No _ Not Requir
~ .
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
15N~02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition 0 08 8-plex ? 13 Garage/Accessory O 20 Public Facility
O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
h 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) lv Basement sq. ft. MCNNS System ~
(Aliowable) V 0- Main level sq. ft. i 570,7~- City Water
UBC Occupancy =32 ji AAE-A sq, ft. /3 31,5 Fire Sprinklered
Zoning _R:L GfFR sq. ft. 83 PRV
# of Stories e9% sq. ft. Booster Pump
Length 7/ sq. ft. Census Code. oi
Depth 140 Footprint sq. ft. a 15 3 SAC Code bI
Census Bldg a/
Census Unit D!
APPROVALS
Planning Building IA-) 1)ri'1 Engineering Variance
Permit Fee 13a-'~ -as Valuation: $Doa
Surcharge f
$~a.-~ I 7SxIy = Sa~S,S
Plan Review 3
License Iy x 6 $y
MC/WS SAC 70 C>O.OU 60 X14 = 15y0 ~
City SAC I~-I5oZ,5- X/'~ = ol l 757, 5
Water Conn. Mq'^ ~
Water Meter
a3Xa= 6-7S
Acct. Deposit 7= i o,3
S/W Permit y~ z /6= ~y,).7
S/W Surcharge z11 H Sol O5
Treatment PI. 75 ~o, 7 ~ x 5y = g -/S 7$ 33
Park Ded. U~ EP, 15 a~ S c~
Trails Oed. S~ y~y f -
Other 3 d X'y = 33~
~ ayX a = 4,5
Copies a
rotal: -l 76 X b, ; a
)6- 7,3
°k SAC y y a% y,y
SAC Units I 33/.S X5 `1 z
G9-~~H y a6 - iti3 - 58:3 ~ = 9~dg
i~ X Ho~NNA /6
7L
' ee F6 re5
~r ~ • D w rc : l,U = ~~.7~7ac? ~ox s7`-
~
~e ronssrft
OAP
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30P~
/
2-5 /0" Asi h~~~c ~ees 2s
13 ao ` 6~rue- S~ ° ' 1,~
7359
15 30
40~dtVoFczagan
THOMAS EGAN
Mayor
PATRICIA AWADA
10 30 _C.~ BEA 8LOM6lUIST
~ SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
Ciy Adminutwtor
E. J. VAN OVERBEKE
yj City qerk
~0 2
l,)T 3lOCv- 3 K~E ^mur:77 ('0 P,~:ST
c~~~;~G~,:
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3501 COACFiMAN POINT
EqOAN, MINNESOTA 55122
PHONE: (612) 681-4300
FA%: (612) 687-4380 ~
. ~
TDD: (612) 454'8535
GREGG HOVE
MUNICIPAL CEMER Supervisor of Forestry !
THE LONE OAK TRE
3830 PILOT KNOB ROAD THE SVMBOL OF STRENGTH AND GROWI I
EAGAN. MINNESOTA 551 2 2-1 89 7 • Urban Forest Mana9ement PHONE: (612) 681-4600 • Woodland Preservation
FAX: (612) 681-4612 Equal Opportuni}y Em{ i
TDD: (612) 454-8535 city of eagan
~F_ ye - szz
- ENERGY CODE WORKSHEET FOR'1 & 2 FAMILY DWELLINGS
szxsnnaxsss L au~ai`2 r,u-e CxTSr
COMPLSTSD SY: h47( HONS # DATB
HVILDIDT6 CLASSIBICATIODT: aatsgo -1 (ataadard) or D aatago 2(muiC'inalude vantilatioa)
xrNn,rtnt CRIT$8IA . .
Fotundatioa Inaulation-R10 Walls fi Windows &ooE Attia.Iaaulatioa: (Sae tabla on reverae eide
81ab on Grada Insulation-R10 for allawable parcantagee) R44-Wi[h Attia No Heel
Floor over uaheated apacae-R24 R38-With Attic"Raiaed Heel
Foundation Windows 1/2• R38 & RS-Solid RaEtera
ineulated Glasa.
-Wood or Vin 1 Prame
STSP t Window i Door Asra STBP 3 Calaulate arss sa s paraaab oP w;ll
A. Total Window 4 Door Area in Sg. Paet - - WINDOWS (Includiag Fotuid/atioa Windowe)s
WS2iD0?P MANV8ACT0&8 NAMBs /~-t.dl.°olAL C. From Step 1 divide box A(Wixidow & Door
Area) by box 8(total wall area) Cimea 100
WaiDOW ~fANU8AC1VR8 T7Cp8: eZ~ equale the window and door area ae a
percent of wall area (box C).
WZtiDOW YANOHACTQ&8 II 8ACT08t
R. o. Quantity eq.ft.Area ta BoX A 5-1g X 100 . C. E/
Dimeneiona goX g ~bZO /f ~
z, X 3 NJ If/ f Z BTSP 3 Dosiya 8eature¦
~!7 X 3 '4 i A35EMBLY
2-'6 X 'O Lz? FRAMING TYPBi
Z. r0 X~'4, BTANDARD FRAMING --y-etuds 160 o.a. ~
z f7 X ' O ADVANCED FRAMING etuds 24• o.c.
Z'4~ X~p CAVITY ZNSULATION R I!
6 r~ X6'0 36 SHEATHIN6 TYPB i .
X "PJ LE33 THAN R-5
Z~(p X S'O I ZS R-5 > OR MORE
/
~O X U-FACTOR
DOORS: . Prom the table, (reverae sida) determine the
maximum perceat wittdow i door area for the
X deaign optione saleoted and enter the t valua
in Sox D below baeed on tha wiadow mPg. II-
J Eactor:
Z- x F7~1 a
Tota2 Area of aq.ft.
Windows & Doore
8. Total Wall Area in Sq. Ft. The t valua from the tabla in Sox D ehall be
equal to or graatar than tha ir in Sox Cf
Wall Total Height Area
Perimeter
S 300 ~
000
G zo
Invar Grova Helahlt
Total Area of Walla eq.ft 11
. •
ONE- & TVyp_ppr,QLY RESIDEN'CIAL pUIWIryG p~p.I.NE (COOK-DOOK)
APl'ROACE I
MAXIMUM WINDOW qND D0012 pRfiA AS A PERCENT OF OVERALL WALL
AREA
1
Cavit Exterior Wlndow U-Factor
Fremtn Insu{ation Sheathin 0.49 0.36 0.31 0.27
STANDARD g'R-13 7 13.49i I7.8% 21.3% 24.3°v
3 12.47e 164% 19.79'0 22.5%
STANDARD 5 R- 5 12.996 17.1% 20, (90 23,4"u
S7qNDARD 8-19 < IZ - 5 1219'e 16.096 18e°a
STANbARD 8_19 R- 5 14.096 18.69', 21.89~e 25.3~e
ADVANCED 8-19 < ft- 5 12,996 17.1Yo 20.190 23.i"/a
ADVAfVCED R-18-19 R- 5 14.5°/s 19,29'0 22.5% 26.1%
STANDARD R-21 < R. 5 12.8°/. 17.0% 19.9'Yo 23.1%
STANDAIID R-21 > R- 5 14.5% 14.3% 22.5% 26.1%
ADVANCEp IC-21 < R- 5 13.696 18.1% 21.24'0 24.6%
ADVANCED R-21 R- 5 15.09'e 19.9% 23.20/o 26.9%
A~dltlonal Salculat~d va(~e
11.9°0 18.79', 18.4°u 21.5°/n
STANDARD RDAE7ff
STANDARD 13.8% I8.4Yo 21.5% 25.09'0
ADVANCCD 16.8% 19.69'0 22,9%
ADVpNCED 14.39b 19.0% 22.29'e 25,7y, Notee:
Wlndow arca equals rough opening minue lnotailatian clcarances.
Window U-factor musl be determined by elther the National Fenestratlon Rating
Councii etandard 100-91, or ASHRAE 1993 Handbook o( Fundamentals, Chapler 27,
Table 5.
Post-IN FaM Nou 7e71 o.~. ~
M1 °a°q
?fan
CoJpWL CO.
• nnw ~ n
~ Y
'
4Li~ ~F . 2az2 E.~c~rp.~se 9rwe
• ,4 4 Mendoto Nelyhta, AfN 55120
(612) 68f-19f 4 FAXSM-94M
uw?tWUOd. wo.r.vc.w.sca
~h 625 Hlahwoy~tpl1.E,
Blalne, lAN 55434
(e12) 7a3-1880 FAX; 783--1883
Certiticate of Survey for: HUTTNER CONST.
BpENpCH YpARKg
(VACANT) ~~ELEY~961~87
14 ~ al t
~ N89141'52"f 136.50~
0
YI~' 98t.s 99t.0 981.7
~ lQ 40.33 30.00~ fl8f.1
'n _ss.._---- .
10 ~ 981.0 x g81.0 ---d ' ~4^ ( 10
~ " % i a
/
15 ~s~ 1ee0.7 Lli
~ iz.oo 30
r
~
~
gW ~
c S a(A
' Z 1013,5 - 979.2 ~ Sr~ 4 :979.9 ~ 10 N
79
L---
~
~ 9'7a2' 979.4 1 3444 , 960.8 ~'g S
i fila'ke s8s*ai's2"w 136.5o'%, 4mjt°'0 ~
1 l I
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wou, arcwie aoloivws sNaw AK toa wawzawru. AM VRncu. LocAna+
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IpH: NO Va[CJfIC StlL4 1NK571G7101i HA9 BEEM C.pYPLE7Ep pr 1M5 LOT BY 71E
9m?EaaR n+C 9niABWrr o? loita to wvpaer M Wfanc Maust CMAGE SLA9 ELEVAnpu:
PqvpM 6 N6! Lf gewadoY.t7Y OF' Li€ SYRtEYOR
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7?106E 9101N OR 'M71EiLOM RAl. ( WIi.90 ) OdmA4 PwovOlED FiDMODr
ODJDICS
Np;: WiAMC7IY1 YWST 110AY IXOtiEM71Y DESICN. OR~MACC AW YM~T' C~71EM
ODlD7L6 OAAMAG 1LW ONICf1011
M01L` MCAl1/i011 FWM AW 8A9C0 OM A11' ASSUNO OM7i7Y - ' 904TE9 1iOF1{AiC/tf
OFNDtiLS wXT IMIB
mE HEREBY CER7IFY TO FIUTTNER COtJSL THAT TMIS !S A TRiJE ANO CORRECI REi+kESFNTfi7iG01 CF A
SuRYEY OF 1HE 90UNOARiES OF.
LoT d, 8LL't'•S4 S. QSNE33tE€ F0REST
DAK07A t"iY. NItiHE50TA
IT DOES N07 PURPORT TO SHC(11t 1uPirOVE}iE16SS OR EMGxROACHUEA+tS. Ex:CEPt nS SKOWN. AS 5URVEYED B7 ME 0t
UNDER YY DlpECr SUPERV15fOH THIS STH OAY OF OCT08ER, 1948.
P(ONEFR ENdN!PAqYC P./{.
SCALE : 1 INCH w ~ fEET y ~ s ~:(J/YJ'J~ZQ„ ~ t '
~ as
10 'd uH n7-tn t~aaf_on_.nn
. ' LOT SURVEY CHECKLIST FOR RESIDENTIAL
• BU ING PERMITAPPLICATION
3
• IEGAL: -x-~
PROPERTY
DATE OF SURVEY:
-9 LATEST REVISION:
IJ t; DOCUMENT STANDARDS
a ~
~ ? • Registered Land Surveyor signature and company
[g~ ? ? • Building PermitAppiicant .
0r"~o ? • Legai description
1. ? • Address
13~/o O • North arrow and scale
I~/~ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? • Directional drainage arrows with slopelgradient %
[T-'o ? • Proposed/ebsting sewer and water services & invert elevation
e'O ? • Street name
)2--0 ? • Driveway
ELEVATIONS
Existina
,n O ? • Sewer service (or Proposed)
,Er, ? ? • Properly corners
tT~ ? ? • Top of curb at the driveway
~3- ? ? • Elevations of any existing adjacent homes
ro ose
? ? • Garage floor
0- ? ? • Frst floor ,
p~ ? ? • Lowest exposed eleyation (walkoWwindow)
cj'o ? • Property corners
t' ? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? ? • Easement Iine
? ~t ? • NWL
? ,0' ? • HWL
? ~ ? • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
p ? ? • Lot IinesBearings 8 dimensions
p--' ? ? • Right-of-way and street width (to back of curb)
cr, O ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
? • Show ali easements of record and any City utilitles within those easements
p~ ? ? • Setbacks of praposed sVucture and sideyard setback of adjacent epsting structures
O 0 ? • Retaining wali requirements,' nY
Reviewed:
e ~ ate
m '
C",~
CITY USE ONLY
L T(.~ BL ~ RECEIPT ~~xo~o
SUBD. RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT IINOH RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single famiiy dwellings
? townhomes and candos when pertnits are required for each unit
? backflow preventer for underground spriakier system
-
FIXTURES EACH # TOTAL
Shower 3.00 x 3•00
Water Closet 3.00 x .ao
Bath Tubi 3.00 x 2. = 6-00
Lavatory 3.00 x .S = 5.'
Kitchen Sink 3.00 x i = N192
Laundry Tray 3.00 x I = ~
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x / = 3•00
Gas Piping Outlet " minimum - 1 3.00 x
Rough Openings 1.50 x 3
Water Softener ` tor dwellings under construcBon 5.00 x =
Water Softener " for existing Uwelling 20.00 x =
U.G.Sprinkler "tordwellingunderconst. 3.00 =
U.G. Sprinkler ' forexisting dwelling 20.00 =
AIter2ti0nS ' to existing residence 20.00 =
WaterTurn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL ~.QD
- ' ' "
1 t~reby acknowladge that I heve read this application, state thet the irrfarmstion is correct, and agree to comply with ail appiicable City of Eagsn ordinances.
R is the apptiwnfs responsibility to notify the property owner that the City of Eagan assumes no fiability Sor any damages qused by the City tluring its
nortnal. operetional and maintenance adivfties ta the tacilities construded under this pertnit within City propertylright-of-wayleasement.
SITE ADDRESS: -1929 44Ca~ 4uy-p
OWNERNAME: IJfe-r~
INSTALLERNAME: ~r~~~•~~ ~¢~K~LaJ~~z.c TELEPHONE11~a3-'9730
STREETADDRESS: ~LAW &44-c11-~2tQ. a.14-
CITY: 101" STATE: ZIP: S.SaGB
OD"Y77"~ ,.n,o~
~
SIGNATURE OF PERMITTEE
JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
X CITY USE OFLY
v
LOT LP BL 13 RECEIPT ~Oo~L C/ 7`-~
SliBD.~~~ ~ RECEIPT DATE:
1999 MECHAvicAL PERMrr (REsinErrr[Aw
crrY of £nsAv
SSSO fILOT KNOB RD
fr4fiAN MN 5518E
vate: 2- d I~`1 (651) 681-4675
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 @ 53.00 ea.) 2 G- Dd
• State Surcharge: .50
• TOTAL: 6. r~
Complete this section onlv if you are remodeling, adding to, or repairing exis[ing single family dwellings,
townhomes, 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
Renrrnder: Ca11681-4675 for inspections. $ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: ~r I91 9 5 1 i GA ?v% 4 Ry- DA -
ONVNERNAME:_ 1-lur7NlIL- NOAZS ,LA~1- PHONE#:
I\'STALLERNA?vfE: Cj 20)CXS NT9 d' ro j/L C ol'O• zl-.r, PHONE 4/ 23' 3 SUZ
STREET ADDRESS: 3 2.$J,7 /31s r
CITY: 'C Q,S-2 7~ D UNT STATE: ~N• ZIP:
a
i ATU F P ITTEE
JS. P02%15 BLDAIECH PERM17 (RES) - 1999
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 MEcNANICAL P£RMIT (cOMMERCIAL)
CITY OF E4fikN
3$30 P[LOT KNOB RD
EAsAllv, muv 55 122
(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: I% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERIMIT FEE
STATE SURCHARGE ($.50 per $1,000 of Bemrit fee due on all permiu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANr NAME (IMPROVEMENTS ONLY):
INSTALLERi
ADDRESS: PHONE .
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
41~ city oF eagan
FATRICIA E. AWADA
October 26, 1999 Mavor
PAULBAKKEN
BEA BLOMQUIST
PEGGY A. CARLSON
RO al Oaks Realt , IIIC. SANDRA A. MASIN
y Y Council Members
4196 Lexington Ave.
Shoreview MN, 55126 rHOnnas HEO~Es
City Adminisirator
_ E. J. VAN OVERBEKE
Ciry Clerk
RE: Pinetree Forest-Erosion Control Concems
4929, 4936 Pine Lane & 4938, 4882 Sycamore Dr.
!0 57G~>`A O~a o3
The attached letter was written and mailed out to general contractors on April 15, 1999, and has
been distributed with building permit applications since that time. The aforementioned pernut was
issued in your name. A Ciry staff person has observed the site where the pernvtted work is taking
place and has found deficiencies in the erosion control efforts.
The City Code clearly states the suthority of City staff in enforcing the removal of siltation, dirt, clay,
or soil (SII,'1) upon any street within the City (Section 7.05, Subdivision 5.1 of the Eagan City Code).
The following erosion control efforts should be taken immediately:
1. Removal of all SILT upon the street and walkways adjacent to said property.
2. Installation and maintenance of approved silt fence at curb & property lines.
You have 48 hours to bring this site into compliance with this section of the City Code. Upon your
failure to bring this site into compGance in said time, the City's enforcement actions will be as follows:.
1. Order street sweeping/cleaning activity 48 hours after initial faaed/mailed request
2. Charge/mail sweeping/cleaning invoice to development contract obligee or permit holder.
3. No further Letter of Escrow Credit reductions will be grnnted.
4. Place hald on Certificate of Occupancy until compliance and payment of invoice(s).
We appreciate your cooperation with our erosion control efforts. Please call us with any questions.
Sincerely, Cc: Russ Matthys, City Engineer
Doug Reid, Ctuef Building Official
Engineering Section Dale Schoeppner, Assistant Building Oflicial
Department ofPublic Works Stan Lexvold, Constniction Supervisor
City of Eagan
MUNICIPAL CENTER iHE LONE OAK 7REE MAINTfNANCE FACYLitt
3830 PILOi KNOB ROa.D iHE SVM80L OF STRENGTH AND GRON/TH IPJ OUR COMMUNITY 3501 COACHMAN POiNi
EAGAN, MINNESOTA 55122-1897 EAGAN. MINNESOTA 55722
PHONE'. (651) 601-4600 PHONE: (651)681-4300
FAX: (651) 661-4612 Equal Opportunity Employer FAx: (651) 681-4360
TDD'. (651) 454-8535 TDD: (651) 454-8535
. .
C. i:TV".`1....' M1 n,~
v r ? J ~ ~ rlt' !I X1 ir.
~.Ln.i.. ..41i. C.
~.1{..!. f:lC.. . '..I-1 ...IiIC ,
A
~ ~ _
.f 1'/ . . . . . ~ _
.p.~r .
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN
3830 PILOT KNOB RD • 55122 ~
651-681-4675
New ConstrucNon ReaulremeMs Remodei/Reoair ReauUements
? 3 reg{sfered sRe surveys showing sq. fl. of lot, sq. R. of house 2 copies ol ptan
and alI roofed areas (20% maximum lof eoveraae allowed) t set of energy calculallons for heWed addHions
? 2 coples of plans (show beam 3 wlndow slzes; poured fnd. design; etc.) 7 fBe survey for exterlor addiNons i decks
? 1 sei W energy calculaflona
? 3 coples of hee presenaffon plan N lot plalted alfer 7/1/93
DATE: '-1-(.(+JE ( S, 199'2 CONSTRUCTIONCOST: P Z~3a0~~
DESCRIPTION OF WORK: A"{PAtA~VJ 'N M y 4-Iju " C
STREET ADDRESS: 4qi'ct S`'~ ~RM o~C'r Uive dPkN SS( l.3
LOT: ~ BLOCK: ~ SUBD./P.I.D. `
Name: AOf'Sc' il/wAN N c Phone (051- YZ3' S5 a°S
PROPERTY Lao FUn
OWNER /1
Street Address: ~f `1~ ~9 S`1c '4 Mv CE jJA `vG
City CA6-Aa state: 0'1 Oj Zip: SSI Z3
N( A- Owa~~2 w~~~ y~r ~Ia~ti G- c~,r~rM.kc~a~1
Company: Phone
(area eode)
CONTRACTOR
Sheet Address: License # Exp.
Cify State: Zip:
ARCHITECT/ rk-
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration k:
CNy State: Zip:
Sewer 8 wafer Ilcensed plumber (reaulred for new conshuction oniv
PenaNy applies when address change and lot change is requested once permN fs Issued.
I hereby acknowledge that I have read this applicatlon, state fhal the Informafi n Is correct, and agree fo compty wRh all applicabl
-"~ate of Minnesota Statutes and Clty of Eagan Ordinances.
Slgnafure of Applicant: '
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No V
1 ,~M 51999
Tree Preservation Plan Received _ Yes _ No _ Not Required
i
_ i
OFFICE USE ONLY
;
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ?'.7 Garage ? 22 Porch/Addn. (4sea.
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex 1 S Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging 13 20 Pool ? 25 Miscellaneous
WORK TYPE
Ml 31 New 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code 4i F
(Allowable) Main level sq. ft. SAC Code 'e)_
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded. '
Trails Ded. "
Other j
Copies
Total:
SAC Units
% SAC
1
`4E fA 2a22 G^.cdr4.;.~ p.v.!
' f' T# Mendotv He'rghta, .MfV 55120
~ jani (812) 881-1914 FiUC SDi-9lde
0119QQ B urm vtuacWs• iwlo~"urcHTtcrs 625 ul1phwa !~.c
~
~ .
Slaint, l.iN ~543a
~ 1(012) 783-18M FqX:78.1883
Certifiicate of Survey for: HUTTNER CONST.
i
BENCH unft
7 .7pp OF PIPE
(VACANT) ~ E1..EV.-98}.87
i
14 N1809`41152"£ ` ~ ~
~ n n 1 ~ i 1
481.5 9bt.0 40.33 ~ 30.04 981.1 981.7 I
r--- 987.a 98f.7 _i-
10 z -I ~
( r987.0 34 33~ t » ~
1 ] I
I!'a ~r
y I ~ON ~~I l~ LU r
580. 7°KvA OC ~
30
C) i
~ r 71 ' ` ~ r3 ~ p73
~ ~ ~w q Q~ ~ Q I
oa y ZW ~ < <.9 IL-
~ ~ 10 !
z
979.2 S.~ 979.4 3 ~O 979. i 9 ~
~
~"1 ~~?8.2 ~ ` 979.4 40,33 3R.w+ J 990.8 0 0.5
f~ C~ q~1
w1 J ~9&4` l,~L~~y 4Q
1
?
5 `
BENCH MARK
(VACANT) % TOP OF P1PE
5 c~Ev =9~1-0~
~eo-:~, ~cr~v vnrmss ~n 4~ a0..~p~.c aua es, ce. Quu sat+PC+ ~ an .
aoic: au~ov~c oiucr.s~ows sHOwu nRE FOG M(NtVONTAL um oEancal LOanaN i0WE5T FLGOR ELEVAT:CN: q77.(~
OF 8TR{JCiW[7 P4Y- SEE MC+YIECiWL PI.hNS FOP 81lM9*4 MiD
?7~N~h?!VA 5Y!M011DCK'6. TOP QF 9100( ELFL7A7i{7N' -4-.y~9-
Ai3iE NO SnCzFiC SMS 4`ittS74A770N .4A.4 °..UN COkRE7E0 ON T"S LOT Hy mE GARAGE SLAO EL£VA770N: b
SUR1~E1'Rt. TME 9117AWUiY 0? SOtts ro wrPO~tt rne s'EMC wousc
pqpOp= IS NOi ME AE92ONS8M17TY OF THE SURIEYO1- .
NOIl: 1M5 CIXiRVA7[ POE'1 Mdf PUNPORT iD A~ EASDIENTS'i Ofi1Q! 1"M! Y 000.06 afA107E5 E%i571NG F1EVAT10N
( 9CR~OQ
Tiie 9WYN u.L ".rE 'L'.r4`w..^ : J17.
OFH07F5 ORAOiACE ANO UMi77 EA9E7iETt7
MDW: c9nmac*OA wsi vEasr MnvEWAr OE4GN. OEfwTiS 0RAMAGE rwv oa1FCTCN
T
N07E: R'AMwC9 3NONN ARE BA9E0 aN Mi ASUMCD DATUM oEW1ES MOW-WWa
molm WMT M1B
ovE HEREBY CER7IFY TC HUTTwER COHST. TriAT TNI$ IS A tT<UE i+tdD GQRRECi REM'Ex''ArDld
~ SuRVEY Cf fHE 8(3uNCAR3£S Q%:
LL-i 6. 8tu'vv:'K pl~EWEE: F(1f~F~7
nacos~ LruNrr, AlShNESOTA
IT DDES NO7 PURPOR7 TO SY+o,W iA:AicCl~~'~~''v'S J~ =K~xRng,C"wEHT~. EXCEPT aS Sl40MP1. AS SURVE7ED BY INE On
uNOER Ml' U1REC? SUPERVIS1104 naig 57}A. pqy pF OCTOBER, 1948.
YPIQNEER ENCINFrEIlING~ P.A.
~ SCALE : 1 INCH ~ 30 FEET ~
Tichn ~wwn~ I..s. tleg. iio. i
$pp 71rfv~.v3 ~ -
,n
PERMIT p 6~7 RECEIPT DATE: 5b5L>
2002 liESIDENTiAL PLUbiBIN6 PEft,6111C APPLICATlO1V
CIN OF Ek6."
3$30 PILOT KNOB RD
f AfiRN, MN 55182
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
6ackflow preventer for irrigation system
SITEADDRESS: hI9.'Lq ~Ax ~Q
OWNERNAME:: Ar1J21A7L~ 7YlAy~+o TELEPHONE#: (oS'/ 'SAQ- 01165'
(AREA CODE)
INSTALLER NAME: x TELEPHONE _657 ";W- 3'1Z0
(AP.EA CODE)
STREETADDRESS: /!~~3/~ au.b~~iltvl - 1I~• h
,
CITY: / ~ ~ STATE: ZIP: S5'068'
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
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
qL"C)
1/4
Adding fxtures to lower levels or roo 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: newinstallation/repaidrebuild 30.00
,
_ lawn irrigation system
Iev 'U-
_
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
Total $ 5O- 6Z
I hereby acknowiedge that I have read this application, statethat the information is conect, and agree to complywith all applicabie Ciryof Eagan ordinances. It
is the applicanYs responsibildyto notify the property owner that the Cityof Eagan assumes no liability for any damages caused by the Cityduring its normal
operational and maintenance activities to the Bcilities constructed under this permit in Citypro erty/r -o - y/easement.
SIGNA l1RE OF PERMITf E 1102
4111/
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
L
Use BLUE or BLACK Ink
For Office Use
J
Permit #: (31176
Permit Fee:
Date Received:
Staff:
Z-Z'ar12
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 4-Mrg C) GAvv+ a,z(._
Tenant: Suite #:
Name: e. -(TC
Address / City / Zip: JA -N vA -.
Phone: q Sa - a3& - 7 e'
Name: {C (o ph ' w 5,:. y j s. License #: fob "1i 1444
Address: t t (o 6 Peel- Or.&- City: 3. -,)kr -"it)
State: VLkt Zip: ''531_3 Phone: (otZ- L45Z-' i(
Contact: ?r'e%- 3C31ns"s r-�
Email: W.e.‘,ptor",giivG.t.,,c-e.'bbV
New }C Replacement Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of /work: e.,-;90-(--4- ANs ?R2 6.1•4-'14-
RESIDENTIAL
.INk -
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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.
x jL JoHNA.--%
Applicant's Printed Name
Applican 's Signature
IIP
41,11 City of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
\ 4101
r
Use BLUE or BLACK Ink
For Office Use
/oT/O3
Permit #:
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
`` Site Address: � ' 0°1 L J +� ` Unit #:
Name:
--ePc NI-cil5.5k cleer
Address / City / Zip:
Iv I
Phone: C? B6- 7°1
Applicant is: Owner ( Contractor
Description of work: j3 4 r`(1' S k /72e14^1—et 4-11 � T
i
Construction Cost: �5 k--
Company:
Address:
Multi -Family Building: (Yes / No
1((4 ��� �5 w°
Contact: - A ANL_
State: Zip:
City: VIALA� -t--(;(d w---_
4.--9r? Phone: lX f)- DCd- 761‘)—
License
(I
License #: b `-f t"® 9-`)- Lead Certificate #: 'U' X17ser g
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/.,/ 9 9
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 based on a master plan?
Yes
No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. CaII 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance 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 Stat- Building Code u be completed within 180
days of permit issuance.
Applicant's Printed Name
x
Sycormo--- tY
DO NOT WRITE BELOW THIS LINE
/-3-T3-11Plo
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% 4
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
,13eVe
/ 3 4/
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
4 Fireplace: Rough In „)e Air Test
L Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
35'3
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
<1'��-2
,Zcr?
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test
Other:
Pool: _Footings
Siding: _Stucco
Windows
Retaining Wall: _
Radon Control
Erosion Control
, Building Inspector
Gas Line Air Test
Air/Gas Tests Final
Lath Stone Lath Brick
Footings Backfill _ Final
Page 2 of 3
Use BWE or BLACK Ink
�-- ----,
� For Office Use � 5 �� �
• (''� � LD j
} ���tt ������� ����'`+�`+ � Permit#:
� �
a '
� Permit Fee: �-�%' I
; 3830 Pilot Knob Road � I
Eagan MN 55122 ��N 1 �. 1014 � I
' Phone:(651)675-5675 � Date Received: �
• Fax:(651)675-5694 � I
� Staff: �
' •., �����������������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 5/30/14 SiteAddress: 4929 Sycamore Drive, Eagan, MN 55123
Tenant: Suite#: I
i
�
_ReSid��tifQWt1�P � Name: Jeff Eckerie Phone: 952-236-7629 ��I
Address/City/Zip: Same i
; Name: K&S Heating, Air Conditioning & Plbg LLC�.icense#: MB5216
, ���t�,��,���, Address: 4205 Hw,y 14 W c�ty: Rochester
State: MN zip: 55901 Phone: 507-282-4328
contact: Heidi Brown Ema;i: hbrown@ksheating.com
' " New XX Replacement Additional Alteration Demolition
,�
���Ty�e�f W�t`k "� Description of work:
NUTE iRoof,m�unted aail'-`gro�rttl m�untec�'mec�a�riceixe�uipment is�quired fci`6e screenec�by�ity '
- CoiJe,�P[ease cant���the Me�f�an�c�f Ins���torfor iri�orm�tiart i�n permit�ed scre�ning rr►�t�ods'.
RES/DENTIAL COMMERC/AL
Fumace New Construction _Interior Improvement
' p�ftlllt T�/�� XX Air Conditioner _Install Piping _Processed
Air Exchanger Gas Exterior HVAC Unit
- _Heat Pump Under/Above ground Tank (_Install/_Remove)
Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"
""If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
***If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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.
X Rick Keehn X /,Q�j,� �
ApplicanYs Printed Name ApplicanYs Signature
�Oft CiFFI�E�'US� =
Fiequired Inspect�ans: Rerriewetl-By: [#�ates
i Und�;rgrour�d ° ,, t��ugh in �tir T�:st : Gas S�rvice Tesfi : ln-flaor``Flea��;_ ; �i�al j ��IAC�SC�eerting ',
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146470
Date Issued:10/26/2017
Permit Category:ePermit
Site Address: 4929 Sycamore Dr
Lot:6 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Jeffrey D Eckerle
4929 Sycamore Dr
Eagan MN 55123--491
(651) 208-1887
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159622
Date Issued:01/06/2020
Permit Category:ePermit
Site Address: 4929 Sycamore Dr
Lot:6 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-060
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 -
Jeffrey D Eckerle
4929 Sycamore Dr
Eagan MN 55123--491
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:Mechanical
Permit Number:EA168892
Date Issued:05/07/2021
Permit Category:ePermit
Site Address: 4929 Sycamore Dr
Lot:6 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Jeffrey D Melissa K Eckerle
4929 Sycamore Dr
Eagan MN 55123--491
(952) 236-7629
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature