4969 Sycamore Dr ~ INSPECTION RECORD
G1TY OF EAGAN PERMIT TYPE:
3$30 Pilot Kn4b Road Permit Number: 3L}a.$~
Eagan, Minnesota 5512~-1897 Date Issued:
~651) 681-4675
SITE ADDRESS: ~ ~ ~ , _ , , . ; APPLICANT:
, . i;rr
PERMIT SUBTYPE: TYPE OF WORK:
. .
. ~ ~
. , .
,
, . , , , , o , I . , , . r< ~ ~ .
I.f ~~I I1I~~,i 1< 1.'- .t~l~ ! 4t t11 1 tt~11V 1 C i;l f'}151~y4 1S ~i.?.:t j t 3
~ ~ ~ ~
~ ~
Permit Holder Date Telephone #
EWER/
WATER
PLUMBING _
HVAC . ~ /7 .f!(~- g~/~
Inspection at Insp. Comments
FOOTINGS ~ ~l~ ~'G)'
!
~OUND
FRAMING l /Q
C
ROOFING
P~UM8ING ~ ~ ~
PLBG j{ ~
AIR TEST
ROUGH
!-lEA7JNG
~
GAS SVC
TEST , 8
INSUL ' ~ , c ~
GYP BOARD
FIREPLACE
FIREPLACE ~q
AIFTEST ? ~~g
FINAL PLBG
FINAL HTG
OASAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corv~ucrivirr
TEST
HYDROSTATIC
TEST
BSMT A.J.
BSMT FINAL
DECK FfG
DECK F1NAL
I
.
_ ~ _ , r
~e~ti~icate o~ ~ccu~anc~
~it~ o~ ~agarc
~~,~e~t ~ ~~~e~nDn
T7+is Cerrificate issued pursuanr to the require~enrs of the Uneform Buifding Code
certifying thar at rhe time of isse~ance this stnecture was in compliance with the various
ordinances of the Ciry regulating building constnrction or use. For the jollowing:
ux c~assitotia.: cC rtr_ sbg Pe.mii ?va. 3(+7RR
occapancy 7ype g„~ f
j] I 7ming oiwfa R I Type Coos~. VN
o~ or e~~w~~a ~eTUr ,g ~'~'~'aR FR@LNT AS]E S, 1~~L.S
Buildina Address 44fi4 SY['.N+C1R'F. ~TVR ~~o1~~L1~A~ ~ FT~2FS7'
" ~
e~ua~~ otr,~;~
POST IN A CONSPICUOUS PLACE
Addiess 446q s^IC~rto?tE D1uvE Zip 5512 3
I,ot ~ Blk 3 Sub rrr~:TUF'F' ~uFSr
THPSE ITEMS WEItE / WERE NOT CDMPLETE AT THE TIME OF THE F'INAL INSPECI'fON.
Date: ~201 9 Yes No Inspector:
Final grade (6" from siding) r/
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass
TraiU~r6 damage
Porch
Basement finish i/
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside Iawn faucet befoce f~eeze potential exisis.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system ~
White - City Copy Yellow - Residenl Copy Pink - Conhaclor Copy
.:>~~k.>.;`Y.~(~'-,_~,~,r.:.r~o-" ~r:i:{.kt+N,:,~;~t) ~~e<...,
C;.[T''( ,.ll- `':.AGf-'`:'
. ~.i......~ _;._I.~~ I.'~ li.. .~'~ic;
r;r,s,i-~:.~.~;., ,L:`.hln,~._ _
r~arE_~. a.t;'!2ni,:,;:; ..t:t~~i:::~ _.~~.,.~°;f~
r•;;,;
. Ir....._.r,~: -
,r,i~iilEe i~iAT!I.I':Y i~l{~)i'I'f:i.i'iE; ~,~.)fd~;'iFi,.:'.:y,.~j:7-
~i^:_(-~ +:;(i:J:l. ~~~i~:rdii~i::;~:r 11 ~~~~'~3~?,~.`-~E;
e.c~~
~ y~
n d
f ~~`R'8
. ~
.~..,:'71;p.1.i. ~i'r2t.-'~:?:I.iY~, :~iCii:J(::7'il. `.i~~r'c)~.~'.',.,~)f:>
s.P.:l ? Sl't
r,,,. ..,y
i_~`':;i:`:^; :f.,l±c l~-~~•1,,,
...(''Cri.?K.:_ JFY,cw;4'4~: e ~ r k.:.;:'k ~ ~ >k~~ ~f:Y:.,:54h
, PERMIT
CITY OF EAGAN PERMIT TYPE: •
3830 Pilot Knob Road ~ u t L L~ i nI G
Eagan, Minnesota 55122-1897 Permit Number: p 3 q 2 p g
(651) 681-4675 Date Issued: ~1. 2/ 3 4~ ( 9 ~3
SITE ADDRESS:
s~oc~inor~~ o~
G.r.~T: i et_~cwe
f>zn!~ra~E F~or~FSr
~.s.~v.: ie-er65m--~z~-~a
DESCRIPTION:
r~
L~uz'.Eclin
.~ermit 'I'y~e 5F lJW(>
0,u. i): d i rt c! W ts`T:~k T y p e N E f,J
k1t1C Qccwpancv~~ t~-s,U-7
t~CortStY~ct.lPn ~'YSr+~ uN
ZaninQ R-1
auikdinq Lertgth ~ 5~
~ur..Edirrq, Width ~ f~2
t3i~,il~iirsq starie> 2
1
Nj!iC2 ~r"iG^'t„~.. 2..348
C~1^r~~`~~p~a~ 1~01 1- f=AM. DE'fACH
u
~
~ ~ t r ~ -
~ (a ti4 rr ~ ! °"C i~°~'( ,~S"i;
~ " l;~ ~..._lt , ~ ~ i i rx
C`"
`'_V'v+'.~
REMARKS:
PLbl~J FYE1/IFWEL~ CiY WAYN~ MTLI t;R,
S A W PLUMBE~" IS 54UTH MECHANICAt. ~HONE #423-3733.
FEE SUMMARY
vFl~,u~rzon! ~~.~e.~ea
Bas~ Fee $'~7„277.25 M7SC. FE~S _.-__~].~,.592e5~
Plan ~~e~%.tew $83~.21. Tntal.Fne $4.788.96
Siarohcti°9z $89.00
~ ~ f~
.SF1C $7..~~~J.~~
~nc i~,m /
SAC uni.ts 1
Subtuta.l ~ ~$3,1~3G.46 ~
~
/ _
CONTRACTOR: - ~+oc~~icanr, - s7'. ~zce OWNER:
IrINNLEY 3R~S CONS7 INC 1:;86C~3815 ,2,C~U~5A327 MAPlLEY BROTHERS
24636 JUPIT~'r? f~l~E 3338 FRrP40NT A4E S
LlAI<E~/SLLE M~~ 55~D4A MTNNEPrPOLT~ P9N 56408
(f>~rt 3gF,-~-381C~ (61213b5-38].5
~
z hereby ~oknowlsdt~a tltat Z h~ve ~ead this application annd State that tP~g
i.r~TarrnatLUn a^a cqrrecti ahd ~qr2e to cQmpl.v with a11 appliCe~ble ~tat~ ofi Mn.
~tatu~es atad Ci~y n?` ~a~an Or~finances.
I- J
L APPLICANT/PERMITEE SIGNATURE ~SUED BY: S~GNATUFE
~ ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PII.OT KN08 RD - 65122
'rt esi-ae~s ~1, /
New Construction Reauiremenls RemodeVReoair Reauirmients f~1 ~ bO
-i- 3 registerea site surveya ? 2 ca,iss of pun C"""'-`~' a-
d~' 2 copies ot plans (inGUtle beam 8 window saes; poured fiC. design; etc.) • 2 site surveys (exlerior additians 3 dedcs)
-Y 7 eneryy caleulations ? 1 energy ~alalationa tor heated atlditions
A' 3 copies M Vee pres~rvaHon plan if I~ platted after 7/f /93
~equired: _ Yes ~No ~~+o ~kc.s.~ o.~ l.m'r~
DATE: la • 8~ ~l `3 CONSTRUCTION COST; 9 ~ c~0. c~
DESCRIPTlON OF WORK: CouS~uc~" t.l t..a~ S~NC.~ Fra,rr~~~.~i ~orv~~
STREET ADDRESS: ~16 S`7'Gi4-/'9/l~P~
LOT: I BLOCK: 'J SUBD./P.I.D. t-iNE-"T'~.~-
Name:_ MoN ~--E..~f 6e.o'n-?t~- S C~u~' Phone L~ ~ a~ 3~ C~ - 3$ lS
PROPERTY F~
OWNER
Sveet Adaress: 3~3 8~x~E_w~~sT w,l . S.
City C`~I~uNE.._t~~`~S State: Ma. Zip: 55~1~~5
Company: ~~~---~~1 ~sscl~ E.a4S Ca7.~s w~.Phone ~c~~a~ 3B C~- 38 ti 5
CnNTRr1CTOR
StreetAddress:333Fs '~(z~.r'vo~-rr F?V~. S. License# ~~-~5~t3a-I
City M~~N~~v`~5 State: M'-~. Zip; SS'-1~~
ARCHITECT/
ENGINEER Company: IuL-, Phone C~ I a~ y~ - o~ a~l
Name: 'Tor~ ~osLT~ Reg'utration
Street Address: 3 y 3S LJraShl ~ V~-
City ~PG~n~ _ State: M1.1. Zip: 531'0`l0"~
Sewer & water licensed plumber (new construction ony): 5.~..+-~ ME-~--u+»~'-~~~ty applies when address chang
and lot change is requested once pertnit is issued. 4,~ 3_~--~ 3~
I hereby acknowledge that I have read this application and state that the information is eorrect and agree to campy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Applica
~~L5U\\J'--~,~
OFFICE U5E ONLY D I'
I'
Certificates af Survey Received ? Yes _ No - a ISy'~,
.J
Tree Preservation Plan Received Yes ~'No _ Not Rep
<
OFFICE USE ONLY ' • • .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 .Swim Pool
O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
~ 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? US SF Misc. ? 10 = plex ? 15 Deck
~ TYPE
31 New ~ 33 Afterations ? 38 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAI. INFORMATION
Const. (Actual) ,VN Basement sq. ft. /`+'36 MC/WS 5ystem ~
(Allowable) ? Main level sq. ft. i~~ 3G, City Water ,c
UBC Occupancy JZ 2"'~ sq. ft. I 6 ti 3 Fire Sprinklered '
Zoning ~ 692 sq, ft. 9~ 2 PRV
# of Stories ~ ,.DFu sq. ft. i 62 Booster Pump
Length 6q sq. ft. Census Code. /a~
Depth Footprint sq. ft. ~ SAC Code ~
Census Bldg m/
Census Unit 4 /
APPROVALS
Planning Building ~v Engineering Variance
Permit Fee Valuation: OD C~
Surcharge ,~s~me
Plan Review yB x a6 =-Fay~
License ' ~ v ~ /~k
MC/WS SAC ` ~ a " ~ a ` ~~y`~
City SAC . ° iu 36 X lS =~!~h
~l U
Water Conn. M4 «
Water Meter s~M~-~rs eax > iy36
Acct. Deposit c /
y~ x 3N r 7 7, s~l 6
S/W Permit uPP~R
5/W Surcharge F~' xy 6=~~`~y
Treatment PI. 6~~ " ~ q,~
Park Ded. I~-S
3,S
X~'~' = 62, g 29'
Trails Ded. G,qn
Other z s~ xaa = g~y ~
Copies ~ ~H x ~ - N~
'F ~ r x S = sti
Total: 3~ i~
-j-X /6 = ~y~ 6~~
% SAC ~NS /
SAC Units
/ 7? 7g`~
° o~ ~ ~c ~o, ~
.
TREE PRES~~~1lATfON;RL~,~
SUI~?II~I~ARY~'~x=a~,``';~
CITX,OF EAGAN FORESTRY~D4~lISION 1 ~u _ ~
t _:~:.651-681µ4300:~~ ' s,- i _ . 0.,~:..::
(SEE ATTACHMENTS)
Development ~i t ~.z ~Ure~~
Lot Number ~ Block Number /
Address `i~t S ti c u w~c~-c ~ r~~
8uilder ~~~w~~ ~u'oC
Tree Protection Reauirements:
Tree Fencing
Oak Tree Pruning (Seal wounds during April 15 to July 7)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
~C_ Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
Sn;1,~,1I ~-n, ~~-~.~M ~ .
k'~•~ ~ ~AGAiU FORESTRY DIVISION
e~ [,dL L?-.,,~, ~!~'y'ICwED
~Y
~ ~7.~7~ l L -iP-4. `
r, c~F~' ~'0~~1
• 2422 Enterprise Orive
~ * * ~F Mendolo Heighls, MN 55120
• * PIONEER (B12) 681-1914 FAX:681-9488
~ . * L~NO SuRYLFM9 • ONL ENdNE[RS
* eng neer ng a"~^i' ~"'~"F ""~"'E~15 625 Highway 10 N.E.
Blaine, MN 55434
* i~ 'f * (812) 783-1880 FAX: 783-1983
Certificate ot survey for. MANLEY BROS. CONST.
4969 SYCAMORE URIVE BENCH MARK
'Z ~ TOP OF PIPE
z~ ELEV.=982.34
~
19 I F' ~ ~
w= % o
~ ~
-1 aeo.~ 9ai.s ; w ,
'41'52"E ~ ,;136.5¢ ~
978. 979.4 50.J3 30.00 9 .113 978.4
- N o o ~n
r'--~j 978.8 __-in.--, O
O
30 ~ f~--'-- 0 29.33 97~ 70 O 5 RVICE
~ I977.8 79.3 \a'~ ~ ELE 969.0
x $ 21.00 a O SERVICE ~yJ =
~ 0 1p,00 < ~ ~'QpROPOStD • ~
~ ~ r~ \ ~ ~\.0 RIVEWAY ~ 978.1 I
~ 12.00 a o I
~ I Y W. 1 U'\O ~ I
N
~Nv ~ 2 ~ ~ I ~ o d~ ~ 20.33'~ ~ i
YjM ~ Ir' o rc~ i 978~ I O I
~ ~.4 . a ~ I ~ n\~o ~ a i (n
~ ~ ~ \ a v- i~~ I 9 6 977.7
~Z Ix 5.00 _ I
~~p aw ~977.6 a~977.9 8.4 io / ~
~'.~.~~#c S,~.r F~ea~~;~ ' /
N o 30 ~ • • i ~O
~ L-_ 7J.7-_ ___-_~Y OO I/.'
~ ~ ~
~l` ~ 9n 6 N89'41'S2"E 96.50 D 6~fl~ ~~p~ ~a~ye
. , ~9~R9
n 975.5 975.0 C.B. 975.5 ~
~ ' BOP OF ARK
LEV.=977.8
_O SYCAMORE DRIVE ~A~
~ ~Z- y
_
° ~ ,Z `
NOIE: PFOPOSED CAAp[5 SHDYM PER CRMING PL~M BY; E.G. NUO PROPOSEO HOUS VATION
NOLE: BVI~O~NG OIMENS~p15 SNOVM ~FE FOR HdXZONTµ ANO'~ERTL~L IOL~t10N LDN'EST FLOOR ELEVATIDN: q~`~•~
Oi SIHUtNfiES ONLY. SEE ~NCHIECNK PUNS iq1 BUhDINC UA
~WNOATCN O~~ENyOH$ TOP OF BLOCK ELEVPTION: 832
NOIE: NO SP@RC SqLS INVES?CR?IXI H~5 BEEN COMPLEIED IXI iM5 LOi BY iNE y 8Oi ~
SURVErpp. ME AlrtnBartr OG 5oR5 ia SVVPORi iNE SvECKit HWSE GARAGE SLAB ELEVATION:
PROPOSEO ~5 NOT ME RE~ONS~BILITY Of ME SUF~EYOF.
MO~E: tMiS CEHTFlCI.TE OOES HOt PUHPORT TO SNOW E~SEMENiS OINEP LHIH % W0.00 OENOIES EK1511NG EIEVnT011
iHOSE SHONN Ou iHE RECd10E0 Pt~t. ( 000.00 ) UENO~ES GROPOSED ELEVATON
~ OENOlES URFINPGE RNO U1ILITY EASEMENi
NO~E: LONiRRCtOR MUST VERIFY pR1YEWAY DE9GN.
-ti OENOIES DRAiN~GE ROW OiREClION
NOIE: BE~a'1~i5 SHOMU ~ME B~SEU ON ~N ASSUMED O~M~ OENOIE$ MpIUMENT
$ DEn01E5 OffSEi Hu0
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE ANO CORRECi REPRESENTATION OF A
SURVEY OF 1HE BOVNDARIES OF:
; LOT 1, BLOCK 3, PINETREE FOREST
I DAKOTA COUNTY, MINNESOTA
IT DOFS NOT PURPOR7 TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS $HOWN, AS SURVEYED BY ME Oft
VNDER MY DIRECT SVPERNSION THIS 19 ~AY OF NOVEMBER. 1998.
2t {/1 S~ a J7-/6-S~ SIG D: IONEER ENCWEE I G. P.A.
SCALE : 7 INCH = 30 FEET S~`~`~ ~xis'~~ ~ou-«.P~
~ 9Y: /
1968 98275.15 SWK ohn Q Larson, L5. Reg. No. 19828
, ~ ~ ~95-~37
~ ENEI2GY COD~ WORKSHEET FOR 1& 2 FAMILY DWELLINGS
~ szxs,nbnRess , n;;; ; , _
• ~ ' ~ ~ CITY
COHPLETSD BY~ LC'+ ~S•_PiIONB~ ~ DATS ~ .
~ BOILDINO CLASSIgICATION: ? category 1(etandard) or ~ catagory 9(muet include veatilation)
_ HINIHUH CRITERIA . ~ "
Foundation Ineulation-R10 . Walle 0 Wiadowo
Roo£ Attia lneulation~
Slab on Gfade Ineulation-R10 (See Cable on reveree eide
. for allowable percentagea) R44-With Attic No Ilael
Floor over unheated epaces-R24
R38-With Attic Raised Ileel
Foundation Windowe 1/2" .
ineulated Glase. ~ R3B fi R5-Solid Raftere
-Wood or Vi~yl Frame
8T8P 1 Wiadow L Door Area STHP 2 Calculate area ae a pereent o£ w¢11
A. Total Wlndow & Uoor Area in 8q. Feet ' ~
WINOOWS (Including Fouiidation Windowe):
WINDOW MAN[TPACTURH NAMH~ C. From Step 1 divide box A(Window 6 Door
WZNDOW MAtNPACTOR6 TYPHi G SJ~~r ~ Area) hy box 0(total wall area) timao l00
. , equala [I~e wi~dow and door area ae a
F7INDOW MANIIPACTUR8.0 FACTOR: •3 (p percent oE wall area (box C),
R. o. - Quantity eq,EC.Atea ~OX A~/ Z~ X 100 e
~ Dimensions Box H C °
4o~s ~SS ~
i!~" X 3_~" 5Z
F, STEP 1 Daeign Peatureo
u!~ Xa~k qg
- nsscr~e~Y
~~I~~ X'~'.~^ J ZI FRANIIJG TYPE~
`""~p x ! H ZZ STANDARD FRAMINO ~ ~
y X y ettlde 16~' o.c.
1 o ff
ADVANCfi~ FRAMINa etude 24^.o.c. '
( M 1 p - Jq
Z~U X;' -}i~7 7~/ ~ 5 ~ CAVITY INSULATION R//
G!~." X 5~ ~ 3 3
9RSATHINf3 TYP6t
. 7i~ (~N X~~~ b ~ ~1 LESS TItAN < h-5
I~M X~I ~N l% R-5 > OR MORE
2± ~v ` x~'-to -f~ft r~l~ ~ o~
U-FACTOR ?
DOOoSk ~ 8 J ~ From the table,
~ maximum percent window6~ aooi~paeaef rnthehe
~g ~X 6 deeign optione eeleeted and enter the k value
~ lg in Box D below based on the window mfg. U-
~ factor: ,
_ x~ ~ ~o ~
D
1'utal ~Area oE n_ Z~ g.Et. '
~ Windous & Doors •
~ ~B-`-~TOtal Wall Area in Sq. Ft. . The 4 value from t6n LaUle in Box U ehall bo
' , equal to or greuter than tha Oox C
~ . ~ Wa,~1~1~~~Tota1 Neight ~ Area
~ Perimeter - ~ ~
_ ' ° S7S
~o /a,~7 ~02'7
~~D 8,~~ f~.l~
- 'Ibtal Area of Walls p= f~ - ~
. . '
. , _ _
•
. .
ONE- & TNrO-PAMILY RFSIDTNTIpL OCTII,pING pRESq~(pny~ ~COOK-DOOK)
APPROAgI
MAXIMUM WINDOW AND DOOR AREA AS A PERCGNT OF OVERALL WALI,
AREA
77 7
Sxterior Window U-Factor
Framin lnau{ation 5heathin 0.49 0.36 0.31 0,2~
STANDARD R-13 [l - 7 I3.49'. 17,8% 21.39'0 24.3%
STANDARD R-13 R- 5 U.4% 16.4% 19.79~e 22.5%
STANDARD R-15 > R- 5 11.996 17.1% 20.1% 23.49'0
S7ANDARD R-18-19 < R- 5 12.19e 16_p96 16.6°!0 12.D%
STANDARD R-IB_1g R- 5 14.0% 18,69', 21.8~0 25.34`0
ADVANCEO R-18-19 < R- 5 12.996 I?.1'/0 20.19'0 23.4'Ya
ADVANCED R-18-19 2, R- 5 14.5% 19.24'0 22.5% 25.1%
STANDARD R-21 < R- 5 12.8°/. 17.Q^Yo 19.4% 23.1%
STANDARD R-21 ~ R- 5 14.54/e 19.396 22.5% 26.1%
ADVANCED IZ-21 < R- 5 13.696 18.1% 21.2% 24.6°Jo
' ADVANC~D R-21 R- 5 15.09'. 19.9% 23.2g`o . 26.9%
~It10na1 ~IculaFed va(~~„e
,
- STANDARD R-17 < R- S 11.9% IS.7°Yo 18.44'0 21.5%
• STANDARD R-17 ~ IZ • 5 13.8% 18.9Yo 21.5°/a 2$.09'0
ADVANCCD R-17 < R• 5 12.6% 16.845 19.G9'o 22.9Yo
ADVANCED h-17 It - 5 14.346 14.0% 22.2'1'o ZSJ%
, •
~ _ Notea:
' Window area equals rough opening minue Inat~llatlon clearances.
_ Window U-Enctor mvsl be detcrmined by elther the National Fenestratlon RaUng ~
Coundl standard 100•91, or ASHRAE l993 Hendbook oE Fundammlals, Chapler 27,
T~ble 5.
; PoddC Faz Hma teri oN•
n rrem
~ ~ oe.
. . rn,~r . ~y ~ rc
a` •
I . - . _
~ ~ ~ 2422 Enterprise Drive
* 7f Mendota Heights, MN 55120
* PIONEEFt (612) 681-1914 FAX:681-9488
LM1D SUR`.EYORS • f]NL ENpNEFAS
~ e~g neer ng L~NO PLHiNERS• LANOSCME ~RCHIlECTS 625 Highway 10 N.E.
~ * Blaine. MN 55434
~ ~ (612) 783-1880 FAX:783-1883
Certificate of Sur~ey for: MANLEY BROS. CONST.
4969 SYCAMORE DRIVE gENCH MARK
2 TOP Of PIPE
Z~ ELEV.=982.34
19 I W= ~ o
~ 980.7 981.5 i ~ i
m~ N89'41'S2"E ~ ~;136.5¢ s ,
978. 979.4 50.33 30.00 73 g78.4
- ~ o o vi
~I_ _ _ _ _ _ _ _ _III _ _ l Q
r--- 978.& ~ O
30 =~T
~ ^F------ o0 29.33 ~979.0 0
5 RVICE
O ~977.8 79.3 \o ( ~ ELE =969.0
~ X °0 21.00 i\W N o SE~tVICE '~~W
O~ ~ 0 7z,00 < c~ °OPROPOS~D = ~
~ ~ ~ ° \ \ ~ ~\.0 `r RIVEWAY 00 978•1
12.OD o a o i ~
/ ~ U ~w i M i I
20 I ~ o a~ ~ 20.33'~- ~ i
~a I r ~ aO~o ~ J) 978+~ ~
W \ o~ a i
~ ,~a ~ N a m i I 9 7 977J
cs- ~ r
~ wZ ~x 8.00 ____-I
c~ i
O ZW ~977.6 ooi977.9 8.4 io / /
° oW p~=v~e c S,~~r Fo~?~,,
ao I ,
L_ 73.~_-___-~~ /
~ 9
~l ° ~ • ~
~ s~ .a \ D~ rp~
A M N89'41'52"E 96.50 ~
. ,
M 975.5 975.OC.B. 975.5
~ . r~ENCH MARK
/ TOP OF PIPE
~ ELEV.=977.81
SYCAMORE DRIVE
, -
~ ,r"~~
~J ~t,
-
: . 'u - ~L~zZ-I -
NOTE: PROPOSED GRADES SHOYM PER GRADING PLAN BY: E.G. RUD PROPOSED HOUSE ELEVATION
NOTE: 6U4DING D~MENSIONS SHONM ARE FOR HORIZONTAL AND ~ERTICAL LOCATION LOWEST FLOOR ELEVATION: q~ s''
OF S7FIUCTURES ONLY. SEE ARCHITECNAL 7LAN5 FOR BUILDING AND
vouNOanoN onner+s~or+s. TOP OF BLOCK ELEVATION: 93 ~
NOTE: NO SPECIFIC SOIlSINVE511GATION NAS 6EEN COMPLETED ON 1M15 LOT BY THE ~}80~~
SURVEYOR. THE SUITABILITV OF SOILS TO SUPPORT THE SPECIFIC MOUSE GARAGE SlA6 ELEVATION:
PROPOSED IS N0T THE RESPONSIBILITY OF THE SURVEYOR. .
NOTE: TM~S CERTIFlCATE OOES NOT PURPORT TO SHOw EASEMENTS OTNER THAN % 000.00 DENOTES E%IS11NG ELEVATION
THOSE SHOWN ON 7F~E RECORDEO PLAT. ( OOU.00 ) DENOTES PROPOSED EiCYA710N
DEN07E5 DRaINAGE aND UnUTY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESiCN. DENOTES ORAINACE FLOW OIRECi10N
NOTE: BEARINCS SMOWN ARE BASED ON AN RSSUMED DA7U~ • DENOTES MONUMENT .
DENOiES OFfSEi HUB
WE HEREBY CERTIFY TO MANLEY 8R05. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A~
SURVEY OF THE BOUNDARIES OF:
1
' LOT 1, BLOCK 3, PINETREE FOREST
~i DAKOTA COUNTY, MINNESOTA
I IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVIStON THIS 19 DAY OF NOVEMBER, 1998.
~2 r/ 1 5~ ~ J Z-~G "F~ SIG D: IONEER ENCINEE t G, P.A.
SCALE : 1 INCH = 30 FEET ~`hUw Exig~~ -~au-«~.
. BY: l
1968 98275.15 SWK ohn C. Larson, L.S. Reg. No. 19828
- • LOT SURVEY CHECKLIST FOR RESIDENTIAL
B ILDINGPERMITAPPLICATION
x , r ~j
~ PROPERTY LEGAL: I YU~~ ~ ~
/ ~ ~
DATE OF SURVEY:
~ ~ LATEST REVISION: I~G I~
~ ~ m DOCUMENT STANDARDS
a z ~
? • Registered Land Surveyor signature and company
? ? • Building Permit Applicant
Ci~ ? ? • Legaldescrip6on
C~ ? ? • Address
~ ? ? • North arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? • Directional drainage arrows v~ith slope/gradient %
m~ ? ? • Proposed/existing sewer and water services & invert elevation
t~ ? ? • Street name
~ ? ? • Driveway
ELEVATIONS
Exi tin
~Q ? • Sewer service (or Proposed)
[3~0 ? • Property corners
? • Top of curb at the driveway
? ? • Elevations of any existing adjacent homes
Prooosed
? ? • Garage floor
~3/ ? ? • First floor
[~f ~ ? • Lowest exposed elevation (walkouUwindow)
ef ? ? • Property corners
? ~ Front and rear of home at the foundation
PONDING AREA Cf ao~licable)
? ~ ? • Easement line
? ? • NWL
o fd~ ? • HWL
? ? • Pond # designation
? [1 ? • Emergency Overflow Elevation
DIMENSIONS
~ ? ? • Lot IinesBearings & dimensions
? • Right-of-way and street width (to back of curb)
C}~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
r3~ ? ? • Show all easements of record and any City utilfies within those easements
r~ ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? ~ • Retaining wall requirements, if an
Reviewed: Z G`
Na e Dat
January 1996
CRAIG 1988/BL W PRhTr. F M
CITY USE ONLY ?
L ~ BL RECEIPT#: ~OJ~a~
SUB RECEIPT DATE: ~ ~
1999 ~LUl?+I~INfi ~~fiM1T (fi~SIDEN'I7t4L)
crrYoF ~?s~rr
S$SO Pll.OT KNOB RD
£ASAN,IISN 551YY
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------------------~_~~~~------~»r------------'----------------~~
FIXTURES EACH # TOTAL
Shower 3.00 x T = 3. °p
Water Closet 3.00 x 9 = ~'O
Bath Tu6 ! 3.~p x 3- = k-~~'
Lavatory 3.00 x 3 = 9- ba
Kitchen Sink ~ 3.00 x ~ _ .3-
Laundry Tray 3.00 x / = 3_ oa
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x / = 3. 00
Floor Drain 3, 3.00 x ~ = 3- ~O
Gas Piping Outlet ' minimum - 7 3.00 x =
Rough Openings 1.50 x = 3• oe
Water Softener ` for dwellings under construUion 5.00 x =
Water Softener ' for existing dwelling 30.00 X =
U.G. Sp~inkle~ ' tor dweiling under const. 3.00 =
U.G. Sprinkler ' tor exiscng dweuing 30.00 =
Alterations " to existing re5idence 3~.00 =
Water Turn Around 30.00 =
Private Disposal System " MPC iic. 75.00 =
(~ew and refurbished syslems)
Private Disposal Systems ' Ewandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc. n fn
TOTAL ~
- • • • • • ~
I hereby acknowledge that I have read lhis application, shate that the informatlon is o~rtecl, and agree to comply with all appiipble Ciry of Eagan ordinances.
It is the applicanYS responsibility to notlfy the property owner that the City of Eagan aswmes no liability for any damages raused by the Ciry during its normal
operational and maintenance acOvities to the faalities wnsWCted under this pertnit within City property/right-of-way/easement.
SITEADDRESS: ~7 ~ c /G~"7C~%J~~7~
OWNER NAME:
INSTALLER NAME: OLG f'/~- ~/~LPC~2~~G~-L 'A'u~s TELEPHONE ~.la.~~
STREETADDRESS: //6~/l7-/a ~~..,i-LY -S~
C(TY: ~~y/,Y G~-~~ STATE: /~n- ZIP: ~1~~-~
iG ~2f~~-fi c.E~i~
~
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
° CI1'Y USE ONLY
LOT _L BL ~ RECE[PT I~J D~ ~
SU6D. ~J' _a.~'i RECEIPT DATE: 02~~/~99
1999 M~C~i~ENIC~EL ~~EgM1T (~SID~ENTI~L)
Cl'CY OF ERfiAN
3$30 PILOT KNOB RD
EAfiAN M.Y 55122
9y+ (651)6$1-4675
Da[e: ~ ` /
Complete this section onlv if you are 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 @$3.00 ea.) 3~a • U~
(a,D~
• State Surcharge: .50
~~J~
• TOTAL:
Complete this sec[ion onlv if you are remodelin~, adding to, or repairing esisting 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
Reminder: Call681-4675foriiaspections. $30.00
State Surcharge: . 50
Total: ~30.50
SITEADDRESS: ~-/~-/6~l ~~/C't3/YILY'1~ ,U2•
OWNER NAME: ' PHONE ~
[~1STALLER NANIE: o t' ~ PHONE ~ (~O "~J, S~
STREET.4DDRESS: c~'DfD(] (ilt/- ~k'
CITY: ~/~}~~JINCJ/D~CJ f
r/W . STATE: . ZIP:~
SIGNATURE O F ~ CEE
JS/PORMS ULD/MC-CH PERMIT(RES)-1999
CITY USE ONLY
L Bl RECEIPT
SUBD. RECEIPT DATE: '
APPROVED BY: ,INSPECTOR
1999 M£CH~k1VIC~lL ~£i2MIT (COMMEftCI~kL)
CITY O~ ~kfi~k1V
3$SO ~'ILOT KNOB fiD
~ea~v, huv s~Y ~s
(ssi)s$i-as~s
Please complete for: all commercial/industrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
`VORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed pipin~ - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $ I,000 of nermit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
City of Eapp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: IL
t-
6" L
Use BLUE or BLACK Ink
For Office Use
Permit* /0 '';(e3(6-2
Permit Fee:
Date Received:
Staff:
4(5
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Site Address:
Lfgka .Cycctm,re Drive
ya.n , Sip -3
Tenant: Suite #:
Name: T tt J I`ci 0 1 1 Phone: 4 51
Address/City/Zip: 14 61 S'rtt cCC. t c qui rya h Cc/ 2-3
Name: SSictvn el litlyvbi r,C)
Address: `t a ®. 6 0 x z-2 t i 2- City: L—Mkf
License #: `5 (S 5 15— Fm
State: a Zip: .6-5--I2
Contact: 1' It F C._ 1+2.
PLUMBING (Within the building envelope)
X Sump Pump Repair
Phone: 65-1 - tog
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work: ?-E (P l% .SUinP Puun P
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE$ 400
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 will be in accordance with the approved plan in the case of work which requires a revew1and approval of plans.
X
Applicant's Printed Name
c1/01A-L
X
Affplicant's Signature
f✓ 1C) a63 sI-/
Use BLUE or BLACK Ink
I For Office Use I
I ~ I
Can j Permit
( I I
City
Permit Fee: I ® 1-
3830 Pilot Knob Road l I
Eagan MN 55122 Date Received:
Phone: (651)675-5675 I I
Fax: (651) 675-5694 1 Staff. I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ®I 19113 Site Address:-1 n or-e- Or- Unit
Resident/ Name: 9JGt ~1 C~' I 1 I I Phone: tl~ I 3°~ qqf L
~
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work i Description of work: -~C,(~•T`'~
Construction Cost: •®0 Multi-Family Building: (Yes / No)
Company: Contact: T 'c4-.,,
c-.,,
M•~~g~l J~~~ Ivy tt~c. er
~-1-
Contractor i Address: q 1 City: I nSr., a t,
Stater zip:
_J55~t Phone: ~5I - U ~ci -`►'3' ;to
License BL ~ ~fSy Lead Certificate M W'r t - -
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: 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 Uy t 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.-goDherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed. within 180
days of permit issuance.
x 1~ i . L--~I n J ~ x_~ If
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149098
Date Issued:05/07/2018
Permit Category:ePermit
Site Address: 4969 Sycamore Dr
Lot:1 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David A Elliott
4969 Sycamore Dr
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175045
Date Issued:03/09/2022
Permit Category:ePermit
Site Address: 4969 Sycamore Dr
Lot:1 Block: 3 Addition: Pinetree Forest
PID:10-57650-03-010
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 -
David A & Jill K Elliott
4969 Sycamore Dr
Eagan MN 55123--491
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature