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516 Chapel CtAddress _-) I U Zip 5512_?_ L,ot -D--_ Blk ? Suh ? ?? t- c-'?'v , , ?Jtlz7A ?LV?61? TFIESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ?l v Yes No Inspector: /Vj?, 10-ryGe, Final grade (6" from siding) Permanent steps (gazage) f Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass V/ Trail/curb damage Porch V/ Basement 6nish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shoboff of wacer supply to the outside fawn faucet before freeze potential exists. Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? ' White - City Capy Yellow - Resident Copy Pink - Contractor Copy •Pemri[N_ r?r7(J?Z?7?--_-_-____i _ I 'JOb Addreas 'Neetlnp Cq,fi?ja METRO AIR •Testen/Signafure Pounds Date _ Time Presaure 'Gw Vne Presauriied Inspecied PERFORMANCETEST •Percent COp ? .Parcent CO ? "Percenl 02 ` U' d 'StackTemp. - FinallnspacGon Oate RESIDENTIAL C ? ? BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55722 651-681-4675 New Construction Reauirements RemodeUReoair Reauiremenh ' • 3 registered sAe smeys sMwirg sq. N. of lot, sq. R of house; antl all mofed areaa • 2 copies M plan (20% mazimum lot coverage allowed) • 1 set of Energy Calculations fir heated addNOns •• - ? • 2 copies ot plan showirg beam & window sizes; pou2d found desgn, efc.) .' 1 site survey for exterior addiUans & decks , • i set of Eneyy Calculatlons ., Indicate if home served hy septic system Por additions ' • 3 copies of Tree Preservation Plan if lot platletl alter 7!1/93 . Rim Joist Debil Options selec6on sheet (61dgs vnth 3 or less uni5) .. ' DATE /? /7YbL VALUATION SITEADDRESS ?l(o C??j4.me? Cst- MULTI-FAMILYBLDG _Y _N TYPE OF WORK__Cj a. FIREPLACE(S) _ 0?1 _ 2 Ailfea fkesidf APPLICANT d6a Ftreside ComN STREET ADDRESS 2700 N. FairvlewAve. TELEPHONE # R1115033-9591 oseviile, A9N 551IELL PHONE # FAX # -ZIP PROPERTY OWNER TELEPHONE # ? COMPLETE fOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVI:SOTA RliLES 7670 CATEGORY 1 MINNESOTA RLJI.LS 7672 (4 submission type) . Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system uicludes: Mechanical Contractor: Mechaziical system includes: Sewer/Water Conhactor: Water Sofiener _ Water Heater No. of Batkis ? ? . i ? Air Conditioning J _ Heat Recovery System Lawn Sprinkler No. oF R.I. Baths .z?..?Palne # LJ - --- - PFio i ne # Fee: $90.00 Tee: $70.00 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 Statute's and City of Eagan Ordinances. . Signature ofApplicant z2ht?& OFFICE USE ONLY Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 t^ ? j Site address: 5I hr'+', QA ( ti, nQ , Lot _Q_ Block ? Subd. (jhM,k 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 requinng that the following information be submitted prior to issuance of a Certificate of Occupancy. This sUucWre: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR This sWcture: will be constructed to meet more resVic6ve requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE Water Heater ? Furnace fJ Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Balhroom 1 N OZ 8athroom 2 5"- 4OfL O ,.? Bathroom 3 Bathroom 4 Otfier FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOOEL BTU'S VENTING oiRECi A?MOS , Lv L° 4 MAKE•UP AIR MODEL TYPE 'CFM's l I -P/ I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ti Si a ur Date K2=? Company Name > . ' This fortn is the responsibiliry of the General ConUactor. LO06? BL I CITY USE ONLY SUBD. (rY1 O C?vyjpl, RECEIPT # RECEIPT DATE' PERMIT# 2000 PLZJI+BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOH RD EAGAN, ttNi 55122 651-681-4675 Please complete for: ? single family dwellings D tawnhomes and wndos when permits are required for each unit ? hackflow preventer for underground sprinkler system FIXTURES EACN # i[4S/.11 ARerations to existing dwelling - minimum fee Describe: , .._----- ------ $ 30.00 - Bathtub $ 3.00 x Floor drain 3.00 x j = $ Gas piping outlet ' minimum - t 3.00 x = $ r Hot tub/spa 3.00 x = $ Kiichen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ ,4 SeptlC S Stem new/refurbtshed `requires MPC Ilc. 75.00 X = $ SeptiC System abandonment 30.00 x = $ ? RPZ new instaltatioNrepair/rebuild 30.00 X = $ Rough opening 1.50 x = $ Li, Shower 100 x = $ Underground sprinkler if dwelling is under consUuction 3.00 x = $ Underground sprinkler 'rf existing dwelling 30.00 x = $ Water Goset 3.00 x = $ Water heater 3.00 x = $ ZYW Water softener if dwelltng under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Watertumaround 30.00 x $ State Surcharge .50 - > -> -> $ 50 TOtal -> _> => ? $ 5: Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------• ---------------- • ------------------•--------------------------- • ----•---• --------------------•- - • • -------------------------- 1 here6y adcnowledge that I ,hlave read this appliption, state that the information is corted, and agrea to comply with all applicable City of Eagan ordinances. k is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no Ifability for any damages pused by the City during its normal operational and maintenance activities to the facilities cons[ruded under this permd xdthin City propertylright-of-way/easement. SITE ADDRESS: ?J I iD Clv-var»?? . Or. ? OWNER NAME: I-W?-l, 144 HOY ELEPHONE #: G,?b'd, qL-10 (AREA CODE) INSTALLER NAME: TELEPHONE #: 95A e 141 7 STREET ADDRESS: (AREA CODE) CITY: t" ( C t ?'? I STATE: ??I/,^ ZIP: S PL4TURE OF PERMI i'TEE ` ?CITY USE ONLY LOT ? BL ? PERMIT -C) 2?3 SUBD. RECE[PT #: -/D RECEIPT DATE: S' 3` Oc) 2000 MECHANICAL PERMIT (RESIDENTIAL) Date• Complete this section onlv if you aze installing HVAC in a single family dwelling townhome or condo under construction an3 not ownedoccaoi2d. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outleks (minimum of one required @$3.00 ea.) $ 30.00 6.00 c1 i State Surcharge .50 Total g 5 I 5% '4 5,150 Complete this section onlv if you aze remodelin¢, addinQ to, or reairin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration Furnace _ Au exchanger Repair _ Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: OWNER NAME: O -? PHONE #: \ 5 a•. _??? O??0 S (AREA CODE) INSTALLER NAME: PHONE #: '-1 - `--I ?-I1 -?Z t ' (AREA CODE) STREET ADDRESS: cirY: sTnrE: ?"1 r? ziP: 5 53 ?? SIGNATURE OF PERMITI'EE CITY OF EAGAN 3830 PIIAT I470H RD EAGAN A4I 55122 651-681-4675 2000 BUILDING PERMIT APPLICATION (RIESIDENTIAL) CITY OF EAGAN -? 3830 PILOT KNOB RD - 55122 s 851-681-4675 1 Hew Conshuctton Reaulremenh m I R i * 3 registered sNe wrveys showing sq. fk of lof, sq. H. ol house 2 coplea of plan and ,gp roofetl areas (20% maximum lot covemae allowetll 1 set of energy calculatlons for healed addlHons > 2 coplas of plans (show becm 8 wlndow alzea; poured Mtl. tlealgn; etc.) 1 sife survey tor exfedor addtlons & decks 'r 1 sat ot energy calculaNOna > 3 coples of tree preeervallon plan H bt plaHed after 7/1/93 DATE: !`? C) v CONSiRUCTION COST: Z50. DU b DESCRIPTION OF WORK: ll)2l? ?"I1s'1? ?n?'U?e ?fLQ?°1I? Itl-famlty bldg., how many units? STREET ADDRESS: ,eS??lo C?,GY-l ? C. O u,J ? LOT: Z BLOCK: I SUBC1./P.I.D. #: PROPERTY OWNER Wst Firsf Phone #: Sheet Address: City State: Zip: 1-7psc7 Company: ?N4Zi4b Phone #: 9?' ?y? ?S? (area code) CONiRACTOR / a I Sheet Address: {{???.? - License #ZgL? NZ Exp. 4 city PRtoa- / -a;*? nare: /?Iy ZiP: ARCHITECT/ EN6INEER Telephone 1i: ( Name: Sfreef Address: Reglshafton #: Cliy State: Zip: ? ? -a- /k-4 4 -? 'g s 2) v Sewedwater licensed plumber (if InsWllinn sewerlwater): " ^ Phone #: rcecf, and agree to comply wilh atl applicable State I hereby acknow5sdge lhat I hwe read this applicatfon, state ihaf the infortnat7/"z of Minneaota Statutes and City of Eagan Ordinonces. Sigrwture of Applicant: OFFICE USE ONLY Certificates of Survey Received ? Yes _ No JUL 2 6" Tree Preservation Plan Received _ Yes - No _ Not Required OFFICE USE ONLY ? BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ?W 02 SF Dwelling ? p8 O6-plex ? 03 07 of _ plex ? 09 07-piex ? 04 02-piex ? 70 OS-plex ? 05 03-plex ? 11 10-piex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New 32 Addition ? 33 Afteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea J ? 31 Ext Alt - i ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR -' ? 18 Deck ? 23 Poroh (screened) ? 36 MuRi I 0 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 (lnterior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 No. of Units No. of Buildings Const. (Actual) k (Aliowable) UBC Occupancy A-3 Zoning "P-1 # of Stories Length W idth Basement sq. ft. Main level sq. ft. a x : sq. ft. a? sq. ft. ? MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ? a-- sq. ft. ?; sq. ft. Footprint sq. ft. "C r) Census Code Z .4(? D MC/ES System i, i, V CityWater ,zGQ Booster Pump PRV Fire Sprinktered Engineering Variance ? !U/ 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 bed. Trails Ded. Other Copies Totai: Valuation: $ '4;41 4 G ?? ?? ?s+/? ? m; ? 7(? / SAC Units % SAC . d Cl (.e7 Co P`I' (SEE ATTACHMENTS) Development G"7 ujdyp hNou, Lot Number Z Block Number Address ?/4 ('.W4 M l.AN6; Builder L-.inrnSdN f'ftfl-y 41tD7Ma Tree Protection Requirements: Tree Fencing Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning r? Retaining Wall Other: Replacement Trees: ? Not Required As Follows: Attachments: - - Yes No Additional Notes: n0 79'6 X41J 1,Ji60 HAghove\2000filelVeepres\Tree Preservalion Plan Summary-2000 EAGAN FURE57F?Y O1V'1SlJiV?. REV9EV1ED O'?4.r ?? rG ? -cRl . h iG29K - - -- _ -- ---' - -- _ - ------- - - .... Ventilation Measurement Documentation ulag Aaaress: 1516 ChapelLane Date: City: Eagen Zip Code: 55123 Completed By: Nicole I. Meyer Co. Name: Anderson Family Homes Path 0, Aggregate Altemative Ventilation: Measured Pertormance People Ventilation Supplementai Ventilation Total Ventilation Minimums ? 75 128 203 Meas ured Measured People Designed Intake Exhaust Supplemental Designed Intake Exhaust HRV or ERV 1 172 cfm. HRV or ERV 1 17 cfm. Master Bathroom 80 cfm. Master Bafhroom 0 cfm. 2nd FI Bathroom Q cfm. 2nd FI 6athroom 80 cfm. 1st FI Bathroom 0 cfm. 1st FI Bathroom 80 cfm, I People: ? 252 cfm. Supplemental: 177 cfm. Note: Air flow for balanced ventilatio n systems must be balanced within ten percent. Tofa! Designed Venfilation: 429 cfm. Total Measured Ventilation (people + supplementa!): ? Compliance Statement: Installed venHlation system Is in compliance with the MN Energy Code and sized to provide the design air flow. F?' Y I/ ? La r 8•JC?i 9?? ?Ff 0- 7?? name? Signatur Date Phone number Aggregate Make-Up Air Altemative and Ventilation Documentation (Can be Used as a Supplement to Permit Appiication) Bldg Address: 516 Chapei Lane Date: 7/18100 City: Eagen Zip Code; 55123 Completed By: Nicoie I. Meyer Co. Name: Anderson Family Homes Path 0, Aggregate Altemative ezhaust oevices cFM Space Heater: Sealed Combustion Clothes Dryer 175 Water Heater: Not Applicable Kitchen Exhaust 0 Gas Hearth: Sealed Combustion Master Bathroom 80 Solid Fuel Hearth: None 2nd FI Bathroom 80 CO Alarm: Not Required ist FI Bathroom 80 Make-Up Air Requ irements central vaeuum None Exhaust Devices Dryer Kitchen Largest Other Total ExhaustCapacity 175 0 0 175 Distribution CFM Passive Infiltration 175 Passive Opening(s) Rigid Ftex Direct ? 0 Powered Make-Up i VelttilBtiOl1 ? Minimum Required Sq. Ft. Bedrms Total Ventilation People Ventilation Supplementa! Ventilation 4061 4 ? 203 75 128 PQOP1e Supplemental HRV or ERV 1 172 cfm. HRV or ERV 1 17 cfm. Master Bathroom 80 cfm. Master Bathroom 0 cfm. I 2nd FI Bathroom 0 cfm. ? 2nd FI Bathroom 80 cfm. tst FI Bathroom 0 cfm. ? 1st FI Bathroom 80 cfm. ? ? MNCheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Checked by/Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-18-2000 DATE OF PLANS: 7/18/2000 TITLE: Cherrywood Knoll PROJECT INFORMATION: 516 Chapel Lane Eagen MN 55123 COMPANY INFORMATION: Anderson Family Homes 16186 Main Ave South East Prior Lake MN 55372 COMPLIANCE: PASSES Required UA = 409 Your Home = 331 19.0? Better Than Code Area or Cavity Cont. Glazing/DOOt Perimeter R-Value R-Value U-Value UA ----------------------------------------------------------------------------- CEILINGS: Raised Truss WALLS: Wood Ftame, 16" O.C. WALLS: Wood Frame, 16" O.C. SSMT: Conc. 8.0' ht/8.0' bg/8.0' insul BSNIT: Conc. 4.0' ht/9.0' bq/4,0' insul BSM'P: Conc. 6.0' ht/6.0' bq/6.0` insul GLAZING: Windows or poors, Above Grade DOORS FLOOR3: Over Outside Air HVAC EQUIPMENT: Furnace, 92.0 AFUE -------------------------------------- 1960 38.0 0.0 37 1630 21.0 2.0 86 32 21.0 2.0 2 1029 10.0 0.0 56 96 10.0 0.0 7 60 10.0 0.0 q 392 0.310 122 40 0.350 19 - 44 ------ 30.0 --------- 0.0 ------------------ 1 ------- 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 requirements of the Minnesota Energy Code. Builder/Desiqner`, Date 7 J DO • LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: L?7' Z B?-?Ck Ita &--13PO", nkJLl- n DATE OF SURVEY: ? LATEST REVISION: cz C 0 DOCUMENTSTANDARDS og 0 a ? ?Y a ? • Registered Land Surveyor signature and company ? ? ? BuildingPermitApplicant y ? Legal description e?o ? • Address m ?y ? : North arrow and scale / m P o House rype (rambler, walkout, split w/o, sait enVy, lookout, etc.) , ?? ? • Directional drainage arrows with slope/grecrient % m'?Jo o • Praposedlebsting sewer and water services & invert elevation V? ? • Streetname 6"? ? ? Driveway 44?•?? ? Lot Square Footage cY ? ? • Lot Coverage ELEVATIONS Existina Cb/o ? • Sewer service (or Proposed) p,// ? ? • Property comers ? : Top of curb ffi the driveway ? Elevations of any ebsting adjacent homes ?? Adequate foofing depth of structures due to adjacent uGliqr trenches Prooosed ? ? • Garage floor d? ? • Firstfloor v?p ? lowest exposed elevation (walkoutNvindow) ? : Properry comers ?? ? • Front and rear of home at the foundation PONDING AREA (if aodicaWe) ? • Easement line r NWL HWL ? Pond # designadon o v/ • Emergency Overflow ElevaGOn DIMENSIONS ? • Lot IinesBearings & dmensions ?? • Right-of-way and sUeet width (to back of curt) b'a ? • Proposed home dimensians induding any proposed decks, overhangs greater than 21, porches, etc. % (i.e. all sVUCtures requiring permanent footings) i ? e s • Show all easements of record and any Cily ubfiUes within thoae easemen ?? C3 tr? • Setbacks of proposed structure and sideyard setback of adjacent ebsOng structures t if i ? ? any remen s, • Retaining wall requ C> Reviewed: Mareh 19BB CRAKVBLOGRtMf.FM 1 **'** C * PION6ER * eng neer * * * * 90.50 Certificate of Survey for: LOT AREA =12,037 50, FT. HOUSE AREA =2,212 SQ. FT COVERAGE =18.4 % HOUSE TYPE=2 STORY L.O. TELE. CATV. BENCH MARK TOP OF PIPE ELE V. =830.00 M ? ? 3 io ? n 1 0 (VACANT) Z LANO PIANNERS • LANMCME .ViCX11fC15 625 10 E G°oQ?y0 G°C?Q?IOG°??o G?1?APEL LANE N89052'04"E 90.50 9?8?? ELev.-827.3 36.8 _ ?{'O ?0 1 o TELE. ?----- a ? o o I 10 0 O M PRO?WED'? ? •BOPCOFMPIPE I1750 i _0 ' ELEV.=836.90 I ---r--- R34.4 a 1 .33 0 =- - --? ?o.,,.oa a ' ?`? ?'\ N \ co M I . N r? M i 10.0 GARAGE N a' ? I837.5 r? ? ?cv ? 22.67 ? L 13.00 °o LT ?E ? C? PHO SEE? 836.7i ? ? oo ? i ? ?\ \\ 3.6 ? 77.67 4 \? i 37.8 , ?n.oo ?i s6 i ; w L---?.??-- - ?i?.sox ?Y37.4 %--T 0 ? 836.2 o 3 2 X 0 (VACANT) h 836.8 847.7 N ? 1 51 1 10 L - - - - - - - - - - J ,?- p DRAINAGE & UTILITY ;-? o C S?jS b? ? EASEMENT PER PLAT_ ? 838.6 .?, lI?EVQ ? ? Y89'52'Q14"W ,x B?, -- ? Date ° EAGAN rT??I;?EER.JNG DEPT. ? NOIE: PROPOSED GRAOES SHONN PER GRAOING PLAN BY: METRO NOTE: BUILDING DIMENSIONS SHONT! ARE FOR MORI20NTAL AND VEAPCAL IOCATION OF StRt1CTURES ONLV. SEE ARCHIiECNAL PLANS FOR BUILDINC ANO FOUNDAPON OIMENSIONS. NOIE: NO SPEGFlC SOILS INVES11GA710N HAS BEEN COMPLEIED ON iH15 LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT ME SPECIFlC NOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. 2422 En[erprise Drive Mendota Heights, MN 55120 (651) 681-1914 FAX:681-9488 ------- STORM SEWER LINE ON PROP. LINE (sss y) _T.M.H _ PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: ??p, TOP OF BLOCK ELEVATION: -GARAGE SLAB ELEVATION: 7-17,7 TOB @ LOOKOl1T ELEVA710N: 532.1 NOTE: MIS CERTIFlCATE DOES NOT PURPORi TO SHOW EAiEMENTS OTFiER THAN X QOO.QO DENOTES EXISTING ELEVATON 7HOSE SHONN ON ME RECOROED PLAT. ( 000.00 ) UENOIES PROPOSEO ELEVATION NOTE: CONTRACTOR MUST VERIFY ORIVEWAY DESIGN. --- DENOlES DRAINAGE AND UTILITY EASEMENT DENOTES ORAINAGE FLOW DIRECTION NOIE: BEARINGS $HONN ARE BASEO ON AN ASSUMEO OANM t DENOlES MONUMENT B- OENOTES OFFSET H116 WE HEREBY CERTIFY TO ANDERSON FAMILY HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE BOUNDARIES OF: LOT 2, BLOCK 1, CHERRYWOOD KNOLL DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR EN.:I.RGACHMENT.;, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF JUNE, 2000. n REViSED 7-19-00 NEW HSE SIGN?O: I IONEER ENGINE IN , P.A. SCALE : 1 INCH = 30 FEET . ?`? ohn C. Larson, L.S. Reg. No. 19828 I 100247.00 BAT 9/4100 BY: Highway N. . Bloine, MN 55434 (612) 783-1880 FAX:783-1883 E-mail; PIONEER26PRESSENTER.COM ANDERSON FAMILY HOMES 516 CPEL L*W, EAGAN ?y Co u-, j' ? RECEIVED Au? 0 9 1000 PERMIT # _ J -7Lf'I, I RECEIPT DATE: 8008 MIDENTIAL PLUM$Iftfi PEfiMIT APPLICATIOR crrY oF EasAx S$SO PILOT KAOB fiD EnsAx, buv sslas 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: "?jICO Q'' OWNER NAME: : INSTALLER NAME: STREET ADDRESS: TELEPHONE #: 4745 a cFS?+i 1 (ARE4 CODE) CITY: ?r1lT?- (--? STATE: mYZ ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) i $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fiutures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septlc system. _ Water turnaround - existing dwelling unit (+ 518" meter'rf needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ 50 EP Total $ I hereby acknowledge that I have read this application, sfate thatthe infortnaNon is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applipnPs responsibility to notity the property owner that the City of Eagan assumes no ' iry for any damage used 6y the Ciry during its normal operational and maintenance aIXivities to the facilities consWcted under this permit wifhin ? pe? t-of-w a? SIGNATURE OF PERMITTEE 1102 TELEPHONE #: - (AREA CODE) 5--1 Lv rb-? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New ConstrucUon Reaulrements • 3 regktered sile surveys showirg sq. ft, of lot, sq. fL of house; arW all roofed areas (20% maximum lot coverage allovred) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculatiore • 3 copies of Trce Preservation Plan'rf lot platted after 711193 • Rim Joist Detail Options seleclbn sheet (bldgs wAh 3 or less unils) DATE ILI/ ) A z -1 D (DC3 RamodellReoatr Reauiremants • 2 copies of plan . 1 sel of Encergy Calculatiom for heated additans • 1 site survey for extenoradditlore & decks . Indicate H home served by septic system for addNons VALUATION SITEADDRESS MULTI-FAMILYBLDG _Y 'ZN TYPE OF WORK FIREPLACE(S) _ 0' 1_ 2 APPLICANT STREETADDRESS /6/c":(n /'ht., lA,L CITY ri'r STATE/I ZIP fS37z TELEPHONE #4'sz'1,%6-y cr- CELL PHONE # 6[Z-.3c,9-!TZ L. FAX # 4VZ -y90 - 4?szS? PROPERTYOWNER Cx-n? TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLII.ES 7670 CATEGORY 1 MINNESOTA RULFS 7672 (J submission lype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Catculafions Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water CoMractor: Air Conditioning Heal Rccovery Systcm Phone # Phone # Fee: $90.00 Pee: $70.00 ? V ll L I hereby acknowledge that I have read this applicotion, state that the information is correct, an agree to ¢p' mpiy with ali applicable State of Minnesota Statutes and City of Eagan Ord'iFjd`?nces/ ??.?'? I I ( /° /// Signature of Applicant OFFICE USE ONLY _ Water Sotlener Watcr Heater No. of Baths _ Phonc # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OS-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 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex ? 11 10-plex A 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbgyY 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 (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation A46r,2 Occupancy /2 -3 MC/ES System ?- Census Code /-13121 zoning ?-? City Water - SAC Units ? Stories ` Booster Pump Nbr. of Units -' Sq. Ft. ' PRV -' Nbr. of Bldgs - Length - Fire Sprinklered - ` Type of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Foorings (deck) ? FinaVNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC Drain Tile Other Roof _ Ice & Water Final Air/Gas Tests Pool Ftgs _ Final Framing _ _ _ _ Siding _ Stucco _ Stone ? Fireplace j R.I. I Air Test A Final Windows (new/replacement) Insulation - _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?p .'i Approved By Building Inspector Alhkt. ? Citl of EapIl 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -------------, ? For OfFice Use I I ? i Pari,it #: 12??? 7 3 i ? Permit Fee: i Date Received: ? staN: Cr? j I ----- -------------' 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5`14"08 Site Address: Tenant: Suite fiESIDENTlOWNER Name: 610aw, f I Phone:? (-q 1u- N Address / City / Zip: ? I m o ? 14 3&1_ YYr ) Ma -?c oV 6 P1tbni;i 7 CONTRACTOR Name: License#: , , f Address: `1 1 City: flzho45 aui State: Y)n Zip:1`N,:C3 Phone: & I-'4?7-Contac[ Person: IN ?? u TYPE OF WORK X New. _ Replacement _ Repair _ Rebuild _ Mod'rfy Space _ Work in R.O.W. . . Descriion oi work: PERMIT TYPE RESIDENTlAL Water Heater _ Wffier Softener - - ? Lawn Irriga' _ Add Plumbing Fi?ures L RPZ /? PVB) C__ Main _ Lower Level) Septic System _ Water Turnaround New Abandonmerrt RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($70.00 per as buiR) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this iMOrmation is complete and accurate; ihat the xrork will be in coMOrtnance wilh the ordinances and codes of the City of Eagan; ihat I understand this is not a permiG bW onty an applicafion for a permit, and woAc is not to slart wilhout a permR; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Jahn Mcii`PSp X/,ld Irv? AppllcanPs Printed N ne -'-. . t cant's Signature FOR OFFICE USE . Reviewed By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA113121 Date Issued:08/29/2013 Permit Category:ePermit Site Address: 516 Chapel Ct Lot:2 Block: 1 Addition: Cherrywood Knoll PID:10-17050-01-020 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. Chad Bettin 3208 First Street South Waite Park, MN 56387 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Eugene G Hay 516 Chapel Ct Eagan MN 55121 (651) 994-9347 Ecowater Systems P.O. Box 428 Waite Park MN 56387 (320) 251-2505 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132729 Date Issued:09/01/2015 Permit Category:ePermit Site Address: 516 Chapel Ct Lot:2 Block: 1 Addition: Cherrywood Knoll PID:10-17050-01-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Eugene G Hay 516 Chapel Ct Eagan MN 55121 (952) 210-0950 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138937 Date Issued:09/27/2016 Permit Category:ePermit Site Address: 516 Chapel Ct Lot:2 Block: 1 Addition: Cherrywood Knoll PID:10-17050-01-020 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eugene G Hay 516 Chapel Ct Eagan MN 55121 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139286 Date Issued:10/18/2016 Permit Category:ePermit Site Address: 516 Chapel Ct Lot:2 Block: 1 Addition: Cherrywood Knoll PID:10-17050-01-020 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 - Eugene G Hay 516 Chapel Ct Eagan MN 55121 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154631 Date Issued:04/04/2019 Permit Category:ePermit Site Address: 516 Chapel Ct Lot:2 Block: 1 Addition: Cherrywood Knoll PID:10-17050-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Eugene G Hay 516 Chapel Ct Eagan MN 55121 Mn Plumbing & Appliances Inc 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature