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3963 Greystone Ridge? 6? / f / o .i3/vCl? / o'?rM?p73r,(F11,-? , 2005 RESIDENTIAL BUILDING PERMIT APPLICATIOP?,?6??(p City Of Eagan ? • ,. 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenis Remadelhiepair Reamrements 3 registered site surveys showing sq N. of lot, sq. fl. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 sel of Energy Calculations (or heated addtlions 2 capies of plan showing beam 8 window srzes; poured found design, efc 1 stle surve/ for adddions & decks 1 set of Enerqy Calculahons Addition - indicate ilon-site sepfic system 3 copies of iree Preserva6on Plan rf lot platted after 711/93 5?? ? 8? f I Rim Joist Detail Options seleciwn sheet (buildings wdh 3 or less units) ??/o/? s? 70 . ? fco iSO Date A? Construction Cost Site Address (S?3 UniUSte # Description of Work Multi-Family Bldg _ YX_ N Fireplace(s) _ 0_X 1 _ 2 Property Owner L?-, ?M 1A1,Ip QA ?jg__?__?Vka\ Telephoue #(&E?l Contractor ? ua ?w naaress city --? State Zip arH V I LUUJ COMPLETE THIS AREA ONLY IF CONSTR -mtlLDING - Minnesota Rules 7670 Cateeorv 1 ? Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber JAl.(E?/ aMP?) L) C, Telephone #(e2;;aj )?Q,z - 21 ?4 MechanicalConfractor Telephone#(c???3U-? -1{21l Sewer/Water Contractor • ?-?p°?- Telephone # , 'r r?? Ji n r 1..,-k)v? /_ I l_'1 5, 1.? 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. Applicant's PrintedName Ap ica t's gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg -Y? 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 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? 05 03-pleac ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types * 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buildi ng" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Enti re Bldg) - Give PCA handout to applicant 010 9, , Valuation 1 ) Occupancy 3MCES System Census Code Zoning ro i City Water SAC Units 00 Stories %?' Booster Pump # of UnRs Sq. Ft. I)aL PRV # of Bldgs Length .?? Fire Sprinklered Type of Const 148 Width REQUIItED INSPECTIONS Footings(new bldg) ? FinaVC.O. _ Footings(deck) _ Final/No C.O. Footings (addition) _ Plumbing ? Foundalion _ HVAC Diain Tile Other Roof _ Ice & Water Final Pool Ftgs _ AidGas Tests Final _ ? Frarning _ Y Stucco _ Stone _ Brick _ Siding _ Fireplace _)Of. RI. -Y Air Tes[ )( Final , Windows \ ? Insulation Retaining Wall Approved By: Building Inspector --------- ------------------------- ----------- - ------ ------ Base Fee 4-V '( ?s = Q Qr??? Surcharge 0 9 ? Plan Review , ! 6 1( 0 ( j ? vJ MC/ES SAC l D? 0 ` city sa,c / o 0 •0 Q ? ??i3 / ?'? ?? X ? ? ? 77, ?i5 ? O)ly S Utility Connection Charge t,o S&W Permit_ 8 Suroharge ?? Treatment Plant ? ,-- Li cense Search 3 0 Copies Other 2 Total ? < ? ? Y ? ?q? y/ . LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUILDING PERMIT APPLICATION 3r`' Ad. PROP ERTY LEGAL: DATE OF SURVEY: 4'M-I6IC LATEST REVISION: d ? e ? L U p Z a DOCUMENT STANDARDS ?g^ ? ? . Registered Land Surveyor signature and company ? ? ? . Building Permit Applicant ? ? • Legal descripTion ? ? • Address ? ? ? . North arrow and scale ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) r ? ? • Directional drainage arrows with slope/gradient % ? ? ? • Proposedlexisting sewer and water services & invert elevation ,?' ? p . Street name ? ? • Driveway (grade & width - in R!W and back of curb, 22' max ) ? ? ? • Lot Square Footage ,? ? ? . Lot Coverage ELEVATIONS Existin R( ? ? • Property corners ,B ? ? . Top of cur6 at the driveway and property line extensions ? ? ? • Elevations of any existing adjacent homes ,H ? ? • Adequate footing depth of structures due to adjacent utility trenches ? ,?f ? . Watenvays (pond, stream, etc.) Prooosed ,e ? ? . Garage floor ,g ? ? • Basement floor ,e ? ? . Lowest exposed elevation (walkoutlwindow) -9 ? ? • Property corners 0 ? ? . Front and rear of home at the foundation PONDING AREA (if aqplicable) ? r? ? • Easement line ? ,Pj ? . NWL ? ef ? • HWL ? .? ? • Pond # designation ? ? ? . Emergency OverFlow Elevation ? ,0 ? • PondlWetland buffer delineation Y • Shoreland Zoning Overlay District Y ? • Conservation Easements DIMENSIONS _ ?7 ? ? . Lot Iines/Bearings 8 dimensions ,B ? ? •• Right-of-way and street width (to 6ack of curb) ? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ? ? ? • Show all easements of record and an y utilities within those easements ? ? ? • Setbacks of proposed structure anc idey d setback of adjacent existing structures ? ? • Retaining wall requirements: ? Date ? Reviewed By: G.lFORMS/Bui lding Permit Application Rev. 11-26-04 39'6 3 G,e,s-1-rvw ?.aly SCOTT LARSON HOMES A A E O coNSULnNC eNr?N?RS. Il 17 ENGINEERING PLANNERS and LAND SURVEYORS PROJECT N0. 12909.00 BOOK COMPANY INC. PAGE , ? 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 " CERTIFICATE OF SURVEY Legal Description: LoT 10, BLOCK 1 MURPHY FARM 3RD ADDITION, DAKOTA COUNTY MINNESOTA 3y DENOTES EXISTING ELEVATION ( q a0) DENOTES PROPOSED ELEVA110N ?-- INDICATES DIRECTION OF SURFACE DRAINAGE "?1z•o = FINISHED GARAGE FLOOR ELEVATION 9o5.ii = gqgEMENT FLOOR ELEVATION ?'3•`?? = TOP OF FOUNDATION ELEVATION APi ON1 REC`D SCALE : 1" = 30' LOT AREA=12,520 SQ. FT. ?? ? HOUSE AREA=2,388 SQ. F T. = I°).I% ?y ? DRIVEW/?Y AftEA= t ?Sp?Q. FT , ADDRE55 = 3963 C?REYSTONE RtDC,E ? DRAINAGE AND UTILITY EASEMENTS o' rn ? v. ? .? . i? ? ?.i i f/v v }?'m Q ., , . ? • ? °'oQS ,? n 2? 9 ,ST ??0?' ? ___ ? ?Y • 26.00? 4.0? ° a o 0Q ?. ^ C) !L •.???N N . 4•°0o Jt?ti? ? ? q^,? O0 Q??O Q? ^h 3 0 000 , . O rv 1 00 912?/ ,( i3l (DN o o II• 4342 ,? ? 6 $ Q\ r ? tv??? L ?? N HJi ? ruz r? ,- t (11 i I c. 68 ?o? (?q°? d?IlCa ?l. 6' ' fl CC 11, "?? ?r ? ?[,?v o I hereby certify that this is a true and correct representation of a tract hereon. As prepared by me this 5±?. day of Apr?[ , 2005. 4414? ?" Minn OQ =E LOCATION PE2 (LUGTfON PL-ANS 5 oF 13, DA-Tc0 3-Z9-00 LEV, = g9B.6 osos?h?wl5?n?d bea" '- Reg. No. 19086 ARCHNET THE ARCHITECTURNI NETWORK, INC 12445 55th Street Sufte A Lake Elmo, MN 55042 Transmittal Date: March 30, 2005 Attention: Scott Larson Company: Scott Larson Homes Address: 508 Wildflower Road Burnsville, MN 55306 Phone: (952) 435-0018 Fax: (952) 898-0598 C.C. File Itsms: ? As Requested ? For Review Se Via: Mail , ? Fed-Ex ? PrioHty ? Standard ? Ground ARCHITECTURE • PIANNING INTERIOFS • CONSTRUCTION Phone 651/430-0606 Fax 651/430-0180 c ??? ? Please Commen! ? Ptease Reply ? Messenge? ? Hand Deliver ? Pick-up Quantity: Date: Description: ProJect: Projeot No. 5 3/30l05 Ener Calcs Hanson Residence 05-102 Comments: Thanksl Bobbi Griffith ' ??. , Permit Number RFScheck Compliance Certificate 2000 Nfinnesota Fnergy Code BEScheck SoIIware Version 3.6 Release 2 Data fi4ename: M:\2005105 f 02\adminlrscheck2.ick PROJECT TTl'LE: Hanson Residence COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL ItATIQ: 0.16 DATE: 03130105 bATE OF PLANS: 2/25/05 PROJECT DESCRIPTION: Single bmily home br Scott Larson Homes DESiGNER/CONTRACTOR: The Arclutecnual Network 12445 SSth St. Suite A Lake Elmo, MN 55042 COMPLL4NCE: Pacses Maximum UA = 576 Yout Home UA = 503 12.7% Betta Than Code (I1A) Ceiling 3: Flat Ceiling or Scissor Truss Wall 1: Wood Ftsme, 16" o.c. Window 1: Abovo-Gracle:Wood Fimne:Double Pane with Low-E Door 1: Solid Duor 2: Glass Hasement Wall 1: Solid Concrete or Masonry Wall height: 8.0' Deptti below gade: 7.5' Insulation depth: 8.0' Furnace 1: Forced Hot Air, 92 AFUE Checked By/Daze Gross Glazang Area or Cavity Cont. or poor P.etimeLa 1.-'a1LG. B-1'alss€ ii-Fad?t J1A 1475 45.0 0.0 40 3720 19.0 0.0 182 536 0310 166 45 0.130 6 46 0.310 14 1136 0.0 5.0 95 Proposed and Maximum U-Fador Avcrages Proposed Maeimum t.1.01 Avaage U-Factor Allowecl U-Fador Abavo-Crtade Windaws and plass Doars 0.310 0.370 Includes Poundation Windows > 5.6 112 COMPLIANCE STATEMENT; The proposed building design dcscribed here is consistrnt with the bnilding plans, specifirations, and otha calculations submitted with the pamit application. The proposed buildiog has 6cen desigoed to mae[ the 2000 Minnesota Energy Code requirments in R$5check Va^sion 3.6 Release 2(6rmerly MECchedc) and to comply with the mendatory requirements listed in the REScheck Inspedivn Checklist. Suilder/Designc " ) Data ???_ . .?? r REScheck Inspection Checklist 2000 Nfinnesota Fnergy Code RESchuk Sodwate Vasion 3.6 Release 2 DATE: 03/30/05 PROJBCT T1TLE: Hanson Residence PLAN REVIEW AND INSPECTION ISSUES Tlus list ofitcros may be helpful br PIan Reviewas and Building Inspaxas to use as a gnide Sr ar6rcing the Minnesota Enagy Coda The items apply to Gmup R, Division 3 Occuparicies, ono- arnd two-finily residential dwellings. The items marked with' apply only to detached ono- and twafamily reaidential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [ ) fDundazion wall insulation R-5 minimum [ j£nmdation insulazion octends fom top ofwall down to top ofthe footing [) acterior fDundation insulation is cavaed by a pro(edive coating finish CONCRETE SLAB OR [INDER-SLAB INSPECfION [) slab on gtade pcimder insulation R-5 minimum [] slab insulation wctends Lom top ofslab to design Sost liue or top of6oting [] ftoors mer unheazed space R-30 minimum WINDOWS / DOORS / SKYLIGATS [ J avaage U-value is 0.37 matimum f)r windows aitd glass doois (eecluda 1)undatiou wiodows) [] window U-values mnsistent with building plan and REScheck Certificate [ j window and door azeas consistenl with building plan md REScheck CatiScate MECHANICAL VENTILATION ISSUES [] residential mechanical ventilation system ptnvides adequate ventilation per code requitemaits• [] Simace efficicacy is consistau with REScheck CeatiScaze or building plan [] protedion against excessive depcessurization is installed pa code mquiremenu• ENVELOPE iNSULATION FOR PLAN REVIEW [] intasor basement insulation R-5 minimum (iFno exterior insula[ion) [ j ceilings with at[ics R-38 minimum or consistent with building plan and RESchcrk CeniScate [] wall framing md insulation level is consistmt with building design and REScheck Catificate INSPECTION [SSUES CONCEALED INSULATION Framing and Sheathirsg [ J wind wesh barria installed at attic aige [] extaior wall camas fmmed so thaz insulation can be installed a9er netetior sheazhing is installed [] intasections ofinterior partition walls and octaior walls trgned so that insula[ion wn be installed betwan the pmtition and cxterior sheathing after exterior sheazhing is installal [] gaps bdwcen 5arning less than one-halfinch are eliminated by swuring fiaming togaher or are insulated at the time ofassembly * , _ . . ? ? ? [] al1 penetrations belween conditioned and unoonditioned spues made prior to framing inspation aze sealed' Interior Air $orrrer [ J all fite stops ate air sealed [] pipes, ducts, wims, equipment and fiues and chimneys tUmugh the iaterior air batrier are sealed [] a sealed continuous interior air bsaia is installed on the warm side oftLe 6uilcling atvdope at ceilings, walls, and flvor rim joist areas * [] air bazria bdilnd tub and shower is sealed and proteatd [] retessed ligfit Sxtures aze sealed Em+elope Ir+sularion [ ] basement insula[ion R-5 minimum [] wind wash bania on wall sepmating house arid gazage is sealed [] Ioose fi(1 insulation is preveated &om mtering the eaves [] insula[ion on skylight shads and walls exposed in attics is supported on the unconditioned side Attic Insvlatian [] attic access panel insulazal to R-38 6r ceiling pand and R-19 br wall panel [] attic cazd attached to fr.mWng nearaccess opening [ j notification ofattic R-value and date ofinstallafion posted near buildiag permit inspection card This is a summary only. Other requirements may apply. See the Minnevota Energy Code Questions? Call the Depamnent ofPublic Savice In4brmuion Centu at 651-296-5175 or 1-500-6573710. (PLEASE READ ATTACHMENTS) Development (Wuy.Q?? l(,ARVV\ 3v` Abj? Lot Number « Block Number Address Builder SCO'(:1, lrb`rlZi6tJ l't AAVA PHONE NUMBER: Q S Z- ov U, CONTACT; SLD L T LktZl 6?) "'L - Tree Protection Requirements: ? Tree Protection Fencing Installed On Site Oak Tree Pruning (Immediately seal wounds during Aprtl 1 to July 31) Therapeutic Pruning Retaining Wall Other: Reolacement Trees: ? Attachments: Additional Notes: Not Required As Follows: Sl x ?6? Yes No ( l`?ZC W IZ?'( I? 1 IZC?? 4L H:\ghove\2004fi1e\Veepres\Tree Preservatlon Plan Summary-2004 ---v, ? ?? wiav?laa,- COPY Al, J -T 4 ,u_ I ? 15' o??:lNAv SrC- ? ??? ?,ll?- •^r ,f"J? IY ?.??f?G. F??J AZrQ?. Ct7 T• 7j-, -7O -- ?4 kCaAvI?& ?•.,?... ? : , . . cp • .. . 889 . ,;872 ' 87 . . 88 a':• x '?y! ! 92 921 ?;:_ :? 918 15 917 91, 91, "' w? .: `t~ -* 91 :. 1 ?..? '. 861 5$ ' 86 80 960 8 g 49 g? 961 ? - ? "FB 85 a<; : 48 96 968 47 96 ?. ^ ? 85 ?f3 1` . a7 ?, .. 06 \\ Y7 .... 9W . .. 84 5? 969 ,. 44 o? -CRITICAL ROOT ZONE ?: .. ?7i . .76 .... ' .... Y . .... .... 77Q " 97 s71::`? '?;<,• 51. 43 . 97 . :. 910 ,, ; 47d. ,q,?w ? ,. 3d ` V 3¢?; +? ?f 18 920 s._?: • r/? ? ' k • ? 92 1 ? < . 'XY ,I.hV?AE' ?O OOl? ?°y'.'.? • s ... + ? ? ??0? e;!' ??13 ;? r•.: ?' L?C 1Y §... ?5. f "r$11-? ._ ° 04 928 05 799 12 . v r fi f ' !±??? •??. . 92 926 ?? 1 , ry 78 ? < <,,.x _-•,., ?78 924 . . , ? a? •'? ?; `.??r h ? 88 77g 7?91 920 777 . 775?. v oi . ? . . • , ? ' . ': .. . _ . " :01 . " . . ? .. , a , 7021 ? a? 703..` x, 70M„ . 704.` CRITICAL R ? ? rn g 508 Wildflower Road ? Burnsville, MN 55306 g? ---------=- <? ' ?,sz? f 94?) 435-OOl. S 912 www.slhomes.com ...f ?? 709-IL`_ ?- ? ?a?? ? ? ? Co ` hcvz-: ?10-sz W lui -Twc? aK?-= -Hkia> t4s.u +O?-, 508 Wildflower Road Bu nsville, MN 55306 (?435-0018 www.slhomes.com ?D? ---7, C-jp -z 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reomrements 3 registered sde surveys showing sq R of l06 sq. ft. of house; and all roofed areas (20% maximum lot coverege allowed) 2 wpies of plan showing beam & window sizes; poured fourM design, etc. 1 set of Energy CalculaUOns 3 copies o(Tree Preservation Plan if lof pla8ed aRer 71153 Rim Joist Defail Options 5elecUon sheet (buildings with 3 or less unAS) Minnegasco mechanical ventilation fortn RemodeVReoair Reouiremenis 2 copies ol pian showirg footings, beams, joisls 1 sel of Energy Calculations for heated addNOns 1 site survey for addifbns & decks Add'Aion - indicate 'rf on-s8e sepfic sysfem Telephone # ( Date -,C. / C? Constructioo Cost Site Address UniUSte # e ? Description of Work 6A5 L iIJL , Multi-Family Bldg _ YkN Fireplace(s) _ 0 X1 _ 2 Property Owner Telephone #Gs? )W?'i' roB)y Contractor Z/E/z _ Address Z7,?? ?f}y/LcJLL? ? ?` /", City Qvl(L?, State Zip 5;? ? Telephone # ((p-?7 ) 63[j j36 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for o similar plan based on a master plan? _ Y _ N If yes, date and address of masfer plan: Licensed Plumber [?? ,.a ? Mechanical Contractor rT i 1 `nn?? Sewer/Water Contractor ?70, 6P? ORce Use Onlv Ced oi Survey Recd _ Y_ N TreePresPlanRecd _Y _N , TreePresRequired - _Y _N Oo-saeSepGcSystem _Y _N 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 fo a permit, d work is not to start without a permit; that the work will be in accordance with the approv lan i t e case of ork which requires a review and approvalofpl s. ? 1? `n ? ? r C 11 V 1. ? ,' L ?r4 fl/t, -?? ._Applicant's Printed Name Applic Ys Signature MN N.C.BENIJETT LUMBER CO. ( eT"3 taorAME x ee,vm 1.75 x n.vs nu 95 ocesoe NDiG LA?bSSMOWN?PEFOR118Uf[??GS4E?110'MEALOMG4E4 MIGN CPIEI9ID OP 2- PLIIS P1?61'6PW F9RPATIfiFNWfiIAaGMGM19CIRG1?A7F6p11plD. T1fiR fRf[SATOtqT69V. M. Mtl MMFS FaAcTtan <LIM: ase B 6AP t eo N UN BEA t 7 1 5726 5006 2 VBf ]7l1 tlM BIVR[NG lIICIES ISM-S1U HNxTl1011 06F10CROAf sxvc ?uwo o.ir osa• -aena mow 0.10- 1pRpL }qpp 0.19' 0.67• /Yldln i Efac9v, (Om1ENWONS MM8YRE0 A10M IEFY1300FSVAN ORCpIl11hVFA) DL6'IPIDUT109 8]OlM SSPC '{VP/3L06 WI1C TAfM TO Ld40 R-DFdli 12-LIFBX. . Up[lpot oOw ilVS WY 533 PL[ U-00-00 02-06-f0 . VX[R1RN P001' 43w 20P l5i PLP U8-06-40 11-00-PO IMtIOM Mof OBM 40e E61 eLf 40-00-00 02-01-00 wnwm xwv omio ?mp aa er,c 0e-04-00 11-00-00 me OMSIOPM ROOI LM 179 PLF 41-04-00 09-06-00 pIRlOW? POOf n1'AO TfIP 88 PET 13-06-00 04-09-00 OIIIltlYf BBttl oEL6§Y 11 QLP 00-00-00 11-04-00 C=ttli'PA1f0 POOP LPlB M1OP 1596 ].s! 12?0lWO NlYlA(it.]D' <OpC?RfMSEO POOP LiR 1G! 15f6 i88 OB-0d-00 tlL18944.30' Ca1CdHIPhSlS t00t ul11o 'MP 7f1 L&1 03-06-00 nIIID00-2.50• COJCBW11YRm U00? afM 'NP 799 14i5 08-08-40 MLPBpPT.sO' wAW4tNfIM01lS TNOCGNPONMf 0!lIOI tl8M11FldILLYlOR LflNfiMlFAlO MOOD?MOYCTI USB OP1f0 OEtlpl FORlIMTIING01MdIlMa?GMCt?l4 W?QItPIJO4Ri! R SiRiCILt PpOMMEO.AR! MEOOICAS10X0' TXq OOCUIQIIT RlCYIIIl9RlYlW ?`ACEIIGMMOIOlOMAL. ' PROVEE RESIRNM MCOIYCEMNA7?LMOTOlNSLRHlA19W_lTM6RY. 1pIM1M tEMw03i2E] /AESIFFlCIlHf ibPAEVENfCli114'1@lOOFTIIE GM1f}lIM lVl BFJMKOESlQ1FO. iT i6?MfiPSPolSRIL1IYOF'ME PIIOJELT ENGIEER. MCM11tWCRO92IG(i9tT0 VERNY l WR 1NE911PP00.T 911NGTURET9Ril06 BEFY ?sav?aeacssnmai?n+ea?cnana. MeH ow cjANauw Lx woF WAr aeeunetr ro ewuNOS nn nnrqen As. I1.8TL.iSO ? ? bbeaW m GIOSB SOG'ftop ??qSiy ? Nac a 41 nfSL611 CRi76tIA : 19t O.Y LIYB ItYW - 40 P!P DCM IAi1D ? 20 PSP TPD1L tMD ? f0 PSI AOOi LGT..awY WVI. - : 0.00 [[. ?00! RI.1lS SPILL1 CWA. : I. D0 P[ DBCLSCTtOp CflLSal1A : LIOB tMD Wft: L/ 210 x07u, xao oerc? a i2e4 C0K1C COMYLSAllZ4 _ xBVda' 1 YR {=1 IC20 6&-'AO{ 6.A. Cliy N RSlf} COfC 1151l-0. Y18COMSIY 29D124-0 R.Y. ?'3TT NEA 91-94-9 N00 Ml f2lOD 508 Wildflower Road Burnsville, MN 55306 '"k6J=2) 435-0018 www.slhomes.com PIW1Rtl MEN$ ICBO bNil SlElHG?N4t1MN YAlsfipCn. MC 1A101 ?u amn2se7e r?. w?o.rrao, emus.aiae •cavvorraepaxmuvm?anv?ion?tu?nuancanm?rionl DVIG A vh?islstdlmwr?lecmvee? ?SHEET' A LOP 1.k3 1.L5 0.9a o.sa 1.15 0.90 0.9Y 1.1! L.15 0.90 0.90 ?- 3 ? I I ? f L 'IV? z 5? O ? ?l --? N ? O ? u-aa -n?w a??vnwc is xor?o ecx&. - ? - .. . SaRnaie PraNdad Page 1 LOUISIANA-PACIFIC COReO[tATION / NDDD-E DESIGN 2003.1 06/02/05 13:01:49 YARNING' ••* THI$ DESIGN TS VRI.ID FOR TNE PROJSCT NAHED B6LDW IJOBID) ONLY "+• WOOD-E DESIGN 2003.1 EXPTAtES ON 12/31/2009. LP WILL MRiCE AVAILABLE TO ALL PEGISTERED USERS AN OPDAT6D VBRSIDN OF THE i00D-E DESIGN SO£TNAIt6 IN YHE CONT,INUING BFFO(tT TO IiAINTAIH COl1PLIANCE 57ITH cHANGING BUILUING CODE3, INDV9TRY PRACTICES, COD6 @VALUATION R2PORT5 AND/OR MEYHODS OF RNALY9TS. . . ' COMPANY: N.C.BENN6TT LtiHBER CO. JOH TD: STATE: p1D1 CODE: ICHO PRODUC7: 2-PLY 1.750" X 11.875^ GANG-LAM LVL 2950Fb 2.06 DESIGN CRITERIB FOR ROOF HEAH (uNFACiORED LOAnS) LIVE DEAD 9PAN (L) SPAN (R) ALLOpABLE ALLOWA8L6 (PSF) feSFJ CARBIEp CARRIBD SLOPE LOADING LL DEFL6CT TL b6FLECT _____ ----- ________ ^_______ _______ ____ ---------- 40 20 0.000' 0.000' 0.00 TOP ' L/290 L/100 SPAN CARRIED IS NO'f CONTINUOUS. AL7.OqABLE / WOAKIi4G STRESS DESIGN DATA 06FLECTIOlO -----°-=-- REACTION MO[iENT SF1EAR LIVE I.OAU 70TAL LOAD ' RCTUAL 5226 9578 4081 0.122 0.186 AL[.oWABLE 23282 9243 0.500 0.667 STAESS INPICES 0.911 0.992 L/900 L/644 LOAO CASE 0 1 1 1 1 ••*• THE REACPION, HOMENT AND SHEAR 11ATA ABOVE ARE BASED ON TtlE MAXIHUH STAESS INOICES AND SAAY NOT REFLBCT THB AB90LUT6 MAXIMUM ACTOALS. '"*** FOR DEFL6Cf20H, L IS DEEINED AS THE DESIGN SPAN LE'1iGTtl OR TNICE THe 7.ENGYH FOA CAn7ILEVERS. NOTES ' CONNECTION •*r DESIGN ASSUMES COHPOi7ENT5 fAARIED ARE APPLS&A TO TOP EOG6 OF BEAM, SUCH THAT LOAD IS DIST&TBOTEA SQUALLY RO EACH PLY. *`•ATTACH THE TWO PLYE9 WITX 2 RONS OF 16d (3-1/2") NAIL9 AT 12" OC. STA6GER ROWS.•wAIIS CAN B6 DAIVEN FROM ONE FBCE OR HALF FAOlf EACH FACE. NAILS MAx HE COt4[90N OR BOX NAILS ' WI2N A HINIHUM SHANK DIAMETER OE' 0.131' 16d 9INK6R5 (3-1/4") HAY BE US$0, Bl7T fIA.LS MQS1' BE DRIV6N FROt! BACN FACE. C014GEC7TIWSED IAA.09 MtlST BE EgUALLY DZSxR19UTED TD ALL PLIE9. ADDITIONAL FASTENER9 MA7l BE REQOIRED. •k+^ COHPRESSTON EDGE B(1ACING REQUIRED AT ERCH END 06 COHPONENT. SSRVCTUAAL GEOHEiRX '______""_"_'___ SPAN 1 11.000' TOTAL SPAN: 11-00 6T TNPUT LOAbS SHAP6 TYRE LOADING SouRCE "'_"' __"" "_ M1 '__' "'__ _"_ UNIF LIVE TOR ROOF 532 PLF ONIF LIVE TOP ROOf 456 PLF ONIF DEAD TOP ROOF 266 PLF ONIF DEP.D TOP ROOF 228 PLF UNIFLIVE TOP ROOF 179 PLF ONiF OEAb i0p POOP 89 PLF V2 X1 H2 '_.,_- ---------- """_ 0-000' _ __ 2.500' 8.500' 11.000' 0.000' 2-500' 6.500` 11.000' 2.500' 8-500' 2.500' 8.500' onn , ?or rl - ln nn1 17 nnrnr Ifnn? eage 2 tUNIF DEAD YOR ROOF 12 PLT 0.000' 11.000' CONC LxVE TOP ROOF 1596 LBS 2.500' CONC LfVE TOP ' ROOF 1596 LB5 8.500' . coNC DSAD TOP ROOF 799 LBS 2.500' CoNC D&D TOP ROOF 799 LHS 8.500' i INDSCAT69 LOAD IS BASED ON SPAN CARRSED AND INPUT LIVE OR DEAD LOAD PSF. MAXIHVM'gECTION FORCES: HOMENT = 9578 F7'-LBS 5HERR - 4081 LBS ' MAXINIIH'UNFACTOReD 9U4PORT REACTTONS (LBS) DSE TNESE VALV6S WHEN OESIGNING CANNECiOA5 eRGql: 5226 BAGM2: 5006 A6QUIRBD BBRRING 9IZE5 (IN) gRGNl: 12.00 BAC?2: 12_00 CONCSNT[lAT6D LOADS ------------------ SFAN TYPB 1P1(LB9) X1(FT) NIN BRG(TN) '_" _'_' ------- _'__" ___"______ 1 DEqo 798.0 2.5 2.50 1 DEAD 798.0 8.5 2.?0 1 LIVE 1596.0 2.5 2.50 1 LIVE 1596.0 8.5 2.50 , LIyE LoAD DEELC. xOTAL LOAO OcrLC. SPAN ACTUAL ALLON. L/? ACTVBL ALLOW. L/? "__ _""' ______ _"" '_"" '__"_ '__" 1 0.122 0.500 980 0.186 0.667 614 +"+• FOR DEeIECTION L IS DeFIN60 AS DESIGN SPAN l.Ett67H OR TWICE THE L£NGTH SOR CANSILEVERS. MA7CIMUN STR655 TNDICES: H5I = 0.411 VSI = 0.442 SZENDERNC55 RATIO = 3.39 LSHIT - 10.0 VEtiIF7 YOUR INPUT 70 AVOID DESI6N AND FA13RICATI0N MISTAlCES., YOV ANN SOLELY RCSPONSIBLE FOR G3tA0R3 RESUL7ING FAOM INCONRECT INPUT. 1'HTS RlIOGRAM IS A DE9IGN TOOL ANID SHOIILD BE OSSD pTTH EXYRCltE CARE T,tlAT INPOT ONTE'URM AND CONCENTPN6D LOAOS AAE ACCURATE'IR l7HGHITODE AIPD LOCATION. IF YOO HAVE ANY QUESTI,ONS OR UNCERTAINTIBS, PLEASE CONTACT LP. TNZS COPSPONENT DESIqO IS SPECIFICALLY FOH 7.P EqGINEERCO WOOD PROPQCTS. U56 OF iNT9 PROGAAN TO DESIGN ANYTHING OTH6R THAN GANG-LAM LVL, OR LPI-JOISTS 15 STRfCTZY PAtONIBZTED. LP TS A TRADEHARK OF ]AVISEBNA-PACIFFC CORPORAiION 952898a598 Oct 17 05 12:23p Scott Larson Homes Oct 17 2005 8:48FM HP LRSERJET FFK Date: 3/3/2005 Revision Datc: 31312005 ske Infortnarion Address 1: Hanson Resldence Rddreas 2: Greystone Ridge Clry: Eegan County: Dakota ? Appllr,atbn IMormatlon 8usiness Name: KLEVE, INC. Heating 8 Air Coeiditioning Cnntect Person: Geoffrey M. Smith dfGce Ph: 952-941-4211 Fax: 952-841-7240 9528980599 New Consfruction Projact #: Scott Larson Resldence Lot: 91ock: SUpdkYlslon: MN Contrector License #: Ceil Ph: 612-702-4350 Address 1: 13076 Pioneer Trail CiRy: Eden Prairie State: MN Zip Code: 55347 House Details Sqtsare Feet: 4975 sq. ft. Avg. Ceitlng hik 9 ft Nurrtber of Bedrooms: 4 YarNilation : Balaneed 7vtal Ventitation Capeclty : 196 cfm. Mfn(mum COntinuous VentilatlDn :76Cfm. p. 1 p.Z IrKermittent Vontiiatfon; 121 cfm. Comhustion AppUAnce Wster Heater: Power Vant Input BTUs: 85,000 IndependanUy Vent6d FumacelBoile{: Dlrect VenUSealed Ccsmbustion Input BTUs: 110.000 Independently Venbetl Other Cornbuelion Aca{faiwer Gas Fired Direct Veni Firepl9Ce(s): Yee Gas Firad Neturel Dre8 Firepface(s): No Ges Flred Pawer Vent Fireplace(s): No Solid Fuei Appllancs(s): No Exhaust Eaultxnsr? Cantinuoua Exhaust Ventliatian CapaCfiy (Cfm): NA Clothes Dryer (cim): 135 Exhauat Fan Rating (cfm): 300 Maka{Jc Alr No Make-lJp Air Ftequtred by Code Gambustl on Air Round Rigid ReqLdred: 5 inches a Insufeted Flex: 6 indme Applicant Name (print): t?_?vr -,T+j C' . Signature/Date? Code Offoaal (Qrint): 3igrtatuWDate: C2,004 CenwrPOin[ E.,¢gy Minnegasm. 2004 Machseloal Code C3uideiines. Pi8° I Rug 15 OS 06:37a Scott Larson Homes 9528980598 p,2 08/12!II005 02:35 PN Tlblits Tibbits Engineering, P.A. Structural Engineerin$ 1116 Graeloy Ave. GlancoQ, MN 55336 Phone: (320) 8645642 FAX: (320) 864-5672 To11 Free: 888-248-0373 www.tibbitsengineering.com August 12, 2005 Swtt Larson Homes Attn: Mr. Scolt I.arson 508 Wildflower Rd Bumsville, MN 55306 RE: Gazage Brace Wall Design for Hanson Residence ':?953;Gi'eyston_e Ri49--e ?I Eagan, MN Dear Mc Larson: ? o Suc ?^ \ A)qq According to ow phone conversation on Auguat 11, 2005, the 11 Y," long walls on the front of the garage did not get constructed according to the plans dated 8-9-05 by Tibbits Engincering, P.A. Due to the lack of availabie room on the sill plate only one %i' diazneter anchor bolt was installed with an embedment depth of 8". To resist the uplift from the wind loads a 3" x 3" x?/1' beazing plate must be installed on the anchorbolt. Our involvement in the design of this shucture is limited to the individual membeis addressed and specified in this report. Ali other engineering and design remains the responsibility of otfiers. Sincerely, TIBBIT'S ENGINEERING, P.A •?f?'?_ Josep M. Paumen, P.E. Project Engineer 1 hereby eectify [ha[ dus plan, speeificauon, or mport uas p¢pated by me or undcr mr dittct supervision and that I am a dulp lixnsed Profesvonnl EaRinneet under the Lus uf the Statc oFNlinncsota. ? . Dam 8?d o Licrnu No. 42342 Address: 3963 Greystone Ridge Zip: 55122 Lot: 10 Block: 1 Subdivision: Murphy Farm 3rd (?ZDaS THE FOLLOWING I'CEMS WERE/WERE NOT COMPLETE AT F[\AL INSPECTIOV ON Ye No Comments Final grade - 6" from sidin Permanent ste s- ara e ? Permanent ste s- main ent Permanent drivewa Permanent as Retainin Wall or 3:1 Max Slo e Sod/Seeded lawn TraiVcurb dama e Porch Lower level finish )4 Deck Fire lace ? • Verify with your builder fliat roof [est caps from lhe plumbing system have been remwed. • Tum off water supply to the ou[side lawn faucets before freeze poten[ial ewsts. • Call the Ciry's Eneineering Depadment at 651-675-5646 prior to working in right-of-way or installing irrigation system. BUILDING INSPECTOR: ' v CONTRACTOR: Larsan Construction SOS WildflowerRd Burnsvillc, MN 55306 2006 RESIDENTIAL BUILDING rEUMrT arPr,icaTioN City Of Eagan , 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reawrements 3 registered site surveys showing sq. ft. of bt sq. ft. of house; and all roofed areas (20% macimum lot coverage allowed) 1 Soils RepoR if pmposed building is to be placed on disturhed soil 2 copies of plan showing beam & wintlow saes; poured found design, etc. i set of Energy Galcula6ons 3 copies af Tree Preservation Plan if lot platted after 711l93 Rim Joist Detail Ophons selection sheet (buildings with 3 or less units) Minnegasco mechaniral ventilaAon form 7d, 00 RemodeVReoair Reauiremenls Offce Use Oniv 2 copies of plan showing foofings, beams, joisis Certof Survey Recd _Y _ N 1 set of En_rgy Galculatlons for heated additions Soils Repod _ Y_ N 7 sile survey for additions & decks Tree Pres Plan Recd _ Y_ N Addrfion - indicateifon-sifeseptresys[em TreePresReqwred _Y _N On-siteSeptic5ystem _Y _N ca.e'eed i 2 Date _//_ / Site Address i? Construction Cost $led - d 0 e-, UniUSte # Description of Wark /YfiLc-9 Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner '1/ ;t?t¢ Telephone Contractor 4!CI? Lte.;/Z? Address ,M State ?d1 ' wC(? &/ °tr %lw/ City Zip ? Telephone # 41,17,4 ?'Y?" Tl'a `? ? 'i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • 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 planZ _ Y _ N If yes, date and address of master plan: Licensed Plumber nuw 2120 Telephone #( Mechanical Contractor Sewer/Water Contractor 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 of work which requires a review and approval ofplans. ?rs1O??'? ??lo!'', , Applica s Printed N e App ic ignat DO NOT WRITE BELOW THIS LINE .t r Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? OS 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 ? 18 Deck ? 23 Porch (screenlgazebolperola) ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement 30 Accessory Bldg 31 E#. Alt - MulEi 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 WindawslDoors 'Demolition (Entire Bldg) - Give PCA handout to applicant D@SCflptlOfl: WaterDamage_Yes Valuation Plan Review 100°/0 or 25% Census Code y 3 Y SAC Units # of Units # of Bldgs Type of Const ? Occupancy MCES System Zoning City W ater Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Zo' Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile ' Roof Ice & Water Final Kl Framing _ Pireplace _ R.I. _ Air Test _ Final _ Insulation 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 Approved By: u? gluilding Inspector Base Fee Surcharge Plan Review MC/ES SAC Cify SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _.a, S_ ? 3 q G 3 G-,? ?,s f-z,? K : GINEERS LAND, O17E COPLANERS ond ti11 SURVEYORS NGINEEfiING ConnrRNV, iNC. SCOTf LARSON HOMES ? PROJECT N0. 12909.00 BOOK PAGE 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 t? !'' CERTIFICATE OF SURVEY Legal Description: LoT 10 BLOCK 1 MURPHY FARM 3RD ADDITION, DAKOTA COUNN MINNESOTA ?oe_3j? DENOTES EXISTING ELEVATION ( 9 t3.o) DENOTES PROPOSED ELEVATION ?--- INDICATES DIRECTION OF SURFACE DRAINAGE `)17 -o. = FINISHED GARAGE FLOOR ELEVATION 9O5•-Il = BASEMENT FLOOR ELEVATION = TOP OF FOUNDATION ELEVATION SCALE : 1" = 30' ? ?? ? LOT AREA=12,520 SQ. FT. o HOUSE AREA=2,388 SQ. FT. By ? pRiVEWAY L1REA= 1,1505Q. FT ? ADDRE55 = 34b3 C?REYSTONE RIDGE \N ? ??n LWqN ENKi1NBi3RWG DBPT. DRAINAGE AND UTILITY EASEMENTS s `' ? ° \a i V ? p?•~????y ? `? ?9+?5'' '• ? a ??Y • i0 \ . R CJ, 26.00 ?,'? 1NS4AB..CE SILT FEI?I ?H o? ? ?a a ? ? „ o °0 °' ^o ? zu ?? 002 ryoo ?U,p ^h 3 00 • ?o? g??'? o 6' Op !9l 3mPo 3? ti• ? ??.oo ?? ? i,,o. LR?'? JT p ? v P0 ?o/.Ff-- ?? N, ,•, ?a ? ?° s, ?,,.N qom ? o O.S/011J ?. Qt oo I ? 5 m , q,A ?? N OR SOD 24.00 NJs ?sq;T?., ? s jP? ?Y yv°'IC 6' cn+v ?% ? L N ('\A' I ?? ??FI puB=911. SH751 ??l10? 9 FE ? SERVtcE LOCATiOAk PEfL .JH NST(ZUGTIDIJ PL-ANS L/ EET 5 oF 13DA-Tc0 3-Z9-? Ci D?INV- -LEY. = S`18.6 6vN 1.ti5 kv&,ti ? ?-)-0 f?fL lo' I hereby certify that this is a true and correct representation of a tract asO?twTS?n#de??ibea? - hereon. As prepared by me this 5+? day of Ap,:l , 2005. A<o?w 2 h`J,ee- Minn. Reg. No. 19086 PERMIT City of Eagan Permit Type:Building Permit Number:EA115049 Date Issued:09/23/2013 Permit Category:ePermit Site Address: 3963 Greystone Ridge Lot:10 Block: 1 Addition: Murphy Farm 3rd PID:10-49502-01-100 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Linda M Borgen-heil Tste 3963 Greystone Ridge Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r_________________ I For OfFice Use � I �� � � Permit#: ��� j Clty of �� a� � �� ; � � Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 I Staff: I �-----------------I 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: // ' � Site Address: '� 9� � �-���-���L!?�-�- Tenant: Suite#: Resident/Owner Name: ,��,���f,��y� Pnone: 6�L �19,.5`�� 91 'I � ` Address/City/Zip: �'"'��� I Name:�"/1ozc���i� --� p�/�yy�i�, 1�G L License#: P('�/)Q S'—'' Contractor Address: ��b�>6��,o�nJ� �/r��-- City: L��,�� r State:�Zip:��g"2y{"' Phone: l��/7�?��� i Contact: Email: � _ //ar/%j�� C Type Of WOYk —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type Add Plumbing Fixtures �Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Seqtic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) ''Water Turnaround(add $200.00 if a 5/8" meter is required) $115.00 SeptiC System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ 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.qopherstateonecall.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. X ,�L��" 7d���a����`' x _ ApplicanYs Printed Name � ' `s S.rQnature / � FOR OFFICE USE Reviewed By: : Date: Required Inspections: Under Ground Rough-ln Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: Use BLUE or BL.ACK Ink r^-----�--�-------^ � I For Office Use � • � Permit#: � ����� � I C�t of�a a� � V c.v � . , . u � � Permit Fee. � 3830 Pilot Knob Road � � i Eagan MN 55122 � Date Received: j Phone:(651)675-b675 i Fax:(651)675-5694 � � Staff: � �_______________.__I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of p{ans with all commerciai applications. Date;�ZJ��" $ite Address: 3��3 �►'�V S'}oH�c. �t 0�9�e�� M N ssl ZZ" i �� � Tenant: Suite#: Residen�l0wner Name:Qct� ���e.«��h ol Phone:fpJZ-Bl9— �'(0�'1 Address/City/Zip: (0'3 G�r.� 5�F K �� � t� ca� �`'�M 5 5I 2'L Name: License#: Address; City: Contractor State: Zip: Phone: Contact: Email: New R�placement �Additional Alteration Demolition Type of Work. Description of work: p(� �d�UG �T�' 7i M�.�fi v�.�.fi Ca�Rna� fiv��e� , � • , NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by Cfty Code. Please.contact the Mechanical Inspector for information on permifted screening methods. RESIDENTIAL COMMERCIAL • �Furnace New Construction ._Interior improvement Pel'1t11t Typ@ —Afr Conditioner _Install Piping �Processed Air Exchanger Gas _Exterior HVAC Unit Heat Pump UndedAbove ground Tank (_Install/_„Remove) Other RES/DENTIAL FEES $60.00 Minimum Add or alterafion to an existing unit(includes$5.00 State Surcharge) / $100.00 Residentiai New(includes$5,00 State Surcharge) ��_$ LO���� TOTAL•F�E � COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank instailationiremoval =$ Rermit Fee *If contract value is LESS fhan$10,010,Surcharge=$5.00 =$ Surcharge'' **If contract value is GREATER than$10,010,Surcharge=Contraci Value x$0.0005 *"*If the project valtiation is over$1 million,please call for Surcharge �� TOTAL FEE I hereby acknowledge thal this information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an appiication for a permit,and work is not to start without a permit;that th�work will:be in accordance w h he a roved lan in the case of work which requires a review and approval of plans. ft t P P P �--,_ X •���R i✓ ���' I ����lx� X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspectlons: Reviewed By: : Date: _.-- Under.gr-0und. Rough In Air Test Gas Service Test In floor�Meat �-�inal• • • HVAC Screening . i