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3585 Birchpond RdAddress: 3585 Birchpond Rd. Zip: 55122 Permi : 75782 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON :? -2 Yes No Comments Final grade - 6" from siding Permanent steps - garage eri Permanent steps - main entry Permanent driveway Permanent gas Retaining Wall or 3:1 Max Slope c? 5od/Seeded lawn ? Trail/curb damage ? Porch Lower level finish Deck Fireplace 3 &d.g.po w.... • 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 ,-- ; ? ?.:_ ? ?? • _ .? , ? 2006 RESIDENTIAL BUILDING rEiuvnT arrLicATTONPL City Of Eagan r6f? 3830 Pilot Knob Road, Eagan MN 55122 _. „ Telephone # 651-675-5675 FAX # 651-675-5694 S- 7 New Construction Requirements ,%/3 registered site surveys showing sq. ft of lot, sq. ft of house; and sll roofed areas (20% maximum lot coverage aliowed) 1 Soiis Report'rf proposed buiiding is to be placed on disturbed soil +?L copies of plan showing beam & window sizes; poured found design, etc. v4 set of Energy Calculations 3 c:opies of Tree Preservafion Plan 'rf lot platted after 711193 - '` q ? Ri Joist Detail Options selection sheet (buildings with 3 or less units) ` ' innegasco mechanical ventilation form Remodel/Repair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Add'dion - indicafe if on-site sepfic system /,5r 5.,55 Office Use Oniv ???1 Cert flf Sunrey Reai SC'? _ N Soils Repod _ Y _ N Tree Pres Plan Recd Y_. Tree Pres Required _Y l On-site Septic System _ Y_ N Date ?_ / ?? / C?;• Construction Cost Site Address 4-4 Unit/Ste # Description of Work 4-;, Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1? 2 Property Owner Telephone # Contractor ?-U,c:ir Address ?'?'dG?it;,?'?d"?i1..t.?? City State ?vl?l Zip ?Y"j ( Telephone # aS'Z..) 4-73 ?? ?iq-3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 ` Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) • Submitted Submitted • Energy Envelope Caicufations 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 mqster plan: Licensed Plumber 6__ Ct,?_-?-? Mechanical Contractor Sewer/Water Contractor Telephone # ((6Z4 ?0 ?S T9 `f 1)- Telephone # 2- Telephone # ?jj 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. cJ 4`r1 ?tt,?:- C, ?Nv(.c ( 2- Applicant's Printed Name licant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? i ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg A 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 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/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 T es A 31 New ? 35 Int improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demoiish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (EnEire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review ? 100% or 25% Census Code, Zoning -? City Water SAC Units Stories ? Booster Pump Ifla # of Units Sq. Ft. G PRV ,!'/2 ? # of Bldgs 0/ Length Fire Sprinklered '41el Type of Const zo Width ? Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Roof jt- Ice & Water IV Final ? Frammg ? Fireplace _f R.I. *Air Test K Final ? Insulation i Approved By: Base Fee " Surcharge Plan Review MC/ES SAC C+ty SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total - REQUIRED INSPECTIONS Sheetrock y? FinaUC.O. FinaUNo C.O. , HVAC Other ` Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath ? Stone Lath _Brick ` Windows _ Retaining Wall Building Inspector //2G ? f='v ?oZ ?1 ? ?. 74??a / ?`??l 64,11,??=' G? /3 OfC 131 0,o 'A ? ,' - Permit Number RFScheck Compliance Certificate Checked By/Date 2004 Minnesota Energy Code REScheck So$ware Version 3.6 Release 2 Data filename: G:\CAD\EPTRADTT-l\WAKEFI-l\GFREN-l\WAKEFI-l\FIJLLAN-I.RCK PROJECT TITLE: EI Wakefield "C" - French COLTNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family W INDOW i W ALL RATIO: 0.16 DATE: 09/12/06 DATE OF PLANS: 08-31-06 PROJECT DESCRIPTION: Inventory Home 3585 Birchpond Rad Terra Glenn Eagan, MN 55122 DES IGNER/C ONT RAC T OR: Lennar Family ofBuilders 545 Indian Mound East Wayzata, MN 55391 PROJECT NOTES: Full Lower Level 9 $. Poured Foundation COMPLIANCE: Passes Maximum UA = 554 Your Home UA = 621 5.0% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or poor Perimeter R-Va1ue R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1971 44.0 0.0 53 Wall (egress): Wood Frame, 16" o.c. 286 19.0 0.0 12 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 83 0.330 27 Wall 2: Wood Frame, 16" o.c. 1983 19.0 0.0 91 Window 2: Above-Grade:Wood Frame:Double Pane with Low-E 373 0.330 123 Door 1: Solid 38 0.067 3 . r a Doar 2: Glass 28 0.330 9 Wa11 3: Wood Frame, 16" o.c. 1452 19.0 0.0 76 Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 166 0.330 55 Wall 4: Wood Frame, 24" o.c. 18$ 0.0 12.0 19 Wa11 5: Wood Frame, 24" o.c. 180 0,0 12.0 18 Basement Wall (egress): Solid Concrete or Masonry 52 0.0 5.0 6 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Basement Wall (full): Solid Concrete ar Masonry 1562 0.0 5.0 125 W all height: 9. 0' Depth below grade: 8.5' Insulation depth: 9.0' Floor 2: All-Wood Joist/Truss:Over Outside Air 4$ 24.0 0.0 2 Floor 3: All-Wood JoisUTruss:Over Unconditioned Space 84 44.0 0.0 2 Furnace 1: Forced Hot Air, 90 AFLJE , Proposeci and Maximum U-Factor Averages Proposed MaYimum 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 0.023 4.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the pelmit application. The proposed building has been designed to meet the 2000 Minnesota Hnergy 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 Date_Wi -I 'Y a Site addrm. 3S b•S? - .?. .....?.. ? 9,A L4t.FI4ock ? Subd. On April 15, 2000 the M1nnesota Energy Code, Categarv i 8uilding Requirements for insuratlon protectora, atr t?htness, and venti9ation, was adop#e#, As a sesultr #he Ciiy of Eagan is requiring that the following infvrmafiian be submitted prior to 1ssuance of a Certfficate oi Occupancy. ..? This stractura: Is constructed go meet tninPmum requiremenffs of the Mn Energy Cade, Ghapler 7570 ? OR This slructure: wfll be canstrucEed to maet rnore rsstrictive requiremenis af Chapters 7572 or 7674 ApPLIANCE GAS ELEG MAMUFAGTURER MODEL BTU"S VENTING TYPE Water Fiaater c ...? --.- ? Furnar.? D -?-?---- .--•.?.. - ryer CO;.= ?? s2: jkcr.. VEt 3'TEC+ _ y Ex?AUS7 sYsr?M Kitchen LOcaTIoN kitchsn TYPE MODEL - _?? cFM's G 0 rEs N¢ Bathroom _.... Bathraom 2 !?"?? `a' Fr=7 ? ?, ??`?.C?w•,, ?1? `y?`t.A ? ?" ? 4 ?? ? Ba#hrcwm a .?.. ., ?... Bathtoom 4 FtMW1.ACE LSa ?.w._. LOCATtOCd __ GAS _.._.. WOOD _....... NlANUFAG'TURE.R ?._ ?-----.._ NiOQEL ?•- ?BTU'S VEWTlWC; ?l ta?REcT ArMOs ?T ? ._,..? .? ?? LAq _ ?Z-, -t- r._..?,.._______.___ ?.._. _..._..?... ? NlIAKE?i?P ? TYPE p*r`? --?. WV[-4Y1'Cu 1 c .42:__?__ I hareby acknowletlgs (hat the above infiarmafion ',s ca,rrect ar,d agree to compiy wath the Minnesota EnErgy Caoe and (Jiy of Eagarn, requiremenls. ,?.?,?c.? .? s?9?Z a(o Company Nam.9 This lcrrr, is ihe responsioiiity oi the GeneraE Con9ractor. 952 555 5555 Litie 1 ELAN DER M ECy;A 02.21:01 p-m. 09-21-2006 ? 12 Date; 9i21J2006 Revision Date: 9121/2006 Site Infarmation Address 1: 3585 Birchpond Raad Address 2: City: Eagan Gounty: Apl2iicartion lnformation Business Name: E?ander Mechanical Inc. ContaeC Person: Todd New Construction Project #: L4t; BIock: Subdivision: MN Contractor Licenss #: Office Ph: 962-445-4692 Fax: 952-445-7487 Cell F'h: Address 1: 591 Citation Drive City: Shakopee State: Minnesota Zip Code: 55379 Hoaase netails 5quare Feef: 5443 sq. ft. Aug. Ceiling Ht: 9 it. Number of Bedronms: 4 Ven#iiatian : Balancecf Tota! Ver,ti0ation Gapacity : 214 cfm. Minzmum Cantinuous Ventilation .75cfm. intermittent Ventilation: 139 cfm. Cambustion App{iance Water Heater: Power Vent Input B7Lis: 75,000 lndependerttly Venfied FurnacelBailer: Direct VenU'Seaied Cambusticsn lnp ut BTUs: 110,000 Independentfy Vsnted Other Combus#ian Awptiances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Fower Vent FQreplace(s): No Gas Fireci Natura! Draft Firepiace(s); fVc Solid Fuel Appliance(s): No Exhaust Eauigment Gontinuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (;frn'. 135 Exhaust Fan Rating (Gfm): 640 Make-Up Kir No Make-Up Air Required by Code Combustian Air Round Rigid Required: 5 inches or Insulated Fiex: 8 inches Appilcant IVame (print):? `kr`', SignaturelDate:???:?????'°?- Code Officia6 (priiit): _ .? SignattirelD?te:?____? U`tf}04 C:enterPoint Energy Minnegasco. 2004 Mr:c;hanicttl Code fjuic!eiiizes. Page i `-'• LOT SURVEY CHECKLIST FOR RESiDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: 64, Z,Rjod- i, Wrkl:7 1'F4lil 74r) DATE OF SURVEY: gflb LATEST REVISION: d a? c ? s v o z ? a DOCUMENT STANDARDS ?d ? 0 • Registered Land Surveyor signature and company 0 0 • Building Permit Applicant ,a" ? ? • Legal description 2' ? ? • Address Jd" ? ? • North arrow and scale ;7' ? ? • House type (rambfer, walkout, spfit w/o, sptit entry, lookout, etc.) Jd' 0 0' • Directional drainage arrovrs with slopelgradient % ? ? • Proposed/existing sewer and water services & invert elevation ,Pl ? o • Street name ? ? • Driveway (grade & width - in RIW and back of curb, 22' max.) p1( 0 0 • Lot Square Footage ? ? 0 • Lot Coverage ELEVATIONS Existinq ? • Property corners jir 0 ? • Top of curb at the driveway and property fine extensions fd' ?? • Elevations of any existing adjacent homes z ?? • Adequate footing depth of structures due to adjacent utility trenches D 21 ? • Watenvays (pond, stream, etc.) Proposed ? ? ? • Garage floor ? ? ? • Basement floor p' ? ? • Lowest exposed elevation (walkout/window) ,PI ? ? • Property corners Z 00 • Front and rear of home at the foundation PONDING AREA lif apql+cable ? ? 0 • Easement line ? ? ? • NWL ? ? 0 • HWL ? ,? ? • Pond # designation ? • Emergency Overflow Elevation ? RP` ? • Pond/Wetland buffer de(ineation Y (W • Shoreland Zoning Overlay District Y g) • Conservation Easements DIMENSIONS fil ? ? • Lot lines/Bearings & dimensions Jd 0 0 • Right-of-way and street width (to back of curb) ? ? 0 • 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 ?` ? 0 i?gyard setback of adjacent existing structures • Setbacks of proposed structure an f?T' ? 0 ? • Retaining wall requirements: Reviewed By: Date?? G:/FORMS/Building Permit Application Rev. 11-26-04 .? -,:? H .- ?,a?n Siop-3 p.? Lk c4wwD C. . ;;g 4Vail Will r-\ i i-r- I r? T r-\ EAGAAI FtEVtEWED Tr'n /\I F-nlNl VL_L_IVIV QATE: Butc.DING iNSP;K-` .rI1??A?? ?????"?"r.,? - --_. (858.6 ?' 102.74 N85'47'18"W ? ? I nT 544 7GARAGE ti lJ 858.6 0 3585 BIRCHPOND ROAD CERTIFICATE 4F SURVEY For: LUNDGREN BROS. PROPERTY DESCRIPTION: Lot 2, Block 1, TERRA GLENN n r?r,i -rinN I rU U 1 i I v i v 2ND ADDITION, Dakota County, Minnesota. ?IN, 861.5) F_ p $61. 5 - - - ? ? tTp?BRUSH & TREES ; TP-rTP._._,_TP dl? ? ? ? ?I LOT 2 ? ----- \ I DRAINAGE & UTILIjY EASEMENT PER PLAT ?? ? -1o ..- (854.5) ? ?--? 851.9 X I I (855.0) ---_.---__ i "" oc) 19.77 851.8 ,?.9;9 855.0)851 - ,?NC? 4.0 6j.-- ? .8 Q ui GF ? 4.02 ? ? M ? `' C? ?- I U-) ?I BENCH MARK-? v? I? ? 15.52 2Q.48 ?,y? .oa -l`O° ? ?iN ? 00 4.02 I I ? ? Q ROPOSEO N ? HOUSE/ N $51.3 (FULL) r --_ ? 18.02 ? STOOP I (855, 0) 851. TOP OF SPIKE ? I ELEV.=851.32 co CUT=4.32 TO TOP a 5 Of LOWEST FLOOR LO o ° O ? GARAGE I ? o/% 11./67 N? / 10? N ? 21.0 ? ? 15_52 (855.0) 851.4I ? PROPOSED I I DRIVEWAY (851. 00 " SERV. n 0 50 TELE. --- i \ _ 852.0 852.0 852 8 ? ? l 90.97 N85* T4" I, ? ,29?/ rc ?s5,.s 4 0"W-_ -r Q=0 I * 25 ' 18 » _ R=333 . 91 BIRCHPOND ROA -1-NED Date EAGAN ENGllvk,ERING D,EJ>T. I nT ? L_V I I ni?nniT Vnvnt v 1 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. Hill, (nc., BY Jo n L. Benner Minnesota L.S. No. 26708 Notes: ,??,:?TA? 1.i 1. Buildin dimensions shown are for g A o Denates set spike Denotes set iron monument M arrzontal & vertical placement of structure ??,? p ? W ETER CpN??'? 9 Denotes faund iron monument ? only. See architectural plans for 6ui(ding x927.6 0) (930 Denotes existin elevatian 9 Denotes ro levation os d & foundation dimensions. _ p p e e Denotes rear of building pad 2. No specific soils investigation has been -?- Denotes proposed drainage completed on this lot by James R. Hill, Inc. TC ---- Denotes top of curb Denotes rear of Building Pad BENCH MARK TOP OF SPIKE 1he suitability of soils to support the specific per groding plan ELEV-851 20 house ro osed is not the res onsibilit of -7P- Denotes tree fence PP P Y CUT=4.20 TO TOP James R. Hill, Inc. or the surve or. OF LOWEST FLOOR y TNH-Lot 17, Block 1, Terra 3. No specific title search for ezistence or non- 1st Addition & Lot t, Block Bench Mark: 853.03 _1, Terra Glenn 2nd Addition the grading &/or development plan prepared by ot Egress Window= existence af recorded or un-recorded easements has been conducted by the surveyor as a part Proposed Garage Floor= of this survey. Only easements per the recorded Proposed Garage Top of Block= Proposed House Top of Block= TC 851.g plat are shown. 4. ProPosed 9rades shown were taken from Proposed Lowest Floor= Proposed Top of Block D ---- JAMES R. HILL, INC. LOT 1= 14,144 SQ. FT. °ROPOSED HOUSE = 2,753 SQ. FT. OR 19.46 % OF LOT AREA DRIVEWAY = 846 SQ. FT. . ?.:?Z? ?N?o ° ?w ZS ?? ? v 3 f/) W N o cn ? N Z ? v 5 Z ? a g a ? ZZ z:2 LLJ' s w ? w F-o 0 0 W ?o O ? y daoa v?mo b tv ¢ w oZ U N DRAWN BY MAL DATE 9/7/06 855.3 855.7 855.7 847.0 850.2 BOOK/PAGE NONE CONTROL N0. 21192 CAD FlLE 261312 PROJECT N0. 261312 FllE N0. DRAWER Bearings are on assumed datum Scale: 1"=30' SAN. SERVICE INVERT ELEV.=840.0 SHEET 1 OF 1 INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL BUILDING PERMITS PROPERTY LEGAL: ? A 1 t? c jc?- I PROPERTY ADDRESS: pp'-J'4 ?j•` INSPECTOR: A t--?? INSPECTION DATE: 4I", o a ? Z Z StTE 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)? F 0 D Does perimeter grading tie in well with adjacent properties/undisturbed land? p 0 ? 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 covq' w?'`nulch present? Pd ?? Is permanent vegetative cover w/ or w/o mulch present? (circle one) CITY EASEMENTS AND UTILITIES Are all easements clear-no part of any building/deck/porch/retaining wall/etc. 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? ??? 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 ?!? ? Is there tracking present on Public Right-of-Way/Street 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 clean, no trash and/or construction debris lying around? ?f D 0 Was the proper type of building constructed according to the approved grading plans? (LO, WO, FB, R, etc.) t 2007 RESIDENTIAL PLUMBING PERnniT aPPLica-rIotu CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existin residentiaf dweliings. Date --?d,?--- Site Street Address C- k ? Unit # Property Owner Telephone # ( ) q ?u Contractor Telephone # 0 t!nc Address ?y-Zy 14 vx ('et... City 2State? Zip -14C The Applicant is: _ Owner & Occupant ?Licensed Plumbing Contractor Septic System _ New Refurbished Submit 2 sets of plans and MPC license fncfudes 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 instal/ing onlv a water softener andlor 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 required) Other: " Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Tota I . I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the I work will be in conformance with the ordinances and codes of the 'ty of Ea d e ubi,ng a4i unde rstand this isot a permit, but only an application for a permit, r?s's staiho ?in acc the approved plan in the event a plan is required eviewed pprov ,IUN 12 2007 ApplicanYs rinted Name Applicant's i at re ? 16VSULAT'ION INSPECTIQN CHECFCLIST FOFZ FZESlDENTIAL BUILDlNG PERMITS PROPERTY LEGAL: IL 2 , )?f ?'-111 PROPERTY ADDRESS: 3S*'8,j R/? D?Al U ? INSPECTOR: ?, ,?., G''im?"/?? INSPECTION DATE: _ J?Qo ai o ¢ ?? ?? } z z SITE GRADING ?? ? A!i slopes 3:1 or flatter? k? ?? Slopes steeper than 3:1 require retaining wall. Are retaining walis present? ?? 11 Does grading conform to As-Built Grading Plan (+/- 1 foot approximately)? ?? Does perimeter grading tie in well with adjacent properties/undisturbed land? o m Is there proper grading and/or drainage around Lookout or Egress Windows? EROSION CONTROL IZF Is Silt Fence (or approved equal) installed and in good working order? El ?? Is Sod/Fiber Blanket installed behind curb? El ?.? Is the Rock Construction Entrance/Driveway installed and in good working order (proper type/size of aggregate, clean-not covered with soil, etc.)? o ?Is temporary vegetative cover w/ mulch present? ?? Is permanent vegetative cover w/ or w/o mulch present? (circle one) CITY EASEMENTS AND UTILITIES ?11 ? Are all easements clear-no part of any building/deck/porch/retaining wall/etc. 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? ?? ? 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 ??'J 0 Is there tracking present on Public Right-of-Way/Street from construction site? ?? ? Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line) ?? 0 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.) FOR ALL ITEMS REQUIRING ADDITIONAL FOLLOW-UP: NAME OF PERSON CONTACTED FOR FOLLOUV-UP: COMPANY NAME: COMPANY ADDRESS: COMPANY TELEPHONE NUMBER: DATE CONTACTED: DATE OF FOLLOW-UP INSPECTfON: INSPECTOR: COMMENTS: G:/FormsIINSULATION INSPECTION CHECKLIST FOR RESIDENTIAL.doc Revised 2-06 For Of f ice Use r City of Eaaaii Permit Permit Fee: 130, 3830 Pilot Knob Road r Eagan MN 55122 ii Gy y i Date Received: Phone: (651) 675-5675 O,.2 `Io ( L Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 101 Site Address: 3695 B lalnpwDD VJ• iAN Tt,3 Tenant: Suite RESIDENT / OWNER Name: taw, s timlC/l Phone: 443. 703. /'/0D Address / City / Zip: .351.5 Pile LpoND KG-, f}~h1 nii Applicant is: Owner Contractor TYPE OF WORK Description of work: .ti.L N1 Construction Cost: Multi-Family Building: (Yes / No') CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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 they 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 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 approvaT 4`... sR IJ ,an ~miG~_ W S c x x Applicant's Printed Name -Applicant's Signature Page 1 of 3 MAR 172009 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 34W Occupancy I AG MCES System Plan Review Code Edition SAC Units (25%_ 100%_J _ Zoning J__ City Water Census Code t3Y 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 II Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector Lor RESIDENTIAL FEES Base Fee Surcharge Plan Review A MCES SAC - City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ' I For Office Use City of EaRd Per mit#: U J( j 11 I Permit Fee: v 3830 Pilot Knob Road I Eagan MN 55122 Date Received: - Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION r:..i G o Date: 0 Site Address: Tenant: Suite RESIDENT/OWNER Name: C-' Y`t11~ 911 Phone: 1 1 1 d i Ll Address / City / Zip: 3 CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild 1n Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation _ Add Plumbin Fixtures RPZ / - PVB) Main.. Lower Level) Septic System Water Turnaround 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 Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $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) $90.5.0 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 no to without a permit; that the work will be in accordance with the approved Ian in the case of work which requires a review and approval a Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test _Gas Test Final 03f31/2015 10:28�h1 65145693r7 NOP.WEST CONTRACTOP.S P�GE 62/02 use BLUE or BLACK Ink �Forofflceuse ^T�"�"__� I �,,-- � Cltof Ea a� � Permlt#: � .`�i� I Y � � �� � � � Permlt Feb: � 3$30 Pilot Knob Road � � Eagan MN 55122 j oate Rece;ved: j Phone:(fi51}6755676 I I Fax:(851)875-5694 � S��- � ,� �----------------� .`� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � .,'y� . � � � Date: Site Address: Unit#: ��.� �.� � :'�s��."'� �:' Name: �(s��[��f�'`v�- lu����- Phone: H Address/City/Zip: 3 S �5� /v��f✓l�/�f��-� � �: �`'�c � Applicant is: Owner �Con�'actor "' "" Description of work: ���- !'/"� °T �e-� �v�� f r � Construction Cost !..6/ �d v Multi-Family Building: (Yes /No_) � / � , % •R ;,; Company: /Vt��+_•� �S� GOY��/r�*Cr�'S Contaet: �/ Z�'2 G���/��f � ��' f � Add ress: l7 �'� �� �"��l�I��� �/�iAi�C. C,�ty: ��i"p�L. �j s�i�• , �lL"�`f� �t�a/� � o• �^ �!� :, State:/�'fNZlp: ��f� Phone. Email: Ji�"f�i /�v�'zi- z!��cpr' ✓ � ' d 1Jr,si ��c. -C•0�r� License#:�����-! `� � � l.ead CeRlflcate#: /L����' �''//!/�3"l II . � If the project is exempt from lead certlflcatlon, please explain why: (sae Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the Clty of Eegan Issued a permit for imilar plan based on a master plan? Yes _No If yes,date and ad f master pla • Llcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Conhactor. Phone: � CALL BEFORE YOU DIG. Call Gophor State Ono Call at(651)45e-0002 for prolection ageinst underground utility damage. Call 48 hours beFore you intend to dig to receive locates of underground utilities. www.qooherstateorrecall.orq I hereby acknowledge that fhis information is complete and accurate;that the work will be In conformance wiln fhe orainances and codes of Ehe City of Eegan; that I understand this is not e permit, but onty an appGcation for a permit, and woric Is not to start wlthout a permit;thdt the work wiN be in accwdance with�ne spproved plan in the case of work which r�equires a review and approval of plans. Extorler work authorized by d building pArmit issued in aCCOrdance with the Mi��esota Stale ilding Code must bo completod wlthln 180 days of pAnnit issuanea. X �eNh I'�G/�/t�� . Applicant's Printed Name ica s Slgnature Page 1 of S