4946 Sycamore Dr AddreSS 4946 Sycamore Dr Zip 5512 3
Lot 6 Blk 2 Sub Pinetree Forest
THESE MS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final g de (6" from siding) ?
Permanent steps (garage) ~
Permanent steps (main entry) ?
Petmanent driveway ~
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch ?
Basement ftnish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply ro
the outside lawn fauce[ before freeze potendal exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
~~~~W~~~YR~W~~~~~**~~~~~~*~M~*~~>k;Y~~~~~~
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2252 32£:!tl 4G46 SYCAMOhF: A :i0.00
:!'.'i43 9~'.c?~ 4hi46 ;a1'f':AMOfiF.:: b P.;0.0~
3'"i.3 922[l 4646 5YCAHORI_ D :;O.UO
;3~3F;L- 93'i'J 4 fi46 .'.iYf'.EIMQFiL D f.00.00
3i'i.6 9:20 4E,46 >YC'AMORE I7 I.i.4.00
3868 Jc?'~ 464i, f.;YC~AHCIfiI_. Ci qb~i.00
39!,S `-32r L] 4646 ~iYCAMD!?F A 925.p0
:?422 S3U01 4646 .>YC69ML7RI= I~ Ji:3.;i4
z2'r'.`i :32r0 4G-4~=, SY.r„q~tp~F:: f~ J.y033~50
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~~<~~~~~~~m~r~~: ~~~~:~M>x~:~~z~~mm~m~~~;:a~~~~~~~
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CITY 0~ EFl.r.,Ai~J
r,q ,HII_Fi: ; iEFMINAL. N0: 862
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t
In~
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,
3446 7fJ01 4k~4E, ~i`JC:A~`'iOFiF I? iQ. a0
3? J.0 90[71. 4.t 46 svr.,Flnn~F: v 1. y 49 i., i'S
Total RE•c.eip+, Amn~.~nte 5~2;3.'i'9
' CRj.0E.4c'i'
LISFR TL~: t~FlN.r,Y
~mra~~~~~~~z~r~~mz~~~~a~~~~m~~~m~M~~~~~~m~~ra
~ t~' < 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3~ I~/ 3830 PILOT KNOB RD - 55122 ~ 5~- 3~~
651-681-4675 ~ n r- n,~ I J c~~
c~.~u._~J
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered site aurveys showing aq. ft o//oQ sq. fL o/house ? 2 copies of p~an
and alf roofed areas (20N. maximum lot eovaroae ailowedl ? 1 set ot energy calculations Tar heated additlons ~
? 2 copies ot plans (show beam & wintlow sizes; poured fnd. design; etc.] ? 7 site survey for exlerior additions 8 decks
? 1 set of energy calculations
• 3 copies of Vee preservaUon plan if lot platted after 7Itl93
DATE: 3 1• -r'i 9 CONSTRUCTION COST: 9 G~7~ ~
DESCRIPTION OF WORK: 5»~~-~- ~~~I ~~~~T~~~
STREET ADDRESS: ~-k`~ ~~~o -Sa C-~arv~o~L~ V
LOT: Co BLOCK: ~ SUBD./P.I.D. ~ti~-~- ~~+~f-sT
Nazne: h'~ ~v L~^I ~JR _~i1-1F~s C~~ST. I~.tC. Phone k: ~I 3$C-~ S I S
PROPERTY F~~
OwNER
StreetAddress:.3~`~6 ~SZ~~ows~' 1>~/~ . s?.
City I~`n i,.~~~70~~ S State: ~'~'1'-1 • 7rp: 55 U v~
Ue.> - `i~ ~ 'r ~
Company: YYl ra. iL E~J U2a`T~~E_xZ-y ~ Phone N: C~ 1~- • 3$~~ 3$ I S
CONTRHCfOR '
StreetAddress: 333 8 FR-LS~'~~-~' ~/E. SD. Iicense ti ~`~~317 ~'3c~.~
~h, YV\ i~~E.~A-~`I S Staze: ti. ~p. 5 5~-lots
ARCHITECT/
ENGINEER Company: ~7-+-~ SS ~ ~ ~ ~ ~ Phone N: ~ ~ ' $ a 5 • S~j
Name: ~ W~ Z.~. SS Err_L Re~shation ti:
Street Address: ~~~a ~ I 1(_. ~ rJC~ ~ tz_.t V~
City `C-D i N c~ State: M rJ . ~P;
Sewer & water licensed plumber (reauired for new construction onlvl: 5~~~~ ~~"s--
(p I~- ~ ~f O- g6 ? I
Penalry applies when'address change and lot change is requested once permit is issued.
~ I hereby acknowledge that I have read this application, state that the inforrnation is correct, and agree to comply with all applicable
. State of Minnesota Statutes and City of Eagan Ordinances.
~ Signature of Applicant: ~ T
)
OFFICE USE ONLY D~~~_%_ ~ i
Certificates of Survey Recsived ~ Yes _ No ~ 3 ~ IgpQ i
Tree Preservation Plan Received ~ Yes _ No _ Not Req~l~
I _
1 ~
1 ~
OFFICE USE ONLY
BUILDING PERMIT ~YPE
? 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
~ 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorctUAddn. (4sea.)
? 03 1 of plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-p~ex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 .'.-plex ? 10 8-plex ? 15 Lodging ? 20 Pool O 25 Miscellaneous
WrJRK TYPE
~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/So~ts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas insert ? 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. l3R (o Census Code I C~ f
(Allowable) ~ Main level sq. ft. I~iq ~ SAC Code b!
UBC OCCUpancy 3 2`gr~/ sq. ft. l~i l 2 No. of Units _
2oning ~ sq. ft. "l 3 c~ No. of Bldgs
# of Stories ti sq. ft. MC/ES System
Length !~l-8 sq. ft. City Water
Width ~f a•4 Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
9
PlBnning Building ~ Engineering Variance
Permit Fee Valuation: $ ~~,6 ~ D~D ~
Surcharge '
Ptan Review
License
MC/ES SAC Ftnl15ar~~ I b0 `T X 2S = 25, I"1S" ~
CitySAC U~1Fl1a~Sa1~D 39~~C t`S ~9"J°
Water Conn. I3~~ X ~ ~ ! ~3g~ =
Water Meter
Acct. DePosit I'?j l2 X 5~- ~ ~ D~~~'b ~
S/W Permit '~3ox l lo = f 1~ GB° ~
S/W Surcharge
Treatment PI. ~
Park Ded. ~
Trails Ded. -1-~, ~ ~ ~ 0 S~ ~
Other ~ ~
Copies
Total:
SAC Units
% SAC
FROhI : MpJLEY BROTHERS CONSTRLICT!UN FHONE NU. : 612 45469~ Mar. 10 1599 02:17PM P1
` ~ PE AYERAGE "U" c.Unru~M~ , ~
EX7E810R ENVEL9
. ` 4 /~~I,V ~y~,T„ ~A~l ~O-~(i~~
~.ni y I~1A ~ i"r r~~a.rs~: i o- - 8
purl E R:
SIYE ADORESS~ PHONE:
UA7E: _ 10' ~z=_~_
~ptf7µpC70R: ^
DETEP11lNE WORK~NG SQ.UAAE FOOTAG~ DF EAC11~
r , ,Il _ u15. 8
Tp7p~ EXP95EU uALL AREA,,,..... ~ g~ sQ ft x~~-°^"~'"~"' 2
sa f c x •'U" • • ~
2. T~TqI ROOF/CEILIN4 ARE~.,...... ~3 ~D. ~ ~L•J
?OTAI EXPOSED VALL ARER CAlCt1LAT10NSs
Total ezAOSed wall ~ ,~~r~ sa ft
area above flaor........ L
Tot~l wall r+tndox area:
pl'aZed...... . sq f.L x~~Vn ,~"J w
~
glazed..... s9 ft x ~.W~
~ ~ sq ft x "U^ -.J-~=.--
b} Total door area ,
Tota~ 511ding 9~ass door area: I~I
~~Ai 9lated...... v0 54 ft x'~" ,~j . ''1(:~,
~ qla26d...... _ SO ft X u~n w _
- sa tc x ~ .3G
d) 7ota1 Ftreplsce wa1) area „ -
i
e} Totsl wa11 framTng area ~ ~q~ . 2.~
(Avcra9e 20Z)......... ".2~, g 2 sC f~ x U' -
f} ~Tota1 nat watl area a6ove
Z5 2 fe x,w~~ , ou,3 . 108.~~1
fToor (lnsuisted)... s4 _
33 8, ~a r: K. _ . o~t ' •
g) Total rlm jolst area...... _
7oU1 feundatloe 0 . sq ft
aaea (Exposed)..........
,
A} Toeal foundatton - Sq ft 5 ~ ~
NTndcw area............ ~
7ots1 net feumlatias ~ g~, s4 ft ~'x "U'~ ~ E 2- ~r 1• ~i
sre~ above gradt.:...... - .
, TOTAL s~ ca~ ?3 • 3~S.y~
3• . .
if ftem /3 ~he samr as. or feas than ftam N1,. Yeu F~a~e met tha inter+t e/
SrB.C. Sect~on 6006 (c) 2• i
~ .
li.
651 681 4360
0Ci12i99 11:39 ERGRN MTCE FRC ~ CITY HALL-DNSTRS N0.169 P001i003
Post-It"' b~a~d fax ttansmittat me o 7671 aerpaps. . Z
~ ro
G j
co. co.
OBD~ M M
~
Fsi # Fex M
_ CIty Of EY$an
Msintenance Faciiity
Fq~ TRqNSMITTAL 3561 COACHMAN POINT
g 2`1- `~t6~ EAGAN, ivmvivESOTa ssizz
TO: ~'AX DATE: ~'L r g ~ ~ ~
ATTEN'ITON: K.u V~ o., ~,e ~j! TIl14E: l U'- i~
COMpANY: ~ t~ OF PAGES INCLUAING COVER:
~oM: iQ'U~ rxor~ a: 6 St k(-`[ 3{ICJ
Comments: ~@~112w ~ rzvCut ~"~t ~c.Y. c..~.•el a
n ~a S 7 C o ~ra? ~CvJ! [
Y-
1-h~lC4 Ll?J SI Ow ot. ~w~. / vl~l fi.iib~-~ ~
These are being transmitted sa checked below:
_ For approval ~ Fm your use Origiuals forwarded
~ As requested For review and crnnmenu Originals not forwarded
For pubiication High priority
For Your Infom~aaon
PLEASE NOTE IVEW AREA CODE
FAX Mainteaance Facility ~~(651) 681-4360 ~
OFF[CE Cenhal Mainoenance (b51) 681-4300
'['DD (651) 4S4-8S35
Note to Fscsimile Qperatoc:
Please delivtr this fax nattsttlission to the above addressee. If you did ttot receive atl of the psges in good condition, please contact
us. Thank you.
THE LONE OAK TCtEF,...TSE SYMBOL OF STREIYGT$ A1vA GROWTB IN OUR CD~P7ITY
Equal Opportanity/Affirmative Actiou Employer
~ 651 681 4360
' 04i12i99 11:39 ERGRN MTCE FRC ~ CITY HRLL-DNSTRS N0.169 P602i003
~ 612823d689
04/07/1994 14:12 6128234689 MANLEV HROS COWTRUC PaGE 01
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R 3t .
, 651 681 4360
. • 04i12i99 11:39 ERGAN MTCE FqC ~ CITY HRLL-DNSTRS N0.169 P003i003
61202~4699
~ 06/@7/1999 14:12 6126Y34609 ~~EY BRO$ CONSTRLIC F'q~E 02
$t12 En~~~O~N~ Dvi»
. ~ 7~ Ma~dela M~fOhlw MN 571i0
yt ~O~ (M?~ f101-1Y/4 FAikdd7-Y~~
# we o~.a. .
~A w~.+.~a.• .rorrt rw~[c~ 023 wqHwoY lo n.E-
+F ~ BOe~w~. MN 55~3~
* ac (s77J 703-1l~O FAx:Y'd.'~1CR3
Cert~i~cote of Survey tor: MANLEY 9ROS. CONST. .
~q~O $K,'AYORE O1aVE
~,pT ?ry EA ~7 OY3 W.~1-
tlpySE AqEA w}.104 W ~t.
BENGi M~RI~
~°~v.~o~f~i'`. 7
IVACANT)
~ ( , ~
~ ~ ~
j 909'41'S2'Mf 136.SQ
~ I g~a.s 9~9. c~ ..e~ voa.~~ ~(R8z4~
(4S! n ~e ~ _
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~ : ,a ~ i. _ ~e ~.o . I io
~ ~ i ^r--- oa,.y e~e.e ~ J
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7 979.)t ~ 976-9
Qr1 77.3 tS~I TEIE- QCI.p 8~~4 ,w~2 ~ s0.87 1.~..~.1 .~4Y7.6~
CATV.~ ~ ~
~jON~~c 9l0.8
i
6pENpCM YpApN~K • S
ELEV 891.R~Z ~y"~.~_ w-µ.~w,t~
Oi' 3.w ~~~wa r.~r..4
V~Iia'y.u~a.aa~M-~ `
~3'37~+~.I^~
yC-~~ ,+f^a~
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a3.-~r...w.~r.a
wa*e: +*ovo~ aewaes ~ww onr w.~s~e n~~ ~r. te wo 401YEST FLOOR ELEVA710M: ~~y
waK~ ~nowo a1lt~oaq m~e~r. M[ rPR ~zw~A~ AMO vCRTrx ~ec+~nw TOV O~' BLOCK El£vATON: pY.~A-.~L•it.-
~ Isw~?~nR+
OYpi6~R
[ Mwl[C*V~l Ars R1~ sY1aDw~o a.1o C.~RI~GE SLAB ELEVA~ION: W~
wo.c= w vcane aota ~wes.4w.w~ nws pe~n arne~eo w*HU wr sr n~t 7.0.6. Y L.O. ELEvw7~ON:
y~nneme. .wc w~wwin o? sau m aur.a~. .re s.~anc Moug
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1MC'~ 7MOA1 OI ~1K ~lCpOCO ~l~T. OLMOI[i OAMMKf ~f0 YnVr' fARrd~
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~ 0[MO~Ci VaMM[M~
MOR~ KMNIUi OaOlM RII~ Y~SD p! M~itWLO OwM -v-- Ol1M1ii OIr![~ MY~
WE MER£9~' CEk11F• YO M/~N~ET BROS. GONST. 'Mw• Tu5 ~5 • 1fiuE ANO COn1~CCT REPRESENT~TION OF •
SURIlEV OF ME BOUNOAIi1C3 OP; .
~o
w6~BLO~CKs 24 PINETREE FQREST
IT ppES Mtl7 pVFIPORY TO SMOW IMPRQVQYENT§ pR ENGMRO~CMMENTS. ExCEPT AS OMM. AS SHRVEv~D O'~' ME OR
VwOEp N1' O~~iECY Si1VENM5iON 7M15 ipTM DAY pF W1Uipi, 1490.
Si EO: ONEER EMpNE NC. P.w.
SCnLE : 1 INCN ~ 3Q cEET
6 •
796Q YSZ7$-21 NJK ~ hn Lonon. L. .~q, e. ~Y6 11
, FI~OM :~MRNLEY BROTHERS CONSTRUCTION PHONE N0. ~ 612 4546030 Mar. 10 1999 02:1~'M P2
b, TOTAt EXPOSED itDOF/CEII~yG CALtU4ATI0N5:
Total exPQSed ~ sq f~ .
rea.......•~ ~ 5 ~ '
~pof/CetllnQ i ~ ~ ~ .
sq ft x
11 bc area.......~,~-,~..-~- ~ ,
3~ rac.~ 9 ~oa • 3,3~5
k) Total roof/te111nv fr~"~^~ ~jGi.(o s4 ft I',~~-
area ~~'~°a tef..)......~
~ OZ2 • Z'I~/~
1) 7ota1 .i,sssulAtcci . ~ZCj(o, sa ft x,~~~
tooflccilin8 area ~OTAL Jj thro 1)
i. •
li total of is [he sa~+e as, or less t~~ d=• Yav have et tha tntent of
S.6.C. Seetion 6006 (c) 1.
:
I
i
_ .
~i
i
qLLgRfIAT:E sUiiDIN6 HNVELOPH QESIf.N
7f lt'emsZ~3t~~dt~~as~"~tenot~be greater~than the suro .eflltems~~lhendb~2Che s~
~ • ~
i Z. -
. w
+ 4. ~ .
3•
.
I ~
i
.
~
• ~ _
.
, ~ ~
2422 Enterprise Drive
~ * , Mendota Heights, MN 55120
't PION~@A ~p~ra~s . q.n E~cNC~ (612~ 681-1914 FAX:681-9488
~ BA IYBOr rI tAND PUNNERS• UNUSCME ~qCH~IECiS
e e 625 Highway 10 N.E.
* * * * Blaine, MN 55434
(612) 783-1880 FAX:783-1883
~ertificate of Sur~ey for: MANLEY BROS. CONST.
4946 SYCAMORE ORIVE
LOT AREA = 12,023 sq.ft.
HOUSE AREA =2,188 sq. (t.
~Z+~oS Max~
BENCH MARK
TOP OF PIPE ~ ~
ELEV.=983.27 v
~ `
(VACANT) ~
~
I `
i ~ 3 ~i ~
3 $'89'41'52"W 136.50 ~t/
I 978.5 979.8 CATY30.00 51.67 982.47 - d. 982.9
cqya.m
" N ~9870)
i ~ 10 ~r ~i 983.1 982.6--- ~ ~
~ I '~~22.33 N i 70 O
~ ~ ,
~ ' ~ z.oo~Q ; .oo~ ; ? ~ a°Do
~ W P~OPOSE~ M a ~ 981.7 9 0.8 y~
978.2 ° IVEWAY o c~ i " ~ ~
W N\ ~ ~t4.33 i F
30 17.33 ~ o\o i ~ G ~ J ~
0 I i98Z.3 0\ Nw N~ W YlV ~a I 3
! ~~yy~ryII VI ~ ~ 7~ ~
~ O ELE
y.=969.0 i ~'.3.OO,a~ ~ A~ a ~ O
a i O I ~ F 1 °o ~°x~2.0 0~ Wi- ~ 00
U cn ~ ~ a ~b uz I
~ ~ ~.~o\ 0D ~ z W I p
~
; 38.34 981. x ~a ~p Z
g.55
I ~ 981.7 i^ 979.8 I
O;d~ L ~ J
~ 3 979.t 31.77 5~.67 980.87 978.9
p>> ~".3 (qn.b) TELE. .~8t.o ~N89'41 52" ~ 138.21 C97J.0~
cArv. .
.
' fklg 980.9
. ~
~
, Hp C
.
/ i
~ ` ~ \ r~ ~
BENCH MARK ~ ~n~~ ~ ~ %r
TOP OF PIPE ~
ELE V. =981.02
~-;.n,^`~`~_'"'~1.~? ._';^vz?~V+!'~w"Y~yFF!?
P H V TIO
LOWE57 FLOOR ELEVATION: O 'Z
NOTE~. PROPOSED CRApQS SHONTI PER GRApING PLAN BY: EC RUD
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTA~ AND `~ERTICAI IOCATION TOP OF BLOCK ELEVATION: a
OF STHUCNRES ONLV. SEE MCHIlEC7UAL PUNS FOR BWIDING ANO ' 9~2 4
FouNUnnorr aMEr+s~a+5. GARAGE S~AB EIEVAT~ON:
NOTE: NO SPEpFIC SOILS INVESTGA710N HAS BEEN COMPLEIED ON THIS L0T 8Y THE T.0.6. ~ L.O. ELEVATION: ~
SURVEYpq, i~{E SUIiA81LITY 0~ SOILS TO SUPPORT TYIE SPECI~IC HOUSE
PROPOSED IS NOT Ti7E RESPONSiBILIiY OF 7HE SVRVErOR.
X 000.00 OENOlES EXISTING ELEVATION
NOTE: 7H15 CERTIFICATE DOES NOT PURPORT t0 SMOW EASEMENT$ OTHER iMAN ( ppp,p0 ) DENO7E5 PROPO$D EIEVaT10N
iHOSE SHOMM ON iHE RECORDED PLAi.
~ENOTES DRAINACE AwD UTILIiY EASEMENT
NOTE: CONTRACTOR M115T VERIFV ~RIY~WAY DESIGN. ~ENOTES DRMNAGE ttOW OIRECTION
NOTE: BEARINGS SHOWN ARE BRSED ON /W ASSUMED OANM DEN07E5 MONUMENT
B OEN07E5 OFFSET HUB
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 6, BLOCK 2, PINETREE FOREST
DAKOTA COUNTY, MINNESOTA
IT OOES NOT PURPORT 70 SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 12TH DAY OF MARCH, 1999.
SI ED: IONEER ENGINE ING. P.A.
SCALE : 1 INCH = 30 FEET
8• C
1968 98275.21 NJK John C. Larson, L.S. Req. No, 19828
: '
lOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING ERMITAPPLICATIO
PROPERTY IEGAL: ~(oT~~~~t~ i ~ ~i-ii
DATE OF SURVEY: ~Z I ~J 9
u ~~7^-
~ ~ LATEST REVISION:
~ 'v
~ C
a Q o DOCUMENTSTANDAROS
~
¢ z° f
~ • Reg~tered Land Surveyor signature aod company
? • BuildingPermRAppGcant
~ - Legaldescription
~ ~ ~ • Address
~ ~ : North arrow and scale
House type (rambler, walkout, splR w/o, spfR enUy, lookout, etc.)
~ ~ ~ • Directional drainage arrows with slope/gradient °r6
? • Proposed/e~assting sewer and water services 8 invert elevation ~
~p ? : Street name
? . Driveway
~ ? . Lot Square Footage
~ a Lot Coverege
ELEVATIONS
tin
~ ? • Sewer service (or Proposed)
~ a : Property comers
? Top of curb at the driveway
• Elevations af any e~dsOng adjacent homes
Prooosed
? • Garage floor
0' ? ? • Firstfloor
~o ? • lowest e~cposed elevation (walkouthvindaw)
? • Property comers
m' • Front and rear af home at ffie foundation
/ PONDING AREA fil acoRCable)
~ r~ • EasementGne ~
a d ? • NWL I
? ~ ? • HWL
? ~ • Pond # designa6on
? ~ • Emergenc,y Overflow Elevation
DIMENSIONS
~o ~ • Lot Gnea/Bearings 8 ~imensions
~ a ? • Right-oRway and street widlh (to back oi curb)
o • Propoaed home dimenshns indudnp any proposed decks, overhangs greater than 2', porches, etc.
e~ ? o • Show easemen~
of regcord
a
d ant
Y Cily utTrties within those easements
a~ o? • Setbacks of proposed sUucture and sideyard setback af adjacent ebsting structures
o a"'o • Retaining wap requiremenls, if any
Reviewed: ~ ~ /
Na e Date
March t9e9
CRAIGRl00GFMr.FM
~ ~
~3~~~
~ r=~Y( M r4~'.~G
P~~~- G
~/s~~
vt ~ vw7~~~`/~
~,~il r~t9~ ~irr~,
~~G .L~i ~'~~~~/1~~N~
,Sti2 +(~lGF3-~'i~'tr~i
12 ~~~~~e-,~
. 2000 BUILDI~IG PERMIT APPLICATION (RESIDENTIAL)
~ O CITY OF EAGAN ~
4~~~J 3830 PILOT KNOB RD • BS122
~ -r ~ta~ ~,~851-681-4875 Cd~~fd ~'~~0~
5
New Conahucrion Reau~remenh RemodeURaoalr Reauirema~ri ~
~~lU' DO
n 3 regiaqreG ~Ite wrveya ahowiny tq. H. ol bt. sq. fl. Of house 2 copies ol plan
and ~ roofed areas 17fl96 rtwxlmum bt coveraae albwetll 1 set ot energy odcWaHOns for healed adt9HOns
> 4 copiea of plans (ehow beam 3 window slzea; poured fid. tle~gn; etc.) 1 sile survey lor exteAar adtliflons R decks
n 1 aet o/ energy calculatlana
> 3 copies ol hae preaervaHOn plan II loF pbtted aRer 7/1/93 ~
DATE: - ~ ~ CONSTRUCTION COSf: ~ ~ ~~O°U
DESCRIPTION OF WORK: S'J' L~ a ~ ~ b 6 u ~
SiREET ADDRESS: 1~ ~ v-2. ~La pl S Ja-
LOT: BLOCK: ~ SUBD./P.I.D. ~ h ~
Name: ~ ~ e.L ~_oe Phone !5 Gl~- ~ ~$c~
PROPERTY fl~
OWNER - ~"I `7 L~ ~ ~-i ~J^~~ orLL.
Sheet Address:
C~ty stata: MnJ np: laa-
. Company:
~~r T~o ~ r~ ~ oJ~ Phone A: ~o~ / / Ji 3 Y y~3
(area code)
CONTRACTOR n n I ~
Sheet Hddre.ags: ~~a(~ (n~o~cYC{'
C~. I p 1~'L l c.~2~ Ucense # .
City o _ Sfate: 7~p: SS /a ~
ARCHITECT/
ENGINEER Company: Name:
Telephone A: ( )
Sheet Address: RegishaHon t:
Clly State: Zip:
Sewerlwater Iicensed plumber (jtinstaltlna sewer/waterl: Phone
i hereby ackrawledye Ihat I have read Ihis applicalbn, atafe kwl Me infomwtbn is corteef, adv~ ee fo comply wHh an app8cable Sfafe
of Minnesota Stalutes and CNy ol Eagan Ordinances.
~
Signoture ol AppGcant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No M,Qr ~
Q'
Tree Preservation Plan Recelved _ Yes No _ Not Required
_ ~
* L
OFFICE USE ONLY ' • _
BUILDING PERMIT SUBTYPES
? Q1 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Ait - Multi
? 02 SF Dwetling D OB 06-plex ? 17 Garage ? 22 PorohlAddn. {4-sea.) O 33 Ext AR - SF
? 03 01 of _ plex ? 09 07-plex ? 1 S Deck O 23 Poroh (screened) O 36 Mufti
? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 71 10-plex Plbg _Y or_ N ~ 25 Miscellaneous
? O6 04-plex ? 12 12-piex ~20 Pool 0 3D Accessory Bidg.
wo K nrPe
New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code v~ # of Stories sq. ft.
No. of Units _~L Lenglh SQ•
No. of Buildings ~ Width ~ Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code 3a°~
(Ailowabis) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? ~ Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~~l~ ODU
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
~ . •
2422 Enlerprise Drive
* * * * . Mendolo Heights, MN 55120
* PIONelA ~„K,a„ ~N,,,~ (612) 681-1914 FAX: 881-9488
* en neer n lµ0 Pl/JIMERS. UMD3CAVE Mpal[CTS
0 B 625 Highwoy 10 N.E.
* Blaine, MN 55434
~ ~ ~ (612) 783-1880 FAX:~es-~eaa
Cert~f~cate of Survey for: MANLEY BROS. CONST.
4946 SYCAMORE DRIVE
LOT AREA = 12.023 sq.il.
HOUSE AREA =2,188 sq. ft.
~2~05 Max~
BENCH MARK
TOP OF PIPE ` ~
ELEV.=983.27 ~
~ / `
I (VACANT) ,(,<<"~ .
~
I ` ~ ~'v
i 73 1i ~,v
3 ~89'41'S2"W 136.50 ~t/
I 979.8 CAT~0.00 51.67 982.47 Q
978.5 (9~~ 982.9
~ - ~ ~Q~Z~~
r -
i ~ 10 ~~1 ~i 983.1 i~ M
982.6
W ~ ^~22.33 0 ~ 10 O
> I ~ y.~ ~~\N 1 I
~ ,
~ ' ~ z.oo ~ ~ .oo~ ; ~ ~ ~ ~
~ W P OPOSE~ n ~~o~i ~ 981.7
' W I 978.2 ~ ~~VEWAY N\ cai i ~14.3\ i ~
~ i 17.33 ~
\p Y I
Q I 30 ~982.3 °o\ u'''iN N i o ~J ~
~ O ElE C969.0 i ~-3.OO,ao ~ q M~- O
Q ~ O ~ ~ Ih o ~x~2.o ~ o D
~ N ~ i po ~ 7.~\ ~ - ~ ~ p
N 38.34 ~-`~.1 1i10 Z
8 55 I ^ 9e,.~ "N _ J
R= 0~.00 L _
3'7~3 979.1 31.71 S1.67» ~ 980.87 978.9
Q~~ 977.3 l9n.e) EIEC. °D N89•4~ ~J,1 n
13 TELE. , ~ 38.2~ ~977.0~
, 981.0 ad
CATV. ~
.
fk~sn 980.9
• ~ N
M
~
BENCH MARK ~ / ~Sf . ; ~ - ~ ~ ~ J:.
~ TOP OF PIP((~~E
~ ~G=~1~1r,111V ~ ~ ~ , " ~ -~I
ELEV.=981.~~ lJ V~L! ~D _ .__.Il-~ TM_._.
gy ~ooL-
DATE 2 ' °!°J
BUILDING INSPECTIONS DEPT. P TI N
LOWEST FLOOR ELEVATION: ~ Z
~ NOTE: PRpPO5E0 GHADES SHOYM PER GRAO~NC P~AN BY: EG RUD
NOTE: 9UILDiNG D~MENSIONS SNpNT! ~RE FIXt HOR120NTA~ AND 7ERT~A~ LOCATIpN TOP OF BLOCK ELEVATION: 9~. a
~ 0~ STRUCNRES ONLY. 5[E MGIITECNµ PLANS fOR BUILqNG AND 6o~f /1
rWnO~na+ D~~Eas~a+5. GARACE SLAB ELEVATION: /~~L
N07E: NO SVECIFIC SpLS INVESTCATION HAS BEEN COMFLETED ON THIS LOT BY TNE T.0.8. O L.O. ELEVATION: ~!-4
$UH~EYOR. TNE SUIT~BIUT1' OF 5045 TO SU770fii TNE 57ECIfIC HWSE
FHOPOSED 4 N01 TNE RESPONS~&Lliv Of THE SURKVOR.
% 000.00 DENOiES Ex15nNG EIEV~TION
NOTE: ~11i5 CERTIFlCATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER TNAN ( ppp,pp ) DEHOTES PROPOSEO ElE`/ATION
THOSE SHOVM ON THE RECOROEO VLAT.
DEN07E5 ORAINAGE AND UTI~IiY EASEMENI
~ 999 BUIL~ C PERMI°~ APPLICATION (RESIDENTIAL) f~~.a, ~
`LJ l CITY OF EAGAN U
3830 PILOT KNOB RD - 55122 Z~~ ~
651•681-4675 J i
New Conatracfton ReaulremeMs ~ Remotlel/Reoah ReaohemeMs 1~+ L y~pl
D 3 regisfered sHe s~rveys showtng sq. Y. o(101, sq. H. of house 2 coptes ol plan
and Qj rooted areas (20% maxlmvm lot eoveraae allowed) 1 sef of energy calculallans for heated addMions
D 2 coples oF plans (show beam 3 window ahes; poured Fnd. design; etc.) 1 sXe survey tor exferlor addHfons a decW
? 1 set of energy calculatlons
? 3 coples ot hee preservaNon plan H IM plalted after 7/1/93
DATE: CONSTRUCTION COST: ~U_ D~D ~ I r
DESCRIPTION OF WORK: I~ ~u-ND D~JC~ /
STREET ADDRESS: / fJ S e
LOT: _ l ~ BLOCK: ~ SUBD./P.I.D. ~
Name: ~~G ~ ~ ~ P ne 4 .l
~
r ~0 d ~
PROPERTY ~a~? FU~?
OWNER /
Street Address: q ~o C ~1~~ ~ '
City ~cz.l'1 / State: ~ Zip: S~~~Z
Company: e f~/ ~~//U ClJ/ one 73f ~3~/ ~
~ (area code)
~'ONTRACTOR ~ /
Street Address: ~d ~ License " .
City ~iL~O~d~,C~~ ate: ° ~ Iip: ~ 5~r/ 2~
/ v
ARCHITECT/ % ~
ENGINEER Company: i ~ ~ Name:
Telephone ar~a cqde ( ) \
~
cHee~ e~asPes,~___._ Registration
,
City Sta~e: Zip:
Sewer 8 water Ilcensed piumber (reaulred for new conslrucfion onlv):
PenalFy applies when address change and lot change is requested once permN Is Issued.
I hereby acknowledge that I have read this applicatlon, state that the informatl~ cortect, and agree to comply ith ali applicabl
State of Minnesota Statutes and CMy of Eagan Ordlnances.
Signature ot Applicant:
OFFICE USE ONLY f ~
~
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required ~
~
~ . ,
~ ~
~ ` ~ _
OFFICE U5E 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 ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ~ 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ~ 20 Pool ? 25 Miscellaneous
WORK TYPE
~ 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 Bidg' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
L's~!:~R~:~ IA'si3 :Li:i ~ iGid
Const. (Actual) Basement sq. ft. Census Code 3Z
(Allowable) Main level sq. ft. SAC Code ~ 1
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs v
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinkiered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee I•~ Valuation: aoo~
Surcharge •00
Pian Review
License
MC/E5 SAC
City ~aC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL•
SAC Units
SAC ~
~
CITY USE ONLY
LOT BL ~ RECEIPT I` O~-~~
SUBD. RECEIPT DATE: 7
MECHANICAL PERMIT # ~lll
1999 M~C~I~RIC~L ~£i{MIT E~~ID£NTI~4L)
CITY OF EAfiRN
SSSO PILOT KNOB $D
gA6AN I~1N 551 EE
~ _ ~ (651) 6$1-4695
Date:
Complete this section oH[y if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
• HVAC: 0-100 M B T U - 30.00
ADDITIONAL 50 M BTU ~ 6.00
• Gas outlets (minimum of one required @$3.00 ea.) ~°~v
State Surchazge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder.• Call 681-4675 for rnspecrions.
_ Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: ~~l V li/C 2/Y7~/?.~ .E-JTi ve
OWNER NAME: ~J~JQ ~j`i'~]`-.ca-~ PHONE
INSTALLER NAM :E SG~ ~Z~G ' i c< PHONEp# A
C%f~ - y5/1J ~13~
~~~IlJ U G GL r/'!/P SG ~AREA CODE)
STREET ADDRESS: 77Jyi' ~
CITY: rJ'y- GCZ_/~D, STATE: ZIP: S~~°7~
,~!~i°~~ ~5~~•~/~
SIGN~~NRE OF P ITTEE
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
~ 1999 ~~C~IANICAL PEfibIIT (COh1IdEiZCIAL)
CI1'Y Of ~R6AN
3$SO ~1LOT KNOB fiD
~kfiAN, MN 551 EE
(651)6$1-4675
Please complete for: all commerciallindustrial 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% o£contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CON7'RACT PRICE x 1 %
PROCESSED PIPING
PERM[T FEE
STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permiu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE -
~ (AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITT'EE
I
L ~ BL ~ CITY USE ONLY RECEIPT ~ I C~ I
SUB~. RECEIPT DATE:
PERMIT#
Y999 ~LUM$I1~IC ~P~MMTI' fift~SID~NTI~L)
C[1'Y OF £AfiAN
3580 PILOT KNO$ RD
EA&AN. 61N 551 EP
(B51) 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
8ath tub $ 3.00 x = $ (p , Gp
Floor drain 3.00 x 1 = $ 3. ~
Gas i in outlet ' minimum - i 3.00 x / _ $ 3. ~
Hot tub/s a 3.00 x / _ $ 3,~
Kitchen sink 3.00 x / _ $ , nD
Laundr tra 3.00 x / _ $ , pp
Lavator 3.00 x = $ ia. ofl
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC ~ic. ~5.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ _ new installation/repair__ _ 30.00 x _ _ _ $
Ro? h o enin 1.50 x = $
Shower 3.00 x = $ 4• 00
Under round s rinkler if d~vellin is under construction 3.00 x = $
lJnder round s rinkler if existin dwellin 30.D0 x = $
Water closet 3.00 x = $ /a• LrD
Water heater 3.D0 x = $ 3-~`
Water softener if dweuin under construceon 5.00 x = $
Water softener if existin dwellin 30.D0 x = $
Water turnaround 30.00 x _ $
State Surohar e 50 $ 50
TOtdl --.a $ ~f. D
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
t hereby acknowledge that I have reatl this application, shate that 1he information is covect, and agree to comply wifh all applicable Ciry of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activities to the tacllities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: ' / y~ 1 /J,~ ,ah ~A~r2C ~'yi ~2
OWNER NAME: : ~~-i ~~P ~y'O~ar~`S' TELEPHONE
(AREA CODE)
INSTALLERNAME: UUGl~'dL /`~.~G/~~~2~~.._-( TELEPHONE#:~=7TlJ `~CDv`~'/
STREET ADDRESS: ~LS v'iG Y~i ~ ~~~,y~~ (AREA CODE)
CITY: ~,Y'/O-y ~~_/Gp STATE: ~ ZIP: Sr~~'71i
^
~~/~7~,C./~
SIGNATURE OF P RMITTEE
~a, ~
zoo~ RESIDENTIAL BUILDING rExNUT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctlon Reovirements RemodeVRe~air Reouirements Office'~Use~.Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and ail roofed areas 2 copies ot plan shovnng footings, beams, pisfs CeR of Survey Recd _ Y_ N
(20% maximum lot mverage allaved) 1 set of Energy Cakula6ons for healed addi6ons Soils Repod _ Y_ N
1 Soils Report if proposed building is to be placed on disturbed soil 7 site survey fw additions & decks Tree Pres Plan Reed ~ _ Y_ N.
2 copies of plan shovring beam & window saes; poured fomM design, etc. Addftion - indicate don-sife septk system Tree P2s Required _ Y_ N
lsetofEnergyCalculations On-5lferSepticSystem~~:`~. _Y _N
3 copies of Tree Preservalion Plan if lot platted afler 7l1193
Rim Joist Detail Options seled'wn sheef (buildings wtth 3 or less uniLS)
Minna3asco mechanipl ventilation form
Plans are considered ublic information unless ou state the are trade secret and the reason.
~
Date ~ / ~ / 0 ~ Construction Cost ~0~2J U ~
Site Address y C/
~~T~~GG~rni~~'~ A`~~ Unit/Ste #
G~ c~ d S z
Description of Work ~U(~ ~Gf
Multi-Family Bldg _ Y ~ N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner /-7~ ~ ~ ~ U i ~I 'f z Tetepho.ne # % ) ~ Z ~ U L~ ~S
,
Contrac[or ~~l ~~O N l~~it~n/~
Address ~~Z,~$! ~G.lf ~~Y 6~ ~G City J~/~tCY"~Uv~
State ~ N Zip .~5~~~ Telephone # (Q~Z) ~/?~S ZZ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted ~
. Energy Emelope Calculations Submitted _ . ~
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
~h~'!S' /~~Cf~~,~ -
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvues
? 01 Foundation ? 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 (screen/gaze6o/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Misceilaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alieration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) -Give PCA handout to applicant
DesC~ipti011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings{deck) _ FinaUC.O.
_ Footings (addirion) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Fratning _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
- -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179144
Date Issued:09/20/2022
Permit Category:ePermit
Site Address: 4946 Sycamore Dr
Lot:6 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-060
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Michael A & Heidi Pintz
4946 Sycamore Dr
Eagan MN 55122
(612) 616-6643
Sedgwick Heating & Air Conditioning
1240 Trapp Road, Suite A
Eagan MN 55121
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature