4978 Sycamore Dr lI\I ~Y~(.;1'1(~N K~C~ ()K1~
CITY QF EAGAN PERMIT TYPE:
~8830 Pil~t Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date issued
~651}681-4675
SITE ADDRESS: ' APPLICANT:
,,~r ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
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3 Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC A ~i 9~1' d gQ
Inspectlon Da Insp. Comments
FOOTINC~S
FOUND
FRAMING `
• ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HT(3
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSb1T FINAL
DECK FfG
DECK FINAL
- . --.F ~a-• _ . .
ti ; . . _
~-yr t
~ ~ . ~
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~e~ti~icate o~ ~ccu~anc~j
~~rij o~ ~agan
~c.~artra~ur o
f ~~rit~acg ~n,~pecrion
This Certificate issued pursuaRt to the neqwirements of the Uniform Building Code
certifying r/wt at rhe time ojissuance this structu~e was in compliance with the various
ordinances of the Ciry negulating building construction or use. For rhe following:
Use ClassiFica~iore Q~~ Bldg. Permit lVO.. 3~~
o~„v~r,y~ R3/U i zo,,;~a o;sa;a R I ~p
~T,yr~ co~u. 1VN
Owmer of Building ~ ~r Ad~tess ~ ~l~'~D ~ W~
Building Add~rss 4Q~ Ladity ~f ~f P~'~~ ~
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t~~y`~ i • _ i~ 6aK: ' I f J
POST IN A CONSPICUOUS PLACE
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- . \
~
Address ~g ~~car~nr~; nu*v~ Zip 5512_~
Lot 2 Blk 2 Sub Pzrier_~ ~Sr
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECITON.
Date: ~ . q Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage)
Permanent steps (main entry)
Petmanent driveway ~
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage f/
Porch ?
Basement futish
Deck •
Please verify with t6e builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before fre.eze potential exists.
Contact engineering division at 681-4645 before working in rightof-way ot installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor CoPY
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C7:7Y OF- F.AGA?~
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LOT: ~ BLOCK: a SUBD./P.I.D#: tpi.a/~' Gd-~~. TOt-~~'`
~ ~
i 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~~35// 3830 PILOT KNOB RD - 55'122 ~~,5~
E~ 651-681-4675 ~p(~p~( ~0'3 ~^06
New Conshuction Reauirements Remodel/Reoair Reauirements F~__
? 3 registered sNe surveys showing sq. N. oT lot, sq. ft. of house 2 coples of plan ~Y~'1
and all roofed areas (20%< maximum lot coveraae allowed) 1 set of energy calculations for heafed addNions
? 2 copies of plans (show beam 8 window s(zes; poured fnd. design; etc.) 1 sffe survey for exterlor additions 8 decks
? 1 set of energy calculations
? 3 coples of hee preservation pian N lot plaHed after 7/1 /93
? Rim Joist Detall Opfions selection sheet (buttdlnos wkh 3 or less unitsl
DATE: - ~ ~ - ~d CONSTRUCTION COST: ~I ~ ~ ~ ~ ~
DESCRIPTION OF WORK: ~ If multi-family bldg., how many units7
STREET ADDRESS: N~ 7~ S Y G 4~O c ,OC~
~
Name: ww~ o~ s~ r_ M%~'t Phone 3~ 77 ~
PROPERTY ~an Ftrst
OWNER ~ 7 ~
Sheet Address: 5 v o R~ o ~ c ~i
City ~a ~h State: Zip: ~ S I Z 3
Company: G~aintiS~Gr~t Phone#: 6S/'6~1y- ov3 Z
(arec code)
CONTRACTOR
Sheet Addresr. / S~~ tYl , r/c// e~n~ license # S2 S 7 ~p, 3- 3J- D/
City S7~ /~u ~ l State: M N Zip: S S/ O 2.
ARCHRECT/
ENGINEER Company.
Name:
Telephone M: ( )
Sheet Address: Registralion
Cify Staie: iip:
Sewer/waterlicensedplumber(ifinstallinstsewer/water): Phone#:,( )
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and Cfty of Eagan Ordinances.
Signature of Appllcant: /
OFFICE,USE ONLY
Certificates of Survey Received _ Yes _ No .,1,
Tree Preservation Plan Received _ Yes _ No _ Not Required ~C~, ; T~_
~.Y; `P OcoO '
\ 0
OFFICE USE ONLY
~
.
? 01 Foundation ? D7 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace 0 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
0 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 ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
' Demolition (Entire Bidg only) permit • Give PCA handout to applicant
VALUATION Occupancy MC/ES System
Census Code ~3~ Zoning h~` ~ City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units ( Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const S~~P/ Width
INSPECTIONS REQUIRED
_ Foo6ngs: New Bldg _ Insulation _ Windows - new/replacement
_ Footings: Deck FinaUC.O. _ Siding
_ Footiags: Addition r~ FinaUNo C.O. Stucco/Stone
Foundation Fireplace: _ r.i. _ air test final RooE _ ice & water _ final
~b Framing Pool: _ frgs _ air/gas tests _ Fina]
APPROVALS
Planning Building ~ Engineering Variance
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total: ~
t r
~
~ ~ 1 ~ ~ ~ /'l 1 ' ~
feet (lot width)
~
S ~Feet
1-- hl
2~feet
~ (lot deF ~
~
, ~
~
3 ~1~
~ S feet ~feet
~
N
1
- a ~ ~
? y feet
PROPERTY LINE
~Ly7~ S~iGu...~ or'r ~.~~`v~ -
STREET/AVENUE ~
~
NO SCALE SHOW NOFTH DIRECTION
1
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: ~ u z ~ o z N~
E9gan; Nflnnesota 55122-1897 Permit Number: ~ 3 3 8 9 8
(651) 681-4675 Date Issued: 1.1 ! 0 2 J 9 8
SITE ADDRESS:
4978 SYCAMORE DR
LOT: 2 BLOCKa 2
PTNETREE FOREST
P.I.N.: 10-57650-020-02
DESCRIPTION:
r~,
Bu~lding ~P_ermit Type SF DWG
Builrting Wo~r~l~ Type NEW
.UBC Occupancy~ R-3,U-1
~ Construction Typsl VN
;
' Zoninq ~ R-1
Building Lenqth 64
~ Buil.d.~ng Width 55
~
~ Buj,lding stories j~ 2
"`-~G.e'~§'~t s Cnd~e 101 1- FAM. DETACN
.
y I. l~'...
~ ~ ~ ~ 1 . ~i~ _ -
~ ) L J ~t~ ~
V ~~~Jl;
REMARKS:
PLAN REVIEWE? BY WAYNE MILLER.
5& W PLUMBER: STAR PLUMBING PNONE #884-4149.
FEE SUMMARY•
VALUATION $173.000
Base Fee $1,252.25 MISC. FEES 1,59.2.50
Plan Review $813.96 Total Fee $4,745.21
Surcharge $86.50
SAC $1,000.00
SAC ~ 100
SAC Units 1
SubT.otal $3,152.71
~I
GDNTRACTOR: - Applicant - sT. ~IC. OWNER:
HUTTNER CONST WM 1q523085 00001653 WZLLIflM HUTTNFR CONST
96~0 WATERFORD DR W 960 WRTERFORp DR W
ER.GAN MN 55123 EAGflN MN 55123
(612) 452-3@85 (651)452-3085
I hereby acknowledge that 2 have read this application and state L'hat the
information is correct and agree ta comply with all applicable State ofi Mn.
Statutes and City of Eaqan Ordinances.
L C_/~?=` /J _ ~
APPLICANT/PERMITEE SIGNATURE UE~ BY: SIGNATUR~
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ` CITY OF EAGAN
n~ 3830 PII.OT KHOB RD - 65122 LJ y~•~-(
681•4676 1
New Construction Reauirementa RemodeVReneir Reauirements Q(~
? 3 registered sRe surveys ? 2 apies of plan
? 2 copies ot plans (InGude beam 8 window saes; poured fid. design; etc.) ? 2 ske surveys (exterior eOditions & dedcs)
? 1 eneigy calcutations ? t energy calaletions for heatetl additions
? 3 copies M tree preservation plan 'rf lot platted after 7/7l93
required: Yes _ No
DATE: _ iD^ZI CONSTRUCTION COST; ~~Or Da ~
f / .
DESCRIPTION OF WORK: llh2y/e F~rc~ /~o
STREET ADDRESS: 7/ 70 ~yC~o r~ ~4/r~Ue
LOT: ~ BLOCK: Z SUBD./P.I.D. D`i•ee~r~'2 t-bY'eS~
Name: Phone
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
~j6~
~~9 ~
Company: l!/ - J~~ ~-8a~~~ Phone
CONTRACTOR q/ D /"1 ~~/TD{c6 U/ ° ~b ~3
Street Address: /!o ~,[/~i ~ License #
City ~~'r/'w State: i"f7 k- Zip: ~SIZ-3
ARCHITECT/
ENGINEER Company: Phone
Name: Registration tt:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new consVudron only): ~ ~LkC l . Penalty applies when address chang
and lot change is requested once permit is issued. y
I hereby acknowledge that I have read this application and state that the infortnation is correct and agre to comply with all applicabl
State of Minnesoia Statutes and City of Eagan Ordinances.
~
Signature of Applicant
OFFICE USE LY ~ EIVED
Certificates of Survey Received Yes _ No ,
Tree Preservation Plan Received _ Yes _ No _ Not Required
~
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
O 01 Foundation ? O6 Duplex ? 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
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
O 32 Addition ? 34 Repair O 37 Demolition
GENERAL INFORMATION
Const. (Actual) I/ 1V Basement sq. ft. f 3~5f MC/WS System .}C
(Allowable) Main level sq. ft. /Ho7 City Water ~
UBC Occupancy 3 t1 I [I~8/1 sq. ft. ~Z Fire Sprinklered
Zoning R1 GgR sq, ft. PRV
# of Stories 2 sq. ft. Booster Pump
Length ~ sq. ft. Census Code. i 0/
Depth ~ Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit
APPROVALS
Planning Building /~U~ Engineering Variance
Permit Fee 1 a5 ~ a-~' Valuation: $ 'f 73 ~ G~D~
Surcharge ~s(,-~O~jG~~~rr~" ~
Plan Review ~ 13.5 (e _
License ' ~G aCb~
MC/WSSAC lot~(~.UO ~3lss X = 5rsy
City SAC t~ y x~ 6- a~ N
Water Conn. y. $ H X oL
Water Meter / 3 6 X~ 5 = 2°%~b
Acct. Deposit
S/W Permit M 5~e~ts Q~~E. / 3y~
S/W Surcharge f ~ 7 6 = ~,,z~
Treatment PI. ~~G
a_
y
9; A5X 5`! = ~ 6rl
Park Ded. u PP R
< ,vF A-s er~sF. ~.~y51
Trails Ded. t~~ 6__ ~q,~
Other
Copies t ~ x ~ °
Total: ~'-I ~i ~ ~ j ~`I k ~ 6 ' ~
q ~t 5N ~ 6 N 66S
~ x 3.2~ 7 iG, ~
% s,ac ~
SAC Units - ~ X
G y3 X ~6 =
/72, $'2'~
. ~ 9g-635
~ ' ENERGY CODE WORKSBEET FOR 1& 2 FAMILY DWELLINGS
9=~s xnDxas9 c2~a,~' ' e p ~=xr ~a ~+t
COMPL8TSD BYs 'l PHONB ~ ~ SL~ !)O DATS T~-
SIIILDIN6 CLASSIBICATION: aategory~l (otaadard) or ? aategory 3(must'iaalud~ veatilatioa)
LIINILSIIM CRZTBRIA
Poundation Insulation-R10 Walla i~SPindowa Roof Attio,iasulatioas
(See table on raverae eide
Slab on Grade Insulation-R10 for allowable percentagee) R44-With Attic No Hael
Ploor over unheated epacee-R24 ~ ~R38-With Attic'Raiaed Heel
Foundation Windowa 1/2" R38 & RS-Solid Raftere
ineulated Glaee. .
-wood or Vinyl Frame
STSP 1 Wiadow G Door Ar~a ST8? 1 Calaulat~ ar~a as a p~ra~nt of wall
A. Total Window & Door Area in 8q. Peet -
WINDOWS (Including Poundation Windowa):
WISID097 MANIIHACTQ&8 NA~: `IbGO~i~ C. From Step 1 divida box A(Window & Door
Area) by box B(total wall area) timee 100
wINDOW MANt7HAC1RR8 TYEBs equale the window and door area as a
percent of wall area (box C).
wamow xuaoancxvxa v axrroa: ~-3,°
R. O. Quantity eq.ft.AYea SOX A 5~7^ X 100 ~ C~~~!/
Dimansiona ~ Box 8 ZS pZ T t
/ D
Z~~p 7~ 7~~p ~ Z STBP 3 Daaign 8~atur~o
' g:. S~p AS3EMBLY
~I ~O X S~O ZU FRAMINO TYPBs
z~0 X ~0 ~ STANDARD FRAMING ~stude 16" o.c. ~
g ' ADVANCED PRAMING p etude 24" o.c.
Z~O X-~ ~O ~ I1I Z CAVITY INSULATION R I(
X '
z'~ ~IO ~ ~rJ y88ATliINO TYPB~ ~
X LH33 THAN R-5
X R-5 > OR MORE
X 6~ ' ~ V-PACTOR II
Dppgg~ ( Prom the table, (reverae eida) determine tha
3 D maximum percent window & door araa for the
deeign optione aelected and enter Yhe t value
rp X ip in Box D below baeed on the window mfg. U-
z p ~OO ~ Eactor:
r0 X b r0 O ~ D
Total Area of IwSOs ag.ft.
Windowe ~ Doore
B. Total Wall Area in Sq. Ft. The 4 value from the table in Box D ehall be
equal to or greater than the Ir in Box C
Wall Total Height Area
Perimeter ~ i
' I~rGo M a~7 = ~~~a
~s ' ~ /S'z~ ~ ~s6 i~~`'
,S' ~00 i •30a_
o 3 ~ 7~ InverGroveHetghlt
Total Area of Walls 8. p Ze .ft
. • , .
F. The building must not exceed the maximum window and door area as a
percentage of overall exposed wall area listed below for the combination
. of framing technique, R-value of insulation within tlie iasulated ca~•itv,
sheathing R-value, and window U-factor. Other components must meet
the requirements of this subpart.
MAXIMUM WINDOW ATiD DOOR AREA
AS A PERCENT OF OVERALL EXPOSED WALL
Cavity Window li-Factor
Framine Insulation ' Sheathin¢ 0 49 0 36 0 31 0°i
STANDARD R-13 2R-7 13.4% 17.8% 21.3% 2~.3%
STANDARD R-15 2R-5 12.9% 17.1°/, 20.1°0 ?3.¢?;
STANDARD , R-18;:. <R-5 ~ ' ~16.0% . .18.8% 22.0°b
STANDARD . il.l/o
R-18 2R-5 ~13.5°0 18.6°0 21.8°io 25.3°0
ADVANCED R=18 <R-5 1,1.1% ''17.1%. 20.1% 23.4%
ADVANCED R-18 2R-5 13.5°io 19.2% 22.5% 26.1°0
STANDARD R,21 ~<R-5 ' 11.5% 17.0°0 19.9% 23.1°b
STANDARD R-21 2R-5 14.0% 19.3% 22:5°0 26.1°0
ADVANCED R-21, <R-5 ' 11:8% 18.1% 21.2% 24.6%
ADVANCED R-21 2R-5 . 14.0% 19.9°0 23.2°0 26.9°.0
Subp..3. Performance criEeria. The combined thermal transmittance (Ua)
factors for walls, roof/ceilings, and floors over unheated spaces must be less than or
. equal to:
A. 0.110 Btu/h ft2 °F for walls;
B. 0.026 Btu/h ftz °F for roof/ceilings; and
C. 0.04 Btu f h ft2 °F for floors.
STAT ALITH: MS § 2I6C.19
HIST: I8 SR 23b1
7670.0~80 Itepealed, 28 SR 2361
.
Minn. Rules Chapter 7670 Z6
June 1994
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Certificate ai Survey for: HuTTNER GOMST.
4978 SYCAYORE Wt~YE
•71'VTWR~R~Si. Lf11i7G
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, . LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
PROPERTY LEGAL: ~ k~ r M~~~~_7~:~Y
~ ~ DATE OF SURVEY:
~ ~ ~ LATEST REVISION:
~ ~ ~ DOCUMENT STANDARDS
U F^
a z ~
C9'~p ? • Registered Land Surveyor signature and company
p~p ? • Building Permit Applicant
~0 ? • Legaldesc~ption
G3~~ ? • Address
? ? • North arrow and scale
t,3~~ ? • House type (rambler, waikout, splR w/o, split entry, lookout, etc.)
e' ? ? • Directional drainage arrows with slopelgradient %
~ ? • Proposed/eristing sewer and water services & imert elevation
? • Street name
Cf ? ? • Driveway
ELEVATIONS
Eb•stina
[9' p ? • Sewer service (or Proposed)
~~p ? • Property comers
0~ O • Top of curb at the driveway
? ? • Elevations of any e~risting adjacent homes
Prooosed
~/o ? • Garage floor
C~ ~ ? • First floor .
~ ? ? • Lawest exposed elevation (walkouHwindow)
e~/ ? ? • Properly corners
Ct ? ? • Front and rear of home at the foundation
PONDING AREA Cdaoolicablel
? p ? • Easement line
? G~ ? • NWL
? • HWL
? • Pond # designation
? ~ • Emergency Overflow Elevation
DIMENSIONS ,
~ ? ? • Lot IinesBearings 8 dimensions
? ? • Right-of-way and street width (to back of curb)
p ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all strudures requiri~g permanent footings)
~ ~ ? • Show atl easemenls of record and any Cily utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? ~ ? • Retaining wall requirements, if ~
QFVIP.WH[~. ~ G/ / ~ - _
1/ CITY USE ONLY
LOT ~C BL RECE[PT '/Do7 g ~
SUIID. _~i17 RECE[PT DATE: ~~~I~/ I
' 1999 M£Cfi~kNIC~L ~~EftMTf (fi~SID~NT[~4L)
CITYOf EAfiRN
5830 ~ILOT KNOB RD
~46RN MN 55] E2
2 ~ j9 cBS~~ea,-os~s
Date: g
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
6_ ° a
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL: ~ , SD
Complete this section onlv if you are remodeling, adding to, or,repairing existing single family dwellin~s,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement _ Repair _ Other
Furnace _ Air conditionin~
_ Air exchanger, i.e. Vanee system, etc. _ Other
Remrnder: Call 681-4675 for inspectians. $ 30.00
State Surcharge: . 50
Total: $30.50
SITE ADDRESS: a ~ e A~" d n'Q a
OWNER t~'AME: ry U j T~J''t N Np ~~L~/ PHONE ~~z' ` 3~~g
INSTALLER NAME: 1/2 d~/C S ~I 1`f IV /?L GI!/V ~ S'~G PHONE Z 3 cy~ Z'
STREETADDRESS: 3ZS"> I~~ST LfI
CITY: d S~ r~+ 0 v'vi STATE: ~ ziP: ~'s"0 ~
~ ~
TU E PERMITTEE
1S/fORMS BLD/MECH PEILNIT (RES) - 1999
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
i
APPROVED BY: , INSPECTOR ~
I
l 999 MECfi~kNICRL ~El21~iIT (CO1~iMEftCIAL)
, . CITY Of ~&AN
3$SO PILOT KNOS E2D
£~FfiA~N, MN 551 E2
(s51)s$1-4s75
Please complete for: ail commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION IPI'TERIOR INIPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed pipin~ - $30.00
CONTRACT PRICE x 1°/a
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (5.50 per $1,000 of oeanit fee due on all pemuts.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEME~ITS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
~j CITY USE ONLY C n
L o~ BL o~- RECEIPT#: ~OOI~o~.~
SUBD. ~...l~n.E.~2F-- RECEIPTDATE: 5~ I7
PERMIT# ~7 V~~
1999 ~PLUM$INC ~~MIT f~SIB£NTiAW
CITY QF gAfiAN
S$SO PiLOT KNOB iiD
~4fiRN, MN 55122
css~ ) s81-as~s
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
Bain iuo ~ s.uu x ~ = a 6.oD
Floor drain 3.00 x / _ $ 3_00
Gas i in outlet ' minimum • t 3.00 x / _ $ _ p
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x / _ $ p
Laundr tra 3.D0 x / _ $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/r~r _ 30.00 x = $
Rou h o enin 1.50 x ~3 $ ~
Shower 3.00 x / _ ~ .Op
Under round s rinkier if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Watercloset 3.00 x 3 = $ 9~00
Water heater 3.00 x / _ $ ~.00
Water Softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 3D.00 x _ $
State Surchar e 50 $ 50
Total $ _00
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read fhis application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the appliCanCs responsibility to notiTy the property owner that the CiTy of Eagan assumes no lia6ility for any damages caused by the City during its
normal operational and maintenance activi6es to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE fo5/ ~a.-~30~`~S
(AREA CODE)
INSTALLER NAME: `~Nnj1' ~i A1e.y i~l~ , ~a~, • TELEPHONE (o.~r/ ys~s -~3~0
~j r~ (AREA CODE)
STREETADDRESS: /5'~130 (~.l ~ba~~~0 ~.}'"i
CITY: ~-v ~,i ~~'1 STATE 7~ ~ ZIP: .~3ZJG~
~
SIGN~ F PERIGIITTEE `
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133291
Date Issued:10/05/2015
Permit Category:ePermit
Site Address: 4978 Sycamore Dr
Lot:2 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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:
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 M Wahowske
4978 Sycamore Dr
Eagan MN 55123
(651) 470-2421
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink LI
r For Office Use I ��
::::ee
City Of Eaaan .. G-6 c,-77
3830 Pilot Knob Road
Eagan MN 55122 \ Date Received: ,
Phone: (651)675-5675
Fax: (651)675-5694 Staff: �C�
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
I
Name: �1j/�P 4 tis-`43 SLE as e Phone: 6'5-/--5'7c) —,.....25‘,..z/
Resident/
owner Address/City/Zip: /7/a S cc: 01,10 Z /.
, ,_ _ 1 -�'�4--m J 3
i J
j Applicant is: Owner Contractor
Typeof Work Description of work: 1--d1--4,- �4e 411-1,-,r� -,� �Y.
I:
1 Construction Cost: 30 lI Multi Family Building: (Yes /No )
Company: //�I f,,., 6 t 01 Conta . / a— D-'
¢ a� /j t -c�.,.
Contractor Address: ?rl p l�j�aCi +-�/�
_ I State: A►.t Zip: ASO 7/ Phone:6c/— '60=n?Y'6?Email: ;- -%,i 1741AAns0-1( ', /Xc.+�
License#. cpl�, /fy"y Lead Certificate#. C._.I.t.= i sip - o 7
i
If the project is exempt from lead certification, please explain why:
1 ,,..\
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:
i Licensed Plumber:
Phone:
IMechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
! the information maybe 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 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 w in 180
days of permit issuance.
// /''
Applicant's Printed Name Ap. icar9t's t'r� --.-'-
Page 1 of 3
(-4017b "� f�/}( rly� /(�, DO NOT WRITE BELOW THIS LINE /LH .3 `
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage _ Porch (4-Season) Exterior Alteration(Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex )(Lower Level _ Pool Accessory Building
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
XAlteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall `Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 41/_____0 Occupancy 14,1,4 MCES System
Plan Review Code Edition016/9 s S SAC Units
(25%_ 100%y ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) y Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water Final Pool: _Footings _Air/Gas Tests _Final
.i Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,e , Building Inspector
RESIDENTIAL FEES
Base Fee /AM"
Surcharge
Plan Review
MCES SAC
City SAC (�
Utility Connection Charge licfy `/
ic, 0i
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK In � A
For Office Use �
4111
City of Eatali Permit Fee; 6L/
3830 Pilot Knob Road
Eagan MN 55122 Date Receives:
Phone:(651)675.5875 I Malt
(651)6754694 L
•
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date; 3 f[31I Sits Address:_ Li Q44
l C6 VG Ock-I
Tenant: Suite*:
ResldentlOwner Name: �� ' ao <o 'b iN_ Phone:
,..••.,.,_.��,_.... .._�..T._. Address/I�city/Zip: �J
Name: / T l -Vit-"%tAU- Ql.V 04Nue, �license#�: ` 6.4-(ES 93
Contractor Address: \ O 416 — ' 36— S 1.-• L4) ' City: crvLLLt
State:I\"—IJ Zip: 5oti k r_ Phone: C 5-11 Ct
Contact: Me 1 14/V Emai`: Pk-kivi.Do
Type of Work --New _Replacement Repair, __..Rebuild Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
,i Lawn Irrigation(,___RPZ/_,PVS) Water Softener
Permit Type Add Plumbing Fixtures(_Main/,/Lower Level)
Septic System
New ' Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heatergod Softener(includes State Surcharge)
$60.00 Lawn Irrigation(Includes State Surcharge)
$60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround'(Includes State Surcharge)
'Water Turnaround(add$280.00 if a 3/4'meter Is required)
$115.00 Septic System New(Includes County Fee and State Surcharge)
TOTAL FEES$
CAjJ.BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 46 hours before you Intend to dig to receive locates of underground utilities. www.dooherstateonecaiLorq
I hereby acknowledge that this Information is complete and accurate:that the work wit be in conformance with the ordinances and codes of the City of
Eagan;that I understand this Is note permit, but only an application for a permit,and work is mol to start without a permit; at the work will be in
accordan it the approved plan in the ease of work which requires a review and approval of plans.
r�r l iti"Y7
Applicant".Printed Name ; Applicant's Signature
FOR OFFICE USE Reviewed By: Date:_.._.—
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150852
Date Issued:07/26/2018
Permit Category:ePermit
Site Address: 4978 Sycamore Dr
Lot:2 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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:
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 M Wahowske
4978 Sycamore Dr
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160480
Date Issued:03/12/2020
Permit Category:ePermit
Site Address: 4978 Sycamore Dr
Lot:2 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Michael M Wahowske
4978 Sycamore Dr
Eagan MN 55123
(651) 470-2421
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162720
Date Issued:07/27/2020
Permit Category:ePermit
Site Address: 4978 Sycamore Dr
Lot:2 Block: 2 Addition: Pinetree Forest
PID:10-57650-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Michael M Wahowske
4978 Sycamore Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature