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.
.
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?N?o
°
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ZS ??
? v 3
f/) W N o
cn
? N
Z ? v
5 Z
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z:2
LLJ'
s
w ? w
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0 0
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O
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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�"�"__�
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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� . �
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Date: Site Address: Unit#:
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:'�s��."'� �:' Name: �(s��[��f�'`v�- lu����- Phone:
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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