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3574 Birchpond Rd -1aA~R L (01j.1( . _:~A 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION PC' l aqq a - c:i City Of Eagan F 3830 Pilot Knob Road, Eagan MN 55122 Telephone #+651-675-5675~I FAX # 651-675-5694 New Construction Requirements SW'V.C ,S ro ~ ✓ Remodel/Repair Requirements Offtce Use O lv~ o>~ 3 registered site surreys showing sq. ft. of lot, sq. ft. of house; an all roofed areas 2 copies of plan Cerl of Survey Recd _ _ (20% maximum lot coverage allowed) I ~ 1 set of Energy Calculations for heated additions Tree Prec Plan Recd _ Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey fof additions & decks Tree Pies Required -Y _t4 1 set of Energy Calculations ✓ A Addition - indicate it on-site septic system On-s3te.Septic System Y _N 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)' J Date 4- Construction Cost -7L Site Address i (~t;7~~ DCCIID Unit/Ste # 1 V-Y- A _ Description of Work S Multi-Family Bldg _ Y A' N Fireplace(s) _ 0 _ 1 2 Property Owner Telephone # ( ) Contractor j- yl Aa 6(y 2 LZ ~ a-S - f Address ~`],t4~ S- n / A-10 aO✓Lk~w city fly' ft- State t t=~ Zip '53 `7 / Telephone # (c75--Z) 7-3 - 05 2 5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I 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 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y O N If yes, date and address of master plan: Licensed Plumber l~,c%D I"t+✓C K ~~r C~ Telephone #65,9) '445 Mechanical Contractor kjca*f-ik)>G,4T L Telephone Sewer/Water Contractor f3 j~Z.vi mAjk/ G- Telephone # 050 r 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. S Z) ' S ~7 n pp 's Printed Name Pplicanfs Signature l~tnt A ca I OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg g3 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 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) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Yor_N ❑ 25 Miscellaneous Work Types Q 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 PGA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories 2-' Booster Pump # of Units / Sq. Ft. 7 ? Z- PRV # of Bldgs ( Length ~ a ~ Fire Sprinklered Type of Const V 3 Width 7 Z REQUIRED INSPECTIONS )0 Footings (new bldg) 4~( Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof 0 Ice & Water ~O Final - Pool _ Ftgs _ Air/Gas Tests -Final op Framing - Siding _ Stucco 10 Stone -Brick )6_ Fireplace 0 R.I. 10 Air Test Y Final Windows Insulation _ Retaining Wall Approved B , Building Inspector j Base Fee Oev &►ze-D r> De f (~I X 311.00 Surcharge &I4066-C-5 f~ (x 16-e o Plan Review X / -57, 00 MC/ES SAC /~T - s rte v ~fjSML+'tT !-`nrSff~i7 X 25-c00 4, City SAC fod/2 !a: CC'S N'i'b /8S -7 l~ 57 off F i 7~ a X y© a Utility Connection Charge OC-`n<s ,rev S&W Permit & Surcharge .s Treatment Plant License Search Copies Other Total INDIVIDUAL RESIDENTIAL' LOT TREE PRESERVATION PLAN SUMMARY CITY OF EAGAN FORESTRY DIVISION 651-675-5300 (BUILDER, PLEASE READ ATTACHMENTS) Development LEI v I-~ Lot Number Block Number Address ~L~ '-RRC" IJ b ED, Builder LWM U\~ 5izns r Lo. (\z' Phone Number: y IM -3 Contact: W , d tGM.~~ tZ Tree Protection Requirements: 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: Attachments: Yes No Additional Notes: EAGAN FORESTRY DIVISION REVIEWED BY DA7 E H:\ghove\2005file\treepres\Tree Preservation Plan Summary-2005 3574 BIRCHPOND ROAD CERTIFICATE OF SURVEY For: LUNDGREN BROS. B RCHPOND ROAD o _ - _ -R=1027.50 R=327.50 N=10 024 ' 18=01 °36c'4 „ ' L. P. cn 59.47 ~,-28.86 Y .v LE. Li _ -ro 1516 I PROPOSED 8 g DRIVEWAY I r\ r---Z--- HDUSNG GgRgCe I 20.33,0 N 12.336 STOOP , 1 - "w'xO) I vo °I 3.29 I -co GARAGE 20.03 `t I I cv -2'CANT I I EXISTING I 18.02 ----jpROPOSED F06 _ (L/0) T10N\ I 4.02 ^ HOUSE I -'(L~ I O \ (FULL) 4. I O N~ GRESS 4. ~i 2 6.276' 4. ~ I f w 9~\1~ 0 O~ co O O ~ -1 A 0 -1 I 0 to I W1 LQ 00 LO co I w ~CD 0 OCD I CP 30 z I C) I I ull I rn~ I D", I w N __a ; CO 04 rn ww I N II 0~~ N ~ I w I f C ~ w I acv L w C " I I 0o N LA J ?_1 9 )L'A I C w , .'o y PLI CA w I N 0 O to I m ~ \^I i OTE\- , X35 2 Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. w~ 3574 BIRCHPOND ROAD CERTIFICATE OF SURVE'- For: LUNDGREN BROS. TERRA GLENN Lot 13, Block 2 r Tree Preservation plan Pre House Proposed Post House Development Construction Tree Preservation Construction Const. As-Built Post House Const. As-Built o > z CD :~i w z F_ w > U) 0 i= w w ~ O Z POINT NO. ELEV. TYPE DIA < D ~ w o < ~ LU V) 0 HACKBERRY 3766 13 x 1 OAK x X_ x 3774 896 n 17 x H Ed- K X 849.4 K 377S 84&2 5 y 3777 848.1 _h6QKffSay_ 377A 10 x x :;7A8 R 3780 A C_ HACKS R 3787 847.9 3783 C R 1 X OAK 13 x x 848-0 HA x 3789 x A- 9 X H CKBERRY x HACKBERRY X HACKBERRY ACKBERRY HACKBERRY 77 x HACKBERRY HACKBERRY X 380 SH _y__ x 3832 P Preliminary Tree Certification S"' TR1 iS TO Of xfmovot> During a site visit on February 17, 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. b 0 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 have a negative effect on these trees. 0 By: Date: -Z -ao -avo 6 By: Date: 0 Signature of Owner John L. Benner, Minnesota L.S. No. 26708 Scale: 1"=30' Page 1 of 2 James R. Hill Inc. LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUILDING PERMIT APPLICATION PROPERTY LEGAL DATE OF SURVEY: LATEST REVISION: d m c C3 p Z q DOCUMENT STANDARDS ❑ D • Registered Land Surveyor signature and company ,P1 ❑ D • Building Permit Applicant ❑ ❑ • Legal description ,21 ❑ ❑ • Address z ❑ ❑ • North arrow and scale ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ,pt ❑ ❑ • Directional drainage arrows with slope/gradient % Ia ❑ ❑ • Proposed/existing sewer and water services & invert elevation ,e( ❑ ❑ • Street name ❑ D • Driveway (grade & width - in RM and back of curb, 22' max.) z ❑ D • Lot Square Footage ,H D ❑ • Lot Coverage ELEVATIONS Existing ~J D ❑ • Property corners ❑ ❑ • Top of curb at the driveway and property line extensions X3 ❑ D • Elevations of any existing adjacent homes ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches D ❑ • Waterways (pond, stream, etc.) Proposed ~j ❑ D • Garage floor "Pr ❑ ❑ • Basement floor ❑ ❑ • Lowest exposed elevation (walkouttwindow) D ❑ • Property corners ❑ D • Front and rear of home at the foundation PONDING AREA (if applicable) ❑ 0 ❑ • Easement line ❑ 0 ❑ • NWL ❑ ,Q D • HWL ❑ fd D • Pond # designation D z D • Emergency Overflow Elevation ❑ Z • Pond/Wetland buffer delineation Y . Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS ❑ ❑ • Lot lines/Bearings & dimensions ❑ ❑ . Right-of-way and street width (to back of curb) ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ❑ ❑ d any,deutilities within those easements ❑ D • Show all easements of record an Setbacks of proposed structure any.• setback of adjacent existing structures ❑ ❑ • Retaining wall requirements: Reviewed By: Date, G:/FORMS(Building Permit Application Rev. 11-26-04 3574 BIRCHPOND ROAD CERTIFICATE OF SURVEY . a B~ AD LUNDGREN BROS. P RER R O N D RO J1 r.D For. 2 w ~ ~ ~1.1 1 F1' V 1 1 1'11. R=327. 50 -1 4 ~ " N EI','~ALTt.RF IS D=10 024' 18 A=0 T l EROSION TERRA GLENN = y TC 46.46.3 Q-10'10F PROPERTY DESCRIPTION: Lot 13, Block 2, TE . W 9 & N g•4 28 g4 3 EC. ADDITION, Dakota County, Minnesota. k C (846• 8 5 r0A CH MARK o• 847.2 > ° TALE. i o < b f'LEV OF. SPlK£ f. V BENCH M ARK ca CUT,184g.4p C'4 V) r fi cW OF SPIKE vy OF °WES >'o ro I PROFF~ 4 ° 5 n ~ E EV =846.80 TOP We hereby certify that this is a true and correct survey of the above T FLOOR I DRIVEMX('' ° I CUT=6.4 ST FLOOR 3 1 I OF LOS described property and that it was performed by me or under my c -05 8.9 14 , 11 .71 (848.4) (848.4) 20133° and that I am a duly Licensed Surveyor under the a a \ekl SnN Oq N 12 _ .33- STOOP ~ 4.69 C direct supervision HOUS G RgGe I 846.5 846.4 ^ im laws of the State of Minnesota. That this survey does not purport to wf I It 20.03 X13 29 IJ 1~ B49.2 show all improvements, easements or encroachments, to the property m1- I cd GARAGE ° 21.92 except as shown thereon. d N -2'CANT.~ I' I ~ ~ , I ~ ~ EXISTING N Signed this Z7~ day of ~9~ULl , 2006. James R. Hill, Inc., 0 18.02 PROPOSED ° FOUNDAInO CIV 0o 846. 4 02 n HOUSE I cNi I I (FULL) I O 402 I i Z M I DI N GRES ~CiO I I w 843.6 BY. z q 20.4 96.27• .02~ Z B 0 T ° 1s. s~- 9 - ~76 Ga n, ~esotcj L.S. No. 11529 a Qy a- 848.7 846 Op (848.4) 9q\o ..5 20.32 ca RI c c o - I ~T Notes: o 0 L U I 1. Building dimensions shown are for A Denotes set spike L.v-F 11 A I t I o U-I 0 Un horizontal & vertical placement of structure O Denotes set iron monument s ~o 00 Denotes found iron monument I I J only. See architectural plans for building x927.6 Denotes existing elevation U a mZ z I I & foundation dimensions. (930.0) Denotes proposed elevation Denotes rear of building pad I I 2. No specific soils investigation has been - - - - o ~ Denotes proposed drainage ~Q I I completed on this lot by James R. Hill, Inc. TC Denotes top of curb ° The suitability of soils to support the specific V y I house proposed is not the responsibility of DRAWN BY Bench Mark: 849.36 - TNH-Lots 13 & 14, Block 1 James R. Hill, Inc. or the surveyor. MAL 3. No specific title search for existence or non- 848.7 DATE Proposed Garage Floor= 2Z O existence of recorded or un-recorded easements Proposed Garage Top of Block= 849.1 1/20/06 _ has been conducted by the surveyor as a part Proposed House Top of Block= 849.1 REVISIONS x s.ili. W 'I"4 1 1 DIVISION . I 840.4 J 5 of this survey. Only easements per the recorded Proposed Lowest Floor= / ,-_,DRAINAGE & UTILITY , r /BAS 6~ / plat are shown. Proposed Top of Block of Egress Window= 843.6 EASEMENT PER PLAT , 4. Proposed grades shown were taken from the grading &/or development plan prepared by 800K/PAGE JAMES R. HILL, INC. Bearings are on assumed datum NONE Scale: 1-30 CONTROL NO. 5L~ a 02~ 21192 PF EW 4., ~3~ 21 N N1 C1tLOT 1 = 21,965 SQ. FT. SAN. SERVICE INVERT CAD FILE ICE, _ r \j \ Z PROPOSED HOUSE = 2681 SQ. FT. ELEV.=836.4 PROJECT N0. 3:1 '\1M')l R Mopes OR 12.21 % OF LOT AREA 261017 D ~ Mall Will FILE NO. DRIVEWAY = 921 SQ. FT. EAGAN ENGJNEMNG D DRAWER SHEET 1 OF 1 2- 2-06; 6'58 ;ELANDER MECHANICAL ;612 445 7487 # 9/ 1 Date: 212/2006 Revision Date: 2/2/2006 New Construction Site Information Address 1: 3574 Birchpond Rd Project Address 2: Lot: !•3 Block City: Eagan County: Subdivision: " rerzj r7 &L6 &DO Application Information Business Name: Elander Mechanical Inc. MN Contractor License Contact Person: Todd Office Ph: 952-445-4692 Fax: 952-445-7487 Cell Ph: Address 1: 591 Citation Drive City: Shakopee State: Minnesota Zip Code: 55379 House Details Square Feet: 5443 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4 Ventilation : Balanced Total Ventilation Capacity : 214 cfm. Minimum Continuous Ventilation :75cfm. Intermittent Ventilation: 139 cfm. Combustion Appliance Water Heater: Power Vent Input BTUs: 75,000 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): 135 Exhaust Fan Rating (cfm): 300 Make-Up Air No Make-Up Air Required by Code Combustion Air Round Rigid Required: 5 inches or Insulated Flex: 6 inches Applicant Name (print): SignaturelDate:, Code Official (print): Signature/Date: (y 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Pale I Permit Number RESche ck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheck Software Version 3.6 Release 2 Data filename: C:AProgram Files\Check\REScheck\ I 213TG.rck PROJECT TITLE: WAKEFEILD E INVENTORY HOME TORY E COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family AA71NDOW / WALL RATIO: 0.18 DATE: 02/06/06 ; DATE OF PLANS: 2-3-06 PROJECT DESCRIPTION: WAKEFEILD "E" INVENTORY HOME 3574 BIRCHPOND ROAD EAGAN, MN 55122 TERRA GLEN DESIGNER/CONTRACTOR: LUNGREN 545 INDIAN MOUND E WAYZATA, MN 55319 PROJECT NOTES: FULL BASEMENT COMPLIANCE: Passes Maximum UA = 573 Your Home UA = 564 1.6% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1851 44.0 0.0 50 Wall l: Wood Frame, 24" ox. 188 0.0 12.0 19 Wall 2: Wood Frame, 16" o.c. 79 19.0 0.0 3 vV indow 1: Above-Grade: Wood Frame:Double Pane with Low-E 33 0.330 11 Wall 3: Wood Frame, 24" ox. 188 0.0 12.0 19 Wall 4: Wood Frame, 16" ox. 1719 19.0 0.0 72 \Vindow 2: Above-Grade: Wood Frame:Double Pane with Low-E 449 0.330 148 ti. Door 1: Solid 43 0.067 3 Wall 5: Wood Frame, 16" o.c. 1591 19.0 0.0 81 ,Vindow 3: Above-Grade: Wood Frame:Double Pane with Low-E 213 0.330 70 Basement Wall 1: Solid Concrete or Masonry 15 0.0 5.0 2 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Basement Wall 2: Solid Concrete or Masonry 1008 0.0 5.0 81 Wall height: 9.0' Depth below grade: 8.5' Insulation depth: 9.0' F1oor 1: All-Wood Joist/Truss:Over Unconditioned Space 84 33.0 0.0 3 i loor 2: All-Wood Joist/Truss:Over Outside Air 42 33.0 0.0 1 Floor 3: All-Wood Joist/Truss:Over Outside Air 18 33.0 0.0 1 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 0.330 0.370 Includes Foundation Windows > 5.6 $2 Floors Over Unconditioned Space 0.030 0.033 'OMPLIANCE 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 (formerly MECcheck) and to comply with the mandatory requirem is listed in the REScheck Inspection Checklist. Builder/Designer / Date Z~ j.0 w Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code RES check Software Version 3.6 Release 2 Data filename: C:AProgram Files\Checlc\REScheck\1213TO.rek PROJECT TITLE: WAKEFEILD "E" INVENTORY HOME COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.18 DATE: 02/06/06 DATE OF PLANS: 2-3-06 PROJECT DESCRIPTION: WAKEFEILD "E" INVENTORY HOME 3574 BIRCHPOND ROAD EAGAN, MN 55122 TERRA GLEN DES IGNER/CONTRACTOR: LUNGREN 545 INDIAN MOUND E WAYZATA, MN 55319 PROJECT NOTES: FULL BASEMENT COMPLIANCE: Passes Maximum UA = 573 Your Home UA = 564 1.6% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling l: Flat Ceiling or Scissor Truss 1851 44.0 0.0 50 Wall I: Wood Frame, 24" o.c. 188 0.0 12.0 19 Wall 2: Wood Frame, 16" o.c. 79 19.0 0.0 3 JJindow l: Above-Grade: Wood Frame:Double Pane with Low-E 33 0.330 11 Wall 3: Wood Frame, 24" o.c. 188 0.0 12.0 19 Wail 4: Wood Frame, 16" o. c. 1719 19.0 0.0 72 Window 2: Above-Grade:Wood Frame:Double Pane with Low-E 449 0.330 148 Door 1: Solid 43 0.067 3 Wall 5: Wood Frame, 16" o.c. 1591 19.0 0.0 81 Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 213 0.330 70 Basement Wall 1: Solid Concrete or Masonry 15 0.0 5.0 2 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Basement Wall 2: Solid Concrete or Masonry 1008 0.0 5.0 81 Wall height: 9.0' Depth below grade: 8.5' h}sulation depth: 9.0' f=loor 1: All-Wood Joist/T russ: Over Unconditioned Space 84 33.0 0.0 3 Floor 2: All-Wood Joist/Truss:Over Outside Air 42 33.0 0.0 1 Floor 3: All-Wood Joist/Truss:Over Outside Air 18 33.0 0.0 1 Frunace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-F actor Above-Grade Windows and Glass Doors 0.330 0.370 Includes Foundation Windows > 5.6 12 Floors Over Unconditioned Space 0.030 0.033 OMPLIANCE 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 RES check Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer ~fl Date Address: 3574 Birchpond Rd Permit: 72481 Zip: 55122 Lot: 160 Block: 01 Subdivision: Terra Glenn THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Iles No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Retaining Wall or 3:1 Max Slope Sod/Seeded lawn Trail/curb damage Porch Lower level finish Deck : -Fireplace E • 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: In l VV L R--j { f Yr, 1 F----------------- I For Office Use I ity ~of Ea p i Permit #:~''~n I Permit Fee: /f r 3830 Pilot Knob Road I l Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION / 6-7~ Date: _12-09 Site Address: P-2 ! F?ZH R V. N Tenant: N/A Suite M RESIDENT OWNER Name: I«(TH -I- IRFOX- MA IS Phone:6,01- 05-66749 Address / City / Z.ip`: 3 574 Pa fg6k POOP I9P~ I~ A6A 0 , M 0 Applicant is: Y Owner Contractor TYPE OF WORK Description of work: 1'6a M FNT F10 I vH I NC Construction Cost: 12i/;10U Multi-Family Building: (Yes No V) CONTRACTOR Name: License WA Address: T) F,010 , topc*j F. City: State: Zip: R71 G~wNC'P Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the are trade secrets. 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 tart ithout 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. ,/J/ x Ke- A, Z x 9 Applicant's Printed Name _ Applican s Si na ure D ~ ~ FE ~ W ~ D Page 1 of 3 S E P 14 2009 i ro, Pvad DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3wOa Occupancy /?6-1 MCES System Plan Reviewer Code Edition 100 ? SAC Units (25%_ 100%Zoning City Water Census Code y 3~t Stories Booster Pump # of Units - Square Feet PRV # of Buildings - Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: ,Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee / 30 f' Surcharge I ~r / I ` Plan Review HIA MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Date: 09/21/2009 Revision Date: 09/21/2009 New Construction Site Information Address 1: 3574 BirchPond Rd Project Address 2: Lot: Block: City: Eagan County: Dakota Subdivision: Application Information Business Name: Home Owner MN Contractor License Contact Person: Kieth Maiz Office Ph: 651-405-6679 Fax: Cell Ph: Address 1: City: State: Zip Code: House Details Square Feet: 5443 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 5 Ventilation : Balanced Total Ventilation Capacity : 214 cfm. Minimum Continuous Ventilation :90cfm. Intermittent Ventilation: 124 cfm. Combustion Appliance Water Heater: Power Vent Input BTUs: 75,000 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): 135 Exhaust Fan Rating (cfm): 300 Make-Up Air No Make-Up Air Required by Code Comb Round Rigid Required: 5 inches or Insulated Flex: 6 inches Applicant Name (print): Signature/Date: Code Official (print): Signature/Date: © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 0 ~ ~ Furnace fir kr in flrw .;<.Y . s Venrila» » Total 8 of Gas Fired Watw Heater Average Nee of Total VentilationTgpe--.... [in- our.) Ceiling Ht Bedroans: Ventilation ,7 Balanced a Supply Number of water heaters? One C" Two rl Required: Exhaust Number of furnacel boiars. r One f Two r1A ~ . 5443 F 9 fL 5 214 cfn ' Gas Fired Water Heater Furnace ar Bakr .f~ s- .r k Water Heater...... r- Input Btulfu ~ Input Blulhr _ Direct VeN/Seabd Combustor _ 100.OW y 7 DirectVenVSealedCombustor 7 M ppowerVent Indep Vented W Power Vant+ V, aYtt NaL Draft C, Vert I, 7 Net Drag Fan Assist Gat Fireplaces--_ Sold Fuel Appiancez- ..__.~r~ Wh + What type of gas burning fireplaces do you have ? ? r, Crick on'No" l Closed •''Are Breve any solid W appXances Yes r No Combustion Sold Fud s L i Direct VeN PowerVed Natural Dratt - Burring Appiar-(see ' Ye: N. r Y. s: No Yes r` No WC1 :4E.0202J G ti e ;r. Exhaust Capacity John) ' :-largest Exhaust Fan E shave[ Ventilation Capacity NA 000; 1 . 't= I. Clothes Dryer (ctn): 135 - i` r i "ssa Corebusban Appliance Space (CAS) VoL .3 ; mbustion Space 1 How marw combustion spaces to were . < heal eds) and lurnaoe(s) and/or bo~rls Wdh B2 Length € ° Height One Two CAS Volume 2.304 -bic R e su j~ Ern _«Back ipxi»„i! ,s t y S 4 f 't fi 5 4 i„ f t' i n n3 i< :K 3~^ +Y _ _i fi ..r iµi f fG LJ'f _ F of Offic,' Use I ")f Permit City of Eapn I Perm it Fee: "~fJ V I 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: _ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Gf 09 Date: 9-102-0 9 Site Address: ~ 574 ?119aF0&* 2 9 AGA 0 o M IQ Tenant: N!~ Suite RESIDENT OWNER Name: K51 V T 050065 ' Al Phone: (051- 4 5~7 ~ (~'9 Address / City / Zip: ~~'4 C3 15A&APJ , M N . CONTRACTOR Name: License t4A Address: TD ow ` City: State: Zip: Phone: Contact Person: TYPE OF WORK VeNew _Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: 619W DAT44194CM 10 PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbin Fixtures N15W VAW1 T'0 L_ RPZ / _ PVB) Main Lower Level) TO' LET 4 ~ iwep Septic System Water Turnaround I _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbin Fixtures Septic System Abandonment, Water Turnaround (includes $.50 State Surcharge) ater urnaroun a 165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 t 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 pla x A-4t 1L x Applicant's Printed Name Applic 's gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test _ Gas Test _ Final PERMIT City of Eagan Permit Type:Building Permit Number:EA142115 Date Issued:04/14/2017 Permit Category:ePermit Site Address: 3574 Birchpond Rd Lot:13 Block: 2 Addition: Terra Glenn PID:10-75400-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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). Valuation: 4,000.00 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 - Keith A Maiz 3574 Birchpond Rd Eagan MN 55122 (651) 405-6679 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature