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4134 Ethan Dr2000 BUILDING PEItiii-f APPLICA?i'-644E'SIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ?-4 ?A 19 651-881-4875 j c- New ConshucNOn Reaulremenh ? RamotJel/Reodr RaauiremeMs ?C?1?,?- a 3 reglsfered site wrveys ahowing p. N. of lot, sq. N. oihbuse 2 copies of plan and 90 roofed areas (20% mmdmum bt covemae allowedf 1 aef of energy calculaHOns !or heated addiHOns D 2 coplea of ptans (ahow beam R wlndow alzes; pouretl Md. dedgn; etc.) 1 qte survey lor exteAOr addiflorn 9 decka ? I set of eneryy calculadona ? 3 coples of hee prefervatlon plan H lol plaHad aRer 7/1/93 unTE: 11 ? I DD corisTaucnoN cosr: $2 ad jooo DESCRIPTION OF WORK: NCW L V10I4?,"Fjk b.-N - STREET ADDRESS: LOT: I BLOCK: I SUBD./P.I.D. i: NameNsAnt IA.? Wnbelkcizr Phone M: PROPERTY tmf Flrat OWNER Sheet Address: City Sfate: Zip: Uuj J?l. IkJY 1Jll( U. Phone q: . Compuny: (area code) COMRACTOR Sheet Address: (.Q`C U' 0' licenae M?3 2l ExP•0Q7 City State: iW1v Zip: UUI? NGIN ER / Company: Name: tl? ?Y ?l) YII?' Telephone #: Skeet Address: Clj1J1"t)?- lylG??A .171U?Regishation #: 5? I 2 2 cny srate: A.,N np: C) Sewerlwater Iicensed plumber (If Installina sewer/water): Phone #: I herebY acknowledge Ihat I have read this application, afate that Ihe info is cortect, and agree to comply wHh all apPlicable State of Mtnneaoto Stalules and CHy of Eagan Ordinancea Signature of ApplicanY. OFFICE USE ONLY Certificates of Survey Received ? Yes _ No Tree Preservation Plan Received _ Yes _ No ? Not Required r- N OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) p 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck O 23 Porch (screened) ? 04 02-plex ? 10 08-plex 0 19 Lower Level ? 24 Storrn Damage ? 05 03-plex ? 11 10-plex aibp Y or _ N O 25 Miscellaneous ? 46 04-plex 0 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg. woRK rrPE Eg 31 New ? 36 Move Bldg. ? 43 Reroof 0 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0 # of Stories ? sq. ft. No. of Units Length ? sq. ft. No. of Buildings Width ?O Footprint sq. ft. Const. (Actual) S- Basement sq. ft. Census Code (Allowable) S- Main level sq. ft. L.2 MC/ES System UBC Occupancy - Ga??sq. ft. Inl'° U City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS ,//.? Planning Building l?'?YJ Engineering Variance C?,1 Permit Fee Valuation: $ Surcharge ? Plan Review ?5 itt License ?- 4m MC/ES SAC t.?G3 City SAC Water Conn. Water Meter Acct. Deposit 00 _ S/W Permit l?aZx?y= 59 5"8 S/W Surcharge Treatment PI. Park Ded. Trails Ded. other Copies Tota1: SAC Units % SAC ? 31 Ext. Alt - MuIG ? 33 Ext. Alt - SF ? 36 Mutti ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: ZOT ? RLOCX / OAKRLUl?LI? h DATE OF SURVEY: U-27"00 H ? W LATEST REVISION: ? C 0 DOCUMENT STANDARDS 0 4 ?a ? • Registered Land Surveyor signature and company ? ? : BuildingPermi[Applicant ? Legaldescription o%a o : Address o North arrow and scale a ? • Hause type (rambler, walkout, split w/o, split entry, lookout, etc.) a ? Directional dreinage arrows with slope/gradient % ? : Proposedlexassting sewer and water services & invert elewation e? ? . SVeet name 0 Drrveway ? ? • LotSquare Footage M/0 ? • Lot Coverage ELEVATIONS / Existina ? Sewer service (or Proposed) m' X ? ? Property comers ?/p ? • Top of curb at the driveway ?? ? ' • Etevations of any ebsting adjacent homes cent utiliry trenches d t d ? p ? ja ue o a Adequate footing depth of structures / / Prooosed o . Garage floor v ? - Firstfloor Y?p ? • Lowest exposed elevation (walkoutlwindow) a? ? ? • Property comers ml?o ? • Front and rear of hame at the foundation PONDING AREA (if a icable ? Or/ p • Easement line ? m?? • NWL ? w ? • FIWL ? ?? • Pond # designauon ? p' ? • Emergency Ovefiow Elevation ? DIMENSIONS d p 0 : Lot fineslBearings & dimensions o?n ? Right-of-way and street width (to back oT curb) o' ? o • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all sVuctures requiring permanentfootings) /? • Show all easements of record and any Ciry utilitles within thase easements d ? • Set6acks of proposed shucture and sideyard setback of adjacent epsting structures o • Retaining wall requirements, if any /j Reviewed: !K March 1999 cruuuetooaaMrFm ,Fp.lM : FOX1-CRaFTIhdu' ?HONE NQ. : 844001E Oct. 29 2009 02:23PM PS mNCheck COMPLZANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 Permit # Chedte by/Date COUNTY: Hennepin STATB: Minn09ota ZONE: 2 CONSTRUCTION TYPE: Single Pamily DATB: 11-29-2000 DATE OF PI.AN3: 11/14/00 PROJECT INFORMATION: Michael Wade & Lori Stotesberry COMPANY ZNFORMATION: ManlOy BYOS. COri9tYUCtioR COMPLIANCE: PASSES ReqlllreCl UA = 313 YDUY xome R 410 0.6% 8etter Than Code Area or Cavity Cont. Glazing/Door Perimeeer R-Value R-Value ------ -- U-Va1ue --°-_•----'--------------------- CEZLINGS: Raiaed Tru98 ------------ 1927 ----- 94.0 0.0 WALLB: Wood Frame, 16" O.C. 384 19.0 2.0 WALLS: wood Frame, 16" O.C. 1780 19.0 210 1 BSMT: Conc. 8.61 ht/8.21 bg/8.81 insul 1295 10.0 010 GLAZING: Windows or poora, Above Grade 62 0.370 Gi,azZNa: Windowa or poors, .Above Grade 336 0.370 1 DOORS SA 0.370 FLOOR9: Over Outeide Air 16 30.0 ------- 0.0 ------- ------------- --------------------------------------- COMPLIANCS 3TATEMENT: The progosed building deaign deecribed here is consistent with the building plane, apecific ationa, and other calculations submitted with the p it appl9.cation. The proposed buildir_g hae been deaigned to meet t requiremen of the Min nesota Energy Code. Buiider/Deaigner _ Date?Z/8 O° F&CM : FOX1-DRRFTING PHONE N0. : 3940016 Gct. 29 2090 82:24PM P2 Minaesota Energy Code mcheck 9oftware Vereion 3.0 DATE: 11-29-2000 FLF3N REVIEW ANA INSPECTION ISSUES This list oE items may be helpful for P1an Reviewers and Buiiding Inspector use as a guide for enforcing the Minnesota Erergy Code. The itams apply to GrouP R, Divzaion 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached ore- and twa-family reaidentiak dwellings. PLAN RBVIEW ISSUES FOUNDATSCN INSULP.TION - four.dation wa21 insulation R-5 minimum - foundation insulation extends from top oE wall down to top o£ the footin - exterior £oundation inaulation is covere3 by a protective coating finish CONCRETE SLAB OR UNDER-9LAB SNSULATION - slab on grade perimeter insulatioa R-5 minimum - slab insulation extende from top of slab to design frost 14_ne or top of footing - floors over unheated space R-30 minimum WZNDOWS / DOORS / SKYLIGHTS - average U-value is 0.37 maximum £or wira8ows and glass doors iexcludes foundation windows) - window U-value consistent with Liuilding plan and MNcheck Report - window and door area consistent with building p'_an and M23check Report MfiCHANSCAL VENTILATION ISSUES - residentiial mechanical ventilation system provides adequate ventilation per code requisements* - furnace efficiency is consistent with MNcheck or building deeign plan - proteetiori againsc exCessive depressurization is inatalled per codE requirements* ESIVELOPE INSULATION EOR PLAN REVIEW - intezior baaement insulation R-5 minimum (iP no exterior ineulation) - ceilings with attics R-38 ox' coneiatent wit:y building plan and Mtdcheck Regort - wall framing and insulation level is consistent with building desigrt and NID7check Report 2NSPECTION ISSUES CO:VCEALED INSULATION FRAMING AND SHEATHING - wind wash barrier iratalled at attic edge - exterior wall cornera framed so that insulation can be installed after exterior sheathing is insta2led - intersections of interior partition walls and exterior walis are frame thaC insulation can be installed between the partition and exterior eheathing after exterior eheathing is installed - gapa beCween Eraming less than one-half inch are eliminated 'ay securin framing together or are insulated at tne time of assembly - all penetrations between conditioned an3 unconditioned spaces made _ FK?. : FOX1-DRqFTING PHONE 1?0. : 7940016 ?ct. 29 2o00 02:24P11 F3 prior Co framing inspection are sealad INTERIOR AIR BARRIER - all £ire stops are air sealed - pipes, ducta, wires, equipment aad flues and chimneys through the inte air barrier are sealed - a sealed continuous interior air barriar is installed on tne warm side tne building envelope at ceilings, walls, and floor rim joist areas+ - air barrier behind tub and shower ia sealed and protected - recessed light fixtures are sealed ENV'ELOPE INSULATI6N - basement irlsulation R-5 r.tinimum - wind wash barrier on wall sepaYating houae and garage is sealed - loose fill insulation ie prevented from enterznq the eaves - insulation on skylight shafta and walls exposed in atti.cs ie supportied on the unconditioned side ATTIC INSULATTON - attic access panel insulated to R-38 for ceiling panel and R-19 for wali panel - attic card attached to =raming near access openir.g - notification of attic R-value and date c£ iastallation posted near permit inspection card This is a summary only. Other xequirements may apply. See tke Mi.nnesota 8r.ergy Code. QuesCiona? Call the DepartmenC of Public Service Information Ceater at 651-296-5175 or 1-800-657-3710. , * PIONI * engG * * 7? * Certificate of Survey for: 2422 Enterprise Orive Mendota Heights, MN 55120 (651) e81-1914 Fnx:681-94e8 625 HighNny 10 N.E. Blaine, MN 55434 (812) 783-1880 FIU(:783-1883 MANLEY BROS. CONSTRUCTION 4134 ETHAN DRIVE IF GRl1'DE *;W TNIS AizEA SS -ImEPE '1"A/q N 3: ( A (dIALL MAy 889.2 /J?E '40(1rLRF_b• LOT AREA = 14,165 sq.ft. HOUSE AREA = 2,576 sq.ft. HOUSE TYPE=RAMBLER W/O COVERAGE =78.2% ?Q. 905 GB'` N89055'54"E 127.44 C$$y_y) 3 984.1 I 91.4 890DRAINAGE & U1ILITY _--' o ?• 8e9 89?'? ° EASEMENT PER PLAT ? _ _ _ " ? x991.8 ? - ? ? r ` 39 cae2.e '---TREE NE / 0`; S ? 6IT EDGE 893.2lS `. OQ),893 4 a, o f ? hC5 893.9 X 893.4 ? 94'EB ? I ? 10 / ?O a' u $q3 f asz.s ; a? / ??, ; ? 1 •?J ( ^- oO ::?,?i? 45)1' 899.8 /? S p 3 O? \ 7 -v a: ? ? ? e 0 RDa s 2 n?' 9 .1 a ? r,) ` 902.5 &4 J Tc?ELE. R' 7 Os??0? O ' 6L89?5.2 M a? .00` ,.? U 1?0 n P 1??? 5.6C i 899.8 ?08 ry`?'90p o? ? .690 ,? 3 9Or,, ?t / o°' '?-T Sm ? ,?o ? 90 .3 9S ? ?01903.7 895.7 901.5 7 y? ? . / ?i ^ 7 9oo.i ? ` _ l \\` 70 h . e9po o ? ` ' • ? ? 9 „ 0 999,7 \ \ SZ'LT /f?G?G? 9? BENCH MARK TOP OF PIPE aENCH MARK ELEV.=897.84 ?ryqA,? ,8994 M TOP OF PIPE ELEV.=90123 ? E9? W ? M`(i' PRf1PhCFlI HOUCF FI FVADON aOTE: PftOPOSED CRADES SMONN PER GRAUING PLAN 8Y: E.G. RUO LOWEST FLOOR ELEVATION: _391VI/ NOiE. 6UILDING DIMENSIONS SMOWN AftE FOR MORIZONTAL ANO VERPCAL LOCATION TOP OF BLOCK ELEVATION: gOZ. A OF STRUCNRES ONLY. SEE ARCMIiECNAI PLANS FOR BUILOINC ANO rour+onnon oiMEnsoNS. GARAGE SLAB ELEVAt10N: 90 7, 4' NOiE: NO SPEf!FIC 5(hL5 INVESTIGA71/?N HAS BEF.N COMPL£7F0 ON 7HI$ LOT BY THE SURVEYOR. iHE SUITABILITY OF SOILS i0 SUPPORT iHE SPECIflC MOUSE TOB *LOOKOUT ELEVATION: PROPOSFD IS NOT TNE RESPONSIBIIJTY OF TFIE SURVEYOR. NOIE: THIS CERTIFlCATE DOES N0T PURPORT TO SHOW EASEMENTS OTHER THAN % 000.00 DENOiES ExISTING ELEVAPON THOSE SHOYM ON TNE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSEO ELEVATION --- DENOTES DRAINAGE AND UiIUTV EASEMENT NOIE: CONTRACTOR MUSi VERIFY DRIVEWAY OESIGN. - DENOTES DRAINAGE FLOW DIRECTION NOIE: BEARINGS SNOWN ARE BASED ON AN ASSUMEU OATUM t DENOlES MONUMENT $ DENOTES OFFSET MUB WE HEREBY CERTIFY TO MANLEY BROS. CONSTRUCiION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: LOT 1, BLOCK 1, OAK BLUFFS DAKOTA COUNTY. MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 27 DAY OF NOVEMBER, 2000. I SIGNED. ONEER ENGIN RIN , P.A. SCALE : 1 INCH = 30 FEET ? BY: ? _ J n C. Larson, L.S. Reg. No. 19828 *dtV oF eegan PATRICIA E. AWi1nA Mayor PAULBAKKEN PEGGY CARLSON CYNDEE FIELDS MEG TILI.EY Counal Members THOYIAS HEDGES Ciry.°,drtiinimamr Municipal Center. 3830 Pilot Knob Road eaga,, Mrr 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintrnance Faciliry: 3501 Coazhman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.ciryofeagai.com THELONEOAKTREE The rym6ol of sirength and growth in our mmmunity 1 st Notice Letter Apri15, 2002 MANLEY BROS CONSTRUCTION 4179 ETHAN DR EAGAN MN 55123 RE: PERMIT #:43881 ISSUED FOR: NEW SINGLE FAivIILY, ON DECEMBER 8, 2000 SITE ADDRESS: 4134 ETHAN DR Dear Kevin : Our records indicate that required inspections have not been completed on the permit listed above. Inspections aze necessary to ensure that the work for which the permit was issued meets all life safety requirements of state and local codes. Please call 651-681-4675 within 30 days of this notice to schedule an inspection. Be sure to provide the permit number at the time of scheduling. If, for some reason, your records indicate that inspections have been completed and approved, please supply us the date of the inspection, as well as the initials of the inspector who approved the inspection. We want to thank you in advance for your anricipated cooperation in this matter. Please do not hesitate to call if you have any questions or concems. Sincerely, Inspections Department cc: Property Owner: Michael Wade, 4134 Ethan Dr, Eagan, MN 55123 Siteaddress: R-tWth1 DP-1\J E., Lol-L 81ock ? Subd. CAlL RiuFT--S ? 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 Cityoof Eagan is requiring that fhe following informatiop be submitted prior to issuance of a Certificate of Occupancy. ? This structure: is constructed to meet rrinimum requirerTfeats of the Mn Energy Code, Ghapter 7670 OR ° _ Thfs strucWre: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S °VENTING7YPE Water Heater Iv+ h. Fumace a .? ,C\1 A AS- PC? e (Iv, GU 14 ?C lAD.duv Su.. Dryer X " ' EXHAUST SYSTEM LOCATION TYPE MODEL CFM's. VENTED Yes xo Kitchen kitchen Bathroom 1 1)T- Bathroom 2 Bathroom 3 ?? ?? l o cw S( ?' Bathroom 4 Other FIREPLACE S LOCATIDN GAS WOOD MANUFACTURER MODEL B7U'S VENTING DIRECT Aimos „9 ?kti X ?! Fv`? s? ?noo '?ee? MAKE-UP AIR MODEL TYPE CFM's V ?? 0200 Q I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Cbde and City of Eagan requirements. ?/ 9 d,. ? -Sign`ature Dale S??a-?t? ?•v CompanyName ' This form is the responsibility of the General Contractor. ° Address: 4134 Ethan Drive Zip: 55123 Lot: 1 Block 1 Subdivision; Oak Bluffs THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTIOIi ON Yes No Comments Final grade - 6" from siding ?f Permanent steps - garage ?l Permanent steps - main entry ?l Permanent driveway ? Permanent gas ? Sod/Seeded lawn ? TraiUcurb damage ? Porch ?I Lower level finish ,f Deck ?I Fireplace ?l Verify with your builder that roof test caps from the plumbing system have been removed. Turn off water supply to the outside lawn faucets before freeze potenrial exists. Call the City's Engineering Department at 651-681-4645 pnor to working in right-of-way or installing imgation system. BUILDING MSPEC'fOR: TERRY ZELENKA (651) 681-0679 cd/61dgnsp/f6rms/20021final inspection chxklist PERMIT # RECEIPT DATE: MIDFIVTI!!L PLUM$INFi PFIMiT APPLICATION CITY OF F-A6AN 3830 PaoT xivoa Rn EnsAv, Mx 55122 651-681-4675 Please complete for: ? single family dwellings : townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: k_?VlZ - STREET ADDRESS: TELEPHONE #: (AREA CQDE) TELEPHONE #: t . -r--, I t4Z3 -I I U d _ (AREACODE) CITY: STATE: ZIP: ?5EOkR Place a check mark next to the permit work tvpe New residential dwelling unit under construction and not ownerloccupied $ 90.00 ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new install ' re airlrebuild of RPZ • la ' ation s stem • water turnaround Ncture ot work: Septic System, new/refurbished - $ 225.00 • includes Counry & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Toia l $? Reminder.• Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this applica[ion, state that the information is correc[, and agree to complywith all applicable City of Eagan ortlinances. It is the applicant's responsibility [o notify the property owner [hat Ne Cily of Eagan assumes no lia6ility for any damages wused by the City during its normal operational and maintenance achvities to the facilities constructed under this percnil within Ci Aropertylri9ht-of-way/easemenl. . SIGNATtORE OF Updated 1101 Rpr 06 01 09:35a Gre6 Hancock 952 949 2211 P•1 a -? ? aAz9-Y c I7Y oF EA &A^/ T?Y DATE: April 6, 2001 TO: Troy- Manley Construdion FROM: Greg Hancock- Windsor Regional Sa{es Manager SUBJECT: ?- 4134 Ethan Dr. , This memo is a confirmation of our discussion today reparding the window installation at 4134 Ethan Dr. in Eagan. As i mentioned we do not normalty recommend using stapies to install windows so I inspected the instailation to make sure there were no probiems that would present a warranty Issue. Upon inspection I determined that the windows are installed properly and there are no isauesthat will effect the long tcrm performance of tht windows. Should you have any questions please give me a call. Thank you. CC: CITY USE ONLY PERMIT RECEIPT DATE: 3" ? 4v MIDENTIAL MECHMICAL PEfiM1T APPLICATiON crrY oF Ewsart 3830 PaoT xlvoe Rn RAHAN MN 55188 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITEADDRESS: ?/ 41-? •`?- Z/ --- OWNER NAME: 1-772r, Zg> TELEPHONE #: (AREA CODE) INSTALLER NAME: ??1.i7?C /7lt'Ghettc t?e_l' TELEPHONE #: 9?,-7- (AREA CODE) STREETADDRESS: ?/GSD.S LQ?yY?>d I?''P CITY: ? ?STATE' ? `? ZIP: SS?Sa2. Dla'c ? rhu'4 m>r4 ncvi 4n #6n norroi# wnr4 4vnc New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner I • other Nature of work: State Surchar e $ .50 Totaf $ Remiiider: Call for inspections. Opdated U01 PERMIT# Iq FJqJ + RECEIPT DATE: ?-I9 -U l iiES1DENTUI. PLiJM$INEi PEfiMiT APPLICATION crrYoF EtsAx 3$30 PUAT KPOB RD gA6R14, MN 55122 681-681-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: ??J 7 LcTh? « ?riv?-e OWNERNAME:: ?7LZr??P TELEPHONE#: (AREA CODE) INSTALLER NAME: STREET ADDRESS: TELEPHONE#: 9/?? (AREACODE) CITY: STATE: Place a check mark next to the nermit work tvne ziP: s?3s=z New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Septic System, newirefurbished - R 225.00 • includes County & Consulting Inspectar fees • requires MPC license State Surcharge ^,I, .50 00$ Total I ? MAR 16 I? Reminder: Be sure to schedule inspections of alterations, i.e. water h aters, water sorteners, eic. I hereby acknowledge that I have read Ihis applicaGOn, state lhat the mforma4on is correct, and agr ?Bto compl"y with all apphcabl Ce ftyof Eagan ordinances. It is the applicant's responsibiliry to notify the property owner thal the City of Eagan assumes no liabi6ty for any damages caused by the City tluring its normal operational and maintenance actiwhes lo the tacilities constructed under Ihis permit wilhin Ciry propertyinght-of-way/easement. SIGNATURE OF PERMITTEE Updaled 1/Ot ????/ r/ 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 9?, 0?) New CoreWdion Reauiremenls RemodeVReoair Reouire ments • WN ' 3 registered sile surveys sAwring sq, ft of lot sq. N. of house; and all roofed areas 2 copies of plan ?„ O-`,?- (20% mmmnum bl coverage allowed) 1 set of Energy Cakulations for heated additons P25?? n ?"??y? X 2 copies of plan shovring beam 8 wkxlow sm; poured found desgn, etc. 1 sRe survey for addifbns & decks isetofEnergyCalwlations Addition•iM'?catel(on-sifesepGCSystem V.•.=."';??a 3 copes of Tree Preservation Plan'rf bt platted after 711193 Rim Joist Detail Optiona seleclion sheet (bldgs wifh 3 or less unifs l Date 4? Construction Cost Site Address W?h`N 0 UniUSte # ? Descripdon of Work V\S:11ktiG?- Multi-Family Bldg _ YA, N Fireplace(s) _ 0 2 Property Owner S??- ? ?P SS??.KI G Telephone # &,5? Schmidt Roofing? Inc. Contractor 130 eS rSO City Address State ooming on, ZiP Telephone #(NS 1) gg%- 4'?( g r1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tviinnesota Rules 7670 Cateeorv 1 _ Minnesoh Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Subrnitted SubmiHed . Energy Envelope Calculations Submifted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Teiephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a pernut, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. S Applicant's Printed Name Applicant s ignature CERTIFICATE OF OCCUPANCY EA043881 City of Eagan Department of Building Inspection This certificate issued pursuant to the requirements of Minnesota Rules Chapter 1300.0220 of the International Building Code certifying that at the time of issuance this structure appears to be in compliance with the various ordinances of the City regulated building construction or use. For the following: .Business Name Permit Number _EA043881 Construction Types: VN Zoning R -1 - Code Edition. Occupancy Groups R-3 Building Address 4134 Ethan Dr Building Owner Manley Brothers Owner Address 646 Lexie Court .'.Sprinkler System No 5/6/2002 Building Official Issued Date PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155278 Date Issued:05/07/2019 Permit Category:ePermit Site Address: 4134 Ethan Dr Lot:1 Block: 1 Addition: Oak Bluffs PID:10-53400-01-010 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Catherine D Vergin 4134 Ethan Dr Eagan MN 55123 (612) 414-2263 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature CitC\\L.,( � For Office Uses •�• Permit#: E AGA N Permit Fee: /(.-7 ( RECEIVER Date Received: v ' 7;7 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-8535 1 FAX: (651)675-5694 AUG 2 2019 Staff: buildinginspectionsAcityofeagan.com 2019 RESIDENTIAL BUIL' APPLICATION Date: 9[t /l9 Site Address: if( 3 V C411‘am_ p rI V e Unit#: Name: C4 t4; Vtr1 i K Phone:, 6!Z-Y i V —2.2 6 Reaklentl Q Owner Address/City/Zip: 5 • A /r- �I('t Applicant is: Owner Contractor —/ � 4 (1‘.5' Description of work: peck- ~ r epf q c . o[t c. 4/-ot r4' ,' o Kl Type of IVork 1' Construction Cost: 4 600 0 Multi-Family Building: (Yes /No ) ) Gre e.+A. dQ Si$ Contact: Jere w•r r` Company: Cr fI Address: No 3 /2-2-"I S+, i ft(S Contractor city: Gk�p�t w� WI 6 51*ZO6.68 49 �, State: Zi S Y 7 29 Phone: Email: J rem?. C ra'►,cnst w Q 41_c o,k License#: BGb Y 211 s Lead Certificate#: iV/A If the project`iss exempt from lead certification, please explain why: !Yo TL- d1 S�'�rb?�t aity eAc tr.ye" s' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer.&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you Submit are considered to be public information. Portions of the information maybe_ classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00aherstateonecall.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 appro . Je re•r,y Cegy ..-`d•( x Applicant's Printed Name Applica s Signa 9- (6-7/-21e qi3 --lit IQ 1 /. --7- - 77 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation — Fireplace _ Porch(3-Season) _ Exterio•Alteration(Single Family) -ic► Single Family _ Garage _ Porch(4-Season) _ Exterio-Alteration(Multi) Multi y► Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex l Lower Level Pool Accessory Building WORK TYPES , _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior 40 Alteration _ Fire Repair _ Windows _ Demolish Foundation 1 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation c/ of DC)• Occupancy -r72.6.,--\ MCES System Plan Review Code Edition tm1,1Z.ot Sr SAC Units (25% 100% )) Zoning —1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings 'Length Fire Suppression Required Type of Construction V r3 Width • REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) 6) Final 1 No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: L AA... Y'\ =�/' 'ft , Building Inspector l RESIDENTIAL FEES L/4 L/ 59 . ��- pec .--i-S7-41/ R Base Fee i Surcharge g /3 0£3 s5 . ft Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3