1761 Forssa Way
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office. Use
• I I
Ol Ea~cl Permit#:
I I
City I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I ~!A I
Fax: (651) 675-5694 I Staff:
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION tal3
J /
Date: Site Address:/ 7(Cl/ o ~i~'SS19 G /p-
Tenant: Suite M
RESIDENT/ OWNER Name: B'6(tT SW EDVA) Phone: (9 SF/-ySz -S/
Address / City / Zip: /761 f_6QS5A t r0k CHGAA .5'51 22
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: ~r41 ~a a/
Construction Cost: Multi-Family Building: (Yes / Nok,-)
CONTRACTOR Name: I1'I e ~[..j /Le- r' License
Address: City:
State: Zip: Phone:
Contact: Email:
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 >!Wo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
I
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 ork will be in
accordance with the approved plan in the case of work which requires a review and a tans.
x /'4"/1.7- r
Applicant's Printed Name ® ll pplicant's Signature
Page 1 of 2
J+.~J 1 Wo
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level X Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation , 0 Occupancy MCES System
Plan Review Code Edition MIN) d2 SAC Units
(25%_ 100%--~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: Footings _Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In _Air Test -Final Windows
Insulation Retaining Wall: Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge PO 01,-
Plan Review
MCES SAC , G (,.R N->
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: '6s a
Applicant Name:
GENERAL INFORMATION
x ¢
o z ¢
A ❑ ❑ Applicant name and contact information
P ❑ ❑ Property owner name
JW ❑ ❑ Address of property
J~ ❑ ❑ North arrow, scale (1" = 30' or 40')
❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
JR ❑ ❑ Location and name of all streets adjacent to property
❑ ❑ Directional drainage arrows (existing and proposed)
i
ELEVATIONS
Existin
f6 ❑ ❑ House corners
❑ ❑ Property corners
❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ ❑ Finished pool deck corners
❑ ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
,d ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
,~k ❑ ❑ All property/lot lines
Ja' ❑ ❑ All Easements on the property
Proposed
Zr ❑ ❑ Pool
❑ fd ❑ Pool plus integrated deck/patio
❑ ❑ Shortest distance from outside edge of poo to lot lines and house
Reviewed: 2-
Name Date
GTORMS/Pool Permit Checklist/02-13-07
• 3761
~ C. R. WINDEN & ASSOCIATES, INC.
_ LAND SURVEYORS Tol. 6445.3646
FOR: 1361 EUSTIS ST., ST. PAUL, MINN. 55108
U. S. HOME CORPORATION
-M N~ -
V1T~ t1~ `O Scale: 1" = 30'
0 Denotes Iron
k o o N~ 3f ~
8 ~
o
ttt
Lot 5, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
1741 F40fe is's 4 ct~'~ 13-
1,
r
EAGAN ENGINEERING DEPT.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND All VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted this G~nc~ day ofT)et- A.D. 193! C. R. WINDEN 3 ASSOCIATES, INC.
by cL'a"A
Svrveyor, Minnesota Registration No. 7-19Ea
CITY OF EAGAN Remarks
Addition RidQecliff First Addn. Lot 5 RikS _Parcel #10 63980 050 05
Owner Street 1761 Forssa Way Stete EagaII.. NAT 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19 8 2 298.08 S 298.08 C007616
SEWERLATERAL 1982 1305.42 5 1305.42
WATERMAIN
WATER LATERAL 1982 1260.79 S 1260.79
WATER AREA 982 298.08 _ _
STORM SEW TRK 1982 638 . 24 5 8 24
STORMSEWI.AT 1982 955.45 5 955.45 C007616 12-2 -81
Services 1982 637.75 S 637.75 - 1
CURB & GUTTER
51DEWALK
STREET LIGHT
Road Unit 185.00 #28439 1-5-82
WATER CONN. 335.00
BUILOING PER. 7055
s,ac 525.00
PARK
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Pill in numbered spaces
Type or Print legib/y
Permit No.
Fee S/C
Tot '
1. Date ?- 2. Installation Cost
3. Job Address ' ?. Lot Blk. Tract ` 4. Owner
5. Contractor ' . Phone
6. Address
7. City L? State Zip ?
8. Building Type: Residential ?
9. Work Description: New Q
Commercial 0 Institutional O
Add ? Alter O Repair ?
10. Describe Fuel Type
1 11•
No. Fquipment 8TU - M. Ea.
Forced Air No. Equiament CFM
Air Handli
:
Mfg. ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
PLUMBING PERMIT Permit No.
CITY OF EAGAN .
Fae
Fill in numbered spaces S/C
Type or Prini /egibly .
Tot.
1. Date 4- 2. Installation Cost
3. Job Address P1 r? ?, ?< < Lot - Blk. ?.- Tract
4. Owner K
5. Contractor ; ri) J e( r;!:Phone
6. Address '1 '
_ k"=?'??
7. CitY ??j :9 i, : State ,t% ) i"/ Zip _ 1-l 3--
8. Building Type: Residential E,1
9. Work Description: New [??'
1 10. Describe
1 11.
Commercial ? Institutional 0
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
' Floor Drains
Drinking Ftn.
Slop 5ink
Gas Piping Outleis
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ? -J for
?
RoGgh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
? wtrftftratie ,af Mrruparcrg
titp of eagan
- ]DpjiMl`#MFIif I1f 'N1ttlblYtg 3mvPmDYI
Tbis Ccrti frcate rs.rucd pursuant to the rcquiremcrrts o f Section 306 o f the Uni form Building
Codc urti f ying ihat at the tirne af i.rsxana t+6is rtruaure was in cara pliancr with the various
ordirutnas o f the Citr rtgulating building connruction or use. For the following:
r'n Y1 ? IA
o.,w,rTYp -R- 3-_rype co..umuoo
Badj.Add. 1761 FOr'83d WEIV L-;,y 75F,115 r RJ&-PC1 i f fP 1
/Al _??? L ? .f: -A• ? ? By: 5-26-$2
Huildhig O(fitiil'? ?,. D?ste:
4ai
. CITY OF EAGAN -
3795 Pikf Kwo6 Rood Eagaw, MMI 55122 '
I ' PHONE: 454-8100
BUILDING PERMIT
To M wed for
Receipt #
Dote , 19
Site Address '''' • l T' '?i Erett ? Occupancy
Lot 81ock Sec/5ub. Alter ? Zoning '
Porcel Repoir ? Fire Zone
Enlorge ? Type of Const.
oWC Name - ---= - - - = - " Move p ?k Staries
Z ? •r,
? Address - -- • <= . ?.
.??-
Demolish
?
Length
Grade ? Depth Su. Ft.
°C Name -
0
?? Address
? r:*„ ati,,.,.
I hereby otknowledge thot I hove read this opplicoiion ond stara that
fhe information is correct ond agree to comply with oll upplitable
5tute of Minnesoto Stotutes and City of Eogan O?dinances.
Asseument
Woter & Sew.
Police
Flre
Enp.
Planner
Councfl
Bidg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Total
Signoture of Permittee I
A Building Permit is issued ta on tha express condition ttxit
all work shell be done in occordnnce with oll opplicoble State af Minnesoto Statutes ond City of Eo9an Ordinances.
8uildiny Offlcial
Permit No. permit Holder Misc. Permit No. Holder
Plumbing Z,ci
H.V.A.C.
Well
Water
Disp.
Sewer
Electric
Inspection Date Insp
Other
Footings
Foundation j
Framiny
Rough Plbg. C
__? ....?. Y
W
Rouph HVA
Inwtstion
Final Plbq. Q Z
Final HVAC
Final ?26 •}}'
Water Deacribe Location:
Well
Sawer
Pr. Disp. .
CITIf OF EAGAN
37°5 Pilot Knob Roed
Eogan, MN $Slss
Zoninp:
Owner.
llddress:
Site Address: -
Plumber: '
1 agree to eompir with tM Ciyr of Eogae
Ordinanees.
By
Date of Insp.:
I nso.:
Pilot Knob Rood
MN 55122
No.:
to aomply with the Citp of Eagen
SEWER SERVICE PERMIT
PERMIT NO.:
DA7E:
No. of Units:
CFt
100.00
Connedion Char9e: '
Account Deposit:
Permit Fee: -
Surchorye:
Misc. Chorpes:
Totoi:
Data Paid:
Connection Charge:
Account Deposit: _
Permit Fee:
5urchor9e:
Misc. Charges: -
Total:
Date Paid:
:
RESIDENTIAL
BUILDING PERMIT APPLICATIQN
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Naw CanaWction Reouiremenb
• 3 registered sile surveys showing sq. ft ot l06 sq. ft. of house; and all raafad areas
(20% ma+cimum lot coverage allowed)
. 2 copies of plan showing beam 6 window sizes; poured found design, etc.)
. 1 set of Energy Calculatbns
-.-3 copies of Tree Preserva0on Plan if lol platted after 711193
• Rim Joisl Deheil OpGons selectian sheet (61dgs wiN 3 0r Ie53 unBs)
? IZ5,?. ? 9
RemadellReoaN Reau'rrements ? I I-"? ?`) U V I
. 2 copies of plan ??
. 7 sel of Energy Cakulations (or heated addd'are
. 1 sde survay for ezterior addifbris 8 decks
• Indicate if home served by septic system Mr additions
DATE -7I1 Z10( VALUATION I'? dOb?
JOB SITE ADDRESS I 7?I ??PSS/? GV/??K
If MUtTI-FAMfLY BUILDiNG, HOW IyIANY ONtTS?
PROPERTY
TYPE OF
APPLICANT /5A'gt7" SW eOLli
ADDRESS
FIREPLACE(S) _ 0 _ 1 ? 2
_ PHONE#1p Sl ?'/ S2 '
? ZIPCODE -157514.2
PAGER # CELL PYONE FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet S El
Energy Envefope Calculations Submitted MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted PlumbingConfracfor. PhonePlumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90A0
_ Water Heater No. of R.I. Baths
_ No. oE Baths
Mechanical Contractor. Phone #
Mechanical System Includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be suhmitted prior to processing of application.
Signature of Applicant
Certifcates of Survey Recaived _ Tree Preservation Plan Received _ Not Required _
Uptlated 1101
I hereby acknowledge that I have read this application, state that the information is corr nd agr o comply
with all appiicable State of Minnesoto Statutes and City of Eagacr6 ?na s.
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace X 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex 0 17 Garage X 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New p
X 32 Addition ?
? 33 Alteration O
? 34 Replacement
Valuation Lq4 coo
Census Code q ;4'
SAC Units 01_
Nbr. of Units
Nbr: of Bldgs ?
Type af Const ??
W idth
REQUIRED INSPECTIONS
_ Footings (new bidg)
Footings (deck) F
Footings (addition) Pl
? Foundation HVAC
Drain Tile
Roof Ice & Water Final
? Framing
Fueplace _ R.I. _ Air Test _ Final
Insularion
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Perm+t
License Search
Copies
Other
Total
? 30 Accessory Bldg
O 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
"Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Occupancy 2 3_G? MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV "
Length ? Fire Sprinklered
Fina
UC.O.
? u?al/No C.O.
_ umbing
Other
_ Pool _ Ftgs _ Air/Gas Tests - Final
_ Siding Stucco Stone
_ Windows (new/replacement)
5 -5)C*5 OY%-)
D y! ?-?4j 2?72
iT V0
,
7)
(5L
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi.oa
T:4 33 3 51? See instmctions for comUleting this form on back ol yellow cupy. ? p
"X" Be/ow Work Covered by This Request
N w Add flep. Type of BwlAing Appliunces Wved Equ,Ument Wued
Home Range Tempor2ry Service
Duplex
Apt. Bwlding
Commercial Bldg. Water Heater
Dryer
Fumace ' Liyh6ny Fixtures
Electric HeaLn
Silo Unloader
Indus[rial Bldc?. Air Condrtioner Bulk Milk Tank
Farm Om?r aem v om?r Isuec?fyl
L1P.I SV?%?:I?Y OfhC! Qll'i"
Compute lnspection Fee Below
Fee Service EntranceSize # Fee Fexde1s/5uhleeAers H Fee Circuits
11 0 t0 100 qm s 0 to 30 Arn s SG .CD 0 to 30 Am os
101 to 200 qmps 31 to 700 qmps 31 to 100 qm
Above 200 qinps Above 100_Ainps Above 100_.Am{n
Transtonners RemoteControlGrc. ?UL Partial-'Oth•
Signs Special InspecUOn g
G'1
?y
Remarke: ?
? 70TALF
f /
Fuuyh-in Date
p
?Zy . Ins???e Eleo<ncal
poctar
here6y
,
U
th
t th
Fr??I
DatP? ? cer
ty
a
e above
pxction has been
I? nwde.
This request voiA
18 monihs fiom
This request void
?8 n'o93?351 ?
L,, g?? ?C, ? s± a4a-7
Renuest ate Fne No. qovpt`P? Inspecbun ?Ready Nu?Will Nnury Inspec-
3 ttlu- es ?NO tor When Reody
ICensed Elec[ncal Con[ractor I hereby request mspecUOn o( above
10 U.ner elechwal work installed at'
Sy¢ut AdJr
ess, eox o
r R
oute N
o. G[y
.
t
r
?
p
`^`
1?W Tv?SSN YV
• e
,,??
EW?'
erllon o. Township Nanm or Nu. Range No. Counry
Dw?m
Occupantl?PpplN?TI Phone Nn.
Power Supulier AAdress
l o..?. (?{?
?,l,
Elec ical CnnVactor (CompanyNamm)
?
" Cnnh cmr's Liconse No.
A 3`i
Lt-L tt ECQ
kL- f
Matling Address IContracmr or Ownor Mnbng Insrollevonl
???I
C
?•
? ?.
A
ontractodOwner Mnking InslallatioN Phone N
umber
t
?
?
1'
?V- 5
MINNESOTA STATE BOARD OF ELECTqIC1iY THIS INSPEGTION FEQUEST WILL NOT
Gri99s-Mntlway Bldg. - floom N-791 BE ACCEPTEO BY THE STATE BOARO
1821 UnivarsrtY Ave., SL Paul, MN 55104 UNLESS PNOPEH INSPECTION FEE IS
v?.....e IB141 997.2111 ENCLOSED.
CITY OF EAGAN
3795 Pilof Knob Rmd Eagen, MN 55122
PHOHFt 454-8700
BUILDING PERMIT
re ee us.a b. SF ?/GAR
NY 7055
Receipt .# °'?? ??/
..., Januaiy 4 10 82
$46,000
Site Address 1761 FoZ'ssa Wav (Plan 106) Erect ? OccuPancy R-3
Lot 5 Block 5 SBCisun. Fidgecliffe 1St qlter ? Zoning R""1 (PD)
10 83980 050 OS Repoir ? Fire Zone NA
pancel #
E
l T
f
f C V
n
arge 0 ype o
ons
.
W Name ()]'Y'in TbOUPSM FJCFnes Move ? # Slories
? Addren 1712 HOpkinS CYOS51'Ddd Demolish ? Length 47'
.-:... M+tr. SS'ieZ n, ___ SG4_7112 Grode rl Depth.37'_Sa. Ft.-
o Name_
•
Mdres!
Name _
Address
I hereby acknowledge that I have read this opplicotion and stote that
the inlormotion is correct ond aqree to wmply with all applicoble
State of Minnesota Stotutes and City of Eagon Ordirances.
Assessment _
Wafer 8 $ew.
Police -
Fira
Erp.
Planner _
Council _
Bldg. Off. -
APC _
Feat
permit GO?.VU
SurcFarge 23.00
Plon check 132.50
SAC 9;7.9; - (10
Water Conn. 3?_
WoterMeter Fn_nn
Road Unit 1 RS Ofl
Toroi $1525.50
$Ipnafure of FermiRee - I
A Building Permit Is issued to: Ch"r'i n'Axmmmn Aaips on tM expreas condition thm
all work shall be done in occordance with oll opplicabfe StaM Minnesoto St ond Ciry of Eaqan Ordirances.
Buildin0 Officiol ? ?p
CITY OF &1Cr1N InClude 2 sets of plansr
1 site plan w/eJcvations 6
J BUIIZINK: PFRh;.T_N'FLIClaTI 1 set of enc_rgy ailczulatiorv4.
Used For
'Ib B Valuation ;g*
-la? Date 12.`ZN-B l -
e ;
Site Address: 1?!ot Rofssa ?
V.1e?.a ??n(- OFFICE USE O^ILY ?
/Suti
Bloc'Jc Sec
L
t ?
f? S R Erect occupanc'y .? ?
.
o
.
s?
F c
? Alter Zoning
I"
Parcel #: IU iL?J?? ?SD -
'-(?? Repair Fire zone N fl _
O,mer:
Address:
City/Zip Cocie:
Phore # :
Contractor:
Pddr2S5: a Dwision of U S. Home Cc-,orjion
1772 HCPY,;VS CRCSS'nOAD
C}t]//Zlp C.Od27 pr,l•?, r7G1KA I:I\?l S"aO
Phone #: S44-1333
Arch./F1ng.:
Pddress
City/Zip Code:
Phone #-
Enlarge _ TyPe of Const. T:-
Nbve # Stories
Derrolish Front ? eZ ft.
Grade Depth ? ? ft.
APPRCNAIB rr-
Pssessnents
Water/Sewer
POlice
Fi re
En4 •
Planner
Council
Bldg. Off. C?
APC
Pesmit -ZA
Surcharge _
Plan Check
SAC `
Water Conn.
Water Meter
RDad Unit
'Il7iAI. -1' 52 , S6 i
Summary of April 15, 2000 Energy Coc1e Requirements for Detached 1&2 Family Residen6al Buildings
Cade mquinrtment Optiai A -Chap1er7670 Catcgory 1 es amcnded by laws ol' MN 2000, CIh 407 Optiun li - Minnesota Rules Chapter 7672
1. Materials & e w ment
Plans and Plans and specifications must show design critena, extenor envelope Same except with additional required items: location of intenor air
specifications component materials, U-values of the envelopc systems, R-values of barner, vxpor reterdei, and wind wash barner, identrfication of air sealing
insulating materials, size and type of apparatus and equipment, and requircd; U-values of windows, doors and skyhghts and other informauon
equipment and sysrems wntrols. needed to detertnine compliance (such as required ventilatiun system &
muko-u air .
2. Foundation wall
Insulation Cookbook reqwres R-10. Trade off permitted with MNcheck. Cookbook has options for R-5, R-1 Q or R-19. Trade-off pennitted with
MNcheck, but not less than R-5.
Protection of Exterior msulation from tup of foundation wall to 6° below grade must be Same.
exterior insulanon rotected against W and h sical abusc.
Protection of interior Moisture baaier required belween insulation and foundation wall from flour Same.
msulatiun to raJe.
3. Rim/band'oisis
77-
R-value Cookbook o tion re uires R-19. Trade off ertnitted with MNcheck. Cookbook o tion re uires R-10. 7'rade off ernntted with MNcheck.
Va or retarder Re uired on rim'oists suscetible lo condensatiun from moisture diffusion Warm side va or retarcler re uired
Interior air baaier Rim'oist re uired to be sealed ro revent air leaka+e. Same.
Exterior wmd wash
bamer Not addressed. Extcrior wmd wash barrier required.
4. Flanlin g
General rraming options include 2 x 4 or 2 x 6 walls, and other framing options such Same.
as lo walls, nnalized w21is insulated masonr walls, and others.
Attic ceiling Not addressed. Note: winJ wash prutection required at attic edge. Mmimum 6" heel truss tiom outside edge uf rop plate to roof slieathmg.
framin +
Wall framing: Exterior wall comers and intersections of interior partition walls with exterior Exterior wall comers and intersections of interior partition walls with
Exterior and mterior walls are not addressed Exteriorjoints in the building that may be sources exterior walis are framed so that msulahon can be installed aftcr the
of air leakage must be sealed. exterior shealhing is installed. Wlienever intenor kanvng meets an
insulated ceilmg or exterior wall, a continuous intenor air bamer must be
instullcd.
5. Thermal dorm ance minimums
Vaulted ceiling Cookbook option requires R-38 between framing plus R-5 sheathing. Cookbook option requires R-38 between framing, no insulated sheathing
re uired.
Attic access panels Not addressed. R-38 for ceiling pancls and R-19 for wail pancls, and must be wealher-
s[ri cd.
Floors over Recommend R-30. Maximum U-0.033 or minimum R-30 specified (trede-off may not be less
unheated s aces strin ent that these values).
W mdow ihermal Rating must be National Fenestration Rating Council (NFRC) or ASHRAE Rating must be NFRC or de(ault table in the code. W indows must 6e
erfonnance Hand6ook of Fundamentals. No maximum U-value. labeled. Maximum avera ge U-value f'or windows is 0.37.
Page 1 of 4-- Source of summary: Minnesota Department of Commerce Encrgy Information Cenrer 651Q965175 or 800-657-37I0, www.commercestate.mn.us. 4/00
Summary of April 15, 2000 Eneigy Code Requirements for Detached 1&2 Family Residential Buildings
Code mquimmrnt OpGun A- Chapter 7670 Calcgory 1 as anxmled by laws ot MN 21100, Ch. 407 Opfiun B- Minnesota Rules Chapter 7672
6. Va rretarder
I I General Vapor retarder must be installed on the warm side of all walls and ceihngs.
Re mred for rim 'oists suscehble to condcnsation from moisture diffusion. Added requiremcnts for vapor retarder on all rim jouts and earth Floors of
unvented crawl s aces.
7. [nteriorairbatri er
General Intenor air bamer must be mstalled on exterior walls und ccilings, including
' Confinuuus intcrior air barrier required. Intenor air barner more
rim
oists electrical boxes & fan housin gs. s ecificall iJentificd Dctinition of "sead" addcd.
Fire blocks Required to be air sealed. Specific fire block Iocations are lisced, such as where interior liaming
mects an insulated ceilin or exterior wail. Sealin g mc mred.
At electncal & All penetrations required to be sealed to prevent air leakage. Same.
telccommumcahon
penetrations
Plumbing & heating Required ro be sealed to prevent air leakvge. Same.
penetrations
Air bamer behind Air barrier reqwred for exterior walls. Same, plus must be covered to protect agamst physieal abuse.
mbs & shnwers
8. Wind wash barri cr
Wind wash barrier Not addressed. HOUSE WRAP I5 NOT REQUIRED. Rigid or Oexiblc materials pcnnitted. Flcxible wind wash barrier must
materials meet ASTM E1677. HOUSE WRAP IS NO'f RE UIRED
Attic edge Required and must be of rigid material. A rigid wmd wash barrier is required to ihe bottom of the mp tmss
chord.
Overhangs A winJ wasli barzier must 6e installed at cantilevered Floors and 6ay Same, with added requirement that the wmd wash baruer be sealed.
windows.
Rim 'oist Not addressed. Scaled wind wash barrier re uired.
Sheathiiigjoints & Joints not over solid blocking must be scaled. Joints not over solid blocking & penetrations must be sealed.
enetrations
I I Garage wall Not addressed. Sealed wind wash bazrier reqwrcd / firewall sealed at edges, joints &
enetrations.
9. Thermal insWat i on lacemen su ?t and identification
General Not addressed. Insulation must 6e in substantial cuntact with interior surfxce.
Support on Not addmssed. Insulatiun in Floors and walls must be supported 6y shexthing or other
unconditioned side material on the unconditioned side to resist movement & wind wash.
Attre insulation Attic card required. Requirement for either a[tic insulation thickness markers Same, plus notification posted near the building inspection card
ur tags from bags installed tu verify insula[ion quantity. indicating [he installed at[ic R-value and date of installation. Barrier
re wred to revent loose fill from enterin eave.
Page 2 0(4 4/00
Summary of April 15, 2000 Ene?gy Code Requirements forDetached 1&2 Family Residential Buildings
Code mquiremcnt Optiun A -Chapter7670 Caregory 1 as amended by Luws of MN 2000, Ch. 407 Option B- Minnesota Rules Chapter 7672
10. Methods forcom liance / Ene Calcula6ons
Component Equations specified. Trade-offs pemitted. Uo-value equations and tables of many building elements giveu in
pedonnance (Uo) Chnpter 7678. Uo-values of elements not Iisted in Chapter 7678 must 6e
method calculated b re istered en gineec Trade-offs ermitted.
Cookbook tn61e Qased on fumace efficiency of 78%. Doors mus[ be U-03 or ]ess or 1 Based on furnace efficiency of 90%. Storm door not required. R-] 0 rim
wood wuh storm. R-19 rimjoist. Vaulted cedings required R-38 plus R-5 joist. No insulated sheathing required for vaulted ccilings "1'ahle
sheathm . Foundation wall insutation must be R-l 0. ex aaded to a14ow R-S, R-10, ox R-19 foundahon wall insulation
MNcheck Not addressed m code. Trade-offs pemitted. MNcheck is speciFically ci[ed in the code as an appmveJ tool to
com hance tool demonstrate com liance. Trade-offs pemitted.
Design by systems References the Mode] Energy Code, 1989 edihon. TraJe-offs pemitted. References Hie Model Cnergy Code, 1995 edition. Trade-offs pemitted.
anal sis method
Heated three-season Heated three-season porch is mcluJed in energy calculations for the mtal The porch mxy be calwlated separately - allowing unlimited window
porch method buiiding. area The porch heating system must be able to be shut off cumpletzly,
aod the wal] sepacanng the porch from the livmg space must meet ihz
same re uirements as an exterior wall.
11. HVAG
Duct insulation R-S For ducts outside conditioned s aces. Same.
Duct sealing Transverse & longitudmal jomts sealed for ducts outside conditioned spaces, Sume, including an additional requirement that ducts outside the interior
Seal where hcating & cooling ducts penetrate Ihe exterior envelope. av 6arrier (including in extenor walls) must be sealed wLLh a product
meetin UL Standard 181 or e uivalent.
Fuel buming Bwldings having fuel burning eqwpment using nonsolid fuels for space Fuel buming equipment chosen will determine whreh ooe of five
eqwpment heanng, service water heating, or hearth producls must mstall direct vent, prescriptive paths must be followed.
ower vent, or sealed combustion e ui ment.
Combusnon air Must 6e installed er state mechanical cude Cha ter 1346) Snme. "
Protec4on agamst lf any single exhaust device over 300 cubic feet per mmute is installed, sealed Prescriptive path chosen idenGfes required make-up air for exhaust fans
excessive combustion space heahng equipment or an altemative make-up air source and CO detectors. Addihonal performance path option availa6le.
de ressunzntion must be used.
12. Residential ven6lation
Outduor air A residential ventilation system must be imtalled that, by mechanical A mechanical residenttal ventilation system must be installed w6ich
requircment means, is capable of introAucmg and distnbuting outdoor air to all replaces, by direct or indirect means, air from the habdablc rnoms wiih
habitable rooms and removes indooc air at a rate of not less tlian 035 mr outdoor air at a rate of a[ least 0.05 efin per square foot of tloor area
changes per hour, or 15 cu6ic feet per minute per beAroom plus an additional
15 cubic fee[ cr minute whichever is greater.
System requirements Must be mstalled in accordance with manufacturer's instruct3ons. System fans must 6e quiet (1.0 sones for surface mounted fans) and rated
for continuous use. Man additional re uirements u 1.
13.Hotwaters st em
Pipe insulatiun When the water heater is not equipped with integral hea[ traps, pipe Pipe insulation optwn is fur the firsf 3 feet &om tank. Exception for
requirement insulation (1/2") is required for [he First 8 feet from tank. pipes near a draft diveaex. Pipes through ancondihoned spaces and
i es in contact with concrete or soil must 6e insulated.
Page 3 u(4 4/00
I Code mquircment I Optiai A -Chapter7670 Catrgory 2(toraAdiliois anA al(erafiuns) I Opfion B- MinneSOfa Rules Chantcr 7672 I
14. A lication to addi[ions and altetaUons
Ueneral Additiuns and alterations to exisnng buildings ivust comply wi[h all the 5everal specific requirements for nddihons and alterations whicli are in
re uirements of Cha [er 7670 Cate o 2 most cases less strin ent than re uirements for new buddin s.
Effect on pomons of No requirements for any poRion of the buildmg not part of the alteration oi If alteration reduces av leakage, then combustion air may be required
the bmlding not addition, provided that the alteratiou or addition comyly with the (sce bclow). No other requirements for any portion of ihe building not
bein altered re wrements of Cha ter 7670 Cate o 2. art oFthe alteration or addition.
Addmons Must compiy with the requirements of Chupter 7670 (Category 2). Three options for compliance. In one option credit can be taken for other
energy improvements done under the same permit as the addrtion or
alterntion.
Cunversiuns fmm No requirements if energy use is not greater than prior occupancy If energy No requirements if energy usc is not greater than prior occupnocy. If
different oecu ane use is reater, then mus[ com t with Cha ter 7670 Cate o 2. ener g use is =realer, then must com I with Cha ter 7672.
Rooflceilings Additions and alterations must comply wi[h the requirements of Chapter Added reywrement to seal accessible attic bypasses prinr ro insulating
7670 (Category 2). When an uninsulated attic is Pinished, sloped ceiling must be at least R-
1 S.
Addition of loose Attic card required. Requirement for either attic insulation thickness markers Attic bypasses must be sealed.
fill attic insulation or ta gs from ba gs installed to verif msulatiun uantit .
W alls Additions and aiterations must comply with the requirements of Chapter Entire window units replaced must be U-0.37 maximum. In some cases
7670 Cate o 2), walls must 6e insulated to full de th when interior finish is removed.
Heated three-season Heated three-season porch additions must comply with all the requirements of The porch may be calculuted septutttely - allowmg unlimited window
porch addition Chapter 7670 (Category 2). area. The porch heating system must be ab[e ta be shut off completefy,
and the wall separating the porch from [he 6vmg spuce must meet the
same re uirements as an extenor wa11.
HVAC New e ui men[ mus[ meet Federal minimum efficienc re wrements, Same.
Mechanical Not addressed. Mechanical ventilaUon is ONLY required for additions or alterations to
ventilation homes whose building permit for initial construction was applied for
after A ril 15 2000.
Protection agamst Not addressed. Yrocection against excessive depressurizaGon is ONLY required for
excessive addirions or alterahons to homes whose buildiog permit for initial
de ressurization construction was a]ied for aRer A ril 15, 2000.
Reduction of air Not addresscd. If bmiding is air tighteoed and fuel burning equipment does mt have
leakage com6ustiou aic intake, then a combus[ion air mtake must be mstalled
er the state mechanical code.
Page 4 of 4 4/00
Job Site Atldrc:ss:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS city oF eeqa?
INSTRUCTIONS: This alternative may be used for one- and trvo-family dwellings built to meet [he Category 1 requirements of
Nlinnesota Rules, Chapter 7670. Completc Parts A, B, and C. Cleady mark plans withinsulahon R-values; window and skylight U-
values; size and rype of equipment; equipment conhols, and location of vapor retarder and windwash bamers. More detailed
informa[ion can be found in the Minnesota Energy Code summary sheets available from the Minnes'ota Department of Commerce.
Part A. BUILDING ENVELOPE
Check proposed envelopejoint sealing option 4 ? Prescnptrve (caulking, gukets, etc ) ? Pzrfonnance (test per 7670.0470 subp. 7.C.)
Check thetmal energy calcutation option used 4 Cookbook" (complete worksheet below) ? MnCheck method (attach repon)
?ff_ Performance (attach U-value calculations) ? Svstzms Analysis method (attach
"Cookbook" Worksheet
INSTRUCT[ONS
Step 1. Check item(s) that design meets on Minimum Requirements list
to the right. Must meet all items to use "Cookbook" opuon.
Step ?. Indicace proposed wall t}Pe on table 6etow.
Srep 3. Indicace Window U-value and source.
Stcp 4. Vzrify total window (including area of all f'oundation windows)
and door azea is equal or less than allowable percentage.
MINIMUM REQUII2EMENTS
for "Cookbook° o Hon od )
0 Ceiling Insulation: Minimum R33 with 7Y2" energy heel; or
Minimum R-44 with fow wss heel; or
Minimum R-38 with R-5 sheathin when no attic.
Entry Doors: Max. U-value of 0.30 or P/" solid wood with srorm
Cjk? Rim Joist Insulation: Minimum R-19
?. Floors over unconditioned s aces: Minimum R•24
Foundation Insulation: Minimum R-10
Foundation wmdows: 'R' msulated lass, wood or vin I frame
TABLE FOR ?ETERNIIMNC MAXIMUM WINDOW AND DOOR AREA
Maximucn Allowablc Total Window and Door Area as
aPercenia eofEx osedWall
12%
14%
16%a
196% 20%
22%
2 4 % 26%
28%
Wall T e Standard Framin : Maacimum Avera e Window U-value (exce t foundation windows :
? 2x4, R-13 insulation, R-7 sheathm 0.55 0.47 0.41 036 033 030 0.27 025 023
'7 2x4, R-15 insulation, R-5 sheathm 0.52 0.45 039 035 031 0.28 0.26 024 0.22 1
2x6, R-19 insulation, < R-5 sheac}un 0.48 0.41 036 032 029 0.26 0.24 0.22 021
? 2x6. R- 19 insulation, R-5 sheathing 0.56 0.48 0.42 037 034 031 0.28 0.26 0.24
? 2x6, R-21 insulation, < R-5 sheathin 0.51 0.43 038 0.34 030 0.28 0.25 023 012
? 2x6, R-21 msulatioq R-5 sheathm 0.58 0.50 0.44 0.39 0.35 0.32 029 027 0.25
Wall T e AJvanced Framin : Marzimu m Avera e Window U-value (exce t foundauon windows :
? 2x6, R-19 msulation, < R-5 sheathm 0.52 0.45 039 035 031 0.28 026 0.24 0.22
? 2x6, R-19 insulation, R-5 sheathin 0.58 0.50 0.44
1
0.39
035
, 032
029
027
0.25
? 2s6, R-21 insulation, < R-5 sheuthin 0.55 0.47 0.41 0.36 033 030 0.27 0.25 023
? 2x6, R-21 insulation, R-5 sheathing 0.60 0.52 0.46 0.41 036 033 030 0.28 0.26
Window U-value: o .? Source: C ? ASHRAE 1993 Handbook
100 X t01?_2?0'GVO °oJ <
window & door area gross exposed wall area DES GN ALLOWABLE (from table above)
?
/
MINNESOTA ENERGY CODE - WHIcH Ruc.ES Ma r I UsE ?
J'
TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES
De[ached R-3 occupancy t- and 2-family dwellings Chapter 7672; or
Exam les: sin le famil , twin homes, du lexes Cha ter 7670 "Cate o P" with statuto de ressuriTation and ventilation re uirements
AKached R-3 occupancy dwellings Chapter 7674; or
Exam las: trilex townhousns and row houses Cha ter 7670 wuh either "Cate o 1" or "Care o 2° rovisions
R-1 occupancy buildings of 3 stodes or less Chapter 7674; or I
Exam les: condominiums or a artinents Cha ter 7670 with either "Cate o 1" or "Cate o 2" rovisions
Rd occupancy buildings over 3 stoHes high Chaprer 7676 ,
Exam les: hi rise condos or a actments
?
?
1VEW CONSTRUCTION ONLY
Part B. DEPRESSURIZATION PROTECTION
Chcck option used: ? Fuel bummg equipmeot (complete schedules below) ? No fuel buming equipment
INSTRUCT[ONS
Step I Complete the Cnmbtesrion Eyuipment Schedule below. Only equipment
wrth a Y(Yes) may be selceted under the "Catcgury P" alternate
Stzp ?. Completc ExhutastANake-up dir Schedule on the right if direct or power
vented or solid fucl atmospheric vent space heatiog equipmznt
sclec[ed.
Exhaust
cfm
cfm
COMBUSTION EQUIPMENT SCHEDULE
(check all types ro osed)
Spacc heating- nonsolid fuel ? Sealed combustion Y Hearth - nonsolid fuel ? Sealed combustion Y
? Direct or power vented
Y* ? Direct or powcr ven[ed Y
Atmos hericall vented N A[mos hericall vented N
Water heating - nonsolid fuel ? Sealed combustion Y Space heating - solid fue] ? Atmospherically vented
y:
? Direct or ower ven[ed Y Water heatin - solid fuel ? A[mos hericall vented Y
Atmos hencall ven[ed N HeaRh - solid fuel ? Atmos hericall vented Y
* [f atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is installed, then make-up air to match
flow is re uired for each individual exhaust device which exceeds 300 cubic feet er minute.
Part Ci. VENTILATION
VENTILATION QUAIYTITY
(Mechanical ven[iladon must be provided per the larger quantity calculated below) °
? I cubic feet x 0.00583 /minute =E== efm x 15 cfmfbedroom) + 15 cfm efm
volume of habitable rooms number of bedrooms
Check method(s) proposed 4 VENTILATION FAN SCHEDULE
O Exhaust onl O Balanced (heat meover-y ventilator, air exchan er, etcJ
Fan descrition or location 4 TOTALS
VENTILATION Intake cfm cfm cfm cfm cfm
AS DESIGNED Exhaust cfm cfm cfm cfin cfin
Statement of Compliance: The proposed building design represented m these documents is consistent with the huilding plans,
specifications, and other calculations submitted with the pevnit application. The proposed building has been designed ro meet the
requirements of the Minnesota Energy Code.
Signature
Applicant (print name)
Date Telephone number
Part C2. VENTILATION (Submit Part Cx upon completion of system verificationfi)
X --------------------------------------------------------------
Job Site
Permit Num6er
Fan descrition or location TOTALS
MEASURED [ntake cfin cfm cfm cfm cfm
PERFORMANCEt Exhaust cfm cfm cfm cfm cfrn
j' Ventilation rate must be measured and verified when the performance option is used in lieu of the prescrip[ive option for the
sealin of'oints in the buildin conditioned envelo e from Part A).
Compliance Statemenh Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air
flow.
Applicant (print name)
Signature
Datc Tclephone number
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FOR :
U. S. AOME CORPORATION
ORP??A?E Ar4p ? o??.
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Lot 5, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
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WE MERE6Y GERiliv TMAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEI' OF THE
60UNDARIES Of THE IAND ABOvE DESCRI6E0 AND OF THE IOCATION Of ALl lU1lCINGS, li ANY,
iHEREON, AND ALl VIS16lE fNCROACNMENTS, IF ANY, FROM OR ON SAID IAND.
Doead +his Enddoy oi Z)ec- A.D. 19$1 C. R. WtNDEN 3 ASSOCIATES, INC.
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Sur.arer, Minnewro RapiStrvtien No.,7726
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LAND SURVEYORS Tol. 645•3646
1381 EUSTIS ST., $T, PAUI, MINN. SSIOB
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N71519
. 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reamrements RemodeUReoair Repuiremenis
3 registered site surveys showing sq. it. of lot, sq, ft. of house, and all roofed areas 2 copie.s of plan
(20% maxdmum lot coverage allowed) 1 setof Energy Calculations for heated addihons
2 copies ot plan showing 6eam & windovr sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Additron - indicate ilon-sRe sepfic system
3 oopies of Tree Preservation Plan iF lot platted afler 711193
Rim JoislOeWil Options selechon sheet (bldgs wAh 3 or less units
Date 5
5_ / -Z?- / ? T
StteAddress
Construction Cost
W"--l -71, UniUSte #
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Description of Work 2r-? /? ? 94"'--?'-4-7-
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 V 2
Property Owner ? Z?2eS??NA ?EJ0//-3'elephone # (lp?j' /)
Contractor T s'YVe57-1->?7-/V
Address
State ZFL--.QSS/} W&y ?-.A ?j'.-AN G
Zip2 Telephone # (IOS?) ?52 -?-7 / J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde CategOry . Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet
(d submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Telephone # (
Telephone # (
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residenrial Building Permit and acknowledge that the inforn
that the work will be in conformance with the ordinances and codes of the City
is co ete and
NI1V
Statutes; I understand this is not.a permit, but only an application for a permit, and work is not to start wrthout a
permit; that the work will be in accordance with the approved lan in the case of work which requires a review and
approval of plans.
Swe?--z/V ?-?-
Applicant's Printed Name Applicant's Signature
N If so, 25% plan review
0 9
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) Cl 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OS-plex p 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
A 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding• ? 43 Reroof ? 46 Windows/Doors
? 34 R0p18c2mCnt *Demolition (Entire Bld g) - Give PCA handout to appliwnt
Valuation o ?ocf.? C.? Occupancy MCES System
Census Code J3 y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insutation
Approved By:
REQUIRED INSPECTIONS
Final/C.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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C. R. WINDEN d ASSOCIATES, INC.
LAND SURVEYORS TeI. 645•3648
fiOR: 1381 fU5715 ST., ST. PAUI, MINN. 55108
U. S. HOME CORPORATION
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Lot 5, Block 5, Ridgecliffe First
Addition, Dakota County, Minnesota.
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WE MERflV CERTIFY TMA1 TNIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of TME
BOUNDARtES OF THE IAND A60VE DESCRI6ED ANO OF THE IOCATION OP All !UlIDINGS, If ANY,
TNEREON, AND Alt V151lLE ENCRpACMMENTS, IF ANY, fROM OR ON SA10 lANO.
Dorad thisF?d_doy ef neC. A.D IGFjr C. R. WINOEN b ASSOCIATES, INC.
bY "o"._
Survarer, Minnefoto ROpiseratien Ne.7726
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IAND SURVEYORS TaL 645-3648
„FOR: 1381 EUSTtS ST., ST. PAUL, MINN. 55108
U. S. HOME CORPORATION
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Addition, Dakota County, Minnesota.
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WE HEREBY CERTIfY iHAT TNIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME
BOUNDARIES OF THE IAND A60VE DESCRIBED AND Of THE IOCATION OF All 6UILDINGS, IF ANY,
THEREON, AND AlL VISIBLE ENCROACHMENTS, If ANY, FROM OR ON SAID IAND.
Datod thit ...E!cday of ID°c. A.D. 1981 C. R. WINOEN d ASSOCIATES, INC.
by J"O""g,
Survoyor, Minnowta Ropistrotion No.,EEC,
WL' IY
PERMIT ti RECEIPT DATE:
MIDEPTtlEL PLUM$INH PERM1T Af'PLiCATION
crrY oF f-?+teM
ssso Paor xxoa Etn
fAHAR, 3!N 55122
6s1-661-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventerforirrigation system
51TE P,DDRESS: / ? y /
OWNER NAME: : ¢° 06tn/ke,. StV40a TELEPHONE #: (0 S/ V,?
(AREA COOE)
INSTALLER NAME: ?ff2? ?w eG?f?t TELEPHONE #:
STREET ADDRESS: 12(,f ?"SS c w;y
CITY: E/?br4Y? STA7E:
Place a check mark next to the nermit work tvoe
M101i
(oS/ - Y5-.2 - 5_y9s
(AREA CODE)
ZIP: S.?! 2 ?,'_
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dweiling unit, inctuding: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: /Xew /??trr?t eoo„-x
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ S0. 0
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state lhatthe information is wrrect, and agree to wmply with all appliCaWe Ciry of Eagan wdinances. 0
is the applicanPs responsibility to noUfy lhe propeAy ovmer that the City of Eagan assumes no liability for any dama ?used by the City aring its normal
operational and maintenance acUvities to the facilities consWcted under this pertnit wlthin ' righ4of-w y/easement.
S GNATURE OF PERMITTEE
Updaled 1101
T0: LORIVII OLSON, iTPILZTY BIIS,I^]G CLGRY. S-S C? I
DALE PETEgSON, QIIEf' BUILDIN(; OFFICIAL
BILL BRANCII, SUPERINPIIVDIIVT OF PUF3ISC WORKS
FROM: THMAS A. COLBBRT, DIItE;CMR OF PUf3LIC WORKS Q41?_
DATE : NOVFi+lBER 17, 1981
RE: RII7CMCLIFFE 1ST ADDITION - SESVER AND WATER CONNF.CPIONS
On Septenber 10, 1981, anEm was distxibuted listing several lots in
the Ridgecliffe lst Addition which would not be issueci sewer and water
permits witil sanitaty sewer service had been made available. Because
it is not anticipated that gravity saru tary sewer will be available to
provide service to the affected lots until July/August of 1982, Orrin
, Thorrpson Hoires has agreed to install a teaporarv lift station from Man-
hole No. 37 to the 4" servicae line for Lot 8, Block 9, Ridaecliffe lst
Addition. Attachecl to this resp is a copy of the letter we received
from Orrin Thompson Homes whereby they indicate that they will perfoim
the installation, meintenance and liability of this tenporary lift sta-
tion/force main sanitazy sewer until such tiure gravity sanitary secaer
can be extended across the future I-35E during the spring of 1982. There-
£ore, with this tenporary system being installed and maintained by prriri.
Thompson Hams, the ter:orarv hold on saaer and water percnits and occu-
pancy for the follawing lots has now been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Lots 18-23, Block 9
Lots 10-16, Block 10
Lots 1-10, Block 5
Lots 1-4, Block 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This temporary sanitazy force main will still not nrovide service to
the follawing lots:
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous nem will still
apply to these lots.
These lots are referenced on the attachcd map for your information. If
any problems arise pertaining to sanitary sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thompson Homes for the
proper resolution. If you have any c?uestions to this release of the re-
striction on the building and secver/water permits, please contact ire.
Please insure that all personnel in your departrrent are aware of these
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Thcnpson Homes
? -
'Ib: TARNA OISON, UPILITY BILISN(; CS,ERFC
DALE PEPERSpN, QiIEF BUILDING OFFICIAL
BIIS, BRANCSI, SUPERINTLNDIIVT OF PUBLIC WJRKS
FF20M: THOMIIS A. COLBEFYI`, DIRECTOR OF PUBLIC TnIORKS a? V
DATE: NOVEtiffiEEt 18, 1981
12E: RIDCECI,IFFE 1SP ADDITION - SEf+TER AND WATER CQUNECTION RESTRICTIONS
On Noveirber 17, 1981, a imnb was £ozwarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any seaer, water or occuoancy peynits due to the unavailability of sanitesy
sewer. There appeared to have been a duplication of lots that were refer-
enced for future restrictions as conpared to those whose restrictions had
been listed. Please be aware that the follaaing lots only will have re-
strictions placed on the issuanoe of sewer, water or occupancy permits:
Int 1, Block 8
Lots 1& 2, Block 9
Iots 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenced lots are not granted any pesmits that
would allaa their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this rm.n-o.
TAC/jach
cc - Bob Carlson, Orrin Thrnpson Hcms
c.S , r> S ? e- ?-1
1D: IAR-IA OI.SCN, UfIISTY IIIIS.L'NG QE.RK
BUIIDING INSPEGTICN DEPAKL*42qT
BILL BRANQi, SUPEREPFSIDFNT CF PQBISC WURKS
FR(m: 'IIiQ,%S A. NI.BIIiT, DIRECIUR OE' PGBISC Wt7RKS d*L-?
DATE: SEPTFS7SER 10. 1981 _
RE: RIIX;EQ.IFF'E 1Sf ADDITIQ+1 .
Because the follaaing list of lots in Ridgecliffe lst Addition does
not have qravity sewer outlet at this- time, the followiix3 proce--
dures will be inittiated lmtil further notioe:
APII.1'11' BILLLTIG
No water tuzn-cns will be allaaed prior to 8-1-82 or mtil sewer
is avai.lable in these areas. "
BUIIDLNG L%SPECTICN
Buildin9 permits can be issued for these lots, but the builder
should be informed at time of penit issuanae (perhaps stanpi.ng
the bttilding peanit with "NO OOC.LpRVCY PRIOR 'N 8-1-82 OF. UNTIL
SEwER IS AVAIIABIE") the restrictions cai secser availability.
MMPEIPNCE UEPA=Mfl'
See both utility billing and buildi.ng inspection above.
The lots with these restrictions are as follaas:
LdIS 1-9, BLOCK 7
- LC7I5 1-6, BIL'CTt 8
L(7!5 1-7 BIG(+C 9
LOiS 18-23 BLOCK 9
I.CrIS 10-16 BLOCK 10
IL7PS 1-10 BLOCK 5
IDTS 1-4 SIrCCfC 6
U•7PS 1-6 BLOCK 12
Lc7I5 1-27 BLOCK 13
an@ are also indicated on the attached maps. :
jac
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA074474
Eagan, MN 55122 . Date Issued: 07/25/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1761 Forssa Way
Lot: 005 Block: 005 Addition: Ridgecliffe 1st
PID 10-63980-050-05
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952-445-2840. Brad Luiken 1818 N W 6th Street Faribault, MN 55021 507-332-7802 luiken3@hotmail.com
Fee Summary: Surcharge-Fixed $0.50 9001.2195
ME - Permit Fee (Replacements) $30.00 0801.4088
Valuation: 5,550.00
Total: 530.50
Contractor: -Applicant - Owner:
Luikens Heating & Air Conditioning Bart A Swedin
1818 NW 6th St 1761 Forssa Way
Faribault MN 55021 Eagan MN 55122
(507) 332-7802
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164048
Date Issued:09/17/2020
Permit Category:ePermit
Site Address: 1761 Forssa Way
Lot:5 Block: 5 Addition: Ridgecliffe 1st
PID:10-63980-05-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Bryce Moltzan
1761 Forssa Way
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature