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
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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
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N
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?
?
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
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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
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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
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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.
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DRAWN BY
GLF
DATE
7/08/05
REVISIONS
BOOK/PAGE
NONE
CONTROL N0.
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DENOTES
OEXISTING TREE SAVE
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? LOT SURVEY CHECKLIST FOR RESIpENTIAL
' 8UlLD{NG PERMIT APPLlCAT{ON
PROP ERTY LEGAL: UncIL
DATE OF SURVEY: 7 aS?
LATEST REVISION:
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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
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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.,
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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
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DATE
7/8/05
REVISIOPfS
BOOK/PAGE
NONE
CONTROL N0.
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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