3581 Birchpond Rd2005 RESIDENTIAL PLUMBING PERMIT
CITY OF EAGAN
3830 P1LOT KNOB ROAD, EAGAN
651-675-5675
APPLICATION
MN 55122
Please complete for modifications to existing residential dwellings.
/Z-, -:Z
Date 2- / ;?-L / r,
Site Street Address r. G?, ?? . Unit #
l
Property Owner _
f?mw4rL- A04iii Telsphone # ( )
Contractor ?jfj Teiephone# (0)
Address 97W-14,.?6 t:i/a- City L-gy 013 ? State/l?j Zip 5Pz3
The Applicant is: _ Owner _" Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener andlor water
_
heater at the same time. If rLou are installinq only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
y Water Softe er Water Heater $ 15.00
?? new ! replacement
Lawn Irrigation _RPZ _PVB new irepair _rebuild $ 30.00
State Surcharge $ .50
Total $ ? fs-"?°`f hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wiil 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 application for a
permit, work is not to start without a permit and work will be_[D-aqcordance wit approved plan in
the e t a pla iquired to be reviewed and approve
law 'w
Applicant's inted Name Applicant's Sign ure
,6P4526 0-?(?,
2006 RESIDENTIAL BUILDINGPERMIT APPLICATION
City Of Eagan Pp ?'S 2(o I ?D' SO
3830 Pilot Knob Road, Eagan MN 55122 MC?-5 Z6 2„ -:?0 . SO
Telepbone # 651-675-5675 FAX # 651-675-5694 j?0 S q I
' New Construction Reauiremenfs
V 3 registered slte surveys showing sq, ft. of lot, s. ft. of house; and afl roofed areas
(2096 maximum lot coverage Aowed) ?, 1) " \,.1, Tj t ? N
? 2 cop?s of pfan showing beam & window s'¢es; poured found design, etc.
,i`i set oi Energy Calculations
? rjr`? 3 copies of Tree Preservation Plan 'rf lot platted after 711/93
tis
V Rim Jo?si Defail Options selection sheet (buildings with 3 or tsss units)
VVMinnegasco mechanical ventilation form ki^? ?11 GxP-+19?t3 ?
Remode{IRepair Reauirements Office Use Onlv
2 copies of plan showmg footings, beams, jDists Cert of Survey Recd Y./Y N
1 set of Energy Calculations for heated additions Tree Pres Pian Recd _ Y?
1 site survey for additions & decks Tree Pres Required ^ Y??
Addifion - indicate if on-site septic sysfem On-site Septic System -Y_N ,
?3
Date ul0 Construction Cost
Site Address ?
?o6y-\L
?-A Unit/Ste #
•
Description of Work
Multi-Family Bldg , YN Fireplace(s) , 0 ? 1 _ 2
P
t
O ' D L 9_? T
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#
h
roper
wner
y one
( )
e
ep
Contractor ? 2006 ff/
Address City ?CN l-e?_AG,
State Zip ?55, Telephone # (J34 q co?J
COMPLETE THIS AREA ONLY iF CONSTRUCTING A NEW F3UtLDlNG
- Minnesota Rules 7670 CategorY 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet ^ • New Energy Cocle Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitfed
In the Icsst 12 month , has the Cifiy of Eagan issued a permit for a similar plan based on a master plan?
_ Y . N If yes, date and address of master p1an:
Licensed Plumber :L
Mechanical Confractor 1
Sewer/Water Contractor
Telephone # rjS`2.) +? ° q (cg Z-
Telephone # ?'Z) q`A , " '? ? q -)-
Telephone # (752-) ci
I hereby apply for a Residential Building Permit and acknowledge that the infonnation 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
Stafu.tes; 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.
?A.? ?'u'?l-??°tia
( ?? ?1 ? L (3
Applicant`s Printed Name pl' ant's Signature
DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Poal 0 30 Accessory Bldg
x 02 SF Dwetiing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ ptex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-ptex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-piex ? 11 10-plex O 99 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex ? 25 Miscef(aneous
Work ? es
31 New ? 35 !nt lmprovement O 38 Demolish Interior 0. 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Atteration ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/Doors
? 34 ReplaCement `Demolition (Entire Bldg) - Give PCA handout to appticant
Description: Water Damage Yes
Vatuation
6-3 a;6
Occupancy
R MCES System
?-
Plan Review _k--"- 100% or 25%
Census Code /Q/ Zoning City Water -Z/1(5
SAC Units Stories 8ooster Pump ---
# of Units C'l Sq. Ft. PRV -??
---
# of Bidgs Length Fire Sprinklered ?
Type of Gonst ? Width '
REQUIRED INSPECTIONS
? Footings (new bidg) Sheetrock
_ Footings (deck) ? Final/C.O.
Footings (addition) _ FinaUNo C.O.
? Foundation ` HVAC
Drain Tile Other
t_ Ice& Water
Roof ? Final Pool Ftgs AidGas Tests Final
_
Framing _ Siding _ Stucco Lath Stone Lath rick
?
? Fireptace ? R.I. ? Air Test ? Final _ Windows
? Insulation ? Retaining Wall
Approved By: , Building Inspector
- - - ----------
Base Fee ----- ? c1r''r? 5-?'? U/?' ` L -/ --? ----------------
?-
Surcharge 74- s7' „ ,1 cll
G?3 °° o
?
Plan Review ? ?d'?' ???^A ?L 1- `j?,? ? ? ?-?? 1 ? 3 ?SG ?
MC/ES SAC
TC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. .}
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheck So$ware Version 3.6 Release 2
Data filename: G:\CAD\EnTraditional\Comell\xb - Federal\Comell B Energy Calcs\Full Bsmt Anderson,rck
PROJECT TITLE: Inventory Home
COIJNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.15
DATE: 09/ 11 /06
DATE OF PLANS: Sept. 11, 2006
PROJECT DESCRIPTION:
Comell "B" Inventory Home
3581 Birchpond Road
Terra Glenn
DESIGNER/CONTRACT OR:
Lundgren J Lennar Corp.
545 Indian Mound East
Wayzata, MN 55391
952-2494500
PROJECT NOTES:
9' Lower Level
Full Basement w/ Egress Well
COMPLIANCE: Passes
Maximum UA = 632
Your Home UA = 586
7.3% Better Than Code (UA)
_.._..--
Crross Glazing
Area or Cavity Cont. or poar
Perimeter R- alue R-Value U- actor UA
Ceiling l: Flat Ceiling or Scissor Truss 2145 44.0 0.0 58
Wall l: Wood Frame, 24" o.c. 193 0.0 12.0 20
Wall 2: Wood Frame, 16" o.c. 83 19.0 0.0 2
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 41 0.310 13
Wa11 3: Wood Frame, 24" o.c. 198 0.0 12.0 20
Wall 4: Wood Frame, 16" o.c. 1758 19.0 0.0 82
? Window 2: Above-Grade:Wopd Frame:Double Pane with Low-E 334 0.310 104
Door 1: Solid 41 0.067 3
Wall 5: Wood Frame, 16" o,c. 1600 19.0 0.0 82
Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 204 0.310 63
DO Basement Wall 1; Solid Concrete or Masonry ]584 0.0 127
Wall height: 9.0'
Depth below grade: 8.5'
Insulation depth: 9.0'
Basement Wall 2: Solid Concrete or Masonry 53 0.0 (56
Wal] height: 3.5'
Depth below grade: 3.0'
Insulation depth: 3.5'
Floor I: All-Wood Joist/Truss:Over Unconditioned Space 139 44.0 0.0 3
Floor 2: All-Wood Joist/T russ: Over Outside Air 85 24.0 0.0 3
Furnace 1: Forced Hot Air, 90 AFLJE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.310 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(formerly MECcheck) and to
comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Builder/Designer __???f"«' ?-:.>..--•?_'? Date
y??? r
city oF caqan
Name: ??Kvvx-v?
Date:
Site Address:
Teiephone #: ?et 2-- 33
Rim Joist Detail Options
As outlined in the new Ener;y Code, buildings constructed Rith three units ar less require
that rirl joists be put up according to detail optians shown below. Please circlelhighiight
the option you will be using.
1# 8 Other :
6514545723
09111/2006 20:27 6514545723
95? 5S5 05j: line 1ELANQ[R Mf:c,1i4
Date: 9113/2006 Revis+on C?p-te: 9!1312006
Sita InfQrmtoon
Address t, 3581 BirChoond Road
Addrgss 2°
City: Eagan Counry:
A i q i n Informatian
8usiness Name: Elarider Mechanecai Inc.
COntact Person: Tcxid
LUNDGREN
05 ?Ei.25' U nr 09 .1;?..2OVE
Now Gonstruction
PrUject #t:
Lot:l Block:
Subriivision:
_Te.4_K &ij_? 2.^
MN Contractoi• Lirrense #:
Office Ph; 952-445-4632 l=ax: 952-445-7487 Co'sl Ph:
Address 1: 591 Citation drive
City: Shakopee State: Minnssa:a Zqa Code: 55379
FIoUse petallS
Squaro Feel; 5761 sq. ft. ,4vg. Ceiling Ht: 9 ft. Number af Bedrooms: 4
Ytntfiotlon : Belancsd
Total Venti4atcoR Gapaciiy : 227 cfm.
Mlnimum Corrtinuous Ventilatian :75cfm.
lntsrmi#tPnt Ventitation: 152 cfm.
CombusliQn Aoeltance
Water Fleater 1: Power Vent Input BTUs: 40,000 Indepsndenqy Verited
Water Hea#er 2., Power Vent Input BYUs: 40,000 !nclependentfy Vented
FurnacalBoller: Direct VerUSealed Cpmbustwn Inpttt BTUs; 110,000 lndepeiidencly Venteo
Other c90&MgLtW ftp,lia, r?
Gas Fired Direct Vent Ftreplace(s): Ye? Gas Fired Power Vent Fireplace(s}: Ido
Ga& ct't'ed IVaturd! Dr2ttt Fr6p1aC9(S): P!p Solitl Fuet Appliarice(s); Na
En? f+auMent
• Cont;rtuous Sxhaust Ventilati0n Capacity (cfm): NA CtQthejs pryer (ctm): 135
.xn u t Fan Ra ngi (cf?n}: 640
.??
NEaks-Up Atr
Na Make-Up Afr Required by Coae
?stla?.A+r
Rourld pipid R6quirect: 5 imties or insulated F'ex; 6 in he?
PAGE
Applicant Name (print);ZYin'1 Q.CLk-CA- ? 5igneturalDaie: ?.,? __..?...?...._?.?.,? ? (?_ 13 ro L
cale Gfificial cptinTy:
__ Signeture/oate:
`?^ 2tl()?, CC?.tCiPoint?ner?} M1Rtlc?;asc7. :II04 yIE,:hdt1lC8I Co(IF; GU1d..LtDCti. PdgE i
"._-- LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMiT APPLICAT{ON
PROP ERTY LEGAL: n Z?? ?"'1??7????1
DAl"E OF SURVEY: $?Z9IOb
LATEST REVISION:
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DOCUMENT STANDARDS
?
? D • Registered Land Surveyor signature and company
0 0 • Bui(ding Permit Applicant
m
f
? ? D • Legai.description
p ? • Address
?- ? ? . North arrow arad scale
p p • Nouse type (cambler, walkout, spiit w/o, sp{it entcy, {ookout, etc.}
0' D ?' • Directional drainage arrows with slope/gradient %
I?' p ? • Proposed/ex+sting sewer and water services & invert elevation •
,B' ? ? • Sfreet name
? ? • Driveway (grade & width - in R!W and back of curb, 22' max.)
.? 0 ? • Lot Square Footage
? ? p • Lot Coverage
ELEVATIONS
Existin
'W D ? • Property comers
,a ?? . Top of curb at the driveway and property {ine extensions
,B ?? • Elevations of any existing adjacent homes
B' 0 B • Adequate footing depth of structures due to adjacent utility trenches
p Pr ? • Watenvays (pond, stream, etc.)
Proposed
? p • Garage floor
? ? • Basement floor
? ? p • Lowest exposed elevafion (walkoutlwindow)
f3 ? 0 • Property corners
,0' ? 0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
D 0 D • Easement line
? !a ? • NWL
? p 0 • HWL
? ? ? • Pond # designation
0 JO ? • Emergency Overflow Elevation
? jr3' • Pond/Wetland buffer de{ineafion
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSfONS
? ? ? • Lot lines/Bearings & dimensions
la 0 0 • Righf-of-way and street width (to back of curb)
'
'
?' ? ? • , porches, etc.
Proposed home dimensions including any proposed decks, overhangs greater than 2
(i.e. all structures requi(ng permanent footings)
y7 ? ? • Show all easements of record and any City utilities within those easemants
'z p ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? p ? • Retaining wall requirements:
Date
i
d B
R
ewe
y:
ev
G:/FORMS/Bui{ding Permit Appiication Rev. 11-26-04
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, 98.34 r'V85047'18"w ?
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5 DRAINAGE & UT(LI
'EASEMEN7 PER PLAT
REAR OF BLDG PAD ?
PER GRADlNG PLAN
? LOT 1 851,2X I
I X 851.2
?-- (854.5) ---?
851,6
' I
? (855.0) ^ EGRESS-___[
016.5 0 -
Xrol
Iv i 6.98 ? 16.48
? 851.6 i to CfiNT U
P ?
?10.0?1 ?I
? 22.02 ?a \ 2' PROPpgED rn ?`
I\ '1- i CANT 1NOUS?
? ? ? - ??LL? ?
°r? r: GARAGE (F
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tf) co
N ?2 oZ j?' CANT
.1 ? ti39_9r,
BENCH MARK ? -
TOP OF SPIKE
ELEV.=851.21 I
CUT=4,21 t0 TOP m
OF LOWEST FLOOR 5 I
?
(852.1) ? ?Lo
? ------_
?l
---_Ln
N o TC 851
-- 7
? (855.0) 1
PROPOSED
DR1VEWAY C?
851.8
22 SERV.
22' -
3:1 kplpaxamum S9opes
a= ? ?-.a?i-Eing usrrWi ??
Ba R;;qu8C8d
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(858.2)
858.2
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(855.0) TOP OF SPIKE
' r J 500 ELEV.= 851.53
;? / CUT=4.53 TO TOP
? OF LOWEST FLOOR
° (851.0)
851.2
3581 BiRCHPOND ROAD
CERTIFICATE OF StJRVEY
F0r:
LUNDGREN BROS.
PROPERTY DESCRIPTION: Lot 1, Biack 1, TERRA GLENN
2ND ADDITION, Dakota County, Minnesota.
We hereby certify that this is a true and correct survey of the above
described property and that it was performed by me or under my
direct supervision and that I am a duly Licensed Surveyor under 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 day of 2006. James R. HIII, It1C.,
REVIEW Q
BY: BY
I R n. innesota L.S. No. 11529
?Z-0'?;
NG INSPECTIONS DI
DATE:
YD.
93.95v S?5°46'40"E
' 21 BIRC
HPOND
--^ ? ROA
N
IEWIED
By
Daie Mj b -
gpGqiN) ENGIIJFERING DFPT.
TC 850??? -1 ?
i
9'°4
D d _01 °54' 44„
R-272 _50
1. Building dimensions shown are for
horizontal k verticbl placement of structure
only. See architectural plans for building
P. foundotion dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposetl is not the responsibility af
James R. Hill, Inc. or the surveyor.
3. No specific title search for ezistence or non-
ezistence of recorded or un-recorded easements
has been conducted by the surveyor as a part
of this survey. Only easements per the recorded
plat are shown.
4. Proposed grades shown were taken from
the groding .&/or development plan prepared by
JAMES R. HILL, INC.
PROPOSED HOUSE = 2,782 SQ. FT.
OR 19.70 % OF LOT AREA
NSTALL
rTRiMETER CONTRO,
DRIVEWAY = 894 SQ. FT.
LOT 1= 14,099.2 SQ. FT.
Notes:"
p Denotes set spike
o Denates set iron monument
a Denotes found iron monument
x927.6 Denotes existing elevation
(930.0) Denotes proposed eleyation
Denotes reor of budding pad
Denotes proposed drainage
TC Denotes top of curb
Bench Mark: $53.02 _TNH- LOT 17 BIOCK 1
Proposed Garage Floor= 855.3
855
7
Proposed Garage Top of Block= .
Propased House Top of Block= 855.7
Proposed Lawest Floor= 847.0
Proposed Top of Block
at Egress Windaw = 850.2
Bearings are an assumed datum
SCale: 1a=30'
SAN. SERV{CE fNVERT
ELEV.=838.4
SHEET 1 OF 1
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5 DRAINAGE & ? -
D i
4i'EASEFAENT PERrPLAT? -' ? 137245
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L_V I ? a 016.5a
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v r1 ? 1-1 I v I ir.??j 2' `
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CANT ?HOUSE "'
0 ? !A!AGE ?
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2Q.0 \ 39.96
`-'' S7flpplt?
PROPOSED 12•33 4
5? DRIVEWAY ?
----__ \ ° - - - -_I 5
?
, 22, O
22' -
93.95 S85046'40"E
1
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BIRC_HppND ROAD a o1 ° ?4' a
-
R=272 .50
--- ?_
-------?
DENOTES ?'?---
OEXISTING TPEE SAVE i-
?EXIS7ING TREE REMOVABLE
?EXISTING TREE CUSTOM
PER TREE PRESERVAl10N PLAN
3581 BIRCHPOND RQAD
C ERTIFIC ATE 0 F S tJR Y
For: LUNDGREN BROS.
LOT 1, BLOCK 1,
TERRA GLENN 2nd ADDITION
Tree Preservdtion plan
Pre House Pro osed Post Nouse
Development Construction Tree Preservation Construction
Const. As-Buiit Post House Const. As-B uilt
OINT N0.
LEV.
YPE
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13724 860.3 ASH 8" X X
Preliminary Tree Certification
During a site visit on August 2E, 2006 all significanf trees designated to be saved on the
Tree Preservation Plan prepared by James R. Hill, Inc., were present and in good health, ezcept
as noted in the table above.
The house has been stoked. 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
By ate; gy.
Gary Ryan, M nesota L.S. No. 11529 Signature ofi Owner
.
Scale: 1"=30' Page 2 of 2 JaI1C]].eS
Oafe:
R. Hill, Inc,
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REVISIONS
BOOK/PAGE
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CQNTRQL N0.
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CAD FlLE
261202.dwg
PROJECT N0.
261202
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DRAWER
SHEET 1 OF 1
?
INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL
BUILDING PERMITS
PROPERTY LEGAL:
PROPERTY ADDRESS: J-i`$ I ILrCkpWz? R,ti
INSPECTOR: /db:Q W _iL I a » A
INSPECTION DATE: / -2 - j (p - or('p
0 o et
Z Z SITE GRADING
??? All slopes 3:1 or flatter?
??? Slopes steeper than 3:1 require retaining wali. Are retaining walls present?
??? Does grading conform to As-Built Grading Plan (+1- 1 foot approximately)?
??? Does perimeter grading tie in weil with adjacent propertieslundisturbed land?
RI ?? Is there proper grading andlor drainage around Lookout or Egress Windows?
EROSION CONTROL
?? ? Is Silt Fence (or approved equal) installed and in good working order?
a ?? Is Sod/Fiber Blanket installed behind curb?
4 ?? Is the Rock Construction Entrance/Driveway installed and in good working order (proper
type/size of aggregate, clean-not covered with soil, etc.)?
i9 ?? Is temporary vegetative cover w/ mulch present?
@? ?? is permanent vegetative cove wJ r w/o muich present?
circle one)
CITY EASEMENTS AND UTILITIES
??? Are all easements clear-no part of any building/deck/porch/retaining walltetc.
encroaching in easement?
?a 0 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?
?a ? Does the property have an Emergency Over Flow (EOF)? This can be found an the
Certificate of Survey. If so, is it present and has it been graded properiy?
MISCELLANEOUS ITEMS
??? Is there tracking present on Public Right-of-WaylStreet from construction site?
??? is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line)
¦?? Is the site ciean, no trash and/or construction debris lying around?
??? Was the proper type of building constructed according to the approved grading pians?
(LO, WO, FB, R, etc.)
FOR ALL ITEMS REQUIRtNG ADDITIONAL FOLLOW-UP:
NAME OF PERSON CONTACTED FOR FOLLOW-UP:
C4MPANY NAME: (,)N(S r65 c6„SS-i"r uc,-r-'D4)
COMPANY ADDRESS:
COMPANY TELEPHONE NUMBE
DATE CONTACTED:
DATE OF FOLLOW-UP INSPECTION:
iNSPECTOR:
COMMENTS:
G/Forms/INSULATION INSPECTION CHECKLIST FOR RESIDENTIALdoc Revised 2-06
Address: 3581 Birchpond Rd Zip: 55122 Permit: 75260
THE FOLLOWING ITEMS WERE ! WERE NOT COMPLETE AT FINAL INSPECTION ON: I 3o D
ITes No Comments
Final rade - 6" from siding
Permanent ste s - garage f'
Permanent steps - main entry ?'
Permanent driveway
Permanent gas
Retaining Wall or 3:1 Max Slo e
SodlSeeded lawn
TraiUcurb 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 befare freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
??Le-j
? BUILDINGINSPECTOR: /A?
t
Site address; eA? Lot - Block Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a resuit, 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
Water Heater
Furnace r . .
MODEL _ I BTU'S
EXHAUST SYSTEM
2
3
LOCATION
?.Z V?. ti\'CIYV
TYPE
iv
.?? ?
vv
VENTiNG TYPE
MODEL
CFM's VENTED
ves No
,
: c.- 5S
d
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-
? S? 50 ,
. Sv 2.. `uc>
c.
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MODEL BjU'$ VENTING
DIRECT ATMOS
`?23
AIR
Z-i ?"
EL
TYPE
CFM's
?SC)
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan
requirements.
Sign' tu
,
Company Name
??-- / 3-OG
Date
` This form is 1he responsibiliry of the General Contractor.
'`???K:7--
Zoo7 RESIDENTIAL MECHANICAL PERMIT aPrLrcATroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: singie family dwellings & townhomesfcondos whempermits are required for each unit
"'6D"60
Date 1 Q_?- / 0 ?
Site Address P.) 1 ? c ? o vi ? 04 Unit #
Property Owner CL. Telephone #
Contractor ?ec,41 ? (fop l(
Street Address C3 VF City 9 1 q- ? n `Q-
State MJ4'' Zip 3 Telephone # ( ? ?2 ) J ?? `?? t
Bond #• '7 U i Ll V Expires: 0t-13- a7
The Applicant is Owner ? Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
furnace _Additional ?Replacement New
air exchanger
air conditioner
_ heat pump / I
other y?. ?? A. ?n a? ?' E?. ? a L, v?.e-, 3
1?0 d tj?s'C'
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is compiete and accurate; that the work will
be in conformance with the or.dinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. A _
? j? I? t? L._Y," ?'? `` k?
Applicant's Printed Name Applicant's Signatur
2007 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Tetephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when se arate ermits are not re uired for each dwellin unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telept?one # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Consh-uction Interior Improvement
Install Piping Processed Gas Exterior HVAC Unit**
_
_ **HVAC units must be screened
Under/Above ground Tank Install Remove
_
When installing/removing tank(s), call for inspection by F ire Marshal and Plumbing Inspector
Nature of Work:
Permit Fees 570.50 Underground tank installationlremoval
$50.50 Minimum (indudes State Surcharge)
or
Contract Value $ x 1% _$ Permit Fee
$ State Surcharge
To calculate surcharge
If Permit Fee is less than $1,000, surcliarge is 50 cents.
If Permit Fee is >$1,000, surchazge increases by $.50
for each $ 1,000 Permit Fee (i.e. a$1,001-$2,000 Permit
Fee requires a $1.00 surcharge).
$ Total Fee
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 and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit,
and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which
requires a review and approval of plans.
Applicant's Printed Name
Appticant's Signature
Approved By: , Inspector Date:
Required Inspections: - U.G. ? R.I. - Air Tesf - Gas Service Test - Infloor Heat - Final
2007 RESIDENTIAL PLUMBING PERnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
plumbin on the same ap lication; separate ap lications and permits are re uired.
Date / 00 / 0?61
Sit
St
t Add
it #
U
9
QCA ?0
k?
V
"
ree
e
ress
n
-
(J <
G
Property Owner 21,
yjq Telephone #( )
Contractor o !4 f /v Telephone # (6 57) .31V -? S sv
Addressf 6 4 City a- State&LZip T7
The Applicant is: _ Owner & Occupant ? Licensed Plumbing Contractor
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license {ncludes County fee
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. lf you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is r quired)
X-Other: -1- /c 4,wb??kj •
Water Softener Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation rRPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and w k will b in accordance with the approved plan in the event
alan is required to be reviewed and approved.
/
gckte k o/
Applicant's Printed Name Applicant's Si
2007 RESIDENTIAL $UILDINCi PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage ailowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Ca{culations
3 copies of Tree Preservation Plan if fot platted after 711193
Rim Joist Detaii Options selection sheet (buildings with 3 or less units)
Min? asco mechanicai v flati n f
Remodel(Repair Requirements
2 copies of plan showing foatings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
Office Use 0oiv
Cert of Suroey Recd _ Y _ N
Soils Repod _ Y , _ N
Tree Pres Plan Recd _ Y N.
Tree Pres Reguired - Y _ N
Cn-site Sep4ic System _ Y _ N
eg en i o orm
K,&d ?' 1
Pfans are considered pubiic information ?unless vou state they are firade secret and he reasan.
Date -7 Construction Cost AcZ 040
Site Address 35?Ft „v7~ QC? R-41 UnitlSte #
Description of Work l!L(( ? L?i?cG{/?_ 1?-6/C/t
Multi-Family Bldg _ YXN Fireplace(s) _ 0 A':l 1 _ 2
Property Owner 4WWVe01" Teleghone # {6 $'1 ) oc 76 " al.s 7 S'
Contractor --f Q. ?/?L???:?? '?
Address •3S?! e??/?GK/?Q?GG? City r
State Zip ,?/crZ. g,,. Telephone #("7) vf74'AC*7S?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelape Calculations Submitted
in fihe last 12 months, has the City of Eagan issued a permit for a similar pian based on a master pian?
_ Y _ N If yes, dat and address of master plan:
D ?'??ll`'JL?
Licensed Piumber Telephone # ( ) ?
2 ?2007
Mechanical Contractor MAY Telephone # ( )_
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a xeview and
approv?l qf-p?ins. 17 /1
=7 4?q_ C,!?
Applicant's Printed Name Appli nt's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pooi ? 30 Accessory Sidg
? 02 SF DweAing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ piex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) 0 36 Multi Misc,
? 05 03-piex ? 11 10-plex "Fal - 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration p 37 Demolish Building* 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant •
D2SC1'iptiOtt: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or
4- 25% Code Edition
Census Code 7 Zoning City Water
SAC Units Stories Boaster Pump •
# of Units Sq. Ft_ PRV
# of Bldgs Length Fire Sprinklered
Type of Const v`
?- Width -
Footings (new bldg)
Foofings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace ? R.I. ? Air Test ? Final
Insulation
REQUIRED INSPECTIONS
i Sheetrock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Poo1 Ftgs AirlGas Tests
_ Siding _ Stucco Lath _ Stone Lath
_ Windows
_ Retaining Wall
Approved By: Building inspector
r inai
Brick
Base Fee
Surcharge
Pfan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1f
??--?
? 2
??
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150400
Date Issued:07/06/2018
Permit Category:ePermit
Site Address: 3581 Birchpond Rd
Lot:1 Block: 1 Addition: Terra Glenn 2nd
PID:10-75401-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nay Hla
3581 Birchpond Rd
Eagan MN 55122
(952) 367-7155
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150915
Date Issued:07/30/2018
Permit Category:ePermit
Site Address: 3581 Birchpond Rd
Lot:1 Block: 1 Addition: Terra Glenn 2nd
PID:10-75401-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 -
Nay Hla
3581 Birchpond Rd
Eagan MN 55122
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170909
Date Issued:07/21/2021
Permit Category:ePermit
Site Address: 3581 Birchpond Rd
Lot:1 Block: 1 Addition: Terra Glenn 2nd
PID:10-75401-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 or installing Bay or Bow
windows, 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 -
Nay Hla
3581 Birchpond Rd
Eagan MN 55122
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175712
Date Issued:04/12/2022
Permit Category:ePermit
Site Address: 3581 Birchpond Rd
Lot:1 Block: 1 Addition: Terra Glenn 2nd
PID:10-75401-01-010
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nay Hla
3581 Birchpond Rd
Eagan MN 55122
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature