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3513 Birchpond Rd Use BLUE or BLACK Ink r-----------------, I For Office Use Permit City of EaEd~ I Permit Fee: arm (f1 I 3830 Pilot Knob Road I I Eagan MN 55122 R P C F? WE O Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 t 2611 I Staff: I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION j # Date: Site Address: Unit M Name: Yyt 44-te-) Phone: 62 o? l' a-) RESIDENT / OWNER Address / City / Zip: t G !V Applicant is: Owner Contractor TYPE OF WORK Description of work: 4" Le_ C&I kl- ~ l ~ t;Je_ Construction Cost: Multi-Family Building: (Yes / No ) . Company: C `CL (~>15 TOCLkl Contact: / ' % 1 q o CONTRACTOR Address: 4-e_ City: ee State:, Zip: 5- Phone: License Oice 3 7/ yeo~ 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 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: 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 they are trade secrets. w e_ M 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.goi)herstateonecall.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 •thout a permi hat a work will be in accordance with the approved pl in the case of work which requires a review and approval of plan x Applicant's Printed Name Applicant's Signature Page 1 of 3 NOT WRITE BELOW THIS LINE 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 Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES e,~ P 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 O'D . Occupancy MCES System Plan Review Code Edition, SAC Units (25% 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X Footings (Deck) Final / C.O. Required T Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge cys Plan Review MCES SAC City SAC { V + P Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I r Use BLUE or BLACK Ink 1 For Office Use 1 1 t ~j q City of Eafe, an MAY I 1 2010 i Permit 1 Permit Fee: T ► I 3830 Pilot Knob Road 1`~ ` Eagan MN 55122 I Date Received: - Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I staff: nw~- 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: " 1l" ~l6 Site Address: I +~~~v t~s Tenant: Suite RESIDENT / OWNER Name: l"iU c~ Phone:' ~ l Address/ City/Zip: J 1~irJ- id Rd Applicant is: Owner Contractor TYPE OF WORK Description of work: r c•' ~t Construction Cost: Multi-Family Building: (Yes l No ) CONTRACTOR Name: t~ lit Ai'Qe) 1-1-IL License c ~13 7 Address: J L9 t~ A ue- F City: JA.kc) j e e. State: MA Zip: - 57673-2ei Phone: q c;?-o }r Contact: A Email r°~c'c, C~>y' S T'-/'ck. rte 1 y~- 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: NOTE: Plans and supporfing 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. w\Aw.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance fth the ordinances and cod of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i t to st without a permit; that th work will be in accordance with the approved plan in the case of work which requires a review and approval of an x tU i L x Applicant's Printed Name Applica s Signature Page 1 of 2 v DO NOT WRITE BELOW THIS LINE 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 _ Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New r 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 Qv Occupancy 2G ~ MCES System Plan Review Code Edition Alt,-? SAC Units (25%_ 1000/.- ) Zoning City Water Census Code Stories / Booster Pump # of Units Square Feet 4//8' PRV # of Buildings Length A Fire Sprinklers Type of Construction Width AX REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final 1 C.O. Required Footings (Addition) -2e Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water * Final Pool: -Footings rAir/Gas Tests Final Framing Siding: Stucco Lath `Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES /G, ? ~c4 A-U14' .t'7ot oa ~ ~~D Base Fee S- Surcharge ~~'/G f b.4c~ Q,✓ Plan Review MCES SAC s X30 City SAC 1j , J Utility Connection Charge S&W Permit & Surcharge Treatment Plant 44 `6 Copies TOTAL Page 2 of 2 M - 3513 BIRCHPOND ROAD CERTIFICATE OF SURVE Y I For:, LUNDGREN BROS. i H DENOTES OEXISTING TREE SAVE OEXISTING TREE REMOVABLE EXISTING TREE CUSTOM LO -TP-- TREE PRESERVATION FENCE 0 PER TREE PRESERVATION PLAN 00 06°Z ~C II 110 5999 C0 I N S 00 04 , 010 A/ ~ ~ ~ooj' (L~rl tk I ^a ' f snNs ~n p o Z (0' X8.0 oa 2. 27.5 0~r O Ate. of 81 v ~ L v) ~ r. co ` 599 lz~Q~ o 0 3 M a jar r 1-N 9 4. 14-44 y w Q a I r%1 C) 7.56 co 3 1-1 ~o n O A) L MO 0 00 ek~Sli612 ~N a 6 X7.3% c©CC) / C rR S 22.33 a o € Ft,N fS9 p Ef',"7AN 77 J.- N7 . cAE! \ 4241 R"- w Y. 4I] y 0TtONS DIVISION n PROPOSED HOUSE = 2619 SO. FT. 2 s OR 14.70 % OF LOT AREA DRIVEWAY = 919 SQ. FT, k' LOT 1 = 17,811 SQ. FT. / \ SAN. SERVICE INVERT ELEV.=839.0 Scale: 1"=30' Page 3 of 4 / James R. Hill, Inc. 1(y C,_ A V-v 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan a-\ 3830 Pilot Knob Road, Eagan MN 55122 I '3 p ,Sy Telephone # 651-675-5675 FAX # 651-675-569 New Construction Requirements Remodel/Reoair Requirements a-0 1-- Office Use 0 i - 3 registered site surveys showing sq. ft. of lot, sq. ft. of house, ; and all roofed areas 2 copies of plan O rte- ,eft of Survey Recd N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y- I set of Energy Calculations Addition - indicate if on-site septic system on-site Septic System --Y -N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units 94 2 Date_ / Io2 f 0 Q Construction Cost Site Address cS/ 3 /J //Z C-14- PO N D Roii'D Unit/Ste # Description of Work SF Q Multi-Family Bldg - Y N Fireplace(s) _ 0 Z 1 - 2 Property Owner Telephone # ( ) Contractor ~,Ut4)pG/z.=~~~2D5, ~01~;T1~irr~ Address ~35 E . 1 -i4 461- 1110 City --lZ y~A~i9 State Zip 55~39 Telephone # (952) x/73 -O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y N If so, 25% plan review fee applies. Licensed Plumber L-~Nl ~r~ ~EC tic c- Telephone #(954 4q5 - MCP 9 ? Mechanical Contractor CL.A~~C/L r'"fEL'EF,9,t)tc~G. Telephone It ~~F 2 41 1? Sewer/Water Contractor Telep I hereby apply for a Residential Building Permit and acknowledge that the mformatio ' complet and accurate; that the work will be in conformance with the ordinances and codes of th State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. d,H~ * (9S~)ag9 -~l 64&6jg:21 cif l GL EF~2~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_Y or N ❑ 25 Miscellaneous Work Types A 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation oOccupancy try MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units t° Sq. Ft. PRV # of Bldgs Length 7 / Fire Sprinklered Type of Const yKI Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) - Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof ^ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone - Brick Fireplace C R.I. x Air Test X Final Windows X Insulation _ Retaining Wall Approved By: ---22 Building Inspector Base Fee Surcharge` u` Z r Plan Review"' ~C, MC/ES SAC ~ ~ ~ City SAC / Utility Connection Charge ja(~' S&W Permit & Surcharge 50 Treatment Plant License Search Copies Other f 77 7 Total ~d C I , Permit Number MECcheck Compliance Report 1999 Minnesota Energy Code MECcheck Software Version 3.2 Release 1 Checked By/Date TITLE: CORNELL "E" COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 07/08/04 DATE OF PLANS: 7-8-04 PROJECT INFORMATION: CORNELL "E" INVENTORY HOME 3513 BIRCHPOND ROAD TERRA GLEN COMPANY INFORMATION: LUNDGREN BROS. 545 INDIAN MOUND E. WAYZATA, MN NOTES: T POURED WALL WALKOUT BASEMENT JACK & JILL BATH COMPLIANCE: Passes Maximum UA = 665 Your Home = 608 8.6% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 2083 44.0 0.0 56 Wall 1: Wood Frame, 24" o.c. 195 0.0 12.0 20 Wall 2: Wood Frame, 16" o.c. 481 19.0 0.0 23 Window 2: Above Grade, Wood Frame, Double Pane with Low-E 86 0.330 28 Wall 3: Wood Frame, 24" o.c. 205 0.0 12.0 21 Wall 4: Wood Frame, 16" o.c. 217 13.0 0.0 8 Window 3: Above Grade, Wood Frame, Double Pane with Low-E 114 0.330 38 Wall 5: Wood Frame, 16" o.c. 1539 19.0 0.0 76 Door 1: Solid 19 0.067 1 Door 2: Glass 46 0.330 15 Window 4: Above Grade, Wood Frame, Double Pane with Low-E 189 0.330 62 Wall 6: Wood Frame, 16" o.c. 1640 19.0 0.0 85 Window 5: Above Grade, Wood Frame, Double Pane with Low-E 206 0.330 68 Basement Wall 1: Solid Concrete or Masonry, 9.0' ht/8.5' bg/9.0' insul 1247 0.0 5.0 100 Floor 1: All-Wood Joist/Truss, Over Outside Air 34 30.0 0.0 1 Floor 2: All-Wood Joist/Truss, Over Outside Air 36 30.0 0.0 1 Floor 3: All-Wood Joist/Truss, Over Unconditioned Space 144 30.0 0.0 5 Furnace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.330 0.370 Includes Foundation Windows > 5.6 ft2 Floors Over Unconditioned Space 0.033 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 199 Minnesota ~Energy Code requirements in MECcheck Version 3.2 Release 1. Builder/Designer, ~l Date 0 i LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: h0~ K 1 1 pyr^CZ C~(emn AJd4,'M DATE OF SURVEY: &I-410¢ LATEST REVISION: m c c~ t V 1 o z a DOCUMENT STANDARDS A D 0 • Registered Land Surveyor signature and company 0 ❑ Building Permit Applicant 0 0 • Legal description 0 0 • Address ❑ ❑ • North arrow and scale 0 0 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ,z 0 0 • Directional drainage arrows with slope/gradient % 0 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 0 • Lot Square Footage 0 ❑ • Lot Coverage ELEVATIONS Existing 0 0 • Sewer service (or Proposed) )3' ❑ 0 • Property corners 0 .0 0 • Top of curb at the driveway and property line extensions 0. /Pr 0 • Elevations of any existing adjacent homes .0 0 0 • Adequate footing depth of structures due to adjacent utility trenches 0 g ❑ • Waterways (pond, stream, etc.) Proposed 0 0 • Garage floor 0 0 • Basement floor 0 0 • Lowest exposed elevation (walkout/window) 0 ❑ • Property corners 0 0 • Front and rear of home at the foundation PONDING AREA (if applicable) 0 X 0 • Easement line 0 /E ❑ • NWL 0 0 • HWL 0 0 Pond # designation 0 0 0 • Emergency Overflow Elevation 0 0 • Pond/Wetland buffer delineation DIMENSIONS 0 0 Lot lines/Bearings & dimensions 0 ❑ Right-of-way and street width (to back of curb) /16444b11Z'1N/`44F1 ! 16*75' O,t.' 0 2' Proposed home dimensions including any propos d decks, verhangs greater than 2' orches etc. (i.e. all structures requiring permanent footings) r 0 ❑ • Show all easements of record and any City utilities within those easements 0 ❑ • Setbacks of proposed structure an yard setback of adjacent existing structures ❑ 0 • Retaining wall requirements, if a Reviewed: ame Date WFORMS/Building Permit Application Rev. 12-16-03 3513 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. PROPERTY DESCRIPTION: Lot 1, Block 1, TERRA GLENN ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 01day of crelzV 2004. James R. Hill, Inc., ' I EW11 ED B62 y By I - )d~ ~ Date J. Gary Min s L.S. No. 11529 EAG No es: 1. Building dimensions shown are for p Denotes set spike horizontal & vertical placement of structure o Denotes set iron monument only. See architectural plans for building • Denotes found iron monument x927.6 Denotes existing elevation & foundation dimensions. (930.0) Denotes proposed elevation 2. No specific soils investigation has been Denotes proposed drainage completed on this lot by James R. Hill, Inc. Denotes rear of building pad TC Denotes top of curb The suitability of soils to support the specific house proposed is not the responsibility of Bench Mark: 844.39 -P.K. IN END BIT. 81st ST James R. Hill, Inc. or the surveyor. (CP 1055) Proposed Garage Floor= 854.3 3. No specific title search for existence or non- Proposed Garage Top of Block= 854.7 existence of recorded or un-recorded easements Proposed House Top of Block= 854.7 has been conducted by the surveyor as a part Proposed Lowest Floor= 846.0 of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were taken from the grading &/or development plan prepared by Bearings are on assumed datum JAMES R. HILL, INC. Scale: 1A=:30' z _U 0 ~ Nom ~ rn ° James R. Hill , Inc. rn ~ N oo - _ Z PLANNERS / ENGINEERS / SURVEYORS C) 46 ° o - rn ~ o 2500 W. CTY. RD. 42, Sure 120. Waasm" MN 55337 PHONE (952)890-6044 FAX: (952)890-6244 o 3513 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. N r INSTALL (8 8:8) co ~d- o 0 SILT FENCE 66~ ` co X26 C0 - 6 0 0 00 02215 k 33~ a52 11 10 N N66 '1 I 3:: 4 X631 6 ~ / ~ I U) 841.0 pN N~~ / CO x 1 I N ES~R ppG~~~ 2~° / a o III rn PR ~RP~ ~~6 / g Ln ' I CO' `CO . Q l84 ~aa S~0 PER 42.5 6 / ° O z za x 849.7 t°m ° W 1 Z o E ~ O 0~ oQ 18.0 Qo 22.83 30.0 27.5 N / ly- ^74.0 O I . p J ~ 70 O O ^rj. rn I 0) 00 X /Cc, Li C7) C-) C~ cc C) Lvor) 0 C6 cr 11' U-) "t 00 C) to 0 to co V- 14.44// o / W co - 0 4. O x d / 847.8 ' 7.5 to 1 7 850.X / ` 850.3 850.7 / q;'- M O QL 1 N Q/2 I° O Q / If) / X S CIV - ^ Q Q: cc 22.3~o ~7.3~ CO RFFCi SS9 0. 1' O / F \ \ 0 848.5/k / 77 \`SQ C\ N Q x 854.4 WSJ ~ ,4 sw O~ e 854.7 N 1 cb O F, ii x h rL' PROPOSED HOUSE = 2619 SQ. FT. , o \ OR 14.70 % OF LOT AREA - " ' DRIVEWAY = 919 SQ. FT. - LOT 1 = 17,811 SQ. FT. ~ o \ SAN. SERVICE INVERT ELEV.=839.01 Scale: 1„=30' Page 2 of 4 ' James R. Hill, Inc. *4 4 x~ R 3513 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. N DENOTES OEXISTING TREE SAVE EXISTING TREE REMOVABLE EXISTING TREE CUSTOM C Lo -TP- TREE PRESERVATION FENCE O CO PER TREE PRESERVATION PLAN 00 6022 I N II Iz 6 ,\6 , 5999 Q0 I DO N oQ 1-0 / 78.0 L6 Z v CV'N 22.83 I 27.5 N o ~ I 4 L..L o O) z y o bu CO o a 0 0, 0 O 14.44// LLJ \ \ 7.56 CO (1 _ O p VTR 1 ,7(5, o 0 o / 00 . r1j a > (p Fk~ r, \ N ~N 0 of //7.37 CC) jv S NG • 2S \ 22.33 a ° /yam, "t 7F ' C\ \ \ \ 4241 4240 c ~ C-, ` j 7 0 ~ y PROPOSED HOUSE = 2619 SQ. FT. 2 s o \ OR 14.70 % OF LOT AREA DRIVEWAY = 919 SQ. FT. LOT 1 = 17,811 SQ. FT. / / o \ SAN. SERVICE INVERT ELEV.=839.0 Scale: 1"=30' Page 3 of 4 ' James R. Hill, Inc. 3513 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. LOT 1, BLOCK 1 TERRA GLENN ADDITION Tree Preservation plan Pre House Proposed Development Construction Tree Preservation Const. As-Built Post House Const. o > z 00 > F- 0 L POINT NO. ELEV. TYPE DIA v) 0 X W 0 U) U ~ _44 848.7 Q TT NW 0 32 X X X 4241 850.6 ico H RRY 10 X X X 4 845.5 1 BOXELDE 12 X X X 848.6 1 CHERRY 10 X X X E Preliminary Tree Certification g: \autocad\blocks\tree-inventory. dwg During a site visit on June 23, 2004 all significant trees designated to be soved on the Tree Preservation Plan prepared by James R. Hill, Inc., were present and in good health, except as noted in the table above. x e The house has been staked. Tree fence will need to be placed outside the dripline of all significant trees to be saved. Future grading and construction should not hove a negative effect on these trees. c - 4z By. Dote: 29Ia _ By Date: J. Gary Ry innesoto L.S. No. 11529 Signature of Owner L le: I"=30' Page 4 of 4 James R. Hill, Inc. Site address: J 5 / J r'~c y1'a n; p P Lot / Block Subd. On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted, As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater ~'S 5 C7 ~/~©o v Furnace Z 0 pro 12 p 20 Dryer V` EXHAUST SYSTEM LOCATION TYPE VENTED Kitchen MODEL CFM's YES No kitchen Bathroom 1 PC ~sZ L N!a_U u Bathroom 2 JF d LJ~ Bathroom 3 TH ~ ,J b X Bathroom 4 M -.5 0 /00 Other T FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECTENTI A MOS L MATES-/ G 0 50cxscc) MAKE-UP AIR MODEL TYPE CFM's I ~lL~`U 8/13.5 i2UCr-p L (2, F-D I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. Signature Date Company Name This form is the responsibility of the General Contractor. Address: 3513 Birchpond Rd Zip: 55122 Lot: 1 Block: 1 Subdivision: Terra Glenn THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Yes No 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 Porch Lower level finish Deck ,X 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 City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. BUILDING INSPECTOR: CONTRACTOR: Lundgren Brothers Construction 935 Wayzata Blvd E Wayzata MN 55391 Use BLUE or BLACK Ink For Office Use Allb~ -7 City of EaRdn j Permit#: Z ~'~~('O I Z,...D I Permit Fee: e 6 ~ I 3830 Pilot Knob Road hk 7 Ij 7912 1 n ~ Eagan MN 55122 I Date Received: 61 Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (V Site Address: 5 I a W Q,C, ',FbN> 9J>- Unit Name: A-V 4 ft4 A-0 Phone: RESIDENT / OWNER Address/ City/ Zip: 3Jr 3 ~+i tZ(i{k P+~- ~J . EFiY'rd-i . MP .S.S 1 ZZ Applicant is: A Owner Contractor TYPE OF WORK Description of work: "yee., ( N F1 6S4ar Construction Cost: 462 0tX7 Multi-Family Building: (Yes / No ) Company: Llr ~ ~A~ can S3 Contact: -40e beetJO A13 CONTRACTOR Address: I SfSOfo V ~1JilA ~_t.IJ . City: ffyey13 .p,t:L f~14, t ! State: AP Zip: SSS44 Phone: TEL) 3g3" yt~~v1 License ~i(o31 ~iZ Lea Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 4V _2> A% L-11- ft_F11aR__ 1A 125 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they ark trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-000 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 thework 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 w id approval of plans. Exterior work authorized by a building permit issued in accordance with th Minnesota State Building Code must be completed within 180 days of permit issuance. x .1Q e; 60,eAV%a A x 157 Applicant's Printed Name Applicant' ignature f r~ r n DO NOT WRITE BELOW THIS LINE SUB TYPES 91 - 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 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 MCES System Plan Review Code EditionSAC Units (25%_ 100%X) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction (1, Width ~.7~~ REQUIRED INSPECTIONS Footings (New Building) '"p Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES / Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies IL TOTAL Page 2 of 3 Use BLUE or BLACK Inl~~ 41 For Office Use I City of Ea n i Permit I Permit Fee: 122 0- 00 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 staff: 1 Fax: (651) 675-5694 1 2012 RESIDENTIAL 2PLUMBING PERMIT APPLICATION Date: zz 17- Site Address: J1YO h Tenant: Suite Name: o~_-__-- NPhone: ~ RESIDENT / OWNER m'~ 76 4 ? 7 Address/ City /Zip: 7_ Name: CC ,S'tO._.,.-,.~.... License#: n(.7-7, 2?PY3'} -lD Irr'~ v►w CONTRACTOR .,Address: U 17 L) 1N1 At \c tMZ iL c-T rJ tom; City: T_ Yn i State: Zip, 5~37~ Phone: 1~~~~~ [7- ~51~3 to Contact: W /h_ ~dI'~L1G1I Email: FrCGI S /oyi_12 ,n, ;.j Aoo-R 4+47)4 /,,rdIY1 ` TYPE OF WORK New _ Replacement _ Repair - Rebuild Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation C_ RPZ PVB) / PERMIT TYPE Septic System r' V Add Plumbing Fixtures Main / v1 Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) r $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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. vAvw.uoaherstateonecall.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 t 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 / /C ~/'O_ e 6-0 7 x Aipplicant's Printed me Ap canes 'fnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 6'd Z90LL6b£9L 6uigwnld u0is109ad eZ VL0 Z t 9Z Inf PERMIT City of Eagan Permit Type: Building Permit Number: EA106097 Date Issued: 0810912012 itj of 0n Permit Category: ePermit R Site Address: 3513 Birchpond Rd Lot: I Block: I Addition: Terra Glenn PID: 10-75400-01-010 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney /flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Valuation: Surcharge - Based on Valuation $3K $1.50 9001.2195 3,000.00 Total: $90.00 Contractor: - Applicant - Owner: Twin City Fireplace David M Ryan 6916 Washburn Ave S 3513 Birchpond Rd Richfield MN 55423 Eagan MN 55122 (612) 282-2684 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115410 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 3513 Birchpond Rd Lot:1 Block: 1 Addition: Terra Glenn PID:10-75400-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Viktar Skirukha Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - David M Ryan 3513 Birchpond Rd Eagan MN 55122 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature