3590 Birchpond RdM
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Date:
Tenant;
?__--___________._-
? Permit #:
I ?
I PermitFee:
I 2 ?
? Date Received:
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? Staff: ? i
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-----------------?
2008 RESIDENTIAL BUILDING PERMIT PPLICATION
?.' Q,+e A,4a.e__. '?_S96 911A8&j p
RESIDENT / OWNER I Name:
?
Cs I-4s2 -2 320
Address / City / Zip: ng-0 + 4!l Q
Applicant is: Y_ Owner Confractor
TYPE OF WORK Qescription ofwork: V«ry-,
Construction Cost? Multi-Family Buitding: (Yes / No ?
CONTRACTOR Name: WS OlM License #:
- I S 191d GA1
Address: Wtw
?
LA
City: o S State: MAJ Zip:
jfA Phone: ? I 40L 101
Contact Person:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 approval of plans.
%L.---
X &ff Wmeo_ X
Applicant's Printed Name Applic t nature
Page 9 of 3
DO NOT WRITE BELOW THIS UNE
SUB TYPES
?Faundatfon ? 05-plex ? 16-plex ? Accessory Building CJ Poot
? Single Family ? 06-piex ? Fireplace ? Porch (3-season) Cl Ext. Ali. - Mulii
? 01 of „ Plex n 07-plex ? Garage CI Porch (4-season) ? Eut. Alt. -- SF
? 02-Plex ? 08-pleX ? Deck ? Porch (screeNgazebo/pergola) ? Mutii Misc.
? 03-Plsx ? 10-plex ? Lower Levef ? Storm Damage
? 04-Plex ? 12-plex ? Misceilaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Buitding*
tllg.-Addition ? Move Suilding ? Reroof ? Demolish interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
El Replacement ? Egress Window ? Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation ?
Occupancy ?
MCES System
Plan Review Code Edition X SAC Units
(25% 100% ? Zoning City Wafer
Census Code Stories Baoster Pump
# of Units Square Feet PRV
# of Buildings Length fire Sprinklers
Type of Const. 1ih Widfh
REQUIRED iNSPECTICiNS
Footings (new bidg)
? Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: ____Ice & Water _ _Final
Framing
Firep(ace:-R.L Air Test TFinal
Insulation
Sheetrock
FinaUC.O.
? FPnai/No C.O.
HVAC
Other:
Pool: _Footings `Air/Gas Tests _Final
Siding: ___.Stucco l.ath -Stane Lath iBrick
Windaws
Retaining Wali
Reviewed By: Buiiding inspector
RESIDENT/AL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Ptant
Capies
Totat
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Page 2 of 3
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UTILITY LINE EASEMENT
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ASHBURY ROAD
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2006 RESIDENTIAL BUILDING PERMiT APPLicaTlo?p 70"
. City Of Eagan ? 7?dq0
3830 Pilot Knob Road, Eagan MN 55122 ?' `o Telephone # 651-675-5675 FAX # 651•675-5694
New Construction Reauirements
3 registered sfte surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas
(20°k maximum lot coverage allowed)
2 cop'res of plan showing beam 8 window sizes; poured found desig n, etc.
1 set of Energy Calculaiions
3 copies of Tree Preservation Plan if !ot plaited after 7l1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
' 1 '1 ' f
RemodellRepair Reauirements
2 copies of plan showing fooUngs, beams, joists
1 set of Energy Ca(culations for heated additions
1 site suroey for additions & decks
Addition - indicate if on-sife septic sysfem
Minnegasco mechan ?ca venh at?on orm
5-?-W '7?? ??
i?,J $ t . (., 3
90'.6D
' .7O, _
Office Use Oniv, /'
Ceft of Survey Recd N
Tree Pres Plan Recd _ N, -?
Tree Pres Required N
On-site Septic System _ Y_ N
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?#l l o Z 3LI ?jz9/06 PJ
Date ?0 ?
Construction Cost I?Gl?
Sife Address Unit/Ste #
? ra_
Description of Work -? F f?
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 ? 1 _ 2
Property Owner ' Telephone # ( )
Contractor 1
Address Z>_t_,r4 fJ it/i c (/i t?1 D C? City u l A `/ ?f}''.T- f?.
State Zip Telephone # ( ??Cj4 4 13 ` 0 1/?/ ?
COMPLETE THIS AREA ONLY IF CANSTRUCTING A NEW BUILDiNG
? ? Vc' ? sota Rules 7672
Energy Code Category Minnesota Rules 7670 Categoryl
• Residential Ventilation Cafegory 1 Worksheet • F?'r ocle Worksheet
(4 submission type) Submitted JUAI 1 Submi?tZ?d
. Energy Envelope Caiculations Submitted ?Y , eS ?0
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y L--- N If yes, date and address of master plan:
Licensed Plumber 154-.HA2f:)6,rL- 4Vf_QLI,+jj C,t? L-- Telephone # (??)
?} ?L1 ?-?(,???
Mechanical Contractor ?LAL?,.,),?_.iv ?''??ii:?t/,? ; c:f¢? Telephone #(q5
Sewer/Water Confractor ?;"Z Telephone # ( y5Z Ki-q
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
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 ofplans.
?..??'
Applicant's Printed Name Applicant's Signature ?t
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
* 02 SF Dwelling 0 08 06-plex ? 16 Fireplace C] 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen(gazebo) 0 36 Multi Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
ork T es
'Yk 31 New ? 35 lnt Improvement O 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Altecafion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation 0" Occupancy MCES System
Plan Review ? 100% or 25°!0
Census Code Zoning City Water
SAC Units Stories ? Booster Pump
# of Units D Sq. Ft. PRV ?
# of Bldgs Length q, Fire Sprinkfered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
_ Footings (deck) ? Final/C.O.
Footings (addition) Final/No C.O.
? Foundation _ HVAC
Drain Tile Other
^ Roof Ice & Water
Fi Pool Ftgs Air/Gas Tests
nal Final
_
? Framingr _
_ Siding ` Stucco Lath _ Stone Lath V Brick
Fireplace ?_ R.I. 4 Air Test * Final Windows
Insulation ? Retaining Wall
Approved By: , Bui lding Inspector
-- ---------- - - -
-- - ---------- - --------- - ----
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAG
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
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Development ig?(Oup
Lot Number 17 Block Number Z-1
Address 3-00 ?fMuTjU? 700
Builder
Phone Number: 61z- ` ?/f - ej3 3
Contact: JaVJ 0
Tree Protection Requirements:
?
Tree Protection Fencing Installed On Site.
Oak Tree Pruning (immediately seal wounds during April 1 to July 31)
Therapeutic Rruning Required
Retaining Wall To Be Installed
Other:
Replacement Trees:
Not Required
As Follows:
Attachments:
?
Additional Notes:
Yes
No
iEAGANMRE$THY D1VISiQN
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H:\ghove,2005fi1e\treepres\Tree Preservation Plan Summary-2005
(BUILDER, PLEASE READ ATTACHMENTS)
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• 10 , 3590 BIRCNPOND ROAD
CERTIFICATE OF SUR Y
For: LUNDGREN BROS.
nT ?-r oi nri? ?
TERRA GLENN ADQITION
Tree Preservation plan
Pre House Pro osed Post House
Development Construction Tree Preservation Construction
Construction As-Bu+lt Post House Const. As-Built
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3572 836.5 OAK 13" X X X
3573 833.1 OAK 13" X X X
3574 843.8 OAK 15/13/$" X X x
3575 843.4 HACKBERRY 7° X X X
3576 840.6 OAK 9" X X X
3577 $39.$ HACKBERRY &" X K X
3578 838.0 OAK 9" X X X
3579 838.5 OAK 20" X X X
3580 840.2 OAK 17" X X X
3581 843.8 OAK 13" X X X
3582 844.5 OAK 17" X X X
35$3 $47.6 OAK 13" X X X
3584 847.6 OAK 7" X X X
3585 847.9 OAK 10" X X X
3586 844.9 ORK 17° X X X
3587 849.3 OAK 17" X x X
3588 847.9 OAK 10" X X X
3589 849.2 OA1( 19" X X x
3616 84$.9 HACKBERRY 9° X X X
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ASHBURY ROAD
Preliminary Tree Certification
During a site visit on MAY 31, 2006, all significant trees designated to be saved on the
Tree Preservation Plan prepared by James R. H+If, Inc., were present and in good health, except
as noted in the table above.
The house has been staked. Tree fence will need to be placed outside the dripline of al( significant
trees to be saved. Future grading nnd construction shauld not have a negative effect on these trees.
?
gyDate: BL.S. No. 11529 Signature af Owner
Scale: 1"=30' Page 1 of 1 James R.
Dafe:
Hill, Inc.
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DRAWN BY
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DATE
05 26 D6
REVISfONS
BOOK/PAGE
NONE
CONTROL NQ.
21192
CAD FlLE
261189
PROJECT N0.
261189
Fl1.E N0.
DRAWER
SHEET 1 OF i
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952 555 5555 Line 1 ELANDER MECHA
09:26:03 a.m. 06-14-2006 4 /4
Date: 6/14/2006 Revision Date: 6/14/2046
Site Information
Address 1: 3590 Birchpond Rd
Address 2:
City: Eagan County:
Application Information
Business Name: Elander Mechanical Inc.
Contact Person: Todd
New Construction
Project
Lot:I -/ Block:,:1
Subdivision:
MN Contractor License #:
Office Ph: 952-445-4692 Fax; 952-445-7487 Cell Ph:
Address 1: 591 Citation Drive
City: Shakopee State: Minnesota Zip Code: 55379
House Details
Square Feet: 4503 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 177 cfm.
Minimum Continuous Ventilation :75cfm.
Intermittent Ventilation: 102 cfm.
Combustion Appliance
Water Heater: Power Venf fnput BTUs: 75,000 Independentiy Vented
Furnace/Boiler: Direct Vent/Sealed Combustion lnput BTUs: 88,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Firep{ace(s): No Solid Fuel Appfiance(s): No
Exhaust Equipment
Continuous Exhaust Ventifation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 315
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
Round Rigid Required: 5 inches or Insulated Flex: 6 inches
. ;
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Applicant Name (print)•? ?}?? 11t1?i.Fr?.z?.? Signature/Date.? ?
Code Official (print):
Signature/Date:
C 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
Permit Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheck So$ware Version 3.6 Release 2
Data filename: Untitled,rck
Checked By/Date
PROJECT TITLE: Inventory Home
COUNTY: Dakota
STATE: Minnesota
ZONE; 2
CONSTRUCTION TYPE: Single Family
W INDOW / W ALL RAT IO: 0,15
DAT E: 06/ 12/06
DAT E OF PLANS : June 12, 2006
PROJECT DESCRIPTION:
New Standard Wheaton "G" Inventory Home
3590 Birchpond Road
Terra Glenn
Eagan, Mn
DES IGNER/C ONT RACT OR:
Lundgren / Lennar Corp.
545 Indian Mound East
W ayzata, Mn
952-2494500
PROJECT NOTES:
lookout
9' foundation
COMPLIANCE: Passes
Maximum UA = 614
Your Home UA = 584
4.9% Better Than Code (LIA)
Gross Glazing
Area or Cavity Cont. or poor
erimeter R-Vatue R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1761 44.0 0.0 48
Wall 1: Wood Frame, 16" o.c. 308 19.0 0.0 15
Window 1: Above-Gracie:Wood Frame:Double Pane with Low-E 60 0.330 20
Wall 2: Wood Frame, 24" o.c. 184 0.0 12.0 19
Wall 3: Wood Frame, 16" o.c. 1526 19.0 0.0 70
Window 2: Above-Grade:Wood Frame:Double Pane with Low-E 299 0.330 99
Door 1: Solid 38 0.067 3
Wa11 4: Wood Frame, 16" o.c. 126 13.0 0.0 10
W all 5: W ood Frame, 24" o, c. 177 0.0 12.0 18
Wall 6: Wood Frame, 16" o.c. 1412 19.0 0.0 71
Window 3: Above-Grade:Wood Frame:Double Pane with Low-E 211 0.330 70
Basement Wall 1: Solid Concrete ar Masonry 1370 0.0 5.0 110
Wall height: 9.0'
Depth below grade: 8.5'
Insulation depth: 9.0'
Basement Wall 2: Solid Concrete or Masonry 196 0.0 5.0 23
Wall height: 3.5'
Depth below grade: 3.0'
Insulation depth: 3.5'
Floor 1: All-Wood Joist/T russ: Over Outside Air 52 24.0 0.0 2
Floor 2: All-Wood Joist/T russ: Over Unconditioned Space 264 44.0 0.0 6
Furnace 1: Forced Hot Air, 90 AFLTE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.330 0.370
Includes Foundation Windows > 5.6 $2
Floors Over Unconditioned Space 0.023 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(fnrmerly MECcheck) and to
comply with the mandatory requiremeqs listed in the REScheck Inspection Checklist.
Builder/Designer Date (.,0` ? v ?'Y
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LOT SURVEY CHECKLtST FOR RESIDENT{AL
BUILD{NG PERMIT APPLICATION
PROPERTY LEGAL: kO'I' I? , 8k? Z- lP,r/YrC, ?71P4,,,
DATE OF SURVEY:
LATEST REVISION:
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,z ? ? • Registered Land Surveyor signature and company
.H' Q ? • Building Permit Appiicant
.a' ? ? • Legal description
? ? • Address
Jz ? ? • North arrow and scale
,H ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?? ? • Directional drainage arrows with slope/gradient %
? ? • Proposed/existing sewer and water services & invert elevation
1d` ? D • Street name
p1 D ? • Driveway (grade & width - in R/W and back of curb, 22' max.)
'06 ? ? • Lot Square Footage
.4 ? ? • Lot Coverage
ELEVATIONS
Existin
? ? ? • Property corners
? ? • Top of curb at the driveway and property line extensions
Id ? ? • Elevations of any existing adjacent homes
? ? • Adequate footing depth of structures due to adjacent utility trenches
,B ? ? • Waterways (pond, stream, etc.)
Proposed
? ? • Garage floor
jX ? 0 • Basement floor
? 0 • Lowest exposed elevation (walkouUwindow)
2r ? ? • Property corners
X ?? • Front and rear of home at the foundation
PONDING AREA (if aqmlicable
? 0 0 • Easement line
? 0 ? • NWL
? jd D • HWL
? Z D • Pond # designation
? ? 0 • Emergency Overflow Elevation
0 A • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
DIMENSIONS
r
0 ? • Lot lines/Bearings & dimensions
y7 ? ? • 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. aH structures requiring permanent footings)
? ? • Show all easements of record and any City utilities within those easements
? ? ard?tback of adjacent existing structures
• Setbacks of proposed structure and s' e
.el ? ? )
• Retaining wall requirements:
Reviewed By: ' Date G O?
G:/FORMS/Building Permit Application Rev. 11-26-04
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ELEV.=850J0
CUT= 5.50 TO TOP
OF LOWEST FLOOR
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ASHBURY ROAD
PROPERTY
ADDITION,
3590 BIRCHPOND ROAD
CERTIFICATE OF SURVEY
7 For: LUNDGREN BROS.
DESCRIPTION: Lot 17, Block 2, TERRA GLENN
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 6'-'y day of 2006. James R. Hill, Inc.,
By
N
i. Building dimensions shown are for
horizantal & vertical piacement of structure
only. See architectural plans for building
& foundation dimensions.
2. No specific sails investigation hos been
completed on this lot by James R. Hill, Inc.
me suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc, or the surveyor.
3. No specific title search for existence or non-
existence 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 shawn were taken from
the grading &/or development plan prepared by
JAMES R. HILL, INC.
LOT 17 = 28,670 SQ. FT.
PROPOSED HOUSE = 2,264 SQ. FT.
- OR 7.9 % OF LQT AREA
DRIVEWRY = 855 SQ. FT.
J. Gark? yan, innesota L.S. No. 11529
es:
p Denotes set spike
0 Denotes set iron monument
0 Denotes found iron monument
x927.6 penotes existing elevation
(930.0) Denotes proposetl elevation
Denotes proposed drainoge
TC Qenotes top of curb
---- Denotes rear of Building Pad
per grading plan
Bench Mark: 853.02 _TNH- LOT 17 BLOCK 1
Proposed Garage Floor= $52•2
Proposed Garage Top of Block= 852.6
Proposed House Top of Block= 853.3
Proposed Lowest Floor= 844.6
Proposed at Lookout 847 $
Top of Bl ock=
Bearings are on assumed datum
Scale: T°30'
SAN. SERVICE INVERT
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Site address: ?..5 L Q E)l /l' C,M fX11.?-b
Lot Block < Subd. _ 1r ?t<a=?} -°L-?.c lL; ?
On Apri! 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: ls constructed to meet minimum requirements of the Mn Energy Code, Chapfer 7670
? OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VEN7ING TYPE
Water Heater
f-) '?:?`G u • ? ? i? ?' V ?
Furnace
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VEN7ED
ves No
Kitchen kitchen
Bathroom 1
121%'
Bathroom 2
8athroom 3
?
(VI ?5b
r
Bathroom 4
Other
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRE TENTI A7MOS
MAKE-UP AlR MODEL TYPE CFM's
c,7`
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements. ?
?
Signature
?
? I,? A_I_i? E-%? F% :)IeLe? `-s...
?' "/ y ? ?Y
Date
Company Name
' This form is the responsibi(ity of the General Contractor.
Address: 3590 Birchpond Road Zip: 55122
Lot: 17 Block: 2 Subdivision: Terra Glenn
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON
Yes No Comments
Final grade - 6" from sidin
Permanent steps - gara e
Permanent steps - main entry ?
Permanent driveway 4 • ?
Permanent gas
Retaining Wall or 3:1 Max Slope ??
Sod/Seeded lawn
Trail/curb dama e "
Porch
Lower level finish
Deck
Fireplace Xn
V? ?. 1, 41
• 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:
CONTRACTOR:
Lundgren Bros.
545 Indian Mound E.
Wayzata, MN 55391
City of EaElftnon
T llT_ i.S
AUG 2 1 2008
2008 RESIDENTIAL BUILDING PERMIT
------------------
? For.'Ofifice Use ?
,.-
j Permit #:
? Permit Fee:
? Date Received: IZ4 j
I ?
I Staff: I
I ?
------------_'---J
APPLICATlON
Date: 001-0` 0v Site Address: '3tia--e-H _?o (`3 t
/???r C (
Tenant:?1"? E iPK?/ Suite #:
RESIDENT / OWNER Name: A64-14Y 4 6w?^ Phone:
Address / City / Zip: 3 C) _x 1'2.C? pc> tSb
Rpplicant is: ? Owner Contractor
TYPE OF WORK ?1?? 'kt????. ?C
Description of work:???,? ?A ??
?
,
_
Construction Cost: Multi-Family Building: (Yes No )
CONTRACTOR Name: y"j !> l?k License #: IrJ _ ? ?'?
Address: L? c,?-?
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04 Zi
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St
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City:
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Phone: 2 ?Eontact Pers
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
Submission type} • Energy Envelope Ca(culafions 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 tf yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents fhat you'submit are considered to be pub7ic information. Portions of
ffie informafion maybe classified as.non-public if you provide specrfic reasons fhat would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved pian in the case.of work which requires a review and approval of plans.
X J? H61+,eA
ApplicanYs Printed Name
LIAc-4
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X ?
Applic t gnature
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
• 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building*
Addition ? Move Building ? Reroof ? Demolish Interior
El Aiteration ? Fire Repair ? Windows ? Demolish Foundation
Ll Replacement 0 Egress Window 0 Water Damage
* Demolition (entire build ing) - give PCA handout to applicant
DESCRIPTION:
Valuation ? v Occupancy MCES System
Ptan Review Code Edition : SAC Units
(256/6 100% ) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buitdings Length Fire Sprinklers
Type of Const. _Z Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof: _fce & Water _Final
Framing
Fireplace:_R.I. _Air Test _Final
Insulation
Sheetrock
Final/C.O.
? Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: C."" , Building Inspector
----------------------------------------------------------------------------------------------------
RESIDENTIAL FEES:
Base Fee ?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144578
Date Issued:08/01/2017
Permit Category:ePermit
Site Address: 3590 Birchpond Rd
Lot:17 Block: 2 Addition: Terra Glenn
PID:10-75400-02-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey A Holmen
3590 Birchpond Rd
Eagan MN 55122
(651) 206-3646
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156452
Date Issued:07/01/2019
Permit Category:ePermit
Site Address: 3590 Birchpond Rd
Lot:17 Block: 2 Addition: Terra Glenn
PID:10-75400-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Jeffrey A Holmen
3590 Birchpond Rd
Eagan MN 55122
(651) 206-3646
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature