1515 Lone Oak RdCITY OF EAGAN
Street 1515 Lone Oak Rosd
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK Ut) 11968 100.00 3•33 30 63.37 A005207 11-23-77
SEWER LATERAL 1970 2t ],5-00 120•75 20 1328.2$ A005207 I1-23-77
WATERMAIN
WATER LATERAL 8't@b9 O 20
WATER AREA 1
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 2 -14
BUILDING PER.
sac 200,00 1. 1 5-1 9
PARK
RESlDENTIAL
BUILDING PERMIT APPLICATION
? / (?? o? / /?7 ?ITY OF EAGAN ? ? /r/p • ??
3830 PILOT KNOB RD - 55122 /?,.?L
651-681-4675 (.X /M q'7"0)
NewConsiruetionReauirements emode airRe ui en
. 3 regstered site surveys showing sq. ft cl bt, sq. ft M lausec an?tl rooled areas 2 copies of plan
(20% maximum bt covemge alDwed) . 1 set of Energy Cakulabans for twated additlons
• 2 copies of plan showir g beam 8 winduw shps; poured tqmd design, etc.) . 1 sb wney lar eberior aOdNOns & dedo
. 1 set of Eneigy Cakula5ons • Indkale d home seived by sep6c system lor aCditions
• 3 mpies of Tree Preservation Plan if bt piatted after 771193
• RimJoistDetallOpUOnsreledionsheet(bldgswNh3orlessuniLs)
DATE ?31510 I
VALUEiION sd3Qd Imr)_
JOB SITE ADDRE55 ! J/ 5 /::( 0[XtK 6C4
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? A)
PA(1QFRTV
TYPE OF WORK GC. FtREPLACE(S) _ 0 x1 _ 2
APPLICANT ?Df? U f" SAM6 Z?f,YJt.`ltfV_ 7 4- PHONE# tv CoSI-qSV-I?0 -7"
ADDRESS ZIP CODE ?a
PAGER # CELL PHONE # IDI?- ?? 7.30 ?3 -LFAX # 7(O3-5S7--*1S
?
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Confracior. /??ZA"" Phone 1F: ?L--??
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
tvo. Gi Batti5
Mechanical Contraetor: Phone #
Mechazucal System Includes: ? Air Conditioning
? Heat Recovery System
iewer/Wafer Contrqctor. A)Z& Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and ogree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signalure of Applicant
t
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, _ . ; Updated 1ro1
OFFICE USE ONLY
? Ot Foundatlon
? 02 SF Dwelling
? 03 01 of _ plex
0 04 02-plex
0 OS 03-plex
? 06 04-plex
? 07 05-plex ? 73 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Gar3ge
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lowar Level
? 12 12-plex Plbg Y or _ N
Final/C.O.
FineUNo C.O.
_ Plwnbing
_ HVAC
? 31 New 13 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 , Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 Replacemeni •Demolition (Entire Bldg onl» - Glve PCA handout to applicant
Valuation o2 ?Occupancy ie-3 MC/ES System
Csnsw Cade Z^ning A0 - City Water
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. ?L PRV
Nbr. of Bldgs Length a 7 Fire Sprinklered
Type of Const s??1 W idth L?
REQUIRED IN3PECTIONS
Footings (new bldg)
Footings (deck)
? Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
? Other
Framing - Pool
? Ftgs Air/Gas Tests _ Final
Fireplace R.I. Air Test Final Siding
J Insularion ?
Approved By , Building Inspector
Base Fee
Surcnarge
Plan Review
MC/ES SAC
Cily SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totat
_ Stucco Stone
_ Windows (new/replacement)
38Yxs"?/?
Ck'd{lJ/ T94C-'-,-
? 20 Pool
? 21 Porch (3-sea.)
0 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
O 25 Miscellaneous
3 8'q?z-,?l Z
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
,;t 30?z mo
i
a(?o p o0
5-
,1
aU/ 736 °C?=
CITY OF EAGAN
3795 Pilot I{nob Road
Eagan, Plinnesota 55122
PERMIT NO.: 1;i,g
The City of Eagan hereby grants to ,,.,., ma.,,,,,-
Oi di515 7nnn C1ak Roar1
a Permit ior: (Owr_er) _
at R--AM.p _,??WOR , pursuant to application dated _3,0[]7/74
Fee Fzid: dai;ed this _yg?_ day of 0v.rDt,nr j ?9 7A •
SO s/c
Building Inspector
A"ac::a;iical Permits:
iiid Total:
I 1 /6 - z, A'
CITY OF EAGaN
3795 Pilot Knob Road
Eagan, PIinnesota 55122
PERNLiP N0, : 748
The City of Eagan hereby grants to Suburban Heatinq Co.
of 2050 White Bear Ave.
a HEATING
Permit for: (Owner) Don Taylor
at 1515 Lone Oak Road , pursuant to application dated 10/7/75
Fee Paid: 520.00 dated this zl day of October ? 19 75 ,
.5D s c
Building Inspector
Mechanical Permits:
Bid To?al:
/6 - z. ,*,
CITY OF EAGAN
3795 Pilot Knob Road
Eagan? Minnesota 55122
PERMIT NO.;SnA
The City of Eagan hereby grants to ?_ we,,= nl?q
of
a Permit for: (Owner) ppy?Taginv
at }-- Oak =g, pursuant to application dated 9/15/75 .
Fee Paid: $20.00 dated this 22
.50 s/c
Mechanical Permits:
day of Sept. , 19 75,
Building Inspector
Bid Totale
EAGAN TOWNSHIP
BUILDING PERMIT
oWO.= --.-`CI?-?p-J -- ...----- -_ .............. ....
Address (presen!) ._. lS_(S' o?v-,--e_ Qd .
. .............. . _.........................................
Suilder 4-,-'-.......................................................
? - 04...?..
.....................
Address _Y .............. . -- -.....
DESCRIPTION
.
N°
Eagan Township
Town Hall
205°r /
De:e ._-----.------..-----.-
Siories To Be Used Fos Fron2 Depih Heigh3 Esf. Cos! Pezmif Fee Aemazks
LOCATION
Sfree2, Aoad or ofher Deseriplion of Locafion I Lol I 81ock I Aaairioa or Traei
I l(0 l- I z?HA) Z?? ?
This permii does not aulhorize the use of eiteefs, roadc, alleps or sidewalks noz does it give the owner or his ageni
ffie right to creale any situalian which is a nuisanae or which psesenls a haaard !o the healih, safelp, convenience and
general melfare !o anpone in the communify.
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
This is 2a cerlify. lha2...W.I.A.:-J ....... ........... ..........__has permission !o eree! a..., ./..?r!?Q!-r..r.--_-----_........------upon
the above deserihed premise subjeof 2he psovisiona of the Building Ozdinance for Eagan Township adopled April 13.
1955. Q,
'_"'_'......".'. '..................... Per ......_.._..?a!?-t..._....?-.,..."_?""""_'_'......
Chairn of Tnwn Board ? Huilding InspecSor
4 . (5.
CITY of EAGAN
BUILDING PERMIT
own.: ...../.U!-s? ?r?....? :- .......... ?.....:......... ......................
Addrees (preaent) ?
.......--°----?-- - ...................-.--`....
Bulldor ........ ??.........
Address ................................
.,.. V
N2 3430
3785 Pilo! Knoh Aoad
Eagan, Minnesota 55122
454-6100
Dels ?a ......... _.......
Sfories To Be Ucad For FroeS Deplh Heigh! Eal. Coa! Permi! Fe Aemarks
A-s6st?- ?,c -V
CATION
Sb
Sireai, Road or other DesesipiiOn oi Location I Lo= I bloNC I ACtlllioa os Tiac!
Al
This permii does aof authorize the use of sireeffi, roads, alleys os sidewalke nor does it give the owner or hG egan!
the righ! !o ereate any siluafion w6ich is a auisanca or which presents a hazazd !o !6e healffi, satefp. eoavenienee and
genesal welfaxe !o anpone in the communilp.
THIS PERMIT MUST BE KEPT ON TFIE PREMISE WIiILE THE WORK IS IN PROGAESS.
This is !o cer2ifY. `.......................... has permiesioa !0 0reet a......A-VE-119M
-'-'°--....................................._upon
the above descrihed premise subjecf !o he pxovisions of all applicable Ordiaances for the City of Eagan
_---"_'...:.....U..:_."...?.:-................ '-"...... '--'. Per ..................
........."' ...........................
Ma or 06 . Su[tdiag Impeclos
?6
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ?? 1 ?? I D?<
Site Street Address %jl 7? G0?4.? 041- IC6 Unit #
Property Owner -7221--Al Z/?''?lN6,4Z?r Telephone # (657) ??_I-W 7L
Contractor lL4S'6? 425-6- Telephone # (7/r,51 -278- ?S??/
Address City .Q/,?, Z.0-1&_;C State .0"Lr-d. Zip Q
The Appiicant is: _ Owner _ Contractor _Other
Alterations to existing dweliing $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. !f vou are instaflina onlv a wafer soffener 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 $125.00 if a 5/8" meter is required)
Other. VW4t?"6_ Q,?4_49=?
Water Softener _ Water Heater $ 15.00
_ new _ replacement
v Lawn irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
1?A? LC oS&s
ApplicanYs Printed Name ApplicanYs Signature
n rt I ? -
2005igOMMPMIAL MECHANICAL PERMIT APPLICATION
City Of Eagan ?\
b" ? 3830 Pilot Knob Road, Eagan MN 55122 ????• ?"
Telephone # 651-675-5675
Please complete for: commerciaUindustnal buildings
multi-fanrily buIldings when separate pemiits aie not required foc each dwelling urut
Date
Site Street Addreas 2 C? Unit #
Tenant Name (if applicable) Prerious Tenant Name
Owner ?LY(Na'l
ert
Pro b /'? 21?n#l 74-Telephone # &5l
y
p
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Eapires:
T6e Applicant is _ Ownei _ Contractor _ Other
Work Type
7X New Construction _ Underground Tank _ Install _Remove "see below
Interior ImprovemeM _ Install Piping _Processed _Gas
Nature of Worli:
'*When instalfing/removing underground fank, call for inspecfion by Fire Marshal and Plumbing Inspector
PQ!'rt1itF2C3: $70.50 UndergroundtankinstallatioNremoval
$50.50 Miui? (inciudes SYate Surcharge)
or
?
Contrac[ Value $ • Permit Fee
x ?°} -
?I??
. If nernut fee is $1,000 or less, add $.50 $ State Swcharge
If ernmt fee is over $1,000, add $.50 for APR 14 2005 LL!
e?; T
t
l F
?
'75b
every $1,000 nernut fee o
a
ee -
u
$
. I hereby apply for a Commercial Mechazucal Permit and ac?rledge thaf fhP ;nt'?r is complete and accurate; [hat tne worx
will be m conformance with the ordinances and codes of the o agan and rvith the Mechanical Codes; that I understand this is
not a permit, but only an application for a perinit, and work is not to start without a pernrit; that [he work will be in accordance with
the approved plan in the case of work which re uues a review and approval of plans.
Gl-
Applicant's Printed Name A icant's Signature
Approved By: Inspector
/
,
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
? Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reuuirements RemodeVfteoair Reauiremen4s Office Use Onlv
3 regislered site suneys showing sq. ft of lot, sq. fl of house; and all roofed areas 2 wDies of plan Cert al5urvey Recd Y_ N
(20%mazimum bt cove2ge allowed) 1 set of Energy Calwlations for heated additions Tree Pres Plan Recd Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _N
1 set of Eneryy Calculahons AddAmn - iiro'icate i/ori-site septic system On,site Septic System _ Y_ N
3 copies of Tree Preservation Plan 'rf lot platled aker 7/1193
Rim Joist Detail Options seledion sheet (buildings with 3 orless unKs)
?
Date ?10-0- /? Constructioo Cost
/
9
Site Address (/ Unit/Ste #
? a-
Description of Work
Multi-Family Bldg _ YX?N Fir ce(s) _ 0 _ 1 ? 2
PropertyOwner / &1V Telephone # (625-1) C? y -? Y7 k:)
Contractor 517m e-
Address City
State Zip Telep6one # ( ) i
U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?rv 1 Minnesota Rules 7672
Ene?gy Code CategOry , Residenlial Ventilatinn Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submitted
. Energy Enveiope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #( )
Telephone ^
E Telephone
I hereby apply for a Residential Building Permit and acknowledge that the infor??ion is co te an ccurate;
that the work will be in conformance with the ordinances and codes of the Ciry?er?d ana me ?[ate 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.
.SC"1 2-1!/hIll2.
Applicant's Printed Name _
? 2&&n lw??i.z?
Applicant's Signature
FJISa Sc ? ??'C I13
OFFICE USE ONLY ,
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwel ling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ` ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 08 07-plex ? 17 Garage g 22 PorchlAddn. (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 Plbg_Y or_ N ? 25 Miscellaneous
Work Types .?i rnC ?v
e C 1?
?J e 5 2)
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
-P 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 appltcant
Valuation 1 oo T? , o o Occupancy ? 3 MCES System
Census Code q_ Zoning ?-1 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const y 23 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
?p Footings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests
? Framing _ Siding _ Stucco _ Stone _ Brick
?4 Fireplace X R.I. ?0 Air Test ?j' Final _ Windows
-10 Insulation _ Rebining WaII
Approved By-?? ?- , Building Inspector
----- ----- --------------------------- ----------------------------------
Base Fee
Surcharge ?- -:5O
Plan Review I l
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
3D 4. ` ?
j J
ao 4
Sarah and Anthony Zimhelt
1515 Lone Oak Rd.
Eagan, MN
Sept. 27, 2005
City of Eagan
3830 Pilot Knob Rd.
Eagan, MN 55122
Attn: Building Inspections
Re: Perrnit Number: EA068048
)1Ls???;
SEP ? '8 2005 i
The purpose of this correspondence is to address the issue of the doorway leading from
the addition to the existing outside balcony. We are aware of the IRC restriction of 1- 1/2
inches threshold height. Due to the particular circumstances involved in Yhis doorway,
we are requesting a variance to the IRC. The reason for this request is as follows:
This doorway is located below a major roof valley which spills copious volumes of water
into this area during the type of rainstorms which have been typical of this summer. The
doorway was constructed with a 1-1/2 inch concrete curb to prevent water from entering
the addition during such conditions. This problem is further exacerbated by the fact that
the interiar floor elevation is slightly lower than that of the balcony. This results in a
threshold height of 3 inches from the interior and 2-1/2 inches from the exterior.
Our concern is that setting the threshold lower will contribute to moisture problems at
this doorway. We feel that the present construction represents the best compromise
between safety and practicality.
Thank you far your consideration of this request.
Sincerely,
Sarah Zimhelt
Property Owner
a1CV??V\?? DG? /
.? ??'
fl?- ?ez ??le S
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
, City Of Eagan
(F (t, 1 \ 3 3830 Pi?ot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 4 651-675-5694 k
,-
NewComirucfionReamrements RemodeVReoairRevuiremenis ? ?(ficelket5ntv q
3 registered sde surveys showing sq. @ of lot, sq ft. of house, and all roofed areas 2 copies of plan G.er?4f $un??YR?Cd -:. Y? ... N
(20% maximum bl coverege allowed) 1 set of Energy Calculalions for heated adddions '€Cee PresPten R4o1 : _Y _Id_
2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for addi6ons & decks T?80:P?ssftequuecf •-.,zY_ _?1
isetofEnergyCalculaLons Adddion - indicateifonsrtesepticsystem ClrrsiE0501G?em _Y.....N
3 copies of Tree Preservation Ptan if lot platled afler 7f1/93
Rim Joisf Detail Options selection sheet (bidgs with 3 or less units
Date C991 Ay
Site Address 1?? l02?
5-- LC-! c 4-/ Construction cost S? 2iclior- C-0
UniUSte #
Description of Work 76Te 0_H 0?\
!7
Mutti-Family Bldg _ YZ N Fireplace(s) _
O E
f
JE
PropertyOwner ?(?7y ?r ?0rnh?/? Telephone#(oS/) ?G
Contractor .11-12
Address
State /ri ?
Zip City
Telephone # (G4) 2-
r-,
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor AU6 2 4 2004 Telephone #(
Sewer/Water Contractor ? 1. Telephone #(
N If so, 25176 plan review
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
approv 1 of plans.
?
Applica s Printed Name
Applicant's Signature
OFFICE USE ONLY
Mr
Sub 7ypes u , ,
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
7 02 SF qwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 PorcNAddn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen(gazeho) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
?t'? C? U f? e S 'D C u k Q? ` X 13 f 45 N S'Tp ' 12 uj 14 y
Work Types
? 31 New ? 35 Intlmprovement ?, 38 Demolish,lnterior ? 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 (En[ire Bldg) - Give PCA handout to applicant .
Valuation QO D p Occupancy 2-3 MCES System
Census Code L 3 y Zoning rz? r_ City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width '
REQUIItED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings(deck) ? FinallNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
1(, Diain Tile Other
Roof ? Ice & Water X Final _ Pool _ Ftgs _ Air/Gas Tests Final
x Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace Y R.I. 1l Air Test (? Final _ Windows
Insulation Retaining Wa11
Approved By: -/,W A _' Building Inspector
---- ---
-------------
---------- ------ ------------------
Base Fee ------------------- ---- -------- ---------- ------------- -------- ---- ----------- -
S f?.9 5- LaeP, f eV
Sb 2- X I,s e D -- -
=: -] S 3(D • o0
Surcharge .
-C?-o L)pp?2 (ea e1 S?z.x S`I ao ? Z71o$,oD
PlanReview 4?eCK F?r?7 Fe,e 'Zi ooo,++o
MC/ES SAC
City SAC
Fp
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant '
License Search
Copies -
Other -
Totat
l •
EXTERIOR ENVELOPE AVERAGE "U" COHPUTATION .
OGTIER: 10 F-" 4'-1RA?-l:
SITE ADORESS: ?SIS (.OrLf'G V/4J? 'F-D. ? tF,AC-PA?? rA lA
CON7RACTOR: DATE: ?^j•?J+• 04 PHONE:_
bETERMINE WORKING SOUARE FDOTAGE'OF EACH:
1. TOTAC EXPOSED tlALL AREA, , , , , , , , ?jOS sq f t x "U" .11 2. TOTAL ROOF/CE111NC AREA,,,,,,,, 'rJ0 2. sq ft x"U" :025
3. TOTAL EXPOSED HALL AREA tALtULATIONS:
Total exposed wall
area above floor,,,,,,,, SOgj sq ft
t
.A} Tota) aall wTndow area:
glazed..... ?O1 sq ft z ??U"
glazed,,,,. -r sq ft x "U" -?
?
-
B) Total door area ?-? sq ft x"U" 12-9 ? ?O-
,,,,,,,,,
C) 7ota1 sliding glass door area:
. glazed...... sq ft x??U"
glazed...... sq ft x "U" --
Total fireptace wa11 area ?CJ sq ft x"U" :04`?7 ? 2•1?P
E) Total watl framing area
(Averaae 10.^.)..........
. 3(p sq
ft
x"U"
?.s3,2
F) Total net wall area above
floor (Insuiated)....... sq ft x"U" V4•20
G) Total rim Joist area...... (OCP sq ft x"U" . 6rj4 ? `'S •S
Total foundatfon
area (Exposed).......... ?(c C-10 sq ft
F{) Total foundatlon
wlndow area ............. 3c0 sq ft x"U" . 2?[ ? ?•? 2
_ .,..,.._
,.._ -..... I) Total net foundatTon - ->...:-. ?---- -
area above qrade........ I3v sq ft x"U"
3. TOTAL s) thru i)
!f item {3 Ts the same as, or tess than item f1, you have met the intent of
2 MCAR 1.16008 A and 0. •
Page 1
? -
h. TOTAt EXPOSED R00F/CEILING CALCULATIOtIS:
Toial exposed
roof/ceiling area........ 501- sq ft
J) Total skytioht area........ sq ft x"U"
K) Total roof/cellfnq framing
area (Averaqe it19,)...... sq ft x"U" •04 ' 2
._----
L) "Total aet insulated `D22 ? ?G?4
roof/ceiling area....... 452- sq ft x "U .
?. TOTAL l) ihru 1)
If total of th is the same as, or less than 1#2, you have met the intenf of
2 MCAR 1.16008 A and 0.
ALTERtiATE BUILDIflG ENVELOPF DESIGN
To utitize the total envelope system method, the values esta6115hed by the sum
of items /3 and A4 shall not be 9reater than the sum of items P1 and 12.
1.
t f R T I F 1 C A T I 0 N
1 hereby cert(fy-tfiat-t_h,aue,.,Falculated the "U" factors and "R"
values hereTn and that the buiidinq here described meey?-a? exceeds the State
of Ninnesota fneray Conservation Act. ? I ?? ?
+ z. m
+4. , _-
PAOP ?J
S A7
(DaLe
City of Eagan
Tom Miklya
Tom,
02/03/2005
I; Gregory J. Wilwert from Wilwert Remodeling have requested to
remove the building permit at 1515 Lone Oak Road in the City of Eagan for
non-payment of labor already performed. The work that has been completed
is as follows:
Excavation
Poured footings
Building PolySteel walls ( basement and frost wa11s)
Basement floor poured
Floor joist and plywood T/G floor
Header installed
2°a Floor PolySteel walls
Lightdeck
Backfill
Thank You for your understanding
Gregory J. Wilwert
401>
Pat Geagan
MAYOfl
Peggy Carlson
Cyndee Pields
Mike Maguire
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CITY ADMINISTRATOR
MUNICIPAI CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012fax
651.454.8535 TDD
MAINTENANCE FACILITY
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360fau
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
City of Eap
February 7, 2005
ANTHONY & SARAFI ZIRNHELT
1515 LONE OAK RD
EAGAN MN 55121
RE: Buildiug Permit #66113
Dear Mr. & Mrs. Zirnhelt:
This letter is to advise you that Wilwert Remodeling requesYed to cancel Building Permit
#66113. As a result, it becomes the homeowner's responsibility to submit plans in pursuit
of obtaining another building permit to complete this wark.
If you have any questions, please call me at 651-675-5697.
Sincerely,
1
Tom Miklya
Building Inspector
TM/j s
cc: Dale Schoppner, Chief Building Official
Wilwert Remodeling, 2400 Teakwood Drive, Maplewood, MN 55119
10f29I2004 09:21 7637929001
fr1442 rT # ?? li 3
15i? 40Nh oR4 1Zb
w=
1. HMI211NTAL REINFORCTNG 1S Tl7 BE CENTERED
IN WARL & ERTENA /+ MINIMUM OF E4" PAST 7NE
?-- OPEFUNG AT EAGH END.
2,LINiELS THAT SPAN 4 FEET Oi LESS & SIIPPORT
3000 PLF pR LESS, DO NI3T REfiU1RE SW-AR
REINFGRCiNG.
3. ALL VALL 13PENINGS (hRE TD HAVE A MIN.
[IF 24" OF CEINCRETE WALL HETWEEM THEM.
ADJACENT 6-FOOT WIDE HAx. OPEWNGS MAY HAVE A
14INIMRIM i!F 12' OF COICRETE VAIL BEYWEElO TFEM.
4, PI.ACE (?J 44 VERTSCAL BARS FULt HEIG?ii
EACH S1DE OF ALL 13PEN1NG.S.
5, SEE SA-0 F132 Fl1RT14ER NOTES AND C[BJS7RUCT1pN
GLlII1ELINES.
6. SPECIAL REVIEW 1S i2EQU1RE.D FOR LiNTELS
XYDND THESE LIM]TS.
7, LpA2)S SHqWN ARE IN ADD[TION TO LINTEL
S£LFWEIGHT.
°3 SHEAR REINF. o P
8" TYP
f 4J l.F U 14N
4" TYP I p
LSNfEL PENING r ,.
HORFZON7AL RESAR 6N
? TtlP & B[I7T13M MIN,
PER TAHL.E
?
PAGE 02
CONCRETE. 4000 PSI e 28 LAYS
AGGREGATEi WALLS - %" MAX
HORIZONTAL RElNFUtCEMENTc
ASTH A615 GRADE 60
SHEAR RE1NFO2CEMENT:
ASTM A615 GRADE 60
10AaS
L[VE LUAD: 42 PSF R13EF MA%.
LLVE LOAD: 40 PSF FLMR
DEAD LOAD: 13 PSF ROOF
DEAD LqAD: 12 PSP FLOOR
WIND LAAD; 90 MPF! EXPE1SM 8
z i
? lU
iu I
TYPICAL CONCRETE LINTEL
Fmt 6" 8 B" FLAT Fa2MT, AS WELL AS 30" POST-BEAM FORMS
Hnaiz
BARS ? LINTE
4 5 b 7 L SPAN I
8 9 N FEET
10 12 14 16 18
(1)45 5800 3700 2500 1800 1400 1100 BOD 600 400 300 20D
(2)*4 6000 4700 3300 2900 1800 1400 1100 700 500 400 300
(D*6 6000 5200 360D 2600 2000 1500 1200 800 600 400 ?0
(S>K7 bppp 6000 4800 3500 2700 21Q0 1700 1100 700 500 300
C2)'?
5
6pD0 0
6000
WW
3600
Zgpp
2200
1700
12D0
700
500
30Q
! OWABLE ACTUAL L I(y.T_EL L OAD _IN PI
F13Z 6" & 8" FLA? F'flRNS, AS WEIL AS lU" PUST-21EA44 FaftMS
IPIILIITEEL SUPPLY IIF WLStST, PAUL.
9100 BALTIMURE AVENUE NE, SUETE 112
?.rJ BLAINE, MN 55449
Phone (763] 792-6689 Fnx: (763) 792-9001
f:i;l.?:!;-al
?F-
REVISED
U6/0i/04
SA - 4H
01/0110A
I 10:37 0614 438 3171 CORP ENGINEERING 9002/002
..I
s ny??
, I??te:' 10{28/04
?
i
T04 Ml - Oity af EagAn
?
s} ZirnFili.01940enEe
o ?Whor?eU,er 1t Mey Concem,
'I located i
inottake
?
4
DE51GN GR;UP
Wortl4+KStoh Indu$trlas GompaAy
e?ave design$d tha; fCaMinO plan for the above-rhentioned ptoject in whibh Dietrich Metal
TradeReadyiD tloor system is incorporatad. The filoor members shovm an the joist layout plen,
'-2.0> meet or exceed the loads reguirsd by facal code and when bul?t (on site or as
ded panels) as ahown, will rssuft in e struGturaily sefe floor eystem. The'fradaRaadyr'* 10at
have been designed for 10pst dead load and 40psf live load. tfia tloor deflectfon has been
at Live Load = U480, Total Load - Ll240, Memiaer sizes are listed in the member achedule
1 the drawings. Please note that this letter partains only to the fbor framing plane and doee
rdo consideration ihe atructurel integr'dy of the entira atrucwre. Also be swere that the }loor
Symeo all roof Ioslds are suppoKed by the excerbr wslla only. No truaseslreEters are to be
i by intOtior bakiir?gj.
I wq can be of ar?y tts?ther eoaistarx;e, or if you haYS ar?y more questions ar concerna on this
m4tter, f?W lires io gtve u$ ?a 11 at 814-840-3721.
I , Cor¢ieliy,
'JJeiy A.. I?yibala,
, Er+gineer„ bjFtfohROi9n Grqup
L. Randy D&udet, p.E;, S.E.
presideM, QieMch nesign Group
? tq¢ FkW 9treW4 &+m, C. SYha . HemtnaW.. !N
7E?1, 2}9.4474 FA1t 219•92.414t W@B?iT?E 5pp?,9? ?
h •a ?ant 'nu ? . lbtb-?66*6l??JQd ! Wd9l'0?ti00b'8t'1?0:
SCOPE
SCOPE INCLUDES DESIGN & DETAILING OF LITEDECK RDOF DECK AND SUPPORTING
POLYSTEEL ICF WALLS FOR A RESIDEN7IAL ADDITION. CONSTRUCTION
IS T? BE DONE IN ACCORDANCE WITH THESE DRAWINGS AND STANDARD INDUSTRY
PRACTICE. REFER TD POLYSTEEL SUPPLY OF MPLS/ST, PAUL'S MASTER ICF ABOVE
DETAILSI-04
STRUCTURALDATED
AND REVISED ?N 06/01W04GFORRALLROTHER RELATEDENGINEERS
I,TH1S DOCUMENT APPLIES T? STRUCTURAL ?NLY. REFER T? ARCHIlLCIUKaL FOR
MATION.
ACTOR ANDWCONDIT ONS. OR OT1F ?RENGIN ER I?NDISCRE ENC1E ? ARISE. Y ALL DIMENSIONS
2. DRA1N T1LE, DAMPPROOFING AND/OR WATERPROOFING, AND INSULATIDN, AS WELL
AS THE1R 1NSTALLATION, ARE T? BE 1N ACCORDANCE WITH THE CODE,
3,ALL BAR SPLICES ARE T? BE A MINIMUM OF 48 BAR DIAMETERS,
4,PRDVIDE MATCHING HOOK BARS FOR ALL HORIZONTAL BARS AT ALL WALL CORNERS
AND INTERSEC7IONS, LAP HOOKS IN ACCORDANCE WITH NOTE 3.
5 BYI?LO R BACKFILLIO STRUCNIONFATN70PIO& SLABLATMBOTTOM ORTBYAADEQUAPEORTED
7EMPORARY BRACING.
6.ADEQUATE SHORING iS THE RESPONSIBILITY OF THE CIINTRACTOR,
7.SEE S2 FOR LINTEL REQUIREMENTS.
S,INSTALL C1) ADDITIONAL #4 REBAR EACH SiDE ?F ALL QPENINGS.
MATERIALS_ LDX
CONCRETE: Fil? INGS WALLS/SLABS 2500 PSI @ S 28 DAYS AYS wN ASTATE MMENDEDi 2000G 1B?DIRC
AGGREGATE ; FDOTINGS - 1 l/e' MAX. ?ND
WALLS/SLABS - 3/4" MAX. TYP. - TYPICAL
REINFORCING: ASTM A615 GRADE 60 S1M. - SIMILAR
ALLOWABLE SO1L BEARING - 2000 PSF (ASSUMED) U.N&. B UNT?PS ANDEBO?TpM W1SE
?
Lt]ApS
LIVE LOAD; 40 PSF FLODR
DEAD LOAD: VARIES @ LITEDECK
WIND LOAD: 90 MPH EXPOSURE B
(3 SECOND GUS7)
ZIRNHELT RESIDENCE
1515 LONE OAK ROAD
EAGAN,MN
??
?ATE ?v
SM??ING
Wilwer[ Construction
464 Point Douglas Road South
SL Paul, MN 55119
SSOfEactPWerPOaJ Sulu9DB I?ereEyceNNl?atVUSpFan.spetlArahonw?poil Pwtr?on Dale DesmpM1?
wa6 prePa?eE M rt9 ar uMx mY Ol?ecl s?K???
Mlnneape4?,L4mesW SSi31 yAl?allama OulylJCensoO Prolesvo?WEiqmeor
PLOn:]W3]IRSOJ f.[>815]tll6! yM0ll?elawsDll?a5laMOIA4?vM0Yi
Bawrk-OeYatlaAeaF?qe.MUVea??T-Sw.Falk 1 II
WBp: xww.iAleip.Wm Pft Nam¢' f
engineers S?
onwftey:ne.orr?ur-uroei s?aMa: o.w: aoe.,'zoa
cn??eor c..yom" o>.' 1011104 L oxuw?wr. 42341 srcen: ? 0 4
pppiwee BY: Crao Osvek
?
?
10I14l2004 11:47 7637929001
POLYSTEEL SUPPLV MSP
PAGE 03
1. PRIpR TO BACKFII,LING, FUUNAAT117b1 WALLS
NUST 8E LATERALLY SUPPCRTE11 $Y FLppR
CONSTRUCTI[1N AT TOP & SLA$ AT BpTTOM OR
SY ADE11UATE TEMPORARY 8RACING.
2. SPECIAL REVIEW IS R£4UIRED FOR VALLS
HtGHER THAN 9'-8" T.O.S. Tp T,O,W.
3,SEE SB-3 FOR PLqCENEN? OF VERi1CAL REBAR.
4. PLASTiC BULT HOLDERS MAY 8E USEII Tfl
ALIGN ANCHOR BOLTS FOR LEDGER BCIARD.
ANCHpR HULTS MAY K PLACED 1N FALRS
AT 2 x THE SPACING SHCtWN.
5. DRAIN T1LE, DAMPRppFING ANII/OR
WATERPRODFING, & RIM ENSULATION, AS W£LL
AS THEIR INSTALLA710M, pRE T6 BE
IN ACCpRDANCE MfITH THE CODE.
6. SEE SH^0 FC1R Fl.IRTHER NOTES AND
CCPISTRUCTI@1 GUIDELINES.
w?TreIu c
CpNCREiE [29 DAYSY. WALLS - 4E100 PSl
FOOTINC,S - 2500 PSl
AGGREGA7E: FCIpiING - 1 f/b" MAX
WALLS - 3/4" MAX
REINFaRCING: ASTM A615 GRADE 60
HAqC 100 X GRANULAR - GRpLIP 1-
FILL: EQUiVALENT FLUID`pRtSSURE
(Yeq ) = 30 PCF
GROUPS BASEII ON THE CCItE
n
TqP ? WALL=
HALF HEIGHT
_OF_LEDGER
L % "m x B" LINIG ANCtMR
WASHERS E 12" q.C.
WL7S a/ F{EAyy DUTY iA
STAGGERED OR SIMPSON Ic?c e aeo a.c.
w/ t6> SIMPSON A3 SCREWS
2 x 10 Np. E GRADE MIN. LEDGER BpARD ?T?SNG BY?? q?THERS HpFTOM MipRD BEARIk-
SM AMM
na e??
mr P?ss xlM WALL
F[LNJDATlOM [NTO tt0E 1iALl
•4 x 2'-0" ?
DOWEIS B 72" a.C. `I ?{?T CUi
(S" b11FL EMSED) Gl
-? Yl/ niir-eea ro
A?QA? ??? ?s 6' IIf) .
FOLINDATImJ a
•4 HW2t iAL
?
BARS 2 48'?d,C. ItX. F? L?ED? ?i' ...?
VERTICAI. STEEL C[i?RdECStINI ,?j 4
SEE SB-3 i Li a
POLYSTEEL ICF y ?
P13S7-DEpM pQ i .
FLAT FORH WALL
04 x 2'-0" DOWE4.S r-
@ 48" O,C.
(S" MIM, EMBED)
, ?
?R ? ?
CUT pUT FDAM ? `i
8 SLAB FOR 4 ?/4" ? ?
EVERY 24" & PLpCE
44 x 2'^0" DOWELS ? ?
e 72' Ot. f5` MOL ENHE?F
? i
3" W111E x 10° THIqC ?°' S?
SFRtP FOUTIMG (FLLN,) SLAB OFl
@ BEARING 41ALl.S ? ? GRADE
24" VIDE x B" THiCK ?
STR1P FCl[JTIM6 (NINJ t o' a n° •
8 IIRF-HEARlN6 VALI.S e o
? ?TE 1 ? $? a
DRAlh! T7LEL 'SECTIdN
CH LEG N.S. AND F.S pF 7RUSS
BEARiI? F'LppR TRUSSES BY OTHERS
OCHMMSIMPSON A35 ANCHOR w/ C43 Bd x 11/p"
rnP oF wnLL = rcP nF Le»r?R
w??T? RpW f?BSOL?A? S1
?pUIRE? TO S?UP?T
Al1DiTI?fAL LEDGERS
ST~AGGE?DO6"BNINSEMHED) pR
SIMPSOM lGFLC 8 48" p,C, w/ (6)
D3 SCREWS
TRLISS CaNNECT1pH SIMILAR R 2 x 20 WQ. 2 G2ppE ?s?
w/ APPRqpR1ATE HANG b1N. LEDtER BOARD REVISED
?
1NCREASE LEDGER pEpTHR6
WIII7H AS REpt1IRED FOR
TRUSS COI+?VECTION
L P G ? "bM 06/01I04
1107TOM CHqRD BEARlNG TRUSS CCMINECTINi SlMILAR
SEAR OPI TOP qF LEDGERCS)
PQLYSTEEL SUPPLY [IF"MPLS/St,PAUL pg 6g62 L EI? GRUUP t
910a BALTIMORE AVENUE NE, SUITE 112 ?+s> NGIPi ERS 1NC,
BCAINE, MN 55444 TA EagtMv8r Road 3+ate 30 SB - ZA
lPhone: (763) 792-66$9 fnx: (763) 792-9001 ??cn ?_m?; ?? ?___ 11 ?. ..?_ 01/01/04
SCOPE OF WORK
THESE INSULASED CONCRETE FORM (I.C.F.) FOUN6AFI01d WALL DRAWINGS CONSISTING OP SB-0 THROLGH SB-6
DATED 1-1-04 ARE PREPARED BV ULTEIG ENGINEERS, INC. THESE DRAWINGS ARE PREPARED TO 7HE REQUIREMEN7S
OF THE INTERNATIOtdAL RESIDENTIAL CODE (IRC) AND ARE PROVIOED AS AN UNCERTIFIED ALTERNATNE TO THE IRC
CHAPTER 4 PRE5CRIPTIVE FOUNDATION TABLES IN ACCORDANCE WRH IRC SECTIONS R104.11, R708.7, ANq R301.1.3.
THESE DRAWINGS ARE TO BE USED ONLY 8Y THE COMPANY LISTED IN THE TITLE BLOCK BELOW AND THEIR
AUTHORIZED AGENTS. THESE ORAWINGS WILL EXPIRE ON 1-1-05.
THESE DRAWINGS CONTAIN DESIGtd INFORMATION FOR THE CONSTRUCTION OP FLAT AND PQST-BEAM FaRM
POLYSTEEL I.C.F. BELOW GRADE WAlLS FOR VARIOUS COND(TIONS COMMON IN THE RESIDENiIAL INWSTRY. THEY
INCLUDE INFORNEATIQPJ FOR THE CONCRETE CONTRACTBR, AS WELL AS THE GENERAI. CONTRACTOR.
THE CITY BUILDING SNSPECTION DEPARTMENTS WILL CONDUCT FOUNDATION INSAECTIOPIS AS NEEDED TO EAfSURE
COMPLIANCE WfiH THESE DRAWING3.
NOTES
1. THESE DRAWIMGS APPLY TO FOUNDATION WALLS 9'-8" OR LESS IN HEIGHT FROM THE TOP OF SLAB (T.O.S.) TO
THE TOP OF WALL (T.O.W.). BUILDING HEIGHT IS NOT TO E%CEED TWO STORIES PLUS A BASEMENT. FOR
LEDGER CONNEC710NS, AFlCHOR SPACING SHOWN tS BASED ON A MAXIdIU6A FLOOR SPAN OF 20 FOOT CLEAR.
IF FLOOR SPANS ARE IN EXCESS OF THIS DISTANCE, DECREASE LEDGER COtJNECTION SPACING (ANCHOR
BOLTS OR ICFLC'S) PROPORTIONALLY. IN ADDRION, FOOTkN6 SIZES ARE BASEb ON ROQF SPANS NOT TO
EXCEED 40 FOOT CLEA42 AND FLOOR SPANS NOT TO EXCPED 20 FOOT CLEAR, PS WELL AS A 2000 PSF BEARiNC,
CAPACITY. ACTUAL ALLOWABLE BEARING TO BE DETERMINED 8Y OTHERS. INCREASE OR DECREASE FOOTING
WIDTH AS REQUIRED FOR SPAPfS VARYIN6 FROM THESE ASSUMPTIONS.
2 THESE DETAILS APPLY EQUALLY TO THE 6", 8", AND 70' POST-BEAM FORMS AS WELL AS iHE 8° AND 8" FLAT
FORMS, UNLESS SPECIFICALLY NOTEp OTHERWISE
3. WALL5 ARE NOT TO BE BACFffiLLEO UNi7L THE CONCRETE HAS REdCHED A CAMPRESSIVE STRENGTN
SUFFICIENT TQ SUPPQRT PJ_L DESIGN LOADS. ADEQUATE CURING TIME IS MINIMUM 3 UAYS OR A CONCRETE
STRENGTH OF 213 F'C VERIFIED THROUGH TESTING. ?
4. H6RIZONTAL WALL REINFORCING, UIdLESS NOTED, CAN BE PLACED ANYWHERE WIiHIN THE WIDTH OF THE
WALL, ASSUA9ING MINIMUM COVER REQUIREMEN7S ARE MET. PER ACI 318 CHAPTER 7, MINIMUM CLEAR COVER
IS'/.".
5. SPLICES NEEO NOT BE T1ED PROVIDED BAR CENTERLINES ARE WRHIId 2 INCHES OF EACN OTHER. All BAR
SPLIGES SHOIILD BE A MINIMUM OF 48 BAR DIAMETERS.
6. HORIZONTAL, STEP FOOTING, AND VERTICAL BARS MAY BE BUNDLED UP TO THREE TO A BUNDLE INSTEAD OF
AT SPACING SHOWN PROVIDED SPACING OF BARS IS NO GREATER THAN 72 INCHES ON CENTER.
7. STRIP FOOi1NGS MAY BE PLACED AT AN ELEVATION LOWER THAN SHOWN IN THE DE7AILS TO PROVIDE
ADEQUATE FROST COVER OR ADEQUATE SOIL BEARING, WHEN REQUIRED.
8. UNLESS SPECIFICALLY NOTED, DOWELS MAY BE URRLED AND SNUGGLY FIT IN PLACE. DOWELS OO NOT P1EED
TO BE TiED TO iHE VERTICAL STEEL
9. PLACE BARS Sl1CH THAF TFiE1R FINAL pOSITION IS WITHIN 712" OF THAT SHOWN IN THE DETAILS. TYING OF BARS
IN PLACE IS NOT REQUIRED PROVIDHD SUFFICIENT CARE IS TAKE(d TO ENSURE THE BARS DO NOT MOVE OUT OF
TOLERANCE P6SITION AND ALL CLEAR COVER REQUIREMENTS ARE MET.
10. PROVIOE MATCHING HOOK 6ARS FOR ALL HORIZONTA! BARS AT ALL WALE GDRhFERS AND INTERSECTIONS.
LAP ALL HOOKS AND HORIZONTAL BARS PER NOTE 5. HORIZONTqL BARS MAY BE CONTINUOUS AND BENT
AROUND CORNERS IN PLACE OF HOOKS.
11. FLOOR JOISTS AND TRUSSES ARE TO BEAR A MiNIMUM OF 3'1/V°OM SILL PLATE AT TOP OF WALL. IN37ALL
CONTINUDUS RIM BOARD ANO CONNECTORS AS SHOWN IN DETAILS. CENTER OF ANCHOR BOLTS MUST 6E 21/:"
FROM EDGE OF SILL PLATE OR CONCRETE WALL. INCREASE SILL PLATE SIZE AS NEEDED.
72. SLOPE GRADE AWAY FROM F6UNDATIONS A MINIb11UM OF 6" WITHIN 'fHE FIRST 10 FEET OR PROVIDE REVISED
ADEQUATE DRAINS OR SWALES TO ENSURE SUFFICIENT DRAINAGE AWAY FROM THE STRUCTURE. 06/01/04
POLYSTEEL SUPPLY OF MPLS/ST, PAUL -6962 LNGINEERS EI
91D0 BALTIMORE AVENUE NE, SUITE 112 ? INC, oc SB - 0
FEC!XEDCOY0 oxua
BLAINE, MN 55449 TA nst Rrver Raud S?te
Phone? (763> 792-6689 Fax: C763) 792-9001 ??' MN 55421 Ol/OF/D4
763-571-2500 Fnx 763- 71-1169
CUT LITEDECK FORM &
REMOVE FOAM 6" WIDE?
AT 48" O.C. FROM 1NTERIDR
LITEDECK BEAM TO EDGE
OF ICF WALL AS REQ'D
LITEDECK BEAM -?
SEE 1/S2 FaR MORE
INFORMATION
.
POLYSTEEL ICF WALL ---
SEE SECTION 1/S3 FOR MORE
INFORMATIpN
DETAIL
S4J LITEDECK NLIN-BEARING
WALL CONNECTION
ZIRNHELT RESfDENCE
7 515 LONE OAK ROAD
EAGAN,MN
5RA1 Eut Hlver floatl Sulb 3ffi
WMeapul2. MlnnewN 5512I
Plwre: T635]1a0p Fa: M5]1.1166
B6nwd .DviYdI LYEV - FcT • llnieap%[ . SauS FYs
WaO: wxwutl¢:C.cab
engineers a,ensY „wvmN.„-Ef,,
Cn«4aBy: CreqOawep
npprwetlBY C1a40awM
/
Wilwert Construction
464 Point Douglas Road South
SL Pauf, MN 55119
i nereW cMUy wtNis plu?. uediwafcna ?epon
wis pepned Uy me aruMe? ?ryGUacls?ervWm
aM Nal l am a dHy LicenSN ProlassWwl Er4reer
uMae Ne 1>wt ol MB SWO N 4ivybMa
PtlMNVnr "-) Cldl
?' F?ofoGNY?NO? ' ? ^
??, ,.:?. u
o.m. 1p(1104 ?. ou u '
umeer 42341 yba _ a d .
ME7AL RAILING &
? CONNECTIDN T? CONCRETE
BY ?THERS
FORM AS REQ'D
? BQ7i0M OF BEAMR AT
I? I
1 I
I I
I
44 x 4'-0" HOOKS @ 48" ?.C,
LOCATE AT CUT 1N 24"
BEAMS
--1 24"
METAL RAILING &
? CONNECTION TE] CONCRETE
BY ?THERS
FORM AS REQUIRED
?
I POLYSTEEL ICF FLAT
FORM WALL w/ 6"
+1 CpNCRETE PORTION
0
? tt4 VERTICAL BARS @
CO 48" D.C. CENTERED IN
WALL
#4 HORIZONTAL
BARS @ 48" C.C.
(MIN. OF 3 BARS)
?
WOOD I-JOIST FLOOR -V
SYSTEM BY ?THERS
SEE POLYSTEEL BELOW
GRADE MASTER DRAWINGS
FOR WALL CONNECTION
AND BLOCKING DETAILS
BOQTOM OF BEAM AT
'14 x 4'-0" HDOKS
@ 46" D.C. 24"
--124"
114 x 2'-0" DOWELS
@ 72" D.C.
(B" MIN. EMBED)
LOWER LEVEL ICF
FOUNDATIDN WALL
SEE POLYSTEEL BELOW
GRADE MASTER DRAWINGS
FOR WALL REINFORCEMENT
20" W1DE x 8" DEEP (M1N.)
? CONCRETE STR1P FODTING BELOW ?'_p
IS STRUCTURALLY ADEQUATE T?
SUPPORT ALL DESIGN LOADS
1 WALL SECTION
S3 TYP. LITEDECK BEARING
SIM. @ NON-BEARING, SEE 1/S4
ZIRNHELT RESfDENCE I Wilwert Construction ?
7 515 LONE OAK ROAD 464 Poin[ Douglas Road SouN
EAGAN, MN St. Paul, MN 55119
?na,aermnhwimuowm.w?r umw?epan Ar.iswi om oeu?eern
szoiFasinrveinoaaswaws WSSG?BVa?NEl'IIBNWEV,M'dlMLtqervKV:?I
l9nrezW'a.MYmesota551Yf urq Ne? I am a Oury t+m?uetl Ploksaonal 5qbea
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? LEGACY REPORT Re-Issued NERMarch 05
ICC Evaluation Service, IIIC. eis'nessRtegianal Olfica 0 5360 Wakman Mill Road, Whit6er, Califome 90607 m (562) 899-0543
Regional OtFCe • 900 Moniclair Road, Sutte A, Bimiingham, Ahabama 35213 •(205) 599-9800
WWW.ICC-OS.Org RegionalOffice•4051WestFlassmoorRwd,COUnIry ClubHills,Illinoi560478•(708)799-2305
Legacy report on the 2000 Jnternational Buildfng Codeo, the 2000 7nternafiona! Residentla7 Code8 the 2002
Accumufafive Supplement to the 7nfernationa! CodesTM, the 7898 Standard Suilding Code?, the BOCA' Nadona!
Building Code17999, the 1997 Uniform Building Code*'^, and the 1998 lnternationalOne and Two FamilyDwelling Code°
DIVISION 03 - CONCRETE
Section 03130 - Permanent Forms
AMERICAN POLYSTEEL, LLC
5150 F EDITH, NE
ALBUQUERQUE, NEW MEXICO 87707
505345-8153
www.oolvsteel.com
3.1.1 PS-3000 Series Waffle-Grid Wall Forms: 7he EPS
wafFle-grid blocks have a height of 16 inches (406 mm) and
are available in three nominal core sizes of 6 inches (153
mm), 8 inches (203 mm) and 10 inches (254 mm) having
actual outside widths of 9.25 inches (235 mm),11 inches (279
mm) and 14 inches (356 mm) respectively. The EPS wafFle-
grid hlocks consist of two expanded polystyrene foam boards
of varying thicknesses, held together by steel cross ties
spaced 12 inches (305 mm) on center.
1.0 SUBJECT
PolySteel@ Forms :
1.1 PS3000 Series, 6", 8" and 10" Waffle-Grid Forms
1.2 PS-4000 Series, 6" and 8" Flat-Wall Forms
2.0 PROPERTIES FOR WHICH EVALUATION IS
SOUGHT
2.1 Formwork for structural concrete
22 Surface buming characteristics - Foam Plastic
2.3 Crawl space fire evaluation
24 4-Hr Fire Resistive Rated Load Bearing Wall
Assembly
2.5 Installation in buildings of noncombusti6le
construction.
3.0 DESCRIPTION
3.1 General
PolySteelO Forms are used as permanent formwork for
structural load 6earing or non-loadbearing concrete walls for
buildings of combustible construction and buildings of
noncbmhustible construction when installed in accordance
with section 4.7 of this report. Applications i nclude foundation,
basement, retaining walls and above grade walls.
PolySteelO Forms are hollow core forms of expanded
polystyrene face shells connected with galvanized steel cross
ties. The expanded polystyrene (EPS) foam plastic blocks
have a standard length of 48 inches (1219 mm). The outer
faces of the EPS blocks present a continuous flat surface of
polystyrene ready to receive exterior and interiorwall fin ishes.
The steel cross ties provide a mechanism for attaching
interior and exterior wall coverings since each tie has a
minimum 1 inch (25.4 mm) wide steel furring strip recessed
no more than 0.50 inches (12.7 mm) below the block surface
The PolySteel@ Forms are available in hvo styles, wafFle-grid
wall forms and flat-wall forms.
W hen stacked, the EPS Waffle-grid blocks form oval-shaped
vertical cores spaced 12 inches (305 mm) on center, and
oval-shaped horizontal cores spaced 16 inches (406 mm) on
center. Reinforcementandconcreteareplacedinlhevertical
and horizontal cores. See Figure 1 for EPS Waffle-grid foam
block dimensions.
3.1.2 PS-4000 Series Flat-Wall Forms: The EP5 flat wall
blocks have a height of either 12 inches (305 mm) or 24
inches (610 mm) and are available in two sizes having inside
cavity dimensions of 6 inches (153 mm) or 8 inches (203
mm). The EPS flat wali blocks consist of two expanded
polystyrene foam boards with a thickness of 2.5 inches (64
mm) . Held together 6y steel cross 4es spaced 6 inches (153
mm) on center. The actual widths of the 6 inches (153 mm)
and 8 inch (203 mm) Flat wall forms are 11 inches (280 mm)
and 13 inches (330 mm) respectively.
W hen stacked, the EPS flat wall blocks form a constant width
cavity within which vertical and horizontal reinforcement is
positioned. W hen filled with concrete the blocks form a solid,
flat concrete wall. See Figure 2 for EPS flat foam block
dimensions.
3.2 Materials
3.2.1 Expanded Polystyrene: Form units are molded from
expanded polystyrene beads manufactured hy BASF
Corporation (ICGES Legacy NER-479), Styrochem@ U.S.
Ltd. (ICC-ES Legacy NER-238), Huntsman Chemical
Corporation (ICC-ES Legacy NER-384), or AFM
Corporations's R-Control Perform Guard EPS (ICC-ES
Legacy NER-551). The forms have minimum average
density of of 1 5 pcf (24 kg/m'), with a Name spread index
(FSI) of 25 or less and a maximum smoke development index
(SDI) of 450 or less when tested under ASTM E 84.
fCGES legucy rcporn are no, m be conso-ucd as represennng uesthenes or amy other alfrlbures not specifim!!y oddreised, rtor ore lhey ro be eonshued as
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onyAndmg or other maetv ars rhes rayort or a3 !o amy yroduct aovered by the repom `.,z?v
Page 1 of 7
Copynght t 2004
Page 2 of 7 NER-515
3.2.2 Steel Cross Ties: The stael cross ties may be one of
the following configurations:
3.2.2.1 ExpandedhotdippedgalvanizedFlattenedsteelcross
ties 8.75 inches high (222 mm) by 0.052 inches (1.32 mm)
thick complying with ASTM A 1008 and having a minimum
yield streng[h of 33 ksi (228 MPa). Each end of the cross tie
is bent with a 1 inch (25.4 mm) 90° retum. A hot dipped
galvanized steel strip complying with ASTM A 653 having a
minimum yield strength of 33 ksi (228 MPa) that is 2 inches
(50.8 mm) wide, 10 inches (254 mm) long, and having a
minimum thickness of 0.013 inches (0.33 mm) is sandwiched
around the 1 inch (25.4 mm) returns of the expanded steel
cross tie to provide a 1 inch (25.4 mm) wide by 10 inch (254
mm ) long furring strip having a double [hickness of galvanized
steel totaling a minimum thickness of 0.026 inches (0.66
mm). Galvanizing complies with ASTM A 924 having a
minimum coating class of G90 (Z180).
3.2.2.2 Galvanized steel welded wire cross ties 3 inches (76
mm) shorter than the height of the block. Steel wire is welded
in a rectangulargrid pattern wilh spacing dimensions ranging
trom 1.65 inches to 4 inches (42 mm to 102 mm). Each end
of the cross tie has a galvannealed steel strip 1.75 inches (45
mm) wide which is bent length-wise forming an L-shaped
member 0.25 inch by 1.5 inches (6 mm by 38 mm) providing
a 1.5 inch (38 mm) wide furring strip. All welds atwire-to-wire
and wire-to-strip connections are resistance welds in
accordance with AW S c.1.3. W ire complies with ASTM A 641,
soft temper with a Class 1 zinc coating (galvanized) having a
minimum diameter of 0.120 inch (3 mm) and having a
minimum tensile strength of 60 ksi (413 MPa). Steel strips
comply with ASTM A 653 and have a minimum thickness of
0.030 inch (0.76 mm) with a minimum yield stress oi 25 ksi
(172 MPa). The steel s[rip is zinc-iron alloy coated
(galvannealed) by the hot-dip process having a minimum
coating class of A60 (ZF 180).
3.2.3 Concrete: Normal weight concrete complying with
Chapter 19 of the Code, with a minimum compressive
strength 02500 psi (17250 kPa) at 28 days and a maximum
aggregate size of 3/8 inch (9.53 mm) when using the 6" and
8" Waffle-Grid Forms and 3/4 inch (19.05 mm) when using
lhe 10" waffle-Grid form and 6" and 8" Flat W all Forms.
3.2.4 Reinforcement: The concrete is reinforced with
deformed steel reinforci ng bars, complying with [he applicable
Code with a minimum yield strength ofeither40 ksi (275 kPa)
or 60 ksi (413 kPa) depending on the structural design.
4.0 INSTALLATION
4.1 General
The PolySteel@ Forms are installed as formwork for either
load bearing or non-loadbearing walls for residential and
commercial construction. These walls include toundations,
basements, retaining walls and above grade walls. Structural
calculations and de[ails of concrete shail be prepared in
accordance with the manufacturer's instructions, ACI 318, the
applicable model Code and shall be approved by the building
official, and is outside the scope of this evaluation report.
The manufactu rer's published installation instructions and this
report shall be strictly adhered to and a copy of these
instructions shall be available at all times on the job site
during installation.
4.7.7 Interior Finishes: Forms exposed to the interior shall
be finished with an approved 15 minutes thermal barrier such
as 1/2 inch (12.7 mm) thick gypsum wallboard as required by
the applicable code. The interior gypsum wallboard is
attached to furring strips on the PolySteelOO Forms, wilh
minimum No.6 by 1-1/4 inch (31.75 mm) selftapping screws.
Spacing of the screws is a maximum 12 inches (304.8 mm)
on center in the horizontal and vertical directions. Adhesives
in accordance with ASTM C 557 are permitted for attaching
the interior finishes to the forms in conJunction with the
mechanical fasteners.
4.7.2 Exterior Finishes: Forms exposed to the exterior
shall be finished with an approved exterior wall covering
installed in accordance with the applicable code. The wall
covering shall be attached to the PolySteelO Forms furring
strips with approved corrosion-resist2nt, coarse-threaded,
self-tapping screws, having sufficient length to penetrate the
furring strips a minimum of 114 inch (6.4 mm). No. 6 and No.
8 screws in forms using expanded steel cross ties have an
allowable pullout capacity of 23 pounds (102 N) and 27
pounds (120 N) respectively. No. 6 and No.B screws in forms
using welded wire cross ties have an allowable pullout
capacity of 49 pounds (218 N) and 59 pounds (262 N)
respectively.
For portland cement stucco f nishes, an approved metal or
wire fabric lath shall be attached to the PolySteelB Forms
furring strips with minimum No. 6, lath-head screws or 1 inch
(25.4 mm) long galvanized self-tapping sheet metal screws
The screw spacing shall be 8 inches (203.2 mm) on center
vertically and 12 inches (304.8 mm) on center horizontally.
The stucco finish shall be applied in accordance with the
applicable code.
An EIFS finish system shall be installed in accordance with its
current ICGES Legacy Evaluation Report. Other approved
exterior finishes are permilted and shall be installed as
required by the applicable code.
4.1.3 Installation: The PolySteelO Form units shall be
constructed with vertical cavities alig ned. Reinforcement shall
be installed as required by lhe approved construction
documents. The forms shall be assembled and braced, and
concrete placed as described in the detailed procedures
approved by the manufacturer.
For basement installation, walls shall be constructed as noted
above and drainage system around the basement wall shall
be provided as noted in the manufacturer's instructions.
Waterproofng and damproofing of basement walls shall be
as required by the manufacturer's instructions and as
approved by the building official. No backfill is permitted
applied against the wall unlil the complete flooring system or
bracing is in place. Backfill of the basement wall shall be free
of construction debris, sharp objects, or large rocks.
4.2 Attic or Crawl Space Installation
In jurisdictions that have adopted the Standard Building
Code 0and the BOCA National Building Code, the PolySteelO
Forms shall be permitted to be installed exposed in an attic
or crawl space without a tharmal barrier under the following
conditions:
4.2.1 entry to the attic or crawl space is limited to service of
utililies;
The instructions within this report govern if there are any
conflicts belween the manufacturer's instructions and this
report.
4.2.2 there are no interconnected attic or basement areas;
4.2.3 air in the attic or crawl space is not circulated to other
parts of the building;
Page 3 of 7 NER-515
4.2.4 ventilation of the attic or crawl space shall be
provided in accordance with the applicable Code.
4.5 Wood Construction in Areas of Very Heary
Termite Infestation
4.2.5 Attic or Crawl space installation shall be limited to
forms expanded from beads manufactured by BASF
Corporation, Huntsman Chemical Corporation or
Styrochem U.S. Ltd.
4.3 Allowa6le Concrete Lift Rates
Concre[e shall be placed in the forms at a rate noted in the
table below with a maximum rate of 5 feet per hour (1.5 m/hr).
Concrete Tem -° F LIFT RATE -FTIHR
40° (4.44° C) 2.5 (0.75 m/hr)
50° (10° C) 3.0(0.9 m/hr)
60°(15.56° C) 3.5(1.05 m/hr)
70° (21.11° C) 4.0(1.2 m/hr)
80° (26.67° C) 4.5(1.35 mJhr)
90° 32.22° C 5.0(1.5 m/hr
4.4 Design
4.4.1 General The PolySteel@ Forms are installed as
formwork for foundation and basementload bearing and non-
load bearing walls and above grade load bearing and non-
load bearing walls for residential and commercial
construction.
Design calculations and details for specifc applications shall
be furnished to the code official verifying compliance with this
report and the applicable Code. The individual preparing
such documents shall possess the necessary credentials
regarding competency and qualifications as required by the
applicable Code and the professional registration laws of the
state where the construction is undertaken.
4.4.2 Prescriptive Design ICF: PolySteel@ Forms are
defned as Waffle Grid and Flat insulating concrete form wall
systems and may be designed and reinforced using the load
tables for either Waffle Grid or Flat ICF forms in Sections
1916 and 1804.6.2 of the Stattdard Building Code@ or
Sections R404.4 and R611 of the Internationaf Residentia!
Code@ provided the building conforms to the applicability
limits defined in Sections 1916.2 and 1804.62.1 of the SSC
or Sections R404.4.1 and R611.2 of the lRC. When using
this prescriptive design method, the wall thickness is limited
as noted in the applicable code sections referenced above.
4.4.3 Non-Prescriptive Design: W hen the ICF forms are
installed on buildings that do not conform to the applicability
limits of Sections 19162 and 1804.6.2.1 of the SBC or
Sections R404.4.1 and R611.2 of the lRC, the structural
analysis and design of the concrete shall be prepared in
accordance with ACI 318 and Chapter 19 of the Standard
Building CodeV, lntemational Building CodeOO, BOCA
NationaJ Suilding Code or Uniiorm Building CodeTM or
Section R61 i of the lnternational Residential CodeO, as
applica6le_
4.4.4 Prescriptive Design of ICF by PCA Pub. E6118:
The forms are also permitted to be designed and reinforced
in accordance with Prescripfive Method for lnsulafing
Concrete Forms in Residenfial Construction, PCA publication
E8118 provided the building conforms to the applicability
limits defined in Table 1.1 of the Prescriptive Method.
4.5.7 In jurisdictions that have adopted the Standard
Building Code @ Infemafiona/ One and 7wo Family DwelJing
Code,andthelnternationalResidentialCodeT"', wherefoam
plastic insulation is used with wood construction in areas of
very heavy termite infestation, the foam plastic shall be
installed in accordance with sections 1916.7.5 and 2603.3
of the Standard Building CodeC, Section 323.4 of the
Internationa! One and Two Family Dwelling Code antl
Section R324.4 of the Intemational Residential CodeTM
Areas of very heary termite infestation shall be determined in
accordance with Figure 2304.1.4 SBC, Figure 3012(6)
11&2FOC and Figure R301.2(6) 7RC.
4.5.2 PolySteel@ FOrmsmanufacturedwithAFMR-Control
Pertorm Guard EPS are termite resistant and are not
restricted under Section 4.5.1 of this report.
4.6 4-Hr Fire Resistfve Rated Load Bearing Wall
Assembly
W alls constructed with PolySteelt Forms are permitted to be
used in load-bearing, fire-resistive construction having a
maximum 4-hour rating. Any of the forms described in this
report are permitted to construct the fire-resistive wall. The
concrete shall be normal-weight concrete traving a minimum
compressive strength of 3000 psi (20700 kPa) at 28 days,
and shall be designed in accordance with Section 4.4 of this
evaluation report. The exterior side of the wall shall be
covered with an approved wall covering in accordance with
Section 4 1.2 and the interior side of the wall shall be covered
by an interior finish in accordance with Section 4.1.1.
4.7 Installation in Buildings of Noncombustibie
Construction
The forms are permitted to be used in buildings of
noncombustibla construction when installed as follows:
4.7.1 Exterior Walls of Buildings of Any Height: The
followrng conditions shall apply:
4.7.1.1 EIFS and One Coat Stucco - Exterior Finish: The
following EIFS and One Coat Stucco Wall Finishes are
installed over the eMerior of lhe forms using the Reinforcing
Fabric, base coat and fnish coat materials described in their
Code evaluation raports.
• Senergy Inc., Senerflex EIFS as tlescri6ed in ICC-ES
Legacy SBCCI PST & E51 Evaluation Report #9630A and
ICGES Legacy BOCA ES Research Reports #97-86 and
#99-14.
• Finestone, Finestone Pebbletex, Class PB EIFS as
described in I CC-ES Legacy BOCA Research Report96-72.1
and ICC-ES Legacy SBCCI PST & ESI Evaluaiton Report
#9771.
• Sonneborn/ChemRex Inc., Sonneborn Flex Wall Stucoo
System EIFS as described in ICC-E5 I.egacy SBCCI PST &
ESI Evaluation Report #2028.
• Master Wall, Inc., Aggre-flex EIFS as described in ICC-ES
Legacy Reports SBCCI PST & ESI #9631A and ICBO ES
#ER-5362.
4.7.1.2 Brick Veneer - Exterior Finish The 6rick veneer
shall be installed in accordance with the applicable Code.
4.7.1.3 Stucco Veneer - Exterior Finish: The stucco shall
6e a minimum 7!8 inch (22 mm) thick and shall be installed in
accordance with the applicable Code. An approved Portland
cement slucco euterior wall covering which satisfies the code
Page 4 of 7 NER-515
requirement for non-combustible construction shall be 6.2.3 PolySteel@ PS-3000 Series Details, First Edition
installed using 1 inch (25.4 mm) by 20 gauge woven wire lath 2003, signed and sealed by David R. Jarmul, P.E. 10-
fastenedtothegalvanizedfurringstripsusingminimum1 inch 10•03.
(25.4 mm) No. 6 lath head screws spaced 8 inches (2032
mm) in the vertical direction and 12 inches (304.8 mm) in the 6.2.4 PolySteel@ PS-4000 Series Details, First Edition
horizontal direction. 2003, signed and sealed by David R. Jarmul, P.E.,
10-10-03.
4.7.1.4 Interior Finish: The forms shall be finished on the
interior with an approved 15 minute thermal barrier such as %z
inch (12.7 mm) thick gypsum wallboard as required by the
appiicable Code. The gypsum wall board shali be installed and
attached as described in Section 4.1.1 above.
4.7.1.5 Fireblocking: Foam plastic on the interior shall be
fireblocked at ceilings and floors using materials speafed by
ihe applicable Code.
6.3 Engineering calculations:
6.3.1 Calculations signed and sealed by J. L. Berrenberg,
P,E.; supplemental calculations for wind loads and
earthquake forces, 9-23-95; supplemental
calcufations for recommended pour rates, 1-76-96;
supplemental calculations on screwwithdrawal,11-7-
97.
4.7.2 OneStory Buildings: The following conditions apply:
4.7.2.1 Thebuildingisequippedthroughoutwithanautomatic
sprinkler system in accordance with the applicable Code.
47.2.2 The exterior of the foam wall is covered with metal of
a thickness of not less than 0.032 inch (0.81 mm), aluminum
or corrosion-resistant steel having a base metal thickness of
0.0160 inch (0.41 mm).
6.3.2 Calculations, signed and sealed by David R. Jarmul,
P.E., 10l10103, allowable pullout capacity of No. 6
and No. 8 Screws.
6.4
Surface burning characteristics testing under A5TM
E 84 of EPS bead suppliers is covered under ICC-Es
Legacy N ER-479, BASF Corporation; ICC-ES legacy
NER384 and ICC-ES Legacy SBCCI PST & ESI
#9498, Huntsman Chemical Corporation; ICC-ES
Legacy NER-238, Styrochem International, Inc. AFM
Corporations's R-Control Pertorm Guard EPS, ICC-
ES Legacy NER-551.
4.7.2.3 Interior Finish: The forms shall be finished on the
interiorwith an approved 15 minute thermal barriersuch as %
inch (12.7 mm) thick gypsum wallboard as required 6y the 6.5
applica6le Code. The gypsum wallboard shall be installed and
attached as descri6ed in Section 4.1 above.
4.7.2.4 Fireblocking: Foam plastic on the interior shall be
fireblocked at ceilings and Floors using materials specified by
the applicable Code.
4.8 Speciallnspections
Special inspection is required as noted in Chapter 17 of the
applicable Code, for placement of reinforcing steel and
concrete, concrete cylmder testing, form installation and
bracing, and concrete operations. Special inspectors shall
comply with the applicable Code.
5.0 IDENTIFICATION
Each pallet of PolySteelOR, Forms as descri6ed in this report
shall be labelad with the manufacturer's name and/or
trademark, third party agencies name andlor trademark
(Omega Point Laboratories, Inc. NER-QA337) and this ICC-
ES legacy report number NER-515 for field identification.
6.0 EVIDENCE SUBMITTED
6.1 Manufacturer's descriptive literature; Material
Specifications for PolySteel@ Forms, December 18,
1995; Protedion Against Termites, data sheet;
PolySteel@ CSI Speafications Section 03135,
Expanded Polystyrene Concrete Formwork, May
2003.
6.2 PolySteel@ Forms Manuals:
62.1 Users Manual for PolySteelID Form, prepared by
American PolySteel@ Forms, dated 10-10-03, signed
and sealed by David R. Jarmul, P E.
6.2.2 PolySteel@Forms Structural Design Manual, Second
Edition 1996, signed and seaied by David R. Jarmul,
P.E., 10-10-03.
Test reports on crawl space evaluation of foam plastic
without thermal barrier, prepared by Southwest
Research Institute:
6.5.7 BASF foam plastic 3 inches thick 1.0 pcf; and 2
inches thick, 2.0 pcf adhered with DAP 2000
construction adhesive, SwRI Project No. 01-7788-
205[3], Revised April 1997.
6.5.2 Huntsman foam plaslic 3 inches thick 1,0 pcf,
mechanically fastened; and 2 inch thick 2.0 pcf
adhered with DAP construction adhesiva, SwRI
Project No. 01 •7522-405, June 1996.
6.6 Test reports, Testing Consultants, Inc. (TCI), signed
and sealed by J. Patrick Callahan, P.E.:
6.6.7 ASTM E 119, two-hour fire resistive limited load
bearing wall assembly, TCI No. 203031, March 14,
1992.
6.6.2 Modified ASTM E 108, TCI Project No. 504114, May
5, 1995.
6.8.3 Room corner fire testing with Y: gypsum board
thermal barrier and plastic electrical boxes, TCI
Project No. 601010, January25, 1996.
6.7 Test report, ignition resistance under radiant heat
exposure, AGRA Earth & Environmental, Inc., AEE
Job No. C95-5897, January 4, 1996, signed by
Robert S Romero and Guillermo A Florentino, P.E.
6.8 Quality Control Manuals for PolySteel(D
Manufacturing Plants, prepared by Omega Point
Laboratories:
6.8.1 Airlite Plastics Co, Omaha, NE, OPL No. 16583-1,
December 2003, Rewsion A. 6", 8" and 10" Waffle-
Grid Forms.
6.8.2 Foam Fabricators, Inc., Jefferson, GA, OPL No.
16582-1, July 2003, Revision A, 6" and 8" W affle-Grid
Forms.
Page 5 of 7 NER-515
6.8.3 Foam Fabricators, Inc., Fort Madison, IA, OPL No. 7.1 This Evaluation Report and the manufacturers
16802-1, September 2003, Revision A, 6" and 8" Flat published installation instructions, when required by
Wall Forms. the code official, shall be su6mitted at the time of
permit application. Design calculations and details for
6.8.4 Foam Concepts, Ina, Uxbridge, MA, OPL NO 16581- speciBC applications are'required in accordance with
1, January 2004, Revision A. 6' and 8" Waffte-Grid section 4.4 of this report.
Forms.
6.9 Manufacturer's descriptive litereture for AFM R-
Control Perform Guard@ EPS termite resistant
expanded polystyrene insulation.
6.10 Test reports and letters on 4 hour fire resistive
testing under ASTM E 119 for 6 inch thick Polysteel
Form concrete wall, Omega Point Laboratories:
6.10.7 Test Report, Project No. 8503-106742, January 10,
2001, William E. Fitch, P.E.
6.10.2 Letter report, engineering analysis of variances for
tested assemblyto actual field installations. February
6, 2001, John D. Nicholas.
6.10.3 Letter, engineering rational forvarious bead suppliers
and ASTM E 119 testing, July 25, 2000, John D.
Nicholas.
6.70.4 Letter, engineering retional for Styrochem U.S. Lld.,
MC 590 beads and ASTM E 84 testing, February 6,
2001, John D. Nicholas.
6.10.5 Letter, engineering evaluation for brick veneer
exterior, January 11, 2004, signed by Tim M. Mattox.
6.17 Test report, AFM Perform Guard EPS testing under
ASTM C 578 and ASTM E 84, Undenvriters
Laboratories Inc., Project No. 94NK29264, November
30, 1994, Karen Foxu-Smith and R.K. Laymon.
6.12 Test data for noncombustibie use of EIFS was
submitted for the following companies and protlucts:
6.12.1 Senergy Inc., Senerflex EIFS as described in ICC-Es
LegacySBCCI PST& E51 Evaluation Report #9630A
and ICC-ES legacy BOCA ES Research Report #97-
86.
6.12,2 SonnebornlChemRex Inc., Sonneborn Flex Wall
Stucco System EIFS as described in ICC-ES Legacy
SBCCI PST & ESI Evaluation Report #2028.
6.72.3 Finestone, Finestone Peb6letex, Class PB EIFS as
described in ICC-ES Legacy BOCA Research Report
96-72.1.
6.12.4 Master Wall, Inc., Aggre-Flex EIFS as described in
ICGES Legacy Reports SBCCI PST & ESI #9631A
and IC80 ES #ER-5362.
7.0 CONDITIONS OF USE
7.2 The PolySteel@ Forms shall be separated from the
mterior of the building with an approved 15 minute
Thermal 8arrier, except for crawl space construction
as described in Section 42 of this report.
Penetrations of the 15 minute Thermal Barriers for
piping, conduit, and ducts is limited to steel pipes or
steel sleeves encasing non-metallic pipe and conduit
and steel ducts.
Documentation shall be su6mittetl to the code offcial
for approval of alternate methods to protect
penetrations of foam plastic.
7.3 PolySteel@ Forms shall be limited to buildings of
combustible construction, except as permitted in
Section 4.7 of this report.
7.4 PolySteel@ Forms have onty been evaluated as
formworkforstructural concrete. Forstructural design
see Section 4 4 of this report.
7.5 When the foam plastic forms are used with wood
construction, see Section 4.5 of this report.
7.6 Special inspection shall be required as covered in
Section 4.8 of this report.
7.7 When used as part of a fire resistance rated
assembly Section 4.6 of this report shall apply.
7.8 The forms are manufactured at the following
locations: '
• Omaha, NE, by Airlite Plastics Co., 6", 8" and 10"
Waffle-Grid Forms.
• Jefferson, GA, by Foam Fabricators, Inc., 6" and 8"
Waffle-Grid Forms.
• port Madison, IA, by Foam Fabricators, Inc., 6' and
8" Flat Wall Forms.
• Uxbridge, MA, by Foam Concepts, Inc., 6'" and 8"
Waffle-Grid Forms.
7.8 This report is subjecl to periodic re-examination. For
information on the current status of this report,
cansult the ICGES website.
The ICC-ES Subcommittee for the National Evaluafion
Service finds that the PolySteela0 Forms described in this
report complywith orare suitable alternates to that specified
in the 2000 International Building Code, the 2000
lnternational Resrdential Code? the 2002 Accumulative
Supplemen( ro the Internationa! CodesTM, the 1999 Standard
Building Code°, the BOCAO Nationa! Building Codel1999, the
1997 Uniform Building CodeT'", and the 1998 lnternafional
One and Two Famrly Dwelling Code' subject to the following
condihons:
Page 6 of 7 NER-515
+ I r I + ? g j_QF-A
?.o «{
C
I 8 I A
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C
SECT10NA?
aas
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?
SECTION B
`-8 CA
PIAN VIEW 10' SIRAIGHT FORM
?
I
i
SECTION A
SECTION
OETAIL - C
FIGURE 1
£
i
SECTIDN 8
i
SECTION B
American PoiySteel Waffle-Grid PS-3000 Series Form
PU1N VIEW 6" S7RAIGHT FORM
PLAN VIEW @ 6' COftNEft
r,RiGNT HANb 3HOYM)
PIAN VIEW 8' S7R41GHT FORM
PLAN YIEW C S" WRNER
(RI(iHT-11AN0 SHONN}
PLAN VIEW @ 10" CORNER
(HIG1fFHANb9NO'Mi)
SIDE VI EW @ 6", 8', AND 10" FORMS
Page 7 of 7 NER-515
4FCr?
L?
a
?
PLAN VIEW 6" STRAIGHTFORM
L n- i
1
,
?
' ? I
PI.AN VIEW oQ 8" CORNER
(MHT-HANOSrpWm)
9
y
r
s n?
a
K
r
x
r
?
PLAN VIEW 8' STRAIGHTFORM
+ -1 -'" k
-?
g
? ? 2
3 4 t :
? ' "
_ ...' ' ""' . ..... - : .... .... . ..... . .... ' ?
SIDE VIEW @ 6" AN08" FORMS
NEI.OE9 MiE CRO55 lIE
1 1?2° 1?8? 5?
7 -7
y ? H
z co 7le' z i!z'
SEC710NA ENDVIEW
ff" FQRM
SECTION A END VIEW
S" FORM
DETAIL B
oows
IRIPS
FIGURE 2
American Polysteel Flat-Wall PS-4000 Series Farm
PLAN VfEW @ 6" CORNER
. ?wanr.nnrvosrrcxvN?
Pf]LYSTEEL 6" & 8" FLAT FORMS
BASEMENT WALL VERTICAL REINFORCING REQUIREMENTS
7'- 8" CLEAR ($'-0" WALL)
9'-8" CLEAR (10'-0" WALL)
Backfill
Height
Above 6° FLAT
FORM 8" FLAT
FORM 6' PIAT
FORM 8" FLAT
. FORM
Top of
Slab 30
GROUP 1 45
GROUP II 60
GROUP III 30
GftOUP I 45
GROUP II 60
GROUP III 30
GROUP I 45
GROUP II 60
GROUP III 30
GROUP 1 45
GROUP !I 60
GROUP III
3'-6" NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
4'-0° NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
4'-6` NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE
51-0" NONE NONE NONE NONE NONE NONE NONE NONE #4 24 NONE NONE NONE
51-6" NONE NONE #4 24 NONE NONE NONE NONE #4 24 #4 24 NONE NONE NONE
6'-0° NONE #4 24 #4 24 NONE NONE NONE NONE R4 24 #5 24 NONE NONE #4 24
6'-6° NONE R4 24 #5 24 NONE NONE NONE #4 24 #4 24 #5 24 NONE NONE 95024
7'-0° NONE #4 24 #5 24 NONE NONE #5 24 #4 24 ffi5 24 7F5 24 NONE B4 24 95 24
7'-6" #4 24 #5 24 #5 24 NONE NONE #5 24 #4 24 f!5 24 #6 24 NONE #5 24 #5 24
81_0^ #4 24 #5 24 #6 24 NONE #5 24 #5 24
81_61 #5 24 S6 24 #5 72 #4 24 S5 24 #5 24
91_0• #5 24 #6 24 #5 72 #5 24 #5 24 #6 24
g_g• __ __ __ _ -- #5024 96@24 S E.R. #5@24 #5Q24 S.E.R.
N07E5:
1. The fuil outside dimension of the 6° Polysteel flat form is 11". The full outside dlmension of the 8° Polysteel fta[ fortn is 13°.
2. Conctete lhicknesses shown are actual dimensions.
3. Wall height is measured from the top of sla6 (T.O.S.) to Ihe top of wall (T.O.W.). See the details on sheets SB-1 and SB-2 tor lhe top of wall
localion.
4. All steel reinforcing is to be GraCe 60 rebar.
5. Steel re6ar sizes may be substituted using the follOwing ratios: #4Q12 =#6Q24, #4Q24 =#5@36, and #5@24 =#6@36 Allernative
substitutions are to be made using equivalent area of steeL Substituted sizes are not to exceed 48" on center.
6. Horizontal reinforcing is to be a minimum of #4 @ 48" O.C. for atf wall conOltfons.
7. Use concrete wi[h a minimum 28 days compressive strength of 4090 psi.
8. The basement floor slab is to be in place and the first floor framing installed prior to the backfilling of the walis unless adequate temporary
bracing is used.
9. The vertical rebar is to 6e placed l'" irom the inside face of the concrete portion ot the ICF wall.
10. See note 1 on sheet SB - 0 forlhe limitations of the structure associated with these tables.
11. Special inspecUon is NOT required for standard wall consiruction bulii in accordance with this tahle and this drawing package,
12. Maximum concenVated vertical Ioad to be applied to ihe wall, such as from girder trusses or 6eams, is 20,000 pounds for the six-inch form
and 40,000 pounds for the eight-inch form. This load capacity assumes that all concenlrated loads bear wRh(n the center 4" of the wall. This
load Is the acfual load appiied to the wa4i, not a factored toad.
73. S.E.R.: Specfal engineering review is required for these conditlons. REVISED
06/01/04
POLYSTEEL SUPPLY OF MPLS/ST, PAUL 03-6962 UL I tA3
9100 HALTIMORE AVENUE NE, SUITE I12 ?? ? ENGINEERS INC. UL1Effi
BLAINE, MN 55449 TA 5201 East R?ver Road Sute 308
acamar Hinnenpolis, Md 55421 Ell'i 01/01104
Phone'•(763) 792-6689 Fnx: (763) 792-90D1 Cp Phone 763-571-2500 Fax 763-571-1168
10/14/2004 11:47
?
PAGE 01
*FAX*FAX*FAX'FAX•FAX"PAX*FAX*FAX`FAX'FAX'FAX"FAX FAX•
To; Tom Miklya
Company: C,ry?Eagan
Fax Number: 651.575.5694
Phone Number.
Date: October 14, 2004
Re: Wilwert-Zirnheit Residence Addition: Footing 8 Wall Engineering
From: Sean daley
Phone IVumber. 783_792.6893
Fax Number: 763.792.9001
Total pages induding this caver page: 3 induding cover page
CommerHs; Here is the standard engineering for the footings and wall reiniforcemant of
PolySteel brand Insutated Concreta Wafl systems. Note that on 1he footings, wcrst.case scenario
is assumed for bearin9 capacitY of the footing soil. Using the foating size prescribed should
accommoda4e the worst bearing conditions of qhe soil noted.
Regards,
LDalen?
y
Praiect coorainator
7637929001
7637929001 POLVSTEEL SUPPLY MSP
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
Cv 651-675-5675
Please complete for modifications to existing residential dwellings.
Date -Ul /z, I oi
Site Street Address S? ? ki e
Unit #
Properly Owner Telephone #?J.?
Contractor Telephone # ( )
Address City State Zip
&
The Appiicant is:
wner _ Contractor _Other
Alterations to existing dwelling
YAdd fixtures to rooms, excluding water softener and water heater $ 50.00
_Septic System Abandonment
_Water Tumaround (add $121.00 if a 5/8" meter is required)
Other: 1S?t?k? ?
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total . ?_ U LI L
? NOV 1 2 2004
I hereby apply for a Residential Plumbing Permit and acknowledqe that the information is complete
and accurate; that the work will be in conformance with the oizJi ances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. _
:7
? 2-1%?'r,he /?-
Applicant's Printed Name Appli s Signature
r-i
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4 ... ,' ?•?'' 4?
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- - - - - - io?
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?j RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReauiremenls RemodeVReoairReauiremen45 , OfficeUseOnlv
3 registered site surveys showirg sq. ft of lof, sq. ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y _ N
(20°k mazimum lotcove2ge allowed) 1 set of Energy Calculatbns for heated addihons Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqtl Y _ N
1 set of Energy Calculations Add'dion - indkate Aon-sde sep6c system On-site Sepiic System _ Y _ N
3 copies M Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Defail Opfions selection sheet (bldgs wilh 3 or less units
Date ? 0 '`t Construction Co :31 19 1 co
Site Address Ler
t' l_.L C? K
?. Unitlste #
DescripGon oF Work
Multi-Family Bldg Y ?N Fireplace(s) v/ 0 _ 1 _ 2
Property Owner (^?n,,?P O 4,- Telephone # ((q5l
RMA HOME SERVICES INC.
Contractor Home Deopt Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. #200 City
Atlanta, GA 30339
State _ 763-542-8826 Zip Telephone # ( )
BC-20268257_ _ ,
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
. Residential Venhlation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7692
. New Energy Code Worksheet
SubmiKed
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N
fee applies. F77M
Licensed Plumber Telephone #(
Mechanical Contractor IULI OCT 2 0 2003 I U)I Telephone #(
Sewer/Water Contractor I13Y I Telephone #(
If so, 25% plan review
I hereby apply far 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 applicafion 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
appro al of plans.
/.??0.?Son 1
Applicant's Printed Name plicanYs Signature
.. .
Installed
Siding and Windows
LTMITED POWER OF ATTORNEY
CUUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales loca±ed at 660 Mendelssahn Avesue North, Gmld4-n Valley; rhN
55427, having a license number ofBC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attomey are
lirnited solely to the express powers delineated herein and apply solely to the Wark.
This Limited Power of Attorney shall expire and automatically be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disahility, incapacity or incompetence.
I??T WI"?_'NESS WHEREQF this Limited Power ofAtterney is executed this
21 st day of May, 2003
t e
_.y.
David N. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 200?
Notary P ic in for the State o eorgia
b1y Commission Expires: January 21, 2006
3968ffi.v3
Proudly soid, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
^ •[ if .. . ..i ? r . ? . , • `? C? T ??
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SCAIE I?I _ L?/l I REVISIONS BY DATE
? Ll
, oAre 7a
I[1 on?w cKo
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p wr vo.
C
[7 TITLE NO.
Z
Z
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m
MASTER CARD
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING ,???30 /o • f ?
PLUMBING I /
CESSPOOL - SEPTIC TANK Ko n,/"
W
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ? . d SEPTIC
FOUNDATION 9
CESSPOOL
FRAMING q-??..7> TIIE fIELD FT.
FINAL
ELECTRICAL I
HE,qTING
I
_ DEPTH
OF WELL
GAS INSTALLATION
SEGTIC TANK
CESSPOOL
DRAINfIELD I
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
OWNER I-?& u w I? ?I - ._ ZO% ?
s
,53 q 7 (o
RESIDENTIAL
BUILDING PERMIT APPLICATION
cinr oF eacwu
3830 PILOT KNOB RD, EACAN MN 55122
651-881-4875
New Conatructbn HeauiremeMs
• 3 regislered sAe surveys shaxing sq. ft of bt, sq.8. of house; and all roofed areas
(20% mazimum bt coverage albwed)
. 2 copies ot plan showeg beam & wln0ow sizes; poured found tlesign, etc.)
. 1 set W Ene(gy Calculations
• 3 capies ot Tree Preservatbn Plan tl bt pletted after 711/93
• Rfm Jolq Deteil OpGOns selectbn sheet (bl0gs wdh 3 or less unHS)
DATE ? - '1 • OZ
I`?? ? -5
HamotleUNeoelr Beaulremenle
. 2 wpies ot plan
• 1SetofEnBrgyCelculationslorheatededditbn5
• 15iteSUrveyfareMerioratltlillons&tlecks
• Intlicate il home serveG by septic syslem tor additbns
bz).
VALUATION% ?i
SITE A?DpD,yR?E. \S 1S LUNE c??k R-D MULTI-FAMILY BLDG _Y ?W
NP?C3FWQRI9ZP-COF ';16L6 __ FIREPLACE(S) _ 0? 1_ 2
APPLICANT AMCP-ICAw 1?IC?1{?IC-i CO'N? 12F1C1U?5 1?JC -
STREETADDRESS W\Cc\\lE AUe.S CRY,?iUrt?1U-? STATE ?•? ZIPsa-33-4-
TELEPHONE # 69s-CELL PHONE #(1s7)ciZG -\?US FAX # q sz '; ?j ?,
PROPERTYOWNER -?f)RZAt1 ??Qn1He?? TELEPHONE#?CSti?88s'?v?8
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RLJLES 7670 CA'IFGORF 1 MINNESOT
I c
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted • Ne T @y ?d'V?be !
• Energy Envelope Calculations Submitted ?
JUL 2 3 2002
Plumbing Conhactor.
Plumbing system includes:
Mechankal Conhacfor.
Mechanical system includes:
Sewer/Water Contracror:
Air Conditioning
_ Heat Recovery System
Phone #
Phone N
Fee: $70.00
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _1___ ?
Signature of
i
OFFICE USE ONLY
_ Water Softener
Water Heater
_ No. of Baths
_ Phone #
Iawn Spruikler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
MNCheCk COMPLIANCE REPORT
ntinnesota Energy Code
MNcheck Software version 3.0
COUNTY: Dakota
STATE: Minnesota
ZDNE: 2
CONSTRUCTION TYPE: Single Fdmily
DATE: 9-6-2001
PROJECT INFORMATION:
TONY & SARAH ZIRNHELT
COMPLIANCE: PASSES
Permit #
Checked by/nate
Required UA = 78
vour Home = 76
2.6% setter Than Code
Area or Cavity Cont. Glazing/DOOr
Perimeter R-ValUe R-Vdlue U-Vdlue UA
-------------------------------------------------------------------------------
CEILINGS 384 38.0 0.0 12
waLLs: wood Frame, 16" o.c. 396 19.0 2.0 22
GLAZING: Windows or ooors, Above Grade 65 0.330 21
nooRS 40 0.330 13
Cw4WL: concrete 39" ht/ 33" bg/ 39" insul. 182 18.0
COMPLIANCE STATEhiENT: 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 requirements of the Minnesota Energy Code.
Builder/oesignerl!/2/N? oat ? d
8
5
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EAGEiN TOWNSHIP
3745 Pilot Knob Road
St. Paul, Min,nesota 55111
Telephoae 454-5242
PERMIT FOR 5EWER SERVICL CONNECTION
naTE: _naY 14, iq6q
OWNER• Don Taylor
NorBEa 398
P.ddress 1515 Lone Oak Road ?60-()6 2,?.
PLUMBERSou.hvi w ni ion
TYPE OF PIPE t-I -aw s Tron ?
DESCRIPTION OP BUIIAING
Industriail Commerciall Residential I Multiple Dwelliag I No. of uaits
Location of Connections:
Connection Charge20.00
Account Deposit
Permit Fee
Street Repairs
Total
Tnspected by:
Date
Remarka•
Bq
Chief InspecCOr
In consideration of the iasue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagan Tox•mship, Dakota CounCy nnesota Zc'
$y? ? .
(?
South 'e anitation
Please notify when ready for inspection and connection and before any portioa
of the work is covered.
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Mianesota 55111
Telephone 454-5242
PERP'IIT FOR WATER SERVICE CONNECTION
Date: Mav 14, 1969 Number: 274 /. 0- P/4'
Billing Name:Don Tavlor Site Address: 1515 Lone Oak Road
Owner• Don Taylor Billing Addreas
Plumber; Southview Sanitation
Account Deposit T5-.00 pd.
Meter No.6818551 Permit Fee 7
Meter Reading111000 Meter Dep.
Meter Sealed: Yes- lAdd'1 Chg.
NO ' Total Chg.
Building is a;
Residence ?
P4ulCiple N0. Uni
Commercial
Industrial
Other
Inspected by
Date
Remarka:
By:
Chief Inspector
In consideration of the iasue and delivery to me of the above permit, I
hereby agree to do tte proposed work ia accordance with the rules and
regulations of Eagan Township, Dakota County, 1esota.
By• ' ?
Sou ' w Sanitation Co.
So. St. Paul, Minnesota
Please notify the above office when ready for inEpection and connection.
• LAW OFFICES
? LeVander, Gillen, Miller & Magnuson
402 OROVERS BANK BVILDING • 633 SOUTH GONCORD STREET
SOUTM ST. PAUI. MINNESOTA 55075 • TELEPMONE (612) 451.1831
3
December 4, 1978
/0D-DU
2dhndar
lbec
Mayor and Members of the Eagan City Council
Eagan City Hall
3795 - Pilot Knob Road
Eagan, Minnesota 55122
Re: Ralph Wohlers - Donald Taylor ta,u¢ Da/C /eoad
Variance Matter
Dear Mayor and Members of the City Council:
In your review of the above-referenced matter, I kindly
ask that you consider the attached memorandum.
Very truly yours,
Timothy J. Kuntz
HAROLD L[VANDER
ARTHUR GILLEN
ROGER C. MILLER
PAUL A. MAGNUSON
HAROLD L[VANDER. Jn.
PAUL H. ANDERSON
TIMOTHY J. KUNTZ '
OANIEL J. 6EESON
TJK:cj
Attachment
WOHLERS - TAYLOR VARIANCE MATTER
1.) Ordinance 52.05, subd. 2, subsection RR defines a
"Lot of Record" as either a plat or parcel of land
the deed to which has been recorded prior to adoption
of the Ordinance and which met the minimum requirements
of city and state law in effect on the date of recording.
2.) The North 300 feet of Lot 17, Zehnder Acres, together
with an easement for roadway purposes over the West 15
feet of that part of Lot 17 lyinq South of the North 300
feet is a "Lot of Record."
13
3.) The subject lot contains approximately 12"F Acres.
4.) The subject lot is platted as part of Zehnder Acres.
5.) The North 300 feet of the lot became a separate lot or
parcel approximately 14 years ago when it was separated
from the South part of Lot 17. The deed of conveyance
was on or about April, 1964.
6.) Thus, because this parcel was platted and was a separate
entity or indentifiable lot prior to enactment of Ordinance
No. 52, this tract became under Ordinance No. 52 a"Lot
of Record" as so defined by the Ordinance.
7.) Be mindful that this "Lot of Record" contains, in addition
thereto, an easement for roadway purposes over the South
part of Lot 17.
8.) Prior to adoption of Ordinance 52, I understand that the
subject lot was in all respects a buildable lot.
9.) Consequently, when the lot was bought and sold, it was
done so with the easement for roadway purposes.
10.) In short, I understand that prior to Ordinance No. 52 the /
owner could have built on this "LOt of Record" in light of ?
the fact that the owner had the roadway easement.
11.) What must be understood is that prior to Ordinance No.
52 was buildable; now according to the literal reading
of Ordinance No. 52 the lot has become unbuildable.
12.) Certain other facts about the subject should also be
noted:
a.) the lot is zoned R-l;
b.) a single-family dwelling is proposed to
be constructed on the lot;
1-3
c.) the lot does have approximately Acres
of land;
d.) water service has been stubbed to the subject
lot from Lone Oak Road;
e.) sanitary sewer is available to the subject tract;
f.) the subject lot has been assessed for water area
and sewer trunk line in 1972;
g.) the orientation of the homes to the west of the
subject lot indicate that the most orderly and
logical manner of developing the subject lot would
be to "mirror" the development to the west. Directinq
your attention to the attached lot sketch, you will
note the Huntley and Marich residences are oriented
so that their garage and driveway access is to Whitby
Drive leading to Lone Oak Road. The subject lot
would have its garage and driveway access to the 15
foot roadway easement leading to Lone Oak Road; the
15 foot roadway easement for the subject lot would
run parallel to and adjacent to Whitby Drive, which
a private roadway of 10 feet in width;
h.) in viewing the subject lot and given the location
and orientation of the adjacent residences, it is
obvious that this particular lot is the last and
only remaining lot to be developed in an overall
tract comprising the Huntley, Marich, Brauer and
Olson residences. Given the orientation of the
Huntley and Marich residences and given the fact
that Whitbey Drive is in place, the logical develop-
ment of the subject lot requires a"mirroring" of
the residences to the west, both in terms of structure
location and roadway location.
i.) the subject lot meets all zoning requirements save
and except frontage for 60 feet on a public street,
although it should be noted that the South part of
Lot 17 has frontaqe of 200 feet on Lone Oak Road.
- 2 -
13.) What the owners are applying for is a variance because
of Ordinance 52.06, subd. 4 which states in part:
A duly created lot of record shall be
deemed a buildable lot provided all
of the following are met:
A,) The lot shall have a minimum of sixty (60)
feet of frontage on a public street or the
lot shall have been approved in platting a
condominium project or an attached dwelling
project wherein a contiguous lot, owned in
common, provides said frontage.
14.) Under Ordinance 52.09 and amendments thereto, the Council
has the authority to qrant a variance where "practical
difficulties" or "particular hardships" exist. If the
Council determine (1) that "soecial conditions" apply
to the subject lot which conditions do notapply generally
to other land in the area, (2) that the variance is
necessary so that the owner thereof may enjoy the full
and beneficial uses of the property and (3) that the variance
will not:
(a) Impair an adequate supply of light and air to
adjacent property.
(b) Unreasonably increase the congestion in the public
street.
(c) Increase the danger of fire or endanger the public
sa£ety.
(d) IInreasonably diminish or impair established property
value within the neighborhood.
(e) Disrupt the traditional practices or social cohesive-
ness of the community.
(f) Or in any other way be contrary to the intent of this
ordinance or other applicable ordinances of the City
of Eagan.
then the Council may grant a variance.
15.) I respectfully suggest that all the ingredients for granting
a variance exist in the instant case:
a.) without a variance, the lot is unbuildable under
a literal reading of Ordinance 52.06, subd. 4;
- 3 -
b.) without a variance, the subject lot has no
practical or beneficial use;
c.) a variety of "special circumstances" or "special
conditions" exist:
l.) the lot is a lot of record
2.) the lot has been bought and sold
with the 15 foot roadway easement;
3.) water service has already been stubbed
to the lot;
4.) the lot is the last and only remaining
lot within a tract comprising the Huntley,
Marich, Brauer and Olson residences;
5.) given the location of the Marich and
Huntley residences and given the existence
of Whitby Drive, the most logical development
of the subject tract is to "MIRROR" the
structure and roadway locations existing
to the west;
6.) the "mirroring effect" will enhance the
values of adjacent property because this
effect is orderly and commensurate with
what now exists.
d.) a variance will not cause any of the problems listed
in Ordinance 52.09, subd. 3(B) (4).
e.) I understand that there is no objection from the
adjoining landowners.
f.) prior to Ordinance 52, the subject lot was buildable.
- 4 -
2US7LIC 1-1II1S
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SEVERSON, WILCOX & SHELDON, P.A.
LARRYS SEVERSON'
JAMES F. SHELDON
J. PATR]CK W7LWX•
TERENCE P DURKIN
MICHAEL G.DOUGHERTY
MICHAEL E MOLENDA••
A PROFESSIONAL ASSOCIATION
ATTORNEYS AT LAW
7300 WEST 147TH STREET
PO. BOX 24329
APPLE VALLEY, MINNESO'PA 55124
1'ELEFAX N1IMBER 432-3780
I6121 432•3136
PAUL J. STIER
ISENNETH R.'HAI.L
°'SC01T ?. JOHNSI'ON
JOSEPH P. EAALEY
" MARY L GOLII{E
IAREN M. 50LFEST
`AL50 LICEYSED IN IOWA
••AL30 LICENSED IN WISCONSIN
...y,SO LICEFSED IN NEBRASI(A
October 10, 1989
Mr. Gene VanOverbeke
Eagan City Clerk
3830 Pilot Knob Road
P.O. Box 21199
Eagan, NIN 55121
RE: Pressure Reducing Valve Agreement and
Access Easement Agreement
Prettyman Heights Addition
Our Eile No.: 206-7108 (OOE)
Dear Gene:
OFCqLNSEL
JOHN E Vl7KELiCH
In connection with the above matter, I enclose oriqinal recorded
Pressure Reducing Valve Agreement - Document Number 905746 and
Access Easement Agreemen?- Document Number 905747 for the
official City records.
Tv vKea?
If you should have a question, please feel free to contact me.
Thank you for your consideration and cooperation in this matter.
yours,
% SEVE ON, WILCOX & SHELDON, P.A.
Roxann Duffy
Legal Assistant
RSD/djk
Enclosure
HSIGHTS
PRBSSORE RBDQCING VALVS
T\$ S,AGREEMENT, made and entered into the /&day of
, 1984, by and between the CITY OF EAGAN, a
Munici ali of the State of Minnesota, (hereinafter called the CITY,
and the Owser and the Developer identified herein.
The terms "Developer" and "Owner" as used herein refer to
SKYLINE AEIGHTS PARTNERSHIP whose address is 1480 Skyline Drive,
Eagan, Minnesota 55121.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as PRETTYMAN HEIGHTS, located within
the City; and
WAEREAS, the Owner and Developer agree to notify potential
buyers of all lots within PRETTYMAN HEIGHTS that all lots (Lots 1
through 18, Block 1, Lots 1 through 4, Block 2 and Lots 1 through 4,
Block 3) are in a high water pressure zone and a pressure reducing
valve shall be installed in each home below the elevation of 875
feet. All costs shall be the responsibility of the Owner and
Developer and shall be installed to prevent damage due to high water
pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. gecordina. This agreement shall be secorded with the Dakota
County Recozder so as to provide notice to the owners of all lots
within PRETTYMAN HEIGHTS (Lots 1 through 18, Block 1, Lots 1 thsough
41 Block 2, and Lots 1 through 4, Block 3). The owner shall provide
and execute any and all documents necessary to implement the
recording of this agreement.
2. Notice. The recording of this doctnaent shall constitute
notice to all ownets and future ownets of property in PRETTYMAN
HEIGHTS that all lots (Lots 1 through 181 Block 1, Lots 1 through 4,
Block 21 and Lots 1 thsough 4, 81ock 3) are in a high water ptessure
zone and that a pressure reducing valve shall be installed in each
home below the elevation of 875 feet. All costs shall be the
responsibility of the Owner and Developer and shall be installed to
prevent damage due to high watez pressure.
3. validitv. If any portion, section, subsection, sentence,
clause, paragraph or phiase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
semaining portion of this %.ontract.
4. Bindinq Agreement. The parties mutually recognize and agree
that all tecros and conditions of this recordable agreement shall run
with the land herein desczibed and shall be binding upon the heirs,
successors, administrators and assi9ns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF E GAN OWNER AND DEVELOPER:
(Date: H% _) SKYLINE HEIGHTS PARTNERSHIP
gy;
Its Mayor
Attest:
Its erk
STATE OF MINNESOTA)
Bv:
?--_: -
COUNTY OF? ??? -? )) ss.
On this Y-7-?+day of 19891 befose me a Notary Public
within and for said Count pe sonally appeared VICTOR L. ELLISON and
E. J. VanOVERBEKE to me pers ally known, who being each by me duly
sworn, each did say that they are respectively the Mayor and Clesk of
the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by authority of its City Council and said Mayoz and Clerk
acknowledged said instrument to be the free act and deed of said
municipality. /I I
?l i/4 ! .
•
MAAI! 1'J L? c?EtiN!u
NO'DAAHY PU"KOTLIC - SO',A
} A C?UtJTY
j?j?,i; ?:? My Conun?°•.on ExD f:E 8 1'?33??2S
(?.wtMK?ItHICfM?•': t !1 ?-! f N.' /?
-2-
?
. ?
STATE OF M INNESOTA)
F ss.
COUNTY 0Y
On this day of L/ , 1989, before me a
otar,y Pub?.ic w't }? nd for said ounty, personally appeared
?f-7?C.E-iC l. 71??1?CL?7
alyd to me ?
personally known, who, being vach-by me duly sworn to bebpartner of ?
the Partnership named in the foregoing instrunnent, arttYtt
?•_ i i
i ca.,. ..,,oa of-vAi'a z'r*nA*ighiP 8[SCj that %
said instrwne,pt was si n d a? gd sealed on behalf of said Partnership ?/
by said ?FZ%CiC?t? l. ?/??tl?C[=7/.?r ?y?.-
and /th' acknowledged said instrunent to be
the free act and deed of the Partnershiv.
DENISE J KOENCK
? M01MV Kluc Orm Counr. Om
W C? f? fw l?M7
APPROVED AS TO FORM:
y Attotngy'
re:
APPROVED TO
Xd4'
Public Works Department
Date: 7-/f 41
THIS INSTRUMENT WAS DRAFTED SY:
McMENOMY & SEVERSON, P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
MGD
-3-
??OCP
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for-modifications to existing residential dwellings.
?Qb
Date
Site Street Address 1515 Gt.4C ?/"?, S??a
v?'/ l 1
Unit #
Property Owner Telephone # kq)
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ?pwner _ Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If vou are installina onlv a water softener 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 $125.00 if a 5/8" meter is required)
Other:
_ Water Softener ?ater 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 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
96UVM -7--1 r-A ? e CZ__
Applicant's Printed Name ApplicanYs Signature
?-7 db"l/
2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & rownhomes/condos when permits are required for each unit
P2O.
Date ? / ?? l 0 ?
Site Address /5/?E LDn Q OaJ<? Unit #
Property Owner 1?/ ?7'elephone # ( e??X
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicaot is ? Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
?
air conditioner -
New -Replacement
other
State Surcharge $ 50
Total $ 30'
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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
appr9ved plan in the case of wark which requiresAreyiew and approval of plans. ?-? 17
, XMrGU+-\ /jYAALl?
Applicant's Printed ame ? A ic t's ignature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please compte[e for. commerciaVindustrisl huildings
multi-family buildings when separate pennits aze not required for each dwelling unit
Date
Site Street Address ? ? i s- L Dr('e 0a,<1QxJ ,z?// Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone #?'J? )? l 7 Y.
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicaot is _ wner _ Contraccor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "*see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Pe1'IOit Fees: $70.50 Underground tank installation/removal
$50.50 Mindmum (includes State Surcharge)
or
Conhact Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 pe rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 wiil be in accordance with
the approved plan in the case of wock which requires a review and approval of plans.
.?-?'???
Applicant's Printed Name Applicant's Signature
Approved By: Inspector Date:
Anthony and Sarah Zirnhelt
1515 Lone Oak Rd.
Eagan, MN
Oct 18, 2005
City of Eagan
3830 Pilot Knob Rd.
Eagan, MN 55122
Attn: Scott, Plumbing Inspections
Re: Permit Number: EA068048
I am writing to verify, per your request, that I am aware that the clean-out for thc island
sink vent is accessible from the crawl space, rather than under the sink. This arrangement
is acceptable to me.
Thank you for your consideration.
Sincerely,
IIJAUC -.-h 1?p?
Sarah Zirnhelt
Property Owner
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-----------------
I For Office Use 1
( r I I
__�• }_
� 2e--- �
Permit ���
City
of RECEIVED IILA
I Permit Fee: 1
3830 Pilot Knob Road I
Eagan MN 55122 DEC 71 M i pate Received:
Phone: (651) 675~5675
Fax: (651) 675-5694 1 Stats:
-----------------J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: .2 f Ii� Site Address: tS 5- L-ONi: o4x, kAoa Unit #:
Name: ?,\iqwT Phone: 6 f Z.' 73-y3q
Resident/
Owner Address /City/Zip: Lx* 131 OA}
Applicant is: Owner )c Contractor
Description of work: ►°hier.t+� a'' rhb^� ��� If �eN w�cer��p,ry 1" �- ,� ,.b -
Type of Work ,,i`..{i n".,
r C�ey RT2 t�cC int3�°k '.iu/�^4s lt'�Q� Pow, trl'v 4'4Hs
Construction Cost: Multi -Family Building: (Yes 1 NnX
Company: CS -q C_ LAC. Contact: cl'T--4L
Contractor Address: 2440 P��w."qCc�.� ra4tiiP, flr . City:
State: MN zip: Phone:02-2-7fIg Email: _ r_ I'- �,5v dp.,e k l-(ae►rq
License #: Lead Certificate #: IVJA
If the project is exempt from lead certification, please explain why:
X
.2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classed as non-public If you provide specific reasons that would permit the City to
conclude that thM are trade secrets.
CALL BEFORE YOU DIG. Cali 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.qopherstat necail. n
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
Applicant's Printed Name Applicant kgdature
Page 1 of 3
5 L f `"L 6k.
OT WRITE BELOW THIS LINE
/ FVC E
SUB TYPES
Foundation
Single f=amily
_ Multi
01 of Plex
WORK TYPES
New
_ Addition
Alteration
Replace
Retaining Wall
Fireplace
_i Garage
_ Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season) Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) Miscellaneous
Pool Accessory Building
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
"Demolition of entire building — give PCA handout to applicant
DESCRIPTION _
Valuation At 4W
Occupancy
.7!flG�I
MCES System
Plan Review
Code Edition
via
SAC Units
(25%_ 1000/P)
Zoning
City Water
Census Code k 3Y
Stories
Booster Pump -
# of Units j
Square Feet
PRV
# of Buildings 1
Length
Fire Suppression Required
Type of Construction
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings tAdd4aerr}244-124-'®'u
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace:.Rough In _,,'bAir Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Meter Size:
Final 1 C.O. Required
Final 1 No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath Stone Lath Brick
Windows
4 Retaining Wail: _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES 37 ft A t- pth ( �p� (, 7'10
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
87 7
W{Arpowf
X30 = a o 7
Page 2 of 3
City of Eapi
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
4g3- ( .
Permit Fee: 60 -
Permit #:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 12/30/2015 Site Address: 1515 Lone Oak Road
Tenant:
J
Suite #:
Name: Sarah Zirnhelt Phone: 651-994-9876
Address /city /zip: 1515 Lone Oak Road, Eagan, MN 55121 7 (/' i
Name: Self Performed License #:
Address: City:
State: Zip: Phone:
Contact: Email:
New 1 Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Bath Plumbing, Fixtures, shower valve, install bar sink, ice maker line and dishwasher
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
✓ Add Plumbing Fixtures ( Main / 1 Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ 60.00
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.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 the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
)(Sarah Zirnhelt
Applicant's Printed Name
Digitally signed by Sarah Zirnhelt
Sarah Zirnhelt
09emem cn=Sarah Zirnhelt,°,
ail=sara h.zirnhe It@slreamwo rksm n.com,
c=US
X Date: 2015.12.30 13:19:49 -06'00'
Applicant's Signature
•
FOR'OFFICE"USE
Gas Te
Meter Related Items: Meter Size Radio Read Manometer Staff
Use BLUE or BLACK Ink
I-
For Office Use
Permit#: /17-/6-70(7
City of Eaaall
Permit Fee: 6‘ C9
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
buildinginspectionsOcitvofeagan.com �
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ]S i S 6-ok.e. 0 ± A el
Tenant: Suite#:
Res der ti wner Name: Phone:
Address/City/Zip:
Name: C L l C, License#: l ) LI
Contractor Address: Lf Z �' r� l ct - City: 1"4 'Arnett p1a't s jtl
State: /J Zip: C59/-7 Phone: (7
Contact: 1\44. Email: CC.0 C�IR-tG i+ 49 G [M SG (co frk
New X'Replacement —Repair —Rebuild _Modify Space Work in R.O.W.
Type of Wcrk — —
A-3t.t...J r �T v v�e S \ 1444-
� h ': Description of work: ����:-;; c 4; 44-1-11 I(L 73 71A IZ":11
ii
RESIDENTIAL
Water Heater
Lawn Irrigation( RPZ/ PVB) Water Softener
Permit Type 3 Add Plumbing Fixtures( Main/—Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
``Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
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.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
x 5`Ir'
Applicant's Printed Name Applicant's Signature
i.�
FOR OFFICE USE Reviewed By .' i, x
Ba •
Required Inspections: Under Ground Rough-In Air Test= as Test Final
Meter Related Items Meter Size Radio Read Manometer Staff,
Use BLUE or BLACK Ink
—011 For Office Use j
P::t
4011'' Clty of Eakall CC
PFee: .
3830 Pilot Knob Road T
Eagan MN 55122 Date Received:
Phone: (651)675-56754gr
buildinginspectionsacityofeagan.com Staff: sae
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: // or--7 /7. Site Address: l5 « L.-0"0 4)01a 6 AK Qv) Unit#:
Name: ‘-r---0 Kyr Phone: i`2 7 c) S 7
Resident/
Owner Address/City/Zip: I.Sk j i_ D At( \&() a4 e) tv0
Applicant is: Owner ,._ Contractor
Type of Work
Description of work: 'Re- -a 11DC_ Fb 7th tP 4—LUctNSZ-(1D k�i Ac — i'a-cSu1M
Construction Cost: Multi-Family Building: (Yes /No )
Company: T1) Contact: IDV zcr" \fn&
Contractor Address: P.0. Lf-ST3 City: \Ay
State:tlri Zip: SOO Phone: lc77& Email: QVC-d A L £ L
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
ec•\ LS C Ocaw.) lam'0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:.Plans and supporting documents that you submit are considered" to be'public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
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.
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.gopherstateonecall.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.
x P-17VJ Wt�/ 00<t4<2....
L _
Applicant's Printed Name Ap nt's Si„ u
Page 1 of 3
J✓/5 /0/2.6 91/ ' [30 ‘IT WRITE BELOW THIS LINE /V'606.\)
SUB TYPES
— Foundation X Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof ' Demolish Interior
}c. Alteration _ Fire Repair x Windows Demolish Foundation
`) Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION c _
Valuation J 2.40.0-0 -_ Occupancy ._J-, - ) MCES System
Plan Review Code Edition 7)n Z' I,5 SAC Units
(25%_ 100% ) Zoning 2--1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \‘B Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) O Final/ No C.O. Required
Foundation Foundation Before Backfill 1° HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
n Fireplace: )G Rough In _Air Test k Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
1p Insulation X Windows
Sheathing V DS n'e dni)e . Retaining Wall:_Footings_Backfill Final
Sheetrock ?Rev:b 45 Radon Control
Fire Walls 1'c ''^' fi Fire Suppression:_Rough In_Final
Braced Walls 13 9 S 7 y Erosion Control
Shower Pan Other:
Reviewed By: ere' m ni) 1 I 41 n- , Building Inspector
RESIDENTIAL FEES
Base Fee /1114%n �1��'(•� Fern op� I
Surcharge L.,;(7 "1 fee ovt&) p i A ;A., Rt7ovly /43.47 A" .
Plan Review f7—` - A, A,i
MCES SAC
�vit `� C �/
City SAC 9 D 0 57• / " ,,,,.Ji /tD r�4 .
Utility Connection Charge
S&W Permit&Surcharge 04126)-o 59 ' lc?-
Treatment Plant -fin C l f p e S 1) De uJ 5 dr- pit-t, j -5
Copies c,"7
TOTAL "` 9, tip 0 "
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171907
Date Issued:09/07/2021
Permit Category:ePermit
Site Address: 1515 Lone Oak Rd
Lot:1 Block: 3 Addition: Prettyman Heights
PID:10-58800-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony M & Sarah B Zirnhelt
1515 Lone Oak Rd
Saint Paul MN 55121--111
(612) 730-5371
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172982
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 1515 Lone Oak Rd
Lot:1 Block: 3 Addition: Prettyman Heights
PID:10-58800-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony M & Sarah B Zirnhelt
1515 Lone Oak Rd
Saint Paul MN 55121--111
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176223
Date Issued:05/06/2022
Permit Category:ePermit
Site Address: 1515 Lone Oak Rd
Lot:1 Block: 3 Addition: Prettyman Heights
PID:10-58800-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony M & Sarah B Zirnhelt
1515 Lone Oak Rd
Saint Paul MN 55121--111
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176483
Date Issued:05/18/2022
Permit Category:ePermit
Site Address: 1515 Lone Oak Rd
Lot:1 Block: 3 Addition: Prettyman Heights
PID:10-58800-03-010
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anthony M & Sarah B Zirnhelt
1515 Lone Oak Rd
Saint Paul MN 55121--111
(612) 730-5371
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature