3558 Birchpond RdSQ? lc?`2S
ig?ESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeliRepair Requirements
registered site suNeys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas 2 copies of plan
(200k maximum lot coverage allowed) '1 o l?sw< iJ .ff Z( 1 set of Energy Calculaiions for heated additions
? 2 copies of pian showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
? 1 set of Energy Calcutations Addifion - indicate if on-site septic system
3 copies of Tree Preservation Plan if lot platted after 7/1/93 `7-o 6rreoj ?-412-(
Rim Joist Detai! Options selection sheet (buildings with 3 or less units)
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Date Construction Cost
Site Address Ci N P4/o ID J?QAID Unit/Ste #
CDCtO -Oa.
Description of Work
Multi-Family Bldg , Y? N Fireplace(s) _ 0 2
Property Owner Telephone # ( )
Contractor ? U L? 11 G/Ze 4 a ?.
Address "745Se? ??,?.? ? o c?N ?) ? City (,( fl y2??-
State M 1?)
T ^ Zip 6%' ? Telephone #(?'t5Z)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i,i Minnesota Rules 7672
Minnesota Rules 7670 Category 1
Energy Code Category . Residential Ventilation Category 1 Worksheet ^ • New Energy Code Worksheet
(?1 submission type) Submitted Submitted
• Energy Enveiope Calculations Submitted
In the last 12 months, has fhe Cify of Eagan issued a permit for a similar plan based on a master pian?
` Y .>0 N If yes, date and address of master plan:
Licensed Plumber ELf4 /W) E2 r,n? a &1 c_ A t__ Telephone # (1)52)
Mechanical Contractor ?IL NDc-,a?Ljr_UA"c_AL Telephone #( Y5?a
Sewer/Water Contractor a?1 d, Ii--l?! ?'lrf ?? ti CT Telephone # ( /?3Z} !2S
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.
,
?L i,E?7 F"0 /- ?p >
Applicant's Printed Name A p icant's Signature I/
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool
X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
;K 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
0 34 Replacement
Valuation ? s7
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Int Improvement ? 38 Demolish interior
Move Building ? 42 Demolish Foundation
Demolish Building* ? 43 Reroof
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy 11??--Z/!, MCES System
Zoning A0
Stories ?
Sq. Ft.
Length ?
Width ?Iy,
Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
?C Foundation
Drain Tile
Roof Ice & Water Final
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
? FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
?C Framing _ Siding _ Stucco _ Brick
? Fireplace ? R.I. _y Air Test )L Final Windows
? Insulation Retaining Wall
Approved By: Building Inspector
-------- ----------?------- ---------------------------------------------------------------------------
-----------------
---------------------------------------------•
Base Fee
Surcharge
P2?`?L
Plan Review
MC/ES SAC
?
City SAC
Utility Connection Charge
3 q
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?
S&W Permit & Surcharge
Treatment Plant _
?
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License Search
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Other
Total 7 1-1D
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? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
? 36 Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
? .?
oecl.G? ? '((,Lc C U i)-
Development C-k-ORM
Lot Number ? Block Number ?
Address 35?? ?19QM311301 R,b
Builder (iULD(Y2CR- Bg(1S, CC`?{?ST ? ??,1 Cs
Phone Number: 6 ? ? ' ? ?? ` ZQ 3
?
Contact: o `ywrxtZ•
Tree Protection Requirements:
? Tree Protection Fencing Installed On Site
Oak Tree Pruning (Immediately seal wounds during Aprii 1 to July 31)
Therapeutic Pruning Required
Retaining Wall To Be installed
Other:
Rep{acement Trees:
? Not Required
As Follows:
eAGAN ? STR
Attachments: ??' ?'r D1y,j
VI,;?SiQ?
? Yes
No
s"
Additional Notes: ?AIM
H:lghove\2005fi1e\1reepres\Tree Preservation Plan Summary-2005
(BUILDER, PLEASE READ ATTACHMENTS)
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c.o 0 EXISTING 1REE SAVE
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EXISTING TREE CUSTOM
-7P--1REE PRESERVAl10N FENCE
PER TREE PRESERVATION PLAN
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355B BIRCHPOND ROAD
Z_.,. CERTIFICATE OF SURVEY
For: LUNDGREN BROS.
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TERRA GLENN AQDITION
Tree Preservation plan
Pre House Pro osed Post House
Development Construction Tree Preservation Construction
Construction As-Built Post House Const, As-Built
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1937 838.3 MAPLE 2 X X X
1936 840.3 PINE 3 X X X
1939 841,9 PINE 3 X X X
5644 835.7 OAK 7 X X X
5645 838.1 OAK 7 X X X
5646 837,2 OAK 18 X X X
5647 838.6 OAK 15 X X X
5648 838,9 OAK 21 X X X
5649 838.4 OAK 16 X X X
5650 836.5 OAK 19 X X X
5651 836.7 OAK 10 14 X X X
5652 833.7 CHERRY lfi X X X
5682 833.8 OAK 25 X X X
5683 834.1 OAK 9 X X X
5684 838.5 CHERRY 7 X X X
5978 837.52 OAK 16 X X X
Preliminary Tree Certification
During a sitE visit on February 8, 2006, all significant trees designated to be saved on the
Tree Preservation Plan prepared by James R. Hill, Inc., were present ond in good heolth, except
as noted in the table above.
The house has been stoked. Tree fence wi{I need to be placed outside the dripline of oll significont
trees to be saved. Future grading and construction should not have a negntive effect on these trees.
gy; 1Q,e10W.- Z4 Date: A-13-Ano4 gY
John L. E3enner, Minnesota L.S. No. 26708 Signature of Owner
Scale: 1"=30' Page 1 of 1
Date;
James R. Hill, Inc.
- 12-16-06;11'27 ;ELANDEP, MECHANICAL
;612 445 7487 # 1/ 3
Qate; 2/16/2006 Revision Date: 2116/2006
Site Information
Address 1: 3558 Birchpond Road
Address 2:
City: Eagan County;
Application Information
Business Name: Elander Mechanicai Inc.
Contact Person: Todd
New Construction
Praject #:
Lot: q Slock:___?
Subdivision: li? 44,14 MN Contractor License #:
Offce Ph: 952-445-4692 Fax: 952-445-7487 Cel) Ph:
Address 1: 591 Citation Drive
City: Shakopee State: Minnesota Zip Code: 55379
House Details
Squat'e Feet; 4438 sq. ft. Avg, Ceiling Ht: 9 ft, Number of Bedraoms: 4
Ventilativn : Balanced
Total Ventilation Capacity : 175 cfm.
Minimum Continuous Ventilation :75cfm.
lntermittent Ventilation: 100 cfm_
Cambustion Appliance
Water Heater; Power Vent Inpu# BTUs- 75,000 Independently Vented
Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 100,000 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 Sofid Fuel Appiiance(s): No
Exhaust Eauipment
Continuaus Exhaust Ventilat+on Capacity (cfim), NA Clothes Dryer (cfm); 135
Exhaust Fan Rating (cfm): 300
IINake-Up Air
No Make-Up Air Required by Code
Combustion Air
Round Rigid Required: 5 inches or Insulated F{ex: 6 inches
,, a ?
Applicant Name (print): . ,? 14?A!%?4='dSignature/Date?? ;' :'??T ?;r?,?'l?J ''?
, .-? .
L
Code Official (print);
Signature/Date:
<v 2004 CenterPoint F,ner`y Miiinagasco. 2004 Mecllanical Code Guidelines. Pa-e 1
Permit Numbei
REScheck Compliance Certificate checkea ByiDare
2000 Minnesota Energy Code
REScheck Soffware Version 3.6 Release 2
Data filename: C:\Program Fi1eslCheck\REScheck\1209TG.rck
PROJECT TITLE: DENBY "D" INVENTORY HOME
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.14
DAT E: 02/ 16/06
DATE OF PLANS: 2-16-06
PROJECT DESCRIPTION:
DE-NBY "D" INVENTORY HOME
3558 BIRCHPOND ROAD
LAGAN, MN 55122
T ERRA GLEN
DES IGNER/CONT RACT OR:
LUNDGREN
545 iNDIAN MOiJND E
WAYZATA, MN 55391
PROJECT NOTES:
9' LOWER LEVEL
WALK OUT LOWER LEVEL
COMPLIANCE: Passes
Maximum UA = 719
Your Home UA = 643
10.6% Better Than Code ([JA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Va1ue R-Va1ue -Factor UA
Ceiling 1: Flat Ceiling or Scissor Tiuss ] 922 44.0 0.0 52
WaIl 1: Wood Fraine, 24" o.c. 195 0.0 12.0 20
Wall 2: Wood Fiame, 16" o.c. 726 19.0 0.0 37
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 92 0.330 30
Wall 3: Wood Fratne, 24" o.c. 207 0.0 12.0 21
Wall 4: Wood FraXne, 16" o.c. 1847 19.0 0.0 85
? .?
`uindow 2: Above-Grade:Wood Frame:Double Pane with Low-E 367 0.330 121
Door l: Solid 38 0.067 3
Wall 5: Wood Frame, 16" o.c. 1460 19.0 0.0 77
\A7indow 3: Above-Grade:Wood Frame:Double Pane with Low-E 161 0.330 53
13asement Wall 1: Solid Concrete or Masonry 84 0.0 5.0 10
W a11 height: 3. 5'
Depth Uelow grade: 3.0'
insulation depth: 3.5'
I3aseinent Wa11 2: Solid Concrete or Masonry 917 0.0 5.0 73
Wall height: 9.0'
Depth below grade: 8.5'
hlsulation depth: 9.0'
f loor 1: S lab-On-Grade: Unheated 66 5.0 49
insulation depth: 3.5'
i'loor 2: All-Wood Joist/T russ: Over Outside Air 28 33.0 0.0 1
Floor 3: All-Wood Joist/Truss:Over Uuconditioned Space 374 33.0 0.0 11
1= urnace l: Forced Hot Air, 90 AFtJE
Proposed and Maximum U-Factor Averages
Proposed Maximuin
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.330 0.370
Includes Foundation Windows > 5.6 $2
F loors Over Unconditioned Space 0.030 0.033
c? OMPLIANCE STATEMENT: The proposed building design descnbed here is consisteiit with the building plans,
-,pecifications, and other calculations submitted with tlie pennit application. The proposed building has been designed to
nieet the 2000 Minnesota Energy Code requirements in RESchecli Version 3.6 Release 2(formerly MECcheclc) and to
c,omply with the mandatory requirements listed in the REScheck Inspection Checklist. 7 4
Builder/Designer ??Z'I n' `"" "- Date ? l ?'V?
LOT SURVEY CHECKLIST FOR RESiDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ? t?Mcl ZFc^/'cL 6 /le'll..v? A61d>'t,?'m
DATE OF SURVEY: 7-113106
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 w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway (grade & width - in F2/W and back of curb, 22' max.)
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
? ? ? . Property corners
??? . Top of curb at the driveway and property line extensions
??' ? . Elevations of any existing adjacent homes
?? • Adequate footing depth of structures due to adjacent utility trenches
? ? • Waterways (pond, stream, etc.)
Proposed
? ? o • Garage floor
? ? • Basement floor
? ? • Lowest exposed elevation (walkouUwindow)
? ? C] • Property corners
0 ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? ?I ? • Easement iine
?
? ? • NWL
0 ? • HWL
? ? ? • Pond # designation
? ?( ? • Emergency Overtlow Elevation
? ? • Pond/Wetland buffer delineation
Y . Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
19 ? ? • Lot lines/Bearings & dimensions
,H ? ? • Right-of-way and street width (to back of curb)
fr9' ? ? • 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 a ity utilities within those easements
? ? 0 • Setbacks of proposed structure an sid yard setback of adjacent existing structures
.
?'.( ? ? • Retaining wall requirements:
Reviewed By: Date ??16g
G:/FORMS/Buil ding Permit Application Rev. 11-26-04
Pen'eVe ""O"UIREfi?
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3558 BIRCHPOND ROAD
CERTIFICATE OF SURVEY
For:
LUNDGREN BROS.
840.9) PROPERTY DESCRIPTION: Lot 9, Block 2, TERRA GLENN
ADDITION, Dakota County, Minnesota.
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TOP OF SPIKE
N ELEV.=849.28
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/ OF LOWEST FLOOR
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FAr,AN EtvGtNEEutNG aEPr'.
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 13", day of F"rmar , 2006. .1aIY1es R. HIII, It1C.,
By:
John L. Benner, Minnesota L.S. No, 26708
Notes:
1. Building dimensions shown are for A
horizontal & vertical placement of structure 0
0
only. See architectural plans for building x927.6
& foundotion dimensions. (930.0)
2. No specific soils investigation has been TC
completed on this lot by James R. Hill, Inc. ----
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hiil, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or un-recorded easements
has been canducted by the surveyor as a part
of this survey. Only easements per the recorded
plat are shown.
4. Propased grades shown were taken from
the gradir;g &/or development plan prepared by
JAMES R. HILL, INC. .
LOT 9= 16,645 SQ. FT.
PROPC'SED HOUSE = 2,319 SQ. FT.
OR 13.94 % OF LOT AREA
DRIVEUJAY = 860 SQ. FT.
SAN. SERVICE INUERT
ELEV.=836.0
Denotes set spike
Denotes set iron monument
Denotes found iron monument
Denotes existing elevation
Denotes proposed elevation
Denotes proposed drainage
Denotes top of curb
Denotes rear of Building Pad
per grading plan
Bench Mark: $49.36 -TNH-Lots 13 & 14, Block 1
Proposed Garage Floor= 850.7
Proposed Garage Top of Block= 851.1
Proposed House Top of Block= 851.8
Proposed Lowest Floor= 844.1
B e a r i n g s a r e o n a s sumed datum
Scale: 1p=30'
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2007 RESIDENTIAL BUILDING rExMiT arrLicATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constniction Reouirements Remodel/Reoair Reauirements Q?e{9?: ?? nW
3 registered site surveys showing sq. ft. ot lot, sq, ft. of house; and all roofed areas 2 copies of plan showing foo5ngs, beams, joists C?'Et?f?uve??eC(? ? Y? ``[d
(20°/a maximum lot coverage ailowed) 1 set of Energy Calculations for heated additions )
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tr?ePte.ss?'1? R8? At
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pt? ?2?red .? Y? P!
1setofEnergyGalculatlons QPi? q
3 copies of Tree Preservation Plan if lot platted after 7/1/93 ?4 $
Rim Joist Detail Op6ons selection sheet (buildings with 3 or less units) ?
Minnegasco mechanicat ventilaUon form d ? Plans are cs?nsidered public infvrmation u?nless ?rc?u state they are tra?Ce secret ar?d 4?reason.
Date I0-7 Construction Cost do0
Site Address 3 c5g UniUSte #
Description of Work i?
Multi-Family Bldg Y4 N Fireplace(s) _ 0 _ 1 _ 2
Properly Owner A(?#d 6tunk ?Gc Telephone # ( ?1 2- ) ?8 f'° 3122
Contractor J?1??lw-
Address #
City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 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
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 ptan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark 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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
mi C.lvt ( 6/tr41E.d
Applicant's Printed Name
A-&Y&
Applicant's Signature
1a
? .
Sub Tvpes
? 01 Foundation
? 02 SF Dwelfing
O 03 01 of _ plex
? 04 OZ-piex
? 05 03-plex
? 06 04-plex
Work Tvpes
? ?
31 New
x 32 Addition
? 33 Alteration
0 34 Repfacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
0 10 08-plex
? 11 10-plex
? 12 12-plex
DO NOT WRITE BELOW THIS LINE
? 13 16-plex
? 16 Fireplace
? 17 Garage
X 18 Deck
? 19 Lower Level
i ``•
r 1 11
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) 0 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 fnt Improvement ? 38 Demolish Interior 13 44 Siding
? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCrIpt1011: Water Damage Yes
Valuation Occupancy
P{an Review ? 100% or
y 25%
Census Code
? ? f Zoning
SAC Units Stories
# of Units Sq. Ft.
# of Bidgs Length
Type of Const ?I? Wdth
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
Fina1IC.0.
?G FinallNo C.O.
HVAC
Other
_ Pool Ftgs
_ Siding _ Stucco Lath
_ Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MG/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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AirlGas Tests Final
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By Daw
F,AGAN ENGINFERiNG DEPT.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116798
Date Issued:10/11/2013
Permit Category:ePermit
Site Address: 3558 Birchpond Rd
Lot:9 Block: 2 Addition: Terra Glenn
PID:10-75400-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Laurie Fugate
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 -
Michael J Grunklee
3558 Birchpond Rd
Eagan MN 55122
Glacier Companies
14190 Bayview Cir NE
Box 727
Prior Lake MN 55372
(612) 202-2930
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174345
Date Issued:01/19/2022
Permit Category:ePermit
Site Address: 3558 Birchpond Rd
Lot:9 Block: 2 Addition: Terra Glenn
PID:10-75400-02-090
Use:
Description:
Sub Type:Single Fam
Work Type:Alteration
Description:Replacing ductwork in lower level.
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
William Mujica
3558 Birchpond Rd
Eagan MN 55122
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature