3870 Cedar Grove Pkwy L. /3994.- - .-7, qe3,67 '
pt. i 61- _ to o () Use BLUE or BLACK Ink
�/) G' C C�6 /60 ' a C) -For Office Use
1/1 G 1 �iJ
T{ , �� � f Permit 1,//qk -
�, ° ° Permit Fee: /0- &l
3830 Pilot Knob Road j
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax: (651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/28/2016 Site Address: 3870 Cedar Grove Parkway unit 4: Fremont (E)
CalAtlantic Homes (952) 229-6009
Name: Phone: F
Resident/ 7599 Anagram Drive / Eden Prairie / 55344
Owner Address/City/Zip: g
/ 1
Applicant is: Owner ✓ Contractor C� , 4 ......... _. . ... ::.... . :a
Multi-familyresidence
Type of Work Description of work:
Construction Cost: $ 170,000 Multi-Family Building:(Yes 1 /No )
Company: CalAtlantic Homes Contact: Kurt Niska
Contractor
Address: 7599 Anagram Drive city: Eden Prairie
State: MN Zip: 55344 Phone: (952)229-6009 Email: Kurt.Niska@calatl.com
License#: BC700385 Lead Certificate#:
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
Elander Mechanical, Inc. (952) 445-4692
Licensed Plumber: Phone:
Mechanical Contractor: Elander Mechanical, Inc. Phone: (952) 445-4692
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 thallh2y 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.orcl
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 i( .i
A..)/14--0--
Applicant's Printed Name Applicant's Signature
Page 1 of 3
gg 70Ce4ctie_ Geov6K
DO NOT WRITE BELOW THIS LINE / 1 76
•
• 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(flex Lower Level Pool Accessory Building
WORK TYPES
4.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 1'f Occupancy - MCES System
•
Plan Review Code Edition yvit.. ) l5' SAC Units
(25%' 100% ) Zoning f City Water
Census Code Stories A- Booster Pump
#of Units 4 Square Feet PRV Y
#of Buildings I Length L1 0' Fire Suppression Required
Type of Construction VO Width 21111
REQUIRED INSPECTIONS v
14 Footings(New Building) Meter Size: A4
Footings(Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
-14 Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes )6 1 Hour Drain Tile
Fireplace: \Rough In 1 Air Test +)(, Final Siding: Stucco Lath S ne Lat Brick
��(, Insulation Windows
`S, Sheathing Retaining Wall: Footings_Backfill Final
Sheetrock Radon Control
•�,. Fire Walls Fire Suppression: Rough In Final
Braced Walls sy4 Erosion Control
Shower Pan TOther:
Reviewed By: / , Building Inspector
RESIDENTIAL FEESl'O/) v 4 � (_/O+ 7l 71
Base Fee ( i f 4 I
Surcharge V 95;(7) 66'0 ( If i
r�,r�
Plan Review ({ 1+ r (0 /MCES SAC ' -c ;71C1
City SAC jo V �}
Utility Connection Charge ' 9 Q `I 2►I
,3
S&W Permit&Surcharge Li V Y 0 r t 1 9 I
Treatment Plant l
210 to.D
Copies TOTAL 0L " f
Pa2 o 5"�
11,
•
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: <lNm l ✓3870 Cedar Grove Parkway Eagan
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
o or other system monitoring
device)
Location(or future location)of Fan:
n a
a IF fan is required;Attic
o Q o Pot o -o m
Q m m ami CJ v c
n -
Z N U O- LL j( o
Insulation Location o o O @ w
E 15
O N c - 0 0 ® 0
= z iL it LL LL 'ix 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-20 X
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
Domestic Water
Appliances Heating System Heater Cooling System Not required per mech.code
Fuel Type NATURAL GAS ELECTRIC ELECTRIC Passive
Manufacturer LENNOX RHEEM LENNOX X Powered
Interlocked with exhaust device.
Model MLI93UH045XP24 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% ®JEER
Residential Load Heating Loss Heating Gain Cooling Load ERV in Mechanical Room
Calculation 39466 15887 18383 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
FP wry htsoft" Component Constructions Job:
•
` Entire House Byte: 202015
Elander Mechanical Inc Plan: FREMONT
700 valley industrial Circle South,Shakopee,MN 55379 Phone:952.445-4692 Fax 952-496-2092
t%r
; ir:Ii:-.'k1:7---MR- ro ecfi.In oma ron S. - , m�
For: Ryland Homes
.Y_ri-W ;;;;.,.. . , ( - - e-sign Cond>Ifi�ons
_. . c f...,,w,;aa. o.n-rr ewac�:a.�..,. .*,.xuC_z_...- ._ .......,,e. ....... ...:a. -nom ,a k:
Location: Indoor: Heating Cooling
Minneapolis-St Paul Intl Am, 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(grub) 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 Gig HTM Gain
IP Btuh/ft'-'F tt''F/dtuh Rohe Btuh BtuhWt' Btuh
Walls
12F-Osw:Frm wall,vnl ext,r-21 cav ins, 1/2"gypsum board int n 782 0.065 21.0 5.52 4321 1.12 877
fnsh,2"x6"wood frm e 317 0.065 21.0 5.52 1753 1.12 356
s 709 0.065 21.0 5.52 3917 1.12 795
w 464 0.065 21.0 5.53 2562 1.12 520
all 2272 0.065 21.0 5.53 12552 1.12 2547
Partitions
12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int 192 0.065 21.0 5.52 1061 0.64 123
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
s 73 0.290 0 24.6 1799 19.5 1423
w 132 0.290 0 24.6 3252 34.5 4546
all 312 0.290 0 24.6 7684 31.0 9649
Doors
11JO:Door,mtl fbrgl type w 20 0.600 6.3 51.0 1040 17.1 348
Ceilings
Std Ceiling R-49:Std Ceiling,R-49 932 0.020 49.0 1.70 1584 1.04 968
Floors
20P-38c:Fir floor,frm fir,12"thkns,carpet fir fnsh,r-38 cav ins, 504 0.030 38.0 2.55 1285 0.36 181
gar ovr
22A-tpm:Bg floor,heavy dry or light damp soil,on grade depth 61 1.180 0 100 6104 0 0
2015-Jun-24 07:14:15
wrightsoft-' Right-Suite®Universal 2012 12.1.06 RSU13410 Page 1
ACG\...ardeeskiop\Heat Losses 20131Ryland Fremont.rup Calc=MJ8 Front Door faces: N
LOT SURVEY CHECKLIST FOR RESIDENTIAL / q 7/r�
L
BUILDING PERMIT APPLICATION // ^
PROPERTY LEGAL: L 1- �' I1 l 6rw�. , , �',d4.
DATE OF SURVEY: AY/06
LATEST REVISION:
z
c -3A-70 C6-dic-g_ Caecti - Petc‘i
ast
V
0z a DOCUMENT STANDARDS
je 0 0 • Registered Land Surveyor signature and company
JZ( 0 0 • Building Permit Applicant
0 0 • Legal description
0 0 • Address
A0 0 • North arrow and scale
l0 0 • House type(rambler,walkout, split w/o,split entry, lookout,etc.)
0 0 • Directional drainage arrows with slope/gradient%
j' 0 0 • Proposed/existing sewer and water services& invert elevation
' / 0 0 • Street name
jr 0 0 • Driveway(grade&width-in R/W and back of curb,22' max.)
❑ 0 • Lot Square Footage
0/0 0 • Lot Coverage .
ELEVATIONS
Existing
0 0 • Property corners
g 0 0 • Top of curb at the driveway and property line extensions
❑ )2' 0 • Elevations of any existing adjacent homes
.�' 0 0 • Adequate footing depth of structures due to adjacent utility trenches
0 Af 0 • Waterways(pond, stream,etc.) '
Proposed
/f 0 0 • Garage floor
❑ fX 0 • Basement floor
S a a • Lowest exposed elevation (walkout/window)
,t3 0 0 • Property corners
0 0 • Front and rear of home at the foundation
PONDING AREA(if applicable)
0 i 0 • Easement line
O )2( 0 • NWL
O / 0 • HWL
❑ 2 0 • Pond#designation
O ❑ • Emergency Overflow Elevation
❑ • Pond/Wetland buffer delineation
Y42 • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
X 0 0 • Lot lines/Bearings&dimensions
7 0 0 • Right-of-way and street width(to back of curb)
/ 0 0 • Proposed home dimensions including any proposed decks, overhangs greater than 2',porches, etc.
(i.e.all structures requiring permanent footings)
1 0 ❑ • Show all easements of record and any City utilities within those easements
0 0 • Setbacks of proposed structure a•• si•- ar• se lack of adjacent existing structures
in 0 0 • Retaining wall requirements: �.
Reviewed By: ' / ,' `�
y �� Date /
G:/FORMS/Building Permit Application Rev.11-26-04 11
/ Located in the NE 1/4 of
�
N • j . �7 �/ Certificate of Survey for: Sec. 19, Twp. 27, Rge. 23
:i - °.4.1 ".c'° �Slope-1
(, , ,iiia CalAtlantic Homes �/\ /1
Elm titaquiri
i House Address: -/, /
® // 3850 - 3870 Cedar Grove Parkway, Eagan, MN
i /
/ House Model: ` �- T, /
G, Pinehurst E, Newport F, Newport H, Ontario E, Fremont Ei , // Fremont
I� /\ 803.\ \Eo .0 / 32h\
.,� / / TC / o tu
a In I ' \m,,,.
i "`. _ ^ / / ��� "� 803 �kQ
��'.� /I / d'o� lb,- 8n
" � / � TC ��
/ / 806.24-1*.a„ /Y A�� -.. ,44. _ --c / /N HYD ��v
I /`\� -..��_ \-� y� `�- 9 eto�•: /803.4
Dat- �� \ �04Y X80 / // 10' OFFSET go �� 8 / TC
/ EAG' 0 EN\G` �bb.t ..W\V� is ��R/FS �� % . BENCHMARK l ��° 2 9/r /
4 �� '3S0C �\ / / TOP OF SPIKE 806.3y� UM/yOV 80� /
/ / S \ 7<� /o / j EL =807.04 V S Pq l /
�l N\ �\ ,i / .. �\ 1 x806.7 $Ok•8 804? Ty // ,
Or •
j/ .K 1=',...,� / / , ` 807.0 j Ut/� ° sTC
8 I / 803.4
2//
/ ° - �` Y03/ / pI 3 807.0 Y 804.0l �\ / x\ 019Oa10' OFFSET ///� / •De . oN �� / / � 4 / TOP OF SPIKEt.,� ,1 �� / • d �/ • � tEL =805.87 // ` // /I/ ��\ ��N2,
/� 803.9 / /----.7 s ' .,A-
- 805.9 / , 1/�
i
N� �� °V
0 �° �( . 6.f°o / '0 807.4 OAS i /
/� /�, / / , // ry / x,o 805.7 /�,0 0 //- 804. /'I /
/ // ' °-,- $p1 ,� 806.8 x 806 (/ 1 O� ‘••0 n /
�_iJ / o
0
/ 00
/� ° . / /0•0 /.' ti^ l- 806.7 x�,2x > CrN5 �o 805.2 //� ----\0''
k\
// ,�, ! / O 3'80 .7 o^V �� tip• V a / '1/6/ \ 41(� m
/' 3.5 .' C! cam/ /ryO •O O x� quo- X/ra ' °fie11 n'V 041- 804.5 ///1"/
/ // /
/' ate`' ,� g a'x `ZN "x
/ 02 L.
806 0 , Q�Q yt, TC ,'I �L /
N�BSfa �. rn O� /O SR ° y0' / / /
// � ' ;Bs SC" s O • \// N .804.5 / /8040 / ry / /
/
807.7 ° moi �` / /
/
�// / \2,8// `yam• try x�o6� &°6 <Vry6 c) ' '804.6 36��/ /
• 8 3 3 y> TC\ L /
8267 / \` ®• d8 six;` O� xpe.. ps.
Qo �° y /1-
/
4'
/ /0,, ^. O Bos.s x Ce- o s ��. / / /
•' / off' 58 V ^°• °S6 804.7 �1'
PZ ' / O v "D-007.4 y / TC / / /
' / ti /O x 807.2 r/ �oc`e+^� 0Co yO�i�v{ / / / /
OJ ' ,- O ' _t. ��OQ �P //804.8 �L/ /
�i /x 807.24 / Q�� 0°�° / TC 1 n T/ -7/
��� / ` °`issfo i �� 6+2 / Off. 84,5.5e '
�° �. 'yam / L lJ I/ //
/ 8 +BEY �^ O �� PSP L /803.9 a �- �' �° o•, \ / 804.9 / /� / DETAIL
+8�v w oco��6 • .scby TC i
/
/ / tip ,,a /\ x�0 o 8 ��ti��°�t,,� i8O5.0 �', /L� / //I`\ / ti
a � /o v
/ '� O'SB 1x x °6' ,5,1,A0 4i" / TCN / i / / \Q0 O
/ g S 1. G ��.2 O / ,4ti'
/ x\00 00, pato 806.7 x
%•-•
� CoQ o ` ° �1 / cN.
J L� / I ,� I
/ �` L' ,See • �R' 80S / 805.1 / O // 2 \
/° / 8p�$ 2.0 coo ab •5 / TC x<v, /--,71- , N./ O ry`g8
/ co 91 807.1x x / eb O� OHO / \ c� '/ / /O^ o� )S�
/ om .91L..° 807.1
/ �% ti�O1>P /805.2 �\ ��c�I� / //�°
�°'' /x 806.7 g06.3 ` X pe / TC J /
// 806.6 6 38/ 6POF /OOyep QUO �O�° / <� \ �// // /
I `5/2°+ �S P� J L� / (not to scale)
/ 10' OFFSET I +g 90 G //MS.3 D /
BENCHMARK J1 •6>,1" ,1, ,b,ab F -/ IC or/ /
TOP OF SPIKE ,t, 40 v0 N oO�e* 2`�O ' \` / oo / /
EL =806.64 s ? �S . ,/ \`\ L,
_ _ 0O m O 4° \1�a05.4 \ O6/ /
s�� _ %ice ,y��O�P / //
T/'. N/ C)-7° 4Z ��° / LEGAL DESCRIPTION:
c??/
0803.7 Drainage and Utility Ease ent_-� //�O' 0� d ° ,yam' X5.5 /I'
-<<--as c 10 iso e MH // /Lots 1, 2, 3, 4, 5 & 6, Block 1, CEDAR GROVE
ox «/ -<<-e-- 805.8 / `��sc l� /
^D' / / 1- TOWNHOMES 2ND ADDITION, Dakota County, Minnesota
�0 1 g0�g �� 806.1 -«-- �♦ ' / /
I 1 / / <<--,.--__C''.0.
10' OFFSET / HYD \ ,, /
_ TOPCHMARK OF SPIKE 6 / PROPOSED BUILDING ELEVATIONS
EL =806.06 �O� x 806.4 806.1 /
_ Lowest Floor Elevation: 807.5
/
_._-_-=_. Denotes Drainage & Utility Easement / Top of Foundation Elevation: 810.7
(per recorded plot) - - _ _ HYD Denotes Existing Hydrant Garage Slab Elevation (at door): 806.8
-6-- Denotes Iron Monument 0 Denotes Existing Electric Box
Bearings shown are assumed 0 Denotes Existing Television Box NOTES:
TB 1. Proposed building site grading is in accordance with the
0 Denotes Existing Telephone Box grading plans prepared byAlliiant Engineering, Inc., last revised
GRAPHIC SCALE 9 9 P P 9• 9,
0
Immil1i0 20 40 Denotes Existing Light Pole 07/28/15.
sO Denotes Existing Service 2. Contractor must verify sewer depth.
o Denotes Existing Curb Stop 3. Driveways shown are for graphic purposes only. Final driveway
x 000.0 Denotes Existing Elevation design and location to be determined by owner/builder.
(IN FEET) 4. All building foundation dimensions shown on this survey
x
(11x17 sheet) X00.3 Denotes Proposed Elevation include exterior foundation insulation widths, if applicable.
1038 5711.011 MEP Denotes Direction of Drainage Refer to final building plans for foundation details.
I hereby certify to CalAtlantic Homes that this survey, plan or report was prepared by me or under my direct supervision
Carlson and that I am a duly licensed land surveyor under the laws of the State of Minnesota.
(10) IiIcCain Dated this 10th day of October, 2016. ..Signed: rlson McC.'- Inc.
ENVIRONMENTAL'ENGINEERING'SURVEYING / . '
3890 Pheasant Ridge Drive NE, -gy AO
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
B RAU N P7��ln I T l '99' Page cmtdsan 4/07
I NTE RTEC 3 'r?o c 1"' A- lnvj,Z Prw/
Daily Soil Observation Notes
Project No.: Date: ' 12 v//1 Report No.:
Project Name: Project Location: ji /-(..n. 81-4-4- I e
l r tw7
Client: y1 �` Temp/Weather: 12.4' ^ 47' 4"
Project Manager: 14' -I"l' `" I' - Time Arrived: Departed:
... _... .,,.w te ai �_..
Areas Observed: 0 Building Pad q House Pad 0 Roadway 0 Pkng/walks 0 Footing
0 Proof Roll 0 Other (describe) /
Soil report available? ❑ Yes 0 No Report reviewed? 0 Yes 0 No Report prepared by: Get copy
Benchmark: .1 Benchmark elevation: Benchmark provided by:
/1 � y'
Finish floor elevation: Bottom of footing elevation:5t, 11,,t, Bottom of excavation elevation: 5,,x_,4 L.:2, C.,�,
Approved plans available? Specified compaction: Fill source:
Oversizing appears adequate? 0 NA [ Yes ❑ No Soils observed agree with Soils report? 0 Yes 0 No
Soils appear adequate for design loads? (X) Yes 0 No Proposed project bearing capacity(psf):
Contractor notified of results? Yes 0 No Name of person notified:
Was a copy of this report left on site? (7Yes 0 No If so, whom was it submitted to?
i
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rot_
4 /i Vo-4^--. 0
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i ✓ U Let- �/ ,r l,nl (( wJ- �
- I `s / ‘91-r‘t C.)6L^' / �y4, - ✓
12r--- G
Notes/Comments: [[
cz ,
!'
0 -c 7,,,,?i
Write em elevations, date excavated, oversizing and type of bottom sods on sketch
I
,?)Performed By: Reviewed By: Date:
This is a preliminary report and is provided solely as evidence that field observations and/or testing was performed. Observations and/or conclusions and/or
recommendations conveyed in the final report may vary from,and shall take precedence over,those indicated in a preliminary report.
• Providing engineering and environmental solutions since 1957
Use BLUE or BLACK ink
.400p
For Office Use C q Ol Ea �il �` � I ::e:
� c��(I
Citye--CJ��
e-11,-t-C-�- � OD ::-.--
3830
3830 Pilot Knob Road et„,,,-
Eagan
MN 55122 Date Received: A -5 a - -,
Phone:(651)675-5675 A
Fax:(651)675-5694 WM il B 2017 l Staff: 7
2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 44-6 17 Site Address: 387o Ce-fJAR &RUE. `Age14-i ''? ifF+eeeittoa"n
Tenant; i ' Suite#: c� /
;.i ` ilk.;" Name: aAL ATr-At4TtG Hcy MES Phone; -t Z -c I 6000
., iii �"53 > '-
" a 1Wr,er Address/City/Zip: `3 99 AN e. DE. Evj 1 55344
gyp....•9t , . t
p'' _r',' ,� `,,,: ` "rh.: Applicant is: Owner X Contractor
r ' •' ,' w} k$' ` Description of work NFPA 13 b T'f E'C SW I NK- ,6R SYSi1"r
"'••u-�^ .' " ` ` .F' '"s� Construction Cost �r7O '� 7'7"17
Estimated •Completion Date.
.:,. ''.'*.4.(.'2';'
'x , Name: 1't SLI PP iZE451M1 c/RZ VlC. s License#: C. 145-
. r. /', �yr.:y ley.' rt'.::.-
:_�Ynt >:Y Address: o City:
;(, 'f State: t14 Zip: 5r311 Phone: 763•- 3t9- 0.1g3
Contact: SI` "J VANT - Email: . San c� > Sh-!i I�►t',S
FIRE PERMIT TYPE WORK TYPE
4 Sprinkler System(#of heads 44 1 New Addition
Fire Pump _,Standpipe —Alterations _Remodel
Other. Other: _
DESCRIPTION OF WORK: _Commercial A.Residential __,_Educational
FEES
$60.00 Permit Fee Minimum Contract Value$ x .01
Surcharge=Contract Value x$0.0005 =$ Permit Fee
If the project valuation is over$1 million, please call for Surcharge
=$ Surcharge
$100.00 Residential New (includes State Surcharge) =$ /00. 00 TOTAL FEE
3/4"Fire Meter-$290.00 =$ Fire Meter
=$ /DO. 0t TOTAL FEE -.--..-.".'
EE __ . 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
'req'uires a review and approval of plans.
Applicant's Printed Name Appl cant's Signature
t 1-(:)--bq
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test ugh In
Trip Pump Test Central Station -Final
Cpildl ons Of=issuance:
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Permit, a , Date: 1 r / 7
�Y�
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145483
Date Issued:09/12/2017
Permit Category:ePermit
Site Address: 3870 Cedar Grove Pkwy
Lot:6 Block: 1 Addition: Cedar Grove Townhomes 2nd
PID:10-16681-01-060
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.
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 -
Robert C Goldnick
3870 Cedar Grove Pkwy
Eagan MN 55122
(612) 708-1518
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
Cityo1aall
Address: 3870 Cedar Grove Pkwy Permit#: 139962
The following items were/were not completed at the Final Inspection on: 7 2-1- J
Complete Incomplete Comments
Final grade - 6" from siding I/
Permanent steps — Garage /1 l� 1Q5
Permanent steps— Main Entry ✓� Y
Permanent Driveway
Permanent Gas
Retaining Wall or 3:1 Max Slope /
Sod / Seeded Lawn V
Trail / Curb Damage .�
Porch
Lower Level Finish
Deck
Fireplace � IR/ F143 ) (2--
•
(4, fes• 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: / 121 / kty/f—
a\Building Inspections\FORMS\Checklists