4490 Thomas Lake Cir 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
,~~a33
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephooe # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodeVReoair Reauirements Off~ce Use Onlv
3 registered site surveys showing Sq. fl. of lol, sq. ft. of house; and all roofed areas 2 copies of Dlan Certof Survey Recd Y_N
(20°~ maximum bt cove2ge allowed) 1 set ol Ene~gy Calalalions forheatad additions Tree Pres Plan Recd _ Y_ N.
2 wpies of plan showing beam 8 window srzes; poured found design, etc. 7 site survey for additions 8 decks Tree Pres RequireA Y_ N
1 set of Ene~gy Calculations AddNOn - indiwte H on-sde septic sysfem On-sAe Septic System _ Y_ N
3 copies ol Tree PreseNation Plan if lot platted after 7/1f93
Rim Joist Detail Options selection sheel (buildings with 3 or less units) 4~
Date~/ 2v / d~ ConstructionCost 1`j~ ~7~~
Site Address ' UniUSte #
- - a
Description of Work ~CC,K
Multi-Family Bldg _ Y~ Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~/'hY!/~ 5 Telephone # (~j S
~ ~/5 h ' ~ .3~~~
Contractor J~.~71j.S/~ O Lc~ S o11/S / C.~1 S -f/y ~
Address ~D~T~/J/~'~l ~3LV?~ City ^ ~
State t`-J ~ Zip ~(]'~~-'I'elephone # (657) ~,/5
3 "9 ~/O-~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv t _ Minnesota Rules 7672
Energy Code Category , Residentiat Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submi~~ed Submitted
• Energy Envelope Calculalions Submiried
Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor ~ Telephone )
Sewer/WaterContractor 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
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.
~ohe~ l-~~.~~ "y~~ci~~~
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex O 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 EM. Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04-plex ? 12 12-plex aibg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 . Demolish Foundation ? 45 ~ Fire Repair
? 33 Alteration ? 37 Demolish Building' F O 43 Reroof ~ 46 ~~Windows/Doors
? 34 Replacement 'DemoliUon (EnUre Bldg) - Give PCA handout to applicant
~
Valuation ~C'~ Occupancy ~-3 MCES System
Census Code ~/.3y Zoning City Water ~
SAC Units - Stories Booster Pump
# af Units Sq. Ft. ~ PRV
# of Bldgs - Length ~ Fire Sprinklered ~
Type of Const Width / b
REQUIRED INSPECTIONS
Foo[ings (new bldg) FinaVC.O.
~ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
~ Roof _ Ice & Water _ Final = Pool = Ftgs =AidGas Tesu Final
Framing Siding Stucco Stone Brick
_ Fireplace _ R.I. _ AirTest Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
~
ease Fee -7~ ~
:
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ y/y~~p' 707~.~ - ~70v'~ 9 %
2005 RESIDENTIAL BUILDING PERMIT, APPLICATIOPV -IO~7-~S - '70• S°
J_~~ ' City Of Eagan P~ b~)a qv. s~
~ 3830 Pilot Knob Road, Eagan MN 55122
SO.1~ Telephone 651-675-5675 FAX # 651-675-5694 ~
7~7
_
New Construction Reouirements RemodellReoair Reauirements Offce Use Oniv
3 registered site surveys showing sq N. of
I~,t sq ft of house; and all roqfC areas ~ 2 copies of plan CeA o(Survey Recd N
(20% manimum lol coverage allowed) 1 o pq,~ 11~( , 1f~ 1 set of Energy Calculations for heated additions Tree Pres Plan Recd ~Y _ N.
2 copies of plan showing beam &~vindow sizes; poured fourid design, etc. ~ 1 site survey for additions 8 decks Tree Pres Required `~Y _ N
lsetofEnergyCalculations ~ Addrtion-indicatei/on-srtesepficsysfem On-stteSep[icSystem _Y ~
3 copies of Tree Preservalion Plan if lot platted afler 7/153 -G1'~p~ ~f'lO~~
Rim Joist Detail Options seleclion sheet (builtlings with 3 or less unils) ~ 8~ C; ~ G~ M~~ ~
~•A
Date ,~h~/_Q~ anstr ctionCost ~1~~~~~•
Site Address ~~T~L Unit/Ste #
-~a~ ~ oi
~ S Q~ ~
Description of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2,~~
Property Owner /'a/~~~ Telephone # ~SIFJ - „4S
Contract
Address City
State . Zip~mr~1 Telephone tl~~ ~51i~ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
~ Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet ' • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submiried ,
In the last 12 months has ihe City of Eagan issued a permit for a similar plan based on a master plan2
_ Y ~ N If yes, date and address of master plan:
Licensed Plumber,~?r;r.~~~s=~~!/~~nGe 0~ ~Telephone #~j L
Mechanical Contractor ~'i~[ Q z Telephone
Sewer/Water Contracto Telephone ~i - ~j
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and a~c.`curate;
tl~at the work will be in conformance with the ordinances and codes of the City of $agan and the State, of'MN
~ ~ . • ~V':
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start• wrthout a
/c;
permit; that the work will be in accordance with the approved plan in the case of work which-reguues a r~~~ew and
approval of plans. ~ ` , 0
_ ~ v`' J
~ ~T~4~~.iJY1R ~ ~ /
ApplicanYs Prmted Name A plicant's gnature ~ /
OFFICE USE ONLY , .
Sub Types ' •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut Alt - Multi
? 03 • 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-pfex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteralion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Endre Bldg) - Give PCA handout to appliwnt
Valuation / ~~0~ Occupancy ~ 3 MCES System
Plan Review ~00%or 25%
Census Code Zoning 1 City Water
SAC Units O/ Stories ~ Booster Pump
# of Units O/ Sq. Ft. 33/ PRV y~~
# of 61dgs Length i~ Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
~ Footings (new bld~) FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
~ Foundation _ HVAC
Drain Tile Other
Roof ~ Ice & Water ~ Final Pool Ftgs AidGas Tests Final
Framing Siding Stucco ~ Stone Brick
Fireplace y~ R.I. ~ Air Tes[ ~Final Windows
Insulation _ Retaining Wall
Appraved By: uilding Inspector
- ~
Base Fee ' O`'7G~~IJ Gj/~ ~/oZ0 !G - ~
V
Surcharge y~ ~2~j
Plan Review r~y ~1~'' ~G~~
MC/ES SAC Utir-,;v ,3sm; C~ ~5=' ~9 ~ ~
City SAC ST , P' ~
, _ a~ss ~ ~y i~s
Utility Connection Charge ~~,A r~2 , q~~ G~ sy~ ~d a~- 7U~
S8W Permit 8 Surcharge yL
/~tiv^ /~oM, ~9~' O ~a`= J~gG~
Treatment Plant ~
License Search 1~lL LfL~ G~ ~
Copies
Other ~gG g~'
Total
oF~~c~~ F~~.~ co~'Y
. .
INDIVIDUAL RESIDENTIA~L LOT
TREE PRESERVATION PLAN, SUMMARY ~
~ ClTY OF EAGAN FORESTRY DlVlSION _ ~ ~ . .
' 651-675-5300 ` "
(BUILDER, PLEASE READ ATTACHMENTS)
Development S u6 Y ~ -
Lot Number I Block Number ~
Address 1~ l ~r~S C~2~ -
s~i~aer K~7H~ TRl?'hRi ~ ~'i~1'COvV~ ~1~~(
Phone Number: ~ ~ ~ J ' Z
Contact: ~i~T~~`'~ ~'~Y~i3
Tree Protection Requirements:
Tree Protection Fencing Installed On Site
Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning Required
Retaining Wall To Be Installed
Other. '
Replacement Trees:
Not Required
~ AsFollows: ~~~NT C~[~~s~~`( 3 TZ~S
D2 ~N ~Qi~-lU~l'LEN'[~ Cc3~'~LL~IN41'TCU1~
Attachments: ~ ~ C ~ ~ ~ ~ ~ /O ~ G l . C I
~ s,
Yes
~ `
No
Additional Notes:
pNlS10N
EpaAN FOAES7~
A~dB~
BY
J~/
DA'~
H.\p~we~2005fi1e\Ireepres\Tree Preservauon Plan Summary-2005 ' ~
SUGAR BLUFFS lOT 1 BLOCK 1-TREE PRESERVATION CALCULATION WORKSHEET
101312005
4490 Thomas Lake Lane
Development Type = Single lot residential
Existing Allowable Actual Actual Required Cash
Trees Removal Removal Preserved Mitiqation Equivalent
- 40 Trees 20% ' 10 Trees 30 Trees 8 B trees $2,400
- 8 Trees'.- 25.0%. 75.0%
MITIGATION CALCULATIONS
(Applicant to mitgate: 2 Trees)
Category of Tree Number of Mitigation Total
To Be Removed Trees Removed Per Tree (B) Mitiqation (B)
Specimen Trees 0 6 ~
Hdwd Deciduous 21-30" 2 4 $
Soft Deciduos >24" ~ 4 ~
Conifer > 24" (12" dbh) 0 4 0
Hdwd Deciduos 6-20" 0 2 0
Soft Deciduous 12-24" ~ 2 ~
Conifer 12-24' (<12" dbh) ~ Z % ~
total = 2 TOTAL MITIGATION = 8 Catego B Trees
MITIGATION SUMMARY
Number of Mitigation Number of "B" Tree Requirement Cash Equivalent
Trees Required Trees Provided Balance (B Trees) Balance
g 0 8 $2,400
NOTES:
J
Removed Preserved
Trees Trees, ,
99 18" BE 61 9" BLK CH
100 17"' BE ` 63 23" W PINE
103 27" WO..~~, 64 13". W SPRUGE
107.18" WO . 65 21" RO
11 D"22" RO' ' ' ~ 66 23" RO: " ' ~ .
11129.5" W O ~ 67 13" RO
115 18" W O 68 15" W O" '
11622",WO~, - 6916"WO.,
117 22" WO ~ 70"15" WO
118'13" ASPEN , s"°c 71:.18'' R0=
. . ~ 72 ~13" RO~
73 29" W O
74 14" WO ~
75 33" W O
76 21" 80 ~
102 16" BE
104'25" RO
105'.22" W O
108 12" WO
109 16" WO '
112 19" WO
11322" WO
114 29", W O
119 ~17" BE~ ~ "
120 27" WO ;
121~18" WO ` '
122 27" WO : ' .
123 16" WO
124 22" W O
125 29" W
O '
- . '
Date: 9/10/2005 Revision Date: 9/10/2005 New Construction
Site Infortnation
Address 1: XXXX THOMAS LAKE Projed COETZEE
Address 2: Lot: Block:
City: EAGAN County: Subdivision:
Application Ir~fortnation
Business Name: KATHY TRIMBLE CUSTOM MN Contrador License
HOMES
Contact Person: KATHY TRIMBLE
Office Ph: 651-456-0674 Fax: 65-456-0674 Cell Ph:
Address 1: 1566 WEXFORD DR
City: EAGAN State: MN Zip Code: 55122
House Details
Square Feet: 6542 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 5
Verrtilation : Balanced
Total Ventilation Capacity : 258 cfm.
Minimum Continuous Ventilation :90cfm.
Intermittent Ventilation: 168 cfm.
Combustion ApDliance r~~ f~2G
Water Heater. Direct VenUSealed Combustion Input BTUs: ~5;890 Independently Vented
Fumace/Boiler 1: Dired VenUSealed Combustion Input BTUs: 80,000 IndependenUy Vented
Fumace/Boiler 2: Direct VenUSealed Combustion Input BTUs: 80,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Equipmer~t
Continuous E~aust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 600
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
- Minimum Combustion Air Requirements Have Been Met.
Applicant Name (print):~~~-{y~~l~ ~ Signature/Da e: ~
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Cities Di~ital Quality Control
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CABINET STYLE BENNETT LUMBER CO. NAME DATE
' 2828 EMERSON AVE. S. ADDRESS
FINISH MINNEAPOLIS, MN 55408
PHONE 612-870-0801 FAX 612-879-0115 CITY PHONE
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~ Wall height: 9.0'
Depth below grade: 8.5'
Insulation depth: 9.0'
Basement Wall 3.5: Solid Concrete or Masonry 74 I0.0 0.0 21
Wall height: 8.5'
Depth below grade: 3.0'
Insulation depth: 3.5'
Floor 1: AII-Wood Joist/I'russ:Over Outside Air 418 30.0 0.0 14
Fumace 1: Forced Hot Air, 90 AFUE
Fumace 2: Fo~ced Hot Air, 90 AFUE
COMPLIANCE STA7'EMEiV'C: The proposed building design described hcfe is consistent with the building plans,
speci5cations, and other calculazions submitted with the permit application. The proposed building has been designed to
meet the 2000 IECC requi ts in REScheck Version 3.6 Release 2(6rmerly MECdteck) and to comply with the
mandatory requirements I' i the REScheck Inspection Checklist.
Builder/Designer Date_~~~
~ ~
~
'
~ SEP l 5 20pS ~
Permit Numb~
By
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheck Sodware Version 3.6 ReleaSe 2
Data filename: K:~Res check\Check\REScheck\customer heat cala\KT006 rev2.rck
PROJECT TITLE: KATHY TRIMBLE CUSTOM HOMES
CITY: Eagan
STATE: Minnesota
HDD: 7981
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.13
DATE: 09/13/OS
DATE OF PLANS: 8-29-OS
PROJECT DESCRIPTION:
CHRIS AND LINDA COETZEE
!a4 ~v TN~,~~µs C n~~n c~i~
DES IGNER/CONT RACT OR:
Fox-1 Dra@ing and Design
Eagan, MN 55122
651-894-3990
COMPLIANCE: Passcs
Maximum UA = 878
Your Home UA = 684
22.1 % Better Than Code (UA)
Gross Glaang
Area or Cavity Cont. or poor
Perimeter $~a?j~lS ~C -~a S4I ~A
Ceiling 1: Flat Ceiling or Scissor Truss 2323 44.0 0.0 63
Ceiling 2: Fla[ Ceiling or Scissor Truss 84 38.5 0.0 3
Walls-5rs[ 8oor. Wood Frame, 16" o.c. 2288 19.0 OA l l6
Window I: Vinyl Frame:Double Pane with Low-E 259 0.3I0 80
Door 1: Solid 20 0.350 7
Door 2: Glass 70 0.310 22
Walls-second 8oor. Wood Frame, l6" o.a 2392 19.0 0.0 129
W indow 2: Vinyl Frame:Double Pane with Low-E 204 0.310 63
Door 4: Glass 40 0.310 12
Walls-basement: Wood Frame, 16" o.c. 940 19.0 0.0 46
Window 3: Vinyl Frame:Double Pane with Low-E 128 0.310 40
Door 3: Glass 40 0.350 14
Basement Wall -9-0: Solid Concrete or Masonry 860 ]0.0 0.0 54
~4a Z~ S
I 924.68 . B926 S89°36'08"E 363.43 JOB NO. 05R-360
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~~OO~II ER ~UM~ LEGAL DESCRIPTION
Setback O.H.W~ LOT 1, BLOCK 1, SUGAR BLUFFS,
~ ~ REQIJIRED ~
I ~ E~ED CITY OF EAGAN, DAKOTA
925.6 ~ THOMAS LAKE COUNTY, MINNESOTA AND RESERVIN
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I 'Y ' I ~O~ o~ 14.85 74_80 - -:~91 42 I ~ ~ ~ ~
1p~~ ess--- cP' - a '-P
I ~ o ~ O.o 192b ~\5.59 e'OO is.a~/ ~~n l~~ J~ ;~iy`N~i~`~`,
~ O ~ r~ ~ / , I$ : J y ~ ::nn,n~w~t~'•
gy5,7 Garo A ~ 914.5 I~
925.Z ~ o ? oQ ~O X .25 ~ BLUFF IMPACT ZONE ~`~~G ONSPE
I ~ ~ ~ N 4490 N~ ~,~o s~ ~i9e d ~~O ,"i`:`~'~2-17"OAK . 0 30 60
~ ~ ~92~ 1.00 °0 2 0. 0 0 ~§745~-~ 9 tl' a, ~op 9.39 ~rri
~ ~ ~j ~F~'~6~"~' Zo;s~~z?o'02 iw SCALE IN FEET
~ x92J.57 \ .9e ~O ~~+~.p.~8.87 921.0 ~'.~.•18"OAK I4 DATE: Au
I [ ~ ~ 923.3 ) 918~ ~'~.'.°16'OAK 23.41 ~'A _ gust 3'i ~ 2~~J
J
I e: ~ xsis ~~^c.~ 15"OAK ~ ~ ~
x9 s ~ o oo et~.s I; _ PREPARED FOR:
I ~ I I . ni 923.1 9 53 ~17'OAK N85°5759_E 67.48 rL~t1 ~ `
; I 92z~6~ 398 - KATHY TRIMBLE
I ~ I 9zz.~ ~ ~ / o 009 Lt6
zo ~ `~62 1566 Wexford Court
I Phdne Ped ~24.91 ' i~. w..
I \o~ Eagan, MN 55122
W9p6.13 I
m -
p LOT SQ. FOOTAGE = 67,303 PHONE (651) 456-0674
I ~c;74.424
08AK i ~
~22.9 925.41 i I~ a•a;:fe° ~ i~ ~ ne P
~ ~~'~5t9 x9 Cable HSE SQ. FOOTAGE = 5, 631 PREPARED BY:
~ o L________ __~;-A T=„15'OAK 3~.<Z \ IMPERI/IOUS COl/ERAGE 8~ HEDLUND PLANNING
' ~C{J18~r--~':'bgS~?6.47
92 ~z ~ Service ~G~°~20"OAK 9~63 eENCHMARK: ENGINEERING SURVEYING
~ ' s.so N89°36'0 W 146.40 935.97
~936.84
so~ MH MIN. SETBACK REQUIREMENTS: 2005 PIN OAK DRIVE
I ~ T ;
~ 93fi.B9
~ x936.94 Front = 25 P.D. House Side = Easement EAGAN, MINNESOTA, 55122
9p ~OV~~A~~~~~'('~(~j Rear = 10 Garage Side = 40 PHONE (651) 405-6600
I 'x925.51'~~a ~.c~ a~ 931.13
925.47 x9p p Ap ~~~i'1'~~'~'El.adp~Ul,~w 936J9 I hereby tertify that this plan wos
c Ky~yg~ u~}~ prepored by me or under my direct
I ~7~~~ LRt~/~'Q'U~i Ig' .~T~~.~~7Sde~ supervision and thot I om a duly
. 2~. a'aa~ J6.37 la s1eofrtheLStateuot Mnneaod~er the
93z.zo PROPOSED ELEVATIONS:
I 9Z6.3~ 936.33T0 of Foundation = 923.8 ,
szs.zo 30 o.3s Garo e Floor
~932.29 936.64 9 = 923.4
35.50
I ~g26.g} San M BOSETBf1{ Floor = g~s.p eff in gren, Mi n. No. 1 76
sa~ MH THOMAS LAKE CIRCLE 32'40 Approx. Sewer Service Elev. = 916.4 (Pump)
I x92544 936.06 Proposed Elevations = 50. ,~~Q~~~Q
26.86 x 931.63
9Z4.9~ o.a~ Existing Elevations = 950.0
I Drainage Direction = ~
Denotes Offse} S{ake = • Plonning Engineering Surveying
,
Address: 4490 Thomas Lake Circle Zip: 55122
Lot: 1 Block: 1 Subdivision: Sugar Bluffs rZs/ ~
L r
TIIE FOLLOWI\G ITEA7S R'ERE/N'ERE ~OT CO~fPLETE AT FINAL INSPCCI'ION ON
Yes o Comments
Final rade - 6" from sidin
Permanent ste s- ara e ?
Permanent ste s- main ent
Permanent drivewa
Permanent as ?
Retainin Wall or 3:1 Max Slo e ~ y~ e. ti2 ^ D4~
Sod/Seeded lawn
Trail/curb damage FZ ~
Porch
Lower level finish
Deck ~ ev1 N~~
Fire lace p.7 ~ ~ L- 8„Je
• Verif}~ with your builder d~at roof test caps from the plumbing system have been removed.
• Tum off water supply to the outside lawn faucets before freezc potcntial cxists.
• Call Q~c City's Engineering Deparunen[ at 651-675-~64G prior to working in right-of-way or installing
irrigation system.
~r i
1' QUILDINC INSPECPOR:
CONTRACTOR:
Kath~ Trimble Custom Homes Inc.
1566 Wexford Court
Eagan, MN 55122
JCI~ Qnn~S~l L~`nclu- ~'oe~Z~~
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' ~ BUILDING PERMIT APPLICATION
Ffi'r.OPERN LEGAL: ~"b+ r~l~GI~ I~ S(~~,(,r,~- ~l U~5
DATE OF SURVEY: a~3 f~OS
LATEST REVISION:
d
~
c ,
m
t
U
a ~
O z ¢ DOCUMENT STANDARDS
~ p? . Registered Land Surveyor signature and company
? ? . Bui~ding Permit Applicant
~ p ? . Legal description
~ ? ? . Address
? ? • NoRh artow and scale ,
. House type (rambler, walkout, split w/o, split entry, lookout, etc.)
. Directional drainage arrows with sfope/gradient %
. Proposedlexisting sewer and water services & invert elevation
~ ? ? . Street name
p? . Driveway (grade 8 width - in R1W and back of curb, 22' max.)
? 0~/ • Lot Square Footage
? ,H • Lot Coverage~ %v~(~i~LC~, ~,.ti,Ue-G~ ~''~~l(/1r~f/IJ l'~~C~d9R, ~ -
ELEVATIONS
Existin
~p ~j • Property corners
? • Top of curb at the driveway and propeRy line eutensions
• Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
~g ? ? . Watenvays (pond, stream, etc.)
Prooosed
~ ? ? . Garage floor
~ ? ? . Basement floor
? ? . Lowest exposed elevation (walkouUwindow)
~ ~ ~ . Property corners
. Front and rear of home at the foundation
PONDING AREA (if applicable)
~ ? 0 • Easement line ~
yj ? ? . NWL
~ 0 ? • HWL
~ ? ? • Pond # designation
~ ~ ~ • Emergency Overflow Elevation
,PJ ? 0 • PondNVetland buffer delineation
(C ) N • Shoreland Zoning Overtay District
N • Conservation Easements
~J
DIMENSiONS
~ ? ~ . Lo9lines/Be~rings&dimensions ~ : ~ ~al~ ~~~,~.~~f
? • Ri ht-of-wa and street width (to back of curb)-~~k °'~T~~~'~'~s ~~~"r~- ~e2f a r r
p? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. ~e C'~.
(i.e. all structures requiring permanent footings)
~ p ? • Show all easements of record and any City utilities within those easements
? ~ • Setbacks of proposed structure and ' ard setback of adjacent existing structures
~ ? ? • Retaining wall requirements:
Reviewed By: Date ~ ~s' J
O~
G./FORMSBuilding Permit Application Rev. 11-2604
P4-~iS-2006 15:40 RNGELL RIRE INC 9527465202 PRGE2
s y -
Date: 8/2/2005 Revision Date~ 8l2/2005 New Construction
$ite Infortnation
Address 1: XXXXX THOMAS LAKE Project COETZEE
Address 2: Lot: elodc:
City: EAGAN Gounty: Subdivision:
Aouiication Irdortnation
Businesa Name~ KATHY TRIMBLE CUSTOM MN Contractor License
HOMES
Contact Person: KATHY TRIMBLE
Office Ph: 851 ~56-0674 Fax: Cell Pn_
Address 1: 1566 WEXFORD DR
City: EAGAN State MN Zip Code:
House Details
Square Fset 6542 sq. ft Avg. Ceiling Ht 9 ft. Number of Bednooms: ~
Verrtilation : Balanced
Total VentilaGon Capacity : 258 cfm.
Minimum Continuous Verrtilation ~75cfm.
IntermiUent Ventllation: 183 cfm.
Combustion Appiiance
Water Heater: Direct VentlSealetl Combustion Input BTUs: 75,(m0 Independently Vented
FumaceBoiler 1: Direct VenVSealed Combustion Input BTUs: 80,000 Independently Vented
Fumace/Boiler 2: ~irect VenUSealed Combustion Input BTUs: 80,000 IndependenUy Vented
Other Combustlon Aaolfances
Gas Fired Direct Vent Fireplace(s): Yes , Gas Fired Power Vent Fireplace(s): No
Gas Fired Natura! Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Eauiamerrt
Continuous Exhaust Ventilation Cspacity (cfm): NA Clothes Dryer (cfm)~ 135
Exhaust Fan Rating (cfrn): 800
Make-UQ Air
No Make-Up Air Required by Code
Combustion Air
Minimum Gombustion Air Requirements Have Been Met.
Applicant Name (print): Signature/Date:
m, ~ma r~~P~r,.;..* F~~.,., n,r~,...o..~~,. ~nnd ne...ti...:.•.i r.a,. r_. ~:,~.r.,.~, va.,.• i
. - Z,~ s~lG-
I 924.68 • . 89 26 S89°36'08"E 363.43 JOB N0. 05R-360
i ~
I ~ r OOS 1~R ~U~P\~\~~ O~~ C~'I~TIFIC~ T~' LEGAL DESCRIPTION
I ~ R~ V,~[ ~ I R G D Setba ~ o.H.w. CI~TY 10F EAGAN DAKO A BLUFFS,
~
I
~ THOMAS LAKE ~VVED COUNTY, MINNESOTA AND RESERVIN
925.6 I ~~Q. O.H.W. 905.4 EASEMENTS 0 RECORD.
i ;~e~a~o i~~~~~G~~~ ~x. ~ ~
~ I ~ ~tis By ~
~ FP O,~ °
I ob~ ~ INSTALL ~ 9, _ ~ a
i ~ ~ _ BA(~AN BNGIIVEE[tWG DEPT.
9z „ i i SILT FENCE ° '----o,~.W.-------- ~
9 ~
~ 2i23 \ ~~^1i N
~ q . - ~ ~
i ~ ~ ~ u ~ \ tiT ~
~q I ~ x914.B6'•~~ ~ N ::r;J~ti:r;..,
I w ~ ~ ~ DRAINAGE AND UTiLITY EASEMENT ~ p ; L
~ p ~ \ \6,~ ~ p - ':.~"J~->
- ~ _
I ~j O ~ I \ ~~J \ S ~ . ~ ~ ~ . _
O \ ~ ~~`°57~ ~^~n-_-~_~;•''
' qqq ":'X?~33.45
" . _
W i 927.oa 91 . :2.%F.>14"OAK ~ ~~E~S.6~ - ~ _
I . ' _ ` _ , _ _ -
_ / ~ :
~ 7. 16 \ / ~ ~ ; :i'..''i~.'~'r'4 '
~I _ ~ . ~r._.~..-^' .
v~
. ~
I \~9~ 923.3 ~8 ~ ~ - ~ ^ ( -Yi'~ ` ~
l~~'.•, i ~?i',
!
* , r,
~ \O .O 14.85 ti"
~l ~n ~ ° ° ~a_ao ----~9~ az ff~:11bL~ v~a ~R~~~'Ei CFC~o : ,c,_•.::•
c-ss - - - cQ' -
I M 0.0 ' \\5.59 6' 'O~ ~A ~ i i;?~.
oO I ~ 15 a7 tn
/ 'I:~:,
N \ I,
- 1 925 2 gqs ~ ~ Garage~ .0 6 ~ 914.5 °;'~F.~~~.'.' ~g BLUFF IMPACT ZONE
~ ~ z i ~ ~ 4a90 ,2s°o ~~g, 2-17"OAK 30 0 30 60
' ~ ~ `~I i .00 0 0 1 33 ~ ~cs'~~-Pa:. ~~O ~8.39 Im _ _ _ _ _
I o 20.00 ~ ° - ~:-~9zz.oz
~ ~ I o ~ °<~`~6~""~ za.~e~zz.,e ~u SCALE IN FEET
x 920.57
~ \ 9e ~O .9.87 921.P '.:-'J.2~'i8'OAK ~4~
i ~ O ,r.,. _ ,e•onK ; > ~ DATE: August 31, 2005
~ 923.3 918~ 23 41 I; _r .
~1 3.80
~ 6~ x 919 dj7 15"OAK
0 0 ~ a~7.s I; 11 PREPARED FOR:
I x9 ~ ~ I ~ 923.1 ~ 953 ~0 ~3.9BAK I~ _N85°52~59_E ~48_-'- ~ 2~~
j ~ ~ ~ 9ZZ.~ Zo22.°6~ -,~-'o 009~$ KATHY TRIMBLE
i ~ ~°o 56~ 1566 Wexford Court
Pndne Ped I ~524.4~ - Eagan, MN 55122
~9p613 ~q. PHONE (651) 456-0674
I ~ s-:=:_..ZS-oAK , L O T SQ. FOO TA GE = 6 7, 30,3
~ .~~~4 ae .
~-^22.9 925.41 i I~ P~hone P
v' ~x~519 xsa Coble HSE SQ. FOOTAGE = 5~ 63~ PREPARED BY:
-qo L- _____L________ __;x?,:.~ `~15"OAK 3~.<Z \ IMPER~IDUS COl/ERAGE = Sq
I ~ ~~~---~`'X836.47 HEDLUND PLANNING
I 92 J2 ° Serdce %L.:•~~~`20"OAK
I v~63 eENCHMnRK: ENGINEERING SURVEYING
3 s.so N89°36'0 W 146.40 sas.si
~9}6.84
san MH MIN. SETBACK REQUIREMENTS: 2005 PIN OAK DRIVE
I T 936.89 xg36.94 EAGAN, MINNESOTA, 55122
Front = 25 P.D. House Side = Easement
~ '~szs.s PROVIDE AND MAINTAIN Rear = 10 Garoge Side = 40 PHONE (651) 405-6600
925.47 x 92 . 0 INST ~ 931.13
SILT .9,9.s, INLET PROTECTION UNTIL 936.79 I hereby certify thot thls Pio~ wos
~ ~ FINAL TURF IS ESTABLISHED v~eP~~ea nY me o~ under my direct
supervision ond that I om o duly
Registered Land Surveyor under the
2~~ 93Z.zo 3637 PROPOSED ELEVATIONS: io.s of the State or ~~~~esota.
I 926.30p 936.33T0 of Foundation = 923.8 ~
92520 ~Y 30 a'36 93fi.fi4 Garage Floor = 923.4
I ~93z"Z9 JS.6U Bosement Floor = 915.0 ~ff in gren, Minn. No. 1~~s
~926.9J Son M
32.40
so^ MH THOMAS LAKE CIRCLE Approx. ewer Service Elev. = 916.4 (Pump)
I 9J6.D6 Proposed Elevations = 50. ,~~~~~~Q
x 925.44
9249~ zs.es oB3 x9}~.63 Existing Elevations = 950.0
I Drainage Direction = ;
Denotes Offset Sfake = • planning Engineering Surveying
' JOB N0. 05R-360
,
~ ~ ~'OI~S C~"~TIFICA TE - -
SU~ VE ~
,
- LEGAL DESCRIPTION ~
LOT 1, BLOCK 1, SUGAR BLUFFS,
' CITY OF EAGAN, DAKOTA
COUNTY, MINNESOTA AND RESERVING
' EASEMENTS OF RECORD.
I
~ ; ~ ~ ,
, .
,
l
R _
i
S89°36'08"E 363.43 '
~ 924.68
~ a ~ ~ ~
q0 ~o ; T ~ ~ • R -
E ~ ~ ~c2/ oo-,"---'___.a. -
~,_._._..-~a, ~
\ Setback O.H.W. !
~ i I ~~,I THOMAS LAI~E -
~ ~ o
\`~d O.H.W, 9D5.4
I 925.6~ I \Ao t ~ \ ~ '
~ ~ I/(/"V \\Sc' a n0'y O
' ~ ~ ~ f `~F~ ,I 3
abl ~ \\2~ 9~~ O.H.W. ~ * 1A
I I ' ` ` '
. 92 „ i I 29 l /OV - _
~~1'
~ ~ ~ z~.z3 ~ i~ ~ o
• ^ ~ l~8
~ ~ ~ . ~ y,~'t~sts.ao `~Z~ ~ N
~
. ~ I I ~14.86 - ~ ~ / AG AN UiiLITY EASEMENT
~ ~ DRAIN E
~ ~ ~ ~ ~ \ ~r~
I O ~ I ~ ~7 A.
~ ~ ° ~ ~ 3 ~7, ~
~ ~ 9.3.45 • ~f
~1, I ~ ~27.04 81 ~•Mi14'OAK `~~~•s~
I ~ ~ ~ ~ ~ •
t ~ /~j~, \ 'h 7 ~ ~ /~i
~
I ~ M G~-d ~e~~ 923.3 ~~0 9~ 14.85 74.80 ~i` ~
. o.o 9, 42 ~ ~
-r--------j'~ ~y~+
~ '~2~ • \45.59 y. .~0 / I ~ / r.i'
~ o ! q23.8 • t5.47 , / /
~ ' ( ~o • BLUfF IMPACT ZONE ~
. _ ' vl 925.2 925.7~ GarO~ A~ 6 ~ 914 5 j'.y ` ~ J 1
~ V ~ 25 ` ~ " m
_ _ _ _ . . ~ ~ ~ °0 4490-~~ ~~s~o° _ _ ~ sw z i~
oAK i~ A (e r
. . . . ` , . . . . . . ..._N , N ~ . . ~ _ . ~ . . _ ~ . . .
+ ~ . . _ : . . . . . . .
I .
, . `v) ~ . , - . . . .
_ r
I
m
~ ~
~ ' 1 39 ~ w , .~o \ .3 "9~'6 .
i _ _ ~ J.
' ' ~ 0 20.00 ° ~ ~ ~F- ~ 2 m
~ ~2t "_'r `"5 \ 2215~~ __~c.+ _ _ - - _
' I O ~ 00 ~ I yG,,1B,`oAK/D~
L , x920.57 ~ 9 0 8,87 10
. I ~ I 6~h 16'DAK y.~
1.
~r{ 923.3 t~91a~$ ~ ~ ~ ~ "27t~o ~ . ~ ~ ,
~ ~I X j ~ I~ o ~>>>1 ~x3~s,~3~ 917 5 .~,;~15'~ ^ , ' ~
~ x9 ~ ~ cJ 923.1 ~ 953 17'0~ ~0•K N65°52'59_E 67.48_-_^ ~``1 2
~
I N ; , ~ - j~~~ szzas~ , 3.sa a ' k8 V ~1
I ~ ~ I J . s22.7 20 ~/D~ ~ ~ 562'~9 ,
~
. i I ~ ~ • ~7 ~ •
I Ph~ne Ped ~ r~~ ~24.41' ~ ~ , Y
~9p6.73 /
~ ~ 5 ~p ~ ~ ~
I ~ ~ ~ r'240~ Phone
? ~ ~ ,
925.41 / "t,~ ~ ,
' I ~ , • ,sr-R~ ~~5.19 x9 Cable
~ , ~~j~ ~
~ ~ ~ e~ ~ ~n,~
I L_ / _~,~~/,,,,'fi^~ ~15'OAK 37.42 ~ C...~K..~(~(~
~ X936.4
I 92 72 ~ ~
/ Servlc ~i ~ n"'20'OAK 93~(.b3 ~ ~~}//j~n _ ~I~~~f~~! ~ ,
c~r~r~C~" lJ -f'~"~
~ / N8 °36'08"W 146.4Q s35.s' ~sss.ea
5.50
San MH ~
~ i -r i -r . 93fi.69 / /
I i i~ i i i i i i n x 936.94 _ / i/ ~-x-^~~ ~ .FI ~
v .i i ,
\ /
. ~jQ~ i
, '~925.51 931.13
93fi.79
925.47 x 92 . \
x919.81 e
~ 925.94
93220 36.37
` 926.30 938.33
~ 925.20 26.30 0.36
. 936.64
~ , ~93229 35.60
~ ~9'16.93 Sao M
~'HOMAS LAKE CFRCL~' 3z~o
. San MH
936.Q6
~ x925.44 26.86 x931.S3 -
0.83
924.97 '
I ~ ~ L DT SC~. FD~ ~AGE = 67, 3C~3
x 926.67 ,
~ HSE SQ. FOG TA GE = 3, ,.32~I PREPARED FOR:
~ 1MPER i/IOUS CO I/ERAGE = 5~
, X923.~ KATHY TRIMBLE
xsz4.es 1566 Wexford Court
Eagan, MN 55122
PHONE (651) 456-0674
' PREPARED BY:
~ HEDLUND PLANNING
~,,,,,~~~~~_~~{~~~~a ENGINEERING SURVEYING
~:~k,~~ ktx
i~Y~V;!•
\
~ ~'i'~~:~; 2005 PIN OAK DRIVE ,
*~I EAGAN, MINNESOTA, 55122
I\I _ ~3# ~r~t'~~'~~`~~ ° ~ PHONE (651) 405-6600
V ~ L~1~~~'~J :
a~°; S~J~~~ ~~~~G I hareby cxtify that thie plan waa '
~'t, ~ preparod by me or under my direct
: ~.?3?6 i,~ aupervtsfon and that I am a duly
Regletered Land Surveyor under the
~'~,`~*'••o, r~ -•~~k'~'~~` lawa of the State of Minneeota.
BENCNMARK: ~'''r ~,C ~,~ti~~'~''`~
PROPOSED ELEVATiONS ~ ~ 1 4~.~-
`1j~n ~~,~t;.e.r~
' Top of Foundation = 923•8 Q. '
Garage Floor = 923.4 . dgren, Mlnn. No. ~ ,
' Basement Floor = 915.0 MIN. SETBACK REQUIREMENTS, 30 0 30 60 ~~o-~S
Approx. Sewer Service Elev, = 916.4 (Pump) Front = 25 P.D, House Side = Easement ;
Proposed Elevations = 50. Rear = 10 Garage Side = 40 ,~~~~~~Q
Existing Elevations = 950.0 SCALE IN FEEl'
Drainage Direction = DAi'E: August 5, 2005
Denotes Offset Stake Plonning Engineering Surveying
� , R
v
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
` j Permit#: (� �� j
�l�y of �a�a� � �,� �
3830 Pilot Knob Road RECEIVED � Permit Fee: � �
Ea an MN 55122 9 � � Date�Received: `���� �
Phone:(651)675-5675 AUG � 2Q�� i i
Fax:(651)675-5694 I Staff: ""� I
I I
�--------------- —
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
(�,
Date: Site Address: Unit#: 1' �
Name: � � � �J � d� �� Phone:
Resident/
owner adaress i city i zip:_�� °� � 7���c,� �...�L C�i J`��
Applicant is: Owner Contractor
T @ Of WOPk ' Description of work: ��� IC_l ' C��- 1�..
. Yp
Construction Cost: Multi-Family Building:(Yes /No )
Company: J ����`� i ��`l5 , Contact: �d f �� �! S� T�
Contractor Address: �� � � �x�tlL� I �u `-- City: C/� F���
�?S3
' State:�Zip:�3��Phone: �� C�-��� EmaiL• ���� �'OhS � �w� �`'
License#: 1�� U 4� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
� -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:
Licensed Piumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:'Plans and supporting documents that you submit are consitleretl{to be public information. ,Portions of !
the informafion may be classified as non-public if you provide specific reasons that wouid permit the City to
conclude thaf the` are tratle 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.qopherstateonecall.or4
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 tate Buildin Code must be completed within 780
days of permit issuance.
X S�� �"��cx' X
Applicant's Printed Name Applican ' Si
Page 1 of 3
���� ��v��� 1-�� � . �Q � , �
��?� �'
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Singie 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
Alteration Fire Repair Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ,y
Valuation �� Occupancy � MCES System �
Plan Review / Code Edition ' �p'� SAC Units �
(25%_100% ��) Zoning �4 � City Water --
Census Code y3 Stories ---- Booster Pump �-
#of Units 1 Square Feet �/, �� PRV —
#of Buildings � Length �_ Fire Sprinklers �
Type of Construction � Width �.2-
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls ��-� Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES ,/�/ �!f �� /3`"� ��D �
Base Fee �
Surcharge
Plan Review �� �
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153384
Date Issued:12/14/2018
Permit Category:ePermit
Site Address: 4490 Thomas Lake Cir
Lot:1 Block: 1 Addition: Sugar Bluffs
PID:10-72925-01-010
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.
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 -
Rochus K Voeller
4490 Thomas Lake Cir
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature