3976 Cedar Grove Lane
- Vet . x'11095. 1~1(p
Use BLUE or BLACK Ink
i For Office Use I
//OW/
City of Eano~d~ Permit I
00,55
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: ( j
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 113 Site Address: 3975 6A 6wj,-- b t Lk Unit M
Name: Lj2hywv- Coup, Phone: 152- 2Y?- 13404
Resident!
Owner Address / City / Zip: Ale.-Al SwIMA ~ AdA/ 559,y6
Applicant is: Owner V/ Contractor
Description of work: JAW k) 6olets+s'"447 1 no ree its re Vrr
Type of Work
Construction Cost: ~1j Multi-Family Building: (Yes No 1<)
Company: Lzinh4N Contact: MA741'KewunGr
Contractor Address:3ti79 City: get. 4.64
State: MAl /Z'ip:rJ'j / Z 3 Phone: 612 ' 9179 - 77F4,
License 1'7 1.7 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_yYes _No If yes, date and address of master plan: 39gl1 6uA-t- & vv,- Licensed Plumber: E14 ndev M& / f'IKbN DtA Phone: 952- Off - S/~92
rr u r
Mechanical Contractor: Phone:
Sewer & Water Contractor: n
/`1 rk4y Phone: 2V& 5/2
NOTE: Plans and supporting docu ents 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 that the 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.oooherstateonecall.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 /14 0-0 / PMX17 d x AkL;P~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
t DO NOT WRITE BELOW THIS LINE l (?(Q I C
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of 4 Plex - Lower Level _ Pool _ Miscellaneous
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
Valuation Occupancy ri'.' MCES System
Plan Review Code Edition INI (r'jT SAC Units
(25%)L 100%--j Zoning 1413 City Water
Census Code Stories Booster Pump
# of Units - Square Feet 00 PRV
# of Buildings _ Length Fire Sprinklers
Type of Construction Width
117
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) %F Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/GA Tests -Final
Framing Siding: -Stucco Lath Z~C-Stonb-Caift -Brick
Fireplace: Rough In Air Test Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock ter,- Erosion Control
Reviewed By: i , Building Inspector
RESIDENTIAL FEESf
Base Fee 7 d f
Surcharge
d"
Plan Review M 4,y4
MCES SAC Iq e-1
f ,
City SAC s c. if 01
r
Utility Connection Charge
i
SSW Permit S Surcharge
j Treatment Plant f
r Copies
TOTAL
Page 2 of 3
r
New Construction Energy Code Compliance Certificate
Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside Aale Certificate Posted
the building. The certificate shall be completed by the builder and shall list infonnntion and values of
components listed in Table N1101.S.
Mailing Andress of the Dwelling or Dwelling Unit City
3976 CEDAR GROVE LANE EAGAN
Name of Residential Contractor AIN License Number
THERMAL ENVELOPE RADON SYSTEM
Type: Check All That Apply X.,_. Passive (No Fan)
w
o ~
~ Active (61'iUr fart turd rnorionreter oi' .
t" other syslent monitor mg device )
7 Q.' ^O b U ij q
T
cc P, v
❑ O vi vi _b ly k
Insulation Location
a° z y a w
42 r
i3
E '9b
1°- z w w ri tro., Other Please Describe Here
Below Entire Slab X
Foundation Wall X INTERIOR
Penmeter'of Slab on Grade
Rim Joist (Foundation) X INTERIOR
Rim Joist (1't Floor+) 10. INTERIOR
Wall 21
Ceiling, .flat . 44
Ceiling, vaulted X % 6ay:Windowsor cantilevered areas 38
Bonus room over garage 38 21 10 6
Describe other Insulated areas
Windows & Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor (excludes skylights and one door) U: 0.29 Not applicable, all ducts located in conditioned space
Solar Heat Gain Coefficient (SHGC): 0.26 r-8 R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances rHeating System Domestic Water Heater Cooling System X Not required per mech. code
Fuel Type atural.Gas:,::, Electric Electric Passive
Manufacturer Lennox AO Smith Lennox Powered
Interlocked with exhaust device.
Model ML193UH045XP24B GPVH50N 13ACX-018=230: Describe:
Input in Capacity in Output in Other, describe:
Rating or Size BTUS: 44,000 Gallons: so Tons: 1,5
Heat Loss: Ffeat Gain: Location of duct or system:
Structure's Calculated 37,076 13,800
AFUE or SEER: 13
HSPP,o 93
Calculated 16,582
I ><g Efficiency coolin load: Cfin's
PLAN CMS Jefferson " round duct OR
Mechanical Ventilation System " metal duct
Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air Combustion Air Select a Type
source heat pump with gas back-up furnace): X Not required per mech. code
Select Type Passive
Heat Recover Ventilator (HRV) Capacity in cfins: Low: High: Other, describe:
Energy Recover Ventilator (ERV) Capacity in cfins: Low: High: Location of duct or system:
X Continuous exhausting fan(s) rated capacity in cfins: 130 Mechanical Room
Location of fan(s), describe: Owners bath, Main Bath Chn's
Capacity continuous ventilation rate in cfins: 50 Insulated Flex
Total ventilation (intermittent + continuous) rate in cfins: 1185 " metal duct
Created by BAM version 052009
MULTI-FAMILY
PLAN REVIEW FOR COMPLIANCE WITH AIRCRAFT NOISE ORDINANCE
Compliance with Procedures to Ensure
Submitter: Noise Impact Area Adequate Noise Attenuation:
Lennar Airport - MSP International Exterior wall construction:
16305 36th Ave. No. Noise Zone - 4 Vinyl
Suite 600 15/32" sheathing
Plymouth, MN 55446 New Infill Residence is a "COND" Tyvek wrap
952-249-3000 use in Noise Zone 4 2x6 studs 16" O.C.
R-21 batt insulation with 1/2" gypsum board
Roof Construction:
Plan. Reviewed: _ Peaked roof with manufactured trusses 24" O.C.
p Roof vents
QAo C I/~ ~ zkx),F"i\)r-- Shingles
Information Submitted: 15# felt
Annotated architectural drawings includin : 1/2" sheathing
Blown insulation R-44
Windows: Atrium 5/8" gypsum board
Swinging Patio Doors: Atrium
Entry Doors: Therma Tru Mechanical Ventilation System:
Skylights: N/A 2-ton central air conditioning unit
Compliance with STC Requirements: Window, Door Frame, Perimeter and Other Seals:
All window and door openings are to be caulked
Average window/wall area for exterior wall: 12. / _q6 with butyl-based caulk
With this window/wall area ratio and STC 40 walls, windows Fireplace Chimney Cap:
with an STC 30 can be used to meet the noise reduction N/A
requirements;
Ventilation Duct Exterior Wall Penetrations:
Summary: All exterior ducts will have bends as required
by the ordinance
Other measures including duct bends and caulking are being
taken to ensure minimum transmission of noise through the Door and Window Construction:
exterior building shell so that the construction should meet Windows: Atrium (30 STC)
the compatibility guidelines.
Sliding Patio Doors: Atrium (30 STC)
Therefore, the materials and construction as proposed should
meet the requirements of the Eagan aircraft noise ordinance. Entry Doors: Therma Tru (29 STC)
Skylights: N/A
Review Completed (date):
Other Exterior Wall Penetrations:
Review Completed b : Tom Tamte Sill sealer between plates and blocks
!Ventilation, .Makeup and Combustion Air Calculations
SU mittal Form For New Dwellings
These blank submittal forms and instructions are available at the citY.4010000
website and at City Hall. The completed form must be submit-
ted In duptlcate atahe time of appiicat~on.of a mechanical permit for new construction. Additional forms may be downloaded and printed at:
Site address 512/ cr Date
to S=
Contractor /f Completed 11
/C,t~ ✓ t'eA- e . t~ By t al
Section A
Ventilation Quantity
(Determine quantity by using Table N1104.2 or Equation 11-1)
Square feet (Conditioned area Including
Basement-finished or unfinished) 9/1 Total required ventllatian
3
Number of bedrooms Continuous ventilation J
Directions - Determine the total and continuous ventilation rate by either using Table N1104.2 or equation 11-1. `
The table and equation are below.
Table N1104.2
Total and Continuous Ventilation Rates (in cfm)
Number of Bedrooms
1 2 3 4 5 6
Conditioned space (in Total/ Total/ Total/ Total/ Total/ Total/
sq. ft.):. continuous continuous continuous continuous continuous continuous
100071500 60/40 75/40 90/45 105/53 120/60 135/68
,.1501-2000 70/40 85/43 100/50 115/58 130/65 145/73
2001-2500 80/40 95/48 110/55 125/63 140/70 155/78
2501-3.000. 90/45 105/53 120/60 135/68 150/75 165/83
3001=3500 100/50 115/58 130/65 145/73 160/80 175/88
35014000 110/55 125/63 140/70 155/78 170/85 185/93
4001-4500. 120/60 135/68 150/75 165/83 180/90 195/98
4501-5000. 130/65 145/73 160/80 175/88 190/95 205/103
5001=5500` 140/70 155/78 170/85 185/93 200/100 215/108
5501-6ood. 150/75 165/83 180/90 195/98 210/105 225/113
Equation 11-1
(0.02 x square feet of conditioned space) + (15 x (number of bedrooms + 1)) = Total ventilation rate (dm)
Total ventilation -The mechanical ventilation system shall provide sufficient outdoor air to equal the total ventilation rate average,
for each one-hour period according to the above table or equation. For heat recovery ventilators (HRV) and energy recovery ventila-
tors (ERV) the average hourly ventilation capacity must be determined in consideration of any reduction of exhaust or out outdoor
air intake, or both, for defrost or other equipment cycling.
Continuous ventilation - A minimum of 50 percent of the total ventilation rate, but not less than 40 cfm. shall be provided, on a con-
tinuous rate average for each one-hour period. The portion of the mechanical ventilation system intended to be continuous may
have automatic cycling controls providing the average flow rate for each hour is met.
G:ISAFETYUMVent-makeup-comb air submittal (2).docx Page 1 of 6
Section B
Ventilation Method
(Choose either balanced or exhaust only)
13 Balanced, HRV (Heat Recovery Ventilator) or ERV (Energy Recov- Exhaust only
ery Ventilator) - cfm of unit in low must not exceed continuous vents- Continuous fan rating in cfm
lotion rating by more than 100%.
Low cfm: High cfm: Continuous fan rating in cfm (capacity must not exceed
continuous ventilation rating by more than 100%)~7JU
Directions - Choose the method of ventilation, balanced or exhaust only. Balanced ventilation systems are typically HRV or ERV's.
Enter the low and high cfm amounts. Low c fm airflow must be equal to or greater than the required continuous ventilation rate and
less than 100% greater than the continuous rate. (For Instance, if the low cfm is 40 cfm, the ventilation fan must not exceed 80 cfm.)
Automatic controls may allow the use of a larger fan that is operated a percentage of each hour.
Section C
Ventilation Fan Schedule
Description Location Continuous Intermittent -
ah 5'~}
Directions -The ventilation fan schedule should describe what the fan is for, the location, cfm, and whether it is used for continuous
or intermittent ventilation. The fan that is chose for continuous ventilation must be equal to or greater than the low c fm air rating
and less than 100% greater than the continuous rate. (For instance, if the low cfm is 40 cfm, the continuous ventilation fan must not
exceed 80 cfm.) Automatic controls may allow the use of a larger fan that is operated a percentage of each hour.
Section D
Ventilation Controls
(Describe operation and control of the continuous and inter nt ventilation)
/ In !7
Directions -Describe the operation of the ventilation system. There should be adequate detail for plan reviewers and inspectors to verify design and
installation compliance. Related trades also need adequate detail for placement of controls and proper operation of the building ventilation. T,"" -
exhaust fans are used for building ventilation, describe the operation and location of any controls, indicators and legends. If an ERV or HRV is to be
Installed, describe how it will be installed. if it will be connected and interfaced with the air handling equipment please describe such connections as
detailed in the manufactures' installation Instructions. If the installation Instructions require or recommend the equipment to be interlocked with the
air handling equipment for proper operation, such interconnection shall be made and described.
Section E
Make-up air
Passive (determined from calculations from Table 501.3.1)
Powered (determined from calculations from Table 501.3.1)
Interlocked with exhaust device (determined from calculation from Table 501.3.1)
Other, describe:
Location of duct or system ventilation make-up air: Determined from make-up air opening table
Cfm size and
type {round, rectangular, flex or rigid)
(NR means not required)
Page 2 of 6
Directions - In order to determine the makeup air, Table 501.3.1 must be filled out (see below). For most new Installations, column A
will be appropriate, however, if atmospherically vented appliances or solid fuel appliances are installed, use the appropriate column.
For existing dwellings, see 1MC 501.3.3. Please note, if the makeup air quantity is negative, no additional makeup air will be re-
quired for ventilation, if the value is positive refer to Table 501.3.2 and size the opening. Transfer the cfm, size of opening and type
(round, rectangular, flexor rigid) to the last line of section D. The make-up air supply must be installed per iMC501.3.2.3.
Table 501.3.1
PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST EQUIPMENT IN DWELLINGS
(Additional combustion air will be required for combustion appliances, see KAIR method for calculations)
One or multiple power One or multiple fan- One atmospherically vent multiple atmospherical-
vent or direct vent ap- assisted appliances and gas or oil appliance or ly vented gas or oil
pliances or no combus. power vent or direct vent one solid fuel appliance appliances or solid fuel
tion appliances appliances appliances
Column C Column D
Column A Column 8
1.
a) pressure factor 0.15 0.09 0.06 0.03
(cfm/sf)
b) conditioned floor area (sf) (including
unfinished basements) 1911
Estimated House infiltration (dm): Ila
x1b) a87
2. Exhaust Capacity
a) continuous exhaust-only ventilation
system (dm); (not applicable to ba-
lanced ventilation systems such as
HRV)
b) clothes dryer (cfm) 135 135 135 135
c) 80% of largest exhaust rating (cfm);
Kitchen hood typically
(not applicable if recirculating system ~p
or if powered makeup air Is electrically
Interlocked and match to exhaust)
d) 80% of next largest exhaust rating
(cfm); bath fan typically Not
(not applicable if recirculating system
or if powered makeup air is electrically Applicable
interlocked and matched to exhaust)
Total Exhaust Capacity (cfm);
(2a+2b+2c+2d] l Q
3. Makeup Air Quantity (dm) /
a) total exhaust capacity (from above) l
b) estimated house infiltration (from r~P
above) O~
Makeup Air Quantity (cfm);
~J ,tom
(If f value is negative, no makeup air Is needed)
4. For makeup Air Opening Sizing, refer
to Table 501.4.2 A/A
A. Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliance or if there are no combustion appliances. (Power vent
and direct vent appliances may be used.)
8. Use this column if there Is one fan-assisted appliance per venting system. (Appliances other than atmospherically vented appliances may also be in-
cluded.)
C. Use this column if there is one atmospherically vented (other than fan-assisted) gas or oil appliance per venting system or one solid fuel appliance.
D. Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil
appliances and solid fuel appliances.
Page 3 of 6
Makeup Air Opening Table for New and Existing Dwelling
Table 501.3.2
One or multiple power One or multiple fan- One atmospherically Multiple atmospherically
vent, direct vent ap- assisted appliances and vented gas or oil ap- vented gas or oil ap- Duct di-
piiances, or no combus- power vent or direct pliance or one solid fuel piiances or solid fuel ameter
tion appliances vent appliances appliance appliances
Column A Column B Column C Column 0
Passive opening 1-36 1-22 1-15 1-9 3
Passive opening 37 - 66 23 - 41 16 - 28 10-17 4
Passive opening 67-109 42-66 29-46 18-28 5
Passive opening 110-163 67-100 47-69 29-42 6
Passive opening 164-232 101-143 70-99 43-61 7
Passive opening 233 -317 244-195 100-135 62 - 83 8
Passive opening 318-419 196-258 136-179 84-110 9
-w/motorized damper
Passive opening 420 -S39 259 -332 180 - 230 111-142 10
-w/motorized damper
Passive opening 540 -679 333 - 419 231- 290 143- 179
11
w/motorized damper
powered makeup air >679 >419 >290 >179 NA
Notes:
A. An equivalent length of 100 feet of round smooth metal duct is assumed. Subtract 40 feet for the exterior hood and ten feet for each 90- degree elbow to
determine the remaining length of straight duct allowable.
B. If flexible duct is used, Increase the duct diameter by one inch. Flexible duct shall be stretched with minimal sags. Compressed duct shall not be accepted.
C. Barometric dampers are prohibited In passive makeup air openings when any atmospherically vented appliance Is Installed,
D. Powered makeup air shall be electrically interlocked with the largest exhaust system.
Sections F
Combustion air
Not required per mechanical code (No atmospheric or power vented appliances)
Passive (see IFGC Appendix E, Worksheet E-1) Size and type
Other, describe:
Explanation -If no atmospheric or power vented appliances are installed, check the appropriate box, not required. !f a power vented
or atmospherically vented appliance installed, use 1FGCAppendix F, Worksheet E-1 (see below). Please enter size and type. Comte- -
tion air vent supplies must communicate with the appliance or appliances that require the combustion air.
Section F calculations follow on the next 2 pages.
Page 4 of 6
Project Summary Job: Colonial Patriot Je€fers...
WrighisoftL 7 Date: MAY 9, 2013
Entire House By:
Elander Mechanical Inc.
591 Citation Drive, Shakopee, MN 55379 Phone: 952-445-4692 Fax: 952-445-7487
r Proiect • •
For: ~e7 c/Gr ~~rOth° ~L
Notes: rt)IYV 1J4(, 000 3 7, o7G
in Information
De sic
Weather: Minneapolis-St. Paul, MN, US
Winter Design Conditions Summer Design Conditions
Outside db -95 OF Outside db 88 OF
Inside db 70 OF Inside db 72 OF
Design TD 85 OF Design TD 16 OF
Daily range M
Relative humidity 50 %
Moisture difference 33 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 29723 Btuh Structure 12035 Btuh
Ducts 1081 Btuh Ducts 592 Btuh
Central vent (69 cfm) 6272 Btuh Central vent (69 cfm) 1173 Btuh
Humidification 0 Btuh Blower 0 Stuh
Piping 0 Btuh
Equipment load 37076 Btuh Use manufacturer's data y
Rate/swing multiplier 1.00
Infiltration Equipment sensible load 13800 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Tight
Fireplaces 1 (Tight) Structure 1173 Btuh
Ducts 117 Btuh
Heating Cooling Central vent (69 cfm) 1492 Btuh , -
Area (ft2) 1852 1852 Equipment latent load 2782 Btuh
Volume (W) 14816 14816
Air changes/hour 0.14 0.07 Equipment total load 16582 Btuh
Equiv. AVF (cfm) 35 17 Req. total capacity at 0.70 SHR 1.6 ton
Heating Equipment Summary Cooling Equipment Summary
Make Lennox Make Lennox
Trade MERIT 90 Trade 13ACX Series - RFC
Model ML193UH045XP24B * Cond 13ACX-018-230-*
AHRI ref 4792130 Coil C33-25*+TDR
AHRI ref 1031313
Efficiency 93 AFUE Efficiency 11.9 EER, 13.5 SEER
Heating input 44000 MBtuh Sensible cooling 12950 Btuh
Heating output 41000 Btuh Latent cooling 5550 Btuh
Temperature rise 50 OF Total cooling 18500 Btuh
Actual air flow 768 cfm Actual air flow 617 cfm
Air flow factor 0.025 cfm/Btuh Air flow factor 0.049 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.83
Bold/italic values have been manually overridden
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
wrightsoft° Right-Suite® universal 2012 12.1.06 RSU13410 2013-May-08 15:55:23
Page 1
ACCA ...Heat Losses 2013%Lennar Patriot Jefferson A,rup Cafe . MJ8 Front Door faces: N
Component Constructions Job: Colonial Patriot Jeffers...
wrightsoftA Date: MAY 9, 2013
Entire House By:
Elander Mechanical Inc.
591 Citation Drive, Shakopee, MN 55379 Phone: 952.4454692 Fax. 952-445-7487
Project • •
For:
-Design Conditions
Location: Indoor: Heating Cooling
Minneapolis-St. Paul, MN, US Indoor temperature (°F) 70 72
Elevation: 837 ft Design TD (°F) 85 16
Latitude: 45°N Relative humidity 50 50
Outdoor: Heating Cooling Moisture difference (gr/lb) 54.5 32.7
Dry bulb (°F) -15 88 Infiltration:
Daily range (°F) - 19 { M) Method Simplified
Wet bulb (°F) - 71 Construction quality Ti ht
Wind speed (mph) 15.0 7.5 Fireplaces 1 Tight)
Construction descriptions or Area 1.11-value lnsul R Htg HTM Loss Clg HTM Gain
ft' 9tuh&'F 9M179huh Btuh/a' Bull B1011F Bluh
Walls
12F-Osw: Firm wall, vnI ext, r-21 cav ins, 1/2" gypsum board int n 555 0.065 21.0 5.52 3066 1.08 601
fnsh, 2"x6" wood firm a 398 0.065 21.0 5.52 2197 1.08 430
s 513 0.065 21.0 5.53 2833 1.08 555
w 422 0.065 21.0 5.53 2330 1.08 456
all 1887 0.065 21.0 5.52 10427 1.08 2042
Partitions
(none)
Windows
61A: VINYL Insulated Glass Double Hung; NFRC rated a 77 0.290 0 24.6 1906 28.9 2232
(SHGC=0.26) s 42 0.290 0 24.6 1039 16.7 704
w 74 0.290 0 24.6 1832 28.9 2146
all 194 0.290 0 24.6 4778 26.2 -5082-
Doors
11,10: Door, mill fbrgl type n 21 0.600 6.3 51.0 1071 16.7 351
e 21 0.600 6.3 51.0 1071 16.7 351
s 21 0.600 6.3 51.0 1071 16.7 351
all 63 0.600 6.3 51.0 3213 16.7 1053
Ceilings
16CR-44ad: Attic ceiling, asphalt shingles roof mat, r-44 cell ins, 1116 0.022 44.0 1.87 2087 0.91 1015
5/8" gypsum board int fnsh
Floors
20P-38c: Fir floor, frm fir, 12" thkns, carpet fir fnsh, r-5 ext ins, r-38 250 0.030 38.0 2.55 638 0.34 85
cav ins, gar ovr
20P-38v: Fir floor, frm fir, 12" thkns, vinyl fir fnsh, r-5 ext Ins, r-38 130 0.030 38.0 2.55 332 0.34 44
cav ins, gar ovr
22B-5tpm: Bg floor, heavy dry or light damp soil, on grade depth, r-5 134 0.449 5.0 38.2 5114 0 0
edge ins
2013-May-08 15:55:23
wrightsoft` Right-SWte® Universal 2012 12.1.06 RSU13410 Page 1
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
g 61
PROPERTY LEGAL: k0 4j- k G r
DATE OF SURVEY: 3
LATEST REVISION:
c
ca
t
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O `z ¢ DOCUMENT STANDARDS
0 ❑ • Registered Land Surveyor signature and company
❑ ❑ • Building Permit Applicant
❑ 0 • Legal description
❑ ❑ • Address
0 0 • North arrow and scale
/0" ❑ 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
"o ❑ ❑ • Directional drainage arrows with slope/gradient %
❑ 0 • Proposed/existing sewer and water services & invert elevation
❑ 0 • Street name
~'z ❑ ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.)
❑ ❑ • Lot Square Footage
~f ❑ ❑ • Lot Coverage
ELEVATIONS
Existing
0 0 • Property corners .
0 ❑ 9 Top of curb at the driveway and property line extensions
0 0 • Elevations of any existing adjacent homes
❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches
0 ❑ • Waterways (pond, stream, etc.)
Proposed
2' 0 0 • Garage floor
❑ ❑ • Basement floor
❑ ❑ • Lowest exposed elevation (walkout/window)
0 ❑ Property corners
❑ ❑ Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ ❑ Easement line
❑ 0 NWL
❑ 0 HWL
❑ f~ 0 Pond # designation
❑ 0 Emergency Overflow Elevation
0 )~r 0 Pond/Wetland buffer delineation
Y /11 Shoreland Zoning Overlay District
Y Conservation Easements
DIMENSIONS
fd' ❑ 0 • Lot lines/Bearings & dimensions
❑ ❑ • Right-of-way and street width (to back of curb)
0 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
IV ❑ ❑ • Show all easements of record and any City utilities within those easements
❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ ❑ • Retaining wall requirements:
Reviewed By: Date
G:/FORMS/Building Permit Application Rev. 11-26-04
Surveyor's Certificate
SURVEY FOR : Lennar
DESCRIBED AS :Lots 1-4, Block 4, NICOLS RIDGE 5TH, City of Eagan, Dakota Courv IV~~Ir1' UM
Minnesota and reserving easements of record. Of r aiiiri79 Wall weu
Requir9d
g~
Sediment Basin
^ O wI SCE=808.0
R V HWL=813.5
/
/
/
819.8 819.4
i c~5 00 / ~
/ / Ng 10 (5'
819. AIL oo 820. 'MET CONTROL
00 604Q0,s
8
819.4
A Q ,69 tP 'rn o 41
.a ?o °09 0° 821.
to A
Z2 821.0 p°4 °o `0 2
Z -Z { I~ ~~0 6o~osm .9
g. o e o• O
Q C t 8. 20.4 Cl
,6ry
0VD 0 821
Z f-. Syr et S7 822.0 o64oOO 0 sv'
0 821.4 So
91 0 `nea
s
o 0cs 0p0 SrIQ
rr F., .-a ~t 81 $ 0.8 9o a s o0 1 ~CP3
> 4!~ture t O 822.0 16ti e F
..JTZnhome r. 0 10 822.3
1-7 r-+
cd,
0 0 ~o0 0 8 2.
O 6, o ~@ O
1.8 oom coo "Oi
9 I
823.0
821.4
821. 0<Db
000 ~0 ~~6 \
23.0 o Ob
BM: NAIL
823.63
\
(Staked) `
WED.Townhorne
` -Vacant-
\
,
r \
LAGAN LNG G V icle
Townhome
oti
PROPOSED ELEVATIONS
Lot 1 Lot 2&3 Lot 4 BENCHMARK,
Top of Foundation = 821.5 822.5 823.5
Garage Floor = 821.1 822.1 823.1
Basement Floor = n/a n/a n/a
Aprox. Sewer Service = Verify
Proposed Elev. = MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front - House Side -
Denotes Offset Stake = • SCALE: 1 inch = 30 feet Rear - Garage Side -
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 13R-049
HEDLUND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS HOWN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE -3 / 21 / 13 CAD FILE:
Phone: 651 405-6600 J R D. LINDGREN, LAND VEYOR
( ) Nicols Ridge 4th
Fax: (651) 405-6606 0 NESOTA LICENSE NUMBE 4376
City of Eapn
Address: 3976 Cedar Grove Lane Zip: 55122 Permit 110611
The following items were / were not completed at the Final Inspection on: /y l zZ, 3
Complete Incomplete 1 Comments
Final grade - 6" from siding
Permanent steps - Garage
Permanent steps - Main Entry
Permanent Driveway
Permanent Gas
Retaining Wall or 3:1 Max Slope
Sod / Seeded Lawn
Trail? Curb Damage Pt.~-r.
Porch
Lower Level Finish +
Deck tr
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an
irrigation system.
Building Inspector: ) L \
GABuilding InspectionsTORMS\Checklists
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA116522
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 3976 Cedar Grove Lane
Lot:4 Block: 4 Addition: Nicols Ridge 5th
PID:10-50904-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Charles Sundean
8201 Old Central Ave
Spring Lake Park, MN 55432
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Us Home Corp
16305 36th Ave N
Minneapolis MN 55446
Water Doctors Water Treatment Company
8201 Old Central Ave, Suite F & G
Spring Lake Park MN 55432
(763) 535-1800
Applicant/Permitee: Signature Issued By: Signature
- Use BLUE or BLACK[nib/
For Office Use
�/ yf
Permit#: /City Of E �� Permit Fee: / cam -
3830 Pilot Knob Road /
Eagan MN 55122 Date Received: f/ S
Phone;(651)675-5675
Fax:(651)675-5694Staff:
i 7 a_
of
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
11/14/2017 Site Address: 3976 Cedar Grove Lane . unit#:
Name: Sandra Moeller Phone: 651-308-6755
Resident( 3976 Cedar GroveLane Eagan, MN 55122
Owner- .- Address/City/Zip: g
Applicant is: Owner X Contractor
BathroomRemodel, see attached drawing
Description of work:
P
Type of Work
Construction Cost: 5989 Multi-Family Building:(Yes X /No )
Company: US Patio Systems Contact: Wendy Rache
Address: 218 N River Ridge Circle City:
Contractor Burnsville
state: MN Zip: 55337 Phone: 952-314-9885 Email: wrache@uspatiosystems.com
= License#: BC661813 Lead Certificate#: F119453-1
If the project is exempt from lead certification, please explain why:
Built after 1978
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:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit ars:considered to=bepublic information. Portions of:-=
the_information maybe classified as non public if you provide specific_reasons=that would permit the1ity to ._=
= : -- _ conclude:that.the 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.000herstateonecali.cr4
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 Wendy Rache x . J - -f
Applicant's Printed Name Ap rca •ignatu e
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
Ig7g9g/
�.
• SUB TYPES 7 ei Ci Ccc(i4�2. 6 (�6" C�..-Kt ,
_ Foundation _ Fireplace Porch(3-Season) — Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
x Multi Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous
/_�01 of_Plex Lower Level Pool Accessory Building
WORK TYPES 6 yn-i+- p
r„40,361,
New Interior Improve ent 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 �g
Valuation2iQc9Z Occupancy 4L_ MCES System
Plan Review Code Edition r„, Q I SAC Units
(25% 100%$ ) 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 I C.O. Required
Footings(Addition) ic Final I No C.O.Required
Foundation Foundation Before Backfill >P HVAC Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing
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: 1 , Building Inspector
RESIDENTIAL FEES
Base Fee
r; 00
Surcharge
Plan Review
MCES SAC 0141
City SAC ril 4::(1‘)
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant ell 1"1"4 9 12 L7°
Copies
TOTAL i
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
Permit#: /I7' 1 T
city.
t O Eatall Permit Fee: &2 10 "00
3830 Pilot Knob Road /
Eagan MN 55122 Date Received: ( 'l
Phone: (651)675-5675 { :: 1 : ,),~07
staff:
Fax: (651) 675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11/14/2017 site Address: 3976 Cedar Grove Lane
Tenant: Suite#:
Resident/Owner
Name: Sandra Moeller Phone: 651-308-6755
Address/City/zip: 3976 Cedar Grove Lane, Eagan, MN 55122
Name: US Patio Systems License#: PC708206
Contractor
Address: 218 N River Ridge Circle
city: Burnsville
state: MN Zip: 55337 Phone: 952-314-9885
Contact: Wendy Rache Email: wrache@uspatiosystems.com
Type of Work New V Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: bath remodel, see attached drawing
RESIDENTIAL
Water Heater
Lawn Irrigation( RPZ/ PVB) Water Softener
Permit Type ✓ Add Plumbing Fixtures(V Main/_Lower Level)
Septic System —
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and 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$60.00
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.gopherstateonecail.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.
x Wendy Roche x )0W e Poo
Applicant's Panted Name Applicata Signet re
FOR OFFICE USE Reviewed_By - Date:
Required inspections Under GrQund . .. - Rough in Air Test;: Gas Test Final
Meter.Related items: -Meter Size Radio Read Manometer Staff.