3569 Birchpond Rd
X00 18 9o. Sa
RESIDENTIAL BUILDING PERMIT APPLICATION
2 C 0 o
City Of Eagan me
3830 Pilot Knob Road, Eagan MN 55122 4q5 S S. g S
z zz
Telephone 4 651-675-5675 FAX # 651-675-5694 G r►
Offi Use Only
New Construction Requirements Remodel/Repair Requirements ce
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Certof Survey.Recd Y _ N
(20% maximum lot coverage allowed) ,T1 t>A,~ w . 7_1q jtj 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y _ N
✓ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Z Y _N
1 set of Energy Calculations Addition - indicate if on-site septic system On site Septic System -Y _N
,/3 copies of Tree Preservation Plan if lot platted after 7/1/93'x, H_ L/qt h,-)
Rim Joist Detail Options selection sheet (buildings with 3 or less units) S4- L j -_72 Z 6 r c~ o 212 2 j06
Date / _ / lam Construction Cost 3/ >
Site Address 12cj f} A°D/~~rSA Unit/Ste #
i
Description of Work S b
Multi-Family Bldg _ Y>6 N Fireplace(s) _ 0 J( 1 _ 2
i
Property Owner Telephone # ( )
Contractor
Address 54 LAc), Iii 6_Ad(Atk1p E City1))ffY-,A7__A
State r 5~ Telephone # U -
M rJ Zip 1
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~1 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 month , 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 #11 4445 1
7~/'•- ~j
Mechanical Contractor s-A f~ EA<. l" 1 ' A ~'tG pif Telephone #65Z-) 445 - qCo91 Z-
Sewer/Water Contractor f 1~r f))f'~l Telephone #w'-9) <3~ 4-yf ` 2
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without
permit; that the work will be in accordance with the approved plan in the case of work which requires a review a
approval of plans.
Applicant's Printed Name App icanfs Signature
OFFICE USE ONLY _
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of_ Alex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous
Work Types
31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
i
Valuation 15000 Occupancy - MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units (91 Stories Booster Pump
# of Units Sq. Ft. I`PRV
# of Bldgs Length i' Fire Sprinklered
Type of Const Ij-~-- Width
REQUIRED INSPECTIONS
Footings (new bldg) X Final/C.O.
Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs Tests _ Final
_ Framing _ Siding _ Stucc Ston - Brick
Fireplace X R.I. X Air Test `L Final _ Windows
-k Insulation ~ Retaining Wall
1
Approved By: T~ Building Inspector
Base Fee
Surcharge
Plan Review 7
MC/ES SAC f- = t12
City SAC
Utility Connection Charge f t~~ I'(I
S&W Permit & Surcharge
Treatment Plant /4 - ?r L(D
License Search
Copies ~
Other
Total
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheck Software Version 3.6 Release 2
Data filename: G:\CAD\New Standard\Traditional\Comell\xe\11.15(Terra Glenn)\1115.rck
PROJECT TITLE: Inventory Home
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.14
DATE: 02/08/06
DATE OF PLANS: January 17, 2006
PROJECT DESCRIPTION:
Cornell "E" Inventory Home
3569 Birchpond Road
Eagan, MN 55122
Terra Glenn
DES IGNER/CONTRACTOR:
Lundgren
545 Indian Mound East
Wayzata, MN 55391
COMPLIANCE: Passes
Maximum UA = 637
Your Home UA = 599
6.0% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value -Fact r UA
Ceiling 1: Flat Ceiling or Scissor Truss 2142 44.0 0.0 58
Wall 1: Wood Frame, 24" o . c. 192 0.0 12.0 20
Wall 2: Wood Frame, 16" o.c. 83 19.0 0.0 3
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 40 0.340 14
Wall 3: Wood Fratne, 24" o . c. 203 0.0 12.0 21
Wall 4: Wood Frame, 16" o. c. 1743 19.0 0.0 81
Window 2: Above-Grade: Wood Frame:Double Pane with Low-E 327 0.340 111
Door 1: Solid 41 0.067 3
Wall 5: Wood Frame, 16" o.c. 1640 19.0 0.0 86
Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 186 0.340 63
Basement Wall 1: Solid Concrete or Masonry 1644 0.0 5.0 132
Wall height: 9.0'
Depth below grade: 8.5'
Insulation depth: 9.0'
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 139 33.0 0.0 4
Floor 2: All-Wood Joist/Truss:Over Outside Air 89 33.0 0.0 3
Furnace 1: Forced Hot Air, 90 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.340 0.370
includes Foundation Windows > 5.612
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 pen-nit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2 (tbnnerly MECcheck) and to
comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Builder/Designer aQ ~ Date Feb. 0, 2'00(0
INDIVIDUAL RESIDENTIAL LOT
TREE PRESERVATION PLAN SUMMARY
CITY OF EAGAN FORESTRY DIVISION
651-675-5300
(BUILDER, PLEASE READ ATTACHMENTS)
Development "7 CZlZ C-~ L U 6
Lot Number i Block Number i
Address :31-b `A I ERGO-7Q 13D R~
Builder ~L~hb E, ft t~3 B Ka
Phone Number: b C(L-1 - Z133
Contact: -TbVA N o' ywc-i&9
Tree Protection Requirements:
x Tree Protection Fencing Installed On Site
Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning Required
Retaining Wall To Be Installed
Other:
Replacement Trees:
Not Required
As Follows: EAGA
OFJES7'RY D~VISIOI~"
Attachments: REV'E E-D
_ Yes gY
No
DATE
Additional Notes:
H:\ghove\2005f1e\treepres\Tree Preservation Plan Summary-2005
3569 BIRCHPOND ROAD
CERTIFICATE OF SURVEY
~ Cn
For. LUNDGREN BROS.
.
~ I LOT 15, BLOCK 1 b
TERRA GLEN = N
Tree Preservation plan m
Pre House Proposed Post House z N
Development Construction Tree Preservation Constructio z
Const. As-Built Post House Const. As-Built
I :2 w CD :2 > w z
w co
> z o ~
~ ° o w w F- o Fz w f 9 R
- Q w x o Q D w x o Z R9
147 "275-- POINT NO. ELEV. TYPE DIA V) U o' w 0 07 v ~ w 0 ' a ~
3967 8474 OAK 97 S81 000'0 11.5 3968 4 ;2 x x x
Li l-. 4 CHERRY 0 X X X
_ 0r 4
845/ _ 4 H X X X
4825 4 OAK 1 18 x x x 31 l() J 4822 ~w❑ 4827 856.2- OAK
4845 8552 ASH 8 x x x
4823 I N
O ~ , 46.31 J d'~~
0ai
4825 N•
Z N
482 ~
4 z
N zz
d 4'2 e p v,, C\ 0)
a
I X4826 O °
a
4827 3968 I l J I O I~1 Y o
396 °
o°
O J `J J J
\ w
\ N ^ f m0
31•gl N ~Q S•9gff ^p0 f
CC) 110 0 \ \ \ f 0) 4.0
(IV O DRAWN BY
O \ \ / 0) ° ^ MAL
\ n/
rs) S9 Q~ 1%23%06
<)0>>
Preliminary Tree Certification REVISIONS
During a site visit on January 26, 2006 all significant trees designated to be saved on the
Tree Preservation Plan prepared by James R. Hill, Inc., were present and in good health, except
as noted in the table above.
DENOTES / The house has been staked. Tree fence will need to be placed outside the dripline of all significant BOOK AGE
trees to be saved. Future grading and construction should not have a negative effect on these trees. NONE
0EXISTING TREE SAVE
CONTROL NO.
S
fQ~EXISTING TREE REMOVABLE 21192
/
0 BY e: By. Date: 2 CAD BFIILE
VV h_ - - -
. Signature of Owner 9
EXISTING TREE CUSTOM LS
J. Gary an, i esota
S. . No.11529 PROJECT NO.
-TP- TREE PRESERVATION FENCE 261018
PER TREE PRESERVATION PLAN / FILE NO.
DRAWER
Scale: 1"=30' Page 1 of 1 James R. Hill, Inc. SHEET I OF 1
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: &Abck I ~ dl4in )Q/ /
DATE OF SURVEY: //~//06
LATEST REVISION:
m
as
c
~a
s
U
O z ¢ DOCUMENT STANDARDS
❑ ❑ • Registered Land Surveyor signature and company
.0' ❑ 0 • Building Permit Applicant
❑ ❑ • Legal description
0 ❑ • Address
❑ 0 • North arrow and scale
❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
❑ ❑ • Directional drainage arrows with slope/gradient %
❑ 0 • Proposed/existing sewer and water services & invert elevation
0 ❑ • Street name
❑ 0 • Driveway (grade & width - in R/W and back of curb, 22' max.)
J~ ❑ ❑ • Lot Square Footage
0 ❑ • Lot Coverage
ELEVATIONS
Existing
,P1 ❑ ❑ • Property corners
❑ 0 • Top of curb at the driveway and property line extensions
❑ ❑ • Elevations of any existing adjacent homes
❑ 0 • Adequate footing depth of structures due to adjacent utility trenches
❑ ~1 ❑ • Waterways (pond, stream, etc.)
Proposed
,iz( ❑ ❑ • Garage floor
❑ ❑ • Basement floor
'z ❑ ❑ • Lowest exposed elevation (walkout/window)
fd ❑ ❑ • Property corners
0 ❑ • Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ ❑ • Easement line
❑ ❑ • NWL
❑ ❑ • HWL
❑ ❑ • Pond # designation
❑ ❑ • Emergency Overflow Elevation
❑ ,z C~ Pond/Wetland buffer delineation
Y . Shoreland Zoning Overlay District
Y Conservation Easements
DIMENSIONS
J~ ❑ ❑ Lot lines/Bearings & dimensions
❑ ❑ Right-of-way and street width (to back of curb)
d ❑ 0 Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
❑ ❑ • Show all easements of record and any City utilities within those easements
'z ❑ 0 • Setbacks of proposed structure and ' rd setback of adjacent existing structures
' ❑ ❑ • Retaining wall requirements:
Reviewed By: Date//
G:/FORMS/Building Permit Application Rev. 11-26-04
3569 BIRCHPOND ROAD
CERTIFICATE OF SURVEY .
E i- ,
UT" R TZ D
EWD Pa R sv~w `7 , I-1
LUNDGREN BROS. . o
p For: . w
L!
Date
=N~a
BAGAN F.NGII'iEt`1~~' i
j PROPERTY DESCRIPTION: Lot 15, Block 1, TERRA GLENN m
• W -
ADDITION, Dakota County, Minnesota. ~ Z
Q
M ~~~a
CL ia:: 10 G! ~40-or ILL Y y rn o ( & o
gsj
Y , We hereby certify that this is a true and correct survey of the above
_ r described property and that it was performed by me or under my cc 3
1 ou~;3 g~
N a
CL
8 under the
C) - ~ 51.5 4 7 . Q o w a W ti direct supervision and that I am a duly Licensed Surveyor
(848 81 00 05"E o 115 laws of the State of Minnesota. That this survey does not purport to
LL J 32
10 .0----
- 4 84~, C5> I"? show all improvements, easements or encroachments, to the property
(
_ o
-1` ) 32 88 a co
CO except as shown thereon.
co 00
~
w Signed this 3lsT day of 2006. James R. Hill, Inc.,
(0 C)
o ( Q C'V'o N
O ( a 4631 l/~ (1 m I.D,1'R 'I;,i, 1 if
i "tlf:
1 0 1 "A! I1 RI~ i`a i. ~ t 11R i~ii1T' z
_30
(~z 5( n N By. W~
N~ Q Gar Mi e ota L.S. No. 11529 fr=
OC) (~W C)r4 >rz~ Notes: o
10 ` l 4 4 ( 4 (O 1. Building dimensions shown are for A Denotes set spike o
Ix co horizontal & vertical placement of structure 0 Denotes set iron monument1 Y o
ON only. See architectural plans for building Denotes found iron monument 1 0°
r P g x927.6 Denotes existing elevation U mZ
& foundation dimensions. (930.0) Denotes proposed elevation M
L6E
2. ~rn c° - - - - Denotes rear of building pad o
v, Q I Q 2. No specific soils investigation has been g p
oQ ~ Q Denotes proposed drainage oa
~3 o o; / S n / completed on this lot by James R. Hill, Inc. TC Denotes top of curb
C?
31'91 N O a o~ s9/ ro ca . 40 The suitability of soils to support the specific
/~~(8R* >1 ~o 0) 0 house proposed is not the responsibility of Bench Mark: DRAWN BY
S 849.36 - TNH-Lots 13 & 14, Block 1
OQ o ^ James R. Hill, Inc. or the surveyor.
`SS9 Ass ~ / ~/N 3. No specific title search for existence or non- Proposed Garage Floor- 849.7 DATE
0(91 ~ existence of recorded or un-recorded easements 850.1 1/23/06
`N / Proposed Garage Top of Block=
r , 20 (8 \ / p / N has been conducted by the surveyor as a part Proposed House Top of Block= 850.1 REVISIONS
of this survey. Only easements per the recorded Proposed Lowest Floor= 841.4
Proposed Top of Block
( f 2 plat are shown. 844.6
R 4. Proposed grades shown were taken from at Egress Window=
~a / the grading &/or development plan prepared by Bearings are on assumed datum BOOK/PAGE
2 ~o~oF JAMES R. HILL, INC. NONE
Scale 1"=30' CONTROL NO.
21192
I INIAIN CAD FILE
LOT 1 = 15,708 SQ. FT. SAN. SERVICE INVERT 261018.dwg
's~NI, ~kt:I lI(1V t~Vl~ll~
PROPOSED HOUSE = 2850 SQ. FT. ELEV.=837.4 PROJECT NO.
3:1 Maximum Slopes I AL I t f ' " 1I 16HI:D OR 18.14% OF LOT AREA 261018
or Retaining Wall Will / FILE NO.
Sa Required DRIVEWAY = 1045 SQ. FT. DRAWER
SHEET 1 OF 1
a
-a
Truss ID: R08 JtD 228688
,C;,% o
Platin s9ec dPiST/TP7 - 1995 This truss is designed using the
Job Name: CORNELL E
TC Ixn 59f 61Jf2-L4N gg CE7-95 Ntirol 5pectfi[atran o
rn
IxA SPf 2l!/d2-CAN TNTS DES3GN 35 TTL COHPOsTm May OT 91d3 fnciosed = Yes, Inpartance Factor = 1.00
NC 7,C) SPi STUD-C4N kUli!PLE LORD CASES- Truss Eocation - t*3 End Zone
= B o
(BL Bilk 2.4 SET Y3Ja7-um 17 .13 IF HRIGTRS ARC INDICATED CN TOS URAWK, Nurricane/Ocean One = hb Ex'p Category
34 511 _1111Y AVE E SEtl (IN 3.5' IUNGER X010 ECti Bldg l e+uyth gl Wrdth - 4b.03 ft
1-PLY AND 3' MX40SR NAILS FM FIA_TI-PLY = Lu3.U0 1't, t, nRh 90
< 23 . 3 ft, =
_ 36 than root height f
IRCIler truss place values are based on CIPMERS. TF 7.5" GUN NAIls ARE USED, lAE TPI Standard Oceu "t Eezd load - 12.0 Ps N
testing znd approval as required by Ifl. 1703 HANGERS MUST 6E RE-EyALU4TID (OY OTHERS)- Oe~iyned as Win Mind , rce Resisting SYsren v
loaded for 1D Psf non-noncurrent BAL. ard fined as W and Cladding 3i
and ANST/TPI and are reported in available Drainage mast be Provided to avoid poodle Tributary Area = 46 soft
Enanerts sv[h es I{e0 for a. yap mye adequate staples for WE blocks-
End ver[icals designed for axial lords only. 110110 NG ORTIZ MUST wyatlY WE LORDS!
Extensions above or belar the truss proii la grace gzble studs in accord_nce with -n
(it avp) require ad'~itional consideration Tru's. Systens standard gable bracing ~POBLpq THE 4TH VERTICAL STUD rROM ~p
(try of ers) for bmriz. loads on the bldg. details ;-id cbarts. TILE RIGHT ENO HOST BE CM OUT AND C31
RE UP THE T GRACE, AlA THi
REKAIVI NAINING PLATES NUST BE FULLY LY IHIA[T am
AND PRESSED TN THE WW PER TPI STANDARDS. tr
91 f _ REPAIR = BY 1+Oi OVER CU[. 1,0 P<EPAIR
IYf1 35 NECESSARY. r-
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rr~20
r~ 1 2 3 4 6 7 6 9 1011 1213 l4 t
VERTICAL STUp T.1tlY AIR111A
UP TO THE T BRACE THE BOTTOh1 CHORLO -1D 1 10
aHfQ
3-0 1 17
i 4-4 2-3
is a To
Iui:Ml:ltr<'fM'rnr rual'!'ulsrl..a-"'i-
OVER CONTINUOUS SUPPORT
<4"C ATWN'. OR REP011-1 tl !i rRi:r 'D
~i
D1 ?IE C10.1:iUEi('lk ' - ItEt`i SLf fCt'151i1,'
2-" tNOlTLt I'i t131; fir I {tl'1TFRit•
1$ 19202122 242526272829303732 o
91911 o o1 0 0 0I 0 0(`` i a o FE5 ' ICI. I SGT t . YJi I IL 1,AVIt S
2-84 qYY~_3~l~~Y~Y~At it~.~~ ~ Of' it) t'' T 1f Q. SIc C)C_w
x ~RIC'iT:tN(l J tt
TYpfCAt PLATE : 1-5 4
)tl_C.:1Sfi1t'ilUV'-OE). 3}3t1 ~
nit rf: _ [
car
m
4M 7!24 n0
illrcd tef Jdnl tlelats Reporl.
TRUSPIUS 6.0 VER' T6.4.28 Tncval Sysixrr+sflalas~e26 aunkss ef[vnb yeTiega.} •H 116 ca) r tAIC {TVR.tA 20 caj. t+^
tirr"tairl~a+,esanatatsairz'ne0~esse aivrc~assrcwnaeure.Shi' ~~sa[e l3tysloa+i+dm~d wlaswcluril ~A[3 Cu Si: LUNOGRfN 0 BROS.
AUTOMATED WARNINGRead all notes on this sheet and give a copy of if to the erecting Contracr. w0• D rive s M61497_L00005-300001
o
nTT/~,//G -msd+➢^~~~a.~ve:alrue:9~.,w_N..attv~+t:an Eh+rex-.ear:eo^sC<3ioan6poFee>h'iivr~we,~rm-rsal--r $LC= 1$ W!' 201*
<a:svre3f rlr~?,jo.al a,u a} Dsgar-. CLS
sna~enax ardenz..rh ne omsn:.-rs"csctSF~»!r1PJV~i:^saiaeM na rssp[n~A'ti
Rep Mb
{1I2. V.ttY 0
,d. d t' daqo!a aye r. -itt- nreaaroe:mar a,:.uhw Rep Mbr Slid 1.15
Q 1o~ av-cyrr,p rtrw+F .~aavi 0
15
COMPONENTS TC Live 37.0 psf
a.•lea'suRva r. n`m,ceac +n:_~u ea din K:aln9 rrseml Erne I -d Vaare . paAwra r.~=.w a3~,~~s 0s lid S
nan+ecm.d~ yar,~ntr,wou<,m+r:ieat~.izdextasMm.el:ee.arerersar~*s IC Dead Rep Xbr Conp 1.00
a,-d.-;.,rt,~.zo~re<.ua.er~eaw,+,,,~wtra+n~.ro>"dw.-~o-~ar~,s~^~ti~ne•red,ru~yk~sr.'mbc.rr~re"i
9C Live 0.00 psf Rep hibr Teas 1.40 'Irl
100 Zephyr Avenue SO(Ii 8C Lead 10.00 pct O.C.Spacinq 2- 0 0 0
Montrose, MN 55363 f.erxztaea:m~nantexr~>_ta~~~""':orrunNlSari- LW+su~+t'.'xrul'~~7^ry~^~ Design Spec IRt
lNB _KdSla'd~Gcia~3P~~+f~N6V6UrClfS7XUNGlJf]fiPAr~Fr ~a~~rn n u wY10~"° s"~ 9 TOTAL 32.00 psf pEFL RATIO. L/740 TC: L/18 n.
-b~Ir-sHy91SllM)7}ttYSffrFEYIFi.T«TruasF.+el tik'r.fr~96
pNONE (800) 248-A041 c+h
FAX: (763) 675-3522 ~r.++• :^rm-ti~e~ro*t~~a,e~µrrnsx: xII&II Ss i. We.sk m+.%,'a;h:ItAcc auar•_.
Site address:
Lot Block 1 Subd. 17e ''-fi-R C-' mow)
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 following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
t'ff ~S p
0 00 V C
Furnace
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen
Bathroom i
X41r~ c.~F}I s Y!
Bathroom 2
CF M ~ U t
Bathroom 3
rM 5D
Bathroom 4
Other
VENTING
FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT A7MOS
Plag, /1
MAKE-UP AIR MODEL TYPE CFM's
\j r) A) EE ~~9' a
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
S gn yore Date
ILI
Company Nam
This form is the responsibility of the General Contractor.
I
2- 7-06; 9.22 ;ELANDER MECHANICAL ;612 445 7487 # 1/ 1
Date: 2/7/2006 Revision Date: 2/7/2006 New Construction
Site Information
Address 1; 3569 Birchpond Road Project
Address 2: Lot:'/ Block:
City: Eagan County: Subdivision: CGc,c~~
Application Information
Business Name: Elander Mechanical, inc. MN Contractor License
Contact Person: Todd
Office Ph: 952445-4692 Fax: 952-445-7487 Cell Ph:
Address 1: 591 Citation Drive
City: Shakopee State: Minnesota Zip Code: 55379
House Details
Square Feet: 5761 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 227 cfm.
Minimum Continuous Ventilation :75cfm.
Intermittent Ventilation: 152 cfm.
Combustion Appliance
Water Heater: Power Vent Input BTUs: 40,000 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 Solid Fuel Appliance(s): No
Exhaust Equipment
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 1,35
Exhaust Fan Rating (cfm): 300
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
Round Rigid Required: 3 inches or Insulated Flex: 4 inches
Applicant Name (print): (1j9C.L6F 2t Signature/Date:
Code Official (print): Signature/Date:
CJ 2004 CcntcrPcint Enert,y Minne-asco. 2004 Mechanical Code Guidelines. Pag, e t
Site address: i2C p6iA~ Lot J3 Block Subdjil-5,q x s
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 following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater h
10-S k 'TO 0 ox tl~
Furnace
5C) U ? Ct ) V
Dryer VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES NO
Kitchen kitchen
Bathroom 1
Bathroom 2
f'u5 rG' .5
Bathroom 3 5D p
Bathroom 4
FM ~~o
Other
VENTING
FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOs
),r-
MAKE-UP MODEL TYPE CFM's
hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
&Iv, - -o6
Signature Date
-1W QD Cam'.'
Company Name
This form is the responsibility of the General Contractor.
Address: 3569 Birchpond Road Zip: 55122
Lot: 15 Block: 1 Subdivision: Terra Glenn
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON 7
Yes No Comments
Final grade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway r/
Permanent gas t/
Retaining Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
BUILDING INSPECTOR:
Cd/Bidg Insp/Forms(20041Checklists/Master Checklist For C.O.
CONTRACTOR:
Lundgren Bros.
545 Indian Mound E.
Wayzata, MN 55391
i
Use BLUE or BLACK Ink
I---
=mum
City of Wa Permit
I I
3830 Pilot Knob Road I Permit Fee: Q • l
Eagan MN 55122
_ I 1
R i Date Received:
. Phone: (651) 675-5675 K
Fax: (651) 675-5694
MAR U 5 2012 t
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date• Site Address
Tenant:
Suite 0:
RESIDENT/OWNER rd
Phone:
a/Cafty :Zip.
v
CONTRACTOR Narrie: MILBERT COMPANY INC.dba CUUJGAN WATER
Address: 180150"' ST EAST City I NV R GROVE HGTS
State: MN _zip: 5----- Phone: 65.1 .::451-2241
Contact BILI..MILBE1T`•:I. Email'
TYPE OF WORK _ New eplacement _Repair _Rebuild _ Modly Space _ Work Iri.R.O.W.
Descrl tion work:.,
PERMIT TYPE RdIDENT/AL
Water Heater _water Softener
Lawn IrrigatiOn RPZ PVBj Add Plumbing Fbdurea Main Lower Level)
Septic System Water Turnaround
New
. -Abandonment
r
RESIDENTIAL FEES:
$55.00 Minimum Water Hooter, Water Softener. or Water Heater an Softener (includes $5.00 State Surcharge)
$35.00. Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtutes, Septic System Abandonment, Water Tumaround' (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 Ita 5/8" meter is required)
$105.00 Septic System Ne* ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliance:, ductwork, etc.) (includes $5.00 State Surcharge) rT~
TOTAL FEES 5
CALL BEFORE YOU DIh- Cali Gopher State One Cali at (651) 454-0002 for protection against underground utl1hy damage.
Call 48 Hours before you intend to dig to receive kx atas of underground utilities.. www.oooherstateonecmll.om
I hereby ackn Hedge that this lyd~ madon 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 riot a permit, but only"an application for a permit, and work N to witlW a permit; that the work will be in
accordance with approved plan in case of work 01ch requires arovlew and ap
3: x
Appiicanrs Printed Name App fit's, ignature
FOR OFFF E`USE,
R~°~ Rev~ewe By. p
q~jred`Insp. s d..
( R
_1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113973
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 3569 Birchpond Rd
Lot:15 Block: 1 Addition: Terra Glenn
PID:10-75400-01-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jackie Terrell
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 -
David W Kelly
3569 Birchpond Rd
Eagan MN 55122
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
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