3606 Birchpond RdINSULATION INSPECTION CHECKLiST FOR RESIDEiVT'IAL
BUILDENG PERMITS
PROPERTY LEGAL: ?3 Z _R(('4 ??{1nnn Z"d Add'
PROPERTY ADDRESS: 3?.,CjL-1 llre4 A ?
WSPECTOR:
INSPECTION DATE: _ I_ a 3?I p?
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z SITE GRADING
? All slopes 3:1 or flatter?
? Siopes steeper than 3:1 require retaining wall. Are retaining walls present?
? Does grading conform to As-Built Grading Plan (+/- 1 foot approximately)?
? Does perimeter grading tie in well with adjacent properties/undisturbed land?
? 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?
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!s the Rock Construction Entrance/Driveway instaNed and in good working order (proper
type/size of aggregate, clean-not covered with soil, etc.)?
Is temporary vegetafive cover w/ mulch present?
Is permanent vegetative cover w/ or w/o mulch present?
(circle one)
CITY EASEMENTS AND UTtLtTIES
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?
Was the proper type of building constructed according to the approved grading plans?
WO, FB, R, etc.}
L1
FOR ALL 17EMS REQUIRING ADDITIONAL FOLLOW-UP:
NAME OF PERSON CONTACTED FOR FOLLOW-UP:
COMPANY NAME:
COMPANY ADDRESS:
COMPANY TELEPHONE NUMBE
DATE CONTACTED:
DATE OF FOLLOW-UP INSPECTION:
INSPECTOR:
COMMENTS:
G:/FormsIINSULATION INSPECTION CHECKLIST FOR RESIDENTIAL.doc Revised 2-06
Address: 3606 BIRCHPOND ROAD Zip: 55122 Permit: 79205
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON : ? A?- C6
Yes No Comments
Final grade - 6" from siding V"
Permanent ste s - garage
Permanent steps - main entry ?
Permanent driveway ?/ ? ? ??,v!? ?-g
Permanent gas
Retaining Wall or 3:1 Max Slo e ?
Sod/Seeded lawn
Trail/curb damage
Porch t/
Lower level finish ?
Deck ?
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets 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: ------""
GBldg Insp/Forms/2007/Checklists
h`°i 11)
2006 RESIDENTIAL BUILDING rExMlT APrLICATroN 7'
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
registered site surveys showing sq. ft. of iot, sq. ft. of house; and all roofed areas
(20°fo maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
t/1 set of Energy Calculations
0 copies of Tree Preservation Plan if Iot platted after 7l1/93
p/Rim Joist Detail OpGons selecGon sheet (buildings with 3 or less units)
VMinnegasco mechanical ventilation form
Remodel/Repair Requirements
2 copies of plan showing foo6ngs, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicafe if on-site septic system
Office Use OnN
Cert of Survey Recd VY? N
Tree Pres Plan Recd N.
Tree Pres Required !Y N
On-site Septic System _ Y_ N
Date 0-7 Construction Cost
Site Address 3??? ? ?Y`C? (!"ti-?.? t?{1 • , Unit/Ste #
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72g?c
_
Description of Work
Multi-Family Bldg ? YN Fireplace(s) _ 0 2
Property Owner Telephone #
;
Contractor
Address City Wcx._( "z_0.?c_
State VVN,? Zip S7S ?J°E ( Telephone # (q5~4 Z3 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet ` • New Energy Code Worksheet
submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the fast 12 month has the City of Eagan issued a permit for a similar plan based on a master ptan?
` Y N If yes, date and address of master plan:
Licensed Plumber ? ?a ?.-C? ? ? • Telephone # Y4 S ? b `{ L
Mechanical Contractor Telephone # (?S2j 41?5 4%el-tZ°
Sewer/Water Contractor Tefephone #(5SZ} 9$" 9"?
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. ? [E E- t I w E
11 07
Applicant's Printed Name Ap ic t's Signature ?
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DO NOT WRITE BELOW THIS LINE r
... ___ .. ,
Sub TVpes
? Oi Foundation ? 07 05-plex ? 93 16-plex ? 20 Pool ? 30 Accessory Bldg
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) 0 36 Multi Misc.
? 05 03-piex ? 11 10-p(ex ? 19 Lower Level ? 24 Storm Damage
, ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work T es
)ZT 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire ftepair
0 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplBCement *Demolition (Entire Bidg) - Give PCA handout to applicant ,
DeSCripti011: Water Damage Yes
Valuation 70C57 0 Occupancy MCES System
Plan Review ? 100% or 25%
Census Code Zoning City Water
SAC Units Stories 4.1 Booster Pump
# of Units Sq. Ft. 101 PRV
# of Bldgs Length Fire Sprinklered
Type of Const Wdth
? REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
_ Footings (deck) Final/C.O.
Footings (addition) ? FinallNo C.O.
? Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing` Siding ^ Stucco Lath ? Stone Lath _Brick
Fireplace ? R.I. Air Test -rFinal _ Windows
Insulation Retaining Wall
?
Approved By: ------------- -- Building Inspector 416eJ - ??av
------------- ---
--------------------------- ----???:- -----------
-------- - ------ ?
Base Fee 4,.1 ?
Surcharge
i ? 1 '?7
Plan Review
?J ?
: MC/ES SAC
City SAG
VO' /fi
0
Utility Connection Charge
S&W Permit & Surcharge x
Treatment Plant 4 3
License Search
?
Copies 175'
Other F?
???i`?'???? ,? S (,? ?( V/ ? ? ??/
Total
?
Permit #
Permit Date
Project Title: KENTON "E" FRENCH
Report Date: 07/12/07
Data filename: G:\CAD\EI\TraditionallKenton\E - French\Kenton E Energy Calcs\FullAnderson.rck
Energy Code: 2000 Minnesota Energy Code
Location: Dakota Coanty, Minnesota
Construction Type: Single Family
Glazing Area Percentage: 15%
Construction Site: Owner/Agent: Designer/Contractor:
3606 Birchpond Road LUNDGREN / LENNAR CORP.
Eagan, MN 55122 545 INDIAN MOUND EAST
WAYZATA, MN 55391
952-249-4500
. . ? ? • *&_
CeiVing 1: Flat Ceiling or 5cissor Truss: 1992 44.0 0.0 54
Rim: Wood Frame, 24" o.c.: 212 0.0 6.5 28
Wafi (egress): Wood Frame, 16" o.c.: 110 19.0 0.0 5
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E: 32 0.330 11
Rim: Wood Frame, 24" o.c.: 204 0.0 6.5 27
Wall (main): Wood Frame, 16" o.c.: 1964 19.0 0.0 94
Window 2: Above-Grade:Wood Frame:Double Pane with Low-E: 301 0.330 99
Door 1: Solid; 37 0.067 2
Door 2: Glass: 25 0.350 9
Wall 5: Wood Frame, 16" o.c.: 1646 19.0 0.0 81
Window 3: Above-Grade:Wood Frame:Doubie Pane with Low-E: 276 0.330 91
Basement Wall (egress): Solid Concrete or Masonry: 69 0.0 5.0 8
Basement Wall (full): Solid Concrete or Masonry: 1665 0.0 5.0 133
Floor 1: All-Wood JoisUTruss:Over Outside Air: 24 24.0 0.0 1
Floor 2: Aii-Wood Joist/Truss:Over Unconditioned Space: 135 44.0 0.0 3
Furnace 1: Forced Hot Air: 90 AFUE '
Air Conditioner 1: Electric Central Air: 13 SEER -
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 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection
hhe st.
4
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Desig erCompany Name ` 1 ? ? w?
Date
Project Notes:
Kenton E Full Basement
9 ft. Poured Foundation! Wd. Wndws.
KENTON "E" FRENCH Page 1 of 1
? City fnspection Depf. Copy
City Forester Copy
Applicant/Builder Copy
Development x g /,,? 0?"?? ?-1) 1),"
Lot Number S Block Number ?
,
Address 0 ll6
Buiider ?1jT. 1?u C-,-
Phone Number:
Contact:
Tree Protection Requirements:
? Tree Protection Fencing Installed On Site
Oak Tree Pruning (Immediately seat wounds during April 1 to July 31)
Therapeu#ic Pruning Required
Refaining Wafl To Be Installed
Other:
Replacement Trees:
Not Required -?-
As Folfows:
EAGf?N FORESTRY D1VIStON
Atfachments: I REv??'?(?E
Yes ?
?o ? BY
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Adc{itional Notes:
H:\ghove?2006fiie\treeprestTree Preservation Plan Summary-2006
(BUILDER, PLEASE READ ATTACHMENTS)
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UTILITY LINE EASEMENT
,;; 'PER DOC. N0. 129032
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S89°40'47"E
°ASHBURY ROA
-+- - D
3606 BIRCHPOND ROAD
CERTIFICATE OF SURVEY
For: LUNDGREN BROS.
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TERRA GLENN 2ND ADDITION
Tree Preservation plan
Pre House Pro osed Post House
Development Construction Tree Preservation Construction
Const. As-Buil t Post House Const. As-B uilt
POINT N0.
ELEV.
TYPE
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3548 855.9 euRR oaK 39" X X X
Bearings are on assumed datum
SCale: 1"=30' '
Preliminary Tree Certification
During a site visit on July 2, 2007 all significant trees designated to be saved on the
Tree Preservation Plon prepared by James R. Hill, Inc., were present and in good health, ezcept
as noted in the table above.
The house has been staked. Tree fence will need to be placed outside the dripline of all significant
trees to be soved. Future grading and construction should not have a negative effect on these trees.
By. ?"?'? )d?'?'"?? Date; ??- 01 8y. Date:
ohn L. Benner, Minnesota L.S. No, 26708 Signature of Owner
Scale: 1"=30' James R. Hill, Inc.
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DATE '
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REVISIONS
BOOK/PAGE
NONE
coNTxa No.
21192
CAD FlLE
271035
PROJECT N0.
271035
FlLE N0.
DRAIMER
SHEET 1 OF 1
? • . LOT SURVEY CHECKLtST FOR RESIDENTIAL
BUILDING PERMIT APPL{CATION
' PROPERTY LEGAL: F?O43? L?k?,k 2' ??-('PGt- C?PMY! ?? ?? ?? ti1
DATE QF SURVEY:
LATEST REVISION:
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DOCUMENT STANDARDS
• Registered Land Sunreyor signature and company
• BuiVding Permit Appficant
• Legal description
• Address
• North arrow and scafe
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with s{ope/gradient %
• Proposed/existing 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
ELEVATIONS
Exisfin
,la' ? 0 • Property corners
,p' p? • Top of curb at the driveway and property line extensions
,B p? • Elevations ofi any existing adjacent homes
0 ? D • Adequate footing depth of structures due to ad}acent utility trenches
? 0 C3 • Watenvays (pond, stream, etc.)
Proposed t
,PJ' 0 D • Garage floor
Z' ? ? • Basement floor
,S` D ? • Lowes# exposed elevation (walkouUwindow)
,e ? ? • Property corners
0 0 a • Front and rear of home at the foundation
PONDfNG AREA (if applicable)
p ,? 0 • Easement line
U .P1 0 • NWL
a ,Pl O • HWL
p 0 ? • Pond # designation
? ,H ? • Emergency Overflow Elevation
? A5 0 • Pond/V1letland buffer delineation
Y • Shoreland Zoning Overlay District
Y ? • Gonservation Easements
DIMENSIONS
,,?I ? p • Lot lines/Bearings & dimensions
,? ? p • 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. alf structures requiring permanent footings)
? ? ? • Show all easements of record and any City utilities within those easements
,0' ? ? • Setbacks of proposed structure and s' rd setback of ad}"acent existing structures
'Pr- ? ? • Retaining wall requirements:
Date
d B
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ev
y:
ewe
G:/FORMS/Bui lding Permit Application Rev. 11-26-04
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, 3606 BIRCHPOND ROAD
CERTIFICATE OF SURVEY
? . . . imounED
? J For: LUNDGREN BROS.
LP--3;i Maximum Slopes
op
0 or R?zaining waY WiN
??s5?.?) Be Required
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PROPERTY DESCRIPTION: Lot 3, Block 2
BENCH MARK 2ND ADDITION, Dakota County, Minnesota.
TOP OF SPIKE
?ELEV.=851.95 _
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EAGAN ENGINEERING DF:PT.
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TERRA GLENN
W e h e r e b y c e r t i f y t h a t t hi s is a true and correct surve y 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 propert y
except as shown thereon.
Signed this day of ? , 2007. James R. Hill, Inc.,
gy;
ohn L. Benner, Minnesota L.S. No. 26708
Notes:
1. No specific soils investigation has been p Denotes set spike
completed on this !ot by James R. Hill, Inc. 0
0 Denotes set iron monument
Denotes found iron monument
The suitobilit of soils to su ort the s ecifc
y PP P x927.6 Denotes ezisting elevation
house proposed is not the responsibility of (930.0) Denotes proposed elevation
Denotes rear of building pad
James R. Hill, Inc. or the surveyor. Denotes proposed drainage
2. No specific title search for existence or non- TC Denotes top of curb
ezistence of recorded or un-recorded easements [930.0] denotes As-Built Elevation
d b th ?{ Bench Mark: 853•02 -TNH- LOT 1 BLOCK 1
has been conducte y e surveyor as a pa
of this survey. Only easements per the recorded
plat are shown.
3. No specific title search for existence or non- Proposed Garage Floor= 853.1
existence of recorded or un-recorded easements Proposed Garage Top of Block= 853.5
has been conducted by the surveyor as a part Propased House Top of Block= 854.2
845
5
of this survey. Only easements per the recorded Proposed Lowest Floor= .
lat are shown.
P Proposed
at Egress Top of Block
Wndow= 848.7
UTILITY UNE EASEMENT 4. Proposed grades shown were taken from
'
;"
PER DOC. N0. 129032 the grading &/or development plan prepared by
i
Bearings are on assumed datum
JAMES R. HILL, INC. $CaIg:1'=$O'
01 TEXISTING SIDEWALk,:::::?, Lt.4/
"' o S89°40'47"E -
?M ?
°?ASHBURY ROAD
+- - - -
PROPOSED HOUSE = 2,761 SQ. FT.
OR 14.40% OF LOT AREA SAN. SERVICE INVERT
DRIVEWAY = 900 SQ. FT. ELEV.=836.0
LOT 1= 19,172 SQ, FT.
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DATE
2/15/07
REVISIONS
BODK/PAGE
NONE
CONTROL N0.
21192
CAD FlLE
271035
PROJECT N0.
271035
FlLE N0.
DRAWER
SHEET 1 OF 1
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Date:
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: /�1A
Permit Fee: 9/ Lh i f O
Date Received: I ' 31' 13
T
Staff.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
0.—I 3 Site Address: i O6 61 i'f r / Unit #:
Resident/
Owner
Name: � € �S/IPAR s,Urn� _ Phone: i r
Address / City / Zip: 6 0 6 l / 1 /�
(J Pc/Xi g\
Applicant is: Owner VV Contractor
Type Of Work
Description of work: / /..) i 7 � ' mei() / ?e f` PL -4J
Construction Cost0 0 C.:6 Multi -Family Building: (Yes / No K )
Contractor
Company: t` 1 I\J 1 S 4 S r)- j(i'1 € i C , Contact: RyI4 N
Address: i 7 ..1 th2 City: /Y1 i P i.e Nr
' C1 j Fr`,t,?+v i ex 1 itLk
1
State: in Al Zip: J 5 : c/ Phone: 7 I S r 6 ) S L, Cj
License #: 077 / Lead Certificate #: _ 2 8 °J 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
f'D - LAW 7,001
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as nonpublic 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.orci
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota Building ustt - • /' 80
days of permit issuance.
x r4 / // _ . /�.
Appli ni's PrintedNameAP ica s" Ig re
i
Pana •1 of R
3 tp ei-dnia6,---J
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
_ Replace
Retaining WaII
DESCRIPTION
Valuation
Pian Review
(25%_ 100% //)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
. Lower Level
_ Interior Improvement
Move Building
Fire Repair
Repair
7
"
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _
Framing
_ Fireplace: _Rough In
Insulation
_ Sheathing
Sheetrock
Reviewed By:
Final
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Air Test Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
351
Siding
Reroof
Windows
_ Egress Window
1 01
Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
,E le, -L MCES System
,:ka77 SAC Units
PD City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
,'4 Final / No C.O. Required
HVAC — Gas Service Test
Other:
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill — Final
Radon Control
Erosion Control
Building Inspector
Gas Line Air Test
/g'3ii $g °20 ty0
Pana 9nfR
L�d
IFGC Appendix E, Worksheet E-1
Residentiat Combustion Al Calculation 1,,lethod
(for Furnace, Boiler, andlor Water Heater in the Same Space)
Step 1: Complete vented combustion a:col:a-Ice information.
Furnace2cile•:1 Z0l U(JU
Draft Hort_ Far. Assisted fDire:tVer : Input: Blu'hr
_
(Not fan assisted) & Power .-..
Water Heater. "7 5. Q C/ U
Draft -food Fan Assisted Direct Vert Input: Btulhr
_ _
Not fan assisted) S P:wti_r yen'
Step 2: Calculate the volume of the 2::rbusfion •Apo..ance Space ;CAS) c:nta.n ng combustion app:ianoes.t<,v
The CAS includes all spades connected to one a -etre- by coce cimp :an: oxn•ngs. CAS volume: ft'
Step 3: Determine Air Charges per H;;,r ._ACH;.
Default ACH va ues have been MMceroprated into Tacte E-1 a :Ise N''tri Method' b (KAIR ti ted).
If the yea' of constru:tion or ACH :s rot -..nown, use method 4a (Standard Method). •
Step 4: Deter'n:1e Required ` o.u.ne `o: Contustor. Air.
4a. Standard Method
Total Blu.'hr input of all combustion ap:: antes DO NC' COUN T DIRECT VENT APPLIANCES) 'nput:'ie I1T Btuinr
Use Standard Method column. in'ab!e E-1 to find Total Rewired Volume `TRV)TRV —VT+ ft'
If CAS Volume frsm Step 2'i is greater than TRV tr.er ,c outdoc' openings are needed.
If CAS Voiurne ;from Step 2 is Less than -RV Cher c:; to STEP 5.
4b. Known Air Irti;:ratio^ Rate :KAIP.I Metro:: 7S v
Total Btuthr input of al fan•assisted rt and :ov,e' ean;: antes .J
i
(DO NOT COUNT DIRECT 'JE ;T.APPLIA'.CES( input: Bturhr •
Use Fan-Assis;e:.•soot:axes co.urnn :n Tat -e E-1 to rind Sipa 5
Required Volume Far. ssisted ; R V: FA) RVFA: It'
Total But'hr input of al: acn•far =ss steel appliances Input: CO Btu'hr
Use Nen-Fan-Assisted.Appiiar,:es c_._rrn i- Table E c !:7 -re=
Required Volume Non -3n -Ass's edRIvIN:A: RVNFA:
-
��..Itt'-
Total Required Volume'TR•;: = R:'FA • RVNFA TRS' _ �`�"' je _ 56,..4:3
If CAS Volume ;from Step 2 is greaser than T -:V t" er. is outdoor ccen:nos are needed.
If CAS Volume (from Step 2) is less than TRV :nen. gc to STEP 5.
•
Stop 5: Calcu.ale the ratio of available inteticr volume to the to!at required vo.r.e.
Ratio = CAS Vc ure (`ron Step 2) divided by TRV (from Step as or Step :bj Ratio = /� ' V �5= 1c.
Step 6: Catcu,a'.e Reduct on =act:r :RFt • 33� •(oloti
RF = 1 minus Ratio P.F = 1 - -
Step 7: Calculate single outdoor o_enrro as it a:I :c7rbus:ica a r is fro- outside •7 ' coo
Total Btu'hr input of at Cornoustien A;piian:es n Ire same CAS (EXCEPT DIRECT Input; 3tuTr
� ,VENT)
Combustion Air Openinc Area (CACA.. '7S:, )
Total Stulhr divided by 3000 "otu'nr per ir: CACA =• r 3000 Btulhr per in? in=
Step 8: Calculate Minimum CACA, as ,logy /(ox.
Minimum CADA = CADA multiplied by RF M:nirrum CFOA _ x = in'
_
Step 9: Ca'cu.a:e Combust:s-. A.:r Opening D.arneter :CAC ,./ a1 544
CAOD = 1.13 multiplied by the square root of M:nirrurn CACA CACO = 1.13 x Minimum CAOA = —in
If desired. ACH can be de'erm Heel us.n3 .AS -RAE cel ula:lon _7 blower door test. Fc !e:, procedures in Section 304.
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33NV If1SNI 1/112Nd 31V1S eZP:60 £L 90 qad
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
L
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
?-1?-15
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4-14- 13 Site Address:
Tenant:
Resident/Owner
Name: Co It. r -v3Ct,-)
Suite #:
Phone: (i<-1 S94) -
Address / City / Zip: 3(12°(0 3N .pcAAa ?..0A t`• i AS Nit-'► 5c -
Name: I
Contractor
Type of Work
Permit Type
Name:
License #: Coo ,1-1-11'2'i4-&
Address: (((16 r t Sty City: 1.%)=QPiarlo
State: vfiC/l Zip: 5C t3 Phone: (,l2-2* SOY (
Contact: Email: I,rc.v)- e(u.,01.130,4o• t" -.r
New Replacement _ Repair _ Rebuild / Modify Space _ Work in R.O.W.
Description of work: 17,044, ewt a.. luw.er lvt
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
if
Add Plumbing Fixtures ( Main / ✓Lower Level)
Water Turnaround
E RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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 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.
ee„4- �a�ttvt/
Applicant's Printed Name
x
Applicant's ignature
FOR OFFICE USE
Required Inspections: Under' Ground
Reviewed
_Rough -In _
By: Date:
_Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117366
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 3606 Birchpond Rd
Lot:3 Block: 2 Addition: Terra Glenn 2nd
PID:10-75401-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 by law in ALL single family homes .
Carol Foss
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cole Turnbow
3606 Birchpond Rd
Eagan MN 55122
(651) 405-3842
New Exteriors By Sma Inc
10701 93rd Avenue North, Suite E
Maple Grove MN 55369
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature
�, Use BLUE or BLACK Ink
�I � r-----------------�
I For Office Use �
• � Permit#: ����/ � �
I
I
City of Ea�a� � �� . �, �
� Permit Fee: �
3830 Pilot Knob Road � ' �
Eagan MN 55122 � Date Received: � � '� �
Phone:(651)675-5675 " � I I
Fax:(651)675-5694 �,� � �� ,i I Staff: I
... , �----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:� � �� Site Address: � � � � Unit#:
�
� �
�` � Name: �, Phone: L�� "���`����
�
���SI���1�) ��
�� J
� �}y��� �;. Address/City/Zip: 'r" I
�r� � � �i�u
�: Applicant is: Owner ontractor �
�.
��
� Description ofwork: �.� �� fl ',��~
T���f�ork � � � `�'
�* Construction Cost: � ���� Multi-Family Building:(Yes /No�)
��
` , € ��t /�
� ,�{���,
��M �' � Company: �i ��- , Contact: �l,Ji�:�►J
„���£ � k �
� � �KK Address: ��� c�l T �/ � Ci ' L1���/��'�`
��ntractor �
�,:� �5x State:�Zip:���� Phone: ���"��"� Email� �
���� ' �'
� �� ���� �.
R$��� License#: �� ��� ��� 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: ,
� � �� and,��ppca �ng � er�t��� � a# �'submr#ar��ct�n���le � "i�#� ���30� ,i�,�r�r� ��; I
�G
�� ��� � �>#ion►�a�y�i���las �zs �c� � u#���#�Yow,prow�de sp�c� � �, ���`�i� � ���� �,
a �
� �#�������� �. r::. �" �.�. �:�or�� de�i�*it��'h re"t�: �
; � ; �= �
� .,
a
�.:x�` £w ., ,.,
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qoaherstateonecall.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 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.
Exterior work authorized by a buil 'ng permit issued in accordance with the Minneso tate Bui ing Code must be c leted within 180
days of it' sua� �l.✓
x
App icanYs Printed N e Applicanfs ignature
�� , i�, �y ���� Page 1 of 3
P��
L��C� ��DO NOT WRITE L W THIS LINE �
���� BE O ���.�
�
SUB TYPES '
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family � Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool 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
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � Occupancy ��,�,� ,�- MCES System
Plan Review Code Edition r SAC Units
(25%_100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
� Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
� Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
.�,,,`"�
Other:
Reviewed By: � , Building Inspector �
RESIDENTIAL FEES �I
Base Fee ���"l�^ �
Surcharge I
Plan Review �,,�����������
MCES SAC �
City SAC � �� � � �"?
Utility Connection Charge ,� y � �
� � �
S�W Permit 8�Surcharge �
Treatment Plant
Copies
TOTAL
Page 2 of 3
.
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137427
Date Issued:07/05/2016
Permit Category:ePermit
Site Address: 3606 Birchpond Rd
Lot:3 Block: 2 Addition: Terra Glenn 2nd
PID:10-75401-02-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Cole Turnbow
3606 Birchpond Rd
Eagan MN 55122
(734) 604-5028
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature