3525 Birchpond Rd
Address: 3525 Birchpond Rd Zip: 55123
Lot: 4 Block: 1 Subdivision: Terra Glenn
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON D
Yes Comments -No Final grade - 6" from siding
Z/
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent as Ll~
Retaining Wall or 3:1 Max Slope YJ b T 0 I.4-4n
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace p ~s
• 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
I
Site address: =='52.5 f l f~ff i~ Lot Block Subd. IG;19 ~s-- L 6&uA)
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
This structure: will OR
be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater X c^
Furnace z _-7 J 4000D So to ! t] Zv a V c~
Dryer X C- E
oz D00 > -t AL
EXHAUST SYSTEM LOCATION TYPE VENTED
MODEL CFM's ves No
Kitchen kitchen
Bathroom 1 ` X
,1 E/4 f3V C~
Bathroom 2 L.rs
Bathroom 3 n 0
(~o rJ ~ ~U u~a D ~
Bathroom 4
Other
FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S p~RECTENTI nGMOs
I m f , 6s-r c p 000 X
MAKE-UP AIR
MODEL TYPE CFM's
fit) I r2 -/2 , 0 s'- ,a c t L- A A2 CE-0
hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
r ,
Signature Date
Company Name
` This form is the responsibility of the General Contractor.
(.off t1') f (0 -7 8 0 so
C 0, ( 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
S~
9 0,
City Of Eagan P10 (o
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
z~
New Construction Requirements Remodel/Repair Requirements ___10 ceIse Only (~44
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y - N9 ►
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Real _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _ N
1 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 711193 1 -a _ a 7
Rim Joist Detail Options selection sheet (bldgs with 3 or less units -19 3-7k;,
Date __Ak_/_/0 Construction Cost 31E d - a
Site Address ~JZ s ~'~C~FF PC'rVD Raii-b Unit/Ste #
Description of Work S n
Multi-Family Bldg _ Y N Fireplace(s) _ 0 X 1 - 2
Property Owner Telephone # ( )
Contractor 4_tAA_71)&&_6-A) rm
Address C13 S E . WA YZ,aL4 ~V D City l {f~z-,4Te9
State Zip S 3 Telephone # !q73 -Oq!`:
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. EL&A_)21 61Z, M6CRA-iV1cfL Telephone # (JrA
Mechanical Contractor G )q-NAE2
/"l6(214hAj (C&- Telephone # c9$Z)
1~ m
Sewer/Water Contractor ST~AC PL-Ml"644-76= Telephone ~ ~ ~
I hereby apply for a Residential Building Permit and acknowledge that the inform tion is -ete and urate;
that the work will be in conformance with the ordinances and codes of the City f 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.
/ ' l vCJ R
Applicant's Printed Name Applicant's Signature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y - N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y -4
1 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
Date Construction Cost
Site Address Unit/Ste #
Description of Work
Multi-Family Bldg - Y - N Fireplace(s) - 0 _ 1 - 2
Property Owner Telephone # ( )
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeory 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 Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building 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 the 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.
Applicant's Printed Name Applicant's Signature
Y
• OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
g 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 Plbg_Y or _ N ❑ 25 Miscellaneous
Work Types
;d 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 Occupancy 'L MCES System
Census Code p I Zoning City Water
SAC Units I Stories Booster Pump
# of Units I Sq. Ft. PRV
# of Bldgs I Length -7 Fire Sprinklered
T
yNe of C•nst Width
REQUIRED INSPECTIONS
)0 Footings (new bldg) Zo Final/C.O.
Footings (deck) _ Final/No C.O.
_ Footings (addition) Plumbing
Foundation HVAC
7v Drain Tile Other
Roof p Ice & Water X Final Pool _ Ftgs _ Air/Gas Tests -Final
.,o Framing Siding _ Stucco - Stone - Brick
u Fireplace _a R.I. }q Air Test X Final Windows
Insulation Retaining Wall
Approved By A -,Building Inspector
Base Fee 6 e- 0 "D'
Surcharge
Plan Review IW457-C`~F< RS vM
MC/ES SAC lnAi kl 77 Z X S
n s F l o /Z J y/ b X c-y.G /6~f
City SAC 0)(210.00 Utility Connection Charge
S&W Permit & Surcharge'
Treatment Plant
License Search
Copies
Other
Total
. 4 «,r
r
t
Permit Number
MECcheck Compliance Report
1999 Minnesota Energy Code
MECcheck Software Version 3.2 Release 1 Checked By/Date
TITLE: Hampton "B" Inventory Home
I
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 12/09/04
DATE OF PLANS: 11-17-04
PROJECT INFORMATION:
3525 Birchpond Road
Terra Glenn
COMPANY INFORMATION:
Lundgren Bros.
545 Indian Mound E.
Wayzata, MN 55391
NOTES:
9' Foundation
Oversized Window Well
Bay at Master Bedroom
Bay at Dining
COMPLIANCE: Passes
Maximum UA = 671
Your Home = 608
9.4% 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 2089 44.0 0.0 56
Wall 1: Wood Frame, 16" o.c. 88 19.0 0.0 3
Window 1: Above Grade, Wood Frame, Double Pane with Low-E 38 0.330 13
Wall 2: Wood Frame, 24" o.c. 202 0.0 110 21
Wall 3: Wood Frame, 16" o.c. 297 13.0 0.0 15
Window 2: Above Grade, Wood Frame, Double Pane with Low-E 113 0.330 37
Wall 4: Wood Frame, 16" o.c. 1582 19.0 0.0 77
Window 3: Above Grade, Wood Frame, Double Pane with Low-E 216 0.330 71
Door 1: Solid 38 0.067 3
Door 2: Glass 22 0.330 7
Wall 5: Wood Frame, 24" o.c. 210 0.0 12.0 21
Wall 6: Wood Frame, 16" o.c. 104 13.0 0.0 5
Window 4: Above Grade, Wood Frame, Double Pane with Low-E 43 0.330 14
Wall 7: Wood Frame, 16" o.c. 1592 19.0 0.0 88
I
i
I
4
Window 5: Above Grade, Wood Frame, Double Pane with Low-E 98 0.330 32
Basement Wall 1:
Solid Concrete or Masonry, 9.0' ht/8.5' bg/9.0' insul 1658 0.0 5.0 133
Floor 1: All-Wood Joist/Truss, Over Outside Air 65 30.0 0.0 2
Floor 2: All-Wood Joist/Truss, Over Unconditioned Space 297 30.0 0.0 10
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 1999 Minnesota Energy Code requirements in MECcheck Version 3.2 Release 1.
Builder/Designer Date 12 q O4
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 144 41 ccx I e vol. e-nin
DATE OF SURVEY: III z9~og
LATEST REVISION:
m
a~
c
t
' U
Q ~
O z Q DOCUMENT STANDARDS
❑ ❑ • Registered Land Surveyor signature and company
.L~ 0 ❑ • Building Permit Applicant
❑ ❑ • Legal description
❑ ❑ • Address
g ❑ ❑ • North arrow and scale
❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
❑ ❑ • Directional drainage arrows with slope/gradient %
'K 0 ❑ . Proposed/existing sewer and water services & invert elevation
„T'' 0 ❑ • Street name
„B' ❑ ❑ • Driveway (grade & width - in R/W and back of curb, 22' max.)
,B' ❑ ❑ • Lot Square Footage
,d ❑ ❑ • Lot Coverage
ELEVATIONS
Existing
0 ❑ Sewer service (or Proposed)
❑ ❑ • Property corners
❑ ❑ • Top of curb at the driveway and property line extensions
❑ 19 ❑ • Elevations of any existing adjacent homes
❑ 0 • Adequate footing depth of structures due to adjacent utility trenches
❑ 0 • Waterways (pond, stream, etc.)
Proposed
❑ ❑ • Garage floor
❑ ❑ • Basement floor
❑ ❑ • Lowest exposed elevation (walkout/window)
'z 0 0 9 Property corners
❑ 0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ ❑ • Easement line
❑ ❑ • NWL
❑ ❑ • HWL
❑ ❑ • Pond # designation
❑ ❑ . Emergency Overflow Elevation
❑ Pond/Wetland buffer delineation
Y N • Shoreland Zoning Overlay District
DIMENSIONS
0 ❑ • Lot lines/Bearings & dimensions
0 ❑ • Right-of-way and street width (to back of curb)
0 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
0 ❑ • Show all easements of record and an it utilities within those easements
0 ❑ • Setbacks of proposed structure and id d setback of adjacent existing structures
,,B ❑ ❑ Retaining wail requirements:
Reviewed By: Date
WFORMS/Building Permit Application Rev. 11-26-04
3525 BIRCHPOND ROAD
CERTIFICATE OF SURVEY .
I" 1E WNW t
IE
_ji~4
04
By For: LUNDGREN BROS.
Date
i~
EAGAN ENGINWUN DEPT.
rr Lot 4, Block 1, TERRA GLENN = y
PROPERTY DESCRIPTION: .
ww ADDITION, Dakota County, Minnesota.
'A7, I EVYMNW~
N b
(0 fl
0: am
'MOW
ATE 1 r g
0 C) V We hereby certify that this is a true and correct survey of the above
11- (0 J Z / described property and that it was performed by me or under my 3 W
r. Mums y to us
a r'9 Qu. direct supervision and that I am a duly Licensed Surveyor under the ' a N 0.
e4
N z~ N J a laws of the State of Minnesota. That this survey does not purport to
N 138.41 - a 0; Zy 0 show all improvements, easements or encroachments, to the property
v 86 S~9s45'26»~ m o~ W except as shown thereon.
?-off T - s .22 Signed this Z9'=~ day of 41lEirl.2 2004. James R. Hill, Inc.,
to 'O
co (D 00
o 00 ° - - 82- ~~o(0 ~ N
~~r c0 I N M r-0. tom` . r`
~ -1 co EGRESS 861.1- Z
Ala .9 N 19.83
DID 0/41 Lr) I I r o Q By. J444v W
W Ala I I ` 110 0) . Gary Ry , Mi 6010 L.S. No. 11529
144-
ZD. wIz /o /Ni . G~ M l I N NI O ~T
zlw f N ~~WI °~o~ ? Q~ ; I W o ~ Notes- o W 0
> a V, M R-8) 11.0 d- O N A Denotes set spike ° La to w < N o w , COO
W ° u raj I I , II Building dimensions shown are for 0 Denotes set iron monument 00 v,~ c /1-6 861.5
I II 0 horizontal & vertical placement of structure • Denotes found iron monument cyio
W 8.0 ~ I Q only. See architectural plans for building x927,6 Denotes existing elevation V mo
LO 0 r7 I X N or z (930.0) Denotes proposed elevation IV -
w ~ Z I/ ~X 27.48 ~0 0 3 I r a ~3c foundation dimensions. - - - - Denotes rear of building pad g
I (0 N " '0 o? 7~0% ro O No specific sails investigation has been Denotes proposed drainage o°a
00 tD I I / TC Denotes top of curb R _j
W z CO 21p I N° o v a o I coL n completed on this lot by James R. Hill, Inc. V
0 - I the suitability of soils to support the specific
1°
a w CO I I I _ _ _ 23.83 I r. r1__ = y Bench Mark: 859.30 -JRH CP#1259 DRAWN BY
0 V) X < M 10 I i 861.630 ' N house proposed is not the responsibility of
of of Ito U James R. Hill, Inc. or the surveyor. Proposed Garage Floor= 863.4 MJH
+ I rn o o Proposed Garage Top of Block= 863.8 DAIS
-
3. No specific title search for existence or non 864
u-~ - - oZ _ Proposed House Top of Block= .5 11/23/04
51.31 -30.00-. # existence of recorded or un-recorded easements Proposed Lowest Floor= 855'8 REVISIONS
00 ; - (0 , 863.1 ° - -
- 00
N ' - (862.0 ° v I has been conducted by the surveyor as a port Proposed Top of Block at Deep Window= 859.0
00 00 137.50 N89032~3 " w of this survey. Only easements per the recorded
N h
_j a a plot are shown.
z ~ 27.5 4. Proposed grades shown were token from
w BOOK/PAGE
= 0 ii o the grading &/or development plan prepared by Bearings are on assumed datum
ONEX ll) I- - Z a W
y 7 ~W m~ W 11.5 I JAMES R. HILL, INC. SCale 1'=30' CONTROL 2n92 NO.
L_
® < f- Q U. 16.0
LA_j CItz F - " ) J PROPOSED HOUSE = 2,562 SO. FT. CAD FILE
< iOR 17.48 % OF LOT AREA SAN. SERVICE INVERT 241226.dwg
.•H
_j . ; > ELEV.=849.0 PROJECT N0.
C DRIVEWAY = 820 SQ. FT. 241226
LOT 4 = 14,659 SO, FT. FILE NO.
r:
SHEET 1 OF 1
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12/20/2004 17:41 FAX 9524739131 LUNDGREN BROS. CONST. IM002/002
Wenzel
Engineering
Incorporated
10100 Morgan Ave. South
Bloomingrorb MN S5431
PHONE 952-888-6576
FAX 951.888-2587
December 17, 2004
Torn Thnft
Lundg m ]Bros. Constr u on
545 Indian Mound East
W2Ylata, MN 55391
RCHxWpton ",IrFIan
35ZS Umbpend Road, FAgon, MN
WEl.1ob No. 012-049.07
Mar Tom,
Per your requcst, vm ,?rave reviewed the 2-awy areas of the abovC rdreCtoed flan, lbr The Mon, ")3"
Pub IOMW in Fagan, W The areas that wem spocf'ic a2Jy mvkvmd we m the exterior walls of the
ROOM, Ln mg Room, and Entry Foyer; Family
We ba"Zd OW
Won a 90 OW nalyS loonabr MAP prrnnded by pour on June 21, 2004. Design wind loading was based
is equal to 4t7 PSF. We amme sNda for an ' Roof Live Load vras awaged to be 35 PStiF; Floor Live Load
was i0`0" or hig%er WW be SP-F *70 or better: '
RcsWu of our analysis i XhCM that 2x 6.studs @ 12", balloons- framed, will be adequate for the typical
Roam gin Ilse Faximly Roam (-1 U8" lAheight). For the wall 5aming between the rear fropily
ndaws, 4-2 x 6 Kmg Will be adequate, with 1-2x6 Trim MW tin cub side to Sappon the
header over the windows at the top of the walL At tic jambs on each slide of visa #amily Rtn. windows,
2-2x6 studs are ad gWe WM 1-2x6 turn sand,
02 the side Waal of the Runjly Room, oaf caeh side-of the Finptaoe opening, You will need to provide 2-2.6
King Studs (lsalW rfratned) 4acew to 1-2X6 trim stud, loic4l each side of Fireplace.
To the Living Room, (12'-$" plane btj& at .franc wall) 2x6 studs sl 12" o/c are adequate for tti6 typical wall
ftaming (SP -F #2, or bc(tef). For.the jambs between ft firo% Living Room windows. 3-2x6 king studs are
11e0i ed with 1-2x6 trim stud. 2-2x6 UW scads with 1- 2x6 tarn stud, ballooa-framed, at adgqme for
iambs at. the sides of the 9vW Living Rm, Witadows.
At the Entry Foyet, 4-2x6 King studs with 2-- 2x6 trim studs ace adequate for j:anbs an either side of the
front door opetligg.
Please call with any questions.
. Sirnaes,ely, .
~l Im.
Patricia A. Cole, P.E.
MN Reg. No. 161.75
.hrs. S6
?A95-RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date- /,0jr/ con
Site Street Address 4SLY Unit #
Property Owner , Ir1 7' Telephone #
( )
-r
Contractor Telephone # ~{3S = 7f~'g~
Address 4 E~/26 Al Z City State t) Zip
The Applicant is:
_ Owner Acontractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
-Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
-Other:
Water softener - Water Heater $ 15.00
- new X replacement
Lawn Irrigation RPZ PVB new repair rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Ap licant's Printed Name A plic nt's Signature
Use BLUE or BLACK Ink
For Office Use
I Permit 103-71D v I
City of Eap I
Permit Fee:
3830 Pilot Knob Road I
Date Received:
Eagan MN 55122
I
Phone: 675-6676 RECEIVED
(651)
I
I Staff:
Fax: (651) 675-5694 1
APR 13 2012
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
\1A ?r
Date: Site Address: Unit
All
Name: t Phone: 3
r RESIDENT / I _
OWNER Address I City / Zip:t
Applicant is: Owner Contractor
of work:
Description
TYPE OF WORK
Construction Cost: Multi-Family Building: (Yes / No )
Company: Contact:
CONTRACTOR Address: City.
State: Zip: Phone: 6S7
License a Lead Certificate
If the project is exempt from lead certification, please explain why: (see ~Paa-g 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:
n 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.
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 mu t be completed within 180
days of permit issuance.
x
Applica fs Printed Name App ca ' ' na e
Page 1 of 3
~ p
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 _ 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 6 - Occupancy %te,MCES System
Plan Review Code Edition azg?-7 SAC Units
(25%_ 100%-Z) Zoning City Water
Census Code 1-13y Stories Booster Pump
# of Units i Square Feet PRV
# of Buildings I Length Fire Sprinklers
Type of Construction- Width
REQUIRED INSPECTIONS
Footings (New Building) 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
;Q, 64
RESIDENTIAL FEES
V 3 fJf O
Base Fee 7~~ i
Surcharge
Plan Review ~-2
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use I
City I Permit*
Eaan
Permit Fee:
j
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I
I Staff:
Fax: (651) 675-5694
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: _ Site Address: 5 ar J t 'r4_ P-A
Tenant: f/tJr24 ~-cam Suite M
RESIDENT / OWNER Name: t..n.~. / Phone:
C, D
Address / City / Zip: V' j,
Name: _S:P_ viJ~C Q License r
CONTRACTOR Address: 33a~ ~Q City:
State: jee J-2 Zip: , 3 Phone: (D a_ dv ?
Contact: Email:
TYPE OF WORK - New - Replacement _ Repair - Rebuild Modify Space - Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
' Water Softener
PERMIT TYPE Lawn Irrigation RPZ / - PVB)
Septic System Add Plumbing Fixtures (-Main 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)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround" (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. 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 pi ns.
X_ x
Applicant's Printed Name Appli nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
111
-1 1
For Office Use (/
�4 a 4sf# E GAUse -
L✓
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810AL--
RE�'L V Date Received:
6 _� fr
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 7 Staff:
ui inclinslectionst iityof aaan.ca.. JUN �. l 2018 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2.7 i 6 Site Address: do ,,,i ,* d $ I Unit#:
Name: PC)L ; !t 0 l r') )
Phone: Q7- ' 9 i 3
Resident/
Owner Address/City/Zip: ,, .* L *1 &CIL A 'On : .
Applicant is:' Owner Contractor ,
• Type of Work Description of work:R�pkat ,n 'K1tvr^rcZ trti 71r t t i nC{C.i !is y vcti Sri;y of tote
stty i, j G)-" d'jai r1 a 2C Q v- 10(41.6:rr)i i twill v-eS -bile C'x"tent i,,^t i-xx•hu
onstruction Cost:lbw: . / 'DO , r or w M.Family Building:(Yes /No t,/'/)
i.
Company: tV lit J()w(.QY#( l3 Of-iLitNi '1C-. Contact:JCS'S Lf1 !\ v vv Curl.
Contractor Address: G fY ' " City: ..SO int )(i .&.-I
,
State:tliki Zip: �� Phone:( 0, Email: f$Sic t.l\ ,)1 - )" vctLafajsinn. 0"i"
License
License 4: l(j C,' ) Lead Certificate#: J
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes �__No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supportingdocuments that may
you su#rmiG are cansidereti to be public information. Portions of the information a6e
classified as non-public if you provide specific reasons that would permit the City to conclude=that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
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.
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. v .gopli i°stateonecaii,o n
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 a proval of plans.
X citSStca NOrmc v x ' °`
Applicant's Printed Name App nt's� Signature
�__~� 5= / ~ gli,e1/210en,Cfa' /,56
`/ tc
DO NOT WRITE BELOW THIS LINE
SUB TYPES
__ Foundation Fireplace __ pupch(3~Soenon) Exwdo,Ab*,a�on(�ngh»FmmUy)
10 Single Family Garage (4-Season)Porch -
--- -u=Alteration(wu|W)
__ Multi __� Deck ___ Pou��crwwn/Gwzego/Porgola) --- Miscellaneous01of P|ex LowerLmvm| 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 Eg,emsVV|nd�w -- VVm�rDmmage
Retaining��|| *Demolition
__ ~ wmoumnorentire building-give PCA handout to applicant
DESCRIPTION
Valuation st 2 i?.:Y�xb,-- Occupancy V < - l MCES System
Plan Review
Code Edition im41 21:115- SAC Units -
�
��
(25% 1UU96f- ) Zoning City VVm ~r ---
Census Code '
Stories Booster Pump
-�
#of Units
Square Feet PRV
#of Buildings ,/�z Length FireGu�pr�moinn Required
Type of Construction x �� Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) ---
Final/C.O. Required
____ Footings (Addition) Y Final/NmC.O. Required
_ Foundation FoundodonBoyone800kU|/ ` HVAC Gas��m�eTeg GasLineAirTeo� Hood
Roof: Ice&VVuha/ Final ---' Pool: --- --- ---
___ �out�gu �.h�GeaTea|s Final
Framing 301 Hour ---
____
_ Minutes Drain Tile
___
Fireplace: Rough In Air Test Final ---' Siding: Stucco Lath Stone Lath Brick EF0
�� Insulation --- --- --'
_ � Windows
Sheathing
�he�trwok
Retaining VVaN: Footings BackOUFinal
___ Radon Control
FireVVaU�
____ Fire Suppression: Rough In_ Final
BracedVVaU�
____ Erosion Control
--
Shower -'
_ _ Other:
Reviewed (� �l ��` \c"--\ "� ---
By: i , ' ^ ~Y"' Building Inspector
RESIDENTIAL FEES
Base Fee ,^M tivil » ' -eSurcharge
-e-~
Surohargm
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
��
Copies 6 4. ����f
TOTAL
Page 2 of 3
For Office Use
Permit# V
EAGAAN
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 I FAX:(651)675-5694
Staff
buildMoins ections 1 it ofeaoan,core
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: k...91,e-'11 Site Address: 32 air)par')ci clad
Tenant:
Suite#:
Residelitiowner Name: 4)aLt 1 C) ''9E1 v-aii-r)(t phone:(3)-7-:))56-b‘i
Address/City/Zip: 25)("th LtAio •act • an2-
' 1
Name:Kirq,S Lin')he').9 t, 4011.)C.5cielii CrS License#:f),r1....,_)r)--c7, ,mtact_
Contractor
Address:I- CO 1-1471(Y1 d City: (-1 al exl I e:y
State: M.IQ Zip: 5S/42.2. Phone:11212. 2,44 '- 4144.
Contact: it al tilled, a tiA Email: 0g/A 4 ' 4#IX .4401
. _
Type of or
k New X Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: Re.p A kw - .41 .L Awc.ht ‘11-1r0:21-etof‘SyT4
RESIDENTIAL 4:71.,SirtLtits..3 tyttis 1Dp o ,sil'ttc 0 . Ifetal0K-1Si, C A'xiwes
tylct,o13 &ainet STZtz 4 10(er...ft ayt
Water Heater
Water Softener
Lawn Irrigation( RPZ/ PVB) —
Permit Type ----
Add Plumbing Fixtures( Main/ Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
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.qopherstateonecali,org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www I *fe an,corn/-ut• rib .
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.
- ,
xl_fr-cil L n d Si-re ry
x Ad
Applicant' Printed Name Applicants Nt nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
I
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WINDOW aa
C
'O:SIC"E f''I�S ; u.„-,
or Minnesota. Inc.
2/6/2019
fEB1320191
To whom it may concern:
pizae,;T f I5oN/j
On July 16th—July 18th, I was sent to work on a project located at 3525 Birchpond Road, Eagan,
MN 55122. 1 was the first of three employees to work on this project, and my duties were
limited to the following:
• I cut out the old shower base and installed the new one, R/R approximately 4” above
decking threshold for room to install new base.
• Whilst removing the old pan,an exterior wall was exposed, approximatel ." w . - - t d
`,�M�� �� S 2-3 feet from the subfloor. I then insulated the wall with Owen's Cornin: R19 nsulation,
3 34 16 and installe.(41Dmill vapor barrier over that. I then covered the wall with
/IAA, ,3-X!' etrock. � v�,r,, w /1A;4- 7t,4gGt2 ''4 A
• I Installed three piece acrylic wall system over existing walls, including the above �'
RgeidoZ,r.4
mentioned insulated/vapor barrier exterior wall. The acrylic walls are adhered to the
existing walls with silicone.
This is my sworn affidavit. If any further information is necessary, please contact the main office
at 651.905.0105.
Sincerely,
„,,cee‘4„.
irk
Edward Van Slyke
Bathroom Installer
K•
rl
} may" ...
RECEIVED
FEB 13 1019
Kin 's lu ng and Home Services, 1C.
2/7/2019
To whom it may concern:
I was sub-contracted by Window Concepts of MN, Inc.to perform all plumbing work for a
project located at 3525 Birchpond Road, Eagan,MN 55122,The scheduled dates for the
plumbing work were July 16th and 17th and July 19:x' 2018.Again,the scope of work was limited
to the plumbing ONLY. Specifically, I performed the following:
• After the installer removed the old shower base,I hooked up the drain.The location
remained the same and there were not any other alterations.
• I removed the existing shower valve and installed a new Moen positemp valve and
shower trim kit(ML2352).The trim ring on the shower valve was sealed with DAP.
Additionally, I ran new copper line to accommodate for the Bonsai shower system
(hand-held).
• I installed two new sink faucets, MOEN 8-inch spread(MT6125),along with new traps
for each.The sinks are located in the same bathroom-it's a double sink top.
All of the plumbing work performed adheres to MN State Plumbing Code,as is required of a
Master Plumber.This is my sworn affidavit.If any further information is necessary,please let
me know. I can be reached by telephone at 612.244.5414 or via e-mail at
leelindstr2m21 Rmail.c m.
Sincerely, ' _
Leroy Lindstrom
Owner, King's Plumbing and Home Services, Inc.
Master Plumber
•
•
RECEIVEC •
FEB 13 Zai-
WINDOW
CONCEPTS 291 Eva Street St. Paul MN 55107 Office:651-905-0105 Fax. 651-905-1745
Of Minnesota, Inc.
2/5/2019
To whom it may concern:
On September 7th, 2018 I was sent to work on a project located at 3525 Birchpond Road, Eagan,
MN 55122. I was the last of three employees to work on this project, and my duties were
limited to the following:
• I pulled the shower door out of the box for a dry fit
• Began to install it with a no. 10 anchor in the wall
• Applied silicone to the bottom of the jamb and laid down
• After that,the glass went up and I stuffed it with rubber gaskets
• Finished by putting silicone around the whole shower door
• After installation was complete, I cleaned up my work area and headed back to the shop
This is my sworn affidavit. If any further information is necessary, please contact the main office
at 651.905.0105.
Sincerely,
Matt Smith
Bathroom Installer
r
RECEIVED
WINDOW FEB 13 1019
CONCEPTS 291 Eva Street St. Paul. MN 55107 Office.651-905-0105 Fax. 651-905-1745
Of Minnesota, Inc.
2/5/2019
To whom it may concern:
On July 19th, 2018 I was sent to work on a project located at 3525 Birchpond Road, Eagan, MN
55122. I was the second of three employees to work on this project, and my duties were limited
to the following:
• I assisted another installer, Edward Van Slyke, in removing the old vanity top.
On September 10th, 2018, I returned to the project and my duties were limited to the following:
• I installed one trim piece on the wall system, which provided a better aesthetic
All of the work that I completed on this project was aesthetic. Everything installed by me is
visual at the surface level. This is my sworn affidavit. If any further information is necessary,
please contact the main office at 651.905.0105.
Sincerely
Andrew Gathright
Bathroom Installer
Dils7/61-P
Pii./24ç7- TO/1/6
.•
2/27/2019
RECEIVED
MAR 0 1 7019
To whom 'May concern:
I was sub-contracted by Window Concepts of MN, Inc.to perf•
project located at 3525 Birchpond Road, Eagan, MN 55122 The
plumbing work were Ally 16th and 17th arid July 190,2018.Again,
to the plumbing ONLY. Specifically, I performed the following:
• After the installer removed the old shower base, I ••
remained the same and there were not any other alterations.
• I removed the existing shower valve and installed a new
shower trim kit (ML2352). The trim ring on the shower
Additionally, I ran new copper line to accorrrnodate for the Bonsai shower
(hand-held). a/Lk Dfi 1 Ac 4/ /%2 ki/P1,4z
• I installed two new sink faucets, MOEN 8-inch spread(MT6125), along with new traps
for each. The sinks are toast - - -
• I verified that the existing
corian. fl
Ail of the plumbing work perfo Nij:::1-retIntictriurrirlimr*
Master Plumber. This is my sworn -
me know. Scan be reached by tel
Sincerely, I
0.•
Leroy Lindstr•
Owner, King'
Master PI
WINDOW
Cow� c E pT777� -ill ..IN F5 1f1? ('i e C: 1 'lIc i't11rc J (),- 1� Ufjt,_i7..}'5
Of Minnesota, Inc.���
3/1/2019
To whom it may concern:
7-;ti72r1/ # ,�.°G1/5--
On July 16th—July 18th, I was sent to work on a project located at 3525 Birchpond Road, Eagan,
MN 55122. I was the first of three employees to work on this project, and my duties were
limited to the following:
• I cut out the old shower base and installed the new one, removed and replaced
approximately 4" above decking threshold for room to install new base.
• Whilst removing the old pan, an exterior wall was exposed, approximately 60" wide and
2-3 feet from the subfloor. I then insulated the wall with Owen's Corning R19 insulation,
51/2 X 14% and installed four mill vapor barrier over that. I then covered the wall with
sheetrock. PLEASE NOTE:The insulation was R19 by product definition, but I added one
inch to the insulation to bring it flush to the edge of the studs and completely fill the
cavity.
• I Installed a three piece acrylic wall system over existing walls, including the above
mentioned insulated/vapor barrier exterior wall. The acrylic walls are adhered to the
existing walls with silicone.
This is my sworn affidavit. If any further information is necessary, please contact the main office
at 651.905.0105.
Sincerely, Vase1/6
VelZ
Edward Van Slyke
Bathroom Installer