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3582 Birchpond RdAddress: 3582 Birchpond Rd. Zip: 55122 Permit: 75447 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON : Yes 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 SodlSeeded lawn Trail/curb damage Porch Lower level finish VO' Deck Fireplace ti A • 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: j ? Site address: ?-,A 1-- irc.? Lot - Block ? SubdOn April 15, 2040 the Minnesota Energy Code, Gategory I Buflding Requirements far insufation protection, air tightness, and ventilation, was adapted. As a result, the Cit}+ of Eagan is requiring that the following information be submitted prior to issuance of aCert€ficate of Occupancy. This structurs; is conslructed ta meet minimum raquirements of the Mn Energy Code, Chapter 7670 ? OR This structure: will be constructed tn meet more restrictive requiremenis of Chapkers 7672 or 7674 APPi.IANCE GAS ELEC MANUFAC7URER MODfL Bl'U'S VENTING ?YPE Water Heater «-• .? . ;} , fumace Dryer 0.; tL) -zz ?.? 4NA.?:.?? i EXiiAUST SYSTEM LOCATiON 7'YPE MODEL CFM'S vENtEa YES No Kitchen kitchen 3 J t? , L SS 4' Bathroom 1 y_ ?61r.:•C?-'? 'v? csVV-, S ?j(.r Bathroom 2 cl^ 4? tJ V ?- j lup ? 9athroom 3 Bathraom 4 ?"Ct???•? Wl- ?=' ' V: .' L} `?C Other FlREPLAC Gl4S WOOD I MANUFACTURER MOpEL YGIY 1 E!lu f -?--r BTiJ`S ?,R,cr nTMos L Signaiu 1??..ln?..^?? ° Company Name ? Dake 7his iesm is the respons'rbility of the Generai Contractor. i hereby acknowiedge that the above infarrnation is correct and agree to comp#y wi#h #he Minnesota Energy Code and City ot Eagar? requlrements. 952 555 555" L.iyie 1 ELANDER Ml s=-CIiA 1 215_ i 8 p, rn 043-27-20C6 1!`, Dafe: 9/2712006 Revision Date: 9127/2006 Site Information Address 1; 3582 Birchpond Rnad Address 2: Ci#y: Eagan County: A pilcatfan lnformation Business Name: Elander Mechanicai Inc. Contact Persort: Todd New Construction Project #: Lot: Black: Subdivision: MN Cantractor License #; Office Ph: 952-445-4692 Fax: 952-445-7487 Cell Ph: Address 1: 591 Citation Drive Gity: Shakopee State; Minnesota Zip Code: 55379 Hause Details Square Feet: 5567 sq. ft. Avg. Ceifing Ht: 9 ft. Number of Bedrooms; 4 Ventilat'ron : Bafanced Tota( Ventilation Capacity : 219 cfrn. ti9'snimum Gontinaous Ventilatidn :75cfm. Intermittent Ventila#ion: 144 cfm. Combustion Appliance Water Heater: Power Veni input BTUs: 75,000 Indeperdently 1Jented FurnacelBoiier: Direct VentiSealed Combustion Input B7Us: 110,000 Independently Vented Other Combustion !?ppli?nces Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Pcwer Vent FQ€ep6ace(s): Na Gas Fired Naiural Draft Fireplace(s); No Solid Fuei A.pplianc6dsj: No Exhaust Eaui nnent Coniinuous Exhaust Ver?tilation Capaoity (cfm): NA Ciathes Dry{er (cfm): 135 Exhaust Fan Rating (cfm): 640 Make-Uu Air 6Vo Make-Up Air Required by Code Combustion Air Round Rigid Required: 5 inGhes or Insulated Ffex: 6inehes 3 (Z?' ? AppficantNarr:e(print):? ?Signature,!Date,(? Code Official (print):--__ . Signature,'Date:_ C; 2004 CenterPoint Eaergy Mirtziegasr.n. 2004 Mechanieal Cc,de C',uidelines. Page 1 2006 RESIDENTIAL BUILDING rExMIT arrLicATioN ' City Of Eagan p ? ' 3830 Pilot Knob Road, Eagan MN 55122 ?„ Telephone # 651-675-5675 FAX # 651-675-5694 &&FDm 1,0,SD r -ei -i New Construction Requirements RemodeVRepair Reauirements Office Use Oniv V/ 3 registered site surveys showing sq. ft. ofjoL sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Suroey Recd i/Y _ N (20% maximum lot coverage allowed) ' i o i) A.rc ???Or? B^J 1 set of Energy Calculations for heated additions Soils Report ! Y_ N 1 Soils RepoR ff proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd ?Y _ N ? 2 co pies of plan showin g beam & window sizes; poured found desi gn, etc. Addition - indicate if on-site sepfic system Tree Pres Required t Y_ N ? 1 set of Energy Calculations On-site Septic System _ Y_ N ? 3 copies of Tree Preservation Plan 'rf lot platted after 711/937 a (N-ij?) If Aor'? ?_ 6,,alj i Rim Jois t De t ai l Op tions sele c t ion sheet (buildings with 3 or less units) ?? L/ Minnegasco mechanical ventilation form .?, ?YO ? Date 3 Construction Cost Site Address 3 5?9 ?L it/5te # D ?' Description of Work ?- & Multi-Family Bldg _ YX_ N Fireplace(s) _ 0 2 -? Property Owner Telephone # ( ) Contractor -0?°1w1(.'La'"- Address T",.C.? ??.v\ i "0,t,4AC?(? (kJ City ?.? ?w ii ?x..._ State f v'\ V\, Zip S-S' ? `t / Telephone # (`!S`Z) ``F 73 07?l3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category . R e s i d e n t i a l V e n t i l a t i o n C a t e g o ry 1 W o r k s h e e t •?• New Ener g y 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 ? N If yes, date and address of master plan: ° Licensed Plumber ? Ict f'`?? vv\_kc't'1 Telephone # ?`°f.? ? ? q z-- Mechanical Contractor Sewer/Water Contractor Telephone # Z- Telephone # I hereb.y. 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 C.( 2-- `f t`l 2133 licant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg yp 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. 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/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes gD 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 aq '7, oco. ? Occupancy µ3 MCES System Plan Review 1C 100% or 25% Census Code zoning City Water SAC Units Stories 2- Booster Pump # of Units 1., ? Sq. Ft. Z- 7eD PRV # of Bldgs 6 ? Length Fire Sprinklered Type of Const v j? Width ? REQUIRED INSPECTIONS ? Footings (new bldg) _ Sheetrock _ Footings (deck) ? FinaUC.O. _ Footings (addition) FinaUNo C.O. ? Foundation _ HVAC Drain Tile Other Roof ? Ice & Water ? Final _ Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick ?j Fireplace ? R.I. ? Air Test 16 Final _ Windows ? Insulation _ Retaining Wall Approved B- 4 , Building Inspector --- Base Fee ----------------------- --------- ------------------------------------- -- ?Vc=- Surcharge . ? Plan Review MC/ES SAC C) G , G"!-?j? 6l G-i? CitySAC Utility Connection Charge ? S&W Permit & Surcharge ..---- Treatment Plant License Search Copies Other Total ?1 . . ? Permit Number RF.Scheck Compliance Certificate checkea ByiDate 2000 M'innesota Energy Code REScheck Solware Version 3.6 Retease 2 Data filename: G:\CAD\EnTRADIT-I\Hampton\XB-FRE-l\HAMPTO-l\WALKOLT I.RCK PROJECT TTTLE: Inventory Home COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Singte Family WINDOW / WALL RATIO: 0.I3 DATE: 09/12/06 DATE OF PLANS: 08-31-06 PROJECT DESCRIPTION: Hampton "B" French Country 3582 Birchpond Road Terra Glenn Eagan, MN 55122 DBSIGNER/CONT RACT OR: Lennar Family ofBuilders 545 Indian Mound East Wayzata, MN 55391 PROJECT NOTES: Lower Level W alkout 9 $. Poured Foundation COMPLIANCE: Passes Maximum UA = 710 Your Home UA = 621 12.5% Better Than Code (LTA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Va1ue U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 2195 Rim - Main: Wood Frame, 24" o.c. 200 Wall - Main: Wood Frame, 16" o.c. 1896 Window - Andersen: Above-Grade:Wood Frame:Double Pane with Low-E 295 Door - Firedoor: Solid 38 44.0 0.0 59 0.0 12.0 20 19.0 0.0 91 0.330 97 0.067 3 •" Dtgvr - Front Entry: Glass 21 0.350 7 Rim - Upper: Wood Frame, 24" o.c. 214 0.0 12.0 22 Wall - Upper: Wood Prame, 16" o.c. 1726 19.0 0.0 89 W indow - Andersen: Above-Grade:Wood Frame:Double Pane with Low-E 210 0.330 69 Wa11 Walkout: Wood Frame, 16" o.c. 531 19.0 0.0 27 Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 81 0.330 27 Wa11 Lookout: Wood Frune, 16" o.c. 132 19.0 0.0 8 Basement Wall 1: Solid Concrete or Masonry 1034 0.0 5.0 83 Wall height: 9.0' Depth below grade: 8,5' Insulation depth: 9.0' Basement Wall 2: Solid Concrete or Masonry 84 0.0 5.0 10 W all height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Floor - Over Outside Air: All-Wood Joist/T russ: Over Outside Air 29 24.0 0.0 1 Floor - Over Unheated: All-Wood Joist/Truss:Over Unconditioned Space 339 44.0 0.0 8 Fumace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Giass Doors 0.331 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 mandatyiry re?qj?irenWnts listed in the REScheck Inspection Checklist. Builder/Designer 4"Ok Date " J# 4 Vr . `Ik ? ? i 1 ?_ . City Inspection Dept. Copy City Forester Copy Applicant/Buiider Copy Development 7 4 & Lot Number Block Number ? Address Builder Phone Number: Contact: J <1 tytU O ' /'n*T(Z d: Tree Protection Requirements: Tree Protection Fencing lnstalled 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: EA?,XN FpRESTRY D1VlSlQN Attachments: FIEuIEWED ? Yes By ? ..?".. No aATE ? J Additional Notes: H:lghove\2006f1e\treepres\Tree PreServation Plan Summary-2006 (BUILDER, PLEASE READ ATTACHMENTS) o ? >>S ? O •s?/?2 ?? 0 ~ /? ??? ??? ' .., 's lu'3 V21 .? ? ?,• ? ? ° 'ON i `9>>r \ \ /50 ,? . /'o? 1tk ? ??•?? 7j1 GP?// 64- 660 / ?p'bng• L ;•'p . \ TP '° ? ? ss tS 3661 .?Lo? O 5 L U 6 - ? I ?J \ $$ \? ? Rs S`' F/TP ??ly 3731 ? V ? /-? v? I V I ? ?-' --- DR / 3727 \ N? ? ? 7,3 ?? tisA,_ ?EASEMEncir UrlUrv 4' 379a ? /(Cn ? \ 3674k./ \ 9?`, rCK PCq'i' Q7 (? \ 3675 ?? ?!y 36850 ?Q 0 6 .;? 3725 O 367 3687 3? ?s ? Z 2 36gp 6?` 397' 367g ? 368q. 39)7 ? 0 ? ? g7 ? 3976 / 6'. ?? 1o ? ?oo oT iENOTES 368? 3611 589?4?'4 » ?EXISTiNG TREE SAVE k 8 E . ` , ?EXISTING TREE REMOVABLE 3613 \ ^ ?EXISTING TREE CUSTOM \ I o(v ? -TP-TREE PRESERVATION FENCE ` y?10 o C:) PER TREE PRESERVAl10N PLAN ? n \ I \ \ ? ? - + ' 3582 BIRCHPOND ROAD HAMPTON -B CERTIFICATE OF SURVEY For: ? nr ?rz oi nrv 0 LUNDGREN BROS. ,.,, _-- - TERRA GLENN ADDITION Tree Preservation plan Pre House Pro osed Post House Development Constructian Tree Preservation Construction Construction As-Built Post House Const. As-Built OINT N0. LEV. YPE IA t,.1 N ? ? v W p ? ? z 1= w W 0 W ? m ? v 1?1 O ? Z cn w Z Lli 0 3613 852.2 OAK 18" X X X 3660 843.6 OAK 13" X X X 3661 845.6 OAK 11" X X X 3672 850.3 OAK 15" X X X 3673 848.2 OAK 12" X X X 3674 ' 843.1 APPLE 7" X X X 3675 848.5 OAK 12" X X X 3676 i 848.7 HACKBERRY 10" X X X 3677 851.8 OAK 13" X X X 3678 850.0 OAK 11" X X X 3679 849.3 OAK 15" X X X 3680 , 849.3 OAK 13" X X X 3681 850.9 OAK 10" X X X 3682 850.9 OAK 12" X X X 3683 849.8 OAK 19" X X X 3684 839.6 CHERRY 11" X X X 3685 837.1 CHERRY 8" X X X 3686 841.2 OAK 8" X X X 3687 842.4 OAK 10" X X X 3688 841.9 OAK 8" X X X 3725 837.8 ELM 14" X X X 3726 838.9 ELM 13" X X X 3727 839.3 CHERRY 6" X X X 3731 838.9 OAK 14 23" X X X 3976 840.3 SPRUCE 4" X X X 3977 840.4 SPRUCE 3" X X X 3978 840.3 SPRUCE 3" X X X Preliminary Tree Certification During a site visit of on June 15, 2006, all significant trees designated to be saved on the Tree Preservation Plan prepared by James R. Hill, Inc., were present and in good heaith, ezcept ns noted in the table above. The house hai been stak d. Tree fence will need to be placed outside the dripline of all significant trees to be Oed. F re rading and construction should not have a negative effect on these trees. Gar an innesota L.S. No. 11529 Signature af Owner I S ale: ?."=3 Page 2 of 2 James R. Hill, Inc. gy, Date: > o By. Date: . ? N. s o ? o ? z N •? cn a ? N Z? yZr?° ?N&co ? W ? c?i ?z39? d ? Z z W J ? c ? ?? 0 N3 ? o YU U a o< ?- m° Y ? Q ? NO 0 ? F DRAVYN BY RVJD DATE REVISIONS BOOK/PAGE NONE CONTROL N0. 21192 CAD FlLE zsizos.dw9 PROJECT N0. 261206 FlLE N0. DRAWER SHEET 2 OF 2 , Ia r' j 0 a? c ? ? U YQ ? O z et ?r7" ? 0 ? o '0D a .B ? 0 fd' D 0 ,E1 ? 0 00 ? ,B ? ? ,er a ? ? ? ? ? ? ? D PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legai description • Address • North arrow and scale • House type (rambler, walkout, spiit w/o, split entry, fookout, etc.) • Directional drainage arrows with slapelgradient % • Proposedlexisting sewer and water services & invert elevation • Street name • Driveway (grade & width - in R/W and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATfUNS Existin9 0 0 • Property comers p" ? ? • Top of curb at the driveway and property Iine extensions ? ? ? • Elevations of any existing adjacent homes ,H ? ?. • Adequate footing depth of structures due to adjacent utility trenches ,P1 0 0 • Watenvays (pond, stream, atc.) Proposed jd ? ? • Garage floor ? ? • Basement floor n ? • Lowest exposed elevation (walkoutlwindow) [Z D 0 • Property corners ?0 D 0 • Front and rear of home at the foundation PONDlNG AREA (if applicable ?C+1' 0 D o Easement line II 0 • NWL J2 ? O • HWL )2r ? ? • Pond # designation 'z 0 ? • Emergency Overflow Elevation p ;'1 0 • Pond/Wetland buffer delineafion Y • Shoreland Zoning Overlay District Y 9 • Conservation Easements DIMENSIONS ,r? o ? J? ? ? jd" ? o ,0 ? ? ? ? ? fd? ? ? • 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) . • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and s' yard setback of ady'acenf existing structures • Retaining wafl requirements: , ,/? Reviewed By: LOT SURVEY CHECKLIS7 FOR RESIQENTIAL BUILDING PERM{T APPLICATION ? P41 ,PAA.n ArlrLq/ r51., 1 j G:/FORMS(Building Permit Application Rev. 11-26-04 .? O ? , O Q ? O ? A ? pRC?'1' r? AlNTAl!ti PK Ft?'?'- Rfm s t;S'l,} I.????v"D ?P?Q??ao 00? ° - `----0 A-, - v-^ ?k . 0"'o g? ? 5 $ a?a' l? ssh9'° o?l `a?a11V, 1 Vs ? `o`? , ,y. BENCH MARK TOP OF SPIKE rs?, ? ELEV.= OR ??i ? Ctj FTLOWEST ?LOTOP O ? n T V \ ? 2, 4- w?'?LI. i v 4- i WET,E? q ? Lli \ 3582 BIRCHPOND ROAD ' C ERTIFIC ATE 0F S URVEY For: LUNDGREN BROS. ? PROPERTY DESCRIPTION: Lot 15, Block 2, TERRA GLENN ? ADDITION, Dakota County, Minnesota. 9•? 6 O? 0??? Ao /ge •s '6' 417 ? ok. FeS „ a ? 0 kti g6 ?? L ? f Po L 0 T 1?06 S 6? 15 ; H?D 835 10' , ? 1 ? 838.9 ?• ? ? \ ? ?6Ao \ E SEMENT & UTllll'Y ? 0?? ?., PER pLAT?? '. ? ?96A 4-?,. ? ` ? Q ? ? ?83gg E ? O.F r o ? \ .? 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 Zl sT day of C&e? , 2006. James R. HIII, 1?1C., 4 ?0 r-D ? ?o (t? ? h cv O z? S ?10 1 100 (), '.1-1 ., ' 89 4p » . _.?D )O !.L \ o !f} n ? f ?! o ?,,i n \\ \ ? . 1 \7 ...? ?1 V n ? Date LO?IIIG?l?' ?,?„?? V i'? ? EAGAI? EI?IGif?'sBRING DF.PT ?? 2 ? ? \ a J U ? \ By: NOt 1. Building dimensions shown are for horizontal & vertical placement of structure 0 Denotes found iron monument only. Se° architectural pfons for building & foundotion dimensions. 2. No specific soils investigation has been completPd on this lot by James R. Hiil, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, Inc. or the surveyor, 3. Nfl specific title search for existence or non- existenc'e 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 token from the grading &/or development plan prepared by JAMES R. H1LL, INC. Gary an, j nesota L.S. Na. 11529 s: p Denotes set spike o Denotes set iron monument x927.6 Denotes existing elevation (930.0) Denotes proposed elevotion Denotes proposed drainage TC Denotes top of curb ---- Denotes rear of Building Pad per grading plan Bench .Mark: 853.02 -TNH- Lot 17 Block 4 CP#11 Proposed Garage Floor= 850.7 Proposed Garage Top of Black= 851.1 Proposed House Top of Block= 851.8 Proposed Lowest Floor= 843.1 Bearings are on assumed datum Scale- 1"=50' LOT 15 = 37,678 SQ. FT. PROPOSFD HOUSE = 2,576 SQ. FT. OR 7.10% OF LOT AREA f DRIVEWAY = 999.0 SQ. FT. SAN. SERVICE INVERT ELEV.= 838.2 t? INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL BUILDING PERMITS PROPERTY LEGAL: Zoj 15? 61poc o2 PROPERTY ADDRESS: .,?5 S o? B J' ?'Cj'i Pr?,?1?JI INSPECTOR: Je'nn'v ?Je,; jp, N? INSPECTION DATE: 12 - J L 19 (a 0 o o ¢ >' Z Z SITE GRADING ? to ? All slopes 3:1 or flatter? ? ? ? Slopes steeper than 3:1 require retaining wall. Are retaining walis present? 0 ? ? Does grading conform to As-Built Grading Pian (+/- 1 foot approximately)? a ? ? 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 jo?? Is Silt Fence (or approved equal) installed and in good working order? a?? 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/ r w/o mulch present? arcle one) CITY EASEMENTS AND UTILITIES ? 1? ? Are all easements clear-no part of any building/deck/porch/retaining wallletc. encroaching in easement? ??? 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? ? i1? ? Does the property have an Emergency Over Flow (EOF)? This can be found on the Certificate of Survey. ff so, is it present and has it been graded properly? MISCELLANEOUS ITEMS ?? ? Is there tracking present on Public Right-of-Way/Street from construction site? ?1 ?? Is the driveway at the praper width at ROW line? (22 ft. max.)(Curb stop is at ROW line) ??? Is the site clean, no trash and/or construction debris lying around? ??? Was the proper type of building constructed according to the approved grading plans? (LO, WO, FB, R, etc.) #f_. FOR ALL ITEMS REQUIRING ADDITIONAL FOLLOW-UP: NAME OF PERSON CONTACTED FOR FOLLOW-UP: COMPANY NAME:zi,F aV/M1-e•a11 0 Y6S GaNS-tV"UF?I3/l/ COMPANY ADDRESS: It,:i;?? COMPANY TELEPHONE NUMBER: DATE CONTACTED: DATE OF FOLLOW-UP INSPECTION: INSPECTOR: COMMENTS: G:/Forms/INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL.doc Revised 2-06 q (? 2005 RESIDENTIAL PLUMBING PERMIT APPUCATION CITY OF EAGAN \ 3830 PILOT KNOB ROAD, EAGAM MN 55122 651-675-5675 MAR a 7 2007 Please complete for modifications to existing residential dwellings. Date 3 _ - Site Street Address 3512- Ci ,ee L. ?.,:t A ?- Unit # Property Ownerwniq4.,114Oqs Tefephone # ( ) Contractor r ir ?4- ?- ??- - Telephone # ?a? Address t n C( & ??a_ City State Zip JT(Z-! 7he Applicant is: _ Owner _" Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water soften er and/or water heater at the same time. If you are insfallinq onlv a water softener andlor water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. lSeptic System Abandonment _ Water Tumaround (add $125.00 if a 5/8" meter is required) Other: Water er Water Heater $ 15.00 w replacement 7n Lawn Irrigation RPZ ?PVB ?new _repair lrebui{d $ 30.00 State Surcharge $ •50 Total I hereby apply fior 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 start without a permit and work will be X acco ance wi proved plan in the t s required to be reviewed and approved. '?? --_ 4?' ?vi? IZ Applicant's rinted Name Appli a's Si a re ? r---^-___-_--^--_ ? Permit #: `? ? I ? Permit Fee: I ? Date Received: I Staff: I I I 2008 RESIDENTIAL BUILDfNG PERMIT Date: 111-Ill Site Address: ? 1q2 Tenant: Suite #: ag RESIDENT/OWNER Name: ackn \)aAl¢.- ?&)n,l kp_ Phone: 33 o - (?q4?j Address / City / Zip: 35 YZ. ? Applicant is: Owner Contractor TYPE OF WORK Description ofwork: Construction Cost: Multi-Family Building: (Yes / No ? CONTRACTOR Name:(?i.cS+U M ?t?jlM ?'?L(n ?License #: OS -72,56 Q Address: 2o,j(a.'_ ne1-? isT" City: QsP +M o I.. nl State:. A-) Zip: Phone: laj-Zb?_J-)S/ Z- Contact Person: t) 14e?s 8 I'-) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted 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: ]VOTE: PJans and supporting documents that yau submit are considered to be public i»formation. Portions of the iniormafion may be classified as non-pu6/ic if you provide specffic reasons that would permit the City fo ' conclude tnat #he are trade secrets. f 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 sta ' hout a permit hat the work will be in accordance with the approved plan in the case of work which requires a review and a proval of plans X ??? M??.r??.?1 ?0 -0?-, X ApplicanYs Printed Name ApplicanYs Signature APPLICATION Page 1 of 3 ? ? o !? PROPE ? '<<'C'pK'?? %`?i'?` ??op`b?`L ?? ADDfT ?. GJ?CV ? ? We her, ??°`ry describ direct • ' S Y 0 ? ?P laws of b$l1? \s? ?$5? \1, show a ?a ?•s?? ?1 0??".o%,o ?, " o??' e exce t o- o• ? , oyF. / / ? - ? P ,FES Signed th 'a '0,6g / , . MARK , ? ? ,6 `'? ? !? ? •? ? SPiKE ??`?y. ? • `. `O L _ /'` T f O ELFV P 848.69 x•? oh?O ?`?1? CUT-5-5 QF ST ? O R J Lo? ? ?bs PoN 15 -?.?c-r NWLD 835 p? GF-+ I /1 T HV&=838_9 ?'1 F,? ? SAs ? i. 8 L _ ?J 1 ! k?.J p horiz ? i q A ? ? -r ? ? `. ? ; ? CN t'7 only. V 'DRA1NqGE 8? ' , & fi '?6g, ; EASEMENT pER np N ? LAT ?? ?aCV 2. P A ? • Q? ? ? \ ? ? ? , ?????, - ti?` ?p com The ? hous E.O.F. ,1am( 3. : 0 exisi ? 10 100.01 -' of ? r S8904Q ,4 „ -? plat . E \ te to LO .1At oC` 10 C) Z F- ? i nT Use BLUE or BLACK Ink r — For Office Use Permit#: i qt."/1.97 �.- City of Eaaall' Permit Fee: 1 C 1-.:`) 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: +— Z - t Site Address: 35 8 2 6t 2-cl,>0 in 4 Ra Unit#: Name: )e-(--.5{r t•AJ:M r ti V00,‘d et{,t3ahone: (3\ oi ro Rssic ent/ 3 8 2. i a.c- L, ti ,ai �wE c o, S5 I 2.2... Owner Address/City/Zip:�. � � t a Applicant is: Owner Contractor Type of Work .z Description of work: 'tL r-043475-- CI Q Construction Cost: 1 �'�©aQ, ) Multi-Family Building:(Yes /No 7C ) Company: 4\10,LQ ti r 0 ti 1--t-v C,-i 0 v, /, C Contact: , C14 2-3 - G5 0 S �Address:l� FoS� z5 , Su e- ' 3a 2, City: `I/ i't kt E 40-to(t"S Contractor • MO Zip: jS(©y Phone(Z)S62~67(y State: Enail: License#: `� G''3'1 2 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: NOTE:Plans and supportingdocuments 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 they are trade secrets.. 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.gopherstateonecall.orq 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 isl 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State:uilding Code must be completed within 180 days of per'nit iss nce k) x \) jc' -rk ra\Cli x Applicant's Printed Name Applicant's Signa 4 Page 1 of 3