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3566 Birchpond Rd? I*V 2006 RESIDENTIAL BUILDING PERMiT APPLICaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reauirements Remodel/Reoair Reouirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing foo6ngs, beams, joists (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks 1 set of Energy Caiculations Addition - indicate if on-site sepfic system 3 copies of Tree Preservation Plan 'rf lot platted after 711193 Rim Joist Detail Op6ons selection sheet (buildings witlh 3 or less units) Minnegasco mechanical ventilation form Date q_ / V?? / dL Cogstruction Cost Site Address S5, (P Unit/Ste # ? I#J Description of Work Mu{ti-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone #( 65 Contractor POZA Address 1 9-7-7 Plq dL- City State ? .,'i ke', Zip p?f 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 (q submission type) Submitted Submitted • Energy Envelope Calculations Submiited 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 + 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. 4 -lo, 00 Office Use Onlv Ceit of SurOey Recd .>_ Y_ N Tree Pres Plan Recd _ Y_ N, Tree Pres Required N On-site Septic System _Y _ N ?VLL- ??Pd' 6'121i? - P - tz? Applicant's Printed Name Applicant's Signature v . 2006 RESIDENTIAI. BUII.DINCi PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20R6 maximum lot carerage aAowei) 2 copies of plan showing beam & window sizes; poured fuund design, etc. 1 set of Energy Calculations 3 copies of Tree Freservatim Plan if !ot plsfted a8er 711193 Rim Jast Oetail Options selectian sheet (buildings with 3 or tess units) Minnegasoo mechanical ventilation form ` RemodeUReaair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations fa heated additions 1 site survey for additions & decks Addition - indicate if on-site sepfic system affice use onro Cert of Survey Recd Y_ N Tree Pres PIan Recd _ Y_ N. Tree Pres Required _ Y_ N Oo-site Septic System _ Y_ N Date ;200(6 Construction Cosf „ Site Address r?r6p Unit/Ste # ^ A V C 51 92 Description of Work L4 X li'"?t `?? e . Mulfi-Family Bld g _ Y V N ? Fireplace(s) ? 1 _ 2 Property Owner ? T ? 4r F 1 1f, -LCI F Telephone # ( 6 51) ?---- ? ? ? , ? ? ? ?' ? ???` ? Contractor ? . ,k..-.?? • Address City 14A a State A A (5'01 Telephone # ( COMPLETE THISAOEA ONLY IF CONSTIi Energy.Code Category - M' esota Rules 7670 Categorv 1 • Residential Ventilation Category 1 Worksheet (d submission typej Submitted • Energy Envelope Calcufations Submitted In the last 12 months, has t e City of Eagan issued a permit for a similar plan based on Y N If yes, date and address of master plan: Licensed A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted # `J Mechanic:rQ-6/niractor ? ?.Z46Telephone # ( Sewer/Wa Contractor P Telephone #( plan? I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wi11 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 17 hich requires a review and approval of plans C ?'f Appticant's Printed Name Applicant's Signature ? ?r 2006 RESIDENTIAL BUILDING rExMiT arrLicaTIorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Reoair Requirements Offce Use OnIY 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas 2 copies of pian showing foo6ngs, beams, joists Cert af Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated addiGons Tree Pres Plan Recd` _ Y'_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site sunaey for additions & decks Tree Pres,Required _Y _ N 1 set of Energy Calculations Addifion - indicate if on-site septic system On-site 5eptic System _Y ;_ N 3 copies of Tree Preserva6on Plan 'rf lot piatted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date J ! Site Address Construction Cost Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor Address State City 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 (q 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 Mechanicai 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 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 C M? . DO NOT WRITE BELOW THIS LINE ` Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage -Eir , 18 Deck ? 19 Lower Level ? 20 Pool El 29 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant DeSCI'Ipt1011: Water Damage Yes Valuation iqLav Plan Review 100% or 25% Census Code L ; ?t SAC Units # of Units # of Bldgs Type of Const Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) Footings (deck) T? Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUTRED INSPECTIONS _ Sheetrock . Final/C.O. ? Final/No C.O. HVAC Other _ Pool Ftgs _ Siding , Stucco Lath _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex 0 10 08-plex ? 11 10-plex ? 12 12-plex *,t Air/Gas Tests Final _ Stone Lath _Brick ?? -0 ? ?. -7 i ,... lRovnbE NLET U ? 'INAL Q ? \ Q O ? ? LC) M ?rl-l 00 Q o O? V-- z IIo ? of ? i? L ? ? 27.s ? I ... REQUIRED TiON UNTIL ESTABLISHED I pOo I J 1.Y? p t? 5 ? - ? ?- 1 .5 r ? ? 00 ; , , , , ? ? ? W ?? =pll ui p u -i WOJ D ? ?J ?-?-- L_ <I r \? < C) ? -J ?1 ___--- ????f ? REVIEWrF .'? ? BY / DA i :" ??:r "T. , ml- W U O p f ff ;-30.94 ` Ln 5.04 < o} ? a>w I p , ao , 8, 8% 165.18 S89 38 48 W ,, - - -55.38- _ (842.2) 84 848.7?850.2)- - 1.40< 842.3 LO , '--- 41.65 I ^i20.83 N 849-6 o ? ' I ? ,? o? Q ' 6?.63 846.9 yN. I ? ? „ o N u cr ? ro N/Q ? 17.87 13.0 J 00 848.9 0? o ^ 6.0 i x 840.9 ? w ?i ?w ' ?a ? /o-? o W ? ? I ».o a o? • rsc? ? i v 849.0 M Q,z '39? w ui u ? S•? ? Q t ?-----I M m y8.? 40.1 o w ? 31.33 ? N o 849.1 ,? 15, 00 15.00< ? ii ; - _ 841.9 ? v ?3 1.15 848.4 00 ?- ? W d- a (84-7-C 5.39- - 6 ? - -- ? ?84J,?'2 Q ?- ? ? ° 0• 20 N851o: ?N? o ~ ? ? ? =u z o a w ? ? w WOJ ml-W U) ? 0 _j L_ <i Q U O I ? ^ v C? <? .. w Y1 ? V _? ;> ? X 838.4 i.z_? - ? F__ O ' 0 ?. °w w ? I WC) N ? 839 .` 00 \ ,?;___38.02 . 2' » 35 W <? ? ?\ I ? W° :jW EIW-- ED ? Q' u. OA !3 By ? r ° _?._.... v?.i ? Zy Date RAGAN ENGWEERING REgT. 3566 BIRCHPOND ROAD CERTIFICATE OF SURVEY N For: LUNDGREN BROS. 1 PROPERTY DESCRIPTION: Lot 11, Block 2, TERRA GLENN i ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my O? direct supervision and that I am a duly Licensed Surveyor under the co 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 Z-6day of , 2005. James R. HIII, InC., W ? N o? ? ? 0 i ? 1. Building dimensions shown are for f i o r i z o n t a l & ver tica l p lacemen t of structure onfy. See architectural pians for building 6c foundation dimensions. 2. No specific soils investigation has been rompleted on this lot by James R. Hill, Inc. The suitability of soils to support the speci6c house pruposed is not the responsibility of James R. Hill, Inc. or the surveyor. 3. No specific title search far ezistence or non- ezistence of recorded or un-recorded easements has been conducted by the surveyor as a part of this survey. Only easements per the recorded plat are shown. 4. Proposetl grades shown were taken from fhe grading &/or development plan prepored by JAMES R. HILL, INC. PROPOSEG HOUSE = 2,517 SQ. FT OR 15.12 % OF LOT AREA DRIVEWAY = 856 SQ. FT. LOT 11 = 16643 SQ. FT. lvoLes: 0 Denotes set spike y 0 Denotes set ir o n m o n u m e n t 0 Denotes found iron monument x927.6 Denotes existing elevation (930.0) Denotes propased elevation -- Denotes proposed drainage TC Denotes top of curb ---- Denotes rear ot Building Pad per grading plan Bench Mark: 849.36 _C.P.#12 Proposed Garage Floor= 851.0 Proposed Garaqe Top of Block= 851.4 Proposed House Top of Block= 852.1 Proposed Lowesf Floor= 843.4 Bearings are on assumed datum Scale: 1'=30' SAN. SERVICE INVERT ELEV.=836.0 .? ?cn -o? w a m ? . ? N 6 Z ? ? vo 6 ? y ¢ a°io E F5 N 9 cc Z ? 7CL CR ? Z J ? ? V1 09 Q ? o U ? O o r' ? U O 4 a V o m o ?o ?o oQ _j V DRAWN BY GLF DATf 7/8/05 I REVISIONS BOOK/PAGE NONE CONTROL N0. z„s2 CAD FlLE 251116.dwg PROJECT N0. 251116 " FlLE N0. DRAYVER SHEET 1 OF 1 2 ?rlc (uc ? '7- 2005 RESIDENTIAL BUILDING PERMIT A.PPLICATIO ?jD , S 0 City Of Eagan .?? ?? ? ? ? 3830 Pilot Knob Road, Eagan MN 55122 f? ??/??o,??f ' Telephone # 651-675-5675 FAX # 651-675-5694 J New Construction Reauirements Remodel/Repair Reauirements Of?Ce l,tse UnfW 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan C?rt df Survey Recd- N (20°lo maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree,Pneg Ptan Rc6dl AI 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Ptes Requiivd , 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic Sysfem 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date ! !:? o J (} 5 Site Address 35 (a(a Ojr a!f{''Q&) Construction Cost S 1, 1.2 5 ?Rcan Unit/Ste # ? Description of Work J? F.b Multi-Family Bldg _ YN Fireplace(s) , 0 Z 1 ? 2 Property Owner Telephone # ( ) Contractor 6'-1,1,5,r ) ?A Sn2UCT/ tn, - - - Address F} yZ,g7'9, - State im i? 61 VD City 7-A Zip Telephone #(?5Z) y73-Q?GY, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ? Minnesota Rules 7670 Categorv 1 Energy Code Category . Residential Ventilation Category 1 Worksheet (? submission type) Submitted • Energy Envelope Calculat+ons Submitted Nave you previously constructed a buiiding in Eagan with a similar plan? fee applies. heet plan review Licensed Plumber Telephone # ( 4?Z) IC- Lf(o!ZZ Mechanical Contractor Telephone #(I,SZ) 4q5-V<oqZ Sewer/Water Contractor f2rAra /`L U/n&,,UC- Telephone # (yS2) ? ? ?"" ?? 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 approyal of plans. ????????' &,6,q1e,q livl L t? ?o /?'t? Appiicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory81dg g 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 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) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level 0 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or_ N? 25 Misceilaneous Work Types A 31: New 0 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?/3 QZ:? Occupancy ? MCES System - Census Code /0/ Zoning ? City Water J?f SAC Units G/ Stories Booster Pump # of Units 0/ Sq. Ft. ? PRV ve_ # of Bldgs Length Fire Sprinklered Type of Const Width 7 REQUIRED INSPECTIONS ? Footings (new bldg) ? Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) ^ Plumbing ? Foundation _ HVAC Drain Tile Other 4 Ice & Water Roof Pool _ Ftgs _ Air/Gas Tests Final ? Final - ? Framing , _ Siding _ Stucco - Stone _ Brick ? Fireplace 6,)e R.I. _, Air T Windows est I Final Insulation = Retaining Wall Approved By: Building Inspector -------------------------------------------- Base Fee J'3y----------- ----- - - - ? -------- --------- GA?b- ---------------------------------- lto? ? ??? ------------------------------ Surcharge U/V 13Si" % / 72G?? /3 w Plan Review ?0,52 ? / ST /?'4/L I 7JC, 0 ig?y? 3 o2o?r MC/ES SAC /"=",L/? I b Ao /? ?0`4 ? City SAC ?-----'"- Utility Connection Charge ot /X&-y S&W Permit & Surcharge Treatment Plant License Search Copies Other Total do ,r Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheck Sofware Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\tg1211KentonE.rck PROJECT TITLE: Kenton E Inventory Home COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.16 DATE: 07/19/05 DATE OF PLANS: 7-19-05 PROJECT DESCRIPTION: 3566 Barchpond Road Teira Glenn DE S IGNER/C ONT RAC T OR: Lundgren 545 Indian Mound East W ayzata, MN PR03ECT NOTES: 9' Foundation W alkout J&J Bath +6' to Laundry es COMPLIANCli Maximum UA Yom- H ome UA = 710 7.7°lo Better Than Code (LJA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Fa o ZJA Ceiling 1: Flat Ceiling or Scissor Truss 1920 44.0 0.0 52 Wall 1: Wood Frame, 16" o.c. 1600 19.0 0.0 82 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 210 0.330 69 Wall 2: Wood Frame, 24" o.c. 198 0.0 12.0 20 W a11 4: W ood Frame, 16" o. c. 2110 19.0 0.0 95 Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 416 0.330 137 ! ." Door 1: Solid 19 Door 2: Glass 65 W all 5: W ood Frame, 24" o. c. 209 Wall 6: Wood Frame, 16" o.c. 726 Window 4: Above-Grade:Wood Frame:Double Pane with Low-E 76 Basement Wa11 1: Solid Concrete or Masonry 1098 Wall height: 9.0' Depth below grade: 8.5' Insulation depth: 9.0' Basement Wa11 2: Solid Concrete or Masonry 84 Wa11 height: 3.5' Depth below grade: 3.5' Insulation depth: 3.5' Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 114 Floor 3: Slab-On-Grade:Unheated 66 Insulation depth: 3.5' Fuinace 1: Forced Hot Air, 90 AFLTE Proposed and Maximum U-Factor Averages 0.067 1 0.330 21 0.0 12.0 21 19.0 0.0 38 0.330 25 0.0 5.0 88 0.0 5.0 9 33.0 0.0 3 5.0 49 Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.330 0.370 Includes Foundation Windows > 5.6 $2 Floors Over Unconditioned Space 0.030 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 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2(formerly MECcheck) and to comply with the mandatory requirgrrients Wed in the REScheck Inspection Checklist. Builder/Designer Date 70 •QS 3566 BIRCHPOND ROAD CERTIFICATE Q?F SURVEY ?I 3210 I m? ? C) U ? O ? L.1?. O r-, tn M 00 (NO Q 00 r- ? z ?0 O a iDL I 2 U Cif W ? 27.5 I ? I I 5 11.5 ? ? ?t - ao , ? ? N 0) ? ? rn I c} I p3 ? o' 2. ? I ao ? ? , 8.8% ?- N 3912 - - - q3909 ? i8 3910 ? 003911 ? O? I 2./ o/ 80 ' I ? o I ^ .% /O?, w ^ ? ? 3896 I ?r N (n p o? A389 I ? 11.0 ZO O 3 N?I I ro M a,= v s ? I 5.0 j I ? ? ? 8.0 3898 M rn 03895 I 31.33 I I I W I 887 I w C14 J ? > L - - - - ?3888 ro\ (0 ? ? .. (847.60-20 (841.2) N85012'35" cJ W C- ?-- _, L_ <i <? _J ?1 ? ? L1i O N Q \ V) 00 0 v-- , For: Lot 11. Block 2 LUNDGREN BROS. TERRA GLENN Tree Preservation plan Pre House Pro osed Post House Development Construction Tree Preservation Construction Const. As-Buil t Post House Const. As-B uilt OINT N0. LEV. YPE IA IiJ > N :E 0 U1 ? > O :2 ? Z F U) W 57< W Z 0 W > u?i o ?- U1 ? > O :2 ? Z ? (n w W Z c°D 3887 840.1 NACKBERR 7 X X X 3888 839.6 OAK ? X X X 3895 835.6 HACKBERR 6 X X X 3896 834.7 OAK 16 X X X 3897 838.8 OAK 11 X X X 3898 838.9 ACKBERRY 7 X X X 3908 841.2 OAK 22 X X X 3909 837.8 OAK 23 X 11 X X 3910 835.8 OAK 22 X X X 3911 835.0 ELM 12 X X X 3912 835.9 ELM 14 X X X Preliminary Tree Certification During a si#e visit on July. 12, 2005 all significant trees designated to be saved on the Tree Preservation Plan prepared by James R. Hill, Inc., were present and in good health, ezcept as noted in the table above. The hQUSe has been staked. Tree fence will need to be placed outside the dripline of all significont trees to be saved. Future grading and construction should not have a negative effect on these trees. By. Date: By: J. Gar R Minnesota L.S. No. 11529 Signature of Owner Scale: 1"=30' Page 1 of 1 James Date: R. Hill, Inc. . ? c? -?? Z S ia' . ? W N ? z ?- m co 4D E Z;m 'CLsCJ ? Z a JZ T < ? (q w c E'' H U ? y o N p ? Y o0 `a m z ? a ' •F F? Oa J DRAWN BY GLF DATE 7/08/05 REVISIONS BOOK/PAGE NONE CONTROL N0. 21192 CAD FlLE 251116.dwg PROJECT N0. 251116 flLE N0. DRAWER SHEET 1 OF 1 LJ c-?- L_ <I -J ?> DENOTES OEXISTING TREE SAVE (DEXIS11NG 1REE REMOVABLE (D EXISTING TREE CUSTOM -TP- TREE PRESERVAl10N FENCE PER TREE PRESERVATION PLAN rn ° . ao 165.18 S890389 48"W (842.2) ? (85i;.2)_ pi20.83 N ? 0 0 LLJ i 7 ? LOT SURVEY CHECKLIST FOR RESIpENTIAL ' 8UlLD{NG PERMIT APPLlCAT{ON PROP ERTY LEGAL: UncIL DATE OF SURVEY: 7 aS? LATEST REVISION: m a? eu ? t? ` o z a DOCUMENT STANDARDS 2`i ? ? • Registered Land Surveyor signature and company / ? ? ? • Building Permit Appiicanf ? ? • Legal description ? ? ? • Address '2' ? p • North arrow and scale 'Aff? ? p • House type (rambler, wafkout, split wlo, spiit entry, lookout, etc.) ,v' ? ? • Directtional drainage arrows with slope/gradient % , -Z ? ? • Proposed/existing sewer and water secvices & invert efevation 0 D 0 • Street name ? ? . Driveway (grade & width - in RiW and back of curb, 22' max.) ,CI ? 'D • Lot Square Footage ,H' ? 0 • Lot Coverage ELEVATIONS Existin ?( o ? • Property corners ??? • Top of curb at the driveway and property line extensions ?,z p • E{evations of any existing adjacent homes 'Ja p p • Adequate footing depth of structures due to adjacent utility trenches .,g p 0 • Watenrdays (pond, stream, etc.) Proposed 'z ? p • Garage floor ,,LI' ? 0 • Basement floor -9 ? p • Lowest expossd elevation (walkouUwindow) 'E? ? ? . Property corners ?g- p ? • Front and rear of home at the foundation PONDfNG AREA (if applicable) 0 ,9 ? • Easement line ? ? • NWL ? p • HWL p W p • Pond # designation ? ?t 0 • Emergency Overflow Elevation ? ?` ? • Pond/V1Jetland buffer defineation Y • Shorefand Zoning Overlay District Y • Canservation Easements DIMENSIONS ? ? • Lof lineslBearings & dimensions p p • Right-of-way and street width (to back of curb) ? p p • Proposed home dimensions inc{uding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) )2' ? ? • Show ali easemenfs of record and any City uiilities within those easements ?? ? • Setbacks of proposed structure and " ard setback of adjacent existing structures ? ? ? • Retaining wall requirements: Reviewed Sy: Date 5,14O G:IFORMSlBu ilding Permit Application Rev. 11-26-04 } ` ? I 1 PROVIbE A? INLET ROT FINAL U RF 3 DI ? Q O ; ? 0 r, ?r oc NO Q 00 ?U-) 7 I?I o O I d CL I U L•Lf mI 27. 1 I ?V L'lth? A° ??z. ? REVI V(A NTAIN ?Y f10 UNTIL C J ??,- F,STABUSHED ?"??` . ?? L- ' ° O o <i U-J 5 YYo) O ? ? w (? <I 14.5 ?o 11 ?i p _? ?> ' ZaW?? ml ., ? ` r ro i , , ? r ? , OD ? ? N ro d- ro , 00 't I 5 ? $;; ? Wo F .i U9 , ? z .. i?i m ° W " ° 165.18 S89°3848"W ?30.94_ ? - - -55.38- - (842.2) 84 u)5.04< 48.j(850.2)- - - 7.40< 842.3 LO - - ?'-i20.83 N 848.6 -- - I } I o ? i upQ /,; o ? ? ^6.6g 846.9 ? ? I a° OC) cv/?/I ? 17.87 ro co I I ?, I- 8.8% M? a. 30.0 13.0 ro ?. I 48.9 8.0 ? x 840.9 ? W !Aj I I ? /? ?? ? ?W? N11.0 0 O\ °° ?I ?QW I ?? ro 849.0 M?=3 cv? W I ?- a Z I 5.0(0 ? ¢ ??.0 I x 840.1 0,W 31.33 I ^ N I ' • 0 849.1 ? oj j 15.00 15.00<\ ?"" x838.4 _ 841.9 9 31.15 48.4 ? 841.2 - ,? (8_47. 5.39- - - ? (841.2) ?ayf Y ? o 0 1 0.20 N85012'35W .J g?? p ? cJ p ? = II ~ U En j ?-- W O J tn 0 ? m?W II J L- +- < i U O I _ \ 1 C)< '/0000/ ? J \ > --- 41.65 -? ? ? ? i O :I r ? J' 0 )I? LLI O jlt W 0 c lk C , a 1 w ? ` ? J ^ WC? N :2? M ?00 --- 38.02 IW ? EWED N ? By ..?..._._,,..w. ? Date d&.,? ??? ??....,..i. Z? EAGAN ENGM£RiNG DEP't'. 3566 BIRCHPOND ROAD CERTIFICATE 0 F SURVEY I For: LUNDGREN BROS. PROPERTY DESCRIPTION: Lot 11, Block 2, TERRA GLENN ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my ? direct supervision and that I am a duly Licensed Surveyor under fi,he ? iaws of the State of Minnesota. That this survey does not purport to ?v show all improvements, easements or encroachments, to the property except as shown thereon. ? Signed this day of LTZ-?J , 2005. James R. HIII,111c., W ? N O? U) ? r O ? ? , ? ? ? , . % rn M ro 9. Building dimensions shown are for horizontal & verticol placement of structure onfy. See architecturol plans for building & foundatian dimensions. 2. No specific soils investigation has been 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. Hill, Inc. or the surveyor. ;f. No specific title search for ezistence or non- ezistence of recorded or un-recorded easements has been conducted by the surveyor as a part nf this survey. Only 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. PROPOSED HOUSE = 2,517 SQ. FT OR 15.12 % OF LOT AREA DRIVEWAY = 856 SQ. FT. LOT 11 = 16643 SQ. FT. 1V0Ges : p Denotes set spike 0 Denotes set iron monument ? Denotes found iron monument x927.6 Denotes ezisting elevation (930.0) Denotes proposed elevation Denotes proposed drainage TC Denotes top of curb ---- Denotes rear of Building Pad per grading plan Bench Mark; $49.36 -C.P.#12 Proposed Garage Floor= 851.0 Propased Garaqe Top of Block= 851.4 Proposed House Top of 81ock= 852•1 Proposed Lowest Floor= 843.4 Bearings are on assumed datum SCBl@: T=30' SAN. SERVICE INVERT ELEV.=836.0 . Cy ob ? Z4 mb .? N ? Nm? . Z ? ? ?m E= Co ?a ?j Z wz ? _j? ? O m 3 ?U ? o ? (V p Y o° ? a V mo o ?F ? Q 0 J U DRAWN BY GLF DATE 7/8/05 REVISIOPfS BOOK/PAGE NONE CONTROL N0. 21192 CAD FlLE 251116.dwg PROJECT N0. 251116 FILE N0. DRAWER SHEET 1 OF 1 Address: 3566 Birchpond Rd Zip: 55122 Lot: 11 Block: 2 Subdivision: Terra Glenn THE FOLLOWING ITEMS WERE/WERE NOT COMI'LETE AT FIlVAL INSPECTION ON Yes No Comments Final grade - 6" from siding Permanent ste s - garage ? Permanent ste s- main entry <?.. Permanent drivewaq Permanent gas Retaining Wall or 3:1 Max Slope Sod/Seeded lawn Trail/curb damage ,,- Porch ? Lower level finish X 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 warking in right-qf-way or installing irrigation system. ? BUILDING INSPECTOR: CONTRACTOR: Luodgren Brothers Construction 935 E Wayzata Blvd Wayzata, MN 55391 _ _--------? - ?. f?_ ?- Site address: e-It-7 /' ? _ ___i?} l? ?,ot Block ..?____ ./ ' Subd. -A.JA1 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 foltowing 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 siructure: wlll be constructed to meet more resfrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTUHER MODEL BTU'S VENTING TYPE Water Heater -? ?rnit ? ?ra P b 140,(20o P V ? Fumace ? 5 0 /1 A V lj`} ? V - V r' ?f(••C? ?V' Dryer EXHAUST SYSTEM LOCATION TYPE MODE! CFM's VENTED ves No Kitchen kitchen Bathroomi ?p?0LC` ,. ?o n 0 M ? ? Bathroom 2 ?-? ?- dL ? AJ (2, M t?) ?k Bathroom 3 ,?l n Bathroom 4 Other FIREPLACE S L4CATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING biRFCr ATMOS G l!l y l L1 +TD / ?-- 2-3 3 0, 000 x MAKE-UP AIR MODEL TYPE CFM's Ve? C?010Sr n?ucro 2, OU 9 ,4i. t hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan requirements. ri Signatur r „ - ii m ,I 'I) Date Company Name ' This form is the responsibiliry of the General Contractor. 7-20-05; 9'41RM;ELANDEP MECHANICAL 1 A?3 A 1 T0"; Z Date: 7/2012005 Revision Date: 7/20/2005 Si#e InformaUM--?.?_____? ? _,. Address 3566 Birchpond Road ? Address 2. -------?-? -?? City_ Eagan County: Application information 6usiness Name: Elander Mechanical Inc. Contact Person: Todd New Construction ;812 445 7487 # 1/ 1 Project #: Lot: // Block: ? Subdivision: "7"?6l,<6 ,(r`rG?,cJ',V / MN Contractor License #: Office Ph: 952-445-4692 Fax: 952-445-74$7 Cell Ph: Address 1: 591 Citation Drive City: Shakopee State: Minnesota Zip Code: 55379 House Detaiis Square Feet: 5141 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4 Ventiiation : Balanced Tota! Ventilation Capacity ; 202 cfm_ Minimum Continuous Ventilation :75cfm. Intermittent Ventilatian: 127 cfm. Combustion Aqafiance Water Heater: Power Vent fnput BTUs: 75,000 lndependently Vented FurnacelBoiler: Direct VentlSeated Combustion Input BTUs: 100,000 Independently Vented Other Combustian Appliances Gas Fired Direct Vent Firepface(s): Yes Gas Fired Powet' Vent Fireplace(s); NQ Gas Fired Natural Draft Fireplace(s); No Solid Fuel Applianca(s): No Exhaust Eauipment Continuaus Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 F-xhaust Fan Rating (cfirrl): 300 Make-Ua Air No Make-Up Air Required by Code Combustion Air Round Rigid Required: 5 inches or Insulated Flex: 6 inches Appficant Name (print): G Signature/Date; Code Offcial (print): Signature/Date: l02QQ4 C:enterPoint F.neroy Mirine?;asco. 3O04 Mechanic,il t;ocle Gtiiclefines. P.i?;c { PERMIT City of Eagan Permit Type:Building Permit Number:EA109699 Date Issued:03/28/2013 Permit Category:ePermit Site Address: 3566 Birchpond Rd Lot:11 Block: 2 Addition: Terra Glenn PID:10-75400-02-110 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 . Chris Becker 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 - Michael J Hanzel 3566 Birchpond Rd Eagan MN 55122 Twin City Fireplace 6916 Washburn Ave S Richfield MN 55423 (612) 282-2684 Applicant/Permitee: Signature Issued By: Signature 4' Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: Permit Fee: Date Received: Staff: 0 (3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 5G(.a(eg Unit #: Resident/ Owner Name: 4 6K.� 4' E,f%F�i % � .e.) ----Phone: 11 Address / City / Zip: SCJ' i'4' i, k if (2...a. Applicant is: Owner Contractor Type of Work Description of work: f. 0Wa C- J 6L- -el J I*( Construction Cost:) �'° OD2✓ Multi -Family Building: (Yes / Nok ) Contractor Company: L4 Lac -) 3 Contact: \IOC eAwldr,3l Address: 158'06 V 0-7112ItC t City: Y71 0.1 State: k..UJ Zip: Phone: ��CSZj ,,l'3 —1-1o‘'-7 License #: tZ.C,4,13-72_.1 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant s -Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final X Framing Fireplace: \I Rough In VAir Test yInsulation t' Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window I 09'70cD Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required )c' Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test - Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: use tsLut or t3LACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: L 622 °'" %Plrd(3 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION 4.-1043 Site Address: `3SCoCp 1ere_i‘ ira Suite #: Resident/Owner Contractor Name: Phone: Address / City / Zip: Name: rt.Cx (uonmun n(_ License#: Cr.og3a1 Viii Address: 413.4�MaCke,tAate CA- .Sk.✓ Ibb City: Sly. I/Vl1aia.c.,1 State: Adit v- Zip: G.531 CP Phone: Contact: Mtl'C4i (Q. cora. 3(04-icilco, Email: Type of Work '7(03-Lc7`7-°"14t3CP c r AA ►I. .> New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work:- v.ts1r. bak-K, ) we)- bezr Permit Type RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Water Turnaround ower Level) 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 Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 1 ukorr`ce. (Wre5sc Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground Reviewed By: Rough -In Air Test __=Gas Test_ =Final 2910 Water Road, Suite 110 Eagan, Minnesota 55121 (651) 683-9913 Fax: (651) 683-0243 www.sunstateconcepts.com Sunstate. PorchTM Screen Enclosures Customer: Address: Phone: L-1— 1 608 blaiie/ biyzil PoAci 451- ;673- 62-5 WALKING SURFACES GREATER THAN ABOVE AREA BELOW REQUIRE PROJECT DRAFT SHEET 7$-TAIRS SHALL- BE-P.90VIDE,D-WINATIpItilti---- 1TAA14.DESIGNEliSUORItia--- THE liviiviEDIATa VICINITY OFTHETOOlikiSiDi IF IN A 4' DIAMEYERielAREMAXAOT> PASS THR LEDGER MUST B ATTACHED W lq:".7•MtlitA (2) -3/8- X 4 tAersc WAphERSINERYir ON S1 A '7rilPiABLE "- - bilJE DING INSPECTIONS DIVISION 2910 Water Road, Suite 110 Eagan, Minnesota 55121 (651) 683-9913 Fax: (651) 683-0243 www.sunstateconcepts.com Sunstate PorchTM" Screen Enclosures Customer: Address: Phone: 14 (14 756 6 6?; e".." dc3 PROJECT DRAFT SHEET 71( 9-; 2910 Water Road, Suite 110 Eagan, Minnesota 55121 SunState (651) 683-9913 VIP Fax: (651) 683-0243 www.sunstateconcepts.com Sunstate PorchTM Screen Enclosures PROJECT DRAFT SHEET Customer: Address: k.e tido-7A -749; g -5546 &rail Pood P - Phone: 651' ?-3---0?-573 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA139291 Date Issued: 10/18/2016 Permit Category: ePermit Site Address: 3566 Birchpond Rd Lot: 11 Block: 2 Addition: Terra Glenn PID: 10-75400-02-110 Use: Description: Sub Type: Reroof Work Type: Replace Description: Does not include skylight(s) Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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). Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 - Applicant - Owner: Michael J Hanzel 3566 Birchpond Rd Eagan MN 55122 (651) 253-0253 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158756 Date Issued:10/30/2019 Permit Category:ePermit Site Address: 3566 Birchpond Rd Lot:11 Block: 2 Addition: Terra Glenn PID:10-75400-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Michael J Hanzel 3566 Birchpond Rd Eagan MN 55122 (651) 253-0253 Elander Mechanical 645 Shenandoah Dr Shakopee MN 55379 (952) 445-4692 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159978 Date Issued:02/03/2020 Permit Category:ePermit Site Address: 3566 Birchpond Rd Lot:11 Block: 2 Addition: Terra Glenn PID:10-75400-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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 - Michael J Hanzel 3566 Birchpond Rd Eagan MN 55122 (651) 253-0253 Elander Mechanical 645 Shenandoah Dr Shakopee MN 55379 (952) 445-4692 Applicant/Permitee: Signature Issued By: Signature