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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      ñý    ìî  ÿ ÿþþý üðüúû     ùýýþþ ïúù  ÿ ìã  ë   ììã   ÿþ   þýüûúùö á  ø  ýûúù  ûúùö á  ÷öáíùô   ùâý  ø ý øãåýùú ä  þóý ë ôù çô òòô óý  ô ü ô é æ  ööù ÿæ æ ô   þ  ùéøæ æ ùæ  é ø üôè   óý üúö  æôúòô é  ëêãßêéé öù  þý ò  àýêãßêéïéï àýãÿé  õô  óò ùù íö Ûææ ú   ïøýúíø ïïþúô  í çñ÷ã ñ÷ãï ðìîì ò üúö ò òç ò ùù òòæ ô   ôùúöòùùüþ æñ þý øúæ å  é ùùá  ôþ ý  ýúþ ý  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 T.~~~Pl,~ ~.~Z 30 or • ~b a8 °9 a 5 0/0 /'64!.~e J 41b ZZ ~ ~ V'I a z9, ~ Z5- ~ • ~ m 2 : ~yr gqG V~~ ~ r f i9 lb o /S , ~ 30 ` P,~e. Z 30' ~ruz Sa~ 2O ' P~ 3 3 0` r~. q 30, s~e 19 ~ S ~ ~ t zo 30~ ,C ~-3oP«.e Sa.te 2,1 ~<< ~lzp~e s~e e~~ ar Lz y~hl~~le Sa~ z 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~,: Cu`F.a~~,~.,1 lb C~-~~~ Cb-Us (s.o aklz~J.) .545w,iL a t"e ut iet t _ 6y- t-eR ~aNw.--"J L b CaTticv~ (rV ~ a f~iw. P~c f t~az~.tL4k.., o-P rv\ L ~Lq 4~e,~ ( - ~ i 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 (VACIWT) BTOP ~M~pR~K , - a ' ~ ; , r7 7 , . _ y, 0.EY.-M-07 , ~ ? - --~b--?-~-~-=~~ -f'`. .~.r. I\Iry, -'11D7F: TVWpM VHCRS VAVN114FR VaWNYG 9W1 W. u, W.W QAOP05E4 4fWSE f~X&BCll1 wou, arcwie aoloivws sNaw AK toa wawzawru. AM VRncu. LocAna+ CF sinu¢n~as wi,r OU rIMMtcsnuft Parw5 vq1 OUNAW ?Hp LOWE37 fi,00R ELEYA710N: 7-)•(- T0mmTp14M00010116. roa oF eLoac ELEvaMON- -Z(014 - 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 NO1C M9 eRRIOaR PCF, NOi PYINCAT 70 5110y EASFLEp7C 07i1G! tNN1 Y OGGAO aX0= iX6ANG C.LuTIOIF 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