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501 Chapel Ct 'Permit # 'Job Address 'Heating Contractor I✓!S. 'Testers/Signature Pounds Date Ji nee pLessure "Gas Line Pressurized Inspected E!EBEQBMANCF 'Percent CO(9~p ~ 'percent CO Q "Percent Op (0, 0 'Stack Temp. Final Inspection Date co On Apffi 15, 2000 the Mlnnesota Energy Code, Category 180ding 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 Certlftate of Occupancy. This structure: Is constructed to meet minimum requirements of the Mn Energy Cade, Chapter 7670 OR This clrucluro: will be cans W cted to meet more restrictive requirements of Chapters 7672 or 7674 i- + APPLIANCER MODEL BTU'S VENTING TYPE Plater HealeTI}~.J poO h I L Furnace 4~T V~ r,,9 o u} rr - VENTED ~(HAtli ST SYSTEM LOCATION TYPE MODEL CFM's rea No KnGren kitchen Ow.L 6a;hracrTi 'I a+u f~(QDR AsIC e3thra~m 2 1`7eo rl Sin x I fia~hrc;m 3 A+' ~ ddM rl 6alhra0r. 4 C±tcr VENTING FIREPLACE'S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMas , A,d Rwa _ LeA)A)v /Neat 3530 al o00 MAKE-UP AIR MODEL TYP CFM's ,t1 FRS A,+.~ I horoby acknowfodga that the ahovc information is correct and agree to comply With the Minnesota Energy Code and City of Eagan rcqu!rements. rZ ~io.r Si0"at r Dat . - Company Name Tnls form Is the responsiblllly of the General Contractor. Address 5 0 1 Chapel C t Zip 5512 Lot 17 Blk 1 Sub Cherrvwood Knoll THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 8-. Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy Site address: S I Cl,~ro Lot I Block Subd.(1Trrjw0dk6 t n"JLL_ On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adapted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. I This structure: is constructed 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 x (,INYroaW A) L40000 pfrs.CT- PUc- 'ZSoaa ~+D QUc Furnace 15-: AJNbx G -z(,, Dryer twuICNOwt1 wNun~drv~ t4 "`max` VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES NO Kitchen kitchen x Bathroom 1 '12. 6 Agli 5-M 50 Bathroom 2 wry, rLR- S 7L 50 Bathroom 3 5~-D rjU Bathroom 4 Other VENTING FIREPLACES LCCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS ~Ri1t! Nd ~IOCJ X MAKE-UP AIR MODEL TYPE CF9OS `ass F►ss~ Hr~u"~u~T pL50 ~v n fNrr6✓SfldN E}rf1 ZIXOGFr r I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. I G`f D Z R~~ NZ L Za/oL Signa> r { Date Company Name ' This form is the responsibility of the General Contractor. 45, lqs ~i RESIDENTIAL Ch~,vey~W~ rVI ( BUILDING PERMIT APPLICATIOWP#N-"5/ O 1J0-50 CITY OF EAGAN PP Oz/0s(.0l 3830 PILOT KNOB RD - 55122 651-681-4675 51 Ss-y, s New Construction Requirements V~' ~1,~.L'-- RemodellReoair Requirement • 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofedd ail • 2 copies of plan n (20% maximum lot coverage allowed) rJ 1 W 3~ 1 set of Energy Calculatons for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) ~j 1 site survey for exterior additions & decks „nn 1 set of Energy Calculations V~ • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE I zl ZS~f d' VALUATION (EXCLUDING LAND) Zo 000 JOB SITE ADDRESS So ~ C ~r~J4l C7' IF MULTI-FAMILY BUILDING, HOW MA'N'Y UNITS? PROPERTY OWNER V A14c_ / X46 m4 s TYPE OF WORK Nev') SZL- ~A»irLY FIREPLACE(S) _0 1 _2 _3 APPLICANT 5A4vn'F-, PHONE # 01-'154 - 5 330 ADDRESS X1,3 0 FLAc~4AwIL Aa k lIL4 E ZIP CODE 5--;) ~ PAGER # CELL PHONE # Tab SW ?T• (oI? - 3(03 AXF # (oS~-t (S~ -~9 5~ 2(15 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category V;dNNESOTA RULES 7670 CATEGORY I (check one) Residential Ventilation Category 1 Worksheet Submitted d Energy Envelope Calculations Submitted I _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: SCo W/lR G~ PL~emBJ~C- Phone (P5 C- 4SD - (01(05 Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths eLj Mechanical Contractor: ~ 01✓1N5 Phone # L05[ ` 23 - S °7 S? Meclumiatl System Includes: ] Air Conditioning Fee: 570.00 Heat Recovery System x~kNsoa Sewer/Wafer Contractor. 5co S wfl~~11°tt u 1 '5YCA ()#MlPhone # i i 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 correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 n Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ NO 5t NrF(C-Aril-' -t h~~ S up aced 1i01 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 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 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 31 New ❑ 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 Bldg only) - Give PCA handout to applicant Valuation -53, o o0 Occupancy MC/ES System Census Code O ~ Zoning City Water SAC Units o Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length t~ Fire Sprinklered Type of Const V Width ' REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Roof ~ Ice & Water Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests -Final y( Fireplace -J~ R.I. XAir Test X Final Siding Stucco _ Stone X Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge i3/TS~ ! 7 ~itlnrf Plan Review X I S:, - 12- YO MC/ES SAC / tQ City SAC /`iqw C£Lf U b n f Water Supply & Storage S&W Permit & Surcharge J" Treatment Plant V pr% L-£U£ Plumbing Permit 107V prx oU ~ a ( ~~O Mechanical Permit License Search Copies 6 Yo Pd r `~G Other Total / S~Z 7 I MNcheck COMPLIANCE REPORT I Minnesota Energy Code Permit # MNcheck Software Version 3.0 I Checked by/Date I COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 12-28-2001 DATE OF PLANS: 12/28/01 TITLE: Eagan Model PROJECT INFORMATION: 501 Chapel Court Eagan, MN COMPANY INFORMATION: Variety Homes, Inc. 4130 Blackhawk Rd. # 114 Eagan, MN 55122 COMPLIANCE: PASSES Required UA = 602 Your Home = 446 25.9°% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value CEILINGS 1240 44.0 0.0 WALLS: Wood Frame, 16" O.C. 3177 19.0 0.0 1 BSMT: Conc. 8.0' ht/7.5' bg/8.0' insul 1008 10.0 0.0 GLAZING: Windows or Doors, Above Grade 387 0.350 1 GLAZING: Windows or Doors, Above Grade 40 0.350 DOORS 38 0.350 HVAC EQUIPMENT: Furnace, 92.0 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with tTII&-building plans, specifications, and other calculations submitted with th permi plication. The proposed building has been designed to meet r.qu ments of he Minnesota Energy Code. ~ J f Builder/-".,,,,"- Date LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: t a t 17 l31acJK l C-IGr:rn wdu~ Kti~ DATE OF SURVEY: LATEST REVISION: / D m or c m i DOCUMENT STANDARDS O z ❑ • Registered Land Surveyor signature and company Q/ ❑ ❑ • Building Permit Applicant C~ ❑ ❑ • Legal description [~j❑ ❑ • Address d ❑ ❑ • North arrow and scale GJ~ ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) U/ ❑ ❑ • Directional drainage arrows with slope/gradient % d ❑ ❑ • Proposed/existing sewer and water services & invert elevation d ❑ ❑ • Street name 19/0 ❑ • Driveway D' ❑ ❑ • Lot Square Footage E(/ ❑ ❑ • Lot Coverage Ct ❑ ❑ • Benchmark ELEVATIONS / Existing W o ❑ • Sewer service (or Proposed) ¢V CI ❑ • Property comers LV ❑ ❑ • Top of curb at the driveway and property line extensions UK ❑ ❑ • Elevations of any existing adjacent homes ❑ t/ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ • Waterways (pond, stream, etc.) Proposed P/ ❑ ❑ • Garage floor I9' ❑ ❑ • First floor U/❑ ❑ • Lowest exposed elevation (waikout/window) IV ❑ ❑ • Property comers ❑ ❑ • Front and rear of home at the foundation PONDING AREA (If applicable) ❑ I9/ ❑ • Easement line ❑ a/ ❑ . NWL ❑ @-, ❑ • HWL ❑ IR/❑ • Pond # designation ❑ ❑ • Emergency Overflow Elevation DIMENSIONS ~;r ❑ ❑ • Lot IinesBearings & dimensions W ❑ ❑ • Right-of-way and street width (to back of curb) r~ ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ff/ ❑ ❑ • Show all easements of record and any City utilities within those easements If ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures 6/D ❑ • Retaining wall requirements, N any Reviewed: Name / Date CERTIFICATE OF SURVEY V1 0-87- 01 for VARIETY HOMES ulAly U 0 ntt; D I ~ ~ I I I~~ ~ ~`9712 0. t.98 25.00 .a]3 ;i 67 0 -7 90'00'00" E _ 1/1,*, io F-, 4E7~ 97 26.00 O qI 3 0 T.00 (D V) 2.00 SJO W Gor slab m 3 O 7/,Y3~ o Top74,S n.67 81 h m ,t I l 61ks7ka3 °0. ~ ~ JJJGGG I a~ 20).oo U 10 '~j 0, 3.foH Ln x,33 25.00 2 4 N 9D'00'00" E I I lo, ST LT f~NGe I I ~5~8;9t4, F' 03z S Lo 1 Scale: 1" = 30' _ TO -Chapel Court DESCRIPTION I hereby certify that this survey, plan, or report was prepared by me or under my direct Lot Lot 1 177, , Block 1, CHERRYWOOD KNOLL supervision and that I am a duly Registered Dakota County, Minnesota Lond Surveyor under the Lows of the State of Minnes' c. Plat bearings shown o Denotes iron monument Date' 1 GC. `200) Reg. No. 8140 Existing j Proposed P- C; V 3 Oz BRANDT ENGINEERING & SURVEYING 14041 Burnhaven Drive, Suite 114 Burnsville, MN 55337 (952) 435-1966 V10-87-01 PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA104846 ~it~ Date Issued: 06/13/2012 of On Permit Category: ePermit Site Address: 501 Chapel Ct Lot: 17 Block: 1 Addition: Cherrywood Knoll PID: 10-17050-01-170 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Scott Lofgren 5708 Upper 147th St W #102 Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant Owner: Lofgren Heating & Air Robert M Galezewski 5708 Upper 147th St W 501 Chapel Ct Suite 102 Eagan MN 55121 Apple Valley MN 55124 952 431-5811 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink -For --Offi-o Use ~ I f j Permit / V 7 j City of Eapn Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION .-t Date: )a Site Address: Unit Name: &a e.-zeLam' Phone: RESIDENT / t~ OWNER Address / City I Zip: L C k~ peu 1 C o o v" 1 Applicant is: Owner + Contractor TYPE OF WORK Description of work: `Feck'r CJf f O'V'N ~ Re r4o f 1"t OAJi e * C'`0'f"~ q e ~ tJ Construction Cost '1 .7 Multi-Family Building: (Yes No V_J C Company: A 6yy e6ocxr~ 1'tC3cCm fS I Atoo `T'1CContact: 'Ocyy' e CONTRACTOR Address: o 71o l M ~ 6Y tii<Ave iv city: C-t'• State: M A. Zip: SsO'7 3 Phone: GS i X32 o6 o License Pbc'A -1 LH : Lead Certificate 1 11 S If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) o f t !'bo r b t 41 ~ao S I t; Arse Teel- o f eN r w1 i- * A O w f vt ~ G' c (mil I 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 State Building Code must be completed within 180 days of permit issuance. xTAVi~ 1."?'r Sto; 5 ! x Applicant's Printed Name Applicant's Signature Page 1 of 3