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3974 Greystone RidgePLUMBING (RESIDENTIAL) Permit Application City Of Esgan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Smgle Family Dwellings Townhomes and Condos when permits are required for each unit SD ? Date 10 /? l C7 3 Site Address 39 7? rO NC /e 1 l? GL? Unit # Property Owner ,Q,yt(/ry/I¢y() Telephone#((571') ?{S?/^ c7?137 ? 9G/'i5-i5 Contractor Address City State Zip Telephone # ( ) '? The Applicant is ? Owner _ Contracror _ Other I Septic System New _ Refufbished Submit 2 sets ot plans and MPC license I' $ 100.00 lncludes County fee. Addkional consultant fees may apply. , Alterations To Existiog Dwelling Unit, Including ' $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater I _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) i Other: _ RPZ _ new installation ^ repair _ rebuild $ 30.00 Lawn irrigation system Water saEtener Water heater $ 15.00 ?OCT G 3 2003 _ replacement _ additional Rv - f I $ 50 State Surcharge $ ,3C7, 5 ? Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that me worx ww be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a permit, 6ut 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 p4icantfs II?Nalts 139?v ? ? Applicant's Printed Name ASignatur I 04se Site address: J? 7y G1er rsra1C-; R,01.=/G Block ?? ?1 rl,P?ff Y Subd. On April 15, 2000 the Minnesota Energy Cotle, Category I Building Requirements for insulation protection, air tightness, and ventilation, 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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This s6ucture; will be constructed to meet more reshictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater Fumace 40.sjy? 0 Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED res No Kitchen kitchen , ?c PPd u,,M.IVC N t l a vLu 304) ? eathrooml A, 6/1'rw ? ,7,+fititJN UDU m u Bathroom 2 Bathroom 3 Aawcat m A,5764 ?"'?? b 0f„ b'QDA70 // D u S' ?'O IJ 0(.j ? X Bathroom ?ow? 6ue5? Other FIREPLACE S LOCATION GAS WOOD MANUfACTURER MODEL BTU'S VENTING DIRFCT AiMOS J-rw"'6 .-*T -,? - cc u 90-T2 - o4-k 30 00° ?ow? r?',•???, >7?r- -C,4v iOoooTk 30000 MAKE•UP AIR MOOEL TYPE CFM's ? N ? ?,ODrh I I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and CiTy of Eagan requirements. ? /o, Date is ihe responsibility of the General Contractor. ? I (? 6P- Si?o?to RESIDENTIAL p , , . BUILDING PERMIT APPLICAt10N ? . CITY OF EACAN Q0 - 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements . 7 regislered site surveys showing sq. ft. otiW, s(i. ft. of house; and all roofed areas (20%mazimum lot coverage allowed) • 2 cropies of plan slrowing beam & vnndow sizes; poured found desgn, elc.) • 1 set of Energy Calculatbns • 3 copies of Tree Preservation Plan rf lot platted afler 711193 5c??a.ig 9o.r? RemodqllRg?airRequirements -+,> IE3 l 1 1 1 2 copies of plan ! y • lselo(EneqyCalculationsforheateda rtions • 1 silesurveyfor ezterbraddNOnsBdecks ( p , ?.C) y • IndiCate ii home served by septk sysfem for addihons . Rim Joist Detail OpUons selec6on sheet (bldgs with 3 or less unrts) -??? ', DATE ??p/? ? _ ? VALUATION ?3 30 AM ort/ SITEADDRESS-+?°?-?~?°i !?°f?i?fY"F/J??l 3^? ??TI-FAMILYBLDG _Y ? TYPE OF WORK S/A/pcc- %<YPIREPLACE(S) _ 0_ 1''2 APPLICANT STREETADDRESS J9?S J WOF ?"/0r-_ CITY,0E*eA'/1J STATEiYL/ZIP.S37.ZZ TELEPHONE #?/-YSY/-53 72 CELL PHONE # G/. Z - JW/-/S/5"_ FAX # lvS/??/S.7-?r??8? PROPERTY OWNER DENN/ S?T /IY? TELEPHONE# IoS/!4T Y-3-51 Z ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN[YLS01:A RULES 7670 CATEGORY t MINNE§OTA RULES 7672 (J submission type) . Residential Ventilatlon Category 1 Worksheet Submitted . New Energy Code Worksheet Submittad ? W -2 v? . Energy Emelope Calwlations Submi ? <O- vA vvu s V? Y?7 ? ?G $ - Piumbing Controctor: J?` • . _ Phone # _ Plumbing system includes: ? Water Softener ? Lawn Sprinkler Fee: $90.00 k Water Heater O No. oF R.I. Baths No. oF Baths / Mechanical Conhactor: Phone # Mechanical system includes: ? Air Conditioning Fec: $70.00 Heat Recovery Syste ?? ? 1?- vYt?i, ? Sewer/Water Contractor. r9Z Phone # ------------------------------------------ k :,.._. ------------------------------------------------ ?,?-- -: -- -?-. ' p S? a fCJ2",..,? r t un l fi th t th i ti i tt d i i t t f p y , an a ee oc a on s c u c cat on, s a e a e n orma I hereby ac nowledge that I have read this appl with all applicable State of Minnesota Statutes and City of Eagan Or i ances. I ? Signature of Applicanf l, -----......... __...----___....._._._.._...___ ------------------°------'------_•._--------?°_....--I ---°-°-°°°---------------' OFFICE USE ONLY ? L 4_D Certificates of Survey Received? Tree Preservation Plan Received Not Required , Upda[ed 4102 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory B;dg X 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous x 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 WindowsfDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatian Occupancy ?. MGES System Census Code Zoning City Water SAC Units 1? 7 Stories ? Booster Pump Nhr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) X ` FinaUC.O. _ Footings (deck) 7 FinaUNo C.O. Footings (addirion) _ Plumbing ? Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ft s Air/Gas Tests _ Final Framing Siding Stucco Stone ? Fireplace ? R.I. ?(Au Test _ _ (Finaf (?1 ) _ Windows (new rep cement) Insulation Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total nV)--, rlm 0-41-yJ 1 y il')- y S"`% :;, (9??J S- ? 0 y ?-y ? 6 e 'ftyy;i / O (tj vy ? _ 7 5- x 3 ? ? 0(,?t6(„ Building Inspector y71 DS-0 / U ?? o-y 307?--0 C--:)rrt c?l((Cc COQ'r (SEE ATTACHMENTS) Development ?fl??f''? J ??j) Lot Number ? b Block Number ? aaaress ??-1 y C?(ZEYS?? l?E P l -0 C- C Builder Tree Protection Requirements: Tree Fencing Oak Tree Pruning (Immediately seal wounds during April 7 to July 31) Therapeutic Pruning Retaining Wall Other: Replacement Trees: Not Required As Follows: EACAR1 F0RESM DB!lISION Attachments: ? Ri`VIEWED i _.? Yes ? sv No ? DATE Additional Notes: H:\ghove\2000FlIe\treepres\Tree Preservation Plan Summary-2000 'I'ree Presgrvation I'(an Murphv Farms 3" Aclditian L.ot 15 Block I Propertv Owner: Dennis Bauman Builder: I)ennis Bauman Contaet: i)ennis l3aumarn Phone: 651-454-0937 Cei . 12-9bt-1415 Signature: tELEI'HONE / :p= CA6LE So5.9 ?4'68 ? 8 ? O `j t? TflP 05.9 CF Bl6qC 5 O H?30 N85? »W 7 2 0 ? ry . 52 00 s 94.50 ?ROCK WALL RT s n 2 23V•L.s I O '?.? YJ. 70 ? f or o ?.o ?r',?os o a?$--? ss.aa ' i ----------- ! i oo ssz 4 24 PRgC'OSED O „`-?? TO.O 63 ? . . 7REE WNE F / \ TC . DRI4EWAY M L? I ° fl ? ASSORiE4 PORi.AftS r 1 893,90 /+`? h ? ? . ??4899. }?tv ' NE S+iRUeS ANlT 81keH r? + 9 r MrJ ?y A-) -- J EU ? 206.6` ? t'Pes 1"? ? rc ntrt uNe s ? O - -- SERMCE 89490 r i TR ro r ` ? tl. a N0• --------- 997.01 FC 57.02 ?Z, 36.00 4028 it /l ?- 897.0 90i1 r 1 ? SP-00 898.1 j + 89}.i2 ? 888.50 S" P9? ? 50'i.5 v ? QN 848: ?H ? x * ?<2..F1C7 ? 2" PMiE 1 ? m N84 57 37° ? ? ? , , 1 ?N f Sq-v25 / 1 ' S7a.0 / ? 160 v ?R?iO Eristing Trees .i?/ P??YL? LW Tree Summary Sigtzificant Trees---- 5 ' f?KCe ?igr,ificantWoodland---600s/f ree? SizelSpacies I Status + 0L , Froposeciconditions: L q. Treesremoved----- i i. t2" Rec: C3ak Save (??K VVood3ands remaved---- None 2. 11" EIm Remove- RepPacement Schedule: (Aifawabie Removal= I tree) Withio 4' of h ouse / a- 11i2°° Birct? .i_ ?IriE $" S8V8 Pernut Number MECcheck Compliance Report checkea By/Dace 2000 Minnesota Energy Code MECcheck Software Version 33 Release Ib Data filename: C:\Program FileslCheck\MECcheckDennis and Connie Bauman.cck TITLE: Denms and Connie Bauman COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DAT'E: 09/13102 DATE OF PLANS: 9/12/2002 PROJECT INFORMATION: New Bauman Residence CQMPANY INFORMAT'ION: Bauman Construction COMPLTANCE: Passes Maximum UA = 680 Your Home = 513 24.6%Better Than Code Ceiling 1: Flat Ceiling or Scissor Truss 1914 Wall 1 Wood Framc, 16" o.c. 4168 Window I: Above Grade, Wood Frame, Double Pane wrth Low-E Door 1: Solid Door 2: Glass Basement Wall 1: Solid Concre[e or Masonry, 8.7' hU8.0' bg/8 7' insul Floor 1: All-Wood JoisvTruss, Over Unconditioned Space Furnace 1: Forced Hot Air, 92 AF[JE Air Condilioner 1: Electric Ccntral Air, 13 SEER Glazing Cavity Cont. or poor R-Value R-Value U-Fac[or UA 44.0 00 52 19.0 0.0 207 567 0.320 Gross Area or Perimeter 181 58 40 896 11.0 0.0 32 38.0 0.0 0.130 8 0320 13 51 Proposed and Maaimum U-Factor Averages Proposed Maximum Average U-Faclor Allowed U-Factor Above-Grade Windows and Glass Doors 0.320 0370 Includes Foundation Windows > 5.6 fl2 Floors Over Unconditioned Space 0.026 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consisteni with the building plans, specifications, and other calculati ons s tt with the pemut application. The proposed building has been designed to meet 2000 Minnesota E ergy e requirements in MECcheck Version 3.3 Release lb and to comply with the to reqLurements ' ed in e Ccheck Inspection Checklist. Builder/Designer A' t• pj,?ate ?? 6?^' - LOT SURVEY CHECKLIST FOR RESIDENTIAL , BUILDING PERMIT APPLICATION PROPERTY LEGAL: SDeK / &4Lrin A4 DATE OF SURVEY: ? LATEST REVISION: - .3 - D ? c m L c? DOCUMENTSTANDARDS Y a O z p ¢ ? /G -i • Registered Land Surveyor signature and company ? ? • Building PermitApplicant ^ F ? • Legal description • Address C 11 . North arrow and scale ?/G '? • House type (rambler, walkout, split wlo, split entry, lookout, etc.) iW ? ? • Directional drainage arcows with slope/gradient 3'e ?? ? ? ? • Proposed/existing sewer and water services & invert elevation J ? • Street name ? ? ? C • Driveway ? E, . Lot Square Footage ? C - • Lot Coverage ELEVATIONS / Existinq t?L - • Sewer service (or Proposed) ;[ ^ C . Property corners E - • Top of curb at the driveway and property line extensions • Elevations of any existing adjacent homes • Adequate footing depth of structures due to adjacent utility trenches ? u? - • Waterways (pond, stream, etc.) Prooosed 4/ D ? • Garagefloor ? Basementfloor L ? - • owest exposed elevation (walkout/window) Z/G J • Property corners • Front and rear of home at the foundation PONDING AREA (if aoolicable) ? I, C • Easement line ? ?v/ u • NWL ? ? ? • HWL o ? • Pond # designation • Emergency Overflow Elevation ?? - • G C • /4' . DIMENSIONS Lot lineslBearings 8 dimensions Right-of-way and sVeet 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 ail easements of record and any City utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall requirements, if any Reviewed: Name I 8514 2447H STREET N. 1. :5r?r/?,?.}. 1'L?r?? 7 Y ???'?? r LYN /)S?11Q'(?z? L` ? ?? ? ? FOREST LAKE MN. 55025 BOUNDARY SURVEYS x TOPOGRAPHIC SIIRVEYS Y AL7A/ACSM SURVEYS • ADDRESS: 3974 Greystone Ridge Certificate of Survey for: DENNIS BAUMAN Rg'/&,CQ oie S4,e// '47.0, '0494 a g r 25 ? ELEC7RIC / ?aHOwe ? ? fw cae? / W5 904.88 ?.4 v O a h. ?l fO ryM ? p ?v ? b 4.24- ? i 3q5 ? PRgPOSm N ? DR EWAY h) / ?I • O ? v 25 e ? ? I - 3J O o ? a o a = I 901.5 ? o`?' ? ,?p• p? h I ?. ! S/ l a f ?N?'? ? ? ? HOUSE TYPE = TIfU 5'71?RY W.0 I I vacant MU89200 L?_ _ --- RPHY PARKINA 898.2 , ipp.U?4 1 i aee.s L j wo ?. ? FAX: 651-408-8477 ASSOR7ED POPLARS 893.90 SHRUBS AND BIRCH i ? I J ^ . ? ? a ? v 89,.,2 N84 57 37"W EXISIING STORM - . ?, ,- , ? , •.: , . , ? I --------------------- --- Service Invert Elevation= 891.8 (per plon) Denotes Boulder Rock Wall = soo.o Denotes Existing Elevation ? Denotes Proposed Elevation Denotes Dratnage Flow Dtrectlon - Denotes Drotnoge & Ut7ity Eosement -o-- Oenotes Monument ?- Denotes Offset Iron Bearings shown ore assumed Seale: 1 ?h = 40feet Lot Squore Footage = 20,240 Sq. Fi. House ond Garage Sq. Footage = 2850 Coverage % = 14.8% PRDP03&D BUILDING ELEVATIONS Lowest Floor Elevotion: ssss 7op of Block Elevotion: 907•2 Garoge Sfab Elevation: 905.8 (AT GAR. DOOR) NOTE: Proposed building site grading is in accwdance with tha grading plans approved by the city engineer. NOTE: Contractor must verify all dimensions & driveway design. LOT 16 BLOCK 1 MURPHY FARM 3RD ADDITION CIN OF EAGAN DAKOTA COUNTY, MINNESOTA 1 hereby certify to DENNIS BAUMAN that this survey, plan or report was prepared by me w under my direct direct supervision ond that 1 am a duly licensed Land Surveyor under the laws of the St e of Minnesota. Dated this ?? day of AUCUS7 A.D., 2002. , REU.• 9-30-02 Signed: By. 200210-BAUMAN-CERT. DWG Robert B. Sikich LS Mn. Reg. No. 74 91 / I i ? i i / O6. ? ? I ? ? r ? i ! PROPOSED ELEVATION AT BACK OF GARAGE is sss.s FEEr. 908.50 I CONCREIE WALL TO BE EXPOSEO AS NECESSARY EXISI]NG i? AT BACK OF GARAGE AND NOR1H SIDE OF HOUSE HOUSE i ) TO MEET EXISTING GRADE. RETAINING WALL / WIf.L BE EX7ENDED TO MEET EXPOSED CONCREIE WALL AT NORTH SiDE OF HOUSE o ? ? ?c? p0 ? h- TOP OF BIOCK 1 .O 903 6.9? 897.30 N85 OJ 204w *1 ? ? . 0 g ` ?RT?is? -? OqC WALL 236.23 o?' ReNning V?{ary 1AHe I y ? B0 R9qUIfOd r ? 78.0 ? ? i r 88,.5 . y. . ' SEJGER ? / , / .. AFFIDAVIT OF EXEMPTION FROM STATE CONTRACTOR LICENSE State of Minnesota ) ss Affidavit of Dennis Bauman ) (Building Permit Applicant) County of Dakota ) Dennis Bauman , being first duly swom, upon oath, deposes and states the (Building Permit Applicant) the following: 1. This Affidavit is submitted in connection with the building permit application made by Dennis Bauman (Building Permit Applicant) for a proposed work project located at 3974 Greystone Ridge , Eagan, Minnesota. 2. I aclmowledge and understand that Minnesota Statutes, s326.84, requires all residential building contractors/remodelers to obtain a license from the Minnesota Department of Commerce, unless otherwise exempt under the stahxte. 3. I am exempt from the residential building contractor license requirement pursuant to Minnesota Statute s326.84, Subd. 3, far reason(s) indicated below (check those that apply): a. I am the owner of the residential real estate on which the home shall be built and I will do the work myself or jointly with my own employees or agents that I am building such home as my own personal residence and intend to permanently live therein. b. I am an architect or engineer engaging in professional practice as defined in Minnesota Statutes, Chapter 326. c. My annual gross receipts are less than $15,000. d. My contracts on individual projects in aggregate do not exceed $2,500. e. I am a mechanical contractor, plumber, or an electrician. f. I am a speciality contractor, remodeler, or material supplier involved only in part of the proposed improvement to the residential real estate. 4. I acknowledge and understand that the statements in this Affidavit are made under oath and if I make any statement in this Affidavit that I know to be false or incorrect, I understand thaY I could be subject to criminal prosecution or denial or revocation of the building permit or hnth FURTHER YOUR AFFIANT SAYETH NOT Dated: ? Subscribed and sworn to before me This day of ,200 ? (Build' gPermitApplicant) Dennis Bauman 1945 Jade Lane Eagan MN 55122 (651) 454-5512 (Print/Type Applicant's Name and Address) Address: 3974 Greystone Lot: 16 Block: 1 Subdivision: Murphy Farm 3rd Zip: 55122 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL [NSPECTION ON 7- l, '"Q 3 Yes No Comments Final ade - 6" from sidin Permanent ste s - arage Permanent ste s- main entry Permanent driveway Permanent gas Y, Sod/Seeded lawn ?c Traillcurb damage Porch Lower level finish Deck Fireplace ,K Verify with your builder [hat roof test caps from the plum6ing system have been removed. Tum off water supply to the outside lawn faucets before freeze potenrial exists. Cal1 the City's Engineering Department at 651-681-4645 prior to woxking in right-of-way or installing irrigation system. 6IDLDING INSPECTOR u \ ? 4 cd/bldgmsp/forms/2002/final mspecpon checkhst PERMIT City of Eagan Permit Type:Building Permit Number:EA135929 Date Issued:04/13/2016 Permit Category:ePermit Site Address: 3974 Greystone Ridge Lot:16 Block: 1 Addition: Murphy Farm 3rd PID:10-49502-01-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Mark D Rehm 3974 Greystone Ridge Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175793 Date Issued:04/15/2022 Permit Category:ePermit Site Address: 3974 Greystone Ridge Lot:16 Block: 1 Addition: Murphy Farm 3rd PID:10-49502-01-160 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: 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 - Mark D & Susan E Rehm 3974 Greystone Rdg Eagan MN 55122 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature