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
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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
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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
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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
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DRAWN BY
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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
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DRAWER
SHEET 1 OF 1
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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 ` ? ?
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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
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DRAWN BY
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DATE
s/s/os
REVISIONS
BOOK/PAGE
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PROJECT N0.
261313
FlLE N0.
DRAWER
SHEET 1 OF 1
V?r iail l?iN
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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.
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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.
?
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UILDING INSPECTOR: i
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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: � ""� ��
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` ' �'�- 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:
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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.
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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