1381 Grace Dro cA-- I ?3 ? G g 7<zC?
?6fiOS RESIDENTIAL BUILDING PERMIT APPLICATION??S ?7O2?J
City Of Eagan ? ???
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauiremenls
3 registered sHe surveys shaxing sq. fl. ot lot, sq. % of house; and all roofed areas
(20% maximum lol coverage allowed)
2 coples o( plan showing 6eam 8 window sizes; poured found desgn, etc.
1 set o( Energy Calculatbns
3 copies of Tree Preservation Plan'rf lot platted after 7/1193 .
Rim Joist Detail Oplions selection shaet (6uildings wdh 3 orless uniGS)
RemodeVReoalrReauiremenp
2 cop'rs of plan
1 setof Energy Calculations forheated additions
1 site survey for additians & decks
Addifion -indicete ilon-ske sepfic system
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?P lo?7a0
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Otfice Use Onlv
CeA of Survey Recd
Tree Pres Pian Recd
Tree Pres Required
Oo-site SepUc System
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Date 0!: Conshuction Cost TS O?rJEx7
Site Address 13 E-l 6?R/iLG /J /Z UniUSte #
Description of Work Iitjfl; Fac« , /f/
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1? 2
Property Owner Telephone # ( )
Contractor (.v r?i4, it-r &M 4' S'
Address ('f `f Zo C cr4,.iD r9 ?t 2 City .Anpr,t i/& ?T? Y
State #M nl Zip ?- S'/ 2- V" Telephone #(GI L) '"0 L S! iJ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
x Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Fl?v-Y++i),( 6- i'uti? Telephone #(!a{'() 44'3 7d'4y
Mechanical Contractor
ii
Sewer/Water Contractor S lf Lt+0-
Telephone # (
Telephone #(G•/L) 7La - 7y?Zr
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. DT 2 T 0 M?
U ?
/1105
Applicant's Printed Name Applicant's ignature 1
Rv _ / ?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
i,k 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.)
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 Ne%;+ ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
0 34 Replacement
Valuation 114:0'ap
Census Code / p /
SAC Units
# of Units ?
# of Bldgs ?
Type of Const
. ,-- - .
? 30 Accessory eldg
O 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish Interiar ? 44 Siding
Move Building ? 42 Demolish Foundation O 45 Fire Repair
Demolish Building* ? 43 Reroof ? 46 Windows/Doors
•DemollGon (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump ?
Sq. Ft. PRV
Length ? Fire Sprinklered
Width Gi'b
REQUIRED INSPECTIONS
? Footings (new bldg) -x FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests
? Framing _ Siding _ Stucco _ Stone _ Brick
? Fireplace ? R.I. ? Air Test ?( Final C? _ W indows
? Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 1-QF"1" J-0 LS IOL' r. 1(n/OC
DATE OF SURVEY:
LATEST REVISION:
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DOCUMENT STANDARDS
? • Registered Land Surveyor signature and company
? . Building Permit Applicant
? • Legal description
? • Address
? . North arrow and scale
p . House type (rambler, walkout, split wlo, split entry, lookout, etc.)
? • Directional drainage arrows with slope/gradient %
? . Proposed/existing sewer and water services & invert elevation
? • Street name
? . Driveway (grade & width - in R!W and back of curb, 22' max.)
? . Lot Square Footage
? . Lot Coverage
ELEVATIONS
Existina
,0 ? ? • Property corners
,? ?? . Top of curb at fhe driveway and property line extensions
?? . Elevations of any existing adjacent homes
21 ?? . Adequate footing depth of structures due to adjacent utility trenches
? 'ff ? . Waterways (pond, stream, etcJ
Prooosed
? ? ? . Garage floor
,2f ? ? • Basement floor
,e( ? ? • Lowest exposed elevation (walkouUwindow)
'Wr ? ? . Property corners
„eii ? ? • Front and rear of home at the foundation
PONDWG AREA Uf applicable)
? W ? . Easement line
? '
;a ? . NWL
? 7? ? • HWL
p Ef ? • Pond # designation
? ? . Emergency Overflow Elevation
? ? ? • PondlWetland buffer delineation
Y ?I . Shoreland Zoning Overlay District
Y (F? • Conservation Easements
DIMENSIONS
,Rf ? ? • Lot Iines/Bearings & dimensions
? ? ? • Right-of-way and street width (to back of cur6)
'
fd ? ? . , porches, etc.
Proposed home dimensions including any proposed decks, vverhangs greater than 2
(i e. all structures requiring permanent footings)
? ? • Show all easements of record and any City utilities within those easements
? ? ? . Setbacks of proposed structure and s' ard setback of adjacent existing structures
?g ? ? • Retaining wall requirements:
Date
Reviewetl By:
G: lFORMSlBu ilding Permit Appiication Rev. 11-26-04
Part B. DEPRESSURIZATION PROTECTTON
Check optioa u*: 0 Fuel burning e9uiptmm (comPlete echedules below) O No fuel buming equipment
' IxsrritvcnoNs
Step 1. Complete the Combustion Equfpment Schedule below. Only equipment
with a Y(Yes) may be selected under the "Category 1" altemate.
Step 2. Complets Fxhaust/Make.upAtr Schedele on the right ff direct or powar
vented or solid f4e1 aUnospheric vent space heating equipment ia
setected.
COMBIISTION EQiJiPMENT 5CHEDULE
check atl Woes sed
Space heating - nonsotid fuei 0 Sea(ed combustion Y Heazth - nonsolid fuel O Seated combustion Y
O Direct or power vented Y+ 0 Direct or power vented Y
Atm heri vented N Atm heri vented N
Water heetlng - nonsolid fuel O Sealed combustion Y Space heaNng - solid fuel O Atmospherically vented Y•
O Direcc or wer vented Y Water heatin - solid fuel O Atmo hericall vented Y
Atmospherically vented N 11 Hearth - solid fliet ? Atmo hericallvented Y
* If atmoaphericalty vented solid fuel or direct or powes vented nonsolid fuel space heaHng is installed, then make-up air to match
flow is required for each individuai exhauat device whtch exceeds 300 wbic fat r miaute.
Part Cl. VENTILATION
VENTiLATION QUANTITY
(Mechanicai ventilation must be provided per the larger quantity caiculated below)
4OY'- cabic.feet a O.OOS83 /mlmute = Zi ' ctm z IS cfm/bedroom) + 15 cfm = M, E] cfm
volume of habitable rooms nwnber of badrooms
VENTILATION FAN SCHEDULE
ctieck methoacs> proposea 4 oExh" only _ sMaaaa (heat mwvety ven,ilacor, sir excnanger, eto.) 1
Fan dcscci 'on or locadon 4 iZ?
'n-.
TOTALS
VSIJTII.ATION Ietake S`t.' cffi C31' cFm cfm c5n dm
AS DESIGNED Exhaust , cfm /- cfm cfrn cfm cfm
Statement ot Complisnce: The proposed building design represented in these documents is consistent with the building plans,
speci8cations, and other calculations submiUed with the permit applicatlon. The proposed buitding has been designed to meet the
requirements of the Minnesota Energy Cale.
Appllcant (print name) Signature Date Telephone number
PBtt C2. VENTILATION (Submit Part Cz upon completion of system verificationt)
x ---------------------------------------------------------
Job Site Address: _ I Permit Number
Fan descfl on or ocation TOTALS
MEASURED ! ' Intske cfm c6n cfin cfm cfm
PERFORMANCE Exhaust cfm cfm cfm cfm cfm
t Ventilation raEe must be raeasured and verified when the performance option is used in lieu of the prescriptive option for the
seali of ''nes in the buildin coaditioned emlope from Parl A.
Compliance Sta4emeut: Installed vendlatlon system is in compliance with MN Energy Code and is sized to provide ffie design air
flow. ? ?
Applicant (print name)
Signature
Date Telephone number
Job Site Address:
"CATEGORY 1" ALTERNATE F4R
ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: This alternative may be used for one- aad two-Pawily dwellings buflt to meet We Category 1 requiremenb of
Mianesota, Rules, C6aptcr 7670. Completc Puts A. B, and C. Cleady maork plaas with: insvlaflou R values; windo!w and dwugk U-
values; size and type of equiPment; oquipment conhols; and IocaUon of vapor rctarder and windwash bacriers. Moro detsiled
information can be found in the Minnesota Energy Code sumnwry shcets available fmm the NUanesota Department 4 Commerco.
Part A. BUILDING ENVELOPE
Check proposed envelope joint sealing option -l p Prescriptive (caulking, geakets, etc.) O Pafotmence (kst px 7670.0470 ubp. T.C.)
Check theimal aiergy calculauon option usad -) p"Cookyopk^
"Cookbook" Worksheet
IrissTxvcrtoxs
Step l. Check item(s) that design meets on Minimum Requiranmtr list
to the right Must mcet all itans to use "Cookbook" option.
,V MnCheck method
MgiBWMaEQumEMrrrs
for "Coolcbook" o tton oNv)
O Geiling Inaulafion: lvfinimwn R-38 with 7S4" aergy keal: a'
Min'vnum R-44 with low huss heel; or
Minimma R-38 with R-5 sheethin wheu no attic.
O Entry Doors; Mex. U-value of 0.30 or 1'/." soUd wood with atam
Step 2. Indicate proposed wa11 rype on table below. Rim Joist Luuletiom: NGnimum R-19
Step 3. Indicate Winulow U-value end source. O Floas ovu uncondiliated Vam: Minimom R-24
Step 4. VeriCy wtal windnw (including mea of all foundetioa windows) O Fomdation Insulatlon: Mmimum R-10
and door area is equal or less tMn allowable peroentage. O Famdetioa windows: Yi' insulated glas, wood a vin 1&eme
TABLS FO& DETERUIINRVG MAXII1lUM WINDOW AND DOpR pREq
Msximum Allowable Totel Window and Dour prea as
a Petcenta e of E sed Wefl ----.? 12% 14% 16% 18% 20% 22% 24°k 260/9 28°h
Wall TYpe Steadard Fiamin : Mapmum Avem a Window U?velue ( CXOCO foundeuon wiadowy :
? 2x4, R-13 insuletion, 0 R-7 shea ' 0.41 0.36 0.33 030 0.27 0.25 0.23
? 2x4, R-I S insulation, 0 R-5 sheeUhin 0.39 0.35 0.31 0.28 0.26 0.24 0
22
? 2x6, R-19 insulation, <R-5 shm '
0.480.41 0.36 0.32 0.29 0.26 0.?A 0.22 .
0
21
=
O 2x6, R-19 insulation, 0 R-5 0.42 0.37 0.34 0.31 0.28 0.26 .
0
24
? 2x6 R-21 insula4io <R-5 shea ' 0.38 034 0.30 0.28 0.25 0.23 .
0
22
2x6, R-21 insuletion, 0 R-5 dwahing 0.44 0.39 735 0.32 0.29 0.27 .
0.25
Wall Type Advanced Fremin • Maxtimum A
O 2
6
R e Wiidow U-value (e neDt foimdaCOn windowa :
x
,
-19 insulatio <R-5 sheathin 0.52 0.45 0.39 0.35 0.31 028 026 0
?R 0
22
? 2x6, R-19 insulation, 0 R-5 sheaUng 0.58 O.SD 0.44 0.39 0.35 0.32 0.29 .
0
27 .
0
25
? 2x6, R-21 instilatio < R-5 sh ' 0.55 047 0.41 0.36 0.33 0.30 0.27 .
0
25 .
0
23
? 2x6 R-21 insulation, O R-S sheathin 0.60 0.52 0.46 0.41 - 0.36 033 030 .
0.28 .
016
Window U-value: [ Soutre; O NFRC O ASFIItAL? 1993 Flead6ook
100 x (?._._....?...?...?.? ? ?.?,_...?.__.1$_? ?? 0/a I <
window & door azea 8ross exPoged wall aze8 DES IGN ALLOWABLE lfrom fehle nMvnl
MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ?
TYPE OF RESIDENTIAL BIIILDING APPLICABLE RULES
Detached R3 occupancy 1- and 2-tamUy dwdlingi Chapta 7671; or
Exam les: sin e famil twin hom exes
Attached R-3 occupancy dwe111a
s C ter 7670 1" with dautoiy 'on md ventilaton wilubeareals
C
g
Exam les: tri lex townhouses and row houyes hapter 7674; or
C ter 7670 wiW either "Caftory 1" or "Cate
or
2"
vi
i
:
R-1 occupancy bulldinga of 3 rtorles or teu g
y
pro
s
ons
Chepter 7514; or
& les: condominiums or
R-1 occupaocy bulldings over3 stoNea bi
h C 7670 wiqt atha "Categorv 1" or "Category 2" provisions
Ch
7
7
g
Exam les: hi rise coRdos or a enta epter
6
6
,s,w
Date: 04/13/2005 Revision Date: 04/13/2005
Site Information
Address 1: 1381 GRACE DRIVE
Address 2:
City: EAGAN County: DAKOTA
Apqlication information
Business Name: WRIGHT HOMES
Contact Person: CURT
Office Ph: 612-490-2519 Fax: 952-953-2215
Address 1: 14420 GLENDA DR
New Construction
Project #:
Lot: 3 Block: 1
Subdivision: MARCELLA WOODS
MN Contractor License #:2646
Cell Ph:
City: APPLE VALLEY State: MN Zip Code: 55124
House Details
Square Feet: 4873 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 5
Ventilation : Balanced
Total Ventilation Capacity: 192 cfm.
Minimum Continuous Ventilation :90cfm.
Intermittent Ventilation: 102 cfm.
Combustion Appliance
Water Heater: Direct VenUSea{ed Combustion Input BTUs: 35,000 IndependentVy Vented
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 70,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural praft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Equipment
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 135
Make-Ua Air
No Make-Up Air Required by Code
Combustion Air
Minimum Combustion Air Requirements Have Been Met.
Applicant Name (print): (??L)?i (-f-T Signature/Date:
Code Official (print): Signature/Date:
0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
Permit Number
REScheck Compliance Certificate cneckea sy/Date
2000 Minnesota Energy Code
REScheckSoftware Veision 3.5 Release I
Data filename: I:\Energy Ca1cs\RESCHECK\MN\05-173.rck
TLTLE: #05-173
COLINTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/08/05
PROJECT INFORMATION:
BRIAN & DEE O'MALLEY
COMPANY INFORMATION:
WRIGHT HOMES
COMPLIANCE: Passes
Maximum UA = 687
Your Home UA = 530
22.9% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Peruneter R-Value R-Value U-Factor UA
Ceiling 1 Flat Ceiling or Scissor Tmss 1873 44.0 0.0 51
Wall I: Wood Fiame, 16" O.C. 4137 19.0 2.0 196
Window 1: Above-Grade:A6ove Grade, Wood Frame, Double Pane with Low-E
476 0330 157
Dooi 3: Solid 60 0330 20
boor 2: Solid 18 0.230 4
Door 3: Solid 80 0350 28
Basement Wa112: Solid Concrete or Masonry 696 11.0 0.0 39
Wall height: 8.8'
Depth below grade: 8.2'
Insulation depth: 8.8'
Basement Wa112: Solid Concrete or Masonry 368 11.0 0.0 26
Wall beight: 3.5'
Depth below grade: 3.0'
Insulation depth: 3.5'
Floor 2: All-Wood JoisUTruss:Over Outside Air 39 38.0 OA 1
Floor 2: All-Wood JoisUTruss:Over Unconditioned Space 326 38.0 0.0 8
Furnace l: Forced Hot Air, 90 AFUE
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0330 0370
Includes Foundation Windows > 5.6 ft2
Floors Over Uncondirioned Space 0.026 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the perxnit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in RES checkVersion 3.5 Release 1(formerly MECchec? and to comply wi[h the mandatory
requirements listed m the RES checkInspecAOn Checklist.
Builder/Designer Date ? ? ? g
6?0*4 oretcu coVY
?G
Development m hc
Lot Number S Block Number I
Address op.w 15
Builder P iZ T ftnYY1(n
PHONE NUMBER:
CONTACT:
Tree Protection Requirements:
?
? Tree Protection Fencing Installed On Site C S l(, T Ct?
Oak Tree Pruning (Immediately seal wounds during April 1 to July 31
Therapeutic Pruning
Retaining Wall
Other:
Reolacement Trees:
Not Required
As Follows:
Attachments:
4- Yes
No
?
Additional Notes:
EAQM FOR(?MY D8VOS9??
M2V???L ?
oam ?f-ti6 -os"
DIV
H:kghove\2004flellreepres\Tree Preservation Plan Summary-2004
(PLEASE READ ATTACHMENTS)
INDIVIDUAL LOT - TREE PRESERVATION PLAN REVIEW
C1TY OF EAGAN - FORESTRY DlVIS10N
?
Date Building Permit Application Received
Development I i 1cc f C¢ L(G WUa d S Lot Block ?
Site Address
Builder w
Telephone _
Property/Lot Owner Name
Telephone
Office Plan Review - Date
Contact
Fp,X email
FpX email
{lf.. INYO A?A JlW l' ?Gb
Tree Preservation Data Oriqinal Plan Revised Plan
Total Significant Woodland Area
Total Significant Trees
Woodland To Be Removed
Trees To Be Removed
Allowabie Woodland Removal
Allowable Tree Removal ?
Required Mitigation Yes
? sq. ft.
I
? sq. ft.
- sq.ft.(20%)
- (20%)
Calculated Mitigation Amounts:
Original Plan - - Category A ---? Category B
Revised Plan - Category A Category B
sq.ft.
sq.ft.
sq.ft.(20%)
(20%)
? Category C
Category C
i
Original Tree Preservation Plan Approved - Date :+t6Jn By
Discussion/Meetings with BuilderlOwner - Date
Notes
Revised Tree Preservation Plan Approved - Date
By
Date Forwarded to Inspections - Date BY
PI*NEERengineering
April 19, 2005
Mr. Gregg Hove
Supervisor of Forestry
City of Eagan
3501 Coachman Point
Eagan, Minnesota 55122
RE: Tree Certification
Lot 3, Block 1, Mazcella Woods
Eagan, MN (Dakota County)
For: Wright Homes
Dear Sir:
p rll
lll `+?R 2 n ,._
This letter is to verify that Wright Homes has abided by the City of Eagan's Tree Preservation
Ordinance on Lot 3, Block 1, Marcella Woods.
During a site visit on December 18", 2905, all significant trees designated to be saved on the
Tree Preservation Plan prepared by Pioneer Engineering, P.A. (10-10-03) were observed on the
lot and aze in good health, except tree #741 (16" Elm). Originally this tree was to be removed,
due to being a hazazd tree, during the ini6al site grading but has been left standing. The crown
appears healthy but at the base of this tree there is major mechanical damage and the presence of
internal decay. Structurally this tree is not being supported by enough sound wood at the base.
Before construction starts, this tree should be removed to avoid any hazardous situations that
may occur once the house is placed in its proximiTy.
The house has been staked. Existing silt fence can be left in placed to protect uee #726 rather
than installing any additional tree protection fence. Grading and construction of the new home
should not have a negative effect on these tree and woodland being protected.
If you have any questions, pleas call me at (651) 681-1914.
Since ,
PI EER ENGINEERING, A.
Ken J. Arndt
Urban Forester
MN-4033A
cc: Curt Wright, Wright Homes
Site address: / 3AI 1r2'4t6 A 2 Lot _L Block J_ Subd. ' ?4?0o/?f
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
x This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be consUucted to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ?*k??? 574 , M
Fumace x TIL" c Y, 9, COO fZ0 oFx`) owG? Ji.../'
Dryer x vjrhj..l,PooL- 6 µ?LT 2 0, cexo Dia[L
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen
Bathroom 1 U!P A.oww 579
Bathroom 2 ? O 'L - u -p
Bathroom 3
4 oom
P
Other 5
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIREC7 ATMOs
7s 23pOO
L.L. G'.R. fj C-itz
?
23 000
MAKE-UP AIR MODEL TYPE CFM's
rLfo k(a k?u:w ,Ea.
I hereby acknowledge that the above infortnation is correct and agree to comply wilh the Minnesota Energy Code and City of Eagan
requirements.
?
Signature Date
?.l(,HT f/on.sE.f
Company Name
• This Torm is the responsibility oi the General Contractor.
Address: 1381 Grace Drive Zip: 55123
Lot: 3 Block: 1 Subdivision: Marcella Woods
THE FOI,LOWING ITEhiS WERFJWSRE NOT COINPLETF, AT FI.\'AL INSPECTION OIY fA
Yes No Comments
Final rade - 6" from sidin
Permanent ste s - arage
Permanent ste s- main enY
Permanent drivewa
Permanent as
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder tha( roof test caps from the plumbing system have been rcmoved.
• Tum off water supply to lhe outside lawn fauce[s beforc frceze poten5al exists.
• Call the City's Engincering Depailment a[ 651-675-5646 prior to working in rightrof-way or installing
irrigation system.
J
BUILDING INtiPECTOR:
Cd/Bldg Insp/Forms2004/Checkli9s/Master Checklist For C.O.
CONTRACTOR:
Wright Homes
14420 Glenda Drive
Apple Valley, MN 55124
O-D
T Z S Z 2006 RESIDENTIAL BUILDING rExNnT arrLicaTioN . ?'
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements
3 registered site surveys showing sq, ft. af lot, sq. ft. of house; and all roofed areas
(20% maximumlotcoversgeallowed)
2 copies o( plan showmg beam 8 window saes; poured found design, etc.
1 set of Energy CalcuWtions
3 copies of Tree Preservation Plan "rf bt plafted after 717193
Rim Joist Dehail Op6ons selection sheet (buildings with 3 or less units)
Minnegasco mechanical venlilaUon form
RemodeVReoair Reauiremen45 Office Use Oniv
2 copies of plan showmg footings, beams, joists Cert of Survey Recd "_Y •_N
7 set of Energy Calculations for heated addiGons Tree Pres Plan Recd Y N,
1 sflesurveyforadditions8decks TreePresRequ'ved`-.-,-• '_Y _N
Ado"tlion-Indicate'rfon?Resep6csystem On-siteSepticSy'stern ' _Y _N
tP d
Date 5- / / l ?& Construction Cost 6115-60
SiteAddress UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
P
t
O Telephone #( y?) a 3>_Ia-`'j
wner
roper
y
Contractor C',cin 4ye ?-??lC L?ZKS i s'?
Address /`?ZZ 3 c?--A?f-C_ S%4 ST /l/-? City /?j?i°F?>
State Zip .5.3 d Telephone #(6/a ) 7 03-10 tL
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CatCgory , Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet
(4 submission type) Submitted Submitted
• Energy Envelope Calalations Submitted
In the last 12 monihs, has the City of Eagan issued a permit for a similar pian based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber 2 Telephone #(
Mechanical Contractor A Telephone #(
MAY 0 1 2006
Sewer/Water Contractor TelePhone #
(
I hereby apply for a Residential uilding 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 Printed Name
?
A ant' i re
DO NOT WRITE BELOW THIS LINE
..,
.,
Sub Tvqes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 `K 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex /O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
Z'MC 32 Addition ? 36 Move Building ? 42 Demolish FoundaGOn ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Gi ve PCA handout to applicant
DeSCriqtlOn: WaterDamage_Yes
Valuation ? Occupancy MCES System
PlanReview _100%or_ 25%
Census Code (.? yT Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fseplace _ R.I. _ Air Test _ Final
Insulation
REQUIREDINSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
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
??lL
;,0 c-9 o
?? ? -
I P I 'NEERengineerin
Mendota Heights Office ?? ? Coon Rapids Office
2422EnterpriseDme ctv¢.eNCwr:Ees LANDPLANNEIiS LnnDsuttvexoxs cnnoscarsattetirrECrs 201 85th Avenue N.W.
Mendota Heights, MN 55120 Coon Rapids, MN 55433
(651) 681 1914 Fax:681 9488 Mendota Heights Office (763) 783 1880 Fax:783 1883
Certificate of Survey for:
LOT AREA = 14,071 sq. ft.
HOUSE AREA = 1,494 sq. ft.
GARAGE AREA = 959 sq. ft.
PORCH AREA = 115 sq. ft.
COVERAGE = 18.37
BENCH MARK: LOT 15, BLK. 1
TOP NUT HYDRANT
ELE V. =1038.20
?p so .8)
1050 8
WRIGHT HOMES
1381 GRACE DRIVE EAGAN, MINNESOTA
BUYER: 0'MALLEY
DRAINAGE AND UTILITY
N89*40'58"E 90.00,,%-rSE Nsj PER PLAT
? ?? V so.s )
to
o m ? o
------L-'Y ?
r-
51 i 15
?
HOUSE TYPE = 13-C LOOKOUT
SAN. SERVICE ELEV. - 1044.9 (PLAN)
LOWEST OPENING
?
N
cn
L ?
?
?
?
?
?
(VACANT)
605-L.S
1052.7
3:
N
S
1055.4
i
BENCH MARK:
TOP OF SPIKE -? ?
ELEV.=1057.42 ;
021
? k-RAE%?? .????WV-0
By ?
Date
IEAGAN FNQ'sENMUNG D1GPLi
i L,O,
? xtos2.a f
I I X1051.9
? I I
I 1 llZi I
\ i
150 ?o'?3•1 1 ? 1053.7 11 ?
? 1053.1 p
? 16.00 ? I
r,?
I N/ HO
? 400
I m u /
0
?/a ,
150? 1056O 1056.
u
?ios?•ol
---?-
L_
0
3'08'31 11
NOTE: PROPOSED GRADES SHOWN PER GRADINC PLAN BY: PIONEER
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HOftIZONTAL AND VERiICAL LOCATION
OF STRUCTURES ONLY SEE ARCHITECTURAL PLANS FOR BUILDING AND
FOUNDATION OIMENSIONS
NOTE: NO SPECIFIC SOILS INVES?GATION HAS BEEN COMPLETEO ON THIS LOi BY THE
SURVEYOR. iHE SUITABILITY OF SOILS TO SUPPOftT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBIIITY OF THE SURVEYOR.
NOTE. THIS CERTIFICA7E DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWIJ ON 1HE RECORDED PLAT.
NOTE: WNTRACTOR MUST VERIFY DRIVEWAY DESIGN
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
?-?
I I
i
i ?
I I
p PROPOSED I
0 DRIVEWAY
-? ?
1 0 106.6P
. .?._.e .
7051.5
xiosa.s
9
N
O 0
0)0
?
0 ?
O
Z
N §oa? ?12HQI
" iosas
58.1 g!
lOSB.o? BENCH MARK:
TOP OF SPIKE
10570 ELEV.=1060.15
r
'°T 9 s-? •3?
(?
?24rZF DRIVE
N89'40'58°E
_ 61.58 -
WE HEREBY CERTIFY TO WRIGHT HOMES THAT THIS IS A TRUE AND
CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
' om
; ?- om
no i
i ? ?,
??
L
PR POSED HOUSE EL V rTION \
LOWEST FLOOR ELEVATION: IO s;O•`?-\7
TOP OF BLOCK ELEVATION:' b??^ l
GARAGE SLAB ELEVATION:
TOB (PLOOKOUT ELEVATION: IO?3to,
X 000.00 DENOTES EXISTING EIEVATION
( 000.00 ) DENOlES PROPOSED ELEVATION
--- DENOTES DRAINACE AND UTIUTY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
-A- DENOTES SPINE
6 DENOTES OFFSET HUB
LOT 3, BLOCK 1, MARCELLA WOODS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 30 DAY OF MARCH, 2005. /?\ -
SCALE : t INCH = 30 FEET
REVISED 4-8-05 STAKED HSE
41 (l (DS
ED:\ PIONEER EMGfF1Mft([1G, P.A.
O?`M?E" v??C1.r tiw'?
Dan R. Westergren License No. 1
Mendota Hefghts OfFlce P12NEERMineering Coon Rapids Off'ice
2422 Enterprise Drive QVII ENGINEERS IAND PWJNER$ IAND SURVEYORS lANDSCAPEpRQ1fiECTS 201 BSth Avenue N.W.
Mendota HeighLS, MN 55120 Coon Raptds, MN 55433
(651) 681 1914 Fax:6819488 Mendota Heights Office (763) 783 1880 Fax:783 1883
TREE CERTIFICATION
Certificate For: WRIGHT HOMES
LOT 3, BLOCK 1, MARCELLA WOODS
1381 GRACE DRIVE
EAGAN, MINNESOTA (DAKOTA COUNTY) EXISTING SILT FENCE
CAN BE LEFT IN PLACE
?or aRen =,a,m, 'q. rt. FOR TREE PROTECTION
HOUSE AREA = 1,494 sq, . ft.
GARAGE nRER = 959 eq ft.
PORCH AREA = 115 sq. R. ? DRAI GE AND UTILITY
COVERAGE - 18.37C N89040'58"E 90.00 ,EA ENT PER PLAT
_ o I o
?
BENCH MARK: LOT 15, BLK. 1 - - - -I -
-
TOP NUT HYDRPNT
ELEV.=1038.20
5j726 741
? IS
HOUSE TYPE = 13-C LOOKOVT
SAN. SERNCE ELEV. ? 1044.0 (PLAN) I
o
LOWEST OPENING ? I 3 ?
N
?
0; I
xioszas
? 1
j
I X105i,e7 I
I
imze 11150 I ?
1 ?
1051e7
n.
_
?
mai.u r
___' i
(VACANn ? I
PROPOSED
? ? I
o HOUSE
o
I
?
? I GARAGE
Z I ? por
-?- ? --
-
- I
-?
,ox.. „Iso ,ox.
oz
Hose.a
i ,os io„{s
BENCH MARK:
i
?? ?
1 ?
o a+?gD ?5
onrvawAr
TOP OF SPIKE ? 11 5
ELEV.=1055.48 n L - - - - ?
- - - ?
o ' o
-
+osxn
22.0 -
\ I
1 ? GRACE DRk
?
N
? 13op8'31"
1>? N89040'58"E
? NORTH 125.00 61.58
"
' R 2? - -
SCALE : 1
= 40 ,
r
SITE SUMMARY
TREES SAVED: 1 (100%)
TREES REMOVED: 0 (0%)
TOTAL TREES: 1 (100%)
TREE #741 SHOULD
BE REMOVED
x,aeo.x
?
oao
?Lo
LrI
O ?
Z
Egi u
BENCH MARK:
? TOP OF SPIKE
? EIEV.- 1058.20
TREE LIST
1REE PRESERVAi10N PROPOSED
NUMBER 5IIE T1IEETYGE VLAN STATUS
726 20" ELM SAVE SAVE
741 16" ElM DAMQdBfSE, INT. DEC. HAZARD-REMOVE HAZARPREMOVE
HAZARD TREE STATEMENT
9qSED ON :
I hereby certify that tfiis plan was prepared by me or under my direc[
supervision and that I am an Urban Forester and a tertlfied Arborist
SIGNED: ION •R ENGIN qP:-
DAT
E: 42?
Ken dt, r an For erCertl tred A orist MN 4033
103316.001
HAZARD 7REE5 "AN EASY TO USE F[ELD GUIDE"
8Y ED HAYES, MINNESOTA ONR, 1996
• HA2PRDTAEE-RNYDEFECrIVETPEEWRHATPItf*T.
• Tp0.GET-ANVPREAWHEREPEOPLEMOVETHRWGH,IINGER,
OR SfAY. INCLUDES FACRILIES NJO PfASONRI %tOVEIRV.
• TREESLISfED0.5HA2MUWILLNOTBEiNCWDED INTHE
OYER4LL TREETOTPIS.
DATE:
SIGNATURE OF OWNER
PAGE ONE OF TWO .
Mendota Heightr Office PIZNEERengineering Coon Rapids Office
2422 Enterpnse Drive aViL ENGINEERS LpND PLqNNERS IAND SURVEI'ORS IANDSCAPE ARpiITEC(5 201 85th Avenue N.W.
Mendota Heights, MN 55120 Coon Rapids, MN 55433
(651) 681 1914 Fax:6819488 Mendota Heights Office (763) 7831880 fax:7831883
TREE PRESERVATI4N DETAILS
TREE PROTECTION FENCE
NCE
PROTECTED ROOT ZONE
aPUrue
6._p.
TREE PROTECTION ZONE
• NOGRAOING,TRENCHINGORPIACEMEMOFEQUfMENT1NTHI5PRfA
• NT1RK PERFORMED WIT11N TP2 SHOULO BE pONE WHPNO ANO IINOQt
THE SUOERN[SIDn OF THE CqVA1LTING MB]RIST
• 1NSrALLTREEDRiILTFENCEPIUDRORATNESAMETIME0.5LPNDCIEARtIiG
• PROTECfIONFENCE5H0UlDrtEMAfNIN?UNTRALLCIXJSfkUCfI0N15[OMftEiED
TREE PRESERVATION NOTES
• BEFORE tAND QEdR[NG BEGINS, COMR4CfOR SHOIRD MEEf WITH THE
COfVSULTANT ON SRE TO REVIEW ALL WORK PROCEWRES, A[CE55 ROVTES,
STORAGE AREAS, PNO IREE PItOTECf10N MEASURES.
• TREE PROTECTION FENCE IS TO BE PLACED OUTSiM OF THE IXUPLINE OF
ALL SIGNIRCAM TREES TO BE S4VED. FENCE TO REMAIN UN/Il PL.
SRE WORK IS COMPLEfEO. FENCE SHOUID N0T 9E MOVED aR RELOUTED
W ITHOUt VER84L OR WRITfEN COMMUN[CATION W1TH THE CONSULTMfT.
NO FILL SHOULD BE PIACED AGA[NST THE TRUNK, ON THE ROOT CROWN,
00. WfiHIN THE DRIP LINE AREA OF ANY TAEES THAT PAE TO BE 54VM.
CPRE MUST 8E T0.VSN TO PREVEHT CHMJGE IN THE SOIL CHEMISTRY DUE
TO CONCRETE W0.5HOIfr AND LFAKNGE Oti SPILLAGE OF TOXIC MhT6UALS
SUCN PS PAINTS 00. FUELS.
ALL CONSTRUCfION EQU[PMENT, VQ1[[lF TRAFF[C ANO $TORpGE ARF15
Ml)Sr BE LOCATED OIfr51DE OF ANY TREE RiOTECfION AAE0..
• PRUNING OF OAK TREES MUST NOT TPkE RACE FlIOM APRII.15 TO JULY 1.
• IF WOlM[NG ? OAK 1Rff5 CGCUR, A NONTO%IC WOUM DRESSING MUST
BE APR[ED MMEDV+TEIV, (IXCAVATORS MlKT HAVE A NIXJ-TOXiC iREE
W WND DRESSING WITH THEM ON DEVEIOPMEM SRES.
THE AREA OF R00Y5 EQUAL TO I'-1.5' FOR EVERY 1" IN TRUNK DIAMEfER (DBH)
PROTECfED ROOi 20NE NO7E5:
• 9695%CiATRE6RWT5Y5fEM5lOCAlEOWfIHINTHET0V3'CGSOR
• SOMOFATNEESROOTSVSlEM]SLOCATE) W[IHMTHETOFI'OfTHE501L
• MpSfFlNEP005MEWIMINTNFTOVIB"OFiNE501LAIPFACE,RI5THE5E
0.WT5 TXAT FUNCf10N 00.1MAR(lY iN WAtER HID NUIRIFM iRtAKF
• SOMETREESCPHWITHSrPfA1.mT050%NOOTSEVERANCE BIROTIERTPEf
SPECIES FPE E%IFEMELY SENSISTIVE TO ANY PWT SA£RRICE
• SOIL<OMPAQ[OHPINFLLLOVERROOTSYSIEMSNtEIIbT/SOPM4GMG0.5
0.OOT SEVERANCEAND SHWLD BE MINIM12EDfOR WOGf0. SOILO%YGENIEVELS
• TREE %10TERION FENCE OR SIIT FENCE IS TO EE VlACE0OU19DETNf
PROTECIED 0.0JT ZONE OF THE THEE
ROTECTEO ROOT ZONE
TREE PROTECTION FENCE
DRIP-L[NE
PAGE TWO OF TWO
RADIU5=1-1.5 fOOT PE0. INOi
OF TRIINK OIMIEIER
AERIAL VIEW
f /
r
- pl ?NEER
. ?e Heights O[fice engineering Coon Rapids Office
?EnterpriseDrive crv¢,r:rrcweEas LANDPLANNL•RS LANOSUIiV6YOR5 LnrvuscaranrtcturECrs 201 85th Avenue N.W.
dcndota Heights, MN 55120 Coon Rapids, MN 55433
./;?4651) 681 1914 Fax:681 9488 Mendota Heights Office (763) 783 1880 FaxJ83 1883
Certificate of Survey for:
LOT AREA = 14,071 sq. ft.
HOUSE AREA = 1,494 sq. ft.
GARAGE AREA = 959 sq. ft.
PORCH AREA = 115 sq. ft.
COVERAGE = 18.3%
BENCH MARK: LOT 15, BLK. 1
TOP NUT HYDRANT
ELEV.=1038.20
WRIGHT HOMES
1381 GRACE DRIVE EAGAN, MINNESOTA
BUYER: 0'MALLEY
DRAINAGE AND UTILITY
??os?.?? N89?4??'rJB??E 90.00/ i -?itS?os?PER PLAT
ioso.a ?? ?
? - -
HOUSE TYPE = 13-C LOOKOUT
SAN. SERVICE ELEV. /=, 1044.9 (PLAN)
LOWEST OPENING
?
N
?
L LO
?
'e°
?
?
cc:
' 1054, (vncnNr)
605°L, S
1052.7
?
N
O
?
`o
O l`?n
Z?o
PJ,1-R.
r-- I et-t
BENCH MARK:
?
TOP OF SPIKE -' r
ELEV.=1057.42 ;
l ???'?osz.s
I I EWO
o m ? o
? _i-?
?-------
51 i 15
i '
3
1
I X7052.4 1 X1051.9 I 1050.1 X1050.5
I I ?
? ` lu5z,w? i ? 04 O
53.7 1O?1?D? ? O
?50 1051s 'tD
? I -r---- 053 p/28.OD ?
? o s.oo I ?/? i? z
t "'
PROPOSED
o
I ° HousE? (-osd.s) ' 1
i n 400 ?-- ----- 23.00 105?. ? ?b iN
Z
GARAGE
o R I / ? 1 0 v~i ?
I ??N„ a 13.50?t° o /N X
I j 12.00 Porc 14.00 ° -
?' ?x ----r- --? --- 23.50 iosos
1 V V
1I50 1056.0 1056.
o --?-
?L
BY , -..?-.--v
Date /9/os' ?.30 31
??
,? 5_00
EAGAN ENGINEERING DEFJ?
I I
0 PROPOSEC, 0 ORIVEWA7 I
_M 4
i o i 56.6
?
•l°?o.°IgENCH MARK:
TOP OF SPIKE
1057.0 ELEV.=1060.15
? 10579Sj
t?
?
? J
.o.,..-
I 1055.9 1057.01
DRIVEI
;S D '
N89640'58"E 1
61.58 _y
NO1E: PROPOSED CRADES SHOWN PER GRADING PLAN 8Y: PIONEER
NOTE: BUILOING DIMENSIONS SHOWN ARE FOR HOftIZONTAL AND VERiICAL LOCATION
7 OF S7RUCNRES ONLY. SEE ARCHITECNRAL PLANS FOR BUILDINC AND
{ FOUNDATION DIAIENSIONS.
NOTE. NO SPECIFIC SOILS INVESTICAl10N MAS BEEN COMPlETEO ON hi15 LOT BY THE
SURVEYOR THE SUITABIIITY OF SOIlS TO SUPPORT THE SPECIFIC HOUSE
PftOPO5E0 IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OiHER THAN
THOSE SHOWN ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY ORIVEWAY DESIGN.
NOTE: BEARINGS SHOWN AftE BASED ON AN ASSUMEO DANM
WE HEREBY CERTIFY TO WRIGHT HOMES THAT THIS IS A TRUE AND
CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
b
--:- am
m
0
3 M
00 ?
?
\
PROPOSED USE ELEVgION
LOWEST FLOOR ELEVATION: ?0
TOP OF BLOCK ELEVATION:
GARAGE SLAB ELEVATION:
TOB @LOOKOUT ELEVATION: IO531?1
X 000.00 DENOTES E%ISTING ELEVATION
( 000.00 J DENOiES PROPOSED ELEVATION
DENOTES DRAINACE AND UTIIITY EASEMENT
- DENOTES DRAINAGE FLOW DIRECTION
-A DENOTES SPIKE
B DENOTES OFFSEi HUB
LOT 3, BLOCK 1, MARCELLA WOODS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 30 DAY OF MARCH, 2005.
r
ED:\ PIONEER FjNGINE,E(tt(TG?, P.A.
SCALE : 1 INCH = 30 FEET REVISED 4-8-05 STAKED HsE
i7q in:vsnRnns iMM 4?ItloS
Dan R. Westergren License
Use BLUE or BLACK Ink
For Office Use I
1
City of Eajan i Permit
Permit Fee: I
3830 Pilot.Knob Road I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 j
1
Fax: (651) 675-5694 Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 122J V1 a" [?r
Tenant: A~ Suite
Resident/Owner Name: ~irl V Mil ~'~7 Phone: U,51--14 Address / City / Zip: cq ~a
Name: Wenzel-Plymouth Plumbing, LLC License 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Lawn Irrigation l_ RPZ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures Main Lower Level)
New Water Turnaround
X 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, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
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.cior)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that tl}e work will be in
accordance with the approved plan in the case of work which requires a review and approval of p1 \
x Carl Michels X
Applicant's Printed Name A icant's signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
g,/
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1(' _) tt' 13 Site Address: ' '\ Unit #:
Resident/
Owner
Name: .r u... C.f WA G.\\- / Phone:
Address / City / Zip:
Applicant is: Owner .-Contractor
Type of Work _
Description of work: �C-t-oq oi-C o....,9 (e too f
Construction Cost: Multi -Family Building: (Yes / NoX )
Contractor
Company: Sv\i*„( (ovs sive ck;v.._ Contact: \-got,,. LU.L
Address: dao 0 I..,..— }, 00 1A--L-e_ S City: ;3 l outA-,- k to „�
State: 01 Zip: S S`13) Phone: (n t )-- 2 .0-C 2 U7
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x `JGLv.. L -
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3