3866 Cedar Grove Pkwy , .
, a 1 9-.7-- '7,655.-'�
pi 1 gei g�g— /00''00 Use BLUE or BLACK Ink
7 /0 6 -00 For Office Use
/�� l 7 -5 G ` ;fie?�' ``''��
city
� � �. ::::
ee: 7� 0:615:6--q
3830 Pilot Knob Roadfs
°
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax: (651)675-5694 Staff:
5'cl (A) IZc/q67. 0
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/28/2016 Site Address: 3866 Cedar Grove Parkway Unit#: Ontario (ii)
la r
Name: CalAtlantic Homes Phone: (952) 229-6009
Resident/ 7599 Anagram Drive / Eden Prairie / 55344
Owner Address/City/Zip: g
; Applicant is: Owner ✓ Contractor 7 � c
Multi-family9 Cli
residence
Type of Work ' Description of work:
Construction Cost: $ 1 50,000 1 /No Multi-Family Building:(Yes )
I1 company: CalAtlantic Homes Contact: Kurt Niska
Contractor
Address: 7599 Anagram Drive city: Eden Prairie
MN 55344 (952)229-6009 Kurt.Niska@calatl.com
State: Zip: Phone: Email:
BC700385
LicenseCertificate#. Lead Cert Cate#:
If the project is exempt from lead certification, please explain why:
The building was constructed 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: 10/08/2015, 4011-4019 River Valley Way
Licensed Plumber: Elander Mechanical, Inc. Phone: (952) 445-4692 I
Elander Mechanical, Inc. (952) 445-4692 1
1 Mechanical Contractor: Phone.
.
sewer&water contractor: Miller Brothers Excavating Phone: (763) 420-9170
Fire Suppression Contractor: Fire Suppression Services, LLC Phone: (763) 277-8960
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions Of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude 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.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 within 180
days of permit issuance.
x Kurt Niska
x tom-- / i , irr �—
Applicant's Printed Name Applicant's Signature
Page 1 of 3
{ 7SUBjggCf;(1/1-7Z- �i-�D O NOT WRITE BELOW THIS LINE / e7{1 -7-
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
V 01 of 4Plex _ 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
Valuation 01115130Occupancy 0 if MCES System
Plan Review Code Edition 04 Ni1,015` SAC Units
(25%. 100% ) Zoning 1: 41 City Water
Census Code Stories „ Booster Pump
#of Units [p Square Feet l( q 7a.. PRV
#of Buildings ILL Length Fire Suppression Required
Type of Construction y0 Width i rr
REQUIRED INSPECTIONS �J (i
Footings(New Building) )( Meter Size: 14
Footings (Deck) �c 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 30 Minutes N 1 Hour Drain Tile
Fireplace: 4 Rough In Air Test \I Final Siding: Stucco LathtS one Lath Brick
4 Insulation Windows
Sheathing Retaining Wall: Footings_Backfill Final
Sheetrock x Radon Control
X Fire Walls Fire Suppression: Rough In Final
Braced Walls X Erosion Control
Shower Pan Other:
Reviewed By: f\1 , Building Inspector
RESIDENTIAL FEES 6 r--“/ 3 / 2- Y ( -1 i .^} � Cf.6717C
Base Fee `�J` fy rte'
Surcharge ) q`� " '3, 7q, `f , S �ill fi 5' ,� r
MCES SAC 775„
j f (1)--.(95-t,
► r f/f r qo l
r
City SAC 3 Pi 1
bitlY
Utility Connection Charge /,/ r w I
S&W Permit& Surcharge Yf
Treatment Plant .2t"
Copies v �j
�` Q �O'
TOTAL �4
Page 2 of 3
New Construction Energy Code Compliance Certificate
Per R401.3 Certificate.A building certificate shall be posted on or in the electrical distribution panel.- Date Certificate Posted
COPY OF THIS DOCCUMENT WILL BE POSTED ON THE PLENTUM OF FURNACE 10/28/2016
Mailing Address of the Dwelling or Dwelling Unit: City: :1Lr A TT FL ,{ , T ji -r
3866 Cedar Grove Parkway Eagan I J J. I L
Name of Residential Contractor: • MN License Number HOMES
CalAtlantic Homes BC700385
THERMAL ENVELOPE RADON CONTROL SYSTEM
Type:Check All That Apply X Passive(No Fan)
Active(With fan and monometer
or other system monitoring
c device)
Location(or future location)of Fan:
Q T
m 8 a� -a a a IF fan is required;Attic
o fa o 'AU o
a en
a U a
Q m co a N "6 C
W C 42 `
Insulation Location ° z —° `—° 0 O LL w N
m o 2 2 E E '_D zo
r. z ii LL LL LL it Other Please Describe Here
Below Entire Slab X
Foundation Wall R-15 X R402.2.8,Exception;a.R-10-by plan
Perimeter of Slab on Grade x
Rim Joist(1st Floor) R-20 X
Rim Joist(2nd Floor+) R-20X
Wall R-21 X
Ceiling,flat R-49 X
Ceiling,vaulted R-49 x
Bay Windows or cantilevered areas R-30 X
Floors over unconditioned area R-38 X
Describe other insulated areas
Building envelope air tightness: Duct system air tightness:
Windows&Doors Heating or Cooling Ducts Outside Conditioned Spaces
Average U-Factor(excludes skylights and one door )U: 0.29 X Not applicable,all ducts located in conditioned space
Solar Heat Gain Coefficient(SHGC): 0.32 R-value
MECHANICAL SYSTEMS Make-up Air Select a Type
Appliances Heating System Domestic Water Cooling System
Heater Not required per mech.code
Fuel Type NATURAL GAS ELECTRIC ELECTRIC Passive
Manufacturer LENNOX RHEEM LENNOX X Powered
Interlocked with exhaust device.
Model ML193UH045XP24 PROE502RH91 13ACXN018 Describe:
Input in 44000 Capacity in 50 Output 1.5 Other,describe:
Rating or Size BTUS: Gallons: in Tons:
AFUE or 93 SEER 13 Location of duct or system:
Efficiency HSPF% /EER
Residential Load Heating Loss Heating Gain Cooling Load ERV in Mechanical Room
Calculation 37839 15140 17553 Cfm's
"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 cfms: Low: High: Other,describe:
X Energy Recover Ventilator(ERV)Capacity in cfms: Low: 50 High: 140 Location of duct or system:
X Balanced Ventilation capacity in cfms: Mechanical room
Location of fan(s),describe: Cfm's
Capacity continuous ventilation rate in cfms: 6" "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: "metal duct
•
rlj wrightsof= Component Constructions Job:Date: 2015
Entire House By:
Elander Mechanical Inc Plan: ONTARIO
700 Valley Industrial Circle South,Shakopee,MN 55379 Phone;952.445-4692 Fax.952.496.2092
y- .,✓."r 4;.z.�' :�1,;_,�z5-c r> ��� X' � ,"t�Ts�" �- ..sL „r`c � �.',�,..s�,..;.?�.s ,. - .r" Y.�� ' s.,�
r
res - E; , teg ect3lnfor atrdti M < � t W
.ter.�,...�.� "'�11�_�s-�...,.,,.,,,.... ..-., .T_s,�. �s�.....�___.__u,�,._._�,,. n ..,,�. r„rrizy- �. s .�C' �k„
For: Ryland Homes
� g �, �, `� -F,l"�T,h �.�4 - � z ?Y^_' � �>+'.c sem.t� r"^7 'Se^- r•-
_.�.__.: A ? esgn Condrtrc�ns� , F > x.1-1 �� f-g t
��._ ...� s.=sr..z,4�c,�i,�:4,1..:�. ....,.,.:.a.3_ti,.-, .2_-....1 �.1.�.�•i.��xasxrr..�wa�.;,.: �i��....^.w.,�.�...,..:5...�..... �. .tA..� .:w;. .,v. ab_w.,.-47::�S�
Location: Indoor: Heating Cooling
Minneapolis-St Paul Intl Arp, 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 37.9
Dry bulb(°F) -15 88 Infiltration:
Daily range(°F) - 18 ( M ) Method Simplified
Wet bulb(°F) - 72 Construction quality Tight
Wind speed (mph) 15.0 7.5 Fireplaces 0
Construction descriptions Or Area U-value Insul R Htg HTM Loss Cig HTM Gain
ft' Btuh/tt='F tr'FBtuh Btuh/ft' Btuh Bluh/fte Btuh
Walls
12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int n 793 0.065 21.0 5.52 4381 1.12 889
fnsh,2"x6"wood frm e 267 0.065 21.0 5.52 1476 1.12 300
s 788 0.065 21.0 5.52 4354 1.12 884
w 404 0.065 21.0 5.52 2234 1.12 453
all 2252 0.065 21.0 5.53 12445 1.12 2526
Partitions
12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int .157 0.065 21.0 5.52 866 0.64 100
fnsh,2"x6"wood frm
Windows
61A:Vinyl Window;NFRC rated(SHGC=0.32) e 107 0.290 0 24.6 2633 34.5 3680
w 132 0.290 0 24.6 3262 34.5 4560
all 239 0.290 0 24.6 5895 34.5 8241
Doors
11JO:Door,mtl fbrgl type w 20 0.600 6.3 51.0 1040 17.1 348
n 19 0.600 6.3 51.0 983 17.1 329
all 40 0.600 6.3 51.0 2023 17.1 677
Ceilings
Std Ceiling R-49:Std Ceiling,R-49 836 0.020 49.0 1.70 1421 1.04 869
Floors
20P-38c:Fir floor,frm fir,12"thkns,carpet fir fnsh,r-38 cav ins, 462 0.030 38.0 2.55 1178 0.36 166
gar ovr
22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 56 1.180 0 100 5617 0 0
2015-Jun-24 07:18:08
wrightsoft' Right-Suttee Universal 2012 12.1.06 RSU13410 Page 1
/CM ...ard\Desktopll1eat Losses 20131Ryland Ontario.rup Calc=MJe Front Door races: N
LOT SURVEY CHECKLIST FOR RESIDENTIAL / 3‘/9 7
BUILDING PERMIT APPLICATION
)PROPERTY LEGAL: LI- tJ?' 1 r I e ( 6/'�(Je. ��J Znd e//
DATE OF SURVEY: ✓t f fO/ro
LATEST REVISION:
C 14-k_ ) o116 (ktuy
.a
O z Q DOCUMENT STANDARDS
/J 0 0 • Registered Land Surveyor signature and company
0 0 • Building Permit Applicant
if 0 0 • Legal description
At ❑ 0 • Address
fi0 0 • North arrow and scale
"( ❑ 0 • House type(rambler,walkout, split w/o,split entry, lookout, etc.)
/1 0 0 • Directional drainage arrows with slope/gradient%
�' ❑ 0 • Proposed/existing sewer and water services& invert elevation
0 0 • Street name
0 0 • Driveway(grade&width-in R/W and back of curb,22' max.)
❑ 0 • Lot Square Footage
0/21 0 • Lot Coverage
ELEVATIONS
Existing
0 0 • Property corners
fd 0 0 • Top of curb at the driveway and property line extensions
O )'' 0 • Elevations of any existing adjacent homes
0 ❑ •• Adequate footing depth of structures due to adjacent utility trenches
,els D • Waterways(pond, stream, etc.)
Proposed
/f1 0 0 • Garage floor
O Jx 0 • Basement floor
' D ❑ • Lowest exposed elevation (walkout/window)
,Tir 0 0 • Property corners
,f3 0 ❑ • Front and rear of home at the foundation
PONDING AREA(if applicable)
❑ 0 • Easement line
O , D • NWL
❑ p' ❑ • HWL
❑ ❑ • Pond#designation
O 0 • Emergency Overflow Elevation
o
• Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y .7 • Conservation Easements
DIMENSIONS
0 0 • Lot lines/Bearings&dimensions
.7 0 0 • Right-of-way and street width(to back of curb)
D 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2',porches, etc.
(i.e. all structures requiring permanent footings)
0 0 • Show all easements of record and any City utilities within those easements
f° 0 0 • Setbacks of proposed structure a-• si•- ars se sack of adjacent existing structures
/I 0 0 • Retaining wall requirements: .
Reviewed By: - "er0/1.4414. Date//X/14
G:/FORMS/Building Permit Application Rev. 11-26-04
/ Located in the NE 1/4 of
N /3-)9 -7 /J Certificate of Survey for. Sec. 19, Twp. 27, Rge. 23
"' 'u Slope-
c; CalAtlantic Homes �,\
,�l r
/
e•"Ild a Wall t f �/ /
qui /� House Address: '
�// 3850 - 3870 Cedar Grove Parkway, Eagan, MN \/\ \� I/
/
/ ( 'l, /
/� House Model: �\ �` �� /, 4., o '
T GSW
A.
\ �/ Fremont G, Pinehurst E, New sort F, New sort H, Ontario E, Fremont E �� ' '0? �'"�\�� '
� ��
•
/pt , , F ,-. ,,.,,,, /\ 803.6 �o�.o /
/ Z��`G 10' OFFSETEAG' r� �'.tr.AIN . / � • /� TOPBENHMARK OF SPKp`�� TUM/NOT803.3\ � / EL =807.04 /
` �\\. / 806.7 �$ 04y/
,,, / /
`
A.
07.6 \o /) - - x\Util7ti°9OgrrId606� x_______.../
'///803.4
•O /o tom/ -\ � \ L ° Os•o \/ / / / Bo1 3 807.0 Y 804.0
// � . / � `,O /ro SSOo10' OFFSET BENCHMARK
`� / `� �,' TOP OF SPIKE /-4/117://71/1/1/
`N I` C\ ,� _� /03,,,,>/
�\ -4' x/,� / git\ 0/ •� ,�'' I EL =805.87 / /1�, /� ` / Tc ., 9\ A 3 �`` /
`. / `yooc CJ\ / N' �S8o+6°mss \N �/
�/ 600�s `\ ) / / •e°A `' •ass `s� -_i
111/C88T
//, R> / / ,\: 6• ss �s /6 803.9 °�. • 805.9 / /� /// \ \ ‘ \ �, o hoc / O0 6s't / O 807.4 Oro/p / /` //1� q\ / /o��oyo / ry� /. q'°° i/ //iO°
4---....:0/4.
/, 04.4 // o� / / x o, I 805.7 ‘7° 0 � C/ /
/ / / / O 8O'I • \ 806.8 x s C J. <c, Y
ori /
/ I/ / _ / 70° /•� ..: / 806.7 , x > OPQP805.2 // / --,,
* •
,, ,
�p3.5 ' c�Dt O 0 x� qo�;' P 804. /
p g 2 • (0 TC /'I 1.- /
O• • 6Stoo L 's QG`v 700 SR ),;\
O' / / /
/ e B�° \ S2� GPS ` 804.5 // /
// 804.0 / / ,Sf° D1° ., } ° p �/ NTC �� �� /
+694, 807.7 v f \ \ /
�/ / 2e// �� / xa°� 806 tirytitio�`�oP ao4.6 65 / /
• 6 3 /
8037 / • 70 ps8 06 (: �,F !(* �Oe�S\ \ /1-1b-
.(5,
T� / � 7� 4;111°.°6
r°'h cP Q 806.9 x ', OP'P O •. `+8 Q O� �h�° � // /
• / / /
/ o� 0 .58 ryD 0S6 804.7 L�
QP / GO v ?/ yti207.4 o�O / TC /. / //
° 'x807.2 ;' 4b+ D� �ti°�P / /
OJT ri,11 ®/ ,....,('-)x
dnoe 4 / 804.8 /
\.4� to /^ /9 ;x 8o7.2d e0 e�Q �AC �° / IC ! /1 T/- 7/
0 / x 7'76
O / 1C6'?; T P�,F 067 ° 01. / v //803.9 A&/\ . �i ^,� �O '•�� 0 0 a.5.5 �!' dj\ /804.9 /L�/ / DETAIL,+B �O 1"..b.& • TC / /
/ / 6• , o Q�� 6+ O0 .p\ //�\\ // /
g ). 1 ° >/: L.,..
)I QO�P / \ / /-1\\•A / / Ory
/ B /Q6,°,5‘.5. o1 x �,� 62 0 TC O ,�. \
/ / `moo (iv an 806.7 x �� CJ o �• / �J` I
/ 8 ° ti' _ewe D° ryti 4+ 60S / 805.1 / O'// 2 \
70 / of 20 o 4°,6 's / TC X</v< -/--- 1 ^O/ •O `3 '
/ ` p,r a07.1 x x/ �a6 00 •o O� / C \ / % / gi °.ti a>61
/ ��' ,.../, st,, ; , ‘,11063'i•. /805.2 , \ ��L, / /�O
/O• /x 806.7 B06.3 -' '1'- --r" / oye / /
/ 806.6 0 6° 6; P 700 QQO n�°�^ // <� L / \ /
6O� O / / /
//10' OFFSET I /2+0 6° �S 0.t- .� �\ /805.3 ‘ 6J-/1-- / (not to scale)
/ BENCHMARK �I .6)� D� a TC oc/ /
TOP OF SPIKE ^, vo �o�e+ 220\ � \ / oo / /
EL =806.64 ' (5 6� �S 6 • ,/ \`� co LL
O o '� m 6,O \'/ 805.4 Oto/ /
_ O �__!
/
T// ,,e. '° e�� °�� // LEGAL DESCRIPTION:
0803.7 I -Drainage and Utility Eose ent i //i0 O� 80 O n0. X5.5 //I'
x -«-__ -`� < •'°0 60 6 MH / /Lots 1, 2, 3, 4, 5 & 6, Block 1, CEDAR GROVE
o„,. 1 �g , .,. / L TOWNHOMES 2ND ADDITION, Dakota County, Minnesota
0 806.1 L ` O /
43 1 8 I /` -«-_ «-aNCf,10
II 10' OFFSET
_ TOP OF SPIKE -�/ 'BENCHMARK
HYD // PROPOSED BUILDING ELEVATIONS
_ - _ EL =806.06 �o`' x 806.4 806.1 /
_ Tc Lowest Floor Elevation: 807.5
_-72-7_-_. Denotes Drainage & Utility Easement HYD // Top of Foundation Elevation: 810.7
(per recorded plat) - - _ _ _�' Denotes Existing Hydrant Garage Slab Elevation (at door): 806.8
t Denotes Iron Monument EBEll Denotes Existing Electric Box
Bearings shown are assumed aDenotes Existing Television Box NOTES:
TB Denotes Existing Telephone Box 1. Proposed building site grading is in accordance with the
GRAPHIC SCALE grading plans prepared by Alliiant Engineering, Inc., last revised
0 1020 40 * Denotes Existing Light Pole 07/28/15.
SI Denotes Existing Service 2. Contractor must verify sewer depth.
o Denotes Existing Curb Stop 3. Driveways shown are for graphic purposes only. Final driveway
(IN FEET) x 000.0 Denotes Existing Elevation design and location to be determined by owner/builder.
)(000.0
4. All building foundation dimensions shown on this survey
(11x17 sheet) 000.7 Denotes Proposed Elevation include exterior foundation insulation widths, if applicable.
1038 15711.011 MEP Denotes Direction of Drainage Refer to final building plans for foundation details.
Carlson I hereby certify to CalAtlantic Homes that this survey, plan or report was prepared by me or under my direct supervision
and that I am a duly licensed land surveyor under the laws of the State of Minnesota.
0
I'ilcCain Dated this 10th day of October, 2016. '
Signed: •rlson McCInc.
/ IFENVIRONMENTAL•ENGINEERING^SURVEYING , , '
•3890 Pheasant Ridge Drive NE, By: -
Suite 100, Blaine, MN 55449Thomas R. Balluff, L.S./.eg. No. 40361 "
Phone: 763-489-7900 Fax: 763-489-7959 Peter J. Blomquist, L.S. Reg. No. 51676
Use BLUE or BLACK Ink
411' For Office Use `�
City Of Eapft p 'G 1 r Permit#: 00bv-.IL_ GJ Permit Fee:
3630 Pilot Knob Road '�ti�` �.
Eagan MN 55122 Date Received: S 'S-'f 7
Phone:(651)675.5675
Fax:(651)675-5694
MAY II 8 2017 L
Staff: J
2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 444"-2017 Site Address: 3864 {...LG t7A iz 6R..)L Pa g 4 wA,:, #0,,,,,,,,„
si
Tenant: Suite#:
�: / °I 52 -f?2 I- 6000
'�5{ ` �•:_::. Name: C,.+AL ATe..AtJ�t L, �Cs!-�+E.� Phone:
,, .Y' ..:1 Owner': Address/City/Zip: `.a 99 AtJAbeAM DE. Ev aAI K le j M*1 5j��
�'- .�}r.;f•-es: �:..: ...
Applicant is: Owner X Contractor
SFr 'i4 x ;`' 6''' Description of work: NFPA 13 D ►-f l;C SFR lNIC {� SYS•fEM
-' ;.. Zai'7
!,'-‘!1.:';',V4`
-r 4 *< ''s > , ,' Construction Cost 34W;CO Estimated Completion Date: 7'7 -
)% ;`. 5 ,, k "tom Name: 1't1 &PPRE5StDtJ cG_RVK.ES License#: C- 145
V31w ti.; :.L:::•
.;w,,,.. Address: 45-'08 City: PM 0.1(..C123tJ
r= :;:;;:" - State: I'1� Zip: 5-c37I Phone: 73-- 3/39- Z_/S3
mils. : ':;'* +,r;,'.- Sti4;, .�^'' G /� �/
s :.F , , __,I�i x61 $ [� 45 /.( dW #•c011 t
p z; a'.<<. .. ., � Contact: JAN l c,,,� Email: �R �� / r �S
FIRE PERMIT TYPE t� WORK TYPE
XSprinkler System (#of heads « ) -X-New —Addition
Fire Pump Standpipe , Alterations _Remodel
__Other: Other
DESCRIPTION OF WORK: —Commercial X Residential —Educational
FEES
$60.00 Permit Fee Minimum Contract Value$ x.01
Surcharge=Contract Value x$0.0005 =$ Permit Fee i
If the project valuation is over$1 million,please call for Surcharge
_$ Surcharge
$100.00 Residential New(includes State Surcharge) =$ /00. cam TOTAL FEE i
3/4"Fire Meter-$290.00 =$ Fire Meter I
,
j00, 00 .. . TOTAL FEE ... i
'*Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System 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 with the Minnesota Building/Fire Codes;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 JO4 (,ANreZ.., x GZ44r"n -0‘/44^16--
Applicant's
0 /44^Applicant's Printed Name App,cant's Signature
(t()--loq)
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test ugh In
Trip Pump-Test Central Station Final
Cqr: llt<ons Of:reactance:
Peimi.. eviewed by: l '/G-' Date: I / C I ( 7
City of Eaall
Address: 3866 Cedar Grove Pkwy Permit#: 139957
The followingitems were /were not completed at the Final Inspection on: l 4'
T e 1
/;Complete 3Jncom leteComments
3 3
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 Uri(A)
Porch Sric N L
Lower Level Finish
Deck i(jijr)
Fireplace
1
• 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.
,4
Building Inspector:
G:\Building Inspections\FORMS\Checklists