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3573 Birchpond RdiNSULATION INSPECTION CHECKLIST FOR RESIDENTIAL BUILDING PERMITS PROPERTY LEGAL: A 'r 16 %3toC K l PROPERTY ADDRESS: 35-7.3 " ?? ?? 1-c: kFAv J RA INSPECTOR: aIf'`,o 4) We"; ta A}4{ INSPECTION DATE: ? 3-(,3 °`nz d o a Z Z SITE GRADING ??? All slopes 3:1 or flatter? ??? Slopes steeper than 3:1 require retaining wall. Are retaining walls present? ??? Does grading conform to As-Built Grading Plan (+/- 1 foot approximately)? 11 ?? Does perimeter grading tie in well with adjacent properties/undisturbed land? a ?? Is there proper grading and/or drainage around Lookout or Egress Windows? EROSION CONTROL ?? ? Is Silt Fence (or approved equal) installed and in good working order? (? ?? Is Sod/Fiber Blanket installed behind curb? ??? Is the Rock Construction Entrance/Driveway installed and in good working order (proper type/size of aggregate, clean-not covered with soil, etc.)? ??? Is temporary vegetative cover w/ mulch present? ??? Is permanent vegetative cover w/ or w/o mulch present? (circle one) CITY EASEMENTS AND UTILITIES ??6 Are all easements clear-no part of any building/deck/porch/retaining wall/etc. encroaching in easement? ?1 ?? Are catch basins present within the property or in the street in front of the property, if so are they clean, do they have the proper erosion control in and/or around them? ??0 Does the property have an Emergency Over Flow (EOF)? This can be found on the Certificate of Survey. If so, is it present and has it been graded properly? MISCELLANEOUS ITEMS ?al ? Is there tracking present on Public Right-of-Way/Street from construction site? 10?? Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line) li ?? Is the site clean, no trash and/or construction debris lying around? It?? Was the proper type of building constructed according to the approved grading plans? (LO, WO, FB, R, etc.) - ? &- 7.sYr4 ' - ? 2006 RESIDENTIAL BUILDING rExMnT APrLicaTioN PL 757,7? City Of Eagan 7 7 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reauirements V5 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed buiiding is to be placed on disturbed soil copies of plan showing beam & window sizes; poured found design, etc. v I set of Energy Calculations ? 3"copies of Tree Presecvatlon Plan if lot platted after 711193 Rim Joist Defiail Options selection sheet (buildings with 3 or less units) V,,Minnegasco mechanical ventilaUon form ? ---, °1'1A? I1AI ?r 60 ?, 7???(cl RemodeVRepair Reauirements Office Use Onlv 2 copies of plan showing footings, beams, joists CeR of Suroey Recd N 1 set oi Energy Calculations for heated additions Soils Report Y_ N 1 sita survey for additions & decks Tree Pres Plan Recd °v''Y _ N, Addkion - indicate if on-site septic system •''? Tree Pres Required i k' Y_ N On-site Septic System _ Y_ N "`1 'vfia.? L?k,." 7 & ,1?'L•?`t' 6"tt i;:Ar. Date Construction Cost Site Address :3 5- 7 Unit/Ste # 4 i ti f W k D escr p on o or Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2 Property Owner Telephone # ( ) _ .?/1 ? Contractor Address City WCt`-t ,Cr Tc- ? State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A MEW BUILDiNG Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet ^ • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 month , has the City ofi 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 Mechanical Contractor ? ?tx ???'??-?'?• Sewer/Water Contractor S11? ? ?U`-t ?=?"4 Telephone # (YS4-- ? (Al Z. Telephone # (YS24 ?f Telephone # (?.?? N? ? 9 ?iclf 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 .n u? G'_y1,tQ ?'?- Ce( 2- 2- 13 3 A?p' ant's Signature ? T DO NOT WRITE BELOW THIS LINE , . Sub Tvpes ? 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 l? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Misceilaneous Work T es 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 Description: Water Damage Yes Valuation Occupancy MCES System Plan Review ? 100% or 25% Census Code C91_ Zoning /-? City Water SAC Units Stories Booster Pump # of Units ? Sq. Ft. PRV # of Bldgs ? ? Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS I\ Footings (new bldg) Sheetrock _ Footings (deck) ? FinaUC.O. Footings (addition) FinaUNo C.O. ?K Foundation _ HVAC Drain Tile Other Ice & Water Roof Final Pool Ats Ftgs Final ? Framing - _ = _ _ _ Siding Stucco Lath Stone La Brick ? Fireplace _?(R.I. _)(Air _ Test )(Final _ Windows _ Insulation _ Retaining Wall Approved By: - J t.,., , Building Inspector ------------------------- ---------------- ---___--------__--_________________--------------- ------- -------- ----- -- ----------------------------------------- Base Fee /3 Surcharge Plan Review ?? ? Q&?-? MC/ES SAC r 3% City SAC Utility Connection Charge t7 S&W Permit & Surcharge Treatment Plant .i"" 4?J License Search Copies Other 7l 6) Total 40 - City {nspection Dept. Copy City Forester Copy Applicant/Buifder Copy Development _Trtzz? &CEINN Lot Number Block Number ? Address ? iRC.?,'{'DIS)D RD Builder La?jt)6'RC lQ U01. C.ONJIT TWcf Phone Number: W"" g+er'?. l33 Contact: aoft? C)`atfA (z,& Tree Protection Repuirements: Tree Protection Fencing "Installed On Site Oak Tree PI'uning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be installed Other: Replacement Trees: ? Not Required As Follows: Attachments: Yes ivo Additional Notes: H:\ghoveV006f1e\treepres\Tree Preservation Plan Summary-2006 ; EAGAN ?Q ?TRy plvJ '?-.. REVl8 ?RE ? s/o? ' aAre C (BUILDER, PLEASE READ ATTACHMENTS) i nT -1 r L_V I I ?? ? n i iT1 n-r n VVIL_VI V , ? .-?6l' 6 P? 3966c 39 01\6 o O?s7i i 3708'(? ,?? ' / \ 3713 3712 37* q/? 1it o 001 ? v a82pAp 46" ? ? ' ? \\ ? 17s ? „, -r? ?, ? 0° t ° ? --.5 9 N?C• ??i ? ? G? / \ 0 GP ?Q'?- ?? u' I 0? ? p. F? 1.70 ?p 6 p ? OP? \ g 6 p 6 OQ 1? 0 9 / Q- CP. ?2 0 1ry e??\? ? ? +0ti?? ? P v / ? , , ?? ? ? H Oi .? ? ? o D?^???L1 ? Q0 ' ? DENOTES 0 EXIS7ING TREE SAVE I'C?NEXISTING TREE REMOVABLE rn ° wEXISIING TREE CUSTOM PER TREE PRESERVA710N PLAN 3573 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. i nr i a ai nru i TERRA GLENN ADDITION Tree Preservation plan Pre House Pro osed Post House Development Construction Tree Preservation Construction Const. As-Buil t Post House Const. As-B uilt POINT N0. ELEV. TYPE DIA N ? O v 7 ? Z w 0 can 0 v O ? ? w w ? 3702 850.5 ASH 11 X X X 3708 852.7 OAK 8 X X X 3709 854.9 OAK 7 X X X 3710 856.0 OAK 1 X X X 3711 855.9 OAK 7 X X X 3712 856.6 OAK 9 X X X 3713 858.2 OAK 8 X X X 3965 848.5 ASH 8 X X X 3966 849.1 OAK 7 X X X . ? -?? =??m =N?? ? ? 4D ? ed ? U W ?N .10 (L?a Z ? w2 vi ? Qr O 0 s ? ? .? ?o Y ? O mo Q c6F W ? ?Q O DRAWN BY MAL DATE 9/6/O6 REVISIONS Preliminary Tree Certification During a site visit on September 13, 2006 all significant trees designated to be sdved 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 house has been staked. Tree fence will need to be placed outside the dripline of all significant trees to be saved. Future grading and construction should not hove a negative effect on these trees. BY oL'"9Z?t Date; 10" 4' 06 John L. Benner, Minnesota L.S. No. 26708 By Date: Signature of Owner Scale: 1"= 30' Page 1 of 1 James R. Hill, Inc. BOOK/PAGE NONE CONTROL N0. 21192 CAD FlLE 261313 PROJECT N0. 261313 FlLE N0. DRAWER SHEET 1 OF 1 i nT j -7 ?_V I I / 852 555 ?5;5? L;ne ] E1.ANi?ER ht LCHA 02:20:29p.ni. 09-21-2006 1 r2 New Gonstruction Project #: Lot. Block: Subdiuisian: l1+iN Gontractor Licer€se #; Cell Ph: Gify; Shakope2 State: Minnesota Zip Cade: 55379 Da#e: 9I2112006 Revision Date: 9/21/2006 Site InformatPOn Address 1: 3573 B6rchpand Road Address 2: City: Eagan Cnunty: Appiication information 8usiness Name; Elandsr 1Mechanical Inc. CorrtaCt Per&pn: ToCid Office Ph: 952-445-4692 Fax: 952-445-7487 Address i: 591 Citatiaan Drive Ftouse Detaiis 5quare Fest: 6257 sq. ft. Aig. Ceiling Nt: 9 ft. Number of Bedraoms: 4 Ventilatian : Batanced Tatal Ventilatian Gapacity : 207 cfm. Pviinimum Cor,tinuous Verrtilatiaro :75cfrn. Intermittent Venlifation: 132 cfm. Comibustion Avoliance VIlater Heater: Power Vent lnput BTdJs: 75,000 Independently Vented FurnacelBoi{er: Direct VenVSeaIed CombustEon onput BTUs: 90,000 Indeperrder,tly Vented Other Cambustfon Appl9,ance? C;as Fired Direct Ven# Firepiace(s): 1"es Gas Fired Pcm+ver Vent Firepiace(s): No Gas Fired Nacuraf Draft Fireplace(s): Na Solid Fuel Appliance(s): No ExMaust Eauipment Contirtuous Exhaust Ventifafion Capacity (cfm): NA Clothes Dryer (cfrra): 135 Exhaust Fan Ra#ing (;;fm): 640 MAke-Up Air No Make-(Jp Air Required by Code Combus#ian Air Round Rig;d Required: 5 inches ar ltisuEatsd Flax: 6 inches Appiican't Name (print):ur Code 4#ficial (p,,int): _ Signature/Date:____?? -Zt SignaturelRate: C12004 Ceilcerk'oiiit ?---iiergy lYiinnegasco. 2004 Mechx:iical Code Guidelires, Yage 1 / St?bd. t???ti?l./ 5ite address; Lot ? B1ock On Aprii 15, 2000 the Minnesota Energy Code, Category IBuilding Requirements fnr insu9atian protsction, air tightness, and ventiiatian, was adopt+ed. As a result, the City af Eagan is requEring that the foilowing intormatlan be submitted prlor to issuance of a Certificata of Ovcupancy. This structure: is c4nstructed Ra meet mtnimum requiremants o1 ihe Mn Ensrgy Cade, Chapter 7670 OR This structure: wrlii be constructed ta meet rnore restricSive requiremenls of Chapters 7672 or 7674 APPLlANCE GAS ELEC MAhlUFmCT'URER NlOQEL ? BTU"S VENyiNG TYPE Water Heater o so ? q U 6 C w '? V ' . Fumace t? ,r ,( 1f C? ,?} 11 iIIC Dryer C.-u?1k Z4= C, ?7 i,Ci.?,? 2e2 Cj0;,, EXHA't7ST SY5TEIN ? LC1GATlON TYPE MQIDEL CFM°s VENYEp i ves ho Kltchen kitchen ? Bathroam I ? {? ? L" 1N", 5?j Salhraom 2 Baihroom 3 Bathroom 4 Other vcr.??., ? iM?- L.?IIV? l,1Cl ? v v\ ..t^ L? < Sign?tu ? ? Date ?'Ompany ?v'a?ne .-_____ ' I'his torm is the rasponsibiliry of Ehz General Contracdor. I herebyr acknowledga khat the above information is cor;ect and agree to comply a?.ith the Min requirements. reso[a Energy uode and City oi Eagan - ?? Permit Number RE5check Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheck So$ware Version 3.6 Release 2 Data filename: G:\CAD\EnTRADIT-l\Kenton\C-CRAF-l\KENTON-l\FULLAN-I.RCK PROJECT TITLE: EI Kenton C- Cra$sman COiJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.17 DATE: 09/ 12/06 DATE OF PLANS: 08-31-06 PROJECT DESCRII'TION: Inventory Home 3573 Birchpond Road Terra Glenn Eagan, MN 55122 DES IGNER/CONTRACT OR: Lennar Family ofBuilders 545 Indian Mound East W ayzata, MN 55391 PROJECT NOTES: Full Lpwer Level 9' Poured Foundation COMPLIANCE: Passes Maximum UA = 661 Your Home UA = 644 2.6% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1957 44.0 0.0 53 Wall Rim M.FIr.: Wood Frame, 24" o.c. 202 0.0 12.0 21 Wall (egress): Wood Frame, 16" o.c. 108 19.0 0.0 4 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 32 0.330 11 Wall Rim S. Flr.: Wood Frame, 24" o.a 204 0.0 12.0 21 " `Wa11 (main): Wood Frame, 16" o.c. 2040 19.0 0.4 93 Window 2: Above-Grade:Wood Frame:Double Pane with Low-E 422 0.330 139 Door 1: Solid 38 0.067 3 Wall (upper): Wood Frame, 16" o.c. 1535 19.0 0.0 76 Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 240 0.330 79 Basement Wall (full): Solid Concrete or Masonry 1634 0.0 5.0 131 Wall height: 9.0' Depth below grade: 8.5' Insulation depth: 9.0' Basement Wall (egress): Solid Concrete ar Masonry 69 0.0 5.0 8 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Floor 1: All-Wood Joist/Truss:Over Outside Air 42 24.0 0.0 2 Floor 2: All-Wood Joist/Truss:Over Unconditioned Space 136 44.0 0.0 3 Fumace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Aliowed U-Factor Above-Grade Windows and Glass Doors 0.330 0.370 Includes Foundation Windows > 5.6 $2 Floors Over Unconditioned Space 0.023 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(fDrmerly MECcheck) and to comply with the mandatory requtemeris listed in the REScheck Inspection Checklist. Builder/Designer Date ` ? ? 0 VI !WED B?_ .?.? ? .?,..,.?. Da4? l EAGAN F.NGINEERING DEPT, n i i-r? n-r r, vviL .vi u 0 0 $6?j li ?&! kd R3 f??' ?aS i: I nT j r L .v I I ?..? e? ?- -? , ? e16,? 6 1? ° ? 1itp ?,Q r8O0 84s 84.4. 49?? S%9 , \ ,? ?. 0 ? \ 8p ?. S8 ? ? \ ? f S. ? tK0 .L i nT .1 -7 L_V I I / ?F?i-C) .pP-Q--? e? ??• ea 5 ' J` c? ?y5 0 ? ,??? O t a52 6 ??,?°? ? ? /?p A A EN?? ?SP1?? 8 oP p? 849 a4 ? pR c??lo?s,? F\,o .? ?`s '?? ?,• % i i? s 5N,01?? 0 bc n ? ? ? / ?y0 fN , % 17o . i ? 1 0,? \_ ??1• ???{ \ . ?Q Q?????? ?A - >g gIK ,?ZoQO?- Q Aza4Z4 z??°? '?oQ 4,,A,?i'o?' ? 7 \ A. ? /O O? ` ? ?V, 0 tx":)ti_'J\Q D'? 0 Q ? G V 3573 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. PROPERTY DESCRIPTION: Lot 16, Block 1, TERRA GLENN ADDITION, Dakota County, Minnesota. I We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 4+t' day of 2006. James R. HIII,111C., ? ? `4D?.? ANI} iV1AI;\i'IAI"v :0l'I;t.`TION ?.'\T11, ? By. Jo L. Benner, Minnesota L.S. No. 26708 ? 1, Building dimensions shown are for ? horizontal & vertical plocement of structure only. See architectural plans for building & foundation dimensions. 2. Na specific soils investigotion hos been completed on this (ot by James R. Hill, Inc. The suitability of soiis to support the specific house proposed is not the responsibility of James R. Hill, Inc, or the surveyor, 3. No specific title search fw ezistence or non- ezistence of recorded or un-recorded easements N has been conducted by the surveyor as a part of this survey. Only eosements per the recorded piat are shown. 4. Proposed grades shown were taken from the grading &/or development plan prepared by JAMES R. HILL, lNC. LOT 1= 16,058 SQ. FT. PROPOSED HOUSE = 2708 SQ. FT. 01R 16.86 % OF LOT AREA DRIVEWAY = 850 SQ. FT. Notes: p Denotes set spike o Denotes set iron monument 0 Denotes found iron monument x927.6 Denotes existing elevation (930.0) Denotes proposed elevofion ---- Denotes rear of buiiding pad Denotes proposed droinage TC Denotes top of curb ---- Denotes rear of Building Pad per grading plan TNH-Lot 17, Block 1, Terra 1st Addition & Lot t, Block Bench Mark: $53.03 _ i Terro Glenn 2nd Addition Proposed Garoge Floor= 851.5 Proposed Garage Top of Block= 851•9 Proposed House Top of Block= 852.6 Proposed lowest Floor= 843.9 Proposed Top of Block at Egress Window= 847•1 Bearings are on assumed datum SCale: 1'=30' SAN. SERVICE INVERT ELEV.=838.5 • CN zt N N ? N:9 4D gb = g W c.,? ? Z ? wz 7 ? o ? ?o ? ?o U0 e o0 V °Do ? mF rg o ? 0Q V DRAWN BY MAL DATE s/s/os REVISIONS BOOK/PAGE NONE CONTROL N0. 2„s2 CAD FlLE 261313 PROJECT N0. 261313 FlLE N0. DRAWER SHEET 1 OF 1 V?r iail l?iN ,? Raquired 'Al -7 7oC,? / 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION _ . ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ;N, 651-675-5675 P4lease,complete for modifications to existing residential dweHings. j'?5 _s o ,, .. Date . ? / G'3 / 0 Site Street Address 3Y-73 iR c 0 Unit # Property Owner -,L-ati'iRF, goeo?j 7elephone # ( ) ?j ; (a q 2 Contractor % hJ v i 1'11,C - Telephone #(rp,f1 ? 7?"97oo Address o? C ipiuE ? 1- City 4LJOO B? State''/A/ Zip? The Applicant is: _ Owner V Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If rL are installinp only a water soitener andJor water heater, do not complete this section. Move to the next section and check the appliance(s) you are instalfing. _Septic System Abandonment _WaterTumaround (add $125.00 if a 5/8" meter is requi ) Other: V 00 $ 15 Water Softener Water Heater . l t &-- 'n ew _ rep acemen Lawn trrigation ?RPZ _PVB _new _repair _rebuiid $ 30.00 State Surcharge $ .50 Total $ IS. EO I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wi{I be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an appfication for a permit, work is not to start without a permit and work will beJO-09ordancE_y,?appraved plan in the e nt a 1 ' required to be reviewed and approved. t1'i? - ? Applicant"s P inted Name Applicant's Sign re Address: 3573 Birchpond Rd. Zip: 55122 Permit: 75874 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON : ?Zl?,ta 1 Yes o Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - xnain entry Permanent driveway Permanent gas Retaining Wall or 3:1 Max Slo e 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. ? B UILDING INSPECTOR: i 4w ? ? ?i7--:_? 0 - (_) 7 Use BLUE or BLACK Ink r—————————————————+ I For Office Use � C' � Permit#: / ���C�� �� ity of ���a� I Permit Fee: �"�S� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651 j 675-5675 I I Fax:(651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� �� Site Address: � � � 3 l�1 i"�-�1 ��''� �'p Unit#: �� .�-� � � �- r--�� � � � ,��r� � Name: r ��� � v�--Ze..�- Phone: �4 � F �,�� � Address/City/Zip: 3 ��3 �1`�����'�/ � �f � �� �� '��E , s�; Applicant is: Owner Contractor � � 1� �,����� Description of work:T��r� `� ����� � � Multi-Famity Building: (Yes /No ��� � 4°: Construction Cost: � ""� �� ���� a � ,.,_,' n �;,�-� � `����� Company:�l���'7� `�����S Contact:���'' I t�vX.�B rlL, � �� � ry /-� �� � Address:��U � G�^�"��"' � City: �-t�c.I���. �� �,� � ���� `� State:�Zip: 4 2 Phone:���'��I��b2 Email: ` ' �'�- License#: 1��"' t�2--(�`Z,� Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: � 1�� P�`a��'�'�����f��t�����#y�r�s�b;t����+c��s�t�d i���t�����?�� �r#�it��f= ��������`+��c�es�'�'�s r�rr�#���`�������e�� �� � ����� � ����� .���:..,. '- �.�. � ��,fi�c.. , .,, :��'�P,M.,;.,-��..�, ., ��i , �✓,�. �����, a`.. T'����,�r�'�„�,�x,,��+r„_, � S,.,i�,:, �'� ,,,,�`.,�, � 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.aoaherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in n ormance 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 wor is ot 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 f pl s. Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Code must be completed within 180 days of permit issuance. x >�,A-+� �1Q��L► x ApplicanYs Printed Name Applica 's ' � Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164261 Date Issued:09/23/2020 Permit Category:ePermit Site Address: 3573 Birchpond Rd Lot:16 Block: 1 Addition: Terra Glenn PID:10-75400-01-160 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Timothy Tweet 3573 Birchpond Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature