1166 Lexington Ridge Ct
Date: 3/16/2006 Revision Date: 3/16/2006
Site IrMormation
Address 1: 1166 LEXINGTON RIDGE
Address 2: ?
City: EAGAN MN County: DAKOTA
Application Ir?formation
Business Name: MILLERVILLE HOMES
Contact Person: RAY MILLER
Office Ph: 612-723-7137 Fax: 651-686-8098
Address 1: 1566 MURPHY PKWY
City: EAGAN State: MN Zip Code:
New Construction
Project #: B-UNIT
Lot: Block:
Subdivision:
MN Contractor License #:
Cell Ph:
House Details
Square Feet: 4340 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 171 cfm.
Minimum Continuous Ventilation :75cfm.
Intermittent Ventilation: 96 cFm.
Combustion Appliance
Water Heater: Power Vent Input BTUs: 75,000 Independently Vented
Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 80,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes
Gas Fired Natural Draft Fireplace(s): No
Exhaust Equipment
Continuous Exhaust Ventilation Capacity (cfm): NA
Exhaust Fan Rating (cfm): 350
Make-Ua Air
No Make-Up Air Required by Code
Gas Fired Power Vent Fireplace(s): No
Solid Fuel Appliance(s): No
Clothes Dryer (cfm): 135
Combustion Air
Round Rigid Required: 5 inches or Insulated Flex: 6 inches
Applicant Name (print):? l/LC??11L?F /NC ' Signature/Date: 1;'(4*S Z-7 Dlv
Code Official (print): SignaturelDate:
O )(1(ld ('?IprPn:ni FnPrm? ?R:nnPnacrn )llfld TTsv-hanir?l I`r..ln (L..UPIi..?c
PwnP 1
Siteaddress: Lexi^161tY?) 1L; 14rk Lot 4? Block ? Subd.Z,eXj'w-k?sj gi?g
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.
_ This structure; is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restricfive requirements of Chapters 7672 or 7674
APPLIANCE GAS LEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater W?'4 .r?u"'&J [?j oco
`? C
3
Fumace 3V AAV03Gp`dOAMk oLV Z' t'?/C
Dryer -DFX u C's r nJ ZO " 51 to "
EXHAU5T SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen I
aU 350
Bathroom 1 .j v. 0lgq Q 3 ? O
Bathroom 2 [ ? ( l $? ?
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFAC RER
MODEL
BTU'S VENTING
DIRe ATMOS
yewft') &to s-
? gtk&,+ ke-oW ti t1 Glo D J / oo0 ?
Lo,.w Le'e` ? f?a4' nJ G(p ?lE h 33 000
MAKE-UP AIR MODEL TYPE CFM's
it- ko A%"/ v.e .,1 J4 : J P i l
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
xlov ,?jLC# 27/ ?
Date
?
` This form is the responsibility of the General Coniractor.
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`? 2*4 RESIDENTIA BUILDING PERMIT APPLICATIO?N
City Of Eagan YYl ?
• 3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construdion Reomremenis
3 registered sile surveys showing sq R of lof, sq. fl. of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copres of plan showing beam & window sizes; poured found desgn, efc.
1 set of Energy Cakulalions
3 copies of Tree Preservaiion Plan if lol platted afler 7l1193
Rim Jast Detail Op6ons selection sheet (bldgs with 3 or less units O
L 3 ? -10,?3b\
RemodeVfteoair Reauiremenis &" Use40niv
.
2copicsofplan Crs!'Gf8uroE1'Recd 1`N
1 set of Energy Cakulatiwns for hea(ed addilans Tt2e'Ptrs,PlmiRecd'_
isitesurveyforadcFitions&decks ?reC:pies;iiaz@iicEE[: ?.„,;YN
Addifion-irrdMateifon-sitesepticsysfem S3a?siteSe"pt?5ysleitii?::::_Y:_N
.., -AL- `7 <t-4-51
Date ? / ? / ? ?
Site Address (?Ou L^-2-X.i?1G
"- - • Constr?uction CosLt ?? 3? c
? ?-0 1 Unit/5te #
Description of Work ? C-on
Multi-Family Bldg -Yf?_ N Fireplace(s) _ 0 V 1 _ 2
Property Owner 1- \ll 1 kC??' ?^? ? ?v I C - Telephone # k I ? 7 ?-Zl ? 71 .Jj
Contractor
Addresa
State M? CitY
Zip Telephone # (&(-X -?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Mlnnesota Rules 7672
Energy Code Category , Residential Ventiiation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
. Energy Envelope Caleulations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber ??1.1?1 9'IUYVU' d1 ?lCl Telephone #(qpu- y?a' ?U?N-o
Mechanical Contractor Telephone #(9SZJ. 7H6-5ZOD
Sewer/Water Contractor Ve1 W 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 of plans. k?1 j
ApplicanYs Print Name Applicant's Si ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.)
A 03 01 of 2-plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.)
? 04 02-plex ? 10 OB-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_Yor_ N ? 25 Miscellaneous
Work Types
A 31New
? 32 Add'Rion
? 33 Alteretion
? 34 Replacement
Valuation 0 0?-v
Census Code /d;_
SAC Units 4/
# of Units 0/
# of Bldgs ol
Type of Const
? 35 Int Improvement ? 38 Demolish Interior
? 36 Move Building ? 42 Demolish Foundation
? 37 Demolish Building' ? 43 Reroof
`Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy R-3 MCES System
Zoning 17 City Water
Staries A Booster Pump
Sq. Ft. A1J?5 PRV
Length ? Fire Sprinklered
Width
? r
? 30 Accessory 81dg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc
? 44 Siding
? 45 Fire Repair
? 46 WindowslDoors
1?
?
?
Footings (new bldg)
_ Footings (deck)
FooUngs (addition)
? Foundarion
Drain Tile
Roof * Ice & Water _Z Final
? Framing
? Fireplace k R.I. _.*AirTes[ )? Final
Insulation ?
Approved By:
Base Fee " '
Surcharge '
Plan Review
P?ti9
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Suroharge
Treatment Plant
License Search
Copies
Other
ToWI
REQUIRE INSPECTIONS
FinaUC.O.
FinallNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
h?
w
Permit Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSofhvare Version 3.6 Release 1
Data filename: B 1 otB 1-B 1.rck
Checked By/Date
i PRO fECT TITLE: Lexington Ridge: Units6 6'
COUNTY: Dakota l!C 7-0a Xv? cT
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Multifamily
WINDOW / WALL RATIO: 0.13
DATE: 10/I9104
DATE OF PLANS: 10-14-04 ;
DESIGNER/CONTRACTOR:
Tim Fuller, AIA
SALA Architec[s, Inc.
COMPLIANCE: Passes
Maximum UA = 931
Your Home UA = 598
35.8% Better Than Code (UA) ?
Gross Glazing
Area or Caviry Cont. or poor
Perimeter R-Value R-Value II-Fac UA
Ceiling 1: Raised or Energy Truss 1955 38.0 0.0 49
Skylight l: Wood Frame:Double Pane with Low-E 9 0.400 4
Walls - Upper: Wood Frame, 16" o.c. 3861 19.0 0.0 191
Window l: Above-Grade:Wood Frame:Double Pane with Low-E 426 0.340 145
Door 1 Glass 198 0320 63
Walls - Basement:
Solid Concrete or Masonry:Interior Insulation 1042 0.0 11.0 74
Floor I: Slab-On-Grade:Unheated 78 5.0 58
Insulation depth: 3.5'
Floor 2: All-Wood JoisUTruss:Over Uncondi[ioned Space 480 0.0 30.0 14
Furnace I: Forced Hot Air, 92 AFUE
Air Conditioner l: Electric Central Air, 14 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0334 0.370
[ncludes Foundation Windows> Sb ft2
Skylights 0.400 0.000
Floors Over Unconditioned Space 0.029 0.033
COMPLIANCE STATEMENT: The proposed building design described here is wnsistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.6 Release 1(forttterly MECchecj? and to
comply with the mandato .ry requirements Iisted in the RES checklnspection Checklist.
Builder/Designer ac??`. X!(.L. ) Date loI ?ow
0 1
LOT SURVEY CHECKLIST FOR RESIDENTIAL
` BUILDING PERMIT APPLICATION
PROPERTY LEGAL: I3lCr?K ) {'Q.7(_ i
DATE OF SURVEY:
LATEST REVISION:
m
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0 2 Q
DOCUMENT STANDARDS
f? ? 0 . Registered Land Surveyor signature and company
? ? • Building Permit Applicant
.? 0 ? • Legal description
? ? ? • Address
? ? ? • North arrow and scale
? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? 0 ? . Directional drainage arcows with slope/gredient %
1?' ? 0 . Proposed/existing sewer and water services & invert elevation
.W ? ? • Street name
.H ? 0 . Driveway (grade & width - in RIW and back of curb, 22' max.)
Xf ? ? • Lot Sguare Footage
Z ? 0 . Lot Coverage
ELEVATIONS
Ew'stina
,¢I ? ? • Sewer service (or Proposed)
? ,g ? • Property comers
,H ? ? • Top of curb aT the driveway and property Iine eMensions
? ? • Elevations of any existing adjacent homes
? ? • Adequate footing depth of sVUCtures due to adjacent utility trenches
? g ? • Waterways (pond, stream, etc.)
Prooosed
.9 ? 0 • Garage floor
z ? ? • Basement floor
'z ? ? • Lowest exposed elevation (walkouUwindow)
D .? ? • Property comers
A ? ? • Front and rear of home at [he foundation
PONDING AREA (if aoplicable)
? ?f ? • Easement line
? ?B ? • NWL
? ? • HWL
O ? ? . Pond # designation
o ? 0 • Emergency Overflow Elevation
? fd ? • Pond/VJeUand buffer delineation
DIMENSIONS
? ? ? • Lot lines/Bearings & dimensions
.e( ? ? • Rightof-way and street width (to back of curb)
? ? ? • Proposed home dimensions including any proposed decks
overhangs greater than 2'
porches
etc
,
,
,
.
(i.e. all structures requiring permanent footlngs)
? ? ? • Show all easements of recorcl and a
City utilities within those easements
,H ? ? • Setbacks of proposed structure a s eyard setback of adjacent existing structures
'
?B ? ? • Reta(ning wall requirements, if
Reviewed:
me ate
G:/FORMSIBuilding Pertnit Application Rev. 12-16-03
. •
Surveyor's Certificate
SURVEY FOR : Millerville Homes
DESCRIBED AS : Lot s&s, BIocXINGTON RIDGE, City of Eagan
Dakota County, esota and reserving eosements af record.
? 3:9 Mattimum Slopes
or -, .-:,1 l,ng Wall dUill
Ba tieyuired -?d
?
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1 _4
N89'40'54"E 88.00
A
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B o.ck o, .oo . o, o.cxE
7.33 0 0
6 6
F 0.0
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3
1-4
LOT 4
?
0
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(1)
O
O
? Proposed
? Tob=991.0
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frl
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0
Lo-0 flM7QLL MROS9OM
-- a Mff OR D
S' S . SEM'ER
o ?
990. -L.P._ . N n
" OIP WAlERMAIN
Droino9e ond UtllitY Easement/
? Propoaed
d Townhomas
? 9'Pcw w/o
R1 A
J ? ?
91111 1 1 Garage
Propoaed
Townhomea
9'pcw w/o
1166
Garaga
u .Oi
97.50 v
+ra0
RIDGE
I
L --------------
LOT SQ. FOOTAGE
HSE SQ. FOOTAGE
LOT COVERAGE _
PROPOSED ELEVATIONS ?
.•
c
Top of Foundation = 991.3
Garage Floor = 990.9
=
Basement Floor = 982.3 • u
Aprox. Sewer Service = 977.3=5/977.5=6
Proposed Elev. - 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
HEDLUND
PJ.ANNlNG !lNGINa'ERING SURV6YIN0
2005 Pin Oak Driva
Eagan, MN 55122
Phone: (651) 405-6600
Fox: (651) 405-6606
= 6,864
= 4,280
62%
ME`YN?WE? '?.
143T6
SCALE: 1 inch = 30 feet
0
(',NS PL,!.
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garoge Side-
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTA710N
OF 7HE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DAlE J-/2a09?t in. '
F D. LIND6REN, LAN URVEYOR
MINNESOTA LICENSE NUMBER 14376
N0:
04R-591
BOOK:
Lex-Ridge
mm
7a r 7 1
2oos RESIDENTIAL PLUMBING PeRMir aPPUCAnoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modfications to existlng residenHal dwallings.
So.Sd
te / I 0? / ,:7300(o
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??nit a
Site Street Address ?
? ?
E' 1l ? 1Pv VM-e Tn `l, Telephone #((p? )al?-?
Property Owner
? ?
6U QI? ?l ?? ?xy??? ? G? I?r t, Telephone # qw
?
Contractor
Address =? \1S I ?' 0 n c?c,? J o rd cu'? State n i• 1 N Zip553
The Applicant Is: _ Owner '?Z Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license
fee
Indudes County
S 100.00
Per as-built $ 10.00
\
Alterations to existing dwelling
_ Add piumbing fixtures. This fee indudes installation of a water softener and/or water
,
a . V
ter
heater at the same time. If you are installing on a water saftener and/or w
?
dc\the
heater, do not complete this section; move lo the next secfion and che
appiiance(s) you are installing.
_Septic System Abandonment
Water Tumaround (add $13,Q 00 ff a 5/8" meter is re?re????) i?
-?1.?1?'l
'
otner. ?t r1 i 5k I7,f ??? gY)
,
Water Softaner _ Water Heater $ 15•00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebulid $ 30.00
State Suroharge $ .50
$50, 5Q
Total
I hereby apply far a Residential Piumbing Permit and acknowiedge that the infwmation s complete arxl accurate, that the
work will be in conformance with the ordinances and codes of the City ot Eagan and the plumbing codes; that f
undersfand this is not a permit, lwt only an application for a permit, wro k is rrot to staA wi[hout a permit and work wdl be in
a rdance with the approved plan in the event a plan is required o reviewed an ap ved.
AppiicanYs Print d Name ApplipnYs Sign re
.?
.
AUTOMATED BUILDING COMPONENTS, INC.
COMPONENTPLANT
June 21, 2005
Lexington Ridge Townhomes
Millerville
Attn: Aazon Topp
1166 Lexington Ridge
Eagan, MN
I have inspected the floor kusses in this unit and find them to meet the required
specifications.
L" s&JF
Chuck Schultz
Sales Rep.
Automated Building Components
P.O.BOX7 • MONTROSE, MINNESOTA 55363 •TEL.763-675-7376
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
New Construchon Reauirements
3 registered sfle surveys showing sq. fl. of lot, sq. tt. of house; and all roofed areas
(20%maximum lot coverage allowed)
2 copies of plan showing beam 8 window sizes, poured fountl design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lol plafled after 711193
Rim Joist DeWil Oplions seleclion sheet (buildirgs with 3 arless unils)
Minnegasco mechanical ventila[ion form
Remode6Reoair Reouiremenis
2 copies oi plan sMwing foolings, beams, joisls
1 set of Energy Calculations forheated additions
i site survey for addiGons & decks
Adddion - indkafe ilon-sde sepfic sysfem
4-7U. ??°
office use onro
CeA of Survey Recd _ Y. _ N
Tree Pres Plan Recd _ Y_ N.
Tree Pres Required Y _N
On-sdeSeplicSystem _Y _N
Date l 117__ 1zo&
Site Address 1166, 1 2x'n16-7+J /(r p&C- Construction Cost 154 D d v
UniUSte # 5
Description of Work
Multi-Family Bldg _ Y -/lV Fireplace(s) _ 0 2
PropertyOwner //???2cd(1-E ?.?K Telephoneii(%1/Z ) 3SY'?'fG`f
J////Le-C?LC!lCLF
Contractor
?
Address 15?& A-(01cpN4 !'ic?
State //?l? ' City C"46 "1
?
Zip ,SS / 2 Z- Telephone # (Z, /Z ) TZ-?' - 71 ? 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I _ q -, .. ' I Minnesota Rules 7672
Energy Code Category - Minnesota Rules 7670 Cateeoiv' i
. Residenlial Ventilation Category t Worksheet ' • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculatiorbfitted ,
In the lasl 12 months, has the City of Eagan issued a permil for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
7elephone #(
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.
AppIT icanYs Printed Name Applic ' ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)c 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bidg) - G ive PCA handout to applicant _
DBSCrIDt1011: Water Damage _ Yes
Valuation o(" Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
# af 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
x Framing
Fireplace ? R.I. 4Air Test ? Final
? Insulation
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
Totai
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
? Final/No C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Fiual
_ Siding _ Swcco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
? rr,?? S61, ?, Q r?v
?
Address: 1166 Lexington Ridge Ct Zip: 55121
Lot: 5 Block: 1 Subdivision: Lexington Ridge
THE FOI,LOWIN(:ITCMti R'ERA%WERF. NOT COMPLL'PE AT FI\AL INSPH(TIOV ON
Yes No Comments
Final grade - 6" from siding kll
Permanent ste s- ara e
Permanent ste s- main ent
Permanent drivewa
Permanent as
Retainin Wall or 3:1 Max Slope
SodlSeeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fireplace v
• Verify with your builder tktat roof test caps from the plumbing system have becn removed.
• Turn off water supply to the outside lawn faucets before Geeze potential exists.
• Call ihe Ci;y's Engincaring Departmer.t at 651-675-560.6 p:ior to svorking in nght-of-ivay or installing
irrigation system.
J BUILDING INSPECfOR ?
CONTRACTOR:
Millerville
1566 Murphy Parkway
Engan vIN 55122
ct, l?? ?-l°l f3P-c??c?3-7 4R?'.?
(C20 NTIAL BUILDING PERMIT APPLICATION
City Of Eagan M ?
?
- 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 S? 3(? .14
New Conslmc6on Reauirements RemodeVRmair Reauiremenis ?fl? ?1?? ?SeOrdv
3 registered sile surveys showmg sq. ft of IM, sq fl. of house, and gll roofed areas 2 copies of plan
(20% mazimum lot coverage allwio 1 sel of Energy Cakulations for healed addhons Tree P?¢s"P19A {tecd? :. "".;:.::Y' ._ N
2 copies of plan shawng beam 6 window sizes; poured found design, elc . t site survey for adddwns & decks
isetofEnergyCalculafwns Add'?tion-ind?cateilon-sdasepfresystem 01?§i105Epti??ySYeifi'.. N
3 copies of Tree Preservation Pian if lot plailed afler 7l1?3
l I
Rim Joist Delail Opiwns selecfion sheet (bldgs wilh 3 or less units -1 Z
Y c
Date Coptruction Cost A J.Jq co0
Site Addreas ? ? b? L ?-\ ?lG tx? U UniUSte #
Description of Work Ing-(A, C.Of-)?? ?V`
Mulri-Family Bldg ? Y _ N Fireplace(s) _ 0 ? 1 _ 2
O Telephone #(?Q
wner
Property
Contractor
Address 15 r?-v? CiTy
State Zip Telephone #
COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Mumesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Cade Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? ZY_ N If so, 25% plan review
fee applies.
Licensed Plumber Bw °Im:?r) Telephone #(
Mechanical Contractor 1 ('?-^ Telephone
Sewer/WaterContractor VZ-l e- 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 NIN
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. &?, L.
Applicant's Prin d Name Applicant's Sigi ture
OFFICE USE ONLY
Sub Types
i
? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
;1 d- 03 01 of04plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-pleac ? 19 l.ower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex pibg_vor_nl ? 25 Miscellaneous
Work Types
X 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation /,?5-ay Occupancy /1` -3 MCES System
Census Code O;_ Zoning RD City Water ?
SAC Units 0l Stories Booster Pump
# of Units a/ Sq. Ft. ? 37L PRV
# of Bldgs ? Length ? Fire Sprinklered ?
Type of Const Width
? Footings (new bldg)
_ Footings (deck)
Footings(addition)
? Foundation
Drain Tile
Roof -AL Ice& Water 4 Final
Framuig
Fireplace ,t- R.I. k-AirTest ' Final
Insulation ?
Approved By: _
v
Base Fee
Surcharge
Plan Review
MC/ES SAC A,7 °,fe
City SAC
Utility Connection Charge
S&W Permit $ Surcharge
Treatment Piant
License Search
Copies
Other
Total
REQUIItED INSPECTIONS
? FinallC.O.
FinaUNo C.O.
_ Plutnbing
_ HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
, r
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release 1
Data filename: C:\Documents and Settings\bmurphy\Desktop\Energy Calc_I0-14-04 Ptans\3_4_1I_12.rck
PROJECT TITLE: Lexington Ridge Units: 3, 4, 11, 12
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Multifamily
WINDOW / WALL RATIO: 0.16
DATE: 10/19/04
DATE OF PLANS: 10-14-04
DE SIGNER/CON TRACTOR:
Tim Fuller, AIA
SALA Architects, Inc.
COMPLIANCE: Passes
Maximum UA = 795
Your Home UA = 552
30.6% Better Than Code (UA) '
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Valu R-Value -Fact r LiA
Ceiling 1: Raised or Energy Truss 1587 38.0 0.0 40
Ceiling 2: Cathedral Ceiling (no attic) 393 38.0 0.0 11
Walls - Upper: Wood Frame, 16" o.c. 3534 19.0 OA 168
Window I: Above-Grade: Wood Frame:Double Pane with Low-E 487 0340 166
Door 1: Glass 193 0.320 62
Walls - Basement
Solid Concrete or Masonry:lnterior Insulation 644 0.0 11.0 46
Floor 2: Slab-On-Grade:Unheated 80 5.0 59
Insulation depth: 3.5'
Fumace 1: Forced Hot Air, 92 AFUE
Air Conditioner 1: Electric Central Air, 14 SEER
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U- Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0334 0.370
Includes Foundation Windows > 5.6 112
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specitications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requiremenu in REScheckVersion 3.6 Release 1(formerly MECchec'? and to
comply with the mandatory, equirements listed in the RES checklnspection Checklist.
Builder/Designer ?1?Z?' Date Lfq4t
?
V . Surveyor's Certificate
SURVEY FOR : Millerville Homes
DESCRIBED AS : Loc 11&12, Block 1, LEXINGTON RIDGE, City of Eo9an
__----Zkpto County, Minnesota and reserving eosements of record.
\ - _
Droina e ond Ut(lit Easement
II -__--___- 1?w /?4?
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COURT-? ?,,,,, A
8" SAN. SE'MER
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?77. 0l 22.00 22.00 ?11 ?
26.9 ? m I
? u Carage u o 990. w Garoge u I
Proposed
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LOT 10 01 I
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Townhomes pcw w/o
9 ?
? ? Proposed Townhomes
Proposed 1 ?
O ? 14.00 p 11 12 j 14.00 ? O
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J 76.4$ A
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S89'40'54"W 106.00
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By
Date /0/7 04INSTALL
EAGAN ENGINEERING DEP1: SILT FENCE
LOT SQ. FOOTAGE = 8,268
HSE SQ. FOOTAGE = 5,069
LOT COVERAGE = 61 %
PROPOSED ELEVATIONS
Top of Foundation = 991.3
Garage Floor = 990.9
Basement Floor = 982.3
Aprox. Sewer Service = 977.3=11 /977.5=12
Proposed Elev. _ <Z--::>
Existing Elev.
Orainage Directions
D t Off t 5t k
LOT l3
Proposed
Tob=993.3
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eno es Se 0 e- - SCALE: 1 Inch = 30 feet
HEDLUND
PLINMNG 6NGINEBRING SURVBYlNC
2005 Pln Oak DrIve
Eagan, MN 55122
Phone: (651) 405-6600
Faz: (651) 405-6606
r'
- s?
P"11 ,
?
MIN. SETBACK REOUIREMENTS
Front - House Side -
Rear - Garoge Side-
JOB NO:
I HEREBY CERTFY TriAT THIS IS A ii2VE AND CORRECT REPRESENTATION 04R-593
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
8Y ME OR UNDER MY DIRECT SUPER41510N AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DA7E _1`_/?/SLS O' CAD FILE:
F D. LI GREN, LA SURVEYOR
MINNESOTA LICENSE NUM R 74376 Lex-Ridge
Date: 5/9/2005 Revision Date: 5/9/2005
Site Information
Address 1: '1"169 LEXINGTON RIDGE
Address 2:
City: EAGAN County:
Application Information
Business Name: MILLERVILLE
Contact Person: RAY MILLER
Office Ph: 612-723-7137 Fax: Cell Ph:
Address 1: 1566 MURPHY PKWY
City: EAGAN State: MN Zip Code: 55122
New Construction
Project #: TOWNHOMES
Lot: Block:
Subdivision:
MN Contractor License #:
House Details
Square Feet: 2806 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 110 cfm.
Minimum Continuous Ventilation :75cfm.
Interrnittent Ventilation: 35 cFm.
Combustion Appiiance
Water Heater: Power Vent Input BTUs: 50,000 Independently Vented
Fumace/Boiler: Direct VenUSealed Combustion Input BTUs: 80,000 Independently Vented
Other Combustion Aapliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Equipment
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 500
Make-Ua Air
Total Make-Up Air Required (cfm): 114
Passive Make-Up, Round Rigid: 6 inches or Insulated Flex: 7 inches
Combustion Air
Round Rigid Required: 4 inches or Insulated Fiex: 5 inches
Applicant Name (print): /vliLt-&?J Ilcf 44C, Signature/Date:
Code Official (print): Signature/Date:
n innd )nnn nnP?hA.,;,.9i r.waP va?P i
Siteaddress: (a Lot // Block ? Subd. r? --? .11
? vi?? C4 ..
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.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapler 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
waterHeater B??, 0OI11 3it PvC
Fumace ?J(L ar?.. ?`fpMA.?Oz?fo?f0 (e0 10D I? ?L
Dryer ? L-r- CL£G K..il G 7-52Z IJ S Ni x
EXHAU5T SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen I IYF l/ 5 u Zc?s 5av Y
Bathroom 1 ?J ?ro?n p ?Q
Bathroom 2 c,,? ? 5- 0 V? g p
Bathroom 3 ru u r ?lU U A r
Bathroom 4 6f- 0 ei N r
's
Other P
FIREPLACE S
LOCATION
GAS
WDOD
MANUFACTURER
MODEL
8TU'S VENTING
DIRECi ATMOS
/LCAy QaDn, L"? T rl l.0 li 000 T121 "II i --b 000
MAKE•UP AIR MODEL TYPE CFM's
tzemylj ; r-I ? o 0-V /?8--
I hereby acknowledge that ihe above mformation is correct and
requirements.
1 4?/
ignat,h'
/-?/iL r tt2JI uT_
CompanyName
agree to comply wifh the Minnesota Energy Code and City of Eagan
A I f ? v o
Date
' This form is the responsibility of the General Coniractor.
Mar 18 OS 06:05p Jerry Palms 6123783736 p.2
P,SAe1ji7'# 6?637
STRUCTURES
?erry Palms P.E.
Slructural Enginecr
416 Hennepin Avenuc East
Minneapolis MN 55474
612 / 378 0393 (Voice)
6121378 3736 (Fax)
- - .hu<9o,ireunoLcum
MEMC7RANDUM #6
LEXINGTON RIDGE TOWNHOMES
DIFFLEY ROAD AT LfXINGTON WAY
EncnN MN
SALA #04070
i- iSTRUCTURES #0408-2
Mazch 18, 2005
Jeff Wheeler
Building Inspections
Cify of Eagan MN
Deaz Jeff:
At the request of Ray Miller, I have reviewed the following structural conditions which
you observed during a recent site visit at the above referenced project. There are also a
couple of additional concerns which will be addressed when the contractor and I have an
opportunity to mect on the si#e ihe week aRer next.
I44 b.0W ?,pYeva? r2fp? G7?
It is my understanding that all of these concerns are related to Unit 11, hich is currently
under construction. However, if similar conditions should arise later in the project, they
may also be addressed in the same way:
Item #1: Steel oost bearine on nad footinQ: The contractor has selected a steel post
with an adjustabie screw jack. The sc:rew jack has been positioned at the bottom end of
the post. You have observed that the contractor's installation of the post vazies in two
respects from what I specified in thc structural notes:
a.) Whereas I called for '/z" or so of grout under tlae post bearing plate, the post was
installed without grout.
Evaluxtion: Although grout helps to distribute the load &om the post evenly over the
conerete footing, I can nevertheless approve of this installation in this case.
b.) Whereas I called for an anchor bolt connection between post and footing, the
contractor's method of installation wi11 serve the same pwpose just as well.
Mar 18 OS 06:05p Jerry Palms 6123783736 p.3
<,STRUCTURES
Jerry Paims P.E.
S(rucwral Enginecf
416 Hennepin Avenue East
Minneapolis MN 55474
612 l 378 0353 (Voicc)
612 1378 379G (Fax)
1e1 yPe 11, u<Uni nel
Evaluation: My purpose was to assure titat tlie post cannot move. Once the coiatractor
pours the floor slaU around the post, the post will be locked in place, and the same
purpose will be accomplished.
x * x x m
Item #2: Steel beams bearina at end walls: T'he contractor has indicated that in two
cases a steel beam bcars only 1% inches on the wall. In one case, the wall is wood stud
constructioa In the other case, it is a concrete wall.
Evaluation: Where a steel beam beazs on a wood waD, the contractor will fur out the
wall with a treated 2x6, nailed continuously to the existing wood post in the wa11. The
2x6 should be installed very snug. This will provide a minimal, but adequate, 3" of
bearing for the steel lxam. Where a steel beam beazs on a concrete wall, the contractor
will add a 4x4 parallam post under the steel beam. If the parallam is not treated, iY must
bear on treated wood in order to isolate it from any concrete. Again, the post should be
installed as snug as possible.
? r x *
Item 43: Window he?adcr at uuoer floor: At the upper roof framing plan for Plan "A",
I calied for a(2)2x10 header at one of the end windows. A(3)2x8 header will a(so be
adequate.
Sincerely,
Jerry Palms PE
Structural En-ineer
tiTRUc, TUREti
I hereby certify that this pian, specifica-
tion or report was prepared 6y me or
under my direct supervision and that I am
a duiy gisrered prof i al engineer
under th I of the st in ewta.
?
?b1N 'e4 3 arch 18, 2W5
Mnecn 18, 2005 / PnGe 2
MPy-12-2005(THU) 10:37
517 Flcst Sfreet
Fartnington, MN 55024
(651)4639333
(651 )t83-9339 - Fau
=mr;WA
._y
To: Je}F
Fron!
Fa= 651-6754694 p+8es; 1
pywe: naec: 512-05
wx Spray toam Info cC.
? Lrgont E3 For Rw»w 0 Ptsase Conunsnt 17 Plcasc RoWY G Plaaso RecyGs
9 Commcntx
We used(class one spray foam In the rlm Joist atea at Lwdngton Rldga
-?_ __ - .... ..
P.0011001
The toam vras kiuraseai foam
?-_
(G6 3?
69 G.Bx l!„6 c7 .
.?
¦
AUTOMATED BUILDING COMPONENTS, INC.
COMPONENTPLANT
May 9, 2005
L,exing[on Ridge Townhomes
Millerville
Attn: Aazon Topp
Unit A, Lot Iff, I/
1169 I,exington Ridge
Eagan, MN
I haue inspected the floor trusses in this unit and find them to meet the required
specifications.
l:_7w"
Chuck Schultz
Sales Rep.
Automated Building Components
P.O. BOX 7 • MONTROSE, MINNESOTA 55363 • TEL. 763-675-7376
flpr 06 05 09:I5p Jerry Palms 6123783736 p.2
ARCHISTRUCTURES
leny Palms P.E.
5lrucwral Enginreer
416 Hennepin Avenwe East
Minneapolis MN 55414
672 1378 0391 (Voice)
672 / 378 3736 fFaa)
m hiqlucUU"iAaol uwu
April 6, 2005
Jeff VJheeler
Building Inspections
City of Eagan MN
Deaz Jeff:
MEMORANDUM #7
LE%INGTON RIDGE TOWNlfOMES
DIFFLEY ROAO AT LFXINGTON WAV
EncnN MN
SALA 1f0407o
ARCHISTRUCTURES #0408-2
At the request of Ray Miller, I have reviewed the following structural conditions which
you observed during a recent site visit at the above referenced project. Again, thank you
for alerting me to these coneerns, especially Item #5 below.
Please also refer to Memorandum #6, dated Mazch 18, 2005, in which I previously
addressed tlvee ofyour concerns, which I have listed as [tems #I, #2 and #3. I visited the
site on Thursday to make observations reiated to two additional concerns, which are
listed in the following as Items #4 and #5. h is my understanding that all of these
wncems are related to the unit under construction at 1169 Lexington Ridge Cour[.
However, if similaz conditions should azise elsewhere on the project, they may also be
addressed in a similar way.
Item #4: Vertical crack in t6e concrete basement foundation wall: The vertical crack
extends almost full height of the north wa1L [t is a micro-crack which appears to have
formed shortly after the wall was poured, while the concrete was still curing.
Evaluation: Assuming that [he #4 @ 2'-0" hoc
specified, the cracks would not have been cau;
veRical crack forms while the concrete is sti
accidentally kriocked during the backfill process.
and discussion with the contcactor, I was not a61
the cause.
wntal steel reinforcing was placed as
ed 6y shrinkage. Most often, when a
I curing, it is 6ecause the wall was
However, based upon my observations
? to make a defmitive determination of
In any case, the crack does not compromise the s[ructural capacity of the wall. No repair
is required.
Hpr 06 05 09:17p Jerry Palms 6123783736 p.3
ARCHISTRUCTURES
lerry Palms P.E.
StrucWral Enginecr
416 Hennepin Avenue East
Minneapolis MN 55414
612 / 778 0393 IVoicc)
612 / 378 7736 (Fax)
jenYiv.u, L.qmclwra nNl
the top of the noRh foundation wall is unbraced by any
against the wall could cause it to move forward.
+alls• I observed that
so that sofl pressure
Evaluation_ As a general performance standazd, it is essential that the top of the concrete
foundation wall be effectively braced against possible inward movement t}ut could be
caused by exterior soil pressure. In this case, floor trusses run parallel to the north wa11,
so that some system of blocking must be installed petpendicular to the trusses. Norrmlly,
this blocking would be installed at 24" on center, similaz to the spacing of the tnuses. It
is essentiat that t6e blocking be effective in bracing the top of the concrete wall by
transferring any load from the top of the wall into the plywood diaphragm of the floor.
In fhe present case, the noRh wall is comprised of relatively short lengths interrupted by
jogs in the walk. As noted in the code, such a wall of uregulaz construction is at least
partially self-bracing. However, it is not prudent to ignore the bracing entirely, since a
wall failure wou(d be cosdy to repair.
Recommendation: Please refer to the attached Detai] Sheet D4, where I have provided a
sample bracing solution. I know that the contractor must make room for ductwork, so that
if this solution does not work in every case, the contractor is responsible to provide
alternate bracing of equal or better capacity according to the above performance standard.
I may be contacted for additional assistance.
Sincerely,
Jerry Palms PE
Structural Engineer
ARCHISTRUCTUR[ti
Copy to: Ray Miller / Millerville Inc
I hereby certi(y that this plan, specifica-
lion or report was prepared by me or
under my direct supervision and that I am
a duly registered prokssiogaI engineer
under the?laws 9f the st?9Minnesota.
MN RcIA J#9033 tl April G, 3005
APRIL 6, 2005 / PAGE 2
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. hezeby certify thai this plan, sp_cificatiou,
ir xeport was pxopaxed by me ot undei mq
3iiect supe:vision and that I am a dulp
8egistered Professional Engineex undex the
tawa of the Staie oi Minneso?a.
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Address: 1169 Lexington Ridge Ct Zip: 55121
Lot: 11 Block: 1 Subdivision: Lexington Ridge
THE FOLI.OWING ITEMS WERF.Ai'ERH NOT (bMPLETE AT FINAL INSPECTION ON A I
Yes No Comments
Final grade - 6° from sidin
Permanent ste s - garage
Permanent ste s- main ent
Permanent drivewa
Permanent as
Retaining Wall or 3:1 Max Slo e
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish x
Deck
Fire lace /
. Verify with your builder that roof test caps from the plumbing system havc been removed.
. Twn off water supply to the outside lawn faucets beforc freeze potenfial exists.
. CaL Lhe Criy's Engineering Deparrincn[ at 651-675-5646 prior to working in right-of-way or installing
irrigarion system.
J BUILDING INSPF.CLOR:
CONTRACTOR:
Millerville
1566 Murphy Parkwuy
MN 55122
?'7a,
7arP25
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Koob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswc6on Reauirements
3 registemd sRe surveys shoxnng sq. fl. of Im, sq. ft of house; and all roofed areas
(20qo maximum lot mvera9e allowed)
2 copies of plan showing beam & window s¢es; poured found design, etc.
i set of Energy Calwlations
3 copies of Tree Preservabon Plan if bt platled afie 7N193
Rim Joist Delail Ophons sele;.tian sheet (buildings with 3 or less uniLS)
Minnegasco mechanical ventilation fortn
RemodeVReDairReouirements ? ????Y Use ?
Recd? _ Y _ N
2 copies of plan shvHing foo6ngs, beams, jo?s6
i set of Energy Calculaliorrs for heated addilions _ Tree Pres PWn Recd _ Y_ N,
7 site survey lor addifions 8 decks - Tree Pres Required Y_ N
Addttion - nMrcate if on-site sephc system On-site Sepbc Syslem _ Y_ N
Date S//7` / 07006 ConstruMion Cost 50,000 -?'b OCa
Site Address ll( p 9 .tEX,Hfl ? ? /
/i i!!? C9l. UniUSte #
Description of Work I?y i t h Aw? r P f/el
Multi-Family Bldg Y_ N Fireplace(s) _ D _X 1 _ 2
/
Property Owner i ?
y? ?/lhAu ./
Te /Ir?sra-,Q Telephooe #(/? S/ ) yS'/- 314k
Contractor St ?,l
Address City
State Zip Telephone # ( )
?
COMPLETE THIS AREA ONLY IF CONSTRUCTINCs A NEW BUILDING
- Minnesota Rules 7670 CateEOrv 1 _ Minnesota Rules 7672
Energy Code CategOry . Residential Verrtilation Category 1 Worksheet • New Energy Code Worksheet
(V submission type) Submdted Submilted
• Energy Envelope Calculations Submitted
In the last 12 monihs, has the CiTy of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Sr?
A plicanYs Printed Name
4
D ?
A 1C371f 5 Slg [C
ik:_ or
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Additian
1 33 Alteration
? 34 Replacement
? 07 05-plex
? 08 O6-plex
? 09 07-plex
? 10 0&plex
? 11 10-plex
? 12 12-plex
DCSCriDt10n: Watar Damaga
Valuation i} O 0 U
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
"43 19 Lawer Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. 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 Windows/Doors
•Demolifion (EMire Bldg) - Give PCA handout to applicaM
Yes
Plan Review 100% or 25°k
Census Code ? ? I-/
SAC Units a
# of Units 1
# of Bldgs •
Type of Const J
Occupancy ZQ ` ;12 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drein Tile
Roof Ice & Water Final
?f Framing
? Fireplace _ R.I. _ Air Test _ Final
insulation
REQUIRED INSPECTIONS
Sheetrock
? FinaVC.O.
? . Final/No C.O.
S? HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
`n 3-IS-°`-
Approved By. '/U' , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7P25qs
2oos RESIDENTIAL PLUMBING PeRMiraPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date1ol-7l a?
Site Street Address 1 ICOC'1 Le3<< (1L-r-? F\ 1'Zt f?? G?T Unit #
Property Owner?y Telephone #( )
Contractor F'--?-'OLoM A)n ?J (u y-6 rb i ()L-n Telephone # PSa) 1/3a
Address ?,? // 51 / .?E?>? .40k- City 5?aq n State/94/4'? Zip
The Applicant is: _ Owner -eContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
? Add plumbing fixtuees. This fee includes installation of a water softener andlor water
heater at the same time. If yov are insfailing only a water so/tener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Pennit and acknowledge ihat the mto s compiete ana acwrace; wa< <nr
work will be in conformance with the ordinances and cq(1 e of the C' E an and the plumbing codes; that I
understand this is not a permit, but only an application for a it, w -is n?'d start without a permit and work will be in
accordance with the approved plan in the event a plan is req'?Pf djo be revie and approved. ?
&11;2/,5 A-RLI?.41l ?? ?x
ApplicanYs Printed Name A nYs Signature
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Oct 04 2014 10:10AM HP Fax page 4
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Clty of Ea�an � p it Fee �� �
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3830 Pliot Knob Road
Eegen MN 55122 j Date Received ���� j
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff� I
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014 RESIDENTIAL BUILDING PERMIT APP�ICATION
Date: ( ��! � Site Address: I I�� �j 1L•a.!(i.�� Unit#:
Name: ��►�z,— ll' 1���- Phone: <"J.�z`"�I�"� ;�c'S y'`
ResldenV
Owner Address�city�zip: _��'l�tL h-S �c�v'-�
Applicant is: Owner 'V Contractor
Typ@ C�WOrk �escription oi wark: �e'h'n-- ����
Construction Cost: �3`�� � ' 3� MuNi-Family Building:(Yes�I No�
Company:vAt�i�S'� ��-N�C-=�y� r' : ��---- Contact: /.����
Contractor Address:���� ��S�'-'�t � i���� �G'� '�j�/ City: J�r'�'"�'��-E''/`�
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State:�`�Zip:S�''ly7 Phone: �r�'L�Z?� 3y5 Ernail:/�t.=�?,c�r.r�>�����C��h+��
License#•.lx%-CG��,� ��/ 3 Lead Certificate#: .�� �/`Z 7 S� �
If the project is exempt frorn lead certlfieation, please explain why: (see Page 3 for additional information)
COMPLETE THtS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based cn a master plen?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractcr: Phone:
NOTE:F)ans and supporting documents that you submit are cons/dered to be publlc lnfo�ma#lon. Portlons of
the Informat/on may be classlt/ed as non public if you provide speciflc reasons that would permit the Cfty to
cortclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at 651 4540002 for protedion against underground u[ility damage. Call48 hours
before you intend t0 dig t0 leceive lOC2tes of underground utilities. www. o herstateonecall.or
I hereby adcnowledge that tnis informalion is complete and accurate;that the work will be in conformance with the ordinances and codes o(the Cfty af
Eagan; that I understand this is not a permlt, but only an application for a permft, and work is not to start without a permit; that the wotk will be in
accordance with Ihe approved plan in the case of work which requires a review and approval of plans.
Exterior authorized by a bullding permlt Issued In acoordance wlth the Mlnnesota State Building Code must be Completed wlfhln 180
da pe I1lssuance. �
x ��'v � x ���
Applicant's Printed Name Applicant's Slgnature
Page 1 of 3
