1170 Lexington Ridge Ct?'?-- C, r3? ? ?"_' ?- ?,J ?--t a-? ?7 b6?-
I _,?3004 RESIDENTIAL BUILDING PERNIIT APPLICATION
, City Of Eagan (Yl P -
` 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694? ?
New Consiruc6on Reouirements
3 registered site surveys showing sq fl of lot, sq. R. of house, and 1roofed areas
(2[)% maximum lot coverage allowed)
Z eopies of plan showing beam & window sizes, poured found design, etc.
1 set of Energy Cakulahons
3 copies of Tree Preserration Plan if lot platted after 7l1f93
Rim ,bist Detail Options selection sheet (bldgs wdh 3 or less units
RemodeUReoair ReouiremenGs
2 copies of plan
1 set of Energy Calwlations for heated addifions
1 site survey for adddrons & decks
Additlon - indicate Aonsife sepfic sysfem
& -1 bS
L (, C- 33 ?+.ti i:?9
('c0c1314
(, i, (, 35
`Z U . sC
ar?e usecs?t v
FrCeI'resP& Recd Y".-N-
Tra.e.presRm9.yi[ad:::
10---)--(,
Date??
Site Address <
Gl,-, ` T o?f
<? ?
- 31 ; ction Cost ?350 000
1C'.1?J1'1 L4C7 Unit/Ste #
Description of Work
cc:,r,? 61
Multi-Family Bldg _e Y_ N Fireplace(s) _ 0+! 1_ 2
Property Owuer hi1 W V Y Mk . I? Telephone # (lQ? ? ? ?? ? ` ? ??
Contractor `
Address 1 GJ ?
State
Zip 5 7i City ?
Telephone #?Q?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cazesorv 1 _ Mimesota Rules 7672
Enefgy Code Category , Residential Venlilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Conhactor
Sewer/Water Conhactor
Telephone #Ry?, 143?-?3r
Telephone #Rf? 2?- ?100
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 pemut, 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 plans. •
Applicant's Pn ted Name Applicant's Signa e
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 (3-sea.)
x 03 01 oflplex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
'A 31 New
? 32 Addition
? 33 PJteration
? 34 Replacement
-?-
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to appiicant
Valuation /J& Oro
Census Code bOz
SAC Unfts 49/
# of Units O/
# of Bidgs 42/
Type of Const VA-)
Occupancy il -.3
Zoning /0.D
Stories X_
Sq. Ft. AO 2--T_
Length w/ 3
Width _iy.2-
MCES System ?
City Water ?
Boaster Pump ,yo
PRV ?Q
Fire Sprinklered i?
Fooflngs (new bldg)
_ Foatings (deck)
Footings(addition)
? Foundadon
Diain Tile
Roof _At Ice& Water 4 Final
Framing
Fireplace ?L RI. kAir Test ?Final
Insulation
Approved By: _
Base Fee ? I
Surcharge
Plan ReviewS??L?r?u p4u?iv
MC/ES SAC ?5 ?
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Searcfi
Copies
Other
Total
REQUIItED INSPECTIONS
FinaVC.O.
_ FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Permit Nutnber
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release I
Data filename: B 1 ofB l-B 1.rck
,cPROJECT•TITLE:,Lexingtop,Rid"g'e:: iT-nits:5?
COUNTY: Dakota ?? ?? 1, 4 jg?cr37cN- 12li?5*d Gr
STATE: Minneso[a
ZONE: 2
CONSTRUCTION TYPE: Multifamily
WINDOW / WALL RATIO: 0.13
DATE: 10/19/04
DATE OF PLANS:1- 10-14-047?
D ES IGN ER/CON TRACTOR:
Tim Fuller, AIA
SALA Architects, Inc.
COMPUANCE: Passes
Maximum UA = 931
Your Home UA = 598
35:8% BetfBr Than Code (UA)£
Ceiling 1: Raised or Energy Truss
Skylight 1: Wood Frame:Double Pane with Low-E
Walls - Upper: Wood Frame, 16" o.c.
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E
Door 1: Glass
Walls - Basement:
Solid Concrete or Masonry:Interior Insulation
Floor 1: Slab-On-Grade:Unheated
Insula[ion dep[h: 3.5'
Floor 2: All-Wood 7oist/Truss:Over Unconditioned Space
Fumace 1: Forced Hot Air, 92 AFUE
Air Conditioner l: Electric Central Au, 14 SEER
Gross
Area or Cavity
Perimeter R-Value
1955 J8.0
9
3861 19.0
426
198
1042 0.0
78
480 0.0
Checked By/Date
Glazing
Cont. or poor
-Value U- ctor jjt
0.0 49
0.400 4
0.0 191
0.340 145
0320 63
11.0 74
5.0 58
30.0 14
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.334 0.370
Includes Foundation Windows> 5.6 ft2
Skylights 0.400 0.000
Floors Over Unconditioned Space 0.029 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent 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(formedy MECchec? and to
comply with the mandatory requirements listed in the RES checkInspection Checklist.
Builder/Designer Date
U ?
Surveyor's Certificate
SURVEY FOR : Millerville Homes
DESCRIBED AS : Lot 5&6, BIocIXINGTON RIDGE, City of Eagan
Dakota County, esota and reserving eosements of record.
? 3:1 ?Aqximum Slopes Zoo
or i . .: .re:rig Wall Will
Ea ??equired ?
INSTALL °
Af SILT FENCC1_ '
?
m I
V
N89'40'54"E 88.00
i c -i
i - i
? m ?
o I
LOT 4
(0
O
0)
N
A
N
O
V
BLANKEY OR SO D
r --------i
? 990.
OH 1 ? i
I I \--
I
I ? \
I
I
? i
8 5 c!?
Proposed Proposed O
Townhomea Townhomes ? Pro osed
9'pcw w/o 9'pcw w/a ? TobP 991.0
cn O
A 0)
f170 1166
Gorage Garoge
?j6A " " .OC
J
? J ZZ.$O 22.50
3 990.8 990.8
w a
o ' 0'S4' E 8
90.4 990.
1.?-40
9-3 I
M H 2LEXINGTON RIDGE
L --------------- u---------
ea 11o_C
In
ui
3:
ui
:
?
0
m O
EROSION
r oe sou
SEWER
?
LOT SQ. FOOTAGE
NSE SQ. FOOTAGE
LOT COVERAGE _
DIP WATERMAIN
ige and Utility Easement/
= 6,864
= 4,280
62? ??AGAN-°'
,tt,,,,,, ? 3????'?FWED
o , .tv.,.
PROPOSED ELEVATIONS
?
Top of Foundation = 991.3 =y
Garage Floor = 990.9
-
Basement Floor = 982.3 • u
Aprox. Sewer Service = 977.3=5/977.5=6
Proposed Elev. _ C=?> '
Existing Elev. _
Drainage Directions =
Denote Off t St k -
iNsPECricn;q ??_: b:
14378
S 56 0@ - • SCALE: 1 Inch = 30 feet
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
J08 N0:
HEDL UND I HEREBY CER7IFY 7HAT THIS IS A 7RUE AND CORRECT REPRESENTATON 04R-591
OF THE BOUNDARIES OF iHE ABOVE DESCRIBEO PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PL9NNINC ENGINBBRING SURf7s'YING SHOW IMPROVEMENTS OR ENCRDACHMENTS, EXCEPT AS SHOWN. rive E gon,' MN a551D22 DaTE j/Z&AP4- "`' CAD FILE:
Phone: (651) 405-6600 F D. UNDGREN, LAN 'URVEYOR
Fax: (651) 405-6606 MINNESOTA LICENSE NUMBER 14376 Lex-Ridge
Address: 1] 70 Lexington Ridge Ct Zip: 55121
Lot: 6 Block: 1 Subdivision: Lexington Ridge
THE FOLLOWING ITEMS WERFJWERE \OT COMPLETE AT FINAL INSPECTION ON b / O?
Yes No Comments
Final rade - 6" from siding
Permanent ste s- arage jQ
Permanent ste s- main ent
Permanent driveway jQ
Permanent as
Retaining Wall or 3:1 Max Slope IZi
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fire lace b a
• Verify with your builder that roof test caps from the plumbing system have been removcd.
• Turn off water supply to the outside lawn faucets before Geeze poten5al exists.
• Cail the City's Engineering Deparhnent at 651-675-5646 prior to working in right-of-way or installing
inigarion system.
BUILDI\G INSPN:CTOR: i
CONTRACTOR:
Millerville
1566 Murphy Parkway
Eagan MN 55122
06-26-2006 08:47 RNGELL RIRE INC 9527465202
Date: 6/28/200e Revision Date: 6/26l2008
Site Information
Address 1: 1170 LEXINGTON RIpGE CT
Address 2:
City: EAGAN County: DAKOTA
Aoalication Irdo?mation
Business Name: MILLERVILLE
r19W COfISUUCtlOl1
Project #:
Lot: BloCk:
5ubdivision:
MN Contractor License #:
Contsct Person: RAY MILLER
Office Ph: 812-723-7137 Fex: 651-686-6098 Cell Ph:
Addreas 1: 1566 MURPHY PKWY
City: EAGAN State: MPl Zip Code: 55122
House oetsils
Square Feet: 4400 aq. ft. Avg. Ceiling Ht: 9 ft . Number of Bedrooms: 4
YenGlation : Balanced
Total Ventilation Capaciry : 173 cFm.
Minimum Condnuous Verrtilation 75c(m.
Intermittent VenHlation: 98 cfm,
PAGE S
C u 'on lian
Water Heater: Power Vent Input BTUs: 75,000 Independenlly Vented
Fumace/Boiler: Dlrect VenVSeated Combustion Input BTUs: 80,000 lndependently Vented
Other Combustion Aopliances
Gas Fired Direct Vent Fireplace(s): Yes
Gas Fired Naturel Draft Fireplace(s) No
Gas Fired Power Vent Fireplace(s): No
Solid Fuel Appliance(s): No
Ex aust E uI ma
Continuaus Exhaust VeMilation Capacity (cfm): NA Clothes Oryer (cfm): 135
Exhaust Fan Reting (cfrn): 600
Make-Ua Air
No Make-Up Air Required dy Code
Combusfion Alr
Rountl Rigid Required- 6 inches or Insulated Flex: 7 inches
Applicant Name (print): SKei Slgnawre/Date FjGiAq4i
Code Officiel (print): Signature/Date;
n 9MA /`nn?rrPn:..? I:r?-rmr AA?nn.namn 7l1f1A ?An.,l?mmrwl (`rvl, Dn. I
Site atldress: // 70 LCXi '.JG YaJ ?l D L-L Lot - Block ? Subd. ?-?ic iwb ?+? ?AC E
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is conshucted to meet minimum requirements ot the Mn Energy Code, Chapter 7670
OR
- This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 767440
APPLIANCE G ELEC MANUFACTURER MODEL
?
Water Heater 0 (P ?
jv?
fumace R? ?ry ?? 3(?Q?? DpfJ 1AJ5j°?
Oryer M ?80 6 A Y? Ol,?T's i?.2
EXHAUST SYSTEM
LOCATION
TYPE
* MODEL
?CFM's VENTED
YES No
Kitchen kitchen ?? ??x
Bathroom 1 ? e,? 1? O
Bathroom 2 ?p?? ?? (?
Bathroom rv-NV63 gs?!(?
athroom ?
Other
FIREPLACE S
LOCATION
GAS
OOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT A7MOS
MAKE-UP AIR MODEL TYPE CFM's
acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
?7 -1llr! a 02
Date
CompanyName
protection, air ???
information be
Q, D
?
Q t0
BTU'S VENTING TYPE
This form is the responsibility of the General ConVactor.
a
-?I-} ? -;_ _? ? ?????r?--??? 3 ?--?- ---- -- - ' --- --- - -- --------•--
I--i
r ? ' T------- '' =--+-
i c!? ?`'? .?
i
?
--- - --- - -
I ? ; ; ?,a?an?i???i ?2'lslo4i i
?T2??:
_Y_ _O D.NSAI E R. F
-
I? ' T
'-;--
/? , I
i ,f ?, ?, ? I . ? T/#(t5 ? ' ?'71 ? ? r? !• n?i <<??',?l??` ?r,?, ? ? ?? ?
I (4 - ??.? T +--- I
?
i
-
-
__- -
-,-f
i --*--,---?-- --= ; ? ,. ?I
; ; T
;
? -'?-
? p -?.-
? i ?i j ? i i I I . , i ' ?? ?i ' ? I • i .
? I
i i ?
I
I I ? -
i.
- -
- -- ----- -- -
j'g - _ - _ 6 A I
? '=-
I
? ?-
??---
= -
{ ?--- --?-
-
-
l ?
- -
--- ,
,
?? ?
i 1 ? • ?,? e r?f?_i -.?_ I ?
?
l3 N S -?- ?
OAG
? , ? ? , ? ?
-
- - - -- -
-
- -- -
? -
.
,
- -- - - - -
Yl i:
i" _J-
'
; _-
ri.
?that this! plaa. spAciftcatioz,
?
-?-
-?-'
--?,
16-1 - ,-
o; ?:u3es-my--i--
--- t- ? ? ?
sc
pr,
disron
d'!
•
? I ? 1
?
? '
` .
.
a=,
tnat T
a??n_?v1
?- =- --
-T-?-
!
'
' T; ,
. TMa;'?ct
=-3?i w?e;siana2 EagjpeQ? vnde: 4he I I
cf
`i
SS
'
_t
e_
ate
si-;??:it*sota:
I --I---'--
!
i
. ' _
,
_
-,-
I
-___'
? ? - --
- ?
?
Pr kiH e i' 9 ?-CG 33
.?
-
AUTOMATED BUILDING COMPONENTS, INC.
COMPONENT PLANT
June 21, 2005
Lexington Ridge Townhomes
Millerville
Attn: Aaron Topp
1170 Lexington Ridge
Eagan, MN
I have inspected the floor trusses in this unit and find them to meet the required
specifications.
C/u? "a"?'
Chuck Schultz
Sales Rep.
Automated Building Components
P.O. BOX7 • MONTROSE, MINNESOTA55363 •TEL.763-675-7376
Member Calculations Report
Weyerhaeuser St. Paul
700 Emerald 5treet
SL Pau[, MIV 55414
(65I)645-08I1
(651)637-0419
LevetNeme: MAIN Smtus Ikafgned
ppp7icAtion: Door Non-Residential: No
3••
Design Date: 3J3/20051032:29 AM Repar[ Date: 313/200510:32:44 AM
Obiect: Header #517
neral:
Product: I 3/4" x I I 7!8` 1.9E Microllam LVL Pties: 3
DeflecUon Crimris Standazd, Live Load 1.1360, Total Load L?AO
Member Weight (plo per ply: 6
Design Value Control Value Result
Moment (Ft-lbs) 9012 30788 Passed
Sheaz (lbs.) 4718 13622 Passed
Live L.oatl Deflection (") .08" 31" Passed
Total L.oad Deflecfion C? .12" .46" Passed
Reacdon (lbs.) 5138 5906 PasSed
Bearines•
Bearing Loeation Input I.engrh Required i.ength
i wali#a o i irz^
2 Waq#4 913" 11/2"
Reacfions•
Assumed Member Weight (plq: 14
Location Dead Load Live Load Total Load Uplift
1(lbs.) 0 1963 3157 5120 0
2(lbs.) 9' 3" 1483 2723 4706 0
Loads•
Roof Load Durazion Factor: 11590
Concenrrated (lbs.) 1' 8" 1386 1633 Roof
Concentrated Qbs.) 1' 8" 656 0 Floor
Concentrated (lbs.) 76" 1366 927 Roof
Concentrated (lbs.) ]' 6" 72 0 Floor
Concentrated(165.) 76" -16 0 Floor
Distributed (plo 0 to 4 3/4" 270.7 to 270.7 88.2 to 88.2 Floor
Distribuced (plfl 0 to 4 3/4" -35.5 to -35.5 0 to 0 ?ou
Disuibuted (plo 4 3/4° [0 1' 10 3/4" 276.7 to 2709 882 to 882 Floor
Distribu[ed (p1() 4 3/4" to 1' 10 3/4" 3$5 to -35.5 0 to 0 Floor ,
See Tms Joist Framer's Pocket Guide for Produc[ 77ademazk Informatian
Page 1 04-MN790-618-B-VI.J06
TJ-Xpert6.35 (#689)C
3- 3-05;10:37AM;WEVCRHAEVSER
:65i 837 0419 # 3/ 7
Desi@o Datc: 3/31200510:32d9 AM Repor[ Date: 3!3/20051032:44 AM
Distnbuted (pll) 4' 3/4" to 9' 3" 256.5 ro 256.5 SO m BO F7oor
Distdbuted (plo 4' 3/4" to 9' 3" -43 to -43 0 to 0 Floar
Distributed (plfl 1' 10 3/4" [0 2' 2 1/4" 256.5 to 256.5 SO to 80 Floor
Disidbu[ed {plo 1' 10 3/4" to 2' 2 1/4" -13 m-43 0 to 0 Floa
Distri6uted (pifl 2' 2 1/4" to 4' 314" 256.5 to 256.5 80 w 80 Floor
Dishibuted (pIf) 2' 2 1/4" to 4' 3/4" -43 to -43 0 to 0 Floor
No s:
Design Methodology: ASb
Only positive (downward acting) loads are detailed in the diagrem above.
UvIPORTANT! The analysis presented above ia oucput from software develpped by Tms Joist (Tn. Allovruble pcuduct values
sfiown att in accordance with cuneat T] materials and code accepted design values. The speci5c product application, input design
loads end stated dimensions have been provided by others, have not been checked for conformance with the design drawings of the
building, and have aot been reviewed by TI Engineedng.
See Tms Joist Framer's Pocket Cciide for Product Trademark Informntion
TJ-Xper[ 6.35 (#689) C Page 2 04-MN790-618-e-VI.JOB
-- 3-US;1U:37AM;WEYERHAEUSER
;651 B37 0419 # 4/ 7
Meznber Calculations Report
Weyerhaeuser St. Paul
700 Emerald 3trcet
St. P84 MN 55114
(651)645-081I
(651)637•0419
LevelName: MA1N Status: Deslgaed
Applimttom F7oor NmrResidmfiel: No
Desigu ITate: 3542005 3032:29 AM Report Detet 3!3l300510:32:56 AM
06iect: Header #516
General:
Prodvct 1 3/4' z 1] 7/8° 1.9E Microllam LVL Plies: 3
Deftection Criteria Standard, Live Load I/360, Total Load Ll240
Member Weight (plfl per ply. 6
DeSign Value Coatrol Value Result
Moment (Ft-Ibs) 3276 26772 Pazsed
Shear (lbs.) -1257 11845 paeged
live Load Deflection (") .Ol" 21" Passed
Total Load Defleaioa (") .02" 31" Passed
Reaction (lbs.) 2052 5906 Pazsed
Bearines•
Bearing
i wau#a
2 Wall#4
Readioos-
Assumed Membe: Weight (plfl: 14
Locatiort Dead Load
1 pbs.) 0 72$
2([bs.) 63" 903
I,oads:
Roaf Load Dulation Factor: 115%
LocaGon Input L.ength Reqnired I.ength
o i iiz"
6'3" 1 1/2"
Live Load Total I.oad Uplift
982 1707 0
113'7 2040 0
Concenusted (ibs.) 6' 1" 126 162 Roof
Distributed (plf) 0 to i' 8 3/4" 253.6 to 253.6 I65.5 to 165.5 Floor
Disfributed (plf) 0 to I' 8 314" -263 to -283 0 to 0 Floor
Distributed (plfl I' 8 3/4" to 1' 11 3/4" 256.1 ro 256.1 161.7 to 161.7 Ffoor
Distributed (pi) 1' 8 3!4" ro 1' I I 3!4" -40.6 to -40.8 0 to 0 Ploor
Distributed (plfl 1' 7 7 3/4" to 3' 10 3/4" 256.1 ro 256.1 161.7 ta 161.7 Floor
Distributed (pifl I' 11 3/4" io 3' 10 3/4" -40.6 to -40.8 0 to D Floor
Distributed (pfo 3' 10 3!4" ro 6 1" 256.1 ro 256.1 161.7 to 161.7 Floor
Distributed (plf) 3' 10 3/4" m 6' 1" -40.8 to -40.8 . 0 ro 0 Floor
See Trus Jois[ Framer's Pocket Guide for Product Trademark lnformation
TJ-XpcqG.35 (N689)C Pn-e ! 04-MN790-618-13-VIJOB
3- 3-05;10:37AM;WEYEqHAEUSER
;651 637 0418 g 5/ 7
Design bate: 313/2005 30:3219 AM Report De[e: 3/31Z005 10.32:56 AM
Distributed (pt? 6' 1" to 6 3" 40.5 to 40.5 199.7 ro 199.7 Roof
Disvibuud (PM 6' 1" to 6' 3" 256.1 ro 256.1 0 to 0 Floor
Distrihuted (plf) B t" to 6' 3" -40.8 to -40.8 0 tu 0 F7oor
Concentra[ed (lba) 3' 2 3/4" 364 353 ploor
Notes:
Design Metlwdology: ASD
Only positive (downwazd ac[ing) loads are detailed in the diagram above. .
AIPORTANT! The enalysis presented above is output fromsoRware developed by Trus Joist (TJ). A!]owable produc[ valuea
shown ure in accordance wiW current TJ materials and code accepted design values. The specific produar application, input dasign
loeds nnd sta[ed dimensions have 6een provided by others, have not been checked for conformance wi[h the design drawings of the
building, and have not been reviewed by T7 Enginecring.
See Trus Jois[ Framer'S Pocket Cuide for Product Trademark Information
TJ-Xpen635 (#689)C page 2 04-MN790-618-0-YIJON
3- 3-05:10:37AM;WEYERHAEUSER
Member Calculations Report
;651 837 0419 # 8/ 7
Weyerhaeuser St. Paul
700 Emereld Street
St Pau4 MN 55114
(651)645-0811
(651)637•0417
LevelName: MAIN
AppllartPOn: Floor
Statuc: pesigoed
Non-&es(dentlel: No
F 61
Design TYate: 3/3/200510:32:29 AM
R*port DaOC 313/200510:33:04 AM
Obiect: Header#632 .
General•
P2oducd 1 3/4" x I1 7/8" 1.9E MIcrollazn LVL Phes: 3
Deflection Criteria Standazd, Live Load L1360, Total L oad TJ140
Member Weight (plf) per ply: 6
Design Velue Control Valve Result
Moatent (Ft-Ibs) 2783 26772 Passed
Shear Qbs.) 1146 11845 Passed
Live Load Deflection (") 01" 21" Passed
Total Load Deflecaon ("} .02" .31" Passed
Reactioa (lbs.) 1784 5906 Passed
Bearroes:
Beadng Location Input Length Required Length
1 Wa1fN2 0 11/2"
2 WalIN2 63" II/2"
Beactions-
Assumed Member W eight (plf): 14
Location Dead Load Live Load Total Load Up1iR
1(Ibs.) 0 677 1091 1768 0
2(lbs.) 63" 680 1091 1772 0
Loads:
L.oad I,ocation Live Dead Type
---D`is i u[ p -0 w 2-SS/8"-- , to 3493 202.4 ro 202.4 Floor
Distributed (plf) 0 to 2' S 5/8^ -16.1 ru -16.1 0 m 0 Plaar
Distributed (plfl 215 5/8" to 4' I 1 5/8" 3493 to 3493 202A ro 202.4 Floor
Distdbu[ed tpln 2' S 518" ro 4' 11 518" -i G.l to -16.1 0 to o Floor
Distributed (plfl 4' 1 I SB° ro 517 5/8" 349.3 [0 3493 205.9 to 205.9 Floor
Distributed (plo 4' I I S/8" to 5' 7 518" -16.1 ro-1G.] 0 to 0 Floor
Distri6uted (plf) 5' 7 5/8" to 6' 3" 3493 [0 349.3 2059 ro 2059 Floor
Distributed (pln 517 5/8" to 6' 3" -16. ] ro-16.1 0 to 0 Floor
Notes•
See Tnts Ioist Framer's Pocket Guide for ProducL Tradenwrk Inform¢tion
TJ-Xpcrt635 (ri689) C Pap I 04MN790b18-II-VIJ06
E-mt
,ak ts 3ee: iri'C' ? .f •' : '
;azza C?P:' Laa= SE- _- ?•
?-c-
L.^
l^_?.. s
- ' 6
4? wV'??: 1 ea
a. -
A ? :: .s a
c ?
_
c
?
a°
?
f7
1
I
416I1
?
?_ c;_ 4
%
'
zx s sr z:.t5-;.??
G
_
s
<sak ? ?+e+s ?4r= ° g_ s
:
'
`
=5.. rj-._0 = o..%
?
'
%
-
_-
zx t sTa s IMM 9--
'
' 2x 6 22F n_.:ft --'-
_ ?LY .^c.J55! aae[en v73°X G.2ifl" x?-_c
=LR¢$eLfd DstLEi': pe"1v??'1'j 9????92
4C-'2Pl'r it, 8C- 9 pec tt. ?M68- 2 xx °L• _
FRUSS YtFPA1Ft ,iscxtbute loeda oa:a11Y %,s sach P'-Y'
;. Fmir's' diantc(er ??aEe<+ccrc drilted throug's nn.? pl.' oCtiaisx (?ngk•Q fram 6uteom cdge. e?itiog onr "si: r rtv: :nurc thxn 3" ab?ze il?e
bouom) as indicattvl.
2. Ayph• a Sa6 s S' --"I.'=? SPT Ici nne 1'ace uf ranum ci:erd as ahUwu, a(1bH=stg d'.rC: :;: :o ihC:io!e?tC/1 xldC, lis+-i;: cvcllrvztinn sdh?aic'e
and nailine ta tNe 1:uss wiih (5) 3.5" s P.I34 ° n?iis tier }iucal foot in :t Sta};_•eced pa!rern. TIEa naik mai' 6e inStaitpd eng1eQ up f[om Tite
battom or down fram ilie rcp becau?-- of iideo ferrnce fram cht adjacent twsi.
Do not aotch the nc•r 20.
Secal?p?jEETIOF'_. c?ia ssta ?-8-y?
1 2 3 '? s 6
8 .aen
6a8
Mlt•it
I
t
?
V.
-Sqk"ST LOF-L
Scsit=13:56
?v? 75 SE7n"ti ?J."'-SS AAH Y..t^e'x M327
•4 TS i u -
J
?
SC, p?Y-??6 xL ?aCl CS_.
= 2 -97e3 C,? ?.?Q 9.#8 .
g? 5 -F-' C..9 S.SL b_Sf
6- T -S?6:f C.i1 C..t C.Ea
3` S?].2 .1L SF?* C=S
?{.33 -s^.. 0.09 GA5 0.43
'2?12 1219: 0.34 0_18 C.B]
2-11 '12-Y 0.24 C.17 0.4'
U-10 1251 0.24 7.17 0.41
10- J 11791 0.39 D_lY 6.87
A. E -32 D.h9 0.45 D A_'
W.b ? ?-? roxv
ll- F -43e'3 !-,- % '+=
1-13 1n6A9 5-14 7"6
;3- 2 -,l88 10- 6 -33:0
2-13 -43=0 6- 9 -4348
:2- 3 366n S- i i:"s
, 7-02 -3395 6- 1 -4365
1:- d 65t6
iiD; ,
. . " u,tY?II :SV? ?1s be+n :eAA•?wc s=_'? = ?as£
? 4 b'FFi:iA2 ?i9R ?'ld?a ?]a?ld LbG?i]T1.?fh'F ?'
ST!` 3fi5:ti,F' :i+Ll --
'?s• :r 3 FE?`. eZCG . . ' caL'? -sevli ni aa3:lgSy ?oa?csx•.
ca
:
: m
5-1
3
x t !3u y2Qp 3,2
' ec__?eo?a-`y SYwsSc^loss•-?x?-e_kc+?M.
:x i Faa
t.1?i
•Z u_ :6: P?c+lx] C_TS^' ?c.: Jo:z.: <a::tc?, '?38 Ya.?.:a? C4?Im7.
x'?c ?' ?= I
0 2
?
:as SciaL t*ia?T Twe<-'- aar Lv i..:'x6sC .
.
= x_.
4 ?e? S£.i lt
Y c5
'
° v?
tL2e L?e?+=taan. mdlav _
__d
1?'ix
-
is Si0 aox. :D:a fi t ps:. '8S'/ b.0 gs!
'
=
M +f•"°'sLa
a.-
Sac w
Ud ?tier+a dealpn
i
"
' -
he?ivY i?en uG
?
ti! la
?'s ?.:20
y-!1z :P.!S5? .?a^Na ?r, TJ?3?+ )3A P34]= ?.... _. _...
. st?4:azed Mt?rn ?sY m3:?G ?cLidu=s?
a:
Tb 4 .....
s:m ?n Sisa M? l??
p•• Y?
•
54
4- F 13
p
, RC- 2 Ju iC.
piafribv4e ie?3s eRua113 w amh PiY• .
<- Y D-
t- 0 D- 4- E :3.St s1
? Fg& • t.QC 15_ S- 9
getsyn4 Ycp s iZS pai
? PLLS
6
= 83
'
iYlC2'.'QYS Y3°- EC#P!NG I/]CtiZ4Y:?'?-
C
f: S :f'
u
,
.
Lioa: d?Mxqe i
y
I_T?pp 8$gt YtL- a0.1i
p
{t
E1r a- 2- a 1 3154 -?3 -146 s .LA
= as n s nciz
A?
-
TPt?1ss F ;s- a- n t 3?sc o
?
5Q-0- sWOWT ? T :ss
mc,:r' c?vc..rCM tZ2 s
.;o?.s Laea?ar.s -
r i'I
A 2- B-il{ ':) C5= 3 2:3
27 •'-7
2 Yf)
5) 1-..? S' 10p 1t-S1- 5
?_._ __T .[`:i,:•']:5=? :.%.R:?P:3`.-._.._=a ??
«viea ? i.'.Y ^ Fzece _o] ^• 3-=:
s.=s r> -s? z- n-is
L Ysza 1A? -90 Y- x- 9
4M'. Vbrt Z?D -9S ?' - $ •?': ?-' `
3L Vcrt :,.t -E _ 0- 0- 0
:.i.
3.u-I7ube io./Aai:n iatls).
=,gp.p -0_03/999 -D.32t547 11-12
zer_.. 0.01 o.a? ta.
L1a59 -0.Y4
2-B-i< '?SIO cLlO :-&II _
1 2 3 4 5 6 7
? Spp -6.W :
79
? F C ? Y
•- ? u?z
T ^ )
G
:y 4 u V r
.. a 'v- .. ...
?
1
6-1i-I1
l?
?
iY
613
I1 10 °
?
I
S-Y1-it
33 !
?
s:a:e=t'.+xvu
Zxc3p: )„5 SF.015R PMA1T9 AE 1Si'Fek lG20
5n9 Job:
ssPn a.'' .+,'??s a:.TC ?_Z.. a mT. O.° 'f6 'o sm
-a,aa•rv?.^r
aur
a
!
? ,Jn_ I
/2400
/
.
.
u
:^r:.
e?G^=?:x
?-+m:r..aasex.'?aa?<or?-r-e.?s.aansc,rs?=trfmw-x?s's.?r
?am?s.s.._?rurse:e+^?>s
o- ?g?,y?:745 Cn::
?4
3
^
'
`
?
+?
:es?Yin?w.w?aam..?-.rce.?,tt
.-sls.' rDa
: -.
?
I
?
15
`
I
?( C?7
?7
>roaa?.sn.t.cs- .ieQ
rv.we'siw.v'J!?YaS=a,e?e?54:ie A?alY?'.:RSLm[e?
??aest•.?'x?lei:aSr¢P*P`a?
?ee?abf?
.
r
?i. 1783: ?•Q
'
9p :
_ y
.
P2t x
??V
?`
0-
?
? :
W: ?cn
T]Gss6+a.l?aA.Ai+'a.51t?1 0.V
y` Yy.p 53: .
.
M
Si SS ?iAPB-
5i+Ess't' 1 0r-Z
, 51736W?4M.,
575??51"
FE8-10-2006 FRI 09:40 AM LITTFIN TRUSS CO FAX N0, 9524731245 P. 03
1 ,
t!ece y t w tit l s p , sk?% 1 ' 8
AA ot rqwrt w9s pm.y
'ri
i n^.tcd Uy ma or urokr n1Y
KS R dnly
t i n
d th
?
9
bx
dircet sitpcr
s .
n
an g
? I.iecnscxl Trofeast onat Etyonecx wider the e?
laws of ttu at:dc o
iMnuusm. ?
1,0
+ IWIE yl?Ia
LiCC(LSC NO. I?G0
s
e
'c ? u!?
ip'
NN
7
y
g p 19?jry
.SV ? M
? Oy11?lA
1 ? ?ai
W qNNO
0
.f0i y Ob C ?
Y 4t
i
tf a W N JR, ^
m TNO??
? ?? ? Hm [I {
•4 Q
I+ R a
H w
kN
qs
q
' M
? fM1 i"J
?n p
?
m
q u3 Ww
o p ?
w ,? y
? Ri ?
R
C
Ce v ^? ? f! {7
• a ?, ???u
? ? J?WA?
?',? W M@^!
ry h7
^ X p
=}?$3
!11 M ?
i ?Lp x ?' 9 y
? N
? n
N '4
Q
? k
R
6 ?
W
r
-- ---------- -
??
FEB-10-2006 FRI 09:40 AM LITTFIN TRUSS CO FAX N0, 9524731245 P. 02
tn S haeby cedif ttiat tais •} .??.(?y„"y?
.4? Y ?? 6YCSISOIL WNNY qJMU(J NIMN15
oc rcport wss prv;r„n:d 6y mo or wuler rny
duzct sep:zvisiai mtd ctmt 1 aan a duly ??? 9?
•? LCCIi+Cil Y?(?S•.°•:17i1;t? r!`(;ill?'C! 1lK?CL ?11C ?` ? e n o ay 0006
laws oFli•.c:iluln oF 4lir, ;.,cra. G N Y? il $ fj ? ??'(
p(?u?Fi L. T[NZ11TS ? • ? ?' c?
Pn a a a a o a
(? ?, ? Nn?1 .?Aai.q? an
wwwaR uRR.'ww?
? -? wiWU oana ?1GC0?a(1
nate NI?Id? YH?N ?aWi'? hbNNk
l.lconsc No. 12469
tp
p@y. ? p??gi{{ r w n1N1
+I ?. F'„ o? i-' M M N M?
? ?G??r?,f•"??}? ???i ?
? N? w? ii?H? P rw?w
'r tA
? ?• • ;.
ia n R
? ??°??'???•• ? „?a?? ? N
k'?
Inn????°f?C?
?4?tl P•• !
y?- 1 4 p
A ?
9`?s????1 d
1
ss$??yp1?' ?n!1 ? :I????? wy b? rya? ?'
' Nli?^?? 'X ?1 Na e A• 7M XG?A Ih
{ Y OyySt «??nu
r u[,1 C N ¢ d µ is+pa (?s N J ?l N
p d?Y,O o ? op ??`iV I r 1 1? 11
W M M P! O1So ??Nj?fd?n$¢ ?Y ar
. 41D I1i11Y?n N ? y wy a ` i ? 1 ? n4q
yf?`{']? 'r l? i 4_Sj?l WP=A??? O? ?W'L1??111~'
' .t •..tfa?.. ? ?i ' na°.??ep?eo?? p?Mao
?
?4
YV 14??W
p
b
`/ 70 Page 1 of 1
1z:PG?? Ci
Jason Keippela
From: "Ron Shimanski" <ron.shimanski@littfintruss.com>
To: "Jason Keippela (E-maii)" <jkeippela@yahoo.com>
Cc: "Eric Bergum (E-mail)" <ebergum@lampertyards.com>; "Joe Simon" <joe.simon@littl`intruss.com>
Sent: AAonday, April 03, 2006 11:49 AM
Attach: Document.pdf
Subject: Hanger gap detail/ Millerville/ Lexington Ridge Town Homes
]ASON
Attached is the USP Tech Bulletin on gap testing and load value reductions for trusses not set fully into hanger.
With a 3/4"gap on an "E" truss; the JR-S hanger is inadequate. It should be replaced w/ an "HUS-28° hanger or greater.
The HUS-28 hanger when applied to a 2 x 8 carrying member; with the carried truss in fiill contact has a gravity load
capaciry of 3705#.
With a 3/4" gap at the "E" truss the load value of the HUS-28 hanger is reduced to 30% of gravity load capacity.
Thus 3705# x 30 = 11 ll#. The end reaction of the "E" truss is 10934.
Other options include using a 2-ply 2 x8 carrying member for the HUS-28 hanger to increase carrying capaciry; or use a 2-
ply type of hanger with a filler block added along side of the "E" truss.
You may be able to pick up this hanger at Lamperts yard.
-----Original Message-----
From: Ron Shunanski
Sent: Monday, April 03, 2006 10:40 AM
To: Ron Shimanski
Subject:
4/3/2006
usil
5truttural
Connectors
TECHNICAL BULLETIN
Face Mount Hanger "Gap" Testing
Irn ,trn:i?•l ni,?Ldl.iW,n ind to a<hiove thtd putilislied load USP
Shu, 7111,d Cuprnp(-fnrs ^ ir;cummend5 .i m.ixnnum 1/8 gop belwoon
au"f. vql„i ;ini1 ,u?,porlc•d nuoiiibrr,, whr,n using our face maunL
II,{Il(I?:' II?OfI'J(.(J
r, i o?nr?.-?•r. Uns tolnrnnrr, is Fxceeded and Ihe:
ljuu'r,, illilhl?1 ?d;d?6ilunl USP rt'CF)illly Cnnduclqrl
-:n;i,i• b,.:inli wiu. ?,ui I,ice inuunl h,in<i•l , lo dut0rnune redur.tiun
.il?s fioni 5/16 ihru 1 Thr, InhlcS helow indicnlo, what
iniillqptirr slvuilrl bo t(i Ihe l)ubhslir,d li.uorj(•r
l.n?l)w v- : ihtnnr.e;ss,vry rr. lur,cd I,,n( l rnptir,dy
Table 1-
Gravity Loads
Allowabie Load Molliplier
USP Direct loaos
Serres < 118 3116 114 916 SIB 7116 714 9116 SIA 11116" 310 13Hfi" 118' 75116 1
JL 100 100 too 090 080 070 065 060 055 050 045 - - -
JLS2x iW 1195 090 0 80 065 055 CAS 045 OJO GAO 040 - , -
)usw>i-i,z ioo a9s ovo oao 0 70 osa aso oso oos oas oas - -
EUH 190 095 OSO OAS 080 075 070 065 080 0 55 050 - -
Hoa. iuu 1 oa ioo uao oeo ons oes oao nao 075 075
-
-
HOW>1-1'2 100 100 100 030 0 90 085 OAS 080 080 f, 75 015 070 0]0 0 65 065
IlU51X IU4 090 UAO 070 OGO 050 040 090 OJO 0 30 030 079 030 090 030
nUSW>13.4 1 00 095 090 085 080 075 010 065 160 655 05D - --
iFr)2x 1 00 U95 090 085 u 80 010 065 065 Of0 060 050 055 055 0 50 050
1MO>IL2 lpU , 95 0 SS 050 090 085 0 05 080 0A0 0 75 075 OPO 0 70 065 065
vH0 H t00 '00 Io 090 085 060 0 75 065 0 GO C55 050 0 JO OJO 020 CJO
? ThN -nnnqqior iy daymne0lo htimlalleJ in aoco?ddnw lo aWficable coifes and [urrenl USP Iileraiurp
Ta61e 2-
Uplift Loads
Allowable Loatl Mulbpher
USP Uphfl Loads
Senrs, <11A 3116 110 5116 318" ]116 112 9116 518 11116 ]!< 73116" ]!8 191fi' 1"
i_ ioo oso oeo 0 70 aso oso 040 010 czo 0 10
-
Jus2, ioo aao oen oso 045 uaa oas - - - - - -
Asw>i-1,. i oa oxo 060 asn nas oao oss --
suN 1m ass osn 085 oeo 0 7s nio aes oss 000 oeo -- --
HG21 1a1 070 080 075 070 165 060 055 050 045 OAO - -
HD YJ•"-t,1 IOu 095 u9U GAS OPS OOJ 080 975 075 070 U 10 065 065 OfiO 060
HUSPX 100 0.80 Ofjp 050 065 040 035 - - - - - - -
HUSbV>1 361 100 080 OGO 050 015 040 0 35 - - -
THD1M 1 00 095 09il 085 085 0 80 080 0 75 015 070 G 70 065 065 060 060
iHD W?1411 100 095 050 085 085 180 OAO 0]5 0 75 070 D 10 065 065 060 060
THDH I(14 0 80 06i1 050 045 040 035
`
7
Example Calculztion
q rnof Iniss wnh a doublp 2x6 botlom chord
,iippui?r;J by a THD25-2 hanger has a gap
P?Fiween lhe end nf the truss and Ihe supporlinp
meinYiqr Of 91 16
Grawty Loads:
Puhhtil,,.J caparily o(TI ID26-2
= 2 900 Ibo C? 115":.
= 3056 Ibs @ 125"n
(from 2005 Full Lme Caialoq)
Nluw?ibin Luad MullipliFr 0 $0
lfroin Tahle 1- Gravtly Lndtls)
Rr-duaai THD26-2 canar ity
2 D00 Ibs x 0 RO = L 320 Ibs <il 115
't 055 Ihs x 0 SO = 2445 Ibs L.d 125`h,
Uphft Loads:
PuldisheU uplift c2pd<:ity of 7HD26-2
_ 1 890 Ibs @ 133 i,,
-22651bs @160`:'?
(from 2005 Full Lin(., CfltnlOg)
Fllluwa6le I.o,id Muhupiler 0 75
jIrnm Tallle 2- UpIiR Lu.i(Is)
? The mnnectar ,s as5umed to bo inslalleJ in aprvNance lo apDhda01e ro0n5 antl culrenl USP liler2luhe
ReriuuoN iHD26-2 calj?inly.
' ft40 Ihs x 0 75 = 1 420 IUS (c_ 133'!
1'SP 7 265 It,s x Q 75 - 1 7p01bs a.iGO' "
_ USP suyylii°s qimJihl prndnct+ tu lrrtild Sh'wt?ger Sllter Sh'1lCt1n'es
Livermore, CA Office Mantgomery, MN Corporete Office
2150 Wtty Hawk Road 703 Rogers Drive
Lrvermore, CA 94551-9522 Montgomery, MN 56069-1324
1-800-227-0470 • Fav: 1.925373•9213 1•800328-5934 • Fax: 1.507-364-8762 1.800-443.,
w w w USPconneclors.cam
Largo, FL Office
11910 62nd Street North
Largo, FL 33773-3705
442 • Fax: 1•727-535-8199
USP990-052
Inlormalion valtl unlil Oe(.e?b¢r } I, 20?5
ýüü
ÿþ
ûü
ú
ÿ
þ ýü û
ú ÿ
ù ø÷
ý
ÿ
þ ýü û
ö û
õ ÿ
ù ø÷
û
ÿ
ù ø÷
ôó òû
ú ñð÷þ ïûý
î ñð÷ù ø÷
÷ öû í ýìôþ ÷
ë ñÿ
ïû ð
ê û
ýì
îÿ éþ è
õõ îÿ
÷ù ø÷
õõ îÿ
ù ø÷ ç
û
ñ îÿ
þ ïûý
î þ ïûý
û
î ë îÿ ÿþ ïûý
ïéÿðôô æïéèþå åê ôôï
î ë î ÿþ ïûý
î ë îä
ÿþ ïûý
î ë îÿçìôì ã
þ ïûýç
î ë îÿçìôì ã
ù ø÷ é ç
î ú îÿçìôì ã
þ ïûý
ÿÿþýü
ÿÿ þý
ÿ
ü
û
ûÿÿú
ûÿÿý û ù ÿÿ û
ú ûÿÿý û ÿ ÿø
÷
öõ
ü û ú ö
ö
ùý ý ú ø
ÿ ÿý
ýÿ
ÿ
ÿþ
ô
ù
ÿ ø
ü
ö ú ÿ ý ú
ô ÿ û
ýÿ
ÿ ÿ
ÿ
ü
ü ý ý ÿ
ÿ ý ö
ü
óþÿ
úú
ü ò ý
ñ
ù
ÿ
ú ð
ï ø
ÿ ýÿ
ú
ý ÿ ÿ ÿÿú ÿ ú ÿ
ú ú
ý ÿ ÿþîíîý
ü ý ÿ ú
îîú
ýÿ
÷ììîíî ÿ
ë êììîíî
ÿ ÿ ÿ û
ÿ ú
é ÷è
ÿÿ
÷
ÿ ûÿÿúü ü þ
ó
þÿ ûÿÿ
÷ÿ è
þ ü ÿ ï
ÿ ç
÷
ê ÷õîè
æåèåäîõããâãñ
æîãôáàæåè
ñßãåñâõîå ããÞãäåâñæâ èÝâã
âõàõåîñ
üûû
ÿ
þý ÿ
úû
ù
ÿ
þ
ý
ü û ÿ ú ùùø
ù
÷
ù
ö õ
ý ÷ õþ
üûû
ÿ
þý ÿ
úû
ù
ÿ
þ
ýüü
ÿþ
ûü
ú
ÿþýü
Oct 04 2014 10:10AM HP Fax page 4
I
Use BLUE or BLACK!nk '
� ForOfficeUse---------�
I I
� j Pem�it#' � �J i
Clty of Ea�an � p it Fee �� �
��
3830 Pliot Knob Road
Eegen MN 55122 j Date Received ���� j
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff� I
I I
v�������� �������J
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''/`�
� �
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