2144 River Valley Lane 6L / Z1/ /° —? 99 ���/ Use BLUE or BLACK Ink
•
/ ® � - For Office Use
� ���� /�O - L`a U Permit#: iq/la /‘:
10.6.:
� /r
uity of La a �: /���' C U, Permit Fee: / /
3830 Pilot Knob Road REC 'I f
Eagan MN 55122DDate Received:
Phone: (651)675-5675 MAR 1 5 1017( // Staff: r+? /
Fax: (651)675-5694 /yr/ / ►--
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/14/2017 site Address: 2144 River Valley Lane Unit#: Newport f
ih
_, Name: CalAtlantic Homes Phone: (952) 229-6009
--41(14604,0-1'
7599 Anagram Drive / Eden Prairie / 55344
stt, - Address/City/Zip: g
Vit,',1::;:d0.0:,,. Applicant is: Owner ✓ Contractor
n ill ( Sf
Ty - ��t ��Q Multi-familyesidence —f-
Description of work: �� &0 _0()96 / /
i t3rk
i114 Construction Cost: 155,000
Multi-Family Building: (Yes 1 /No_)
h
' ''' Company: CalAtlantic Homes Contact: Kurt Niska
l ,111 ��41 Address: 7599 Anagram Drive city. Eden Prairie
�t�� ontractor
', � lState: MN Zip: 55344 Phone: (952) 229-6009 Email: Kurt.Nlska@calatl.com
4 BC700385
, 'aLicense#: 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: 11/16/2016, 3850-3870 Cedar Grove Parkway
Licensed Plumber: Elander Mechanical, Inc. Phone: (952) 445-4692
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
sv ' ubt r ions%tieredobe :: blic mug l'JNCans ptn mett um of .
° tik. nformationia e C ifi i4*— ® isii • ® oasp fa ± oulperm( _ o
g - , iF :5-7-t-- .t ,
hey re frau r fs.
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.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 Kurt Niska x ,Printed Name Applicant's Sigt' -rAI-
Applicant'snature
Page 1 of 3
9(1 fq l ,,(i,, I DO(N T ITE BELOW THIS LINE /61/�jj
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 N-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
Valuation Occupancy 13 MCES System
Plan Review Code Edition vtivj',Inc' SAC Units
(25%X 100%_) Zoning eP City Water
Census Code Stories, 2 Booster Pump
#of Units C Square Feet 9‘3_) Y PRV
#of Buildings + Length 21111
Fire Suppression Required
Type of Construction 1/45 Width 1
REQUIRED INSPECTIONS Si it
Footings (New Building) y. Meter Size: -41
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
)( Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: Footings Air/Gas Tests _Final
i ` Framing 30 Minutes ) 1 Hour Drain Tile
Nr Fireplace: X,Rough In y Air Test (Final Siding: _Stucco Lath Stone Lat _Brick
st Insulation Windows
4 Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
'* . Braced Walls X Erosion Control
Shower Pan Other:
Reviewed By: 1-2,, , Building Inspector
RESIDENTIAL FEES .''�. ,5b I-; (� '° /CD
07 1
Base Fee "� �l
SurchargetBa- ''- ja ` ` '.' J�/ 125-k/
Plan Review Q
MCES SAC al I id, d � ° t L f
City SAC Q. / qC z ( tiny?
Utility Connection Charge 9 IN43
S&W Permit& SurchargeP--41\-4.0(11, "if Y? y wo, y7--- l d , 62q16?
Treatment Plant ' ;
Copies O
�, �-- ''--�
--'" -�-�'
TOTAL2-3 ,
e ttk
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 3/14/2017
Mailing Address of the Dwelling or Dwelling Unit: City: CAT }Tj ANTIC
2144 River Valley Lane-Newport Eagan I j j�nj� 1 j
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
° 2 device)
FN Location(or future location)of Fan:
To m c a a a) IF fan is required;Attic
Y _
O O. 30 U N O -O (6
0. 6 9
0 Q m CO mai 'D >.
C ° N N ° ❑. LL O
Insulation Location 2 z CS 0 0 w N
. m o m E E
c a
I— E ¢ 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
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 40298 15684 18278 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: I Cfm's
Capacity continuous ventilation rate in cfms: 6" "round duct OR
Total ventilation(intermittent+continuous)rate in cfms: "metal duct
3':j wr htsofr Component Constructions Job:
Da
Entire House Byte: 2015
Elander Mechanical Inc Plan: NEWPORT
700 Valley Industrial Circle South,Shakopee,MN 55379 Phone:952.445.4692 Fax:952-496-2092
. : ala71:, et .,.�-- ;`,AS =Pro ectinforr1,1GLUoT'-';'''' ri. -.._Y _._ -. . g
For: Ryland Homes
rz 2, - � 4. ZDestatt-Yndrtions ,, k
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(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 insut R Htg HTM Loss Clg HTM Gain
Il' 11.131
-F ft?'FJBNh Bluhfft' Btuh BtuhJft' etuh
Walls
12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int n 838 0.065 21.0 5.52 4630 1.12 940
fnsh,2"x6"wood frm e 301 0.065 21.0 5.52 1664 1.12 338
s 832 0.065 21.0 5.52 4597 1.12 933
w 439 0.065 21.0 5.52 2426 1.12 492
all 2410 0.065 21.0 5.52 13317 1.12 2703
Partitions
12F-Osw:Frm wall,vnl ext,r-21 cav ins,1/2"gypsum board int 197 0.065 21.0 5.52 1087 0.64 126
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 141 0.290 0 24.6 3463 34.5 4842
all 247 0.290 0 24.6 6096 34.5 8522
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-49 966 0.020 49.0 1.70 1642 1.04 1004
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 62 1.180 0 100 6219 0 0
Ili Wrightsoft Right-Suite®Universal 2012 12.1.06 RSU13410 2015-Jun-24 07:10:30
�'" Page 1
SICCA...ard\DesktoplNeat Losses 20131Ryland Newport.rup Calc=MJ8 Front Door faces: N
LOT SURVEY CHECKLIST FOR RESIDENTIAL
1 J� /�
de BUILDING
11? PERMIT(/ APPLICATION
PROPERTY LEGAL: r .S "I I+ l � I C Gi — iVL
7g
DATE OF SURVEY: 2.-/r7//7
LATEST REVISION:
m
O z Q DOCUMENT STANDARDSc37/q/1 I&"
• ❑ ❑ • Registered Land Surveyor signature and company
Ar ❑ 0 • Building Permit Applicant
diff 0 0 • Legal description
XI ❑ ❑ • Address
,Q 0 ❑ • North arrow and scale
O 0 0 • House type(rambler,walkout,split w/o, split entry,lookout,etc.)
❑ 0 • Directional drainage arrows with slope/gradient%
❑ ❑ • Proposed/existing sewer and water services&invert elevation
, ' 0 0 • Street name
'le' 0 0 • Driveway(grade&width-in R/W and back of curb,22'max.)
• 0 0 • Lot Square Footage
' 0 0 • Lot Coverage
ELEVATIONS
Existing
y 0 0 • Property corners
%I' 0 0 • Top of curb at the driveway and property line extensions
❑ ❑ • Elevations of any existing adjacent homes
,11 0 0 • Adequate footing depth of structures due to adjacent utility trenches
❑ 0 • Waterways(pond, stream,etc.)
Proposed
• 0 0 • Garage floor
❑ % 0 • Basement floor
p1' 0 0 • Lowest exposed elevation(walkout/window)
g ❑ ❑ • Property corners
/ 0 ❑ • Front and rear of home at the foundation
N • PRV Required
PONDING AREA(if applicable)
❑ 0 • Easement line
❑ ❑ • NWL
O 01 0 • HWL
❑ la 0 • Pond#designation
❑ yr 0 • Emergency Overflow Elevation
❑ '1 • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
• 0 0 • Lot lines/Bearings&dimensions
y 0 0 • Right-of-way and street width(to back of curb)
fd ❑ ❑ • Proposed home dimensions including any proposed decks,overhangs greater than 2',porches,etc.
(i.e.all structures requiring permanent footings)
S 0 ❑ • Show all easements of record and any City utilities within those easements
PI 0 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
g 0 0 • Retaining wall requirements: G�
Reviewed By: Date V/410
G:/FORMS/Cert.of Survey Checklist Rev.3-3-11
N Certificate of Survey for: Located in the NE 1/4 ofSec. 19, Twp. 27, Rge. 23
3:1 Maxinxnn Slopes- i
or Retaining wall WM CalAtlantic Homes
Be Ruired __ In w
House Address: o ® , , f =� ' D
�J 2140-2148 River Valley Lane, Eagan, MN
House Model: iI/ Ky
Fremont D, Ontario G, Newport F, Pinehurst E, Fremont E
10' OFFSET /
, 2/114 i 1/&//tt/ //C y' Ln
BENCHMARK __ ' Li'-
TOP OF SPIKE I / 827.6
EL = 827.65 ` , L/1 O
/ X I DETAIL
/ // .\I fi out s' \ --�
m�,.�, N�1- 828 / \
10' OFFSET ;fah \\ \ \
BENCHMARK _ \ / 77V
\\\., 25.5
x /7TC\ 5 `mss 0 i� \
TOP OF SPIKE �\\ / \\ // v 825.5 s . / \ \ ° ��
EL = 826.79 I\ Y� \ 41 ,
/ \\ /)(//7\V
�r // 826.1 8?) \ \ 5' yP \\'o
/ �� //0$4../ \ //� 825.7 `\x 827.66 B \ 14,$i 'r i9\ o
/
7\1-41%_-7 \ / TC \ N x w \ \ sem\\
/ ;e4. '� )7 /
826.7 N ?gyp �\ \
� / ^� ��\J \.' /� \ .W ‘9tP, 825.8 a'6.8 a �� Q�� \ /
\ % / (N,\c \ / \ \ CE , 1' X2'0.sem Oo�. \ \ (not to scale)
ZF-+ / / e I � � -D (9. X \ \
Q \ 1 ' F .,3;5y CE 0 6 'ly o`I 0ti�. vo, °0 0 \
-,':•7/4G-/ .1\\
\J / \'`. may" 1,48‘
,,� N0 0+g•6� p ..6,�1 829.0\
+ \� v�\` /7/ °fid I \ E k/.
0�$+ ? \x
al
� ! _Oc°\� 826.0f
2 0 \ 826.8 j 828.5 ``. 45 0 0�� 4+�60 ' \
/ Z �// r\ CRTC `;1 10 �\°\ 827.9 ' 9 /0 �` \�
826.0 ?II x 826.8 ,\ BC-----, Py 0 oQ6� O 6
Q, � \ 77 OO i.• 7. i`--� c(n 13 4°19• �� \cp°\ o $tig'
/� Rr \ r\ // Tc \ 827.3 TA
'7-% o�3 7 O \\ 0 9m\
/ ;' i 1-�� 826.3 �9 "5� ,p a .• . �co
9 \
p \
"4"� \ 7 \I`\ BE TC O1�\'r, ss `°�s Q,'' \\ \OP �VI \ Ct
i 826.3 \ i AN' f 44 •n \ �a
C g \\/ \ OC, ' \JJ°s 9�0 \ 829.6 ,y0\ 2 • \s3 x
r e 0 0 829.3 x, J ` ® A CJS 0�
\ \, 'Lb. TC '\ c 1 �10(0 G 9A x 829.5 VoO (�.� \ \829.7
\ � \ 826.6 �\ 6�' 9�,99c Q 830.2 \
i \r C F 'S C% P�oy \
\vi
us 4,,sscs, \ \
/\ oho o \r 0-9p,, *0
43,\ 0\ 100 s \ \
\ �' \ ��G 0� , 828.7 O 0 \ CD \; ç ;
�,827.0 s9�0 y� Oc'� �9Ccc` "A �5 ' \� 0 gyp\
iiiEc0a ° �' .o x 830. ° \
\ % \ 827.4\ \�o �j,' . \�s O\ ti+$6 \
O A rti' \ • 828.4\
/ \ /\ \-.\r °BE TC \ As tr, .., cs 00 C
%.58 \830.2 116 \
\ \ 0 827.4\ O 1 9� o ,y '.1
\ 0 \ 9`0°C \ ti�4, @` �� 117,, (4;
,' 6`� c'i1• ,-. x \\ \
\ \ i \r a NJ $ +�6gf o ° �� 5
rn \
/ \ \ \ o \ �•p 0
0 \830.6 830.8 ‘ A
\/\FED
J \am �<yx {al_ .831.0 xR ` \\\ r\\ 3� 8'q7 9 �s 9�0 �s1�0 c9� 830.6 z. D 0 'V S\° �0ki \
/ \ \ TC , �. 9. 2.5A• cF \ 0�1 Co. ��\
4;511 %cP
xcp
\ / \ \'1. c 0..F9 11 ® \Date .` \ ,� 'IC� . \ x 831.3 \EAGAN ENGINEERING' Dtkil \�/ Q�`��\J``'\\/ \`� ��? '�lb . `L� \\ \ VZA�O \ °P° 829.9 6� �r1. \\ 10' OFFSET
60' r9�O ��0 \\moo ° •._ BENCHMARK
i� , \ \ -10• \o ��Ox 831.4 TOP OF SPIKE
" Denotes Existing Hydrant �r,'' \\ ....f $`1,9• BO• 830.0 EL = 831.12
O Denotes Existing Electric Box // r\ �� :
-7 -.11-1c . � 10' OFFSET
Denotes Existing Television Box \ / \\ \\TB r' �\ ®OL x& HMARK
30� TOPOF SPIKE
❑ Denotes Existing Telephone Box /77 \ \ \829.6
EL = 830.01
* Denotes Existing Light Pole -7 0 ' " --1,1p Denotes Existing Service //7 \ \
o Denotes Existing Curb Stop /
x 000.o Denotes Existing Elevation LEGAL DESCRIPTION:
X soo.o Denotes Proposed Elevation Lots 41 and 42 Lots 41, 42, 43, 44, & 45, Block 1,
Denotes Direction of Drainage CEDAR GROVE TOWNHOMES 1ST
- - Denotes Drainage & Utility Easement PROPOSED BUILDING ELEVATIONS
z (per recorded plat) Lowest Floor Elevation: 830.2 ADDITION, Dakota County, Minnesota
-e- Denotes Iron Monument Top of Foundation Elevation: 833.4
e
Garage Slab Elevation (at door): 829.5 NOTES:
g. Bearings shown are assumed
1. Proposed building site grading is in accordance with the
2 GRAPHIC SCALE Lots 43, 44, & 45 grading plans prepared by Alliant Engineering,
8mmoimilaim
0 10 20 40 lost revised 7/28/15.
PROPOSED BUILDING ELEVATIONS 2. Contractor must verify sewer depth.
Lowest Floor Elevation: 829.5 3. Driveways shown are for graphic purposes only. Final driveway
design and location to be determined by owner/builder.
(IN FEET) Topof Foundation Elevation: 832.7
(11x17 sheet) 4. All building foundation dimensions shown on this survey
Garage Slab Elevation (at door): 828.8 include exterior foundation insulation widths, if applicable.
1038 5711.010 MEP CalAtlantic Job No. 35050010921 - 35050010925 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
Ci
arlson and that I am a duly licensed land surveyor under the laws of the State of Minnesota.
i 0 Dated this 17th day of February, 2017.
VSigned: rlson McCa'• Inc.
3 ENVIRONMENTAL•ENGINEERING'SURVEYING , . /' ' /
By:
3890 Pheasant Ridge Drive NE, B : -
Suite 100, Blaine, MN 55449 homas R. Balluff, L.S.Ieg. No. 40361
.
Phone: 763-489-7900 Fax: 763-489-7959 Peter J. Blomquist, L.S. Reg. No. 51676
n
BRAUN Page of
cti-c3son4/07
I NTE RTEC Daily Soil Observation Notes
Project No.: Date: ,I
(_ )c? I 11 ( Report No.:
Project Name: 1.LAO Z ILL? �tiwf V. iA-. Project Location: L.0 �i -I S •• 12 , `�-
Client: r,_ ( A4 c,k‹, Temp/Weather:
Project Manager: ' \- \• '�.` - Time Arrived: Departed:
irtAnititt',1,F "'"VOW JAide;310 .,m
Areas Observed: O Building Pad O House Pad O Roadway O Pkng/walks 0 Footing
0 Proof Roll 0 Other (describe)
Soil report available? 9) Yes ❑ No Report reviewed? 0 Yes k] No Report prepared by: 64,--4_,...., Get copy
Benchmark: spc,
Benchmark elevation: R/ ,0.-1..,.) Benchmark provided by: '
Finish floor elevation: 1\J s. Bottom of footing elevation: j._ Bottom of excavation elevation:
Approved plans available? \!ie ) Specified compaction: Fill source:
Oversizing appears adequate? NA 0 Yes 0 No Soils observed agree with Soils report? O Yes O No
Soils appear adequate for design loads? O Yes ❑ No Proposed project bearing capacity(psf):
Contractor notified of results? ❑ Yes O No Name of person notified:
Was a copy of this report left on site? ❑ Yes O No If so, whom was it submitted to?
I
l/ Wei i
f ". 0 i w , 1. i,
`jam t
21 ...., 4 , }..,..„, 13.1 t.,1 e., , c.).er-1- .4'0
1 im lir ., . :.
, s.,- TI
NM
III= 1
l { [ j j
Notes/Comments: I i I
t i 4`1 I b2 'Zi, j
Write boil' m elevations, date excavated, oversizing and type of bottom soils on sketch .
l
Performed By: CReviewed 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
For Office Use Cl of Eaftall• Permit#:Permit Fee. t
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 sax:
L
2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: �1i7 17 Site Address: 2144 R1teR UALLY L4+ '"N Po,e`7–a
Tenant: Suite#:
Name: [ AL- 4-TZ I .. 1401 4 ES Phone:frig? " Z9-(0666
Address/City/Zip: 75t39 Awa z
-,1•Iicant is: Owner X Contractor
Description of work: ? FPA 137) LJET SYSTEM
� �s; Construction Cost: Is" 00 O O Estimated Completion Date: —2017
Name: i Rc. S IPP SS i O1J S XYi License#: 0'145"
Address: 4 SAXTeg RD. PO.6vi<37 City: ?RIS `ib
• State: MN zip: .53 71 Phone: -/w'3✓ - 7561 -Z18 3
Q Sor1t�..Q.si.('4d d.__ Goy
.. slSorJ CSA/1T Email:
FIRE PERMIT TYPE WORK TYPE
x Sprinkler System(#of heads ZD ) X New _Addition
Fire Pump Standpipe _Alterations _Remodel
—Other: Other
DESCRIPTION OF WORK: _Commercial Residential _Educational
FEES
$60.00 Permit Fee Minimum Contract Value$ 3e01.5• 0,5 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, a0 TOTAL FEE
3/4"Fire Meter-$290.00 =$ Fire Meter
=$ /tom OE TOTAL FEE
"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 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 Bulldiing/FIre Codes:that I understand this is rota permit,but
only an application for a permit,and worlds not to start
with
out a permit,that the work vola be in accordance with the approved pian in rise of work
which requires a review and approval of plans.
X . soy/ 17M !z' x t ..C --
Appttcanrs Printed Name Appl cant's Signature
4 1 X7-7
FOR OFFICE USE
I REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test �/ Rou In
i _ Trip Pump Test Central Station Final
Conditions of Issuance:
1
1
Permit Reviewed by:,-- .�' Date: / � / (7'.
City of Evan
Address: 2144 River Valley Lane Permit#: 141618
The following items were /were not completed at the Final Inspection on: / Z-z 7) 7
Complete incomplete Comments
Final grade - 6" from siding
Permanent steps —Garage
Permanent steps — Main Entry l�
Permanent Driveway li 15 / I ,' .(
Permanent Gas
Retaining Wall or 3:1 Max Slope ---~
Sod / Seeded Lawn �� 1
Trail / Curb Damage
Porch
Lower Level Finish
Deck
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: t14 ft
G:Building Inspections\FORMS\Checklists