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3545 Birchpond Rd6"AA, koo*." ?P •. ?(???k3- Ok o . 5a 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ?- Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodei(Reqair Requirements C}ff?a Us?,Qnly 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and aii roofed areas 2 copies of plan Cm'Qf 5utv? V°Y N (20% maximum lot coverage allowed) 'f 37p,v-c W. iZjj?. 4-nl 1 set of Energy Calculations for heated additions tree pres Plan Recd Y?Pt, iI 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 7tee ?'?esRequired ?° .?., ? ? 1 set of Ehergy Calculations Addition - indicate if on-site septic system 4tti-?ite v?fic?5t?m ?Y. ; N: *3 copies of Tree Preservation Plan if lot piatted after 7!1/93 ` j -6 ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) R?r000 13 Date l Q5 Site Address ? ?7'`,?> 5 Construction Cost ?? 1`7 9•? ?? 11?C;Y-{A0/U ,0 Unit/Ste # Description of Work Multi-Family Bidg _ Y k N Fireplace(s) _ 0 r? 1 - 2 Property Owner Telephone # ( ) Contractor Address 5Y State Mt)k A-) n iS. City fi26YM7`tt Zip 5G391 Telephone # 15?_,) 473 - d 9 !?.s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING V Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Ener.gy 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 f` N If so, 25% pipn review fee applies. Licensed Plumber CM&&ErL keCkfkkr"c.., Telephone # (q'sy? 4 4 5 - 4102- Mechanical Contractor dEK? P 6G4tt-A.l1 cA c. Telephone #(954 gy5- 4/(,0qZ Sewer/Water Contractor _Srp?Z, PL.c 40,6j t?l G-- Telephone flqg-) 269'{ -4t Yj I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in canformance 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. 952 1a qr'I _ q5` 4L 1 E F"d2Q ' Applicant's Printed Name App icant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation 13 07 05-plex 0 13 16-plex ? 20 Pool X 02 SF Dweiling ? 08 06-plex ? 16 Fireplace 0 21 Porch {3-sea.} ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) 0 04 02-plex ? 10 08-piex 0 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-piex Cl 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Pibg_Y or _ N ? 25 Miscelianeous Work Types vt 31`New ? 32 Addition ? 33 Alteration ? 34 Replacement Vatuation Census Code O SAC Units # of Units 0/ # of Bldgs 11511 Type of Cvnst Ry- Footings (new bldg) _ Footings (deck) Footings (addition) ? Foundation Drain Tile Roof ? Ice & Water ?' Final ?- Framing , f Fireplace * R.I. -t/Air Test IFinal Insulation ? Approved By: Base Fee j " Surcharge Plan Review MCIES SAC City SAC Utifity Connection Charge S&W Fermit & Surcharge Treatment Plant License Search Copies Other Total % . 1 0 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Misc. ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demotish Building* ? 43 Reroof 0 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length J"?3 Width MCES System -------' City Water wo--. Booster Pump PRV Fire Sprinklered ------" REQUIRED INSFECTIONS „?.. FinallC.O. _ Final/No C.O. _ Plumbing _ HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding ` Stucco ? Stone _ Brick 'Yt _ Windows A,,^N _ Retaining Wall Building Inspector 12 2y?? lr?r?iN 13slnr1?o? o 0, ??--? )- 0,DZ;6Aj'' -2 16 /3 ,234 ?? ,? 9 /,,V- I,,4tor,t /vc- 9 CtiuS I2/,? ??? ? ? r4 ?r??sc?Z 3 ?/o ffi4,/ Site address r7A Lot ?I Biock ? Subd. ??gf} On Aprif 15, 2000 the Minnesota Energy Code, Category i Building Requirements for insulation protection, air tightness, and venti{ation, was adopted. As a result, the City of Eagan is requiring that the following infarmation be submitted prior to issuance of a Certificate of Occupancy. x This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 ? OR This structure: wI{I be constructed to meet more restrictive requirements ot Chapters 7672 ar 7674 ARPLIANCE Water Heat GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE er Z S rf PPs tf 5O D ?00 PV `. Furnace /X ,5D At1 Qt?? 2-C7 ?za ,t?Dt? P tf (2 , Oryer _, EXHAUST SYSTEM Kitchen LOCATtON kitchen TYRE MODEL CFM's VENTED YES No Bathraom 1 Bathroom 2 ?? 5-0 Bathroom 3 N L Bathroom 4 . ry n ? Iv ? ? C) ? Oiher FIREPLAC S LOCATIQN GAS WOOD MANUFAC7URER MODEL BTll'g VENTING QIRECT ATMOS o'.-- 0 3(p 7? f? ? MAKE-UP AIR MODEL TYPE CFM's ErV ?• ? ? S-r?"'?Gc `- ?A'rx:.-?.? 1 hereby acknowfedge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan requirements. ?. ? ? ?. Signature ' )?!nn n) r G-r11?1J ?? Campany Name /(O - Q 5.., Date " This form is the responsibility of the General Contractor. 12-15-05; 9'49 ;ELANDEP MECHANICRL Date: 12l16/2005 Revision Date: 1211612005 Site Information Address 1: 3545 Birchpond Rd Address 2: City: Eagan County: Aqpiication Information Business Name: Efander Mechanical Inc. Cantact person: Todd New Cans#ruction ;612 445 7487 # 1/ 1 Project #: Lot: I? Biock: ? 5ubdivision: °76/' ? O4-2 MN Cantractor License #: Office Ph: 952-445-4692 Fax; 952-445-74$7 Gell Ph: Address 1: 591 Citation Drive City: Shakopee State: Minnesota Zip Code: 55379 House Details Square Feet: z.5629 sq, ft\" Avg. Ceiling Ht: 9 ft, ?. _ Number of Bed?'ooms: 4 Ventilation : Balanced Total Ventilation Capacity : 222 cfm. . Minimum Cantinuaus Ventilation :75cfm. Intermittent Ventilation: 147 cfrn. CombuStiqn Appliance Water Heater: Power Vent Input BTUs: 75,000 Indepenclently Vented Furnace/Boiler. Direct VentlSealed Cornbustion Input BTUs: 100,040 (ndependently Vented t?ther Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Firep(ace(s). No Gas Fired Natural Draft Firepface(s): No Solid Fuel fippliance(s): No Exhaust Eauipmen# Continuous Exhaust Ventilation Capacity (cfm): NA Clothes pryer (cfm): 935 Exhaust fian Rating (cfim): 315 IUlake-Up Air No Make-Up Air Required by Code Combustion Air Raund Rigid Required, 5 inches or Insulated Flex: 6 inches R - / Cr ( ? F.JI GJ ? Applicanf Name (print):?..U6z Signature/Date: Code Official (print): Signature/Date: <? 2004 Cc??terPoit?t ?,?tergy Mi??negasco. 2004 Mechor?io?.l Gode Guidelincs. Page 1 i < Oz jd' 0 fd D -El ? ,0 D ,e n .H' D ;2! D .,B D ? ? 0 JR- D a? at c R ? V 1 V 4 a ? ? ? ? D ? D 0 0 ? 0 PROPER7Y LEGAL: LOT SURVEY CHECKLIST FOR RE5tDENTIAL BUILDlNG PERMiT APPLICATION 1b0- k I : `I`arr4 6 lpyn n QATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land 5urveyor signature and company . Building Permit Appiicant • Legal description • Address . North arrow and scale • House type (rambler, walkout, spfit wJo, split entry, faokout, etc.) • Directional drainage arrows with slope/gradient °lo • Proposedlexisting sewer and water senrices & invert elevation • Street name • Driveway (grade & width - in R1W and back of curb, 22' max.) • Lot Square Footage • Lof Couerage ELEVATIONS Existin .0 ? ? . Property corners 2 p? • Top of curb at the driveway and property line extensions ?,ei D • Elevations of any existing adjacent homes X ? D • Adequate footing dspth of structures due to adjacent ufilify trenches ,;;? ? p • Waterways (pond, strearn, etc.) Proposed ,Z p ? • Garage floor ,W ? ? • Basement floor ,0 ? p • Lowest exposed elevation (walkouUwindow) ,? ? ? . Property corners ,? ? p . Front and rear of home at the foundation PONDING AREA tif applicable) ? Z ? . Easement line ? ,13 ? • NWL ? fd 0 • HWL p J2 ? • Pond # designation ? p' ? • Emergency Overflow Elevation ? p • PondNVetfand buffer delineatian y ( "A) . Shoreland Zoning Overlay District • Conservafion Easements DIMENSfONS ,9 0 0 • Lot linesJBearings & dimensions y7 B ? ? ? 0 • 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 easemenfs of record and any City utilities within those easements ? ? p • Setbacks of proposed strucfure and idey r setback of adjacent existing structures Z ? ? • Retaining wafl requirements: , ? Qate d S i R ewe y: ev G: IFORMSlBu ifd'+ng Permit Application Rev. 11-26-64 ? ? ?IC, I 3 ? - ? N c0 rl: 0 C? --?_ ^ . , IlVSTAI,L _99 P,R,V, REQUIRED ? ,- --- tn LQ B I R 0 A D --- RCHPOND ? - - --tiVSTALL ' o LO SOD``?„a - , ?i1?.3 FE?tCE ° N 00 ?TC aso =,07 029 57 X. TC 855.7 ? TC 659.9 - 1) 869.7s V. - 856. (861.0 857. C. /I ° T. E. - I - -- ? BENCH MARK !2 5 1? r ? m TOP OF SPIKE °° I E? ?' ?o P5 '? ? 00 I r? ELEV.=861.02 QRp ,?p CUT=5.22 TO TOP OF IOWEST FLOOR C? °D• ?i 9 860 861.0 r ? . 20.830 12.1 7 -?Z8 c ?n- ooP?; ?17.89 to'o o W 0 . ° Sr f ? ? 3545 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. PROPERTY DESCRIPTION: _ ADDITION, Dakota County, Minnesota. Lot 9, Block 1, TERRA GLENN 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 BENCH MARK TOP OF SPIKE laws of the State of Minnesota. That this survey does not Purport to ELEV.=858.66 show all improvements, easements or encroachments, to the property CUT=2.86 TO TOP OF LOWEST FLOOR egcept as shown thereon. ?-, Signed this ? gT doy of , 2005. James R. Hill, lt1c., ui o 65- t? c?v 13.33 o 860.6 I W ??? (Q GARAGE ? ? N ? PROPOSED HOUSE? cP° ? d I ?1T ^ a? 20.0 (FULL) ?. I L_?J I 861.1 / S i4:S " 0 2 ti/n t? A n i_T' ? ? 11.O.cv 25.0" V l-\ v n l v 1 z} I cv I ? c?v. °e o (863.8) 861.2 I l o NN,w 19 8? _ _j1_ o0 c0 860.9 ? 21.55 ? ? 19g, `? ? (863.8) REAR OF BLDG ` LC) M 00I X PLAN PER I ? L 0 T g GRADING PLAN ? DRAINAGE & UTILITY ,c I 5 7, I ?- EASEMENT PER PLAT l'?'? 15 ?\ \ Lnp,' ? ? ' -- - '864. 0 c (864.0) c c ? g63 98. .2 79 Sn o , I n'r ?_VI ilJ nnN iT vn..?ni v i 1746E '\YTREE PRESERVATION ,I1EW?=?,R?TE DOCUMENT ? v ?,+. y ? Date %ZLo/ S' . fiAGAN EAfGINEIEitING DFff. ?? I z- S21024149 1 °2EAGAN R ?1/IEW fl By: aaTE: BUIItNNG INSPECTIONS DiViSION BY-,? 1. Building dimensions shown are for horizontal & vertical placement of structure only. See orchitectural plans for building & foundation dimensions. 2. No specific soils investigation has been comp4eted on this lot by Jomes R. Hill, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, inc. or the surveyor. 3. No specific title seorch for existence or non- existence of recorded or un-recorded easements has been conducted by the surveyor as a part of this survey. Only eosements per the recorded plat are shown. 4. Proposed grades shown were taken from the grading &/or development plan prepared by JAMES R. HILL. INC. LOT 9= 16,240 SQ. FT. PROPOSED HOUSE = 2,802 SQ. FT. OR 17.25% OF LOT AREA DRIVEWAY = 1,032 SQ. FT. Bearings are on assumed datum Scale: 1"=30' SAN. SERVICE INVERT ELEV.=848.0 . eN ? •- ? ? o ? N ?m? 'ZN< V S Z y ? tA ? LI.I U O?v1 z Cc Q 3 W ?aga. ? Z ? wz a+ O ? o o d a o° V J° o ° ? °' o o°a U DRAWN BY MAL DATE 11/21/05 REVISIONS BOOK/PAGE NONE CONTROL N0. 21192 CAD FlLE 258616.dwg PROJECT N0. 251186 FlLE N0. DRAYdER SHEET 1 OF 1 0-) 0 0 I z l? ?N ... r, CO vl- i / ta L.S. No. 11529 Notes:v A Denotes set spike o Denotes set iron monument 0 Denotes found iron monument x927.6 Denates existing elevation (930.0) Denotes proposed elevation Denotes proposed drainage TC Denotes top of curb ---- Denotes rear of 8uilding Pad per grading plan Bench Mark: 858•12 -mH-Lots 9& 10. Block 1 Proposed Garage Floor= 864.1 Proposed Garage Top of B{ock= 864.5 Proposed House Top of Block= 864.5 Proposed Lowest Floor= 855.8 Proposed Top of Block at Egress Window= 859.0 ? ? Permit Number RFScheck Compliance Certificate cneckea By/Date 2000 Minnesota Energy Code REScheck So$ware Version 3.6 Release 2 Data filename: G:\CAD\New Standard\Traditional\Remington\D\Gohar\Peimit.rck PROJECT TITLE: Gohar Residence COLTNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.14 DATE: 12/13/05 PROJECT DESCRIPTION: 3545 BirchLond Road Terra Glenn DESTGNER/CONTRACT OR: Lundgren 545 Indian Mound E. W ayzata, MN 55391 PROJECT NOTES: 9 ft. Fowidation I1lcludes New Standard Features COMPLIANCE: Passes •?_........ Maximum UA = 717 Your Home UA = 669 6.7% Better Than Code (UA) Gross Glazing Area ar Cavity Cont. ar Door Peiimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissar Truss 2381 44:0 0.0 64 Wa11 1: Wood Frame, 16" o.c. 23 19.0 0.0 1 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 9 0.330 3 W all 2: W ood Frame, 16" o. c. 176 13.0 0.0 14 Wal] 3: Wood Frame, 16" o.c. 1750 19.0 0.0 81 Window 2: AUove-Grade:Wood Frame:Double Pane with Low-E 301 0.330 99 Door 1: Solid 38 0.067 3 Door 2: Glass 46 0.330 15 Wall 4: Wood Frame, 16" o.c. 1888 19.0 0.0 96 Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 257 0.330 85 t . Wall 5: Wood Frame, 24" o.c. Wall 6: Wood Frame, 24" o.c. T3asenlent Wall 1: Solid Concrete or Masonry Wall height: 9.0' Depth below grade: 8.5' Insulation depth: 9.0' Basemeut Wall 2: Solid Concrete or Masonry Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Tloor l: All-Wood Joist/Truss:Over Outside Air F,loor 2_ All-Wood Joist/Truss:Over Unconditioned Space Fui7lace 1: Forced Hot Air, 90 AFUE Pl-oposed and Maximum U-Factor Averages Above-Grade Windows and Glass Doors Tnctudes Foundation Windows > 5.6 $2 rloors Over Unconditioned Space 212 0.0 12.0 22 234 0.0 12.0 24 1826 0.0 5.0 146 18 0.0 5.0 2 62 33.0 0.0 2 401 33.0 0.0 12 Proposed Maximum Average U-Factor Allowed U-Factor 0.330 0.370 0.030 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, tipecifications, and other calculations submitted with the pennit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2(formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. • s? ?+ T3uilder/Designer Date 1?i' 1?` O7 Use BLUE or BLACK Ink ---------------, � For Office Use. f I � � 1 i� I C�t of �� a� � Permit#: � � � , � ��, , � Permit Fee: �✓ I 3830 Pilot Knob Road i � Eagan MN 55122 I �ate Received: � Phone: (651)675-5675 � � � Staff: Fax: (651) 675-5694 L________________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION '/ P Date: �r� s J� Site Address: �_`� V��[�G'1� �� Tenant: Suite#: �a �'- `�°'`� ` �� Name: Phone: 1��Sid��1@I'• �� s�� " r � '�� Address/City/Zip: � . e.:�: � -�, , . �: � �� _ R �� ra o � CIJ�f�1 (� �"��" �.�. �,��;�' Name: �� p�i License#: U � , � �" ' s�,,� �' e� w �� Address: �1 �� G�I�q,'��r�� C7` City: � � � �'I/L� �� iil#�'�C�Qfi� � � � � State:�_Zip: �� Phone: ��`�� "��.� w'.�a�� '�' f 7� w ' �� ,, �� ,_ ,,, �� _� Contact: Email: ,s�k��' �� p: ,,, ' � � 4y� � /+ � � � � � � � ° New Replacement Repair Rebuild Modify Space Work in R.O.W. �`��'�`��C � ��G� �' '`"� � �� Description of work: � ��5 �P � � I 1 � �'�� '� � RESIDENTIAL .a;�. �, � K ' Water Heater � Water Softener ' ��`��.m,a'�t,�� ` Lawn Irrigation�RPZ/_PVB) � �� ' Add Plumbing Fixtures�Main/_Lower Level) 4 � Septic System � �� ,�� ,.:` New Water Turnaround �. — � .,a.�� , ..� .�'�� .,,� b�A�� Abandonment � RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes�5.0o State Surcharge) "Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 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.qoqherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,� X I � �r��tn'�� X ApplicanYs Printed Name ApplicanYs Signature � � , � .�y 3 ,.uf�`3¢ - ':.��a��%�YR�Y �.� � Y ��l�;��i1�� - � �+�1'��.Y4��r��lZ�1-w� � ��, t� t��:.Q t . � c; ��. g � � r- t,t i'S'� � m,�� d�r"'yt��i'��%''S� R �� `� ... ;��,�, S��^�� 5��'`"Y 9 ��@C��11��'L'�Q�3W �` ��C�E.'1"�l'�i� ��t?idl�`t� f ��, �°�� S��c��`t�'18�,'�� K �' > �..,g"w .' °,�v.r�. `"' a 4 ,: A `� �i F. �: - a'a*� s��"�'��;: : � . '� r' �� " � y 5t^ Me#�Rela#�d,l#�m� Me#�r S�z� �;�Rada�R�ci �,..:�.,-�,��t�1€�� ,.�,.cg.�.., �� g�� i� � ; �:, `.� n �.�� . e. t , Use BWE or BLACK Ink , . .-----------------i �� For 0flice Use � j Permit#: �/� � '�.� �l� �f �� ,'�_.{_�':^` > _.� I Permit Fee:_��„1._C� � � 1 �t 3830 Pilot Knob Road , i ��.� � �� J� > � Eagan MN 55122 ,��E`ti � :� 4�i J � Date Received: � Phone:(651)675-5675 � Fax:(651)675-5694 I Staff: � � !��_��.�J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:_�� s Site Address:_�sys a�� 0/"0 P-Q Unit#: ---- Name: ��N� '� Fa1�Y%k �o��(Z– Phone: ` �� :�� ; Address l City 1 Zip: 3 5�I S b �2G!-Ci°�N� �A� �'`�� S/�� ; Applicant is: - Owner �Contractor Description of work: ��':S�Y✓bt��% �1 �v1� �1 �� ' ';, Construction Cost: �► 3S� �� Multi-Family Building: (Yes !No_,) Company: � ��'�'�SC� D t�3 I� ►3+�1�-O Contact: J p� �fL�/�J Address: '�• � DC I � .� � City: GH-�►a.]�d�-,5�� +t��#�, � I�J Zi .ss.3 r Phone: �Z 3�� r y��il: �'� G .�t (' i'1vv5e d�Cs��,✓i�+ � .c� State: I�_ p:_� �S � "� � �� ':= License#: �G G�7 g� f?3 I.ead Certificale#: If the project is exempt from lead certiflcation, please explain why: (see Rage 3 for additional information) � J 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 plan3 Yes _No If yes,date and address of master plan: Llcensed Plumber. _ __�� _�Phone:_ Mechanical Contractor._ _ ___—.__ —__—_�— __Phone:_ Sewer 8 Water Contractor _ Phone �� 4 �`��'#�'��4��+��1�� , �� # y��j k � f��4f�R,+�;� 3 : � , y . �� t` .� ; ., �,':v f. '+�_t� :�`�. ti j t` � Y�t`I�r'��l��, � ' �' CALL BEFORE YOU DIG. Call Gopher�State One CaU 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 aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance 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 petmit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exte�ior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance� � x ..�c� P�2��N� �__---- x- Applicant's Printed Name Appli t's Signature Page 1 of 3 � f � t` ��`�� c� �DO NOT WRITE BELOW THIS UNE 1 �� suB rirP�s _ Foundation _ Fireplace _ Porch(3-Season) _ E�cterior Alteration(Single Family) _ Single Family _ Garage � Porch(4Seasonj � Exterior Alteration(Muiti) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Bu7lding _ Reroof _ Demolish Interior �Alteration _ Fire Repair _ �ndows _ Demolish Foundation _ Replace � Repair , Egress�ndow _ Water Damage � Retaining Wall *Demolition of entire building-give PCA handout to applicant � DESCRIPTION Valuation � � � Occupancy �:(,,.� � MCES System Pian 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 �'�2 _ Width REQUIRED INSPECTIONS Footings(New Building) Meter Site:`V. Footings(Deck) Final!C.O. Required Footings(Addition) � Final/No C.O.Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In TAir Test �Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Cantrol Braced Walls Other._____s___� ..--�.." Reviewed By: _�� , Building Inspector RESIDENTIAL FEES �' �i�` � � ��:`� � Base Fee �� Surcharge Plan Review MCES SAC �,.-� � City SAC �� „� ' � _' Utilit Connection Char e ,' s � - i�� y g � ; I S8W Permit�Surcharge Treatment Plant Copies TOTAL Page2of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA131392 Date Issued:06/17/2015 Permit Category:ePermit Site Address: 3545 Birchpond Rd Lot:9 Block: 1 Addition: Terra Glenn PID:10-75400-01-090 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jane M Gohar 3545 Birchpond Rd Eagan MN 55122 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 232-1840 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139290 Date Issued:10/18/2016 Permit Category:ePermit Site Address: 3545 Birchpond Rd Lot:9 Block: 1 Addition: Terra Glenn PID:10-75400-01-090 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 - Jane M Gohar 3545 Birchpond Rd Eagan MN 55122 (952) 200-1908 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156049 Date Issued:06/13/2019 Permit Category:ePermit Site Address: 3545 Birchpond Rd Lot:9 Block: 1 Addition: Terra Glenn PID:10-75400-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jane M Gohar 3545 Birchpond Rd Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature