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4191 Lexington WayINSULATION INSPECTION CHECKLIST FOR RESIDENTIAL BUILDING PERMITS PROPERTY LEGAL: ? ?l ? ?/?y/'PBvt S t ,rg PROPERTYADDRESS: INSPECTOR: INSPECTION DATE: m o ¢ r Z Z SITE GRADING ? fd ? All slopes 3:1 or flatter? , ? ? kl' ? Slopes steeper than 3:1 require retaining wall Are re ing walls present? 0 Does grading conform to As-Built Grading Plan (+/- 1 foot approximately)? ?? Does perimeter grading tie in well with adjacent properties/undisturbed land? .g' ?? Is there proper grading and/or drainage around Lookout or Egress Windows? EROSION CONTROL ?? ? Is Silt Fence (or approved equal) installed and in good working order? ?'Er ? Is Sod/Fiber Blanket installed behind curb? ?a' 0 Is the Rock Construction Entrance/Driveway installed and in good working order (proper type/size of aggregate, clean-not covered with soil, etc )? ?.e G Is temporary vegetative cover w/ mulch present? ?.s' ? Is permanent vegetative cover w/ or w/o mulch present? (cirde ane) CITY EASEMENTS AND UTILITIES .E' ?? Are all easements clear-no part of any 6uilding/deck/porch/retaining wall/etc. encroaching in easement? ?? Jd' Are catch basins present within the property or in the street in front of the property, if so are they clean, do they have the proper erosion control in and/or around them? ?,g ? Does the property have an Emergency Over Flow (EOF)? This can be found on the Certificate of Survey. If so, is it present and has it been graded properly? MlSCELLANEOUS ITEMS ??? Is there tracking present on Public Right-of-Way/Street from construction site? -Er ?? Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line) ? 0 ? Is the site clean, no trash antl/or construction debris lying around? .B' ?? Was the proper type of building constructed according to the approved grading plans? (L0, WO, FB, R, etc ) Address: 4191 LEXINGTON WAY Zip: 55123 Pel71567 THE FOLLOWING TTEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON : 11-10Z Yes No Comments Final grade - 6" from siding Permanent ste s - arage Permanent steps - main entry Permanent drivewa Permanent as Retainin Wall or 3:1 Max Slo e Sod/Seeded lawn TraiUcurb dama e Porch C 6e.N Lower level finish Deck Fireplace U ?? 9 l? 1L?. • 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 potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in irrigation system. V EUIL?ING INSPEC70R: GBidg Insp/Focros/2007/Checkhsts right-of-way or installing 0 New Construction Project #: 1422 Lot: 2 Block: 1 Subdivision: Evergreen Enclave MN Contractor License #:2197 Office Ph: 952-895-8448 Fax: 952-736-9174 Cell Ph: Address 1: 14311 Ewing Avenue S. , suite 200 City: Burnsville State: MN Zip Code: 55306 Date: 6I6/2007 Revision Date: 616/2007 Site information Address 1: 4191 Lexington Way Address 2: City: Eagan County: Dakota Application Information Business Name: Windwood Homes Contact Person: Darrell Judkins House Details Square Feet: 3268 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 3 Ventilation : Balanced Total Ventilation Capacity : 129 cfm. Minimum Continuous Ventilation :60cfm. intermittent Ventilation: 69 cfm. Combustion Appiiance Water Heater: ? Fumace/Boiler: Direct VenUSealed Combustion Input BTUs: 100,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): ?el Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s) No Solid Fuel Appliance(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 ExhauEn Rating (cfm): 75 Make-Up Air No Make-Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Have Been Met. --_- -- - ----?-_ _? /? Applicant Name (print): -??r r rc- u?/0 n s SignaturelDate: Code Offcial (print): Signature/Date: 0 2004 CenterPoint Energy Minnegasca. 2004 Mechanical Code Guidelines. Page I ? Site address: Lot""L Block ? Subd. ?= ion poM ? ??y Y?yy`e? On April 15, 2000 the Minnesota Energy Code, Category ! Building Requirements for insufation protection, air tightness, and ventilafion, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. ? This shucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This shucture: will be construcfed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANLIFACTURER MODEL BTU'S VENTINGTYPE Water Heater Furnace ? Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED vES No Kitchen kitchen N U n_ ? p ? • Bathroom 1 Y Bathroom 2 ftlo? Bathroom 3 L? Bathroom 4 Other - FIREPLACE 5 LOCATION GAS W00D MANUFACTURER MODEL BTU'S VENTMG i DIRECT ATMOS ? /17(( !`A4 1 1 4 r? I ?- mn" i?- V-)P42 -r,i.._ MAKE-UP AIR MODEL TYPE CFM`s r B? /00 a . I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements A I Si9natqef /7 /J ; j Date Company Name * This form is the responsibility of the General Contractor 5??9-567 7,O-78,3?1 2006 RESIDENTIAL BUILDING PERMIT APPLTCATION PL_'7S51v SS City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?1 ?6 -7 New Constmc6on Re mrements 3 registered site surveys showing sq fl of lot, sq fi ot house, and all roofed area: (20% maximum loi coverege allowed) (?,2 copies of plan showing beam & window sizes, poured found design, etc 1 set of Energy Calculahons copies of Tree Preservahon Plan if lot plafled after 711/93 Rim Joist Detail Options selechon sheet (buildings with 3 or less units) ,Afinnegasco mcchazucal venhlahon fonn RemodellReoair Reauiremenis 2 copies of plan showing footmgs, beams, joists 1 set o( Energy Calculations for healed addtlions 1 sde survey for additions 8 decks Adddron - mdirafe 6 onsde septic sysfem l1? ? ? 25/ 0 DI(fCB U58 OFllV GertofiSuNeYRGGd 1C"¢ rti kee Pres Plan Recd -Yk--EJ Trpe Pres Requhed _ Y i.,,,.fV On-siEe3sp{ie5}stem -Y _N Date Construction Cost 77D Site Address Unit/5te # Description of Work / Multi-Family Bldg _ YXN Fireplace(s) / 0 _ 1? 2 PropeMy Owner Telephone # ( ) t Contractor Address City State Zip+? Telephone # 0XS? Q? ? ,??T? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ? Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 EnOfgy Code Category • Residential Ventilation Cate9ory 1 Worksheet • New En / (Jsubmissiontype) Submitted Submitt FT??LJ v? . Energy Envelope Calculations Submitted ?UN 7 4 2007 In the last 12 mon,fhs,_has the City of Eagan issued a permit for a similar plan based on a master plan8 Y X N If yes, date and address of master plan: TL Licensed Plumber Telephone #(af) Mechanical Contractor Telephone #(? l ? Sewer/WaterContractor d?Jn?z-{?%?o.t ?Telephone #??ll?T I hereby apply for a Residential Building Permit and acknowledge that the information 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 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 ?YrP I?Z?J. r'rs ? Applicant's Printed Name App icant's Signatur DO NOT WRITE BELOW THIS LINE . Sub TVpes ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg A 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex C] 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work T es 37 New ? 35 Int Improvement ? 36 Demolish Interior 0, 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation Q 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSCriptl0il: WaterDamage_Yes s Valuation -30pi"06V Occupancy -3 MCES System '-" Plan Review k?-' 100% or _ 25% Census Code /0/ Zoning City Water SAC Units 0/ Stories Booster Pump !A° # of Units Sq. Ft. ? PRV # of Bldgs Length fpQFire Sprinklered ? Type of Const ?. Width 215 ' REQUIRED INSPECTIONS ? Footings (new bldg) Sheetrock _ Footings (deck) ? FinaUC.O. Footings (addition) _ FinaVNo C.O. ? Foundation _ HVAC Drain Tile Other Roof ? Ice & Water ? Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco Lath _ Stone L.ath _Brick ? Fireplace _k R.I. -i-Air Test t Final _ Windows JL Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?C ?c ?? /7oo g9 Utir%? l'-'w 133..77- ? /?J G /G230@ 79-?g- 1 WII,e,9 73'? °JAn.i}S,7, 7 19 W? pb?cl" /;'" F'ui.. /),f Ck / 6 6- @ P /- -srnsnv ?3rl-n7 Vo?' '3 .2.A`7 ? 3ty ?1 2 " 0G?4 ?4! oZo ? ",?" ? ?o7laz3 ?' Permit Number REScheck Compliance Certificate cneckea sy/Dace 2000 Minnesota Energy Code REScheckSoftware Versioa 3.5 Release ld Data filename: C:\Ptograui Files\ChecklREScheck\Customer Files11422 Czaplewskisck PROJECT TITLE: Czaplewski Residence COLINTY: Dakoh STATE: MinnesQta ,. , ZONE: 2 CONSTRUCTION TYPE; Single Family , DATE: 06/20/07 DATE OF PLANS: May 29, 2007 PROJECT DESCRIPTION: Lot 2, Block 1 Evergteen Enclave 4191 Lexington Way Eagan, MN DESIGNER/CONTRACTOR: Windwood Iiomes COMPLIANCE: Passes Maximum UA = 486 Your Home UA = 402 173% Better Than Code (UA) Gross Glazing Area or Caviry Cont, or poor Perimeter R-Value R-Value U-Factor UA Ceiling I: Raised or Energy 1Yuss 1872 44.0 0.0 41 Wa11 1: Wood Frame, 16" o.c. 2493 19.0 0.0 116 Window 1: Alwve-Grade:Vinyl Frame:Double Pane.with Lqw-E 427 0.350 149 Door 1: Soiid 40 0.100 4 Door2:Glass, 66 0350 23 Basement Wall I: Solid Concrete or Masonry 1197 11.0 0.0 69 Wall height: 9.0' Depth below grade: 8.0' Insulation depth: 9.0' Fwnace 1: Forced Hot Air, 94 AFUE Air Conditioner 1: Electric Central Air, 10 SEER Proposed and Maximum U-FaMor Averages Proposed Maximum Average U-Factor Allowed U -Factor Above-Grade Windows and Glass Doors ' 0.350 0.370 includes Foundation Windows > 5.6 ft2 COMPLIANCE STAT'EMENT: The proposed building design descnbed here is consistent with the building plans, specifications, and other calculations submitted with the permit appl'catioa The proposed building has been designed to meet the 2000 Minnesota Energy Code requirem m RES chec Version 3 Relea ld (formerly MECchecq and to comply with the mandatory requiremems listed i the RES checkl}pectip5 ecklisj.? ? Date -- e 7 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION L PROPERTY LEGAL FJ??' ?I E ICNL:.IS l C VCf?1 ! CT%4 DATE OF SURVEY: LATEST REVISION: d rn c m t U O z ? ¢ DOCUMENT STANDARDS ,2( ? ? . Registered Land Surveyor signature and company ? ? • Buiiding Permit Applicant ? ? ? • Legal description ? ? ? . Address '2 ? ? • NoAh arrow and scale .et ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ,g ? ? . Directional drainage arrows with slopelgradient % .8' ? D • Proposed/existing sewer and water services & invert elevation ,g ? ? • Street name ?? ? • Driveway (grade 8 width - in R!W and back of curb, 22' max ) ? ? . Lot Square Footage '0 ? ? • Lot Coverage ELEVATIONS Existina ,B 0 ? • Property comers ,d 0 0 • Top of curb at the driveway and property line extensions ,g ? ? . Elevations of any existing adjacent homes ,Pf ? ? • Adequate footing depth of structures due to adjacent utility trenches ? ,B ? . Waterways (pond, stream, etc.) Prooosed ? ? D • Garage floor J2' ? ? • Basement floor ? ? ? . Lowest exposed elevation (walkout/window) .Ja ? ? . Property corners g• ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? fa ? • Easement line ? jd ? . NWL ? '0 ? • HWL ? ?w ? • Pond # designation ? F2r ? . Emergency OverFlow Elevation ? ,H ? • PondlWetland buffer delineation . Shoreland Zoning Overlay District ? N • Conservation Easements DIMENSIONS ? • Lot Iines/Bearings & dimensions ? ? ? • Right-of-way and street width (to back of curb) ? ? ? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all strudures requiring permanent footings) ? ? ? • Show all easements of record and any City utilities within those easements Z o ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ;' ? ? • Retaining wall requirements: Reviewed By: Date???7- G:/FORMS/Bu ilding PermitApplication Rev. 11-26-04 I 1?161p ? L (; T 7 oaaNAce u+o uriuir ensernErrr 1,Z.o> I l?\ ° e,z.z oJ,yO / ?/// /x +'L / I \ ?563\ ?-- 3 1 \S7, ? U ? ^m y ? p ? 436 ` Z I ? `\ c N89'42'44"E 6.0) O .y0 147.83 9pp (94 946.1 i--° ?-G-? 77- rp? gs; ' S?IVSER?71(? -'0$EME9T Z? ? lr fS4.? 968. 554 969.1 ?1 97 \\ kQ I // /? / 5840 )596 • 10 a u i -%--,- °?' ? O ?? ` \ 9"./ X F ' lY-i.' 1 566?\ \ \ \6 1 X •54. ?556? ? l ? ? I I I i ?• , I ? 1553 II 4s93 • 59< ? 3:9 AAattirnuesn SkVw or Retaining WaNq WUI Ba Rsquir? ----j Ul,?l? uw? ?p?L°306??4?G3 GON14L°300 L? ?? nvo. 971.8 •sZ?55ABa9) =0?C/ X 9 ? ?Se?x97z.9 ? ? z o' O ? m Z / II i to 978.6? i? ?"9?1 ^m m N -?° Z 40.50 5.66-, m 76 19 D II, 0 3:si-` a? 78.0 ? ??6q 9xs.s B''x 0 N? ?ge6 ? 98s.a?°`. ? ? w z 9 q. VI W ? I 5.6 ??I 95 ? . ? . f9dS 1 o v> ry k Ke?p.s) 00 Nal^I 1 1" COPPER 98tp.1N?'96g2 r?,a?S (sso ?a I 97 5 INV. 9699 PVI 4/? 0 r-w a.oo , ei 133 pp093 W m 6 ? s1s'p ?. ? g g19e I . m 5N9 ,d c 20'PIN • 978.5 N < `4 rn I 541 I 5 1978.5) 32.00 x 980., f 97?.5 XS 3 8 5 o 2C.47( 978.6 `` T i =(V 977.9 /? J? .00 / ? 0 o HUB-J75.4D 976.1 / 976. Q 9 9?77.4 ? Z . 945.0 162.84 6=00'48'32" R=1153?14 964.5 (sas.o) 146.11 S89'4540'W 977.9 (sn.s) . .. ...... ........ \ .. :.- .::.. .. ..::::. . _ .. :.... ...... ... pEApGAp?Np(?(? C.S.A.H. NO. 30 (DIFFLEY ROAD) ?C( - `02 • -^TIOfVS DY1lISIOR! ? I ROE R/111EA3?911iYElOli3 PENGINIEPERING . COMANV, INC. `1000 FA.4f 14lN SREET. BUWiSN.LE YIMffSDTA 55537 PH 1 L BY . E 'V? Date 6:AGAM £sRIC'ndNEERiNG DF,f'fG YH 984.31 DIP \ CERTIFICATE OF SURVEY Legal Description: Lor 2, BLOCK 1. EVERGREEN ENCLAVE, DAKOTA COUNiY. MINNESOTA 975s DENOTES p(ISTING ELEVATION (980.5) DENOiES PROPOSm ELEVA110N INDICAiES DIRECiION OF SURFACE DRAINAGE aeo.aa a FlNISHm GARAGE FLOOR ELEVATION snso a gqgpAENT FLppR ELEVATION 981-? = TOP OF FOUNDATION ELEVA710N •sas DENOTES NUMBERED TREE PER PRWECT PLANS LOT AREA: 51,911 S.F. HOUSE AREA: 2993 S.F. ( COVERAGE = 5.8% ) SCALE : 1" = 40' (INCLUDING PORCHES) HOUSE TYPE : RAMBLER - FBWO ADDRESS: 4191 LEXINGTON WAY BENCHMARK: iNH AT L5-B7 ELEV.=985.89 HfliEBT CFAIIFY IHAT iM15 PUN WAS PRFPMm REIVISIONS PREPMED FOR: ?? ?? IY ME OR UNDQ2 MY DIRECT SIIPFRY190H ANO /7L7DTTT?/? ? T11 1HAT I A4 A DULY IICQlSED UND SURVEYOR UNOEIt pyw urz OF S V?{t ' 1 ?..Li?ai.c avay aL nHe uws n{e srAre ov INNE50TA NANDWOOD HOMES .n.m n t ? ? ?T BLOCK 1 1 I?i ? EVERGRE EN ENCIDE ° ? ?0q0 i DA1E REC. NO. 19pB8 YL-7000 ' UANOTA Cq1N7Y. MINNESOTA ? Js o .545 , J FROM • INSULRTIONSUPPLIES _P 7656 -7 PHONE N0. : 612 931 0669 N/9l Lex. ody Nov. 29 2006 04:59PM PS/ ?.. 7 Polyurethane Spiay'FO Closed-Celi lnsulaii om!, . . rechn+raJ oatnshzea 12/0 Produ<c Dct:cr:puun UCSC's SFC 2.5 HT is a twotomponent, closed-cell, polyurethane foam system, designed f0t spray applications. 7h15 foarti System offers high compressive strengths, smooch aes2he2ics and a broad applicauon temperaTUre window for eztended projed opporturtitfes. Aker inst0llation SPF provides seamleSS protection by sealing cracks, trevicES and hole5 while in5ulating decks from temperature exneme5. Palyurethanefoam also eliminates condersation preventing mold growfh, enhances ene+gy efficienty and lowers lifecycle costs by providfng a low maintenance deck solution. Unique PropPraes t1C5C5 A'component is 2 polymeric isocyanate cantaining reactive isocyan2te groups. The "B"componen[ is a combination of palyds, catalytit agents and HFC-245fa blowing agenc. The HFC-245fa. [hird generation blowing agenc, affers zero ozane-depletion technology to help protett Lhe environmCM- Recommenclyd U;e,. • industrial Roofing Systems • Residential Roofing Systems •lndustnal Air Barrier Systems • ResidenCial Air Barrier Systems • SrorageTank Insulatian • Aggricultural AppliwCions Environmental ConsideTation and Subst:a,e i. - In Place Deisity: . '? ASTM o-1622 ? ? 2.5 ' ComWeRives: ASfMD11621 .., ,.;, ? ?., . , •, ParalleftoRlw , ` ; ':';AerpEl?iC UlaGtaH iSE: ? ??20 ' ' ,:ETe?i(e5treriy?tlti?: - ; . ..ASIT!1?6?1623 . . r - ? ?-a : .;,.+ ii'?alleliowse•'- ,- ? •z-.?;;:;F'?-?ti;?;'•.,F:i. i.A 40 . kSfMG273' _-•y'''?, i? e 6jiLr':^,4 Temperaiures Cogniiance of anti<ipaeed dlmaeic conditions prior to apphcation of the mixed components is essennal in the formatlon and resultant effidency of the polyurethane (oam insulation. Ambieni air and substrate [emperatures. moisture, and vnnd velocity are all vitkal factors in sefecnng the appropriate reattlvity formulation. Variatiorts in ambient air and sV6stratetemperacure will inFluence the chemical reaction ofthe two components, directty affecting the expansion rate, amount of rise, yield, adhesion and che resultanc physical properties of thefoam insulation. To obtain optimum results, polyurethane foam syscems should be spray-applied to substreees when ambient air antl surface temperatures f211 within a range of 50^F to 7200F. All subsirates to be sprayed must be dry at the time of applicaiion. Moisture in the form of rain, fog, frost, dew a high humltlity (>85% R.H.) will reatt chemically wkh the mixed components, adversely affecting the polyurethane foam forma[EOn, dimensional stabiliry and physical properties of the finished product. Wind velacitie5 in excess of 12 miles per hour may result in excessive loss of exotherm and interfere with the mixing efficienq of the spray gun affecting foam surfa[e texture, cure, phy5ical properties, and wiH tause oversproy. Precautions must be taken [o prevent d3mage to adjecent areas from fugitive oversprey. GeainTime, sec"' TaClc Free7lme RlseTirm SfC. CureTime, hr. . _. ., ;c.. .? • • . . , " :.,.. _ ndsel??oii7arl? . , ' 1NnmY(W . .. ? .4570°f. i.S2S 5-G 9-it 4 : ? _ : ;,: •?•,,s V) FROM : INSULqTIONSUPPLIES T... ' . . cia,ne Speead Underwmai I nb0ral1111e Ul 723. Surf.1<c Nwmnp Charz<rcd;6ts Smoke Dev¢lopmen[ 45TM CImiI i !?+a b [6n: III Methal E 8a77A '.;i.1 5 I I 4 f !, Tun-ni I Tta( <LS • /i NM-r)ted ?ASU .450 Noo-rated ..3. Thesprayeqwpment used ioappy the iiquid components snall beofihe heaeeA, airless type <apable of svppiyirg each component wrth t Yib of 2he mixing rata by volume (SO pan; A ro 50 part5 B( I 1)) and mdinWining a cemperamre d the m«ed componencs at the spraygun of 125°5•1300F. Optimum componenc sprayipg pres;ures and [emperatures wYl vary as a funccion ofthecypeof equipment utilued, material system useci ambiem andsubserate condmons, anA the zpeciFic appL<a[ion. 7horougn. intensrve .. mimngofthemmponentsatehespraygun,eitherbymechamca6hydrauhc, ualrutionisessenvaltoprvdudngaccepiaNefoamqualiry Idealmaterial Orum [emperature5 fpr spraying 5hould range fiom 650F m 85^F, InYOlder .. vaauher ( soOF is noc recanmerded), Ll transkr pumps are rec«nmended . duemtheeffectsoflowerremperaturesanliquidcomponeneJi^,cosity limitlng ifie Supply of materlal to the WOportionitg Vnit Contdct UCSC ltd7echnkal Service Peaonnel for wxfit recommtMdations pricing, aM avaflabiliryofsprayandauxJiayequipmmL CAUTiON: EYtreme [22 must be taken whcn removing and reinstallnry drum tansher pumps w as NOT io reverse the A°and"8" ' [OmpoMMfi . ThecuseofpoHurelhaneorpolyisocyanurairfoamininteriorapplkanosmwalls orceilingsmaypmsent anumea5onadeflre hazordunlessthefoamisproMC[ed 'byanapprwed.fue-resistrve.l5-minuretherm3lbanier.Athermal6arrierisa rc+aierial,apqiieQovr,rpo{yumthanefuam,tlesiqntd roslpwthe[empera[ure rise of the foam during a fire situation and to ANtay the foam's inwlve.ment in a fire. . A IwlKing code definrtion U an aPProved tnermal bamer is one, which is equal . inflreresisl'ancrtoR7mm(1Rincb)gypsumboad SuchMermalbamers ' .limrtchemmpera[ureriseoftheurMeripngpolyurertwnefoamtono[maethan 721'C (250°F) Bkfr 15 minutet of fire expo5U2 compYying wrth the stardaW pmEtEmpC+aNretui VCOfASTME779(7e;tMethods(wFireTestSOfBullding ' CenS[ructionMatefials).ThMmal barrierSmeeLngthicaiterionaietarmEda"15 minutethertnalWfricf'Ot dassifiedashavingan 'ind2a0f15: 'NutMalSaferyP5u5neetsareavallableonthispolyurettianefoam . matenaL Arry IfWividual who may mim in contattwith these protfuccs shouldreadandunderitandMeM5D5. Hantlling ana Sufery " Respvatery pmtection is MANDATORV! Contact UCSC LLd. (or a cOpy af the Moeel Rrpiratwy Protecnon Program developed 6y API or visrt iheir , wehsieeatwww.polyurefhane.?xg. Personswithknownrespl2mryaliergles . shouWavoidexposure [otheA"cemponentThe"A"mmponen[ eoriWinsreacCrv24tocyanategroupsWndptheB°componentconmins amine aad/ororgaiwmetalGr camlysu with blowln9 agenK Both matenalt , mus[ be handled and uscd with ade7uale ventilation. The vapors must rrot - exceed cheTLV (0.02 parts per mdlion) (on5ocyanaces. Avoitl breaching vapors.wearaNlOSHapproveamspirocor.lfinhalauonofvaporsacur, remove hctim hom corrcaminated area and administer wrygen if breathing i5 di(kult Call a phy'vfw90 immeCiately. AvOid tOntaR wi[h Skin, eye% aiWdathing OpenconcainerscareM1illy.allowingam/preswre tobe • relievedslowlyandsafey WedrChertnCalsatetygogylesdnd`ubbergfoves , vJnBnhandLngMworkingWththe;emTtnrials IncaSeofeyeCOntxt, immediLtelyflushvdthlargeamarMSO(wat9r faatleaztfi(Rit, minutes. . Cdll a physkian. In caze oF Sk1n contact wa;h area vnth eeyp and watCr. ? Washdothesbefomreuse Fre Hatard Fireq involving eitFMr of the5e cAmponent, r11ay Ae exnngw5hed wiN cafbon dioxide, ary diemical, w inert gas Apphcannn of large yuaotrti?c ofwater :pray is recommended for spll flres Per,nnnef fighring the f re mus[ 6e equipped with WoSH approved self•cwtained breathirq apparacus. Cleeningof 5pi11saLeakage Cover the area wah an inert absorbc?tt materal such os Glay or vermkulKe and twnsfer m metal waste containers. sacumce wAh waeer birt do rwtseal the con[ainer wkh the isoeyanates and wa[er miz[ure fhe area xhould ihen 'be flushed wnfi Izye amaunts of wacec in che tase of the'B"component. W d 5%aquCOUS ammonia, in Me case of tllf "A'compUnenL Dispoxe of Uese materials in compliance with fecleral. naie and local requlations. Caution:ISOCydnaMs wifl reaCt w¢h w2rer dnd genemtc Wrbon ditixitl¢. ' This couM rewlt m nipNre oi closed comamers DiSGlaimer The tlata {xesented hareln's not m[ended far ur Yry nnnpmkssiofxll 8ppVoPlof£ Of [hOSe pet5ort;wlq do not pUr4hase ot WiY2e thi5 produR in the rrormal course Of their busines: The potentiM User mvst per(orm any pertlnerttcesu in ofdHto determine the product's perfvrmence and 5uitabilily in the incende0 applicu[ion, Since fiml detertnindtion offi[ness of the produa for arry partlcular use is the respon:ibifiry M the 6uycr. All guaraM2P5 dnd warteMiM dS to produl'SS SUpplied by t1C5C ltd. shall hOVC Ohly Nose guA2nWes and wdlfdrtties expR55Pd Oyttle manufdrturer. 1he huyarY sale remedy as to any matercal ctums Nn1l be agalnst the manulacturer o/the produR The a(olietnentioned daca on this produtt rs to be usetl as a guitle and is sublw to change wirhout nonce. The information herein is heliev9d to be reliable, Dut unkrawn risks wy be present NOWnaRANTIES,EXPrsESSEDORIMPLIED.INCLUDING Pq7ENTWAqRANTIESOR WAARANYIES OF M£RCHANTABIIfTY OR FITNE55 FOR USE, ARE MADE BVUCSC Ltd.VVITH RESPECTTO PRODUC75 OR IMFpRMATiON SET FORTH FfEREIN. Nothing r.oncained herein 5hall corwdsuce a perml551on or rxonnru`ndition [o pracn<e any itlvenilon covered by e patent wiMOUt p IKCnSe M1om the owner of the patenc Accorc)mgly, buyer assumes ail risks wi+atsoever os co the use af mete materkls and buyerL exdusW 2medy az to erry breach of warcanry, negLgerx.e, or other aam slwll be Ilmrted ta the purcha5e price of the matenals Failute[Oadheretoarryrcctm+mendedprxMuresslullml'wwe UcX Ltd. and the m,anufacturer of all Fabdity wim respCCt to the materials and their u5ethemof [IC :C P.O. 9oa 6460 Phoenlx, AZ 85005 ? ?? Call SU0.6UY-UCSC (1-800-289-8272) tou Lee p ? 602-269-9717 dlrect ????„?e' ? ? r•?l f?rY• 602Q69-9115 fDk xi a?ociallonat cRp 0 a SPFA? .?a.??,,... ' tnfoobuy..csc.com email , PHONE N0. : 612 931 9869 Nov. 29 2006 05:91PM P, Cr edenuals; CertihI', 1 tiom ThSs prodUrt is ivaJablc ?n l!dss II 1411YImdUnWy t nicr?e, ,?•. %ci fnnh under UnA,vwnte, s tdlooiatnnn! W L 11 i. AS f M C N11, nnd pp5;"ss the tl,vnmahdiry chdr- dCCensnc; b21ow' ?? Oa 2006 RESIDENTIAL BUILDING PERMIT APPLICATION •? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirements 3 registered site suroeys showing sq fl. of lot, sq. H of house; and all roofed areas (20% maximum Iot coverage allowed) 2 copies of plan showing beam & window sizes, poured found desigq etc. 1 set o(Energy Calwlations 3 copres of Tree Preservatian Plan if lot platled afler 7/1193 Rim Joist Dehail Options selechon sheel (6uildings with 3 or less umts) Minnegasco mechanical ventilahon fonn c?v q3 . 4?X5_ RemodellRepair Reouiremenis Offrte lkC.l71114 2 copies of plan showing foofings, beams, joisls CeffqfSUrteyRe.cd: i isefofEnergyCalculalionsforheatedaddiions TtCePr2.5P12A.??CB.>'-:::_Y`_N., 1 sde survey for addiLons & decks 3`4i'.restRtiqyiied'- : -::1''"_N Addifion - indicateifonsdesepticsystem Dn?sSteSepticsy§fein',Y:-,,;,,N 0,rA.A l 01 ? 7 Date?/ Site Address L2y4nG14pn. ?kY ConstructionCost a(S 0oc) Unit/Ste # Description of Work /n5J?11 ?n X.?? /f7 ' 9?nu/1 ??di i I Multi-Family Bldg _ YKN Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner Vic ICT LZ/ 9IPW5k? Telephane#(6Ja ) Sfda' 133S Contractor J S? S li?h n C,, 5 - Address ,?ir)l State {'dl(/1hG p ??-?i?, z?p ?5337 !? City [7I,tYA.$Yi1k- Telephone#(`ISL) Hl'?''/?lCI?U - - _ i n OCT 2 6 2007 rj COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 (? submission type) • Residential Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculations Su6mitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contrpctor SewerJWater Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information 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 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 o£work which requires a review and approval of plans. ? &J ?i/ Me ???o?. ApplicanYs Printed Name Applic, s Signature DO NOT WRITP BELOW THIS LINE '- : Su6 Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex >1?20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 porch (3-sea.) ? 31 Ext. Alt-Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes X 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish 8uild ing' ? 43 Reroof ? 46 VJindows/Doors 1I-3a Replacement 'Demolition (Ent ire Bldg) - Give PCA handout to applicant DeSCfiDtioll: Water Damage _ Yes Valuation ? Occupancy f C - o. MCES System - Plan Review /J& 100% or _ 25% Census Code G/3Y Zoning City Water ? SAC Units - Stories ? Booster Pump ` # of Units " Sq. Ft. 7aZG PRV J # of Bldgs - Length Fire Sprinklered ' Type of Const - Width ?-/ D REQUII2ED INSPECTIONS _ Footings(new bldg) Sheetrock _ Footings (deck) Fina]/C.O. _ Footings (addition) FinaUNo C.O. _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool ? Ftgs ?t'. Air/Gas Tests *Final - FIanung _ Fireplace _ R.I. _ Air Test _ Final _ Siding _ Stucco Lath Stone Lath Brick Windows _ Insulation _ Retaimng WaU Approved By: ------- ----------- , Building Inspector - ---- --------------- Base Fee -------- - - - - -? -----------° ----------------------------------------------------------- ----------------------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 7 Address: POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Applicant Name: 0 ? GENERAL INFORMATION s U o z a ? ? Applicant name and contact information ? ? ? Property owner name ? ? Address of property ? ? North arrow, scale (1" = 30' or 40') fdr ? ? Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ? ? ? Location and name of all streets adjacent to property ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existinca ,ZI ? ? House corners ? ? Property corners ?? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Prooosed A ? ? Finished pool deck comers 0 ?? Top of proposed retaining walls (if any) and at each different elevation (if it changes) fd ?? Pool bottom (or max. depth) DIMENSIONS Existin ,Gf ? ? All property/lot lines 00 ?? All Easements on the property Proqosed Zi ? ? Pool ,d ? ? Pool plus integrated deck/patio JZ ?? Shortest distance from outside edge of pool ?o lot lines and house Reviewed: Date G.FORMS/Pool Permit CheckhsU02-13-07 r 3:1 RRawmvm or Fietaining We6 WAI Be Required __j Ut'1 7 ORAINRGE AND U11LfIY EASEMFNf N89'42'44"E ?l:T ? eiz.2) g?40 9•y0 141.83 g46?? <313 9 7 PlST? ?TRO` ?-??, n- ?5, 5a, ?, s° PERIMETER CO ??? 91? 971.8 Qy rrco. sss? C. O ? ?/// j j/ ????? ???? / •e?. ?? wx972.9 ? ti?i? a.s ? 69 9 ? ?* 723 ° .°'? : 0 5 ?1 •, 978.6?\ -x'9g5 7 @ p ? y Z-+ Y 477( \ ?4 ?m g 40.50 5.66-?- ? ( . ? m D / I \ ? ( x -POR ? S.t7-?: ?q g 8 E ? 1 I I ( ?I ` L.w ? p 35.42 .67?_ ? 78.0 ? ?8.,7 y'? % e r1?/6?85? P •? j MH 563 71.5 n4.00 W 984.4 ?A ? ?+ 1 571 720 n N W 9 5.6 ? I 1 ` • a.ox $ 984.31 • ? aQ {n \ ? ?? m n 1 • ? 71.5 7 ?e rv 1 1- e96a'Z ?9B S 9a p,iN?? ?.°y, a9' ? n00 I I y `\ O? ?\ 1 1 9.1 x ZO» 537 00 r I 1 " COPPER 6` DIP r rr 36 l / \ 1 e d= 1 SNB P w J ?O ry? r-W eo ?05? INV. 969.9^0 ?' O ?.93 W? ? N 9 Z^ 9rioV 7.50 , • sss? ?\ \\\ s.s N ? ? o^a I a.ax ? x s x 54 9 ?? o Q '^ IN • ? 978.5 979 6 $7 1 ro ? 541 sse,, \ 1 ? ? m ry 3? i I5 l??as) x eso_i ? ' I ? ? • 8 ? 9 2 ' F 97.',.5 XS 3 ? /? /? / • I ? ? I I er e7a.s ; r1T i 2<v sae 9?n.s$ J.6 I I 1 i 553 ? 1 722 0 ? BUB=975.40 976.1 I/ 976.7 Q 9 x s8za 4?i = o io ?? i ? 4593 4 4 976.7 JS "' ,m . ? .SZO SOS CERTIFICATE OF SURVEY 94s.o i62.84 n?00•48'32' R-11534_.14 964.5 ??•» 97•9 ses•as'a(rw (9n.e) Le9al DescriPtion:LOT 2. BLOCK 9. EVERGREEN Etrcu?vE. DAKO'fA COUN7Y. MINNESOTA 975s DENOiES E70SfING ElENAT10N ........................... ........... ....:::......?::.:::...................................................... ..................................... - ° (sao.s) DENOTFS PROPOSED ELE1/ATION .................................................................................................... ....... ....... ..... . .... ................ .. ........ .. $ ?- MdGTES DIRECf10N OF SUIffACE DRAINAGE eao.ea - FlNISHm GARAGE fL00R ELEVATION 72,50e 80.5EMEM FLAOR ELEYATION 81.1= TOP OF FOUNDATION ELEVATION EAGAN C? ??C?p/Cn C.S.A.H. N IFFLEY ROAD) _ .? •sos DENpiES NuMBERm TFffE PER PRO.IECT W1?N5 B C.YJ.C 1i.\Lr e? ?? - LOT AREA: 51,911 S.F. B? ? vi?'r p ?f/9/ L,???,UC]B . HOUSE AREA: 2993 S.F. ( COVERAGE = 5.8% ) / ? SCALE : 7° = 40' (INCLUDING PORCHES) ???(r 02i6 h??g?? - HOUSE TYPE : RAMBLfR - FBWO p??M ?.ogo? ADDRESS: 4197 LEXINGTON WAY -_---- r gpGp?Id ENGINEEWNG DEP'i: BENCHMARK: TNH AT 1-5-87 7''T10NS DIVI ON pLEv=9e5.89 ? ROOE n?AW?+sOW LAND ewreiorts ENGINEEAWG COMPHNY, INC. ?100G EilSf 1KM SRIEEf. 8UR113Y11G MWl60TA SSSS] PX lFR?T CFRTIFY 7WR 71115 PIAN tlIAS PI?ARm ME OR ? MY DW4= SUPSMSM ,ND ? " !IS R PflEPMEO FOR: ?m o? -- RTIFICATE OF C iT VEY nuT ? tiw A UULV ULENSfD LANG 91RVtY0N UNOkR a..? w E 3 R n? uws ng sr?1c ? nrmESOrA WINDWOOD HOMES n•?+ 1 „ LOT 12i B? + 1 ? o?- A6 EVERGR?T ENCLA?E ..,? P. „m,o 1 DA7E RE6. N6 19DB8 ?4-]000 ?OTA CWMY. YINN60Tn , J r ? ? ? , L l ?T / . N89'42'44'E ??iz> 9`1,0 9.y0 141.e3 90? ?as.o) 4j0 946.1 ??/;? sOW* - T/ r? 4/7 ?i _-9. ( / / I \ ?563\ \ ?54 \\ 571 j ; m1- 96? o?,?,,, 436 \ \ `? ? ? ? I 5 -% z- ? ` ) . 566? \ \ i ? \ . ? 556\ ? {s98 ; . ? 584 • •. I596 I ? I l 553 • I I ? ? ? I I I ? I ?- {I? j' 593 0) I o? ?i 9<5.0 16274 G=00' 48' 32" R=1 1534. 14 Q 964.5 f ?\E?A??GAN C.S.A.H. _ BG?LLCILV?- - 8y.? ??/ ' `-' ---- _ ?? • ? rTIONS DIV1510N RO6E C° ?'s•VE+M FNGINEEAWG COMPflNV, MC. t 70W l/Sf /16N 57RFkT. BIIW15MllE 1@ME507A SSS77 PX 3:9 Mammum Siopes Of FSeY89l11ng W8U ? ? Required J LL ? ?- 3 . I ?e s ?fST? ?ER COl?OL 9<2376° ?ERIN6 . ? •62? _ ? q 55 90 X972.9 (9720 ° 97 9723 I \riaag FOR 40.50 5.66-?? 76" y 5.17: C -- sa4 „ ? „,4,_00 5.42 - W ?-' J 7 .0 720 ^ fn W I ly?`?S? jpeF 7 5 a.oQ 4 a 7 e ?? ? " . 72.0)0537 O O r COPPER I^ I 1 1 ? a S 1t B ?mV 69.9 ?? 7 71 o .50 o r-W 800 . 97 9?g 1 . ?? p `r5.5g ? °a m _?-4.SR n ' 9?9. 6 1 9 p vi N lo P IN • $ 20 541 S 97&5 78.5) I 32oo 9 2 97'.5 X5 3 ° u' w c 97e e ,? . 977.9 .(W 978 - HU8-975.40 976.1 / 976.? r 0 x 977.4 1.6 N 4.4 ? ?9? 976.1 5 • 520 • 505 ? N\ ' w 146.17 S89•4.5•40•w sn.s 077.a) ?n 7 . 30 (DIFFLEY RO E \A I-FE B J-1 F BY ? Dxte ` EAGAN ENGINEERING DEP'f. NANDWOOD HOMES w jrr f?E0??[?D ?I D.4YE: j 3/ - o'j RI11LrJING ,Fr,TIOflIS C42i g?7 Hro. m x 0 °? Q a N 0I ? O y ? a Z ?'? / ?'9B6? ? a ? N < 0 a ? n / 9g ' X w Nj6pa•? E, nX ?c9$4 4??• N 9_ ? 84.31 OIP 1 'G•u' 133.93".N / iN m 980.1 = 4? ?Jtq '? S ? n -pw B; . /_I:IL_?-t"= ?AGPeN ?IGdM? ? CERTIFICATE OF SURVEY Legal Description: LoT 2 BLOCK 1 EVERGREEN ENCLAVE. DAKOTA COUNiY MINNESOTA _ 975.5 DENOTFS EXMIING ELEVATiON (980.5) pENOTES PROPOSm ELEVATION INDICATES DIRECTION OF SURFACE DRIUNAGE 9eo.ea o FlNISHm GRRAGE FlAOR ELEVATION ?2so ? gkSEMENf fL00R ELEVATION aet.t o TOP OF FOUNDATION ElEYATION •sos DENOTES NUMBERm TREE PER PROJECT PUWS LOT AREA: 51,911 S.F. HOUSE AREA: 2993 SF. ( COVERAGE = 5.8% ) SCALE 40' (INCLUDING PORCHES) HOUSE TYPE : RAMBLER - FBWO ADDRESS: 4191 LF_XINGTON WAY BENCHMARK: TNH AT 1-5-131 ELEV.=985.89 CERTIFICATE OF SURVEY 1 LOT 2 HLOCK i EVERGREEN ENCLAvE , J PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172894 Date Issued:10/20/2021 Permit Category:ePermit Site Address: 4191 Lexington Way Lot:2 Block: 1 Addition: Evergreen Enclave PID:10-24875-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven T & Jennifer L Anderson 4191 Lexington Way Eagan MN 55123 (952) 334-9222 Mikes Custom Mechanical Inc P O Box 171 Champlin MN 55316 (763) 568-7148 Applicant/Permitee: Signature Issued By: Signature