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
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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
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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
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W -2 v? . Energy Emelope Calwlations Submi
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Piumbing Controctor: J?`
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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
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? 1?- vYt?i,
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Sewer/Water Contractor. r9Z Phone #
------------------------------------------
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I hereby ac
nowledge that I have read this appl
with all applicable State of Minnesota Statutes and City of Eagan Or i ances.
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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
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(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:
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ree? SizelSpacies
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, Froposeciconditions:
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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
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DOCUMENTSTANDARDS
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/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
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FAX: 651-408-8477
ASSOR7ED POPLARS
893.90 SHRUBS AND BIRCH
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EXISIING STORM
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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
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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
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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