4945 Sycamore Dr ~ 1N~Y~~ 1'1ON il~~:Ul2l~
-I;~TY OF EAGAN PERMIT TYPE: , ~
3830 Pilot Knob Road Permit Number: , t.;-• 1~ rs
Eagan, Minnesota 55122-1897 Dat~ Issued:
(612) 681-4675
. ;-~y, . . . . ~ 3 .1-~}-~~~ . a'
SITE ADDRESS: . ~P~LICA'Nl`: `
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PERIIAIT SUBTYPE: TYPE OF VIfORK:
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Permit Holder Date Telephone # j
PLUMBING ~'aCI P 1
HVAC , 8~ p ~i
~ ' . 7 d
Inspection - Date Insp. Comments i
FOOTINGS 7~ ~ ,
FOUND I
FAAMING -
ROOFING ~~~~p ,//Q
p (µr
PL~UMBING l~"/~ ~ ~ ~ +
p~sG If
AIR TEST
ROUGH ~f ~ Z ~
HEATING Y ST FL 0 ~
GASSVC ~ ~ ~~y$ ~t /~d~JH~~ P
TEST (
INSUL p~ ! ~Q~
GYP BOARD
FIREPLACE tB~,'/~~ ~
-r
FIREPLACE (~p~
A4R TEST 'o~(~~
FINAL PLBG J7, 'lQ/~3~p6. ~ ~ n /I / _ _
kt7 e..rl~Q~X~.
FINAL HTG ~ ~
ORSAT "
TEST
BLDG FINAL ~ ~ , J _
l~ . _ G(d~J f4drn-
DOMESTiC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
~ECK FTG
DECK FfNAt
~ _ _
; 4j ~e i,
~ `
~ ' '
• ~ . y
" ~e~ti~icate o~ ~ccu~anc~ ~
~~t~ o~ c~a~~
~9c~rartmcut oi ~4uilbing ~~c~pectian
This Certifrcate issued pursuant to the requirements of the Uniform Buildrng Cade
certifying that at the time of issuance this structure was in compliance with the various
or~irsances of the City ~gulating buildiirg corssiructioR or use. For !he jollowing:
SF DWG 32532
use aasslfiotia,: sldg. Pe.mit Wo.
Tra R-3 U- 1 Za,;,eg oisvu, R-1 Type ca,s,. Vn
~,,~,~~,,;~d;,,~ VENTURA HOMES nem~ 5200 W1LD ;;ANYON DR. _ WOODBUR'i MN
~~~~g~ 4945 St„AMORE DR ~~~iy L4 B3 P1N REE FO T
' ( t Q
~ ~ / ' DiIC
~4~111( ~RICIa~ / ~ .
POST IN A CONSPICUOUS PLACE
~
. ~
~
1
~
.4ddress- aaas sYr.aMOUF nu Zip 5512_~
Lot 4 Blk 3 SUb PINETREE FO%EST
THESE TI'EMS WERE / RE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECTION.
Date: ~ r/ Yes No Inspector: ~
Final grade (6" from siding)
Peimanent steps (gatage)
Permanent steps (main entry)
Permanent driveway l~
Permanent gas ~
Sod/Seeded gtass ?
TraiUcurb damage
Porch
Basement £nish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shubo$' of water supply to
the ouCSide lawn faocet before freeze potential exists.
Contad engineering division at 681-0645 before working in rightof-way or instalGng undetground sptinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Conuactor CoPY
a' ;
4
' i='
. . M~~*M~ ~1k~(i 7k~~F1~~~ ~M~Ci 7~7~XC~*~*~~~7~C ~M**7a~YF~
CITY OF .F..AGAN
- .;:h:
' ir:.
IFR: 3 TERMINAL N0: 781
`~D~Y ~ Or/24/98 TIHF: 14.,°.~8:24
,:I1~~
VENTUFA HOMES TNC
3Q01 4945 SYCAMOkE A 4~43Ei.96
,
S
. ;
,
~
, s~
M~
al k~ceipt Art~rnlnt; 4~438.96
;a2 71
' II1: NANCY
~ %~Xc%~X~~kX~X~~kX~~X~XX~X~~c~%~~%X~X~~k~%#X~~%##~k~k%c~k~~~X~k
~
PERMIT
' CfiTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: ~~~~p~~Ne
Eagan, Minnesota 55122-1897 Permit Number: 0 2 4~ 9$
(612)681-4675 Datelssued:
SITE ADDRESS:
4945 SYCAMORE DR
LOT: 4 BLOCK: 3
PINETREE FOREST
P.T.N.: 10-57650-040-03
DESCRIPTION:
INCLUDES LL BATH
B-uil~l~'ng Permit T,ype SF DWG
~ui~ding 4kork Type NEW
lUBC Oecupancy~~ R-3/U-1
~ Construction Ty,pe V-N
f"~s Zoni;~g ~ R-~
' Building Length 66
Building Width 34
Bualding'~tories - 2
!.,ci :S`~C~aare Fe~"t 1,822
Ce_n5~ts, Co¢s ~ 101 1- FAM. DETACH
L.k ~
l ~ v
-i' j~. e"' i ~ ~ R C Xe.~, { ~`..r '
t t ~
iY~ . ~ r _ , ~ _ . . ,
- _ . , T ~ . , . .
REMARKS:
PLAN REVIEWED BY JOE VOELS. S& W PLUMBER: VALLEY PLUMBING 492-2121
FEESUMMARY: va~uaTZON $ZSS,eee
Base Fee $1,077.25 MISC FEES $1,592.50
Plan Review $700.21 Total ~ee $4,438.96
Surcharge $69.00
SAC $],900.00
SAC ~ 100
SAC Units 1
Subtotal $2,846.46
CONTRACTOR: - Rpplicant - ST. ~IC
VENTURA HOMES 17689000 6706 A HOMES
~5200 WILD CANYON DR 5200 WILD CANYON DR
WOODBURY MN 55129 WOODBURY MN 55129
Y612) 768-9000 (612)768-9000
~ _
I hereby acknowledge that I hav'e read this applicatian dnd sta~e that the
information is correct and agree to comply with al1 applicable State of Mn.
Statutes and City oY Eagan Ordinances.
I~ _ _ _ . J
~Jf~
1 APPIICAN7/PERMI SIGNATURE ~UED BY: SIGNATURE
~ ~l ~c 3~ . 9 ~
1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
~ ~ 3830 PII.OT KN B RD S61Z2 ~'CJ-~ ~ ~ I ~ ~ ~
681-4678
New Constrvotion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys • 2 copies of plan
? 2 copies of plans (inGude beam 8 window aizes; poured fid. tlesign; Mc.) ? 2 sRe surveys (euterior addkions & decks)
? 1 energy calculations ? 1 er~ergy celculetions for heated additions
? 3 copies of tree pregenation plan N IM platted aRer 7l1/93 ~
~ required: ? Yes _ No
DATE: ~ 2~/ CONSTRUCTION. COST; IS`t 4~J
DESCRIPTION OF WORK: ~~GU Gu~(/`~T/~GY'YTJO?- ~5°l~tlG/r ~e~/~l/
STR ET ADDRESS:
~i/''_,f}-.~Ill/,~~ ~iQ •
~ - r-~ .
LOT: ~ BLOCK: ~ SUBD./P.I.D. ~IN~TI~~ ~G61./.1G~S~
Name: I/~u/L~- Phone k:
PROPERTY 1.as~ Fvsc
OWNER f~U'c~-~Z(/,Qf~-" ,~'L~
Street Address:
Ciry State: Zip:
Company: ~/FGV'jU/~ /~d~~s Pho e#: 7~a0
CONTRACTQjt ~1~ 3~~ ~ ~j~j
Street Address: ~7C/Z', ~(J/~ l~A~}~/Od.1 . License # ~ 7410
City ~~~~G~.Q State: Zip: d/! 2~'
~
ARCHITECT/ ,Q
ENGINEER Company: PH/LG/f~~i /~i~'il~.C~ /f~I~. ~/VG. Phone `7`~Z ~ ~`f ~
i ~ ~
Name: /~/L}!2 ilif}~C~~" Registration
Stteet Address:_ _ ~~7 ~ 6•f~L~IE nQ _
~ v
City _ .a- State: ,~i~ Zip: Z
Sewer & water licensed plumber (new construction ony): V LG~ ~iA l.U~. Penalty applies when address chang
and lot change is requested once permit is issued. //r~ a~ a/~(
`t
I hereby acknowledge that I have read this application and state that the infortnation is Correct and agree to comply with all applicabl
ity of Eagan Ordinances.
SignatureofApplicant: ~
,1111. 2 ~96
~ E USE ONLY
~ Yes _ No
Tree Preservation Plan Received _ Yes ~ No _ Not Required
, , .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex O 11 Apt./Lodging ? 16 Basement Finish
~-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ~ 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORKTYPE ~o~ ~ ~/.v/sHE.~j T~A7jd2ooi+~. ~..co ~j5'~£/ti-E~•d~T.
~31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. / gZ MC/WS System G'~
(Allowable) ~ Main level sq. ft. qg v City Water ~L
_
UBC Occupancy 3 u•i 7_ u'~ sq. ft. ~ozo Fire Sprinkiered
Zoning R•I sq. ft. PRV
# of Stories Z ~ sq. ft. 830 Booster Pump
Length /olv sq. ft. Census Code. ~/D/
Depth ~ Footprint sq. ft. ~ 8 z z SAC Code ~L
Census Bldg /
Census Unit _L
APPROVALS
Planning Building Engineering Variance -
Permit Fee Valuation: $ ~ 3
Surcharge \
Plan Review ~ P~ C• A-~~ J P-Aw ~'-~y s
License
MCNVS SAC
City SAC
Water Conn. ~A~N ~Z~~ ( 5' Z
Water Meter 9 t~ Z,~s~Y= 3, S(o $ Zo x~o :(o ~
Acct. Deposit 3g
S/W Permit Z yc 19 ~
S/W Surcharge Z ~3 o Kr~ =
Treatment PI. ~ 3
Y ,SS' OB o 2Y0
Park Ded. ~OZd ~ ,
Trails Ded. i~( ~ ~
Other ~5~.~, i '
Copies ( ~ . . ~
TOtal: ~ F t 2~ , ~
~r~ :
% SAC ~ s : ~ 3r ~qp
SAC Units Uu~,~~s~ ~ ~ g
f,N--~~ ~ z~ ° i, ~
a T~~ ~ ~ 3~~ ~r
~pAtwyr~
,
~c* MendotatHeights,DMN 55720
't PIONEEI~ LM1D SIIRVEYptS • GNL ENGINEERS ~B~Z) 681-1914 FAX:681-9488
* eng neer~ng ~~0 PLANNERS• UNDSCME ~RCHIIECTS 625 Highway 10 N.E.
B~oine, MN 55434
* * * (612) 783-1880 FAX: 783-1883
Certificate of Survey for: VENTURA HOMES
4945 SYCAMORE DRIVE
.
( VACAN T) ~ BOP COF MPIPE
5 ELEV.=980.43
,
,
,
16 ~ i ~ ,3
~
~u~~vl S89'41'52"W 136.5a'c; Cq`~u~¢l o ~
974.a 980.D 34.33 1" 30.OQ 9 7.1
980. i
o~ ~o
~ ---'a------'a--
r~ ~ x ai ~ 980.0 ~ m.-~ ~ 10 ~
30 ~ 979.0 980.0 32.33 ~ i O ~
r /o o
O a ~ ,,,Q ~ O
~a Q 2.00 v~~ ~
~ I ~w \ ~f °o W o> I ~ 980.0 ~ ~
I °'~a `D o~ ~ ~ ~ ~
s.oo w
17 ~ - ~
I aW 4 sso., I ~
3 Zw o = ~ 3 ~ O
~ ~ ~ oN ° ~ ~ ~ ao
~
~ ~ ow ~ao~N a i i ~ O a
~ ~~~i 2.OO~x6.pp j Wm~ 00 i(~
0 ~T i o a a i Sm ~ p }
/ I~ i a/~i w n ~ p
~ 30 ' ~ x 979.8 18.33~ `nz! Z
979J Ni - 979.4 i,°~ 10 ~
~
~n - - - - ~n980.3
- 879.5
976 ~ 5 979 $ 34.33 ~ 30.00
~~~y,hl C~~ S89'41'52"W 136.50~~, c~~~,, °
18 [~fQCt~Q~I ,3"
I
~ L'~ • ; 3
(VAC " f ~ . ~ ~J~~BENCH MARK
BY FLe TOP OF ~9P65
1 ~ ~
DATE 7 ' ~O " ~
ILDING INSPECTIONS DEPL
,
«,,,a^n~.T ',Y:(~ir1V`',,;L{ii~1 a7~.h:~--
NOTE: PROPOSEO GRADES SHOWN PER GRApING PLAN BY: E.G. RtID ~ PROPOSED NQUSE E~EVATION
NOTE: BU4DING DIMENSIONS SHOWN ARE FOR HORIZONTA~ ANU VERTICAL LOCATION
OF STRUCTURE$ ON~Y. SEE ARCHITECTUAL PLANS FpR BUR~ING AND LOWEST FLOOR ELEVA710N: 97
FOUNDATION DIMENSIONS. . ~1] Q
TOP OF BLOCK ELEVATION: ~
NOTE: ND SPECIFIC SOILS INVESTIGATION Hp5 BEEN COMP~ETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOI~S TO SVPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: ~Z'~
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: MIS CERTIFICATE DOES NOi PURPORT TO SHOW EASEMENTS OTNER THAN X 000.00 DENOTES EXISTiNG ELEVATON
THOSE SHOwnI ON THE RELORDED PLAT, ( 000.00 J DENOTES PROPOSE~ EIEVATION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. OENOTES ~RAINAGE AND UTIUTY EASENENT
~ENOTES DRAiNAGE FLOW DIRECTION
N01E: BEARINGS SHOwN ARE BASED ON AN n55UME0 ~ATl1M DENOTfS MONUMEN7
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO VENTURA HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 3, PINETREE FOREST
DAKOTA COUNTY. MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 25TH DAY OF JUNE, 1998.
SIG D: PIONEER ENGI ERING P.A.
SCALE : 1 INCH = 3Q FEET
BY: ~
1968 98327.00 SWK John C. Lorson, L.S. Reg. No. 19828
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
LDING PE IT APPUCATION
PROPERTY LEGAI• ~
~ DATE OF SURVEY: ~
~ ~ ~ LATEST REVISION:
~ ~ ~
~ DOCUMENT STANOARDS
6 ~
? • Registered Land Surveyor signature and company
q.~ ? • Building PeRnit Appl(cant
m~/ ? • Legaldescription
l~% ? • Address
? • North arrow and scale
p~i • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
p~ ? ? • Directional drainage arrows with slopelgradient %
? • Proposed/epsting sewer and water services 8 invert elevation
~ ? • SVeetname
rY ? ? • Driveway
ELEVATIONS
E~ds6na
p/~" ? • Sewer service (or Proposed) -
o~ ? • Property comers
ra~~ O • Top of curb at the driveway
o~''~ q~ ? • Elevations of any ebsting adJacent homes
~ ro se
~7 O • Garage floor
Fd/ S ? • Frst floar .
p~ ? • Lowest exposed elevation (walkouUwindow)
~ ? • Property corners
a' ? ? • Front and rear of home at the foundation
PONDING AREA fd aoolicablel
? % • Easement line
? o~g • NWL
? • HWL
? e~ ? • Pond #designation
? ? • Emergency Overflow Elevation
DIMENSIONS
~ p' ? • Lot IineslBearings & dimensions
? • Right-of-way and sVeet width (to back of curb)
B~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all structures requiring permanent foodngs)
f~ ? • Show all easements of record and any Cily util'~ies within those easements
e' • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? ? • Retaining wall requirements ' y
Reviewed: ~
ame ! ate
January f 998
pUq10Gfl~BlDOPRMf.FM ~
_ POY
_ . ~
'
i ~
MNcheck C4~SPLIANCE RBPpRT
Mi,nqesota $nergy Code ; PeTmit ~i ;
l~4vcheck Software VsCSion 2.0
MianaeOtB bepart~ent of Pub11c Service ; ~
1-siz-2s6-Sf75 1-800-887-3T1D ; CheckeQ byJDate ;
~ ;
CQUNTY: Da~ota
STATB: MinpesoLa
~or~~ : z
CONSTRUC'fICriV TYPE: Single Fumily
DAT~t 6-30•1888
DATB 0~+ YLANS: '~ll~1~c1~p'~' S
TITLS: Y~N~A F~/~,•' ~faE~7~GT ~~,.~FaG~
CDMPLIANCEs PASSES ~
Required VA = 986
Your Home = 349
Area or Iasul SheaLh Glaxing/Daor
Perimater R-Vnlue R,Vnlue U-Value UA
CEILiNCS 1030 ~4.0 0.0 28
wt.~.LS: wooa ~r~~, i8" O.C. 3181 19.0 2.0 i83
GI.AZING: Windowa or poore 'L75 0.350 96
43 U.:36U 1E~
B3MT: 9.3' hL/B,p• bg/9,3' Anaul. 568 1p,0 32
8Slff: 3.6' ht/3.0' b~/3.&' in~u2. 210 30.U Xb
COMPLIANCS,STATBMENT: The praposed buflding design represented in these
document~ is conafstent with Lh~ bu.t7,ding plar?a, ap~clflcntiuus., nnd other
calculations submitted with trie permit appilcation. 7'he pr4p9~Ed buildin$
has been d~signed mee t e requiremen s oP the Mlnnesota 8nergy Code.
RtsildPr/DeHignPr ' ~ DatP
i
III
, 612 768 7251
)
FROM : UENTURR HOMES PHONE N0. : 612 768 7251 Sul. 20 1998 11:37AM P2
~T'~EE ~2~eSe~evs~r'tDn4 ~Lh-.~
, i~OT AN APPRO ~ r ~ ~ $ ~-o~t~ 3
~-v
" P a~e~ : ~n~., B~e~~~T
SITE SURVEY F'~c t e2. : Ue.~~u Q4
-b~a+n~te5
REVIEWED ~OR TREE ~
PRESERVATtOPI `
COMPLIANCE O y~,/`
~ ~
~ ~ ~ q
W ~ ~ r ` ~
~ ~ ~ ~
~ ~ , ~ ~ v
l ~
< <
5~~ i l
~x ~sr~ h ~ -t~ee- "1 ~e~e. ~i"''
VLO S~C.~NI~~[ -}~-~~S r~.XtST/I7l~ G.lr'LD~T10+'ts
Onp Go`I^. S i b+~?r ~G4~ '7P~e5 d
s~~~ {-~iCJhnT GuA+•J~tO$ - Yh~nl. '~/~u
L-e'.~"
E~+C~~, ~O~ESTRY ~'~1s~?ON ` P~Poseo cah~~a,s
~i~.l9a[~~9 -TQ.ees ,Pe~o~ o
G,~Dc.vns 2~e„~+o~~d - O
~l'
. ~eP~a-ce~e.~ ~'~ful~e
~ ~ z "
CITY USE ONLY Q ~Jp
L ~ BL ~ n RECEIPT / ~ `
SUBD.~G~
-~u/C.l~- -~T~7 RECEIPT DATE:
1998 PLUD~IN6 PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, D4d 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 EACH # TOTAL
Shower 3.OD x i = ~
Water Closet 3.D0 x 3 = a1_
__~___,__w_v.___~__-:--__ . .
rsa
i~fi"
uD - 3.uu z_ l - ~s-
Lavatory 3.D0 x 7 =
Kitchen Sink 3.00 x _ -
LaundryTray 3.00 x S =
Hot TublSpa 3.00 x =
Water Heater 3.00 x ~ _
Floor Drain 3.00 x 1 = 3=
Gas Piping Outlet ` minimum -1 3.00 x 9 = 3-
Rough Openings 1.50 x ~ _ ~1 • ~ ~
Water Softener "for dwellings under construdion 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. SpfinklBr ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.OD =
AlteYationS ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished Systems)
Private Disposal Systems ` A6andonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
~u
TOTAL 4
-
I here6y acknowledge that I have resd Mis applicstion, state that the informatio~ is corted, and agree to comply wdh all applitabie City of Eagan ordinances.
It is the applicanl's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages causetl by the City during ds
normal operational and maintenance activities fo the facilkies consiructed under this permit within City property/rightof-way/easement.
SITE ADDRESS: ~ I I S S V C A~..~~"i L-
OWNER NAME: v f-I < ~
INSTALLERNAME: I/~~~~y P~~ Cu TELEPHONE#: "7'9a'd'/~~
STREETADDRESS: ~I L[Z,~-~kl- 1~-`
CITY: ~ ~~~I^~ STATE: ZIP: 553~
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 ~
~ CITY USE ONLY
LOT BL ~ RECEIPT ~ / /
SUBD. ~ RECEIPT DATE:
199~ M~C~1~1VIC~4L ~P£ftMIT (it£SID~N'fI~L)
Cfl'Y OP £Afii4[Q
S$30 PILOT KNO$ RD
£AfiAN MN 551 EY
~ _ ~ 7 _ ~ ~ (61 Y) 6$1-4675
Date•
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.) /u7 •D U
• State Surcharge: ~ .50
• TOTAL: ' jL~ , SO
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not re~red for alteration/add-on to ducrivork 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
Total: $ 20.50
, SITEADDRESS: ~ SJ~ ` //IO/L ~ 2/UG
OWNER NAME: ~~}'I ES fU C' PHONE /(p U ~DO~
INSTALLERNAME: ~//Z>,Of,e ~ ~O/U. ~ /U G' ' PHONE C~ ~ '~u ~J~~~J
STREET ADDRESS: ~OI ~ T/f'~L~/~'/~'fU ~"l"~~ /(J •
CITY: ~ c~/ •~%'LL~ ' STATE: ZIP: SSQ~S-
G~
G) A7'URE OF PERMITTEE
15/FORMS HLD/A1ECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
199$ ~~~~~iC~lL ~EIiMIT (COI~[M~'.[tCIAL)
CI1'Y O~ £AfilkN
S$SO PILOT KNOS RD
~AH1kN, MN 55188
(61Q)6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of ~ermit fee due on all pertnits.)
TOTAL
SITE ADDRESS:
O WNER NAME: PHONE ,
TENANT NAME (IMPROVEMENTS ONLY): ,
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
~rc:;c",:r,v;<?kx'c~ x,cY,:v,cM>;:x?k?;:?~ck?R°; ~Y~;g:,Xr;c~Y~c,;:~;~kckc Y,c:?~:;cXcX>;c
C:fT'J ilf= EAGA~
i~'FlF_I;II-1i: S if:i:RM.T.N~~I_ \fl~ 7'c'7
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ ' ' ~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ JC~~~ ~ 651-681-4675 ~ ~ ~ ~q
~n~I~j l(. a~ ` (
New Construction Reauirements RemodeUReoair ReauiremenTs -
? 3 registereC site surveys showing aq. /t o//of, sq. ft o/house ? 2 copies of plan
and elf roofed areas (40°/. maximum lot eoveraae allowadl • 1 set of energy calala8ons for heatetl addifions
? 2 copies of plans (show beam 8 window sizes; poured fid. design; etc.) ? 1 site survey for enterior add'rtions & decks
? t set ot energy calculatlons
? 3 copies of tree preservation plan if lot platted aker 711193
DATE: I2,ol qq CONSTRUCTION COST: I700 . ~O
DESCRIPTION OF WORK: I~e.C~
STREET ADDRESS: ~9 ~ S S~l Q M0~2 Ol ~ l)2
LOT: y BLOCK: 3 SUBD./P.I.D. 1"i~2rtf~-2. \ Df~S'~
t~.~i,a5~ b~38' - ~Pa~(~ Lw~c
N~~: ~~,ne~~ ~ 4~~r~G s ~,one 3aa -s i a c~ C rtw~>
PROPERTY F~~
OW'VER
str~~waa~~ss: 49~k5 svcarnore Or,~
ccty ~'a G~ ~ s~e: ~ n z;p: 5si a 3
~
Company. Phone
COIv'TR9CT'OR
Street Address: ~ license 1i Exp.
City Srue: _ Zip:
ARCHITECT/
ENGINEER Company. Phone k:
Name: ReAsaaaon N:
Sveec Address:
Ciry~ State: Zip:
Sewer & water licensed plumber (reauired for new construction onlvl:
Penatry applies when address change and bt change is requested once permit is issued.
1 hereby acknowledge that I have read this appflcation, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
~ -Q MO_~SL~e~
Signature of Applicant: - V~ 1/1,A~ ~I_
' 1
- .
. . r~ „
OFFICE USE ONLY ~I I'~ .
Certificates of Survey Received _ Yes _ No I~ `
.'II ~ L ~ IJJJ
Tree rreservation Plan Received _ Yes _ No _ Not RequireiL - i-
I
• •'4
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? O6 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.)
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~ 18 Deck O 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage
? 05 3-plex ? 10 &plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration O 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~%1"> y
(Allowable} Main level sq. ft. SAC Code o/
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 5AC
Water Conn.
Water Meter
Acct. Deposit
SI1N Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. ,
Other
Copies
Total:
SAC Units
% SAC
. ti
Plat Map
,
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Pfl0?O~ED 9~~OE9 FpVql PCR CR~piNC PL~B BY; [.0. pUp p~~Pp~p HQ~15F
f?FypTl~l
OVIl01N0 DIAILNSIONS SHOWN ME f0~1 110fl120N1AL N+p ~Ept1~AL ~p~Anpp~
OF 91RUC1URl0 ONLY, SEE MCHIIECN~L p~,i.N4 FOR 114kDINO M!D LOWEST FGOOR ELEVATION; ~'F•
fOUMDA110H OYIWPON9. , ~
NO ~JpF{,1ryC SplB MV~lnCATON HAS efCN CONPL[i[D OH'TiIS LOT pY liE 7~' ~ BLOCK ELEVATlON: ~ ~
wRV[ron. n~¢ wiuvu.nr or sq~a to SuPnonT mt srea?K ~~~F qARACE SI.A9 ELEVATIOM:
PflOPOStD 15 NO~ iHL qE9'ON91BiUTY Oi ME SUnrEYOR,
Mi9 C[RiIfICA7~ DOCS NOT PURPOUf TO SHOW [AiMENTi 01NEe THAk K Opp.Op O[NOrt6 Epi11NC R[VAnON ~
M0~[ 6MOVM ON T~E RECaRDEO W.AT, ; ( 000.00 ) pCNORi IROP03(D EILV~nOH I
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Cq1111ACfPR MUS~ YERVY O~IKriAY OC81CN. - DfHOTEi D1IAWAG[ AtID UnLIIY iA
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9fA~M0! ytOWN Al1E BA'1[Q ON MI ASSUAIEO pA1UM O[N07E9 MOH~MFNT
' . ~ ~ ~ ~ ~ DENOiLS OfFfCi HU~
EREBY CERIIFY TO VENTURA H01AES THAT THIS IS A TRUE AND CORRECT REPRESENTAiION OF A
Y OP' TNE BOUNDARIES oF;
.
~d_:.a~.or_k.~._..e1NETREE FOREST I
_ .._._...._.,I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151530
Date Issued:08/29/2018
Permit Category:ePermit
Site Address: 4945 Sycamore Dr
Lot:4 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason A Dresow
4945 Sycamore Dr
Eagan MN 55123
Highmark Exteriors
8720 Eagle Creek Pkwy
Savage MN 55378
(952) 882-8904
Applicant/Permitee: Signature Issued By: Signature