4678 Aspen Ridge CirPIONEER
* engineer!
LMD SURVPYONS • OML ENONEERS
LAND %.1NN(RS • LANDSCAPE MailnC
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 681-1914 FAX:681-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
Certificate of Survey for: OCP HOMES, INC.
4678 ASPEN RIDGE CIRCLE. EAGAN
BE CH MARK
TOP OF PIPE LOT AREA = 11,013 SQ. FT.
ELEV.=936.71t9p HOUSE AREA = 1.947 SQ. FT.
1?, IJ o"m?m R U R I' COVERAGE = 17.7 9.
14
935.5
119.88 0
17
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N89'04'03"w
0 523
n 33.
934.6
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70
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?•7 I I' V BENCH, MARK, C! V
TOP OF PIPE
ELEV.=933.95 v
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY, PIONEER BASEMENT FLOOR ELEVATION 1513
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION 1/x•3
OF STRUCTURES ONLY. SEE ARCHITECIUAL PLANS FOR BUILDING AND MAIN FLOOR ELEVATION:
FOUNDATION DIMENSIONS. GARAGE SLAB ELEVATION: -__•
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB @ I.OOKOUT ELEVATION: 4 3yf•S
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - - - DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM • DENOTES MONUMENT
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO OCP HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 1, BLOCK 2, OAKPOINTE OF EAGAN 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF NOVEMBER, 2000.
REVISED 11-20-00 RESTAKED S NED PIONEER E gENG, P.A.
SCALE : 1 INCH = 30 FEET
8. e
C. Larson, L.
Ib10a ?ile)c(svi lk ?J . '
f 1'' I CITY USE ONLY
PERMIT RECEIPT DATE:
RESIDENTIAL MECHANICAL PERMIT APPLICATION
crrYof EAGAN
3$30 PILOT KNOB RD,
EAGAN MN 55122
651-6$1-4675
Please complete for > single family dwellings
townhomes and condos when permits are required for each unit
Date: -L4 I D 1
JIM-Y1611
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
(AREA CODE)
1u'3 1 _ 52 -Zns
(AREA CODE)
INSTALLER NAME: hICUl meCM(N 6iCa?9 TELEPHONE #:
STREET ADDDgREESS:? I f lCAX_Ci
CITY: t"?GW tar ! STATE:
ol.,....:, ..6...-6 ....rU -+ b. then .nit wnvL tuna
r
ZIP: 5J lLZ
New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on, modification or alteration to existing dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge $ .50
Total $ /D
Reminder: Call for inspections.
SIGNATURE OF PE fITTEE
Updated 1/01
Address
Lot
4678 ASPEN RIDGE CIRCLE
Blk
Sub
OAKPOINTE OF EAGAN
Zip 5512.3
2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 44-30-0 ( Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) X
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish X
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: `'S1D ?41 Q? Lot 4 Block ne--- Subd.. nAJL&S.& ::}!tj4
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 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 /? Z V
Furnace LC _ C ,oo ?.?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1
?fiYV
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE(S)
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
:DIRECT ATMOS
.. JJ
MAKE-UP AIR MODEL TYPE CFM's
2o0St P L-?rVN0 r?4
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signtu;e n n - Q
? LYf'?'1d-
CompaanyName
* This form is the responsibility of the General Contractor.
Z4 - 28 -.0
Date
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 3 L '8-d
651.681-4675 _ A
New Construction Reautremen
3 registered site surveys showing sq. It. of lot, sq. it. of house 2 copies of plan
and gp roofed areas (2(176 mmdmum lot coverage alowed) 1 set of energy calculations for healed additions
> 2 copies of plans (show beam & window sizes; poured tnd. design; etc.) 1 site survey for exterior additions & decks
> 1 set of energy calculations
> 3 copies of tree presewalio Ian If of plaited after 7/1/93
DATE: b CONSTRUCTION COST: O7 a
DESCRIPTION OF WORK:: ?/V SZ .7 R L"S ?h ?/V C C
STREET ADDRESS: ?7 c c c
LOT: BLOCK: SUBD./P.I.D. #: C?i9K /?alkl/Y? h1? ?7 - 4 i c9 A-' 4
Name: ?G? h•uc'S ??C Phone#:
PROPERTY Last (? First ??
OWNER ? o9 tc>>.f7A L- Se> #- /U /?
Sheet Address:
City Lora .? / fa T nAC State: Zip: SZ 2
?y9YPOc7/off
Company. ?e f /fl F ! ?/ 1t1 L &3--- Phone #:?L 'l D34
?4 V,0 (area code)
CONTRACTOR ,J
Sheet Address: U I LL- License # a?7 Exp. ?j
City ??i2 f lS r?(J C, -7 State: 711 ?- zip:/
ARCHITECT/
ENGINEER Company: Name:
Telephone #: : O
Sheet Address: /tea 31a I?U T ,tX--- E Registration #:
CBy ST../' A- V I State: /' A) Zlp:?? ?/
Sewer/water licensed plumber (if installing sewer/water): ?? -A
I hereby acknowledge that I have read this application, state that the Information co e L and agree to co ply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances. Q G
Signature of Applicant:.
OFFICE USE ONLY
Certificates of Survey Received Y Yes
No
HT H'T M1
DEC 011 1000
Tree Preservation Plan Received Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
4 01 Foundation ? 07 05-plex
02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
PF 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 18 Deck ? 23 Porch (screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _Y or..... N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code C /
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories sq. ft.
Length sq. ft.
?L, rff
Width Footprint sq. ft.
Basement sq. ft. ! o 0 Census Code
Main level sq. ft. MC/ES System
6a?tsq. ft. City Water
sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning -
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building tIL Engineering Variance
Valuation: $ l
ism Flx 8, (-/-
7Sf?rsyL ??? ?o?
es?GT u?us/ 6
fob Y < = rdo ?
SSW L?agz_
3yxsy ?7y36 6G
(;a? age
Esc. 7-d9 ye?eo,? /6 730
SAC Unitsp
% SAC v/ `/ - / 3 Sal y -
? 31 Ext. Aft -Multi
? 33 Ext. Aft - SF
? 36 Multi
li9mz
Residential ventilation two-step worksheet
2000 Minnesota Energy Code
STEP 1: submit copy with permit application
Building address: Completed by:
4 78 ASPS D cl)ZcL? G D I o
City, Zip: EAc Ar.I Date: 11 _ 30 - DO
House conditioned floor area (normally including the basement) aZ S sq. ft.
Number of bedrooms .
Ventilation quantity
Total ventilation requirement (conditioned floor area x 0.05) 13 cfm.
Optional: total ventilation may be split between people and supplemental quantities:
People ventilation (# of bedrooms x 15 cfm + 15 cfm) cfm.
Supplemental ventilation total (total - people ventilation)
LENhieX i`1DDEL QcC sP
List fans to provide mechanical ventilation Giy E 77 _PL A -i fZ Tv Al fZ HF Y EXU-j 14 & rr...s D
Fan location or description L e F..
FAN PURPOSE people
ventilation
or supplemental ventilation TOTALS
AS DESIGNED cfm cfm cfm cfm
or e> H cfm cfm cfm cim cfm
?tlil
STEP 2: Submit upon completion of system verification
MEASURED
' cfm cfm cfm cfm cfm
intake
PERFORMANCE or cfm cfm cfm cfm cfm
measurement required f s and exhausts from the building with design air flow of 30 cfm and greater.
Ventilation equipment requirements (check to confirm compliance)
Ventilation system sized to provide the design air flow
People ventilation fans listed for continuous operation and sound rating does not exceed 1.0 cone
(surface mounted) or 1.5 sone (all others)
Optional: heat recovery ventilator (HRV)
HRV meets Canadian standard CSA-439 (indicated by listing in HVI Directory)
(optional manufacturer cold weather performance certification _?.
HRV meets UL standard 1812 or equivalent
HRV has a permanent label of net air flow and sensible recovery efficiency
Distribution, installation, and certification requirements
All ducts outside the interior air barrier sealed with UL181 or equivalent product
Controls for people ventilation are readily accessible and labeled
If RVS ductwork is connected to furnace ductwork, controls are installed to run the furnace blower as
required by code to distribute outdoor air to habitable rooms
5/99 Page 10
2000 MINNESOTA ENERGY CODE
1-2 Family Residential Dwellings
"COOKBOOK" WORKSHEET
Applicant Name Phone
-
Sf2- o I 7 Late
LJ-3o-0 Plans must be clearly marked with:
? insulation It-values,
? window amt skylight U-valves, Statement of Compliance:
'Ihc proposal building d sikryl hproilted in
e is Lsto,t
these do111111a,ls k with the building
lains
s
xincaie
s
d
th
Applicant t 0111pany
? size and type of' c uipmeal
, p
,
p
i
, In
o
er
ealculations subalhled With thep<iniit
0 p
G P Ol"I
? and location wind of interior air barrier, vapor retarder
wash barrier, lieatiai. 'the proposed building has been
appdesigned to mm the requirements rd,
isti
t
l
' C
d
Isuildutg Address: CAKFVf
678
El equipment controls. mneso
a
ntat
o
e.
?8-S ?1?Cr C KCLF- LDT I BLK2 Applicant
NIINIMUNT REO[JIREMENTS for "Cnnkhnnlc" Clntinn.
tinny Doors 1-±/4" solid wood or maximum U-value of
0. 1t1 Ceiling R-38 (insulation performance at winter design
conditions) Heating system efficiency: > 90'%1 AFUE
Foundation 1/2" insulated glass in wood or vinyl frame,
Windows* or maximum U-value of U-0.51 Foundation wall insulation I2-10 (if a different R-value is
used, adjust the required average window U-value by Rim joist 12-10
*1nclude foundation window total square footage in completing the worksheet on the next page). Floor over unconditioned spice R-30
calculation of Window/Door Area.
Window and Door Area 100 x ?7_ + pea 8 = ) G. G %1
As % of Exposed Wall Area Window/Door Area Gross Wall Area Window/Door Area
I
WINDOW U-VALUE: .31
Source: NFRC or Code Default table
MAXIMUM AVERAGE WINDOW U-VALUES
FOR R-1) FOUNDATION WALL INSULATION & 90% AFUE FURNACE
Check Wall
Type Used Maximum Total Window and Door
Area as Percentage of Exposed Wall:
10%
12%
14°,u
16%.6
18%
20%
22%
24
260'u
28%
Wall Type: Maximum Average Window U-value:
'2x4. Ii-13 insulation, < R-S sheathing; 0.37 0.37 0.:33 0.28 0.25 0.22 0.20 0.18 0.17 0.15
'2x4. N- I t insulation, > R-5 sheathing 0.37 0.37 0.:37 0.57 0.37 0.33 0.:30 0.27 0.25 0.23
2x'l, R- I:S insulation, > lx'-7 sheathing 0.37 0.:37 0.:37 (0.37 0.:37 0.36 0.33 0.:30 0.27 0.25
2x(i, It-I!) insulation. < 1(-5 shealhint. 0.37 0,37 0.:37 0.37 .3 2-1 0.32 0.29 0.27 0.24 0.23
2x0, (-19 insulation, > k-S sheal.hin g 0.37 0.37 0.37 0.37 0.37 0.37 0.35 0.32 0.29 0.27
2x6, l(-21 insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 0.37 (!.35 11.:31 (1.29 0.10 0.24
2x6, bi-2I insulation, > i(-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.30 0.33 0.30 0.28
NOTE: If' Iintndatiun Wall insulation is either less Lhan 12-10 (but not loss than R-5), or I(-I9 aril above, then use the tables appropriate for those values.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: La 7/ §,WC/r Z CJARVO rA/lF OF FA64N L'-'= 4/L1272-=4y
V1 DATE OF SURVEY:
LATEST REVISION: ??-Z -00
tx
DOCUMENT STANDARDS
s
O
? Registered Land Surveyor signature and company
? Building Permit Applicant
? Legal description
? Address
? North arrow and scale
? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
e1 ? Directional drainage arrows with slope/gradient %
C2 ? Proposed/existing sewer and water services & invert elevation
ara ? ? Street name
? Driveway
V ? Lot Square Footage
? ? Lot Coverage
ELEVATIONS
Existing
? • Sewer service (or Proposed)
? Property corners
V Top of curb at the driveway
Elevations of any existing adjacent homes
? ? Adequate footing depth of structures due to adjacent utility trenches
Proposed
/
g/ ? ? Garage floor
d ? ? First floor
? ? Lowest exposed elevation (walkout/window)
c?/? ? Property corners
?? Front and rear of home at the foundation
PONDING AREA (if applicable)
? m/r? Easement line
? a// ? NWL
? LA ? • HWL
? m Pond # designation
? Emergency Overflow Elevation
DIMENSIONS
? Lot lineslBearings & dimensions
? Right-of-way and street width (to back of curb)
orches
etc
r than 2'
t
h
d ? ? ,
.
, p
e
angs grea
Proposed home dimensions including any proposed decks, over
/ (i.e. all structures requiring permanent footings)
I ? Show all easements of record and any City utilities within those easements
/ ? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures
ra' ? ? Retaining wall requirements, if any
Reviewed:
March 1998
CRAW,HLDGPnC..FM
(SEE ATTACHMENTS)
Development 04V-,-Pd I NT6 PC U\61dN 2=i
Lot Number
Address
Block Number Z
Builder
Tree Protection Requirements:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during April 7 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
v 1 v-ec ?c e t:.,
re w - . p l? c?
(2) CcA? VW6
F:ORESTFLY DMStON
RV
BY
H:\ghove\2000file\treepres\Tree Preservation Plan Summary-2000
46-7 ? RSPCN 'g\D(,f C12C(,E
city of eagan NOTICE
bib
ATTENTION !
All builders/contractors that receive approved Tree Preservation Plans are responsible for the
following:
• Required tree protection fencing shall be installed and inspected by the Eagan Supervisor of
Forestry (or his staff representative) prior to the beginning of tree removal and/or grading.
Tree protection fencing shall be installed in accordance with standards set within the City of
Eagan Tree Preservation Ordinance.
• All tree protection fencing shall remain upright and in place until all
activity is terminated, dig and construction
ed, or until a request is made and approved by the Eagan Supervisof of
Forestry.
• No encrhment, grade change, construction activity, filling, compaction, tre nching, or
storage of materials shall occur within fenced tree protection areas.
• No change in soil chemisrtty due to concrete washout and leakage or spillage of toxic materials,
such as fuel or paint, shall occur within fenced tree protection areas.
• All oaks trees pruned or damaged (this includes oak tree roots exposed from excavation)
between April 15 and July 15 shall have all cut areas immediately sealed with an appropriate
non-toxic wound sealant.
Questions can be directed to the City of Eagan Supervisor of Forestry at 651-681-4300.
f:`J vep000titete MMot= to auildasSite Requvanaim
r
Tree Preservation Plan
Oakpointe of Eagan ? D `? D t T o
Lot Block (Site Plan Attached)
Address: (0 7 '
Owner: OCP Homes, Inc. Builder: Joseph P. Varley Construction
8609 Lyndale Ave. So. #1013 16800 Shieldsville Blvd.
Bloomington, MN 55420 Faribault, MN 55021
881-0127 507-334-6034
Significant Trees on Lot:
None
Significant Trees:
Type
(Numbers Per Tree Survey)
Size
014X /8
Retain or Remove
Protective Measures:
K Tree Fencing
Oak Pruning (April 15 - July 15)
Retaining Wall
Therapuetic Pruning
Other: /r--
Re lac ent Trees:
Not Required
As Follows:
Notes:
MtQ
?II
rtr ??` l1
1
m i
I I ? ,
- - 1111 J
it ?, R SID, NGG
?'? x338
pf
1 1
V1
?r Y ` I`, ;w '?? IcP
SIYC PLAY
scp'L - ei
r 1
I ? y
J'
S
3
yG 700 C ?RCLE
OAFSPO NT E:
'.LOT 1, SLO GKQ
MAh LOvR. L=g90.a5' .
?Al
Cs E "Fl !' '.F..L=936.33
13 5 M-7
N ORTH
PERMIT #
RECEIPT DATE:T
RESIDENTIAL PLUMBING PERMIT APPLICATION
c1TYOF EAG*N
3830 PILOT KNOB RD
£A6AN, MN 551 2E
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
Sr'tddbYtTELEPHONE #: S n 33L/- Wit/
(AREA CODE)
STREET ADDRESS: p ,/?J/ J 1)wr?.. ,,cam /frfl
CITY: } I A? rt
Place a check mark next to the permit work type
TELEPHONE #: 4-?'l 7V- Y,-
(AREA CODE)
STATE: 6f ZIP: _-/_22_
New residential dwelling unit under construction and not owner/occupied $ 90.00
_ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ a,
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit with' ity propertyfright-of-wayleasement.
SIGNATURE OF PERMITTEE
Updated 1101
j
City of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2009 RESIDEN
Date: 3 do Site Address:
Tenant: T k -CPA
-----------------
I For Office Use
Permit#: __?
Permit Fee: Date Received: Staff:
UILDING PERMIT APPLICATION
Suite #:
RESIDENT /OWNER Name: C^ 61h M0(-'C_ Ph e: 0
tip
Address / City / Zip:
Applicant is: Owner _ Contractor
TYPE OF WORK Description of work: / Gt_/ /ODi
Construction Cost:)() Multi-Family Building: (Yes /No
CONTRACTOR C( License #: 20 S-(3
Name: tt to f
92
/_-
Address:
A
City: State: -
,,,
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(j submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to start wit t a permit; that the work will be in
accornce with the approved plan in the case of work which requires a review and approval ofj ilp s.
81 x 4z??_ ?'
Applicant's Printe Name App cant's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146880
Date Issued:11/20/2017
Permit Category:ePermit
Site Address: 4678 Aspen Ridge Cir
Lot:1 Block: 2 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Therese A Sherlock
4678 Aspen Ridge Cir
Eagan MN 55122
(651) 848-8643
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature