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1289 Deerwood Dr ___ Use BLUE or BLACK Ink _ � , � For Office Use � (� t��(j � ' f� 77'i�dt- i ���� U����{lil ���� I Permit#: I I � � Permit Fee: 3830 Pilot Knob Road � �� � � Eagan MN 55122 OC� � O�4 I x �/ � Phone:(651)675-5675 � Date Received:�f/ "�T�'l�' Fax:(651)675-5694 ����_ � �,c.� I ----�--.--_ � Staff: I ����..� ..���J 2014 MECHANICAL PERMIT APPLICATION ❑ Please s bm" two(2)sets of plans with all comm cial applications. � CY �/� '�" � Date• � Site Address• /d`—d / ' I Tenant: Suite#: R�Sldetl�lOWti�� Name: Q'/�I � S� Pnone:�S/ — ��, _: Address/City/Zip: � d'v � L �S y� r .». .; ; ._. ��:N rvame: Standard Heating&Air Condfioning License#: '" Address: Minneapolis,MN 55411-3445 City: ; - ' �on#ract�r:... _ _ __ ' State: Zip: Phone: ' Contact: Email: �.� New �Replacement Additional Alteration Demolition �Type�of Wt�rk � ! Description ofwork: � � �I�T�;,F2a�#mounted`anc�c�rcrund rnaunted m�rcharitcal�qui�smen�is rsquired�o be screenei�by;Gity , � : ; . C�ar�e Ptease contaC�th'e Mechanical tr�,spe�tor tQr€nfflrm��ic�n�n;p�rm�tted scree�ring rr�ethc��l�: � � '. RESIDENT/AL COMMERCIAL � �: �:. �?�':' _Fumace New Construction _Interior Improvement PQ��#�- �, Air Conditioner _Install Piping _Processed �� �Air Exchanger Gas _Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surchargel f $100.00 Residential New(includes$5.00 State Surcharge) _$ `V� -� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" '*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 '**If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE , 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;thatJ understand this is not a permit,but only an application for a permit,and work is not to start without a , at the work will be in accordance with the proved plan in the ca�e of w hich requires a revi w and approval of plans. � fi x �'V V ��J X . I Applicant's Printed Name Applicant's Signature FOR QFFIC�USE � � pM '� 3 � , �� ����� 'Requ�r�d tnspectiort�s � Reuiewed By i3ate y�_ ������ <: §,�,q f � � . . �c, � � �`'' Und�rgraund ' Ftc�ugh In : Aif'�"est �a Cas 5ervice T�st�fi�� tn�fia�r•k���� .. �, F�nai ° #�VA���r������. .': ` CITY OF EAGAN W 9 9 9 8 ;r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT Receipt x ?(1) 1 (4('PS3 To be used for SF DWG/GAR Est. Value $321,000 Date DEC 30 , 7921_ Site Address 1289 DEERWOOD DR Lot 15 Block 6 Sec/Su6. BIRCH PARK Parcel No. Name BRUCE PATRICK Z Address 1269 BERRY RIDGE RD i?: Clly EAGAN MN jrp cc Name SAME ? Address ? CftY ZP Phone 8 License # I hereby acknowlege that I have read this appli a n and state that the inbrmation is cor an gree to com ly lzi licah e State ol Minnesota Statut an ol?.EIag1an Or an Signatur e ot Permitee -?`-? A Building Permil is issued to: BRUCE PATRICK on ihe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. Builtling Oificial OFFICE USE ONLY FEES Occupancy R-3 M=1 0 1 413 0 Zoning P? B PemR ?' , . (Actuap Const V=N gurcharge 160.50 (Allowable) V-N Plan Review O18. ?Q • ofStories Lenglh 97 ' Licerse . Depth 53 ' SAC, City 0 100.0 S.F.TOtal - SAC,MCWCC 6$0.00 S.F. Footprinis - 660 00 On Site Sewage _ water Conn . On Site Well - Water Meter 95.00 MWCC System X Acct.Oeposii 30.00 Ciry Waler PRV Required _ S!W Parmit 30.00 BoosterPump - SiW Surcharge .50 Treatment PI 276 -00 APPROVALS Road Unit 370.00 Planner - park Ded. CounCil - eldg.Ofl. _ Copies Variance - TOTAL 4, 703 . nn ? . s C3';ertificate af cccupanc? " WR4 of Cpagan 3?epmrtwcat of 13xi[bing 3advection . Tkis Cerlificate issckd pursuanl m the requirements of the UniJorm Building Code ceriifyirsg that at the time of issuarsce this structure was in compliance wrth the various ordrnances of the City iegulating building construction or use. Far rhe following: U. cmirafion: S[+ M/GAit Bbg. Permit No. ICIQM OcaparcY Type R3A41 Zooing Diffiia Fn Type Consl. Q?]' . Ownero(Building EM P/1MQC Aderess 1269 iORRY RT1YS7. Rna PA(?aAI'T e.Mng nm. 1289-.3R6M IItIVE Ldiry T I5, B6 l3TRM PARK D.._ ' sMIdMjo" /?$' POST IN A CONSPICUOUS PU1CE Address 1289 nE[aM n?uvE Zip 5512 2 Lot 15.' Blk 6 Sub BIRCtl PAiuc THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) f Pernanent steps (main entry) ? Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage ? Porch Basement finish ax Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy V Wei.tifica#e af Cccupanc? MOj of Cftgan I"Wdment ? ??? ?oecrion This Certificate issikd pursuanc to the requirements of the Unifor?n Building Code certifying that ai the trme of isserarcce this structure was in carnpliance wirh the varrous ordinances of the City ngulating building construetion or use. For the following: use Classification: SF IIWI{'?AR Bldg. Permit No. 19M oc-p-Y rYPe R3!?- ZoamS Mbia Pn Type Corm vu o..aot swwing BRU.'.E PAIRItK Addmss 1769 FFJM4 RTiYF Rn- E" euiWog na&. lM L?:O 1RIV8 l.ocaliry i.15, B6- B1RM PARK ? i ? 4 Dar . ' sW'a°6 0fficiz? POST IN A C014SPICL10U8 PIACE ' CITY OF EAGAN 3830 Pilot Knob Road; P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT To be used for S F ??/ CRAR Est. Site Address 1289 DEERHOOD Dx Lot 15 Block 6 Sec/Sub. SIACH PARK Parcel No. Name axucg PATxicx w qddres, 1269 dERAY RID G?.' 1tD ? City EAGAN MN ZP cr Name 3-4-ME 0 Addf2SS ? lc?Y 21P P S k-P.rvc%P. 9 I hereby acknowlege that I have read this application and state that the informalion is correct and agree to comply with all applicable State ol Minnesota Statutes andCity o( Eagan Ordinanoes. Signature ot Permitee ?-- A Building Permit is issued to: gRUC'E PATRICK on the express condition that all work shall be done in accordance witfi all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Otficial Receipt # Length Depth S.F. Total S.F. Footprints On 5ite Sewage On Site Well MWCC System City Water PRV Required Bppgter Pump Planner Caincil Bldg. Off. Variance bi 999$ OFFICE USE ONLY ? FEES ? sidg. PermA 1, 413 .40 V--N Surcharge 160.50 V-N 418.00. Prar, RevleNr 97' Ucerse 53' snc, ci?y 100000 - SAC, MCWCC 6 50' 00 Water Conn 660.00 water Mecer 95.00 X x Acct. Deposit 30.00 _ S/w Permit 30. UO - SM! Surcharge .50 Treatment PI 276.00 Road Unit 370.00 - Park Ded. Copies 4?703.00 - TOTAL .V,. CITY OF EAGAN RemarksDivr Addir.ion Birch Park Lot Owner Street 5tate Ragan MN 557 73 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET FiESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 931 965 40 17 70 n n n n n 11 n WATERMAIN WRTER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT 1048 1986 399-39 96-69 15 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK 4 ? FeaGy Naw WIII No9i lnspeomr When Reatly? Yes ? No fs? licensed contractor 7 owner hereby request inspection of above electrical Work at: Coy Job AtltlreSS ISVeeI. Baa or Route No.) ?? ooo t i r? w Fange No. Cou ty Secllon No. Towns0lp Name oe No. F. JLCUp3nllrn?i?i1 ' Power Supplier ? WaTi LLt?ir?C. Electacal rCoqnvecror ICOmpany Namel Mailing 40tlre1s ICOnhactor or Owner Makinq InstaliaLOn, ??G 1{ ?Ll S.C -• G Ado,ass av' , 5T. uJ ?13 d° ? a ,or .„e??o,? ?,?e?sa No. , ?mF aa? Sigaatura IGO -;ac?orOwn r Mazi . liaLOn) w ? rir?v THIS INSPECTION REQUEST WILL NOT MiNNESOTP STATE 8 AR? OF ELECTflICITY , 8E AGCEPTED 6V THE STATE BOARD Grigqs-MlEway Bltlg. - Room S413 UNLESS PFOPER INSPECTION FEE IS 1821 University Pve.. St PaW. MN 55106 ENCLOSED? Phone (612) 641-0800 ({? `REQUEST FOR EI.ECTRICAL INSPECTION '"`,,,°???`mmrv'yyy*, EB-00001-08 "/? ? See Instmclions lor wmpleting thi6lorm on Daok oi yellow oopy. ? ? 'I O A N C "K".Helnw Work Covered bv This Request ew 'ai.d Ra,. Typeof8uilding AppliancesWired EpuipmenlWired X Home Range Temporery Service , Duplex Water Heater Electric Heating Apt 8ullding Dryer Other (Speaify) f Comm./Industrial Fumace Farm Air Conditloner 01 lsuea'y7 n raclorSRemarks:.? JjwQ' Vi Cj00.4.,,.,(J Se.R Vic¢j Ja ¢X'rr°.. -FcG fU Compute /nspection Fee Below: T1.Cj„ A.0c ? .' ?-1?b?^ ?? ? # Other Fee # ServiceENrance Slze I Fee # Clrcults/Feeders Fee Swimming Pool ? 0 to 200 4mps ? y 0 to 100 Amps Transformers Above 200 ' &0Amps 16, Ahove 100 _/+mps $igns Inspecror§ use only: ?? TOTA?1 ? - Irriqation eooms / 7 Q ? L 7 5 0 Speciallnspection AlarmiCommunication THIS INSTALLATION MAY 8E ORDE ISCONNECTEO IF NOT piher Fee COMPLETED WiTHIN 18 MO S. i, the Electrical Inspector, hereby Rouqn-'in ?a u ? certify that the above inspection has been made. F;,,ai oete OFFICE USE ONLY 7nls+e9uest vola 16 monfis tmm ? ay( [_Cl/6`iJ? ?/ 7 33 Fe te ?uest / Flre No. flougRin Inspettion Remi.el Ready Now G Will Notify Inspector WhenReatly? . L nYes o I icensed contractor CJ owner hereby request inspection of above eleatrical work at: Job Ad/tlv Jss (Sheet, Hox or^ Ro?ute No.) ?j C'ry ?p /J Section No. Township Name or No, qanqe No. c ? 00 c1 (PRINT) ? 2 C Phone NpS? T Power Suppller Adtlress ki ? ? ??s?, tAiA, Electricsi Comracror ICOmpany Namel LD S'T' Coaracror5 Llcens¢ No. Meiling Ndaress (COnhecror or Owner Making Inslaliat onl L? st 3(I -_?/? Aufi zao SignaNre IGOnv todpwner Mak? Instailation) Phona Numbe ?..----?1 ?fint.- C,?+,I ? MINNESOT/. STATE BOARO OF EL ? THIS MSPEGTION FEQUEST WILL NOT Gnqgs-Midway 81tlg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD 1831 University Ave., SC Paul, MN 55106 UNLESS PROPER INSPEGTION FEE IS Phane (614) 662-0600 ENGLOSEO. REQUEST FOR ELECTRICAL INSPECTION ee-0oom-0s J 42633 ? See instructions lar completing tM1is form an back of yellow ropy Q 3 "X" Beiow Work Covered by This Request ew AOtl Rep. " TypeofBUiltling AppliancesWired EquipmeniWired Home Range emporary Service Duplex INater Heater Electric Heating ApL 8uilding Dryer O[her (Specify) Comm./Industrial Furnace Farm Air Conditioner qher (syecify) Conlrectar's Remarks: Compute lnspection Fee Below: # Other Fee # ServiceEntranceSize Fee 8 Circuits/Feeders Fee Swimming Pool 0 ta 200 Amps 0 tp,.100.qmps Transformers Above 200 _ Amps Above 700 Amps Signs Inspecbrg Use Only: (?j l TOTL 210 trrt etion Booms Ij ? Special Inspection I Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, here6y Rou9n-in oste certity Ihat the above inspection has been made. F;nai OFFIGE OSE 9NLV "h This re0uesl voitl 18 months Irom 6?) 2007RESIDENTIAL SUILDING rEavurnrrucuuoiv ,. ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 J New Constructlon Reauiremenfs 3 registeretl site surveys showing sq. R of bt sq. ft. of house; and all roofed areas (20Yo maximum lot coverage allowed) 1 Soils Reporl if proposed building is to be pWced on disturbed soil 2 mpies of plan showing 6eam & window sizes; poured found design, efc. 1 set W Energy Calculations 3 wpies of Tree Preservation Plan if lol pWried after 717193. Rim Joist Dehail Opfions seleclion shcet (buiklings wBh 3 or less unrts) Minnegasco mechanical ventllation form RemodellReoair Reauiremenis OFficellse'.Onlv 2 copies of plan showing footings, beams, joisfs Cert of SurveyRecd _Y -N isetofEneigyCalculationsforheatedaddNons SoilsRepoR, , _Y _N 1 site survey for additions 8 decks Tree Pres Plan Recd _ Y _ N, Addfi'on - indicate i(on-site septic system Tree Pres Reqaired ?_ Y _ N On-site SepUc System _ Y_ N Plans are considered oublic information uniess vou state thev are trade secret and the reason. Date ? / 7-7 / 6? ? ? Construction Cost ?S`1 ?1Ma)e?+j ao6a, Si[eAddress ?zM I)L-ery..wd LQ UniUSte # E Inl4 SI2 Description of Work 1..01S?fU? tY?TlO??[ilC becC- PILACC'4 -io tlOU_,Ne? MWti-Family Btdg ?. Y? Fireplace(s) _ 0 _ 1 A 2 Property Owner7Be(.w-' ? DtQ YIf°. 4Y!C!L Telephone # ((D iZ ) 9l Z - q60 1 Cct/ 1-?- SI- SZ- Contractor -3(Z(i(' P 4t f 1 ck Address De_-rvJODd { De. City CG,C.G Q r) ' State }m la Zip J S 12.3 Telephone #(G 14) SIz- LI601- CC II il (0-51 4Sz-84'9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAdO CatOgOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted 02sc ? In the last 12 months, has the City of Eagan issued a permit for a similar plan based plan? _ Y _ N If yes, date and address of master plan: ZOO? Licensed Plumber Mechanical Contractor Sewer/Water Contractor T hPrehv annlv fnr a ReaiAPntial Rnilriinv Parmit anrl acknnwleriar #( Telephone #( infnrmation is comDlete and accurat 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 a roval ofplans. <k? Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvues ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 04 02-plex ? 10 OS-plex )d 18 Deck ? 23 Porch (screen/gazebo/pergola) ? ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 32 Addition ? 33 Alteradon ? 34 Replacement DBSGfiDt1017: Water Damage 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - 6ive PCA handout to applicant Yes valuation 30?4 Plan Review /t/ 100% or _ 25% Census Code SAC Units -, # of Units - # of Bldgs - Type of Const ? Occupancy AL 1 MCES System Code Edition A WG Zoning City Water Stories - Booster Pump ^ Sq. Ft. PRV - Length 70 Fire Sprinklered " W idth Footings (new bldg) ? Footings (deck)? HGt •J?/Y6S? _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge TreaVnent Plant License Search REQUIRED INSPECTIONS _ Sheehock FinaUC.O. ? FinaUNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector Copies Other Total ,+ - i?? .??•? JO J OwC N;CP? J s. 71? Sa??rreS ra?"aS 1, ,xnJd`' d ? ? 1 .': ? ? ?- - - ? ' ? lC4r \ rX \ \ / \ 621 \?? I ,,. a; 8 ? ?e8 t c I I I u) ( \ 1-119 , u _ << i? s b I -b 0 RESIDENTIAL BUILDING PERIIRIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConsWctlan Reouiremnis • 3 regislere0 site surveys shawing sq. R. of lot sq. ft. o( house; and all rooled areas (20°b maximum lot coveraW allowed) • 2 copies of plan shmving 6eam d vnndow srzes; poured (aund design, etc.) • 1 set of Ener9y Calculations • 3 copies of Tree Preservation Plan if lot platted aiter 7/1/93 • Rim Joist DetaJ OpGons seledion sheel (hldgs wiN 3 or less units) DATE / rII V1IO a '] 1.7L RemodellReoair Reuuiremenh • 2 copies of plan . 1 set of Energy Calalations for heated additions • 1 sde survey for ectenor additions & decks . Indicale if hane served by septic system for additions VALUATION ? ? 75X?)__ SITE ADDRESS +ao8cl MULTI-PAMILY BLDG _Y )<N TYPE OF WORK &- Qonrc- FIREPLACE(S) 4 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE # qQ-y70'c?6DI CELL PHONE # PROPERTY bCC1990TATE A) ZIP E1317 FAX# T52R-K70-ao-aj TELEPHONE # CC? ?Q - ?< I ?_00 I ------------------------------------------------------------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MLNNESOT.9 RiJLES 7670 CATEGORY 1 NQNNGS " ' c (?1 sobmission type) • Residential Ventllation Category 1 Worksheet Submitted D?ro? lJ ? • Energy Envelope Calculations Submitted 1 5 2?02 Il JU? Plumbing Contractor: ___ Pluinbing system includes: Mechanical Contractor. Mechuiical system indudes: Sewer/Water Contractor. _ Air CondiUOning Heat Recovery System Phone # Phone # Pce: $70.00 -°------------------------°------------°-----------------°-------------------------------------------°--------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinqnce?? f /? , Signature of Applicant OFFICE USE ONLY _ Water Softener ? Water Heater No. oF Baths _ Phone # I Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 ., , 1991 BIII?IAG?T?PLICATION , I CITY OF EAGAN SZNGLE FAMILY DWELLINGS HULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - -& STRUCTURAL PIANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGELL HE_AI.L4WED_ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6, WATER PERMITS IS TWO DAYS ONCE IiIP? R?IA? H?EEU LEOt?B Tl PERMIT MUST SHOW A LICENSED PLUMSER. U I !I ?ECpp? To Be Used For: Valuation: 00Q' Da?til lu Site Address QC--qRL.l8o 0Ax. OFFICE USE- Lot ? J Block _(p_ FEES A2K, }-??D17"LUr(, Occupancy R-3 M-? Bldg. Permit Zoning ?_ Surcharge ?,JZ7 Yarcel/Sub '?D 1G-14?75-- 1SG-6 40 Actual Const V-N Plan Review /.00 {? Allowable V- N SAC, City 1 AD, DO Owner ?PL?C? -V IGne., C' G # of stories SAC, MWCC ,OJ Length ? Water Conn. GiD DD Address VZ?Aq BC(-n{ QAe, lC?. Depth 53 Water Meter 5.00 ,,n/? S.F. Total Acct. Deposit 30,00 City/Zip Code L?01A 0.1ii Y! II') S,5-123 Footprint S.F. S/w Permit 30,00 S/W Surcharge jSO Phone 52'a Q On site sewage_ Treatment P1. b.0o On site well Road Unit D,Oo Contractor wYL)-1C c MWCC System ? Park Ded. I City water ? Trail Ded. Address \Z(pq Ser?ry ??04e a8 PRV _ Copies ` ? t Booster Pump City/Zip Code c0,?aYl 2 3 SIIBTOTAL n APPROVALS Penalty Phone Planner _ Lot Change Council TOTAL 420300 Arch./Engr. G C:/qC: L,AnIG Bldg. Address ???? &-wEf2 "BLLL k-aAD Variance City/Zip Code mn. Phone # '^-?',;-4- Z69 q agrees that all wo7ck shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA L U A-e(?q% '-UARA(, E ?J S?'1t"pJUJJ ?uQ?'! 35K PLI = 84n XZ T79 c/o 84? X ts- ? 2??i5 OA)N AJa'?'lexT 34 xys,c?= r?sz ;27x 3y=0//a q.33)! 1 ?o = (?q ?.rox/?i s Lll ? a x/N.7 csJ 5 X 1 s? (9 0? ?l 33K/6 ;?°( y,??X22,6?s A6 ? 9 ?,? y= 1 q S 30 l!? S ?C ?167 ' ?-- - ?- -- , /g63 ?C 53? 98,?39 't?T?r? 3ZD, 6Sc? c? ?ND Fioor! 33 ? 58,6?- I`I 3 G ---J 1 tr /oo,ooo ? G39? Xs3= lbs sLs$ aa?x s,soi . 7'7 --------- L? w erz Lc,. t:L / y J 3? 33 = 8.9 ? PLqM 12cvtew 31 ?t ll? = y94 I 413 )c GS', c -1i$ - 2 X S?- rI e.)) y,6 cl s ? Iv4?k53= '7663? 321,r?aJ x ,aooS'3 /GD,S? r CITY OF EAGAN EICTERIDR ENVELOPE AVER E 'U' , OHliER: ?PT? SI?E ADDRESS: CONTRACTOR: SE1.P DATE: 12-' PHONE: Z`C 9(9 Determine sprking square footage of each: 1. Total exposed wall area .. -5 /q 3 sq. ft, x.11 -57/+ z. 3 2. Total roof/ceiling area ... ti3CL I sq. ft. x.026 - '?g, Z;Q (p Total ezposed wall area above floor = 4-TcQ 4 Z a. Total xall window area ............................ L31?1>,-1 j b. Total door area ................................. c. Total sliding glass area .......................... d. Total fireplace wall area ......................... rlF? e. Total wall framing area (average ]M .r-:4 yFl....... 9 4.I9, f. Total net wall area above floor ................... a9-7(0. ( 1 g. Total rim joist area .............................. 32 2-, 2 Total exposed foundation area = 4S4"rt L h. Total foundation window area ....................... N14 i. Total net foundation area above grade .............. _AQ,g Determine 'U' value of each vall segment: J a, x b. x c. x d. e. rq 0- x x f. x g. x h. N?R x i. 4?;4 x lut 'U' ,G-!4 - ' U' Z q - ' U' N R - ' U' 'u' 'U' :CU.3Ca - lu, 'U' ; o4S - 3 . ................................................... Total = 4[t>L , S If item 03 is the same as or less than item 01, you have met the intent of SBC 60Q5(c)2. Total exposed roof/ceiliag area c 3O 2-1 j. Total skylight area ............................... kone- k. Total roof/ceiling framing area (average 10$) ..... 3G'z.,1 1. Tota1 net insulated roof/ceiling area .............. "L 118:? OVER Determine IU' value for each roof/ceiling segment: j. N xfU' = N P k. 36z,. I x IuI ?1-71 i. "Z-1 1?.C1 Xv u? a t-1 = 4Co,zZ 4 . ...................................................... Total If total of !14 3s the same as or less than 02, you have met the intent of SBC 6006(c)1. Alternate Build3ng Envelope Design To utilize the total envelope system method, the values established by the sum of Items #3 and 04 shall not be greater than the sum of Items #1 and $2. ,. 5 71: z 3 + z. '7`c?:54Cp - &4? ?7 2) 3. 44b,5 + 4. ?i :q ? ,S?l z, 4 ? 2 F O O ? C41 0 ROO ILfN(3 iO-(E-Vtoh AiF- Ff??1 5js` G-?P P-D. - ltiSULA [to? leb" EXj691.oi A1F FILM (S7lLL) • _ozS ? . ` ? kALL ToTAL (R? Vi .?i , S43 : ??. U • (TZ)_ (7-) tifai O W?Er-1o; AIR ftLM u u'? - 1-?fL = _, !,? . ToTp;? (R)= ?74? •- - . „__ ? fo:1NDATIo0 ? ?3 tN jEtlt?t? Attc F??.t1 ? ? • ' ? 4". ??m wi4? ? C ` y, O I" 4r1YP-_1:)?r0A,,"'i v,zo ?>. Ea-jErfo;c AIR FtLM • CV) 1rtTt.l'•1or. ktir. FN-1 , Cc,cs . 51/Z irsc,uti7ict? ? aa?y ? 10 z Ftrz. RIVi Sols`C 1 ? ?q ? 105 Z-5/5,7- , u• rthsor,ITE stfl1rG 1 O Z:?TnIDR AiF_ F«M r4 p P. * Ra' ?? OO ?? r, INSU?AT4o?' Siz'' ? u Ex;-, lo; ktz FlLn - "U'l ToTAL (R)_ ? ? iz1M ? . ? <F,) vat uu„ .. Floors ore; unhez[ed spaces mus[ have mininum R-fae[or of R-20 (tuck-under garaoes). Floors ocr.r outdoor air (ovcrhangs) nust liave a ninimum P.-factor af R-33. ' PIINITNM "U" VALUE A,\D R-FACTOR AT ROOF, idALL, RIPI A?\D CO::CRETE BLOCl: J • ' • . _ SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. tuiocuu[ ro (a) n,n-uRS reon nsua;,[ nia+uni 0f irrivLLr uscu rr.oou[Ts (R) (R) Interior Air Film (Walls) 0.68 Gypsum or play[er boarE 3/8" 0.32 Ewtcrior Air Gllm (walls) 0.17 Eypsum or ylaster 6oare 1/2" 0.45 lntcrior Rir film (Venltd Ceilinq) 0.61 GyDSUm or plaiter EoarE 5/8" 0.56 Exicri,r Air fllm (Vinted Ccilin9) 0.61 Plwood J/B•' 0.47 Intcrlor Alf iiln (ilcn Ven[eA) 0.61 P1Ywood 1/I" 0.62 Laierlor Air Fllm (flon YenteO) 0.17 Ylywood )/L" 0.93 . $heathinq, re9. denzltY 1/2" 1.32 Ftu?imm Sidino 0.61 Sneachinn, rey. tlensity 35/32" 2•06 hluminum .,ith 9acker 1.82 Naii-basb zheathing I/2" 1,14 Rluminun Nith Backcr 6 Loiled 3.96 1/2 x B Lco Sieinn (4000) . 0.81 Built-up Reo/s 0.73 7/16 x 12 nar0hoare Sidinq 0.67 AsEesros-ca+ent shinQl.s 0.11 As4ci[05 SiAinns I/4 LapDCE 0.21 ASpAoII roli toofing D.I$ ' Stucco (Oro,m and iinlsh Coat) -• Aspahip Shinqles 0.44 3%4" uooC SuEFloor or Sheatning 0.94 Insulatlon: 2-2 3/4" Fiberol+ss 7.00 1/2" PlyvooC .liea(hinq 0.62 Insula[ion: 7 1/7^ Fiberqlazs Ih.OD 1/2" Particlo tlo..rd 0.64 Insulation: 6" Fibergless 19.00 lOODS: gLOllltlf. NOOLS Fir, pine t simflar =oit 4oods 1 1/2" 1.89 Aor•o.. )' • 9.00 2 Ih" 3.12 AvPros. 4 I/t" 13.00 7 1/2" 4.35 ApDrcx. 6 1/4" 19.00 S 1/2" 6.87 ApOrox. 7 1/4" 24.00 .. ' Apprax. 14•' 30.D0 - Mvrox. IB" 40.00 ' - AII otner insulation materials must be illlcd verifiea (F factor) (R) Vermicelitc Concrete elock (S L G 0.ey.) 111 1.93 12" Concrete ¢tock (S L G Reg.) 1.28 3•15 - 8" Lign[ ucigh[ 2.18 5.03 12" Lignt 1:ei9ht 2.48 $.82 . 1?l?l.G}tlLtaG}.tAf..`.?!?4GO?]t?RG NOTE: (U) x Area Squere iect AII 4lndows (r/Sto.?s 1•' to 4" Spacc) .56 0.emoval Do?Elc Llaxing (RDC) .55 Tnermo or wclded 7/16" air spacc .69 1/4" air :pacc .65 1/2" air space .58 (Oihcr rlndo..s sDetifically pestca can use becter ntings) 1 3/4 Soltd core tloor .46 w/storm, .MOd ,jl w/itorm, metal .tb Pease Stc<IDaor Insl/u/GL 7.15R .1; Slidinq Liass Oaor, Wood .65 Mcul .715 i L? BL (P CITY OF EAGAN %?? ? PLUMBING PERMIT SUSD.1???]tin.cJ?S (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME : Akad'E PR T.e.ie.,< SITE ADDRESS: J????? o4' INSTALLER: AIM 1AJ6 ADDRESS: `+?X) ACOiV£+PJ le&E, /.JLbd cixx: ?9?sviLL E Z1P: 5s937 PHONE #: '? pb -QOa y CITY USE DNLY RECEIPT LL DATE J` ;;z- ALSO, FOR TOWNHOMES AND CONDOS COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 ? SHOWER 3.00 ?r -7 WATER CIASET 3.00 ? _?L BATH TUB 3.00 jt LAVATORY 3.00 /2- L KITCHEN SINK 3.00 .3 _ l IAUNDRY TRAY 3.00 .3 HOT TUB/SPA 3.00 WATER HEATER 3.00 ? ? FIAOR DRAIN 3.00 3 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 li ? ROUGH OPENINGS 1.50 1,,5 a _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ W. T[7RNAROUND 15.00 s g ?a STATE SURCHARGE .50 TOTAL: S :S ? • o 0 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN L-LL B Co (; MECHANICAL PERMTI' RECEIPT #?O t?o2- SUBD. ;//eY? (612) 681-4675 DATE S 92? RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPI.EI'E FOR TORNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACA DWELLING UNIT. OWNER: ' '- -'" ' ,c_ FEES STfE ADDRESS: 2 W ADD ON/REMODEL (E7IISTING CONSTRUCfION ONM $ 15.00 a HVAC: 0-100 M BTU /'7/I a vfl 24.00 ?-' INSTALLER-.,OL ADDTI'IONAL 50 M BTU 6.00 ADDRESS: GAS OU1'LETS - MINIhiUM 1@ S3 EA. , 90 CI'1'Y: zeys L/ ZIP: SURCILARGE: $ .50 SIGNATU ? e fZ?l TOTAL: $ .?iG? •' COMMERCIAL PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTFIER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMI'fS ARE NOT REQUIRED FOR EACH DWELLING UNTT. I WORK DESCRIPTION: l% OF CONTRACI' FEE. STATE SURCHARGE IS $.50 FOR EACH S1,000 OF PERMTT FEE. PROCFSSED PIPING - $25.00 CONTRACf PRICE: a a MIlVIMUM FEE - E25.00 OWNER: TOTAL: S STfE ADDRESS: 7'ENAIVT: SUITE #: INSTALLER: ADDRESS: CTfY: PAONE #: SIGNATURE: ZIP: CT11' SIGNATURE: $ , ~ ~ ~ , ~ , ~ ~ ~ _ t ~ il;J _ _ s , : i ~ ~ i i , i i ~ ~ : . i ~ ~ ' ~ ~ p~ ~ . ' ~ \ ' ~ , / ~ ~ ~ ; t ~ ~ ~ ; ~ . ~ a I / ~ , - , _ _ _ _ _ _ - _ _ - - - ~ ~ , ~ ; . , S S 30 , ~ 3 ~ ~ , ~ , , r . ~ - , ~ , i i i ~ r W Y. ~ . . ~ ~ ~ . . . ~ ~ . ~ ~ ~ ~ ~ ~ ~ o ~ ~ ~ e ~ ~ l ~ ~ ~ c~ ~ , . ~ a ~ ~ ~ ~ ~ / ~ . ~ / P ~ ~p ~ ; 6~ ' ~ ' . \ ~ yy ra, . '~--Y° ~ . \ . . . . ~ . a ~Q \ ~ ~ as ~ ~ , \ ~ ~ ~ \ y ~ ~ s ~ ~ ~ ~ ~ . / \ ~ . ; y , ~ ~ ~ \ . ~ o ~ ~ ~ < ~ ~ ~ ~ _ _ ~ . ' ~o, ~ ~ I ~ ~ 1 ; ~ ~ ~ z , ~ , , ' ; ~9 0' , , r ~ ' ~ IJ'~ - ; ~ ~ ~ _ _ - - - - ___._4_= - ~ _ _ - - - - _ - - _ _ ~ ! - - ~ - , ~ ~ _ _ ~ ~ - - - - ~ _ , - _ ~ ~ r~ ~ ~ ~ ~ ~ ~ ~ - ~ ~ s ~ a ~ ~ i } ~ \ ~ ' \ ' , ~ i , ti ~ ` ~ ~ \ ~ ` ' ~ ~ I . _ ` , ~ o ' r , ; 1 ~ l ~ I ~ : ~ , . ; _ . J \ - _ ~ ' , ~ ~ 3-Season ~ , , '~$s~ , ~ I ~ I 1~ por~,l~ I 9' 8 0 • ~ ~ ~ •o s~ ; fl ~ ~ ; o~ G,, ; ~ ~ ; , , , ; (~x8683 f ~ " 48,7 ~ ' ~ ` . FF ~ ~ ~ s ~ o ~ ~f i~ , , 0 . ~ I~ (~~03 ~ " O ~o F.f, ~ ~ . P _ k,s , ; o / ~ ~ ; \ ~ j ( ~ 1 ~ 1 ~ i Q , ~ : ' I r~. \ ~ ~ ; ~ fl_, „US~ ~ ~ { ` ~ tf'~p ~ a ° 0' t 3 ,6 , ~s , y T ' ~j ? o a S~ ~ ~ ~ 8y e ~ y~ G 6 r ~ s •d • ~ ~ ° `~a e.o f~ y~ ~to.o. -~b • y \ ,t--- • - ~ i' . ~ \ Y -----1----~ s , v _ . _ ` ~ t~ ~ o; ~ _ 4, ~ ~ ~ ' , ~ , ,30 ~ ~e ' - 4a1( 6' , ~ Y N ~ w. ~ ~ . , ~ W \ . - ~ l_ s ~ . o, ~~z W ' w y "°~C. ' ~ ~ra . F,F ~ :6 ' 8T6`:7 I ~ ~ ~ ' ' ' - - ' _ _ ~ i `a\\\\ ~ ~ , I y _ a IZ7 ! ~faPczec) , ~ Z~, o ~ , ' {a~„;~ ~ ` ~ + Re ~ ~ . - t ~ ( n; _F8 1°~D ~ l I ~ ; ~ o > ~ r. ~ . 6 , ~ ` ~ `~(~,5 s,- ~~i , _ . ~ow P~~ a eL _ c ~ EGEND , ` 2~0 - z o Denotes Iron Monument ' ~ ' ~,s ~ n Denotes Wood Hub Set ` P' 1~~~ ~g ~^8 n~1B~~ Denotes'fxisting Spot Elevation ~ '3s~ ~ Nefi ; , ~ ~9/ T ~ .c~'"t° c ( x , ~ 8 a'' •i .r- - 6kowh) Denotes Proposed Spot Elevat~on _ , , „ ~ . ~ ~ ~ ~ PROPOSED GRRAGE~FLO~R ELEVATIOt~_.~ ! ~ Denotes Drainage Direction ~ ~a ~ ~ ; . o ~ ~ , ~ ~ ~ _ _~~~n, _n~.',~ . _ _ _ _ . ~ r. _ _ . ~ ~ ~ _ _a~ ~ - ; ~ ~ ~ ~ - ~ _ ~ ~ ~ . ~ _ _ _ . . ~ _ _ - ;t~,~,et- _ _ " ~ _ EvASI_oN= -l- EVATION= S110 ~ ~ 'c ' PROPOS ~~TOP OF BLOCK ELEVATION= ~PROPERTY DESCRiPT~ON- ~ ~s owest - ' PROPOSED'~BASEMENT`FLOOR ELEVA - ELEVATION= S 63._W1v ' ~ ~,~t 1 ' ~ TION- ~ i ' N v`~ r Lot 15, Block 6, BIRCH PARK, 0 1` ~ ; according to the recorded plat '*NOTE: Verify all Bldg. Dimensions ~ , . O~. ~ . . . thereof, Dakota County, Mrnnesota. Floor Heaghts w~th Final Nou. Dimensions and th Final Hause Plans. , ~ ~ ~ ~y ~ SURVEYORS CERTIFICATIO nFacA-riON- ' I hereb certif tha ' ' ~ y y t th~s survey, p. report was pre ared b me or under mi is survey, plan or ~ or under'my 2~ . ,P, Y ~ ~ d~rect supervision and that I am a d~ iat I am a duly Re i`stered Land ` 9 Surveyor under the 1~ under the laws of ~;oc ~av~ h ; . , ~ox. t e State of Mi nesota. ~~'P ~~~ces ~ Sew~ S I~ , . S e,, ; 71,6 5 2 ~ _ ' ~Wa~ ~8 ? oate: , ~a,..s~` , Date. - ~ l-. - _ ~ ~f ~ Wa ne'D ~ ~ r--- - - _ - _ _ ~ Y . ordes, M~nn. Req. No. 1461. ,t _ , ~ ~ - !q. No. 14675 v . I . a sss t~~a~a e U~F; a ew,~ . _ ~ E s ~f o . ~ y, 9 y _ , _ , ?a.~ ~:----~.:d- ,'18 , 5 K:cre ~ ~ e u~~ ~ ~ d . - _,~S o S r ~~i ~ c S`l 5 6 W i9 Z,k'i - ~,S 88949 T. . SSl t3 T.c, ~53~, , 55.8 i.c. 7~ ~ ~~q ~r ~ ~ ,p e~ ~b G~b4er ~ , o s - o; S ~ r~ ~ ' ~I ''~.8&y~ 8~s8, ~ 2Q -~s - ~ - - ~ D~ER.~e~TC~C~I~ ~~-2.=VE , ~ ~ , . ~ ~ ~ ~ ~ ~ p ;o e o Y p~C~ ~ . p ~ ~ : ~ ; _ , Cert~f~cate of Surve Far: ~~t~i~ 'R.~~ ENGI~~~~~~~~ ~~PT Y , ~ _ ~n ' ~ a SIGIV~l4 i ~o ~a'~ ~ . ~3~~'C~~ 5~~ a o ~ a r., ~ ~ . ; ~.L°S<f~,~~~ ~ ~ ~ ,:~2~3 . ' . p ~~3`~~~ , . z. ~ L r~ SURVEYING , Y11VG ~AG~l~T MN ~ ~ ~ . ~ - ~:.x SER\/ICES 1~ ~ 1/ICES 1NC. , ~ ~ 3730 Pilot Knob Roa~ Pilot Knob Road Eagan, Minnesota 551 , Minnesota 55122 Phone:(612)452-307 ~ . (612) 452-3077 ~ ~ I For Office Usa I ; Permit L l 4 I j City of Eap I -74 ; Permit Fee: (L7 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I . ( I Fax: 651 675-5694 I Staff: L I - J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION _ P Date:30 OGT ?1?t".)g Site Address: 2ll~rt~J a n r Vl~1t~ ~S ~ 2~3 Tenant: t~1CP_ .l~1gY1P`t"C'l C'L, Suite RESIDENT / OWNER Name: I) ` 'Yf Phone: LAC Address / City / Zip: rtl Applicant is: _X_ Owner Contractor ce, 1 4f (S: jZ lZ- qoo ' TYPE OF WORK Description' ofwork:3 SeQ56n ~0JfC,~ bu ¢?n +pp o-V ey, (64,nQ S4 ru4t) Construction Cost: NpDX. 45D6_ Sb6D- Multi-Family Building: (Yes / Nok-) CONTRACTOR Name: ti' IC, License* Address: fC'f.me_ City: State: Zip: 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 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 the are trade secrets.' I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Q C1~P - ~ti^ I x Applicants Printed Name pphcant's Signature D E~C~E0y~ Page1of3 D OCT 3 0 2009 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch (3-Season) - Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION 'to Valuation 0400 Occupancy ~ MCES System n Plan Review Code Edition ✓1~.n%~J~)~ SAC Units (25%-100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction `s Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge POLL* Plan Review t MCES SAC er E f~° `X !7V City SAC lei Lf ✓ Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Energy Water Built-Environment I hereby certify that this plan, specification or report was prepared by me or under my 1 MEMORANDUM direct supervision and that I am a duly licensed professional engineer under the DATE: November 20, 2009 laws of the State of Minnesota. TO: Bruce Patrick i 1 289 Deerwood Drive Tr evor Axner t Eagan, MN 55123 Date: 11-20-09 FROM: Trevor Axner, PE Minnesota Registration No. 45470 SUBJECT: Framing Review -1289 Deerwood Drive, Eagan, MN Ulteig Project No. 09.02654 Ulteig has been retained to provide a structural engineering review of an existing glulam beam and two headers to support new loading for a proposed roof addition above an existing lower flat roof at the above residence. Bruce Patrick, the owner, provided Ulteig with existing beam and header information, as well as the proposed construction information for the new roof system. The following information is noted in regards to our review: a. The new roof section will be approximately 16 feet by 23 feet in plan. The roof will be framed with wood trusses spanning in the 16 foot direction. Additional overframing and / or piggy back trusses will be needed for roof drainage. b. The new roof section will be supported at the outside by a new exterior wall that bears above an existing exterior bearing wall. The largest opening in the existing bearing wall is 6 feet and is supported above by a (2) 2 x 12 header. The existing flat roof system to be converted to a floor also spans in the 16 foot direction. c. The new roof section will be supported at the interior by an existing exterior master bedroom wall that bears above an existing glulam beam. The largest opening in the existing master bedroom bearing wall is 9 feet and is supported above by a (2) 1 3/4" x 11 7/8" LVL header. The glulam reportedly spans a maximum of 18 feet and is 51/8" wide by 30" deep. The upper wall supports an additional 33` span wood roof truss system and the glulam supports an additional existing floor system, as well as the above bearing wall. d. No other engineering was performed or requested for this project. An inspection was neither performed nor requested for this project. All construction is to be in accordance with standard industry practice and the requirements of the Code. If on-site conditions vary from those described in this memorandum, or if additional elements require further review, contact Ulteig for assistance. Based on the provided information and site conditions noted, the two header sizes and glulam beam specifically described above are structurally adequate to support all required design loads in accordance with the Code. No additional strengthening to these members is required for the proposed roof addition. Use BLUE or BLACK Ink For Office Use Cit of Eag a~ I Permit Permit Fee: - ~d 3830 Pilot Knob Road l Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 l I Fax: (651) 675-5694 Staff: _ I 2012 MECHANICAL PERMIT APPLICATION Date: I D yO~°` I Site Address: ACV DC6 Tenant: t)~( LICe 1C- -~y Suite NameBruce (~A41 ~o Phone: ( 7i P~r RESIDENT 1 OW1(El~ - Address/ City/ Zip:6 Rf1 o~(r ✓ j~r 11✓ A1/t' I 5512'3 Name: Ron' s Mechanical Inc License Address: 12010 Old Brick Yard Road City: Shakopee CONTRACTOR - State: MN Zip: 55379 Phone: 952-445-8585 Contact: Linda Email: New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: NOTE; Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for Information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement PERMIT TYPE -Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit - Heat Pump Under / Above ground Tank Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) (kc) TOTAL FEE $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ ' 0~qo COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ X11% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.oooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. IY& t k~ `r-&K x Applica s Printed Name Applicant's Signat r FOR OFFICE USE Required nspe tions; Revk w" By: Date: Underground _ Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink For Office Use I Permit ~r ~ I I Ju 1 City of Ea ~.Il vi I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 I Staff. 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: ('-%9 -1)e<'-r Wood '-Or 14 Tenant: ~j~uce~r1G~ Suite Resident/Owner i Name: VI,C f -1C y- Phone: 4 rJel' Address/ City /Zip: 111V leeywa0d -D ,6t Rons Mechanical Inc Name: License C Contractor Address: I~uuri e _City: Shakopee State: MN Zip; 55379 Phone: 952-445-8585 Contact: Linda Email: New Replacement Additional Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _ Furnace _ New Construction _ Interior Improvement Permit Type ✓Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install Remove) I _ Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ (to. 1) 0 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal Contract Value $ x1% $55.00 Minimum Permit Fee If the project valuation is over $1 million, please nail for Surcharge 5.00 Surcharge` TOTAL FEE CALL BEFORE YOU DIG. Cali 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.-gor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1.~nda JeyoaoAeV x q," v Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123262 Date Issued:06/03/2014 Permit Category:ePermit Site Address: 1289 Deerwood Dr Lot:15 Block: 6 Addition: Birch Park PID:10-14175-06-150 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Fixtures:Kitchen, MB,FB,3/4 Bath Steve Kurtz 680 Valhalla Dr Ne Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bruce & Dianne Patrick 11296 Sparkleberry Dr Fort Meyers FL 33913 (612) 382-1874 Glacier Plumbing Inc. 680 Valhalla Dr NE Cedar MN 55011 (763) 413-1883 Applicant/Permitee: Signature Issued By: Signature �----------------- I � For Off1Ce Use � � j Permit#: �����5� j �City of ����� ; . : �� ; � Permit Fee: ��I, 3830 Pilot Knob Road � /,, � Eagan MN 55122 RECEIVED � Date Received: `e � � � Phone:(651)675-5675 � ///���,,,��� � Fax:(651)675-5694 J�� Q (� 20tI� i Staff:� _ I �---------------- � r../ 2014 RESIDENTIAL BUILDING PERMIT APPLICA7iON � )J� �-�/� /Z8� ��i��sd� ,Ov1i��'� ,- c,�� � Date: Site Address: i ����G�7�" Unit#: ,. Name: .�/��/� G'Y�LS�f'/��j!/���.�OvG�i� ����..�'�_��S"^7 Resident/ ��/��� Owner addreSS i c��y i z�p:�Z�9 ���i'�Cpd .D/I�G��, , Applicant is: Owner Contractor / Type of Work Description of work: / ��G��° ..5�" L ��/� � � Consfruction Cos . _�di�� Multi-Family Building: (Yes /No� Company:I����f���r°L2�.0 �G��l�''-'�/tUlj/�X��Contact: �'�/��/`L%���� Contractor Address:��S ��C��/�Lf1!-��'�✓� c;�y_ ��i�/6Td�/ State: ��ip: �s��37Phone��z��$���maiL�i���.��1��Z%Y�'(�.�17 'LO� License#: ���3 7S�/ Lead Certificate#: .,(��7�'�°' l If the project is exempt from lead certification, please explain why: (see Page 3 for additionat information) ��� � � I� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEUV 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:P/ans and supporting documents that you su6mit are considered to be public Pnforma#ion. Portions of the information may be classified as non-public if you provide specific reasons that wou/d permif fhe 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 uti(ities. www.popherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work wilf be in conformance with the orciinances and codes of the City of Eagan; that 1 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 p{ans. Exterior work authorized by a building permlt issued in accordance wlth the Minnesota State ildi g Code must be completed wlthin 180 days of permit issuance. x i�i«f�7�2 �%r�"/I� X Applicant's Printed Name App(ic 's Sign ure Page 1 of 3 . . . . /�� ,��,���c ��-. � DO NOT WRITE BELOW THIS LINE I��I%� SUB TYPES Foundation Fireplace ` Porch(3-Season) Exterior A(teration(Single Fami(y} � Single Family _ Garage _ Porch(4-Season) _ E�cterior Alteration(Multi) ` Multi _ Deck _ Porch(ScreenlGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ interior Improvement _ Siding _ Demolish Building* Additian _ Move Building Reroof Demolish Intenor � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage i Retaining Wa11 *Demolition of entire buiiding-give PCA handout to applicant DESCRtPT10N Valuation � — /dOiDd '' Occupancy .,T/ZC-g MCES System Pian Review � Code Edition � SAC Units -- (25%_ 100%_) Zoning �7/' City Water -- Census Code � Stories ^ Booster Pump � #of Units ' Square Feet �"' PRV ' #of Buildings � Length �^ Fire Sprinklers �"" Type af Construction _�,�'.�____ Width � REQUIRED INSPECTIONS Footings(New Building) Meter Size: Faotings{Deck) Final I C.O. Required � Footings(Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: Ice 8 Water Final Pool: Footings Air/Gas Tests _Finai � Framing � Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stuceo Lath _Stone Lath _Brick (nsulation Windows Sheathing Retaining Wall:_Footings_Backfiil_Fina! Sheetrock Radon Control Fire Walts Erosion Cantrol Braced Walls Other: Reviewed By: , Building inspector RESIDENTIAL FEES Base Fee / ,��- � ��� � � �� � � ��� � Surcharge Plan Review /��y � MCES SAC City SAC Utility Gonnection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � ` Use BLUE or BLACK ink � For Office Use ,~� � � I i a-� ��V I ��� �l L� �11 ,� j.. i Perrnit#: �C� I C � Permit Fee: � ��a � 3830 Pilot Knob Road ,�E a _" ��q+i � � Eagan MN 55122 " `'�'��' � Date Received: � Phone:(651)675-5675 I � Fax:(651)675-5694 I Staff: 1 1 I �--------------����I 2014 RESIL?ENTIAL BUILDING PERMIT APPLICATION �+ I c%1�'�/`�� Date: October 13, 2014 Site Address: 1289 Deerwood Drive, Eaqan, MN 55123 Unit#: I'�� Name: David Wilson and Cassondre Buteyn Phone: 651-245-7650 Resident/ Owner Rddress/City/Zip: 1289 Deerwood Drive, Eaqan, MN 55123 Applicant is: Owner X Contractor Type of Work Description of work: Repair water damaqed wall section per structural engineers plan and report Construction Cost: $2,000.00 Multi-Family Building: (Yes /No� Company: Amberwood Gonstruction, Inc. Contact: Mike Peters Contractor Address: 5333 River 81uff Curve City: Bloominqton State: MN Zap: 55437 Phone: 612-868-0903 Email: MikeQAmberwoodCanstruciion,com License#: BC333751 Lead Certifica#e#: NAT 69924-1 If the project is exempt from )ead certification, please explain why: (see Page 3 for additional information} P� � ��l COMPLETE THIS AREA ONLY tF 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 cansidered to be public informatiQn. Partions of the intormation rnay be c/assiiied as non pubHc if you provide specific reasons that wou/d permit the City to cortclude that the are frade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Caf148 hours before you intend to dig to receive locates of underground utilities, www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conforrnance with the ordinances and codes of the City of Eagan; that I understand this is r�o#a permit, but only an application for a permit, and work is not to s#art without a perm+t; that the work wriN be in accordance with the approved plan in the case of work which requires a review and approval of plans. E�cterior work authorized by a building permit issued in accordance with the Minnesota S 8uildi Gode st be m ted within 180 days of permit issuance. X �/������ ����� X Applicant's Printed Name � App' an#'s Signature Page 1 of 3 -�� ��-�� �,����� �� - DO NOT WRITE BELOW TH{S L{NE � ��� 1 � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ E�cterior Alteration(Single Family) � Single Pamily _ Garage _ Porch(4-Season) _ Exterior Aiteration(Multij _ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscelianeous 01 of_Plex Lower l.evei Pool Accessory Building WORK TYPES _ New _ interior Improvement _ Siding _ Demolish Build'+ng* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demalish Foundation _ Repiace �( Repair C �-�`�� L`'"`�t�, _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building-give PCA handout to applicarrt DESCRIPTION Valuation d t�a.� Occupancy 'Z I� MCES System Plan Review Code Edi#ion 1-nv 1 V'+n5�� SAC Units (25%_100%�C J Zoning ��,Z City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction `L � Width �- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) �C Final!No CA. Required Foundation HVAC Gas Service Test Gas Line Air Test Roofi:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final �C Framing Drain Tile Fireplace:_Raugh In Air Test _Final Siding:_Stucco Lath _Stone Lath _8rick �C Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Finaf Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee t�n�W l�<%�.��.J�'�-�. �C d C7d ` Surcharge � Ptan Review MCES SAC City SAC Utitity Connection Gharge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � Use BLUE or BLACK ink �, , ' � ForOf/1ceUae ---------� " ' ' 1�-�7 31 � �11 V �f I,���n � Permit#: � i V 6 J jl � 3830 Pilot Knob Road j Permit Fee: (� j Eagan MN 55122 � I 1 Date Received: I Phone: (651j 675-5675 I I Fax: (651).675-5694 . � Staff; � ���������������_�J 2014�RESIDENTIAL PLUMBIN PERMITAPPLICATION Date: � Site Addre s• � J���� r Tenant: �(� � Y ''�+��i��r�+ '�' �' t� �'"rry ;u�o:;' ��� ��@#: ''.�,f�" �, � �X��i��.�� �'i�b. .`T —v C]�J��. s V �� .�� �, �`�������x ��� Name: � Res� �n�/Owner., �ie" �� , '����'"�j ��������� ��� b ���� �a �� `* Address/City/Zip. , ��� , �� � � �x ��;� � • ' �„�������� �� ���` � Milbert om any I c dba Cullign Water ����,�� y4�� �� , Name: ��oense#: WCG4317G ; x,�,����.� �,� �� - ��. 180150t �'�s ��"��*fi $ z •' Address: StreEt Ea.St ����,�Contractor z � c�cY: Inver Grove Hgts. ,I ':��€�i���{�lY�k���('����Y,"�� �p;� State,:iM N � zip: 55077 Phone: 651-451-2241 �5�5a'C�l�,t'f 3���h5.Y"��V,�,,1�`��A S,�!� .t�'.� ''�"°MN`+��'F��� ��a� ,G. ' � �'F�s��� ����`�,:���� � co�ta�c: 1Nilliam R �Milbert , Email: N�{��"��,�������a �('�' Yr����Type of VVor —�eW �/KQPlacement _Repair Rebuild Modify Space _Wo►ic in R.O.W. x������i�,..,,�,��� � � � � — — ;;��'��',��; ��'�'-�� . �." Descrtption ofwork: : �"'�x ���'�''°� �"�'�t : RESIDENTIAL .it���'F������rt� ���4 . . }r __,4.�Y 5.��� �Y��,t . . ' . _- � �� � �� ,r����r;���� �,-�,;�� ,'� � Water Heater ���� �� ° � 4��E � � �,Water Softener �,a,�'����*� �- � ��� Lawn Irrigation(_RPZ/_,PVB) $��� Perm�t��fype� �`�������� ;`� '� � Add Plumbin Fixtures �,� x�<�� �$�; � ,��,�,� Septic System 9 (_Main/_Lower Level) r�:��5;����"`�'� �� .+ . �����" � °� �NQw V+lat�r T�mar��n� #�;, ���;.�,h.,� ���' �"� '�- ��a �'$ ,� � : Abandonment RESIDENTIAL FEES: $60:00 Wafer Heater;:lNater Softener, or Water Heater and Softener(includes$5.00 State Surcharge) , $60:00 Lawn�Irngation(includes$5.00 minimum State Surcharge) $60:00 Add Plumb�ng Fixtures, Septic System Abandonment,Water Turnaround"(includes$5.00 State Surcharge) � i."Water Turnaround(add$200:00 if a 5/8"meter is required) $115.:00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �p � . TOTAL FEES a [� CALL.BEFORE YOU DIG. Call Gopher State One Catl at(651)454-0002 for protection against underground utility damage. Cail 48 hours before you intend to dig to receive'locates of underground utilitie�. www.qooherstateonecall org I hereby acknowledge ffiat this Informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the Clty of '' Eagan; fhat I`understand fhis Is not a permit but only an application for a permit, and work is not to start without'a petmit; that the work will be In ' accordance with.the approved plan in the case of work which requires a review and approval oi plans. ;x �i lJ , x � Applican.t s Printed Name Applica 's Signat re X. ,�, '�, d �, fk 5 �k . � : ��� �,� -..�:. ._,..�,.. .''-� �� : ..,_„c ��rKJI�� ���r9 ` k'� OR�O FI E'US ��F � �'� ��°�,���''�, k� �� '�� � ^�� Revi: d �� � �' Date� �. �,r���M�`�� � � ;� � j aY L ` Reywr,ed Inspeetib s �4 �; � �a��' ��" ��°'� � � � �� � ° � �� A r , ��i�a� ,r � � � `� � �' i `,�� � ° ` ' � " . fi � ���t�l'. 5 IVlete ela djl,�.�s te i _ , i � + ��� �� � � ,� � �F... �� ., � �. , n-, :. � , � ;� ... ��� ;, ,>.u. _ . ' _ . _. . ...: . . .. ... ... ... '� ., , �i ,i ;: �� % � /i., ��� � ��i��ij i � �: �� , , ,,.. ,,- �,� � � , ., , , � ,_ �� , � �� � �� ��� ; „ i ; ; > � � � ! � , � ' � ,> - ;,, , � � i � � �� ���� � � �, „ , � � � � ,� �: �,. -, � „ "' �' �� , � � ��i�� ,� �� ���� 411° CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use lj Permit #: Permit Fee: / 7$ c Date Received: Staff: /2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9--� ` Site Address: / ?Q.U� 42/k Unit #: RS OVvner �� Name: !///!//,OAI t/ '05S0fieltC7 loarYg Phone: (p/Z" '-? 7/0.7 Address /City /Zip: � •/� 1%:,gi2L%/� Applicant is: Owner )(Contractor Type of W®Ir � °.. Description of work: /�//(/ / - - ' &•//‘04)1--e ���`/ O' �7i� �� I Construction Cost: Mul 1 -Family Building: (Yes / Noe t .5 Company: -reozGrr,/G?/.ST2'ct - / ntact: //fr/KI---47_5 Address:33'/i'2,�ea-el/6- city: eez-e /4/6T �tl/sTf74/ State: //Zip: 55137 Phone:/Z-136s-o�af: i fi/"��� License #: &0337-55 Lead Certificate #: Atc-- 9%Z.of -7 If the project is exempt 6/V r/P/C/C from lead certification, please explain why: 2 /..7g In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: !VOTE Plans and supocumerf r '' - publla infori toga Portion n orcna#ron may - l ssrf @ :; you ® CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Stay=uil•�frCod= days of permit issuance. /5 Applicant's Printed Name x st be c• ted within 180 Ap is Si ure Page 1 of 3 411' C!tyofEaQau Da 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 U 3 2016 For Office Use 0fes6 / 4 /��/� ,, Permit #: / �/ / 4'U/ Permit Fee: Date Received: _ Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION ' Z f Z /4 Site Address: / Zf35 .4 41,674;e !//7/i' Unit #: J Resident Owner Name: ,49144(9 MI iY'G/�i� SCN/„e/ge7 tlieA/Phone: 6/Z 136 7/40 Address / City / Zip: /Z a 71.--4/®ae0 4G/d/6— Applicant is: Owner X Contractor -f -7- Type Of Work �r�1'�CE" -/sS ,/ /cGS e4/-#TGat/ 00---46;10e,--"," '�is,� Description of work: „ ,./ : tri- /ice./.... -_ Construction Cos' ©©� Multi -Family Building: (Yes / No )( ) Contractor Company: /0,7Z-47, V61/3 ae1: Z%UG. Contact: 4,e6-4,6--2577-5- "%/ ✓`6 s Address: 3-333 /& ' ' d/ � City: /.�LGY•j/�6.f/ State:' % Zip: 5:5-i3 7 Phone: /Z° t!% t: 4/40 dlti_Wile71 , License #: I33'376 7 Lead Certificate #: �!/�f'% - ‘5#53041-1 If the project is exempt from lead certification, please explain why: /1/ . %ifi/C -O ii! 7 / In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. can Gopher State One Cali 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.gopherstateonecaliorq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Statg,Buildjpg Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Appli'cant's Sig Page 1 of 3 /69 WVU%I.` YLLV„ .„,%* / /7 SUB TYPES Foundation _ Fireplace Single Family Garage _ Multi _ Deck 01 of _ Plex T Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% r/) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool T Interior Improvement _ Move Building Fire Repair Repair 35- 4/3 Li REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes Fireplace: Rough In _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width 1 Hour Air Test Final Siding Reroof Windows _ Egress Window *Demolition of entire o Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior _ Demolish Foundation Water Damage building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final 1 No C.O. Required HVAC _ Gas Service Test Pool: Footings Air/Gas Tests Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: — Footings _ Backfill _ Final Radon Control Fire Suppression: __Rough In _Final Erosion Control Other: Gas Line Air Test Final Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3 3833 Page 2 of 3 19/L11,Ja1.r' i /3 . 3i /,,g9 01;iz ry .,P X7/2 From: Todd Bergstrom Bergstrom@atmcorporation.com Subject: RE: SIP Damage Remediation Date: June 10, 2016 at 2:21 PM To: Mike Peters mike@amberwoodconstruction.com ll Thanks for your inquiry. R -Control Do -All -Ply is the recommended product for use with R - Control SIP, but we also understand that in a damage remediation scenario that R -Control Do - All -Ply is not necessarily readily available. When R -Control Do -All -Ply is not available, an alternate "polystyrene compatible" sealant, such as PL300, is recommended. Regards, Todd Bergstrom, Ph.D. V.P. Technology AFM Corporation 17645 Juniper Path, Suite 260 Lakeville, MN 55044 (952)892-0809 phone This email is confidential, may be legally privileged, and is intended for the recipient only. You are hereby notified that any dissemination, copying, distribution, or the taking of any action in reliance on the contents of the information, except its direct delivery to the intended recipient, is unauthorized and strictly prohibited. If received in error, please destroy all copies and kindly notify the sender by email. From: Mike Peters [mailto:mike@ amberwoodconstruction.com] Sent: Friday, June 10, 2016 2:16 PM To: Todd Bergstrom <tbergstrom@afmcorporation.com> Subject: SIP Damage Remediation Todd, Per our previous conversations re: SIP damage remediation, you had indicated that other products such as PL 300 or similar foam compatible products, equivalent to the R Control Do - All -Ply sealant, were acceptable for use to repair Moisture Damaged OSB Skins. I would appreciate your confirmation of this for the building inspector as PL 300 is readily available. Thanks, Mike Mike Peters Amberwood Construction, Inc. 612-868-0903 Fax: 952-881-6681 5333 River Bluff Curve Bloomington, MN 55437 MN Lic. BC333751 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158951 Date Issued:11/12/2019 Permit Category:ePermit Site Address: 1289 Deerwood Dr Lot:15 Block: 6 Addition: Birch Park PID:10-14175-06-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - David L Wilson 1289 Deerwood Dr Eagan MN 55123 (651) 245-7650 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature