3533 Birchpond Rd-
- 2006 RESIDENTIAL BUTLDINC?s PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. oi lot, sq, ft. of house; and ali roofed areas
(20°!o maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Gaiculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or iess units)
Minnegasco mechanical ventilation form
RemodeiiRepair Reouirements
2 copies of plan showing footings, beams, joists
i set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - rndicate if on-sife septic sysfem
Y
i' P?-3 2 v 2
;?32v3
yu/? "sj' 56,
Office Use Oniv
Cert of Survey Recd
Tree Pres Plan Recd
Tree Pres Required
On-site Septic System
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Y N
Y N
Y N
Y N
Date
SiteAddress ?/?°Gf}-,C'G?f'J,b Construction Cost
Unit/Ste # 1
,L?n.4,L?
Description of Work
Multi-Family Bldg _ YN Fireplace(s) _ 0 Y,_ 1 _ 2
Property Owner Telephone # ( )
?
Contractor
Address ,AUl
State ?/U U1) ? City(? % !g
Zip -5 5?''J j Telephone # (9,5Z -173- 09q__-_?>
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? Minnesota Rules 7670 CategorL _ Minnesota Rules 7672
Energy Code Category • Residenfial Ventilation Category 1 Worksheet • New EFlergy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y N If yes, date and address of master plan:
Licensed Plumber L/_,4tiLiris ? J ? G Telephone # (?/?.?
Mechanical Contractor Telephone # qsZ.j 4 Li S - 4 co ct ?
?
Sewer/Water Contractor M ??cv G Telephone # Kv)
I hereby apply for a Residen.tial Building Permit and acknowledge that the infonnation is complete and accurate;
that the work will be in confonnance 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 se of work which requires a review and
approval ofplans. `?? ?? `{r- 41-SIq
41?%??
Applicant's Printed Name Applicant's Signature U'
DO NOT WRITE BELOW THIS LINE
.
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bidg
W 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 39 Ext. Alt - Multi
? 03 01 of _ plex 0 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 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
@D 31 New ? 35 Int Improvement ? 38 Demolish Interior 044 Siding
0 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
O 33 Alterafion ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicartt
Description: Water Damage Yes
Valuation °' Z??? ?flb • n0 Occupancy L) MCES System
Plan Review 100% or 25%
Census Code ld ? Zoning .17 City Water
SAC Units 61 Stories 2 Booster Pump
# of Units / Sq. Ft. Z g? PRV
# of Bldgs / Length Fire Sprinklered
Type of Const V Width
REQUIRED INSPECTIONS
_?a Footings (new bldg) Sheetrock
_ Footings (deck) 20 Final/C.O.
Footings (addition) _ Final/No C.O.
14 Foundation HVAC
? Drain Tile Other
Roof 20 Ice & Water ?0 Final _ Pool Ftgs Air/Gas Tests Final
_10 Framing _ Siding _ Stucco Lath /V Stone Lath -Brick
'it Fireplace 34 R.I. jO Air Test $t Final _ Windows
C, Insulation 1 _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utifity Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
-------------
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952 555 5555 Line 1 ELANdER MECHA 08:02:31 a.m. 04-24-2006 1/1
Date: 4/24/2006 Revision Date: 4I24/2006
Site Information
Address 1: 3533 Birchpond Road
Address 2:
City: Eagan County:
Application Information
Business Name: Elander Mechanical Inc.
Contact Person: Todd
New Consfiruction
Project #:
Lot: ? Bfock: I
Subdivision: T6CC,4
MN Contractor License #:
Office Ph: 952-445-4692 Fax: 952-445-7487 Celf Ph:
Address 1: 591 Citation Drive
City: Shakapee State: Minnesota Zip Code: 55379
House Details
Square Feet: 5567 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Tota1 Ventilation Capacity : 219 cfm.
Minimum Continuous Ventilation :75cfm.
)ntermittent Ventilation: 144 cfrn.
Combustion Appliance
Water Heater: Power Vent fnput BTUs: 75,000 Independently Vented
FurnacelBoiler: Direct Vent/Sealed Combustion Input BTUs: 90,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Eauipmen#
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 300
Make-Up Air
No Make-Up Air Required by Code
Combustton Air
Round Rigid Required: 5 inches or Insulated Flex: 6 inches
Applicant Name (print):?)q6ee,ACQa vcJIC??,??;2r? Signature/Date:'?? ? ?/??_?? ?
?
Code Official (print): Signature/Date:
O 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
Siteaddress: J2-? . ?
i? D Lot = Biock ? Subd.
On April 15, 2000 the Minnesota Energy Gode, 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: wfll be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
x
n K _
?- ? H ETD
q 0 g-?
?.?v ?
Furnace
2) " il ?
Dryer
EXHAUST 5YSTEM
Kitchen LOCATION
kitchen TYPE MODEL CFM's VENTED
Yes No
Bathroom 1 ?
?
x
Bathroom 2
Bathroom 3
Bathroom 4
./vl
Other
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S oiREC ENTI A Mos
t '? vv Cf} T) Lp!L"7 a7"' ?.... J) .X
MAKE-UP AIR MODEL TYPE CFM's
?Zc?-. jJ j .: ` Y0C f/lG-r r, LA
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan
requirements.
Signature
Date
Company Name
" This form is the responsibiliry of the General Contractor.
?
?
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Mnnesota Energy Code
REScheck Soffware Version 3.6 Release 2
Data filename: G:\CAD\NEWSTA-I\TRADIT-I\Hampton\xd\Young\Permit.rck
PROJECT TITLE: Young Residence
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
W INDOW / W ALL RAT IO: 0.13
DAT E: 04/ 19/06
PROJECT DESCRIPTION:
3533 Birchpond Road
Eagan, MN 55122
Terra Glenn
DESIGNER/CONT RACT OR:
Lundgren
545 Indian Mound E.
Wayzata MN 55391
(952)473-0993
PROJECT NOTES:
9 $. Foundation
Full Basement
Std. Egress and Oversized Window Wells
Hampton "D" Base Plan
COMPLIANCE: Passes
Maximum UA = 676
Your Home UA = 616
8.9% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perirneter R-Value R-V ue -U Factor UA
Ceiling: Flat Ceiling or Scissor Truss 2221 44.0 0.0 60
Wall - Lookout: Wood Frame, 16" o.c. 81 19.0 0.0 3
Window: Above-Grade:Wood Frame:Double Pane with Low-E 33 0.330 11
Wall - Main: Wood Frame, 16" o.c. 1834 19.0 0.0 88
Window: Above-Grade:Wood Frame:Double Pane with Low-E 281 0.330 93
r
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Door: Solid 40 0.067 3
Door: Glass 28 0.330 9
W all - Upper: W ood Frame, 16" o. c. 1742 19.0 0.0 91
Window: Above-Grade:Wood Frame:Double Pane with Low-E 203 0.330 67
Rim - Main: Wood Frame, 24" o.c. 202 0.0 12.0 21
Rim - Upper: Wood Frame, 24" o.c. 215 0,0 12.0 22
Basement Wall - Full: Solid Concrete or Masonry 1647 0.0 5.0 132
Wa11 height: 9.0'
Depth below grade: 8.5'
Insulation depth: 9.0'
Basement Wall - Lookout: Solid Concrete or Masonry 52 0.0 5.0 6
Wall height: 3.5'
Depth below grade: 3.0'
Insulation depth: 3.5'
Floor - Over Outside:
All-Wood Joist/T russ: Over Outside Air 55 24.0 0.0 2
Floor - Over Garage:
All-Wood JoistlTruss:Over Unconditioned Space 339 44.0 0.0 8
Fumace 1: Forced Hot Air, 90 AFLJE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.330 0.370
Tncludes Foundation Windows > 5.6 $2
Floors Over Unconditioned Space 0.023 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 proposerl building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2(fbrmerly MECcheck) and to
comply with the mandatory requirements listed in the RE5check Inspection Checklist.
Builder/Designer Date 2-o dv
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: kk?, I, Tp.!'fQ. C I?v?'??
DATE OF SURVEY: !Qz;v0ll
LATEST REVISION:
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DOCUMENT STANDARDS
. Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
. Address
• North arrow and scale
• House type (rambler, walkout, split wio, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
. Proposed/existing sewer and water services & invert eleyation
• Stceet name
• Driveway (grade & width - in R/W and back of curb, 22' max.)
• Lot Square Footage
• Lot Coverage
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ELEVATIONS
Existinq
0 ? • Property corners
0 0 • Top of curb at the driveway and property line extensions
,e' 0 a • Elevations of any existing adjacent homes
?? • Adequate footing depth of structures due to adjacent utility trenches
? )z 0 • Waterways (pond, stream, etc.)
Proposed
,e" ? ? • Garage floor
(X ? ? • Basement floor
ja' ? D • Lowest exposed elevation (walkout/window)
9• 0 ? • Property comers
00 0 • Front and rear of home at the foundation
PONDING AREA (if aqolicable
? ? • Easement line
0 ? ? • NWL
? ?I 0 • HWL
? ? ? • Pond # designation
? ? ? • Emergency Overtlow Elevation
? e' 0 • Pond/Wetland buffer delineation
? . Shoreland Zoning Overlay District
` j • Conservation Easements
DIMENSIONS
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• Lot linsslBearings & dimensions
• Right-of-way and street width (to back of curb)
. Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure an sideyard setback of adjacent existing structures
• Retaining wall requirements: ?
Reviewed By:
o,
G:IFORMS/Building Permit Application Rev. 11-26-04
.
Pik VePtEOUIRED
.. w . ? 3 V P. . - ? ,. ..? . _ ... ?
" ° BIRCHPOND ROAD
- - 11 "1
o , 9!.
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tD S?Qa 7 ?n C4
861.8 r
U? TC 861.2 640
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99 TC 861.6
? ?- .00 ?-•?
EAGAN
EvIEwED
DATE: 5/
?
BUILtIING 1NSPECTiQNS DlVISiQIU
c
(861.6 8 2.2o SERV. ??'LL.UU?? • 000
o - - -co-
co
BENCH MARK o PROPOSED
TOP OF SPIKE DRIVEWAY ?
ELEV.=864.90 ? $fiZ 4 I
CUT=7.20 TO TOP °? (865.0 862.8
OF LOWEST FLOOR ? 865.7 ° 20.33 J
9r_ 22?.?2 at/
= 67 . V?
W.?I I 00
U ?'
863.1 ° °l.?r GARAGE ? °I
StL?` N 2? /N
2 CA4.65 ? ?-- --- ? I
NT. ' 16.02
C7 ? PROPOSED
i nT r°Ln 1 / HoUSE/ ° 863.5
L_V ? I` ? (fULL) 4 1o)
n i? n n iT ? o n / N J ?o
V/-\ v C-1 I V I Z
O,? ?? oi11.5 0 22.084.0863.6 I P
L0 p '?3.ssN V
.72 _ _5 865.7)- - ? - -
? ?EWELLS OT 6
DRAI?lAGE & UTI?
?' ? ?- ?EASEMENT PER PLAT` ?
J
5
20 FEET WIDE \? 1 c
o ? _ > CONSERVAl10N
% ?ASEMENT BY ?
N o SEPARATE DOCUMENT ° h
J 69.2 863.0?
- (869.0 -1._ 99.00 N000279 30"W
IEWED
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BY _.
Date .([?: Za b ., ... ....
FAGAN ENGINP,ERING DEPT.
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3533 BIRCHPOND ROAD
C ERTIFIC ATE OF SURVEY
For: LUNDGREN BROS.
PROPERTY DESCRIPTION: Lot 6, Block 1, TERRA GLENN
ADDITION, Dakota County, Minnesota.
We hereby certify that this is a true and correct survey of the above
;ION described property and that it was performed by me or under my
sots 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 therean.
Signed this day of 2006. JSmes R. Hill, Inc.,
BENCH MARK
TOP OF SPIKE
ELEV.=862.91
CUT=5.21 TO TOP
OF LOWEST FLOOR
:XISTING
HOUSE
(FULL) ?
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L_V I I
4.0)
Z
MNMW
3.1 M71-KImUm SloPeS
tar'-;=;?i3P??g WaIl WIu
6a t , _,,aired .1j
1, Building dimensions shown are for
horiZOntaf & vertical piacement af structure
only. See architectural plans for building
& foundation dimensions.
2. No specific soils investigation hos been
completed on this lot by James R. Hill, Inc.
The suifability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or un-recorded easements
has been conducted by the surveyor as a part
of this survey. Oniy easements per the recorded
plat are shown.
4. Proposed grades shown were taken from
the grading &/or development plan prepared by
JAMES R. HILL, INC.
Notes:
0 Denotes set spike
o Denotes set iron monument
• Denotes found iran monument
x927.6 Denotes existing elevation
(930.0) Denotes proposed eleyation
---- Denates rear of building pad
Denotes proposed drainage
TC Denotes top of curb
---- Denotes rear of Building Pad
per grading plan
Bench Mark: 861.81 _TNH-Lots 3 and 4, Block 1
Proposed Garoge Floor= 865.3
7
865
Proposed Garage Top of Block= .
Proposed House Top of Block= 866.4
Proposed Lowest Floor= 857•7
Proposed Top of Block
at Egress Window= 860.9
Bearings are on assumed datum
Scale: 1"=30'
LOT 6= 13,613 SQ. FT. SAN. SERVICE INVERT
PROPOSED HOUSE = 2758 SQ. FT. ELEV.=850.0
OR 20.26 % OF LOT AREA oy- QM jwke ft'4D1e4
DRIVEWAY = 857 S0. FT.
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DRAWN BY
MAL
DATE
4/10%6
REVISIONS
BOOK/PAGE
NONE
CONTROL N0.
21192
CAD FlLE
261112
PROJECT N0.
261112
FlLE N0.
DRAWER
SHEET 1 OF 1
Address: 3533 Birchpond Road
Zip: 55122
Lot: 6 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
TraiUcurb 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 City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
? _ . BUILDING INSPECTOR: X t (/IJ U'?
CdBldg Insp/Forms/2004/Checklists/Mastei Checklist For C.O.
CONTRACTOR:
Lundgren Bros.
545 Indian Mound E.
Wayzata, MN 55391
`??!?{/?? ???`' % ?% ` ?
Address: 3533 Birchpond Road Zip: 55122
Lot: 6 Block: 1 5ubdivision: Terra Glenn
THE FOLLOWING TTEMS 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
721-
Pennanent as ?
Retaining Wall or 3:1 Max Slope -
SodlSeeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been rernoved.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Deparhnent at 651-675-5646 prior to working, in right-of-way or installing
inigation system.
. ."" ?` ! j ?.
? .. BUILDIIVG INSPECTOR: ? ' ?' 6E'4??
Cd/Bldg InsplForms/2004/Checklists/Master Checklist For C.O.
CONTRACTOR:
Lundgren Bros.
545 Indian Mound E.
Wayzata, MN 55391
Use BLUE or BLACK Ink
r_________________
I For Office Use �
Clt of �a a� � Permit#: �� ����J �
Y � � �
3830 Pilot Knob Road � Permit Fee: �� �}� I
Eagan MN 55122 � �
Phone: (651)675-5675 � Date Received: ��. � �
Fax: (651)675-5694 � � � I
����� ' �� � Staff: I
�-----------------�
2014 PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite#:
Resident/Owner Name: Phone:
Address/City/Zip: .��5 �3 �,(`�� PG�ot ��
Name: �����.�,C�✓1 ���n�'1�c,�(� �� �]������ (UI C License#: �/"I �l��� c�—�
Contractor Address:�� l 2� I��.G I�C�2 t ��f� /l�� City: �Sfi ��c i��t 1
� State: �� Zip: ���i�--� Phone:�`�, ��)�l � "� �-Cl��
Contact: /' l � ��G �(�'(���)�-C✓� Email:
New Replacement Additional Alteration Demolition
Type of Work Description of work: �,S�a'^��� ��; � L-�V � � Uc�l �, ✓! �.
NOTE: Roof mounted and grountl mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
j _Fumace _New Construction _Interior Improvement �
3
i P@CI'Tllt Type —Air Conditioner _Install Piping _Processed
� _Air Exchanger Gas _Exterior HVAC Unit
� _Heat Pump _Under/Above ground Tank �Install/_Remove)
� _Other �
�" –.- ---- ....,�..._...._�
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
j $70.00 Underground tank installation/removal =$ Permit Fee �
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" �
�"If contract value is GREATER than $10,010, Surcharge=Contract Value x$0.0005
*"`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE �
�...�__..�_.�___
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.
X �cr�n�T��I(��� X s�%�a�
Applicant's Printed Name ApplicanYs Signature
FOR OFFICE USE
_ Required Inspections; Reviewed By; Date:
Und�r.gr-0und Rough In Air Test Gas Service Test In-floor--kleat =�ir�al � HVAC Screening
.
' Use BLUE or BLACK Ink
jForOfficeUse �--------I
' �-���Z �
: �
Permit#:
n I --7 ,�/ �
I
� � � ' ���l1 � Permit Fee: l��, -/�i
3830 Pilot Knob Road I �
� DateReceived: ") �� �
Eagan MN 55122 _ �
Phone:(651)675-5675 � I
Fax:(651)675-5694 � S�ff• �� I
�----------------
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �
���s�
Date: �1�� I (� Site Address: �S 3 3 g��G��°�'� �� Unit#: �� grl��f
;
,��
� ' Name: K�M, � ('iH.(L1 5, l�6,�lJ(i'j� Phone:
�8���
�,��: ��I�� ; Address/City/Zip: .�� ��J I�i I(LGIk�'a r�0 R.—l� .
-; =
� ���� Applicant is: Owner �Contraetor
L Description of work:�1 0.�ls Ic� (5/LS(�\�l�J'� Ir�TI LI�G�L� 5 P�ig
������
�% Construction Cost• � �O� Multi-Family Building:(Yes /Na
Company: P. }t�tAhS�i ��3�fl N �t.t,t(.✓J Contact: J�F (3(LG P� N�
�i��#��`S��i�` Address� �� l'�°9l, �� 5 3 , City: C�(�1k5.5� ,
State: M� Zip: 5S �8 Phone�2 3�.� "`��O�O�EmaiL- t�{� P,r�ovsc,d�s��n b�Y4 a.
(3G cv�81 8' 3 �nN
�. License#: 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 Contractar: Phone:
1��"L�` �rt���rr�d �, �� ��f ������� ��� �� �� `����°�����,
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'`� �,��..� � � �
CALL BEFORE YOU DIG. Call Gopher 3tate One Call at(651)454-0002 for protectipn 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 wrork is not to start wittwut a permit;that the work vwll 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 Sta e Building Code must be completed within 180
days of permit issuance. /
X �o� (S(LEN(�lar-1 X �./
ApplicanYs Printed Name AppUcan ' Signature
Page 1 of 3
, • --�� 3-3 ��,`�,,��;-.� �P
DO NOT WRITE BELOW THIS LINE � �� ���
SUB TYPES
Foundation _ fireplace _ Porch(3-Season) _ Euterior Alteration(Single Family)
�Single Family _ Garage _ Porch(4-Season) _ Exter�orAlteration(Multi)
_ Muiti _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of�Plex � Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof � Demotish Interior
� Alteration _ Fire Repair ` Windows _ Demolisfi Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall "Demolition of entire building—give PCA handout to appiicant
DESCRIPTION
Valuation � � �,1`(.,� Occupancy �� MCES System
Plan Review Code Edition ����yt��3�� SAC Units
(25%_100%� Zoning �y-"�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction '� 3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Fpundation � HVAC_Gas Service Test Gas Line Air Test
Roof:�Ice&Water _Final Pool:_Faotings Air/Gas Tests _Final
� Framing Drain Tile
� Fireplace:,�( Rough In „�Air Test,�Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:�Footings_Baekfifl_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
�
Reviewed By: - Building Inspector
RESIDENTIAL FEES
Base Fee r,; ��`',�
Surcharge � ��1�`{.. `C���iJ���
Plan Review
MCES SAC G- ��; ��` � �� j � �" i � �
Ciiy SAC r ._.
�� Z � C � I ZL�� ,,._ � �C �
Utilifiy Connection Charge -�'� � C /
S8�W Permit 8 Surcharge � l
7reatmerrt Plant j� �� �
Copies
TOTAL -�- G-�����
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128834
Date Issued:12/09/2014
Permit Category:ePermit
Site Address: 3533 Birchpond Rd
Lot:6 Block: 1 Addition: Terra Glenn
PID:10-75400-01-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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 .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Christopher A Young
3533 Birchpond Rd
Eagan MN 55122
Twin City Fireplace
6916 Washburn Ave S
Richfield MN 55423
(612) 282-2684
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142111
Date Issued:04/14/2017
Permit Category:ePermit
Site Address: 3533 Birchpond Rd
Lot:6 Block: 1 Addition: Terra Glenn
PID:10-75400-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Christopher A Young
3533 Birchpond Rd
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145303
Date Issued:09/05/2017
Permit Category:ePermit
Site Address: 3533 Birchpond Rd
Lot:6 Block: 1 Addition: Terra Glenn
PID:10-75400-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Christopher A Young
3533 Birchpond Rd
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature