3958 Arlene CtC?) i ??--? ?-? 63 P s? y ao
w n? ? f U? ?C V? RESIDENTIA
l? . BUILDING PERMIT APPLICATION
CITY OF EAGAN mP _ t?D k-A.? 1
3830 PILOT KNOB RD - 55122
651-681-4675 ,P,?
SaT1 1. 03
New Construction Reauirements RemodellReoair Reauirements
• 3 regatered sile surveys showing sq ft. of lot, sq. ft. of house; and all roofed areas • 2 caples of plan
(20% maximum bt coverage allowed) . 7 set of Energy Calcufations tor heated addNons ?y.3a c3
• 2 copies af plan showing beam 8 window sizes; poured found design, elc.) . 1 site survey for extenor additions & decks
• 1 sat of Energy CalculaCwns ? . . Indicate If home served 6y septic system for add'Aions
• 3 copies of Tree Preservatbn Plan'rf lot platted after 711193 oO
• Rim Joist Detail Options seleciion sheel (Wdgs with 3 or less unAs) 0C J ? C,
? /^ /? ? - !o - d a
DATE ' f1' Z 1./?-LJ0 VALUATION
JOB SITE ADDRESS qq, _'?7 Pi-f L(J 1e ( , O Ult
IF MULTI-FAMILY BUILDI
PROPERTY OWNER //?
TYPE OF WORK J?eL
APPLICANT I?Pl
ADDRESS ? ?e
PAGER #
HOW MANY UNITS?
FIREPLACE(S) _ 0 _ 1 _ 2
PHONWAI-4'2I- 4M33
vc?n jk.Ur_ ZIPCODE _ a3
CELL PHONE # /?l2 - 225--F?SFAX # 66``7 _L?I
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9Y Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
?New Energy Code Worksheet Submitted
Plumbing Contwctoria:6 rP r Y l Q M[J i ( q Phone #:
Plmnbing System Includes: Water Softener _ Lawn 5prinkler
Watcr Heater No. of R.I. Baths
No. of Batlis
Mechanical Contractor. ? ???afi, Phone #
Mechanical System Includes: _ Air Conditioning
Heat Re/c?overy System
Sewer/Water Conhactor. Sc? e? ? / lul' Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan_0Ldin_qqces. ?
Certificates of Survey Received ?
? Slgnature of
Tree Preservation Plan Received _
ree: $90.00
Fee: $70.00
APR 2 9 2002
and agree to
Not Required?
Updated 2002
' OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
X31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicsnt
Valuation &?o 00 Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length O? Fire Sprinklered
Type of Const W idth ,/
?/? /
REQUIRED INSPECTIONS
X Footings (new bldg) ? FinallC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Air/Gas Tests Final
Framing Siding Stucco
Stone
Fireplace ?( R.I. /Air Test _
YFinal _
Windows n ep acement)
?
Insulation
l? Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By T? 2„ , 8uilding Inspector
---------------------- -----------------?------------- ---------- ------------------
?
70, 79
? 31,3 ? s-? - 73, 6C ?-
o
- a-? 1°'`4-K ?r' y A 9
G?PA?# 5-0 x3v
?)-J-o ?'JO
39?
I
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILOING PERMIT APPLICATION
PROPERTY LEGAL: y/1t 13 eI b:.K I P¢rYn ? A crCS
DATE OF SURVEY: 3-2q- a?
LATEST REVISION:
m
rn
c
m
U
DOCUMENTSTANDARDS
Y < a
O Z 6
? ? . Registered Land Surveyor signature and company
G/ ? ? • Buikling Pertnd Appiicant
A/ ? ? . Legaldescription
d/ ? ? • Address
? ? • North arrow and scale
?
? ?
? •
• House rype (rambler, walkout, split wlo, splR entry, lookout, etc.)
Di
ti
l d
i
i
h
l
?s rec
ona
ra
nage arrows w
ope/gradient %
t
s
?? ? • Proposed/ebstingsewerandwaterservices&invert elevation
V? ? • Streetname
? o . Driveway
H/ ? ? • Lot Square Footage
R' ?
d ? • Lot Coverage
? ? • Benchmark
ELEVATIONS
Euistina
v ? ? • Sewer service (or Proposed)
?/ ? ? • Property comers
'
d?? • Top of curb at the driveway and propeM1y line extensions
? G,/ ? • Elevations of any existing adjacent homes
? d/? • Adequate footing depth of sWCtures due to adjacent utility Venches
? d ? • Waterways (pond, stream, etc.)
Prooosed
a/ ? ? • Garage floor
R,. Cl ? • First tloor
O'i ? ? • Lowest exposed elevation (walkouUwindow)
7 ? 0 • Property comers
?? • Front and rear of home at the foundation
PONDING AREA ('rf aoolicable)
? [Y/ 0 • Easement Gne
0 Ef ? • NWL
? d` ? • HwL
? ?/ ? • Pond # designation
a a? ? • Emergency Overflow Elevation
? DIMENSIONS
? • Lot Iines/Bearings 8 dimensions
Cr'/ ?? • Right-of-way and street width (to back of curG)
?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring pertnanent footings)
CY ? 0 • Show all easements of record and any Ciry utifdies within those easements
7 91, ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing sVuctures
? ? • Retainingwallrequirements,'rfany
Reviewed: N>f? /'2. /.e.?ti"-'
Name / Date
? c ?J .S R'd a
?
* * 1pbpy E.terprise Drive
Nmdola Hcghts, MN ssizo LOT AREA = 19.141 SF
* PIONEER (831) 881-1914 FNC881-9M gENCH MARK HOUSE AREA = 1,283 sq. ft.
lYp MYC1V6 . PK P191E[id
GARAGE AREA = 841 sq. ft.
*engineering wAR?• ?o??.? 625 Hiyn.ay 10 N.E. TOP OF PIPE STOOP = 60 sq. ft.
** ** eiame NN 55434 ELEV.= 897.91
1.(G!;) 783-1880 iNt783-ta83 COVERAGE =11.4% T' g,`(p. g
? Or Re4eining lNaII Wfll qloE cAo46?1
Certificate of Survey for: AAANLEY gROTHERS CONST. , BeRey??red 1-4ovsE `?`?PE =
? ' 5958 ARLENE CWRT EAGAN, MINNESOTA OWNER:URDAHL 1?\ t+p^.`'C7'39"W 232.89 (g92'O)
i'Ir?Y 0 9 REC 0 , ?"?
898.7 #71 64.45 38.33 8984 892.3 natLral,
? PROPOSED HOUSE ELEV T10N ?
N ??-- --?o-- ?
?,,??? ----- ? -t--_ , ---------------?
LOWEST FLOOR ELEVATION: ?? 894_-5 ?M ?? 19
94.
GARAGE SLAB ELEVAT10N: 12 ? ? 2,00 ?n ? \
TOB 0 LOOKOUT ELEVATION: -? •? I AA / A/ ? as.o ?^f
TOP OF BIOCK ELEVATION: SQI• ? 7o6.0 xeaa.? ? ? p
p ? mo ees ? m 112.00 8?1Lo? xeea.i / ?O
x 000.00 OENOTES EXiSPNG ELEVATION ??? \ L p a ym eas.? TOE OF SLOPE .'?
( 00000 ) OENOTES FHOPOSED EIEVATpN 887?q ? ° 10.00
--- DENOTES ORAINAGE AND UTILITY EASEMENT 1 ?` 8b7-7? ?
DENOTES pRA1NAGE FLOW DIRECTION T•?'+ ? ,? i? A F ?,o? ?Q
? DENOTES MpNUAIENT ?j 8?•?A- : 887.0 y i a oo p- ?e / a
QC/J-r..? c.+/Cp/O J ?
8 DENOTES OFFSET HUB ??,
?,'f"-
•};G O
mr? 9?'4
`'?'fiYn,4R T'.L. \S J ? V o ?h ? Mh
18
' ?5? i eas.a 12.33000000 8e?'`°?
,?
7 _
0
NOiE PROPpSEp pip0E5 SHONN PEB GRPAMG PLAN BY' %ONEER O ?4 a J
NOTE. BUIIDING DIMENSIONS SHONN ARE FOR HORIIpiTAL ANO VERTCAL LOCAl10N ? 'n
FOUNOA71 N OHEN90N5? ANp11hCnAl PLANS FOR BUILOING M0 879.0
L r? 24.47 38.33 853.3
ass. (879,0)
NOiE SURYEmR cME'SUITABLN ? SdL55tt1E5UPPORT TH$PEqFlC HOUSEY TME J T,L, ? ?8v•57'39"W(0a? l 151.37 ? ff'
PROPOSm IS NOT 1HE RESPQYSIBRI7Y OF THE SUROEYOR.
ao
NOtE: 1H15 CERTFlCAiE DOES NOT PpRPORT i0 SHDW E/SEMENTS OIHER R1AN I ? f rL T /
iHOSE SHONN ON THE RECIX2DED GLAT 1 L -41
??
d
hOTE: CIXJIRACTOR MUST YERIFV pqIVEWAY'pE9GN. ?
1
NOiE. BEARINGS SNONN ARE BASED ON AN q55UMED OANA1 ?
? I,G \
?5?33 BOP C OF PAPE Cu?iO.o)
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. THAT THIS IS A EIEV.= 887.77 l0 3U
TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
?-
LOT 13, BLOCK 1, PERRON ACRES °GrttFh«?S?le s? '?ee-?'?a
DAKOTA COUNN, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN,
AS S}RVEYED BY ME OR UNDER MY DIRECT SUPERVISION iHIS 29 DAY OF MARCH, 2002. ?.'f? '?' SI NED' PIONE ENGI EE
? ?yR»
?? n ?1
'SCALE : 1 INCH = 30 FEET BY:
.. " ,i?4:•_ -..,s
? • , ' -' " ' ? ? / Dan R. Westergren Reg. No. 19790
- ,-^ V-?; r 4'(03 (b2 0k'-3.
flPR 26 2002 12:16PM HP LASERJET 3200
?I
Pamait Numbor
MECcheck Compliance Report CheckedBy0atE
2000 Minnesota Energy Code
MBCshexk Software Version 33 Release lb
Dnta iilename: I:\Energy Calcs MEGlV1n102- i 58.ak
TITLE:#02-158
COUNTY: Dalmu
S7ATE Minaesota
ZdNE: 2
CUNS'1RUC1'lUN "CYYE: Smgle Nanily
DATE: 04/26/02
PROJECT INFORM.4TION:
KURT & LISA URDAHL
COMPA7VY IIVFORMATION-
MANLLY DROS CflNST.
CO?HPLIAI:CE: Pasus
Maxumn UA = 491
Youx Home = 461
6.1 % Better Than ('nde
G2U98 Clt[1Z111Q
.1rea or Cavity Coat. or Door
pctimeur -R yalue -R Value U-Faeto r [JA
Ceiling t: Raise9 or Energy TYuss L395 440 CA 31
WaU 1: Wood Fiame, 16" o.c. 3494 19.0 2.0 162
W]LAOW' I:
A?wve C3rade, Viayl Fraaie, Dcubk Pane wi+1i i,ow-E 305 0.330 167
Door 1: Solid 18 0.230 4
Door2•Solid 40 0.350 ?S
Door2: Glsss 40 0.33) 13
Hasernene Wall 1:
Solid Concrete ur Maxonry, 8.8' h1183' ho.3' insul 971 11.0 O.C 54
Base:nent Wall 2:
Solld Concrete or Masonry, :.5' hU3.9' bgl?.5' msul 189 110 0.0 14
Floor 2: Ali-Wood JvisUTmss, Or•er Outside A'v 14 38.0 0.0 0
Floor 3: All-Wxd JovsbTnzss, Onr Uncondi7oeed 5pace 84 33.0 0.0 2
Proposed and Marimam U-Faetor Averagea
Proposed Afaxinutn
Averag- U-Factor Allowcd ti -Faotor
Alwvtl'imde Windowa snd Giass Doors 0330 0.310
IncLudes Fouadanon Wiodows > 5.6 32
F(ooes Over Uncondi&oned 5pace 0.026 0.033
p.l
aPR 26 2002 12:18PM HP LRSERJET 3200 P•2
COMYLL•1.VCE STA. EMETT: The propused buildmg drsip: described herc is con3isten: with the bwld'mg plan9,
speci:icatLoiu, aud ot17er calculations submittcd with che permit applicuaon. The preposed buildmg hns bem
deaigned to maet the ZpQO i4innesota B¢ergy Code rrquixements in MECcheck Vusion 3.3 Release lb and to
comprt witb ihe maicluuxy myuuenuurs lisc.^,d in the MLCckeck Inspectior. Chcck:st.
Ru?lden?Designer? P;/l,rn m?9.N``? f Dak &-/p''0 L
i
RPR 26 2002 12:18P"1 HP LRSERJET 3200
MECcheck Inspectfon Checklist
200014iinnesota Energy Code
MECcheck SoFnvete Version 33 Release 1h
DA73: 04/26/02
111 'LE: #02-158
PLAlY REVIEN AATD INSPECTION ISSUES
This list of items may be help`ul fcr Pian Reviewers and Buiiding Insprciors to nse as a guide for
enforcing tbe Minnesota Energy Code. The items apnly to Group R, Division ? Occupancies, one- and
turrfamilyresidential dwellings. Th: itetns marlvd wttk:' apply only to dz;ached one- and two-family
residential dwellings.
PLAN REN'IEW [SSL'ES
FpL'NDAiION INSPECTION
[ j fou7tdarion wall insulation R-5 minunum
[] foundation insulation extends from tnp nf wall doKm to top of the `wting
[ J cxterior foundation insulacian is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLrtB LNSPECTtON
L J slab on grnde pzrimeter insulahoa R-S nunimum
[] slab wsularion extends frem top of Elab W design frosi line ar top of iooting
[] floors over unheated space R-30 minimun:
WTr4DOW5/ DOORS! SKYLIGHTS
[] average LT-va7ue is 0.37 maximum ior windows and gless doors (excladcs foundation windov,s)
[ 1 window U-values consistent with building plan and MECchzck Report
[ J window and 3oor areas consistent with building pian and MECcheck Report
hIECHAMCAL YErTII.ATiON I5SUES
[] residenNaJ mechanical ventila:ion "em provides adequate ventilstion per code requirements"
[] fumace efficiency is consistent with MF,CcheckReport or build'm.g plan
[] protection against excessive depressurizaGun is mstalled per code requirenrents"
E1V'VELOPE INSII4AT[ON FOR PLAN REYIEW
[ 1 interier basement insulation R-5 minimurz: (if no cxtcrior insulation)
[] cevings «ith atties R-38 mimmum or eons:stctt wi:h buddmg plan and MECcheelc Repcrt
? J wail fmmuig and insulution level is oonsistent wrth building desisn and MECcheck Repor,
INSPECTIOT ISSUES
CONCEALEDINSULATTON
Framing nnd Shealhing
[] wirid wash hamer installe3 ac att;c edge
[] actcno- wall cornas framr.d so tha; insulaton can be inshtied aftex extenor s6eathing is inscalled
[ j mtersechens of interior partition walls and extenor aalls framed so t?iat insulation can be installed
between tht partition and exterio* sheathing after exterior sheathing is installed
[ J gaps between ftarmng less than one-half inch are eliminatai bycecuring framing together or are
insulated at the time af assembly*
[] all penetrations beiween conditioncd and unconditioned spaces made pnor to firuming mspection are
p.3
?It+ 1,0
RFR 26 2002 12:19PM HP LRSERJET 3200 p.4
?1'?,`?
scaled *
Interior Air Ban^ier
[] all fire stops aze air sealed
pipes, duccs, w^i*es, eouipmant znd flues and chimneys through the interio* air barrier are scaled
( j a scaled continuous interor airbanier is instailed en the wa:m side of the building envelope at
ceilings, walls, and fluorrimjoist areas"
[] a'v bairier beiind tub and sF.owtt is scaled and proucted
[] recessed hght fixtures are scaled
Envelope btsulatron
[ j basernent insulation Tt-5 mmimur.m
[] vrind vrnsh bamer on wall separating house and garage is seaed
[ 1 loose nt] insclatian is prevented #iom entering the eaves
f; insulauon on skrlight chatts and walls rzposed ir, ar•.ics es supported on rhe unconditioeed side
.4ttic Irrsulalion
[) x?tic access pancl insuiatcd to R-3 8 for cciIingpznel and R-19 fur ivall panel_
[]¢ctic card ahached to frasing near access opening
[] notification of attic R-i alae aad date uf mstallation pos?ed near building perm-it insnxkon card
This is a surmna.ry on;y. Other requirements may apply. See the Mitmesata Energ} Code, Questions?
Call the Department of?ublic SerAce Information Cente: at 551-296-5175 er 1-800-657-3'10.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered sde surveys showug sq. R. of lot, sq. R. of house, and all mofed a2as
(20% mazimum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured tound desgn, etc.)
• 1 ul of Energy Cakulations
• 3 copies of Tree Preservation Plan d lot platted after 7/1193
• Rim Joist DelaJ Options selettion sheet (bldgs wAh 3 or less wiGs)
DATE DEC E" ;, 2 002
SITE ADDRESS
TYPE OF WORK
MULTI-FAMILY BLDG Y X N
FIREPLACE(S) X 0_ 1_ 2
APPLICANT W A K-1LC-I 'V3 0 UTTtELS
STREET ADDRESS 2113 CLl F-F: QYL CITYEiL?6F}A1 STATE A-lO ZIP ?`? 122-
TELEPHONE # UfJ?- I-45(4-'4933CELL PHONE #!)'2-c19D- 3520 FAX # C?5I- q-51I- 'j ?_l I
PROPERTYOWNER ?CGI/!l L?IZD?lF'L TELEPHONE# L45I"88Z-9?1 27-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category YIINNFSOTA RULk:S 7670 CATEGORY I MI\VESOT:1 RUL.ES 7(i7?
(d submission type) . Residentiai Ventilation Cate9ory 1 Worksheet Submitted Na;Energy EoCeVerksheet Su6mitted
i• Energy Envelope Calculations Submitted 1, 11 ' - - I _)7
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Phone #
Phone #
Fee: $70.00
-------------------------------------------------------------°-----------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
wiih all applicable State of Minnesota Statutes and City ot Eagan Ordinances. ' /
Signature of Applicant ?/ L?/if?/? ,1
OFFICE USE ONLY
_ Watcr Softener
_ Watcr Hcatcr
_ No. of Baths
.. . -??
_ Phone # '?, ------- ?
Lawn Spri nklcr --_? Pee: $9.?0.00
No. oE' R.I. Baths
Air Condiuoning
Heat Recovcry Sys•tem
.? ? ?
RemodellReoair ReauiremeMs
. 2 wpies of plan `
• 1 set of Energy Calculations (or heated additions \??
• 1 sile survey for exterior additions & decks
. Indicate if home served by septic system kr additions
C!??
VALUATION
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ?K 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 l.ower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
)"C 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ??(frj Occupancy ? MC/ES System
Census Code 3 *4 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) _ FinaUC.O.
? Footings (deck) ? FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By 12, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
cry sa,c
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
/`}f..?k_
'$ 7LI) 1?
Siteaddress: ??5o J 1' I enC Lot I5Block I Subd. 'T ?-(rDn A" e?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
? This structure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
Furnace X Z 2- W oO ? ? DCO
Dryer -i;?)d pn ' U
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1 x
Bathroom 2 ??? ?? 5 d x
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECi ATMOS
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
?(r
na r
CompanyName
?m- iu
Date
This form is the responsihility of the General ConUactor.
??o3g ??? So
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagao
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Conshuction Reauirements
3 registered site surveys showing sq. ft. of IoL sq. ft. of house; and all rooted areas
(20% manimum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, e[c.
i set of Energy Calculations
3 copies of Tree Preservation Plan H bt platletl after 7(1/93
Rim Joist Detail Options selecfion sheet (6uildings with 3 or less unils)
Mmnegasco mechanical ven[ilation form
RemodeVReoair Reouiremenls
2 wpies of plan showing foolings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey foraddNOns & decks
Addrtion - indicate i/on-stte septic sysfem
0-,,?.?/cq)+,)
611L-,f Ifiz. ?
Office Use Onlv
CeR of Survey Recd Y N
TreePresPlanRecd _Y _N,
Tree Pres Required _Y _N
On-sfleSepticSystem _Y _N
Date I / /1 / !% cv'4' Construction Cost
Site Address -?'`? 5!R? AIZL Cv' L ?'G w?ZP? Unit/Ste #
?Ati , r?1N SSi z 3
Description of Work NtiCw?' ?IV? 1`?J
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 y 1 _ 2
PropertyOwner r VTjG,w Telephone#(?yS( ) 'Z- Z
Contractor
Address City
,
State Zip Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Resideniial Ventilation Category 1 Worksheet . New Energy Code Worksheet
(4 submissiontype) Submitted Submifted
• Energy Envelope Calculations Su6mitted
In the lasf 12 months, has 1he City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
?
?
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.
4 .? u,kh (
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex W 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buiiding" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant -
DOSCrIptioft: WaterDamage_Yes _
Valuation Z) B00•Z>? Occupancy TZ -3 MCES Sysfem
Plan Review 100°/a or 2 5%
Census Code L43 ? Zoning ?-I City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y 5 Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) ? Final/No C.O.
Foundation ? HVAC
_
Drain Tile Other
Roof Ice & Water Fina] Pool Ftgs Air/Gas Tests Final
?0 Framing _ Siding _ Swcco Lath _ Stone Lath _Brick
p Fireplace )A R.I. )e_ Air Test ?o Final _ Windows
Lo Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4 9- 039
2006 RESIDENTIAL PLUMBING PeRMiraPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.#Sa so
?ate 1 // l
SiYe Street Address ??? ?/? 5sJZ3 Unit #
Property Owner F-we? f?L/Gti.tv l
I Telephone #((oS/
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ? Owner _ Contractor _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
[Alterations $ 50.00 ,
? Add plumbing fixtures This fee includes installation of a water softener and/or water
heater at the same time. 7f you are insialling only a wafer softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are instailing.
_Septic System Abandonment
_ Water Tumaround (add $1
a 5/8" meter is required)
30
.00 it
I
_
n
Other. ?,'?..r-P? ?X?????C 44J4 vV'r_"
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
i State Surcharge $ 50
Total $ 7 O• > 6
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that i
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be revieyk? aroved
4? ? yiOi,t? ? nD IS (;D5'l5 Q V LS ?
ApplicanYs Printed Name Ap IicanYs Signature JAN 1 1 2006
?iz r2? t % 7?s h?
3 757 /9GUIT ?vti cT,
Voigt & Associates, Inc.
S7RUG7TJRAL /iNG7N6ERING STiR V/CfiS
4635 NICOC$ RD, SUIFE 204
EA(3AN, MN 55122
PH, (651) 666-7327 FA?C. (651) 686-8444
Wednesd4v. NUVembEr 14, 200]
W. Jon ConnaAp
Fagaq MN 55122
R$: Kal and Lisa Uidalil - 4 SWSmn Potch Addition
Dear Mr. Jon Covene[?r
As 1ri Your m9um I have revievPad Srour P1ans (rev 3, dated 12127/06) and have analyad the fullowieg fa the sbova refereiocat
project: 13e BOltowting fm tLe iear wall is rav*ed.
• APP1Y 2layrrs oF 7lI6" (miniarum) &tmctuia[ slmfhing. Fasten eo sbds wltls 16d sinkPS nails az 3" o.G
7'he udonuafian and opinmrm cm4iaed Lerain are 6ased upon tlL- limbd investigation descrtinpl a[ Nx beaoning otthis mport. No
wananaes are expressed at imPlkd roguding the eximdtce of otlur noknawn conditions not
apeaficatly addmssrA. Onr work is in
aacarJIoce witA gr+aerally atteptodcogkomiog slandards and is nnt intanded to 6e reliad upon oraaadrnadto inmviduals other timn
the addeessee. Shodd mfuramtiauta condrtioms bcamuclmown which diftr 5am the Mmosion tierdn, cUey max altuthe opimons or
cancfiisions of Ihe umlersignot
PleaSC ca11 ifyun hawe any questiore.
SixzrelY,
??'??'
Paul w. voim re
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n -e.?7rr r r,M •,??.,.
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?9S ?
?I? C?
REScheck Saftware Version 3.7.3
Compliance Certificate
Pemiit #
Pertnk Date
Project Title: Kurt & Lisa Urdahl
Report Date: 10/26/06
DetB filename: R:IA 8ui1derlCONNOLLY CONCEPTS1MS029 Urdahl (F RCIq 10.251E3.0 ENERGY CALCS1E3.0 EC MS029
(RCK F) 1026 MSC.rdc
Energy Code: 2000 Minnesota Energy Code
Locaaon: DakoW County, Minnesota
ConsWotionType: 3ingle Family
Glazing Area Percerrtage: 15%
Construction Site: Owner/Agent Designer/CoMractor:
Eagan, MN Jon Conrwlly
Connolly Concepts
3959 Thames Ave.
Eagan, MN 55123
651454-5549
Ceihng 1: Raised or Errergy Truss: 1582 44.0 0.0 35
Wall 1: Wood Frame, 16" o.c.: 7280 19.0 0.0 64
Window t: Above-Grale:Vinyl Frame:Double Pane with Low-E: 187 0.350 65
Wall 2: Wood Frame, 16" o.c.: 1818 19.0 0.0 89
Window 2: Above-Grade:vnyl Frame:DOUble Pane with Low-E: 270 0.350 95
Door t: Solid: 38 0.071 3
Wall 3: Wood Frame, 16" o.c.: 410 19.0 0.0 17
Wind°w 3: Above-Grade:Vnyl Frame:Double Pane vritFi Low-E: 11¢ 0.350 40
Wa114:5W rallnsulatedPaneis: 362 75 46
Basement Wall 1: SWid Concrete w Masonry: 968 0.0 5.0 77
8asement Wall 2: Sdid Concrete a Masonry: 328 0.0 11.0 21
Fbor 2- uncontl.: All-Wood Jasf/Truss:Over UncondiGOned SB 30.0 0.0 3
Space:
Fumace 1: Forced Hot Air. 92 AFUE
Compliance StatemeM: The proposed 6uilding design described here is consisteM with the 6uAding plans, specifications, and other
calculations submitted with the permit appliradon. The proposed 6uilding has been designed to meet the 2000 Minnesofa Energy
Code requirements in REScheck Version 3.7.3 arM to mmply wilh the marWatory requirements listed in tlie RESCheck Inspection
Checklist. ?IZS /Z?J?
?
BuildedDesigner Company Name Date
Kurt & Lisa Urdahl
Page 1 of 3
p9???? ? i'-rl'
3 95 8 fJGI44,.?2 c T
MVoigt & Associates, Inc_
S'lRUCTUR`1L ENG[ALERING SERVLCES
? 4675 NICOLS RD. SU1TE 204
EAGAN, MN 55122
- PH.(fi51)b86-772i FAX.(G51)686-R444
Januany 13.2007
Mr. Jon Conne6y
Coimolly Concepts
Eagan, tiIlV 55122
RE Kur[ and Lisa Unlalil - d Season Porch Addition
Dear Mr. Jon Connci3y:
As per your rcquest i havc revierved your ptans (rev 3, dated 12/27/06) and have analyzed the following Cor ilie abovc retercnced
project
. Braced walE requircmcnts for the new addition rcar wall - sce attachcd sketch / shect For the cngincered design vsc me(hod of
the APA portal frame bracing design. OnIy the lower iloor of the portal frame is shown on S2, see sheez Sl and the sim
notation for its applicabiiily lo the uppcr flovr.
• tlte vew beam iu the basement - please provide (3) l'/, x I 1 7/8" L VL hpder wi[h (2) irimmcr s[uds beneallr exch side of it.
We have assmned Ihat all floors above have their own supporting headerand tLat the new beam is supporlmg the new joists
as well as the existingjaist having an appmrimatc Icngth of i b'.
• Typical anchor 6olcs, please procide 'W' anchor botts at 48" oc nzax, euibed T' mininrum
• 7?rplcal Footing rebar- provide (2) #4 cont. bazs in the typical cont. sRip footing
• New• rooF girder to cury the existing cantilerEo- please doub3e the rypical roof truss to accommodate this increased load.
The intormahon aad opinions corttainod hereia are bascd upon the limited imcstigacion ckscdbcd at the beginning of this report A'o
ivacrarrhes are expressed or implicd regarding the existenec of other unlmown condiuons not specificallv addressed. Our uork is in
accordance wiiIt gcnczaflg accepted engueering standards and is not intended to be reiied apou w transferrcd fo individuals other than
the addressee. Sliould information or condiuons become lrnown wluch dilTer from the discussion herein, they may alter 1he opinions or
rnnc[usions of the undersiened.
Piease call ifyou have any questions,
Smcerely,
ci w- J4
Paul W Voigt, PE
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? `'6'? (APA POl2TAL FR,4ME BRAGlNG DE51GN -
ENGINEERED DESIGN (J5E ME-THpp)
3 Voigt & Associates, Inc.
STR UCTUItAL ENGINELRING 5'H,RIllCES
4635MCOLSftt). SUITE204
EAGAN, MN 55122
PI-L (651) 686-7727 FAX. (651) 686-8444
URI)AA1fL RBSIDENCE
CONNELLY CONCFPTS
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n_SEGTIDN AT REtAt2 WALL
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION ?l
City Of Eagan ??
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reamrements
3 registered site surveys showing sq ft of lot, sq fl of house, and all roofed areas
(20%maximum lot coverage allowed)
1 Soils Report if proposed buiiding is to be placed on disturbetl soil
2 copies of plan showing beam & wmdow s¢es, poured (ound design, e[c
i setof Enerqy Calculahons
3 copies of Tree Preservatlon Plan rf lot piatted after711793
Rim Jaist DeWil OpUons selection sheet (6midinqs wilh 3 orless umts)
Minnegasco mechanical ven6fafion form
RemodeUReoair Reomrements
? Office Use OnN
R
d
C
t
fS
Y
N
2copiesofplanshowingfoohngs,beams,joists urvey
ec
er
o _ _
lsetofEnergyCalculationsforheatedadditionsv' SoilsRepod _Y _N
1 site survey for addihons 8 decks ?I Tree Pres Plan Recd _Y _ N,
Addifion - indcafe if on-srte sepfic sysfem Tree Pres Reqmred _ Y _ N
Oo-siteSepticSystem _ Y _N
u
Date f / 22p ?/? /; '-"-'// Constructiou Cost
Site Address %/ Jb !? ?/V z UniUSte #
F Gwv Z
Description of Work ??1 C7C?- ? 6? ??`? C? r V? -`
Multi-Family Bldg _ Y N Fireplace(s) !% 0 2
PropertyOwner i ? Telephone#(?5? ) 52 Z-2-
Contractor
Address Sf?vw£ 115 City
State Zip Telephonl ) - ZZ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rufes 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Vennlation Category 1 Worksheet . New Energy Code Worksheet
submissiantype) Submitted Submitted
• Energy Envelope Calculations Submiried
In ihe last 12 monthz, has The City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #(
Mechanical Contractor ?? w F' I I Telephone #(
Sewer/Water Contractor JAN 0 ii 2007 Telephone #(
1.4
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 penniY, 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 wark which requires a review and
approval f plans. ?
F `? ?
.
Applicant's Printed Name ApplicanYs Signature
DO NOT VVRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower level
? 20 Pool ?
? 21 Porch (3-sea.) ?
X 22 Porch/Addn.(4-sea ) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bidg
31 Ext. AIt - Multi
33 Ext Alt - SF
36 Mulii Misc.
? 35 Int Improvement ? 38 Demolish Intenor ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repav
? 37 Demolish Building' ? 43 Reroof ? 46 Wndows/Doors
*Demolitlon (Entfre Bidg) - Give PCA handout to applicant .
D@SCPIpfiOn: WaterDamage_Yes
Valuation ?06r)
Plan Review 4100% or _
Census Code
SAC Units ^
# of Units
# of Bldgs
Type of Const -ri,3
Occupancy /p_ MCES System '
25%
Zoning
CityWater
Stories ? Booster Pump ?
Sq. Ft. ?-3 PRV ?
Length / 7 Fire Sprinklered ?
Width / 1/
_ Footings (uew bldg)
Footings (deck)
? Footings (addition)
? Founda[ion
Draun Tile
Roof 4 Ice & Water A Final
? Framing
Fireplace R.I. Air Test Final
? Insulatron ?
Approved By: _
Base Fee v y 30 71-
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies ?
? 07 05-piex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
? Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
(/II/?'?Y?SI["Q
,
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J 7? Qf 9?? / 3 4G/ 511
@ 7
Other
Total
?, * rt
* PIONEER
* engineer
****
2422 Enterprise Drive
Nmdota Naghts, GN 55120
(851) 881-1914 FAX:881-9488 BENCH MARK
625 Highroy 10 N.E.
9taine, MN 55434 TOP OF PIPE
ELEV.= 897.91
(812) 783-1880 FAX783-1883 ?
I
Certificate of Survey for: AAeAII EY gROTHERS CONST. 1
3958 ARIENE COURT EAGAN MINNESOTA OVMER:UROAHL t I n
, a=aY 0 J ?EV5
LOWEST FLOOR ELEVATION:
TOP OF BLOCK ELEVATION:
GARAGE SLAB EIEVATION:
TOB @ 100K0UT ELEVATION:
. ?
asa.t (6118-')na4kol 64.45 N.
0 oI
- ?I
3 ?------- ??5?
?j 94.
?h :n
% 000.00 OENOTES E%ISPNG ELEVATION
( 000.00 ) DENOTES PROPOSEO EIEVAPON
--- DENOTES ORAINAGE AND UPIITY EASEMENT
DENOTES ORAINACE Fl.OW OIRECPON
T DENOTES MONUNENT
0 DENOTES OFFSET HU8
(90
s?
?
T.(..
L p `a
.
4\??
$61,so????
NOiE: PROPOSEO GRADES SHaMP1 ?ER CRADING PIAN 6Y' PIONEER ?\"/???';AAA
NOIE. BUILdNG OIMENSIONS SMOMN AFE FpR HORIZONTAL ANO 1£RiiCAL LOLATON ?/?-
SEE ARCHIIECiUAI PLMS FpR BUILpNG AND ?
OF Sl13UCTUpES ONL1' k
.
T
1
886
FWNOATON DIYQ140NS.
J
.
NOIE: NO SIEQFlC SUlS INbESTIGATION MAS 9EEN COMPLEiEO OM iMiS lDi BY THE
SVR4FYOR. THE SVITABILITY OF SqlS 70 SUPPORT THE SPEGFlC HWSE
PROPOSm IS N02 THE RESPOPo5161UTY OF THE SURVEYIXi.
NOTE: Mi5 GERTFlCAiE'DOES NOT GURPpRT TO SMOW EASpJENTS O1HER TMAfI
RfOSE SNONN ON THE RECIXiOED W.AT.
?
?
Y
HOiE. CONIRACTOR M115T WRIFY DRIVEWAY9ESGfi.
/
NOIE: BEP.RINGS Sl10NN AFE 6ASE0 ON AN A5511NED OANM
y? T.G?
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. 7HAT TH15 IS A
TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 7HE 80UNDARIES OF:
BLOCK 1, PERRON ACRES
LOT 13
,
DAKOTA COUNTY, MINNESOTA
`T DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN,
? SURVEYED BY AIE OR UNDER MY OIRECT SUPERVISION THIS 29 OAY OF MARCH. 2002.
c.,
' INCH = 30 FEET
S89 57 39 W
3:1 AAaxirtwm Slopes
or Retaining Wall Will
Be Required
232.89
ROR d
LOT AREA = 19,141 SF
HOUSE AREA = 1,283 sq. ft.
GARAGE AREA = 841 sq. ft.
STOOP = 60 sq. ft.
COVERAGE =11.4% g,14 8
?}ov56 T`CPrc _SLOECnoi!eai
(g Jz,O?
892.3 narLml
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p/ ? 89A
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PIONEER
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2007RESIDENTIAL BUILDING rERMIT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consfruchon Reauirements
3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas
(20% maximum lot mverage allowed)
1 Soils Report rf proposed building is to be placed on disWrbed soil
2 copies of plan showing beam 8 wmdow s¢es; poured found design, etc.
7 set of Eneigy Calcula6ons
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Jomt Detail Op6ons selection sheet (bmldirgs wAh 3 or less unAS)
Minnegasco mechaniql venGla6on fortn
$ 14
RemodeVReoair Reauirements Office Use Onlv
2 copies of plan showing (ootings, beams, joists CeA of Survey Recd _Y _ N
7 set of Energy Calculations krheated additions Soils RepoR _Y _ N
1 site survey for additions 8 decks Tree Pres Plan Recd _Y _ N,
Add'dion - indicate ilonsde septic system Tree Pres Required _ Y _ N
On-site.SepticSystem_ _Y _N
ocp - 27 c6,&d,
Plans are considered oublic information unless vou state thev are 4rade secret and the reason.
Date Ce / LS
Site Address 3f y$ l0 (
4r Gn(? drJwr r ConstructionCost
55a 3 UniUSte #
Description of Work 5Lree r1 -Yar`'?\ ot`^ k
Multi-Family Bldg _ Y'6 N Fireplace(s) _ 0 _ 1 $ 2
Property Owner 4( r Telephone #(?S?
?a/L•3 .-7/
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesob Rules 7670 Cateaorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
In the lasi 12 months, has ihe City of Eagan issued a permit for a sir
_ Y _ N If yes, date andi,ddrss? rtre?C ??il?:
I I K LS
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
apply for a Residential Building Permit and acknowledge that
is complete and accurat
e;
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
pemrit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. j
ApplicanYs Printed Name A licanYs Signature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
plan based on a master plan?
DO NOT WRITE BELOW THIS LINE •
Sub Tvaes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex x 18 Deck A 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Intarior ? 44 Siding
g 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Remof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to appliwnt
D@SCfIAtl011: Water Damage _ Yes
Valuation OGO Occupancy MCES System ' -
Plan Review '-"100% or _ 25% Code Edition 2a2:P
Census Code Zoning City Water ?
SAC Units - Stories / Booster Pump
# of Units - Sq. Ft. PRV ?
# of Bldgs - Length Fire Sprinklered - ?
Type of Const Width /5-
REQUIREDINSPECTIONS
_ Footings(new bldg) Sheehock
Footings(deck) FinaUC.O.
Footings (addition) ? FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Stucco Lath
Stone Lath Brick
_ Fireplace _ R.I. _AirTest _
Final Windows _
_ Insulation _ Retaining Wall
Approved By: , B
-------------------- uilding Inspector
Base Fee "
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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* PiorvEE -it
* engineE
#* **
Drive
YN 55120
14 FAX:881-9188
FAX:783-1885
Certificate of Survey for: MANI FY BROTHERS GONST_
3958 ARLENE COURT EAGAN. MINNESOTA OHNER:URDAHL
9 R
ECPg sss.
PROPOS HOUS ELEV nON 3
LOWEST FLOOR ELEVATION:
TOP OF BLOCK ELEVATION_ g4?• ?? Cn ?
N
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EVATI
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:
GARAGE SLAB EL tl' :n
T08 PLOOKOUT ELEVATION: - ??p•(
O
% 000.00 OENOTES E%ISPNG ELEVATiON
9?
,q
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000.00 ) OEN07E5 PROPOSED EIEVATON 887
OENOTES ORAINACE AND UT7LITY EASEMENT _
' DENDTES ORAINAGE FLOW DIRECTION T'?' '
o4
B?
-r- OENOTES MONUMENT j% l??A`?
'
9- OENOTES OFFSET HUB ?,
QW,^?f?i ?
1 64.45
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NQT[: PROPOSEO CRAOES SHONN PER CRAOING PLAN BY' PIONEER
NOIE: BUIIDING OINFNSIpNS SHONN ME FOF HORIZpJTPL AND VER11CA1 IOCATCN
OF STRUCILIRES ONLY. SEE ARGHIIECiUAL PLANS FOR BUILOING ANO
FqINOATON OIIAENAOr15
NOiE: NO SPEQFlC SdLS INYESTIGAl10N NAS BEEM CONPlElEO ON iM15 LOT BY THE
$UROEYOR. h/E SUITABILITY OF SdLS TO SUPPORT 7HE SYEQRC HWSE
PROPOSW IS NOT T1E RESPOPoSIBIUiY OF TNE SUFYLYOR.
NOiE' MI5 CER71FlCFlE DOES NOT PURPORT i0 SHOW EASEMENTS OIHER THAN
iHOSE SNOWN ON THE pEGIX2DED PUT,
/
NOtE: LON7RRCTON MUST PcRIPY IXt14EWAYVE51(N.
/
NOTE: BEMINGS 9HOWN ARE B/.SED ON AN ASSUMED DATUlA
WE HEREBY CERTIFY TO MANLEY BROTHERS CONST. TNAT THIS IS A
TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF
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LOT AREA = 19,141 SF
HOUSE AREA = 1,263 sq. ft.
GARAGE AREA = 841 sq, ft.
STOOP = 60 sQ. ft.
3:1 kb)dmum L+I.?,.e?. COVERAGE =11.4Y ?- g,?b • S
?ar?roa dirx itc.? 11?V ?'
or Retaining Wall WNI 'c?-.• g,OE (,?o?!n?T
Be Required 4o"sE •-
232.89 (892,0)
RQA A. 892.3 notLaaI
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LOT 13, BLOCK 1, PERRON ACRES
DAKOTA COUNTY, MINNESOTA
?OES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN,
'QVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 29 DAY OF MARCH, 2002.
A P 5 a o?' _---
k , .yr f.! _? _S
'ICH = 30 FEET • " . -- ' "" t '?
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PIONEER
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P.A.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138707
Date Issued:09/15/2016
Permit Category:ePermit
Site Address: 3958 Arlene Ct
Lot:13 Block: 1 Addition: Perron Acres
PID:10-56975-01-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Kurt Urdahl
3958 Arlene Ct
Eagan MN 55123
(612) 384-7124
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:Building
Permit Number:EA164518
Date Issued:09/30/2020
Permit Category:ePermit
Site Address: 3958 Arlene Ct
Lot:13 Block: 1 Addition: Perron Acres
PID:10-56975-01-130
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Kurt & Lisa Urdahl
3958 Arlene Ct
Eagan MN 55123
Northface Construction Llc
657 Main St NW, Suite 90
Elf River MN 55330
(763) 433-2269
Applicant/Permitee: Signature Issued By: Signature