3020 Poppler LaneAddieSS_'3020 Poppler Lane Zlp 5512 1
IAt 2 Blk 0 Sub poppler Homesteads
TfESE Tl'EMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FI SPE ON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps ftom the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2d09 17:50 6122411655
PAGE 02
VIL
?
'! ? /'4 - 5 ?'?-/C,/ y/
/
.. Firo Protaction Oy Canpts Doaiv? MV % f? I e r
II
- DESIGN LINE FIRB PF.OTECTION
7E3-941-7335
?omeS?eac?s
Job Name :REGAL HOUSE--POppLER Svildinq t CORRiCAR :.ALC
Location : 3020 POP?LER LANE F:RGAN H,y
systam : 1
ContracC .
02td ii:_ : REGA;.2-1,i7XF
c
Computer pkoqzmy by Hydrazec Inc. Rcute 117. Windham N.H, 4'SA 0308'7
83;22/20dB 17;50 61224116E5 PAGE a3
•?"- Page 2
?REGAL i0U5E--?oPPLEA Date
HYDRAt7i.IC DESIGx INFOFMATION SF;EET
Namc - REGAL q0U5E CaCe - 3/7/200C
e:ocatior. - 3020 POPPLE3 LANE BAGA.N %1N
Bu11tl1ng ^ CORRIDO[t CAI.G Sya_em No. - L
Cor.L:actor - AC:ION AUTGMATIC FIRE FdOTEC.:ON Contract No. -
Calculated By - eRUCE THOtuS Dcawinq No; - 1
Construction: O Cambustlble (X) Nor.-COmbvstible Cezling Height 8 FE£T
OCCePANCY -
S
Y
S
T
a
M
Type o°_ Caiculation: ()NFPA 13 Resider,tial ()NFPA 13a
Numbor oi Sprlnklers Flovir.q: ( )1 ; )2 ( }9 ! 1
f ;otL¢r
( ;SneciEic Ruling Made by
Li.sted Flow at 5tart Pnint - 1C.5 Gpm
Li.aced Pree. a: ?tnrt 8oi.nt - 12.3 Psi
l1SlC?PtUM LISTED SPACING 18 x 18
Domestic Flow Added - 30 6pm
Additional Flow Added - 0 Gpm
Elevation at Highest Outlet - 0 Gpm
NOte:CCARIDOR ('ALC
D
6
S
z
G
N
(X)NSPA 13D
Date
System TypB
(XI Wet ( ) Dry
( ) Deiuqa ( ) PreAetion
Spcl.nklet or I:vzzla
Heke CENTAAL Mcdal LF
Size 1/2" NPT K-Fectox 3.0
SemperaCc:e Ratinq 155
Calculation Gpxa Required 51.13
SumrraYy C-Factor Used: Ps'_ Reqi:;.ted
Ovtrrhead :50 58.106 eA3E AISER
Unde=q=ound 190
W Waeet EioN Test: . Pump Data: Tank or Aeservoir:
A Date o! Tesc - 3/15/20C0 AateC Cap. Cap.
T Time of Test - @ Psi 67.ev.
E Stdt.ic (pai) - 70 Elev. 1
R Residual (Psi) - 65 Othec Well
Flow (Gpm) - 2C90 proo: Flow Gprt
5 Elevation - 1
2 I,ocatian: SITE
P
L SOaxce of Informatipn: ACTION AUTCtAATIC FIRE
Y
Computer Pzoqrams by Hydra*_ec Snc. Route 111 Windham N,H. ?SA 03C87
)ESIGN LINS F7RE PROTECTION Pave 3
-- 03/22/2008 17:50.y .61224;1655 PAGE 35
Daqe G
REGAL HOL'SE--pOPPLER Date
FittanQ Leqand
Generic Rlazm Va
Genexic 9utterf:y valva
Roll Groovg Coupling
Dry Pipe Valve
90' Standaca Elbow
45' Elbow
Gate Valva
45` Gxyd-Vic Elbow
90' Gxvd-VSC Elbvw
90' Givd-Vic :ee
Detector Check valve
Lonq Turn Elbow
Mediwm Turn Elbow
PVC 8candard Elbow
?VC Tee Branch
PVC 45' ElbOt+
Flou Contral veloe
PVC Coupiing/Run Tea
9wing Check Valve
90' Flov thru Tee
45' .FZZalock Elbow
90' Fireloc;c Elbow
SVafar CheCk Vglve
40' Firelock Tee
Mec.hanical 1'ee
'e:ow Suitch
Computer Erogzams ny Hydratec Ir.c. Route 111 windham N.N. IISA 03097
63/22/20d0 17:56 61<2411659
-? :,lNn ei:wti rxvlrc:ilvu
ASG1L HOUSE--PO?PLER
Eage 5
Ca'e PAGc 06
Unadjusted Fittinqe 2ab1a
=?Z 3/1 1 1 1!6 1 1fZ 2 31/1 3 3 1/2 <
A ' 7.7 2:.a 17.0
8 7 10 12
C 1 1 1 1 3 . 3 L 1 1
° 9.5 17 28
E 2 Z 2 7 4 S 6 7 B 10
F 1 1 1 1 2 4 ) . 3 3 8
? 1 3 1 1 2
H 1 -.5 7 Z 3 3 3.5 3.5
= Z 3 9 3.5 6 5.0 B 7
? 4.J C 8 B.5 10.8 17 :7 16
? 14 10
L - 1 7 z 3 4 5 5 6
M 3 4 S 6 6 B
N 7 8 9 11 12 13
0 3 3 ? a B 30 13 IS
P 1 1 1 2 2 2 3 !
0 18 29 3s
A 3 1 1 1 1 1 2 2
3 1 5 5 1 9 11 14 16 18 22
T 3 4 9 E 8 10 12 15 17 26
U 1.8 2.4 2.6 3.1
v 3.5 9.3 5 6.8
W
10.3
x 8.5 10.8 13 15
Y 2.0 7.0 510 6.0 8.0 10.5 12.5 15.5 21
- 7 2 2 3 a 9 6 7 8 '_o
5 _ 6 8 10 }2 =4 16 L6 20 ZI
A 1' 27 29
B 9 10 12 19 21
C 1 3 ! 1 1 1. 1 1 1 1
D 47
4
?1
14
18 1
24
27
35
40
0
50
61
F 5 7 9 11 13 17 19 21 24 29
G z 3 < 5 6 7 8 13 11 _3
7 9•7 J 6.5 8.5 10 19 20 23 25 30
I 8.5 10 13 17 20 23 25 33 96 90
3 21 25 33 41 $O 65 78 BB 98 120
K 38 55 45
L 8 9 33 18 1B 28 27 30 36 CO
M 13 12 16 19 22 .
9
0
P
Q 33
R
5 27 32 CS 55 65 76 87 98 109 130
T 25 , 30 35 SO 60 11 B1 91 301 333
0 9.2 5.0 5.0
V 6.5 10 13
13.1 31.8 95.8 27.4
x 21 25 33
Y
a 12 14 19 22 27 35 90 95 50 61
Compucer Programe by Hydxatec Inc. Route 111 Windham N.H. vsa 03087
, 03/22/2000 17:59 6122411559 FAGE 37
ccJlbn LtN_ Ytnk NttU'1'k::1'!CN Paqe 6
REGAL HOL'S'a--POP?LER Da-e
xode slevncioa x-i.ec pt pn [low nemisy Asea vreee
N0• ACxual Actual AeeaA Req. Rp.
- 9 7 12_3 .14 10.52 .1 1c5 12.7
z 9 3 12.31 rta 10.51 .. 105 17.3
3 9 13-3 na
/ 9 1,4.04 no
5 9 15.48 np
6 9 15.48 na
7 9 - 3S.4B na
8 9 Ll.69 na
9 9 16.96 na
7R 9 . 1'.4 aa
BR 1 29.12 ap ,
UG . ' 22.48 fld 30
UGi 1 , 25.95 ns
97 1 59.11 tta
The mnatmuID velociiy +_9 2:.2 and lt occuia :n tRe p:pe bacveen r.odae 061 anC S^,
Compur.er Proqrems ty Hydzatec Snc. ttouce ili winanam N.H. USA 03087
e3i22; 2eae 17: se e12241165s Pa,r_ aa
D6SIGN LiNE FIRE PRO'CEC TION Paqe 7
REGAL HOCSE-^?OP?LER pgte
Hyd. pa Dia. Fittinq p:pa pt •Pt
Ref. C. or Ftag's P6 Pv ••'*W "' Notes ?•**"«
Poin^ Qt PflUL Eqv. Ln. Tota'_ Ff Pn
1 10.52 1.101 10.000 12.300 tc eactor = 3.0
tC 150
2 10.52 0.0207 10.000 0.207 Val ° 3.545
2 10.6i 1.101 IT 9.563 1.000 12.507 H Factor - 3.0
*.0 150 9.562
3 21.13 0.0759 LC.562 0.7 96 ve'_ - 7.121
3 1,301 1T 9,563 0.400 13.303
co ?50 9.562
_4 e^i.13 0.0753 9.862 0.750 Ve'_ = 7.121
4 1.101 19.000 14.053
tc 150
8 21.i3 O.G753 19.000 1.431 vel - 7.121
21.13 15.484. K Factor - 5.37
5
to
fi C
0 1.101
150
0 1?.ODC 15.985
10.000 C 0
0
0 vQ1.0
6 0 1.201 lE 3.925 15.OOC 15.485 0
tu 150 3.825 0
' 0 0 18.925 0 0 Vel = 0
'r 0 1.101 1T 9.563 0.400 15.485 0
to 150 9.562 Q
8 0 0 9.962 0 0 vei = 0
8 21.13 1.101 7.T 9.563 10.000 15.485
ta 15? 9.562
9 21.13 0.0753 19.362 1.973 Vel
9 1.:0? lE 3.825 2.060 16.958
to 150 3.825
TR 21.13 0.0154 5.325 0.939 ve'_ - 7.121
TR 1,104 5.000 17.397
to 120 2.166
SR 21.13 0.1176 5.000 0.562 Vel = 7.082
gR 1.104 18 3.000 20.129
to 120 15 6.913 6.413 1.299
UG 21.13 0.1123 9.413 1.p57 Vel = 7.082 -
UG 30.00 1.61-1 lE 5.320 - 95.Q00' -22.451 Qa = 30
to
UG1
51.13 140
C.0690 5.320
50.320 '
?7.0'- Ve'_ = 6.056
uGl 0.995 1G -45.000 25.951
to 150 1T 5.841 5841
.
ST 51.13 0.6324 50
891 2.159 ' Ve: = 21.097
51.13 58.105 ?i Factor - 6.74
?y
?
?s G
Canputez Proqram5 by Rydratec Inc. Route 111 9PindhdIIi N.A. USA 03087
63/22/2006 17:50 61e2411655
.. Fin PrdooYen py CampmRM Desipn
DESIGN LINE FIAE PROTECTION ?
763-441-7335
PAuE 09
Job Name : AEGRL HOUSE--POPPLER
Blli191l1g : L:L'ZNG ROOM CALC
Locatior. : 3020 PCPPLER LANE BAGAN MN
Sy6Lem
Concract ,
Oata File : REGAL2-2.WXF
Computer Prograns by HydrateC InC. Rcate ill Wintlham N.H. USA 03087
03/22/2679 17;58 6122411655 PAGc 10
JESiGN L1N't ;iRE PRO.ECSION pg4q Z
AEGA? HOUSE--POPFLER Ca:e
HYDRAULIC DEsIGN INFORMATIOH SHEET
Name - NEGAi HDL'SE
Locacion - 3020 POPPLER LANE BAGA.N MN
Buildinq - LIVING RWLf CALC
Contractuz - A?-71pN AUTOMATIC £IRE ?RO.ECTION
Calculated 6y - BRJCs". T96MAS .
Constructicr.: ( ) CombUBtlb:e (X) Nor,-Com6u5tibla
OCCUPANCY -
S
Y
S
T
E
tt
0
E
I
G
v
Date - 3!7/2000
5y9tem No. - _
Contract No. -
Lraviag Vo. - 1
Ce+_linq Height 8 F.ET
Type Of Cdlculation: (}NZPA 13 ReSideritial ()NFPA 13R
Number of sp=ir.klera Floxlnq: ;)1 c 12 O4 O
( )other
( )Specific Ruling Made by
Lisced Flow dt Std:t PoiR:
LlSted PT2S. 8C $tact Poi:l.
MAXIMUM LISTEG SPACING 18
Domeatic Flow Rdded
AdditionalFlrnr Added
P],evat_o[i dL Higheet Outiet
Note:T.IVING ROOPf CALC
10.5 Gpm
12.3 Psi
x 18
30 Gpm
0 Ggm
0 Gpm
?XVNSPA 13D
Date
System Typa
(X) W9C i 1 Dry
( 1 Deiuge PreAction
Sprinkler dr Naxzle
Mako CENTRAL Model LF
3ize 1/2" NPT X-Factor 3.0
TempereCure Retin¢ 155
Calculation Gpm Required 51.13 ?si Requlretl 57.298 2?',SE R7-SE3
9nmmary C-FacLOr Uaed: Gcezhead 150 Underground 140
W Water Elow Test! Ptzm Data:
A Date of Pest - 3l15/2000 AetedCap,
T Time of Test - @ Psi
E Stat:c (Pgi) - 70 Elgv, 1
R Residua'_ (PSi) - 65 Other
FLow (Gpm) - 2CR0
5 Elevation - 1
g Location: SITE
P
L 5ouxce of ir,ic m=tione ACTION AU^OMATIC FIRE
Y
Tank or P.esexvoir:
rtip,
Eiev.
Ne11
Piooi E1Ow Gpm.
Cacputer P*cg:ams by HydzacecInc. Route i11 Windham N.R. USA 03087
)SSLGN LINS FIRE YR6TECfION . Paqe 3 :FtiAL HWSfi--POPPLER Date
03/22/29d0 17:50 61e2411655 PaGc 12
DESIGN LINE F:RE pAOTECTIOa Page 9
AEGAL HOUSE--POPPI.ER 7a_e £:ttia9 Le4e.^.d
Abbrev. NamA
Genezic P1ar.n Va
Generic Butter£Iy valve
Roll Groove Couplinq
?ry Pipe valve
90' Standard Elbow
45' Slbow
Ga2e Valve
95' Grvd-Vic Elbow
90' Grvd-V.c Elbow
90' Grvd-V:c Tea
Detector CheCk Va.ve
Lonq Turn Elbow
Medium Turn Elbow
2VC StandaxG Elbow
aVC tee Branch
PVC 45' Elbow
F1ow Control Valve
pVC Coupling/Aun Tee
Sc.iag Check Valve
90' £low thzu Tee
95' c'iselock Elbow
90' Firelock Elbow
47afer Choclt Valvo
90' Fireiock Tee
Mechanical TeB
F'_ow Ewitch
Computec Progcnms by Hydratec Iac. Route 111 Hindham N.H. USA 03087
03/22/2089 17:50 6122411655
' PAGE 13
uasi(?n -inL r.Kz rxureCiiory a.ae 5
-AEGAL HOUSE--POPPL&R Da`e
Unadjus;ed eittings iable -
112 3/4 1 1 1/4 1 112 2 2 1!2 3 3 1/2 4
A 7.1 21.5 17.0
H 7 ID 12
z i i _
° 9.s iT za
e z z z 3 4 s e , 3 ic
F 3 . 1 1 2 2 3 3 3 1
? 1 3 3 7 ?
H 1 1.5 2 2 3 7 3.3 3.3
= 2 3 4 3.5 6 5.0 8 7
J 9.5 6 B 8.5 1C.8 13 17 16
K 19 LA
L x 1 2 ] y 3 4 5 5 6
M 2 2 3 3 1 5 6 5 8
N 7 , 7 E 9 11 12 13
0 3 3 _ E 8 10 12 15
p 1 1 1 7 2 ] 3 9
7 1B 29 35
R 1 1 1 1 1 1 2 2
g d 9 7 7 9 11 lt 16 33 ZZ
T 3 9 S E 8 10 12 15 ll 20
u 1.8 2.2 2.6 - --"3-.-9
J 3.s a.s a a.n
w i0.3
x 8.3 10.8 13 16
Y 2.0 4_0 S.0 6.0 d.0 10.5 12.5 15.5 12
Z 2 Z 2 3 4 5 6 7 8 30
5 e 8 10 12 14 16 18 20 70
A 17 27 29
0 ? 10 12 19 21
1 1 1 _ 1 1 1 1 ? .
D 47
C 12 14 18 22 27 35 10 45 EO 61
F 5 ' 9- 1: 13 17 10 21 24 28
G 2 3 4 S 6 7 8 1C 11 13
H 9.5 5 6.5 8.5 17 18 20 23 25 30
I 8.5 10 13 '^ 20 23 25 33 30 40
J 21 25 33 41 SD 65 78 88 98 110
1( 36 55 IS
L 8 9 13 16 27 27 30 34 10
M 10 :2 16 19 ]Z
u
0
P
Q 33
A
S 27 32 45 SS SS 76 97 58 1?9 130
T 25 30 35 50 60 71 BL g1 101 121
0 4.2 5.0 5.0
V 8.5 10 13
W 13.1 3:.8 39.8 27.4
% 21 25 33
Y
Z 12 14 18 22 27 35 AO 45 56 61
-?ompute: Pro9raes by !{yd=dt2c IIiC. Route 111 Wittdh2aA N,H. USA 03087
63/22/2090 17:50 6122a11655 ? PAGc 14
uc,?.??v a,lrt t'itta rxUl'Y?C:'i:c7N Pa3e 6
REGAL HOJS6--POPPLEA Date
tloda 8lavatioD 3f-Pect Pi Qn Flow Oeasity 11zea erae•
tlo. _ ACCW2 ACLWl ACCaC P9Q. RlQ.
1 9 . 31.68 ne
? A 11.60 as
3 9 34.68 aa
a 9 14.68
ne
S 9 3 12.3 44 10.52 .1
fi 9 3 12.51 na 10.6: .1
7 9 19.93 na
B 9 14.68 M
9 9 16.35 ne
TA 9 16,59 aa
en a 19.32 nn
UG 1 11.67 n0. 30
4G1 1 25.14 Rp
51 1 57.3 110.
The maximum velocity t* 21,1 and _t occure 4n the piFe bakwan nodea 061 end Sx
IOS 12.3
lOD 12.]
Compute: ProgYazns by F:ydcatec Inc. Route 211 Windham N.H. [15A 03087
. 03J22/2000 17:50 6122411655 PAGc 15
`C'cSIGN LINE FIRE PROTECTI6N pggg 7
AEGAI. HOUSE--POPPLZA D'dte
Hyd. Qa Oia. Fittinq PipQ Pt Pt
Ref. "C" oz Ftnq'e PG Pv +??"•*• Notes *•"•`
Foint Qt Pf/uL Eqv. Lr.. Totnl Pf Pn
1 0 1.101 10.000 14.676 0
Co :50 0
z o e 10.000 0 o vel - a
2 0 1.10i 1T 9.563 1.000 19.676 0
to 1SD 9.562 0
3 C 10.562 0 0 vel - 0
3 0 1.101 1T 9.563 0.400 19.616 0
Co 150 9.562 0
4 0 0 4.962 0 0 Vel =
4 0 1.i01 19.000 14,6116 0 .
to i50 0
8 0 0 19.000 0 0 vel = C
676 K Factor =
5 10.52 1.101 10.000 12.300 x Factor = 3.0
to 150
6 :0.52 0.0207 10.060 G.207 Vel ? 3.595
6 10.51 1.101 lE 3.825 15.000 12.507 R Factor m 3.0
to 150 3.625
7 21.13 0.0753 18.825 1,918 Vel = 7.121
7 1.101 1T 9.563 0.400 13.925
to ?50 9.562
8 21,13 0.0753 9.962 a.750 Vel - 7.121
8 1.101 1T 9,563 10.000 14.676
to 130 9.562
9 21.13 O.C733 19.562 1.473 Vel = 7.121
9 1.101 lE 3.825 2.003 16.150
to 150 3.E25
Tx 21.i3 0.0736 :.825 0.639 vel = 7.121
TR 1.i04 5.000 16.588
co 120 2.166
Hx 21.13 0.1124 5.000 0.562 Ve2 =' 7.082
HA 1.LC9 1S 3.000 19.315
to 120 3S 0.913 6•413 1.259
tiG 21.13 0.1123 9.913 1.057 Val - 7.032
UG 30.00 1.61 lE 5.320 45.GOD 21.672 4a m 30
to 140 5.320
UG1 51.13 0.0690 50.320 3.470 Vel - 9.058
UGi 0.995 1G 95.000 25.142
to 150 1T 5.641 5.641
ST 51.13 0.6324 50.841 32.154 Ve: - 21.0a7
51.13 57.296 K Factor - 6.7
Computer Ptog:ams by Hydratec Inc. Aoute L11 xindham N.H. USA 03087
CITY QF EFlGAN
CASNIEF: JS TERMINAL N0: 760
DA7Er 12/14/49 TIME: 14:32:59
111,
NAME; DAVE RI7GEI CONSTRUCTTON
k
?_2:i2 3220 3020 RDPF'LEF LFi 30.00
3210 9001 30E0 POPPLER LA 1,245.75
.
3866
9379
3020
F'Of-FLEF2
LA
100.00
3422 3001 3020 POPPLER LA 609.74
2275 9220 3020 F'UF'F'LER LA 1? 039.50
3446 9009. 3020 POPPLER lA 10.50
2155 3001 3020 POPPLER lA 0.50
3743 9220 3040 POPPLER LA 50.00
2155 9001 3020, FOF'FL.Efi LA 72.50
3869 3220 3020 F'OF'FLFfi LA 468.00
CR121288 *%c CONTINUE
USER ID: JAN CUNTINUE
?X?K**?k ??k*? ?k*?k#X?kcX??kXc*********?k?c?k%t ?k??%?*#*?k
?c?**?m???*??***:?*?***???****** cnNTrNue
CITY OF EFlGAN
CASHiER: JS TEkMINAL N0: 760
PATE: 12/14/39 1'ShfE: 14:32.53
ID:
NAMEa DAVE kEGEL CONSTRUCTIQN
3?16 9220 3020 F'OFF'L.F_Ff lA 11.4.00
3743 3220 3020 F'OF'FL_EFt I_A 50.00
3865 9220 3020 F'Qf-F'LER LA £325.00
r
Tota1 Receip+, Amoun+,: 47E315.43
cRi2i.z8s
us+.R iD: aaN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
C
'
3830 PILOT KN B RD - 55122 ?'
651-681-4675 ? 7
New Conshucfion ReauhemeMs Remodel/Reoair Reaulremen}s
? 3 reglsfered sHe surveys ehowing sq. R, ol lot, sq. R. ol house 2 copies of plan
and ,Q roofed areas (20% moxlmum lot coveraae allowed) 1 sel of energy calcufaHons for heafed addHions
? 2 coples o} plans (show beam R window shes; poured fnd. deslgn; etc.) 7 sRe survey lor exlerlor addMlons 3 decb
> 7 sef of energy calculaflons
? 3 copies of hee presenalbn plan M lot plaMed after 7/1/93 - ? Z'js O?
DATE: I 'Z-" 2--9 °1 CONSTRUCTION COSi:
DESCRIPTION OF WORK: NJGQ vlc) m lr
STREETADDRESS: ?62-d L?NL
LOT: ? BLOCK: _? SUBD./P.I.D.?k: ??PpL%ErL. ?OM? S7
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Phone #:
Last First
Street Address:
City
State:
Zip:
Company: (2 EC--F. G. CoN ST - Phone #: l i[ Z 7 fS? -d? 33
(area code)
Sheet Address: 1 lG a3 1??Y Id 01-'; ?• License # 1 Zf 3 Exp.
city SPfZ1NCT ?-a?? ??w? state: VyNN zip: ?S?3Z
Company: ' Name:
Telephone #: area code (
SheeT
Registration #:
, City State: Zfp:
(?' ?? ? 1?-r LF'? 9 a
?Sewer & water Ilcensed plumber (reauired far new consfrucNon onM: -kAC! ? (': Iti S U V'\'
PenaHy applles when address change and lot change is requested once permk Is issued.
I hereby acknowledge thaf I have read this applicatlon, sfate that fhe Information Is correcT, and agree to compty ? all cpptlcabl
Stafe of Mlnnesofa Statutes and City ot Eagan Ordlnances.
Signaiure of Appllcant:
OFFICE USE ONL /
Certificates of Survey Received ?'J Yes _ No nr?
Tree Preservation Plan Received _ Yes _ No "ot Required ?
OFFICE USE ONLY
. ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling O 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea.
11
plex
?? 03 1 of ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
_
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous
WORK TYPE
Ff 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
/
?, 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to appl icant for demo lition permit
GENERAL INFOR MATION
Const. (Actual) ?LL Basement sq. ft.SY./ l1 %? Census Code
(Allowable) i 1 Main level sq. ft.,,, ,
ft
: SAC Code
of Units
No
UBC Occupancy A -s• !,
sq.
rc .
Zoning sq. ft«; No. of Bidgs
# of Stories sq. ft'i MC/ES System
Length sq. ft. City Water
Width ?
? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Buiiding u Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MGES SAC
City SAC
Water Conn.
Water Nieter
Acct. Deposit
SJW Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total: % I 5 -14 q
i
Valuation: $ 1 '
C// x
i
SAC Units
% SAC
?:a ?
i;?-9 ??QM 12 :07 °?M H(??iE ?
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.
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raau r:ps..d w.is 1 ? •
are? abevr flnsr ? , ?? ?, it.
+) Ts+ba3 rail rlndmr am!
Enw3atiM llass jlriwd? sq, f!. a"U^ 451
?
Le. e Gl.ss ata:ea Z? Sa, rt, °u-
b) Total deor arer ?U Sq. f!. s"ll"
el Tutal slidinj ylase deer aeieut .
tminlalsd Qiasa ylasN.? yQ. fC. 11 "U"
_ ' ?w E tlltsa 234:*d te, r ru" .;}?.
Al Totaz ii»p3aer "il at+?a ? i9. 1t. a'"V .e9 .i
6) 7041 Yall Framln0 area ? .
tflver41e 301? 00 sqm f!. w "U• •091 ¦ . I , , •
. f7 rotal iist Ya11 ar" sbow
tlcwr linsulatad? jW.ti ."2l> yq. il., r"U"?. ?
11 7atal Ria jesat area 6 '94. Itt, r. •Ir•
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(aYoOtlyd) O ?qs ftv
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i) Total Nok FOY»daCiob
arrs o6aw gea4w.tq• ft. ¦ 'KM,- .06! ?
' TOTIIL t1 qllUt !7
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ite? ii? rw haw ?efs
!he fnhnt sf D.i.C, 8oation iAAb tr! !i .
MON 12:07 PM H!1MB iiANtdlNU ASaOG, FkY id0. 612 75? 9i55 P. 2
o9128ia0 TGS 10:38 FAS 512 757 0955 HM r1J1M+I14d Aysuv inU ?vvr
1. TOTAt pW08E9 R001r/CL?ILING CALCULATIaNSa .
rawi expawt .. . . .
saaf/aeilin4 stv? __ 3Dd ?{ .. sq_.tt . , _ ., r _ ?IYt?'a;i.'
j) Totil skpligh4 arpa sq Tt x"U"
k) TCCal tvnTlaetlino trarinp.
:ras taverape 107LI ?CO ? se f4 x"U" . ai5
17 ToCal tMt #qEYlAtvd
reef/cyilng area Z ? l aq f'k s"U"
: TOTE!L 33 thru 2]=
_ If 4etaj of Wt ie the suc as, er lass'badn 02, rvu havw ?gt
tha intent of S.A.C.•Beetiort 6006 (o) L.
AL7EANATE BULLDINO BMVlLQDE D69I0Ii
Ta uCiai%e tbo total prwelope systqap reihade the velues
eyEab2isheq yy th• wa vf items 03 ana 04 phall rwt ba qreater .
_ §han bhr sun ef iEeas if1 and qQ,
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C E R 7 I F I G A 7 L 0 N
S hereby ¢ertifr bhat x nave aslculstnf !hw "t7" factatrp and ^(t^
valurs herete and that tho buildiop Ilare describpd see4t :er •xctirrds the Sh.ato of Minnesota Energy Conserva4ioe i1ert.
tAatv) ?'""-'
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Addre
Legal:
?
? x
MEOWNERNAME:?
,
i ?•v
? X
? X
REQUIREMEN'I'S FUR BUiLDI1VG PER1V11"I':
2 Heat Loss CaPa
2 Sigued Copies of Prints
3 0 SurveYs % /ai.4,r
1 Svil Test
1 Sub Contractor's List
Dave Regel State License Copy
•Y
•
?
?, .4,,-,
0 0
SUB-CONTRACTOR LIST
Add[ess ? ? Permit #
General Cont????{? Owner rf}
*Plumbing Contractor /4 ,/%?5r? 1, 12_7c?41- y74-te-)
*eeating Contractor
*Sewer Contractor
Well Contractor
Ezcavating Contractor
,Masonry Contractor
Blacktop Contractor
Stucco Contractor
*Swimming Pool Contractor
AG' 171Zd
4l?!('2)'04ZAd5 /S"l-V37'
?? .
J7•4K'otF- -'-/37- 2 w.-?
LL S 314cl 6 ;z- N'd k - aazs ?P-s-f
? r?l Hi N? <''? G. I ? 7SJ ?' b?4Yi \(7 i
?
insulation contractor 7Pf.?
*i:awn Sprinkler Contractor 444%d 6 12_ ya 7- 32o-y
*Separate permits are required.
NOTE: All contractors must be licensed and insured.
* * **
PfONEER
* 6f1?
*** *
Certificate of Survey for:
I 995.4
891. 824:
W I
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JI
X I
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a
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a?
892.2
2422 Enterprise Drive
Mendoto Heights, MN 55120
(851) 681-1914 FAX:681-9486
;umarws . OM cecwcros E-moil: PIONEEROPRESSENTER.COM
W1EH5• lANOSLME ARON1EL13 625 Highway 10 N.E.
8loine, MN 55434
(612) 783-1880 FAX:783-1883
E-maii: PIONEER2@PRESSENTER.COM
DAVE REGEL CONST.
3020 POPPLER LN
BENCH MARK
TOP OF PIPE eLoc.
ELEV.=897.05
9&5 698.9
4? ' 1
? N 135.00 PLAT)
" 134.89 ?MEAS.)
? ,I'
L. P. 8rf30.00 ? i 70.33
? , R9].3
LOT AREA =-20,244 SF
HOUSE AREA = 3,667 SF
COVERAGE =18.17
DRIVEWAY AREA =RAMBLER-SlAB ON GRADE
897.9
-? r I 1i io
. ? I
/ o
i8
? ?-------- 12.0 Q, 12.00, i 897.2
l
?p i 69? n.33?o\?5 \? $?\ I IA
r. ? ? w \? i I 1Y /
?
J w i ,, oo vwi N \ 4.00 ELv 095.4 Op v2 I w a
za.oa i a N
u ?aa
o ? p1 W a N `''
? 03 ? m 0 i ° I} 0
IC) 10 0? ? u a ?
do ? ?
894.6 ( J
70.33 t6'4 1 896.4
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?? ?? ? ? OI? ?•` I
• Vl I
Y !? •
1,6 10
890.6 y? 30.00 70.53 ?.
?wJ ?- 90.??118° a
?Iw? ? 134.89 (MEAS.
BENCH /MARK 135.00 (PLAT? N
4 Z TOP OF PIPE
ELEV.=893.96 BLDG. 894.8
.4
894
N07E: PROPOSED GRADES SHOWN PER GRADING PLAN BY: 3
NOTE: BUILDING DIMENSIONS SHONRJ ARE FOR HORIZONTAI AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTiGA710N HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. iHE SUITAdIUTY OF SOILS TO SVPP(MT TSiE .`,PEGFIC HDUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
895.7
{..
1?88.z
O
0
0
L0
T
896.1
S I L1'
?Etq?E
95. `I)
PROPOSED HOUSE ELEVATION
LOWEST FLOOR ELEVATION:
TOP OF BLOCK ELEVATION: E'i 7- 0
GARAGE SLAB ELEVATION:
TOB 0 LOOKOUT ELEVATION:
NOTE: iH15 CEftTIFICA7E DOES NOT PUftPORT TO SHOW EASEMENTS OTMER THAN X 000.00 DEN01E5 E%ISTING ELEVanON
THOSE SHOwN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
DENOTES ORAINAGE AND UTILITY EASEMENi
NOTE: CONTRACTOR MUST VERIFY ORIVEWAY DE9GN. DENOTES ORAINAGE FIOW OIRECPON
NOTE: BEpRINCS SHOWN ARE BpSEO ON AN ASSUMEO OAT1M • DENOTES MONUAIENT
$ DENOTES OFFSE7 HUB
WE HEREBY CERTIFY TO DAVE REGEL CONST. THAT TNIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 2, BLOCK 1, POPPLER HOMESTEADS
OAKOTA COUNTY, MINNESOTA . IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT 5 WN, AS SURVEYED BY ME OR
UNDER MY DIRECT Sl1PERVI510N THIS 22 DAY OF NOVEMBER, 1999.
SI NED: PIONEER ENGI EERIN , P.A.
SCALE : 1 INCH = 30 FEET ?ECEpVED QEC /
0a I7??} s.
c- ohn C. Larson, L.S. Reg. No. 19828
4
.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
,W PROPERTYLEGAL:
n
H
]
W
cx
DATE OF SURVEY:
LATEST REVISION:
a DOCUMENTSTANDARDS
O
O? 4
o ? Registered Land Surveyor signature and company
?
p a : Building Permit Applicant
6?j? ? Legal description '
?' o : Address
? ? • North arcow and scale
??. • House type (rembler, walkout, split wlo, split entry, lookoux etc.)
?? ? • DirecUOnal dreinage artows wRh slope/gradent %
?? ? • Proposed/ebsting sewer and water services & invart elevation
? ? ? • Street name
? ? • Driveway
t?p ? • Lot Square Footage
m?? o • LotCoverege
ELEVATIONS
Ewstina
? ? • Sewer service (or Proposed)
o
Property comers
?
,?" ? ; Top of curb at the driveway
d? ,? • Elevations of any ex6sEng adjacent homes
? m? ? Adequate footing depth of structures due to adjaceM ublity 7enches
Prooosed
o ? • Garage floor
?? ? • Firstfloor
p/ o? • Lowest exposed elevation (walkoWWndow)
? a ? • Properly corners
r? ?? • Front and rear of home at the foundation
PONDING AREA (if audicablel
? ?/? • Easement fine
? QY ? • NWL
? ?p • H1NL '
a r??o • Pond # designation
o e? o • Emergency OveAlow Elevation
? DIMENSIONS
? ? . Lot GneslBearings & dimensions
o?
? • Right-of-way and street width (to back oi curb)
'
e
?? - , porches, etc.
Proposed home dimensions induding any proposed decks, overhangs greater than 2
? (i.e. all structures requiring permanentfooUngs)
? ? • Show all easements of record and any Ciry utilNes within those easements
? p • Setbacks of proposed strudure and sideyard setback of adjacent epsting structures
o?? • Retaining wall requirements, iF any „ ?
Reviewed:
Mareh 19%
creAwkeLocvnMr.Frn
CTTY USE OtiLY
LOT ? BL 0 RECEIPT #: I;) 3 I a U
SUBD. ?T 1 Q_,?' ?`? O U"/1(i S}p Ad S RECEIPT DATE: 1-7-0 0
MECHAIVICAL PEItMIT # --S c? S- ! c6
?K9 MECHihNICAL PUiMTi' (W-SIDENTiAI)
ap?c? crrroFF-?eAN
3930 Pu.or xNOS gn
EAflAN MN 55122
(681)6$1-4675
Date:
Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under
consuuction and not owner /occuoied.
• HVAC' 0-100M13 TII
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Tocal
g 3n.on\
6.00 r
6 -aD .
.50
Complete this section on if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
New Alteration Repair _ Other
Reminder: Ca11681-4675forinspections.
Furnace
_ Air exchanger
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
Air conditioning
Other
_.qz? Li- ZZ )
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
CITY USE ONLY
L BL RECEIPT#:
SUSD. RECEIPT DATE:
APPROVED BY: . , INSPECTOR MECHANICAL PERMIT #:
1999 MECHAv1CAL PERMrr (COMMEtcIA[.)
CITYoF EAHAN
3$30 P1LOT KNOB ftD
EAsAlv,lauv 551 SE
(651) 681-4675
Please complete for: a11 commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
D.'lT: .
l.lil l lV71.1 1 a"lllili.
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minunum Fee)
Processed Piping (Minimum Fee)
•"NOTE: When installing/removing underground tank, ca11651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMTT FEF,
STATE SURCHARGE ($.50 per $1,000 of Demvt fee due on all peimits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(ARE4 CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
L ? L ? RECEIPT #: 1)_ /,JlfJ v °
SUBD. 1?a, n? I?C?N1rLA A A z R?? RECEIPT DATE: J -? D"- 00
PERMIT # >> 9C?Qb
2000 PLUM$INfi PE{iMiT (MIDENI7lkL)
crrY og E?eM
sbso Pu.ar Kvos sn
KAk6AA, b!A 55122
651-681-4695
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIYTI IRFS
EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $ ?
Gas i in outlet ' minimum - i 3.00 x = $ 3
Hot tub/s a 3.00 x = $ 3
Kitchen sink 3.00 x = $ "
Laund Va 3.00 x = $
Lavato 3.00 x 2 = $ 6
Se tic S stem nawlrefurpished • re ulres MPC Iic. 75.00 x = $
Se tic 5 stem abandonment 30.00 X = $
RPZ new installation/repairlrebuild 30.00 X = $
Rou h o enin im X - $
Shower 3.00 x = $ 3
Under rounds rinkler Hdwellin isundercanstruction 3.00 x = $
Under round s rinkler if exisun dwellin 30.00 x = $
Water closet 3.00 x Z = $ d
Water heater 3.00 x = $ 3
W ater softener If dwellfng under construetlon 5.00 x = $
W ater softener If exlsting dwelling 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 -> ----> ---> $ .50
Total --> --? ----> ---? $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----------•--------------------°-----------••------ ------------------------------•---•--- ---------------•-------------------._......
I hereby acknorAedga that I have read Nis application, state that the informatlon is cortect, and agree to comply with all applicable. City of Eagan ordinances.
It is the appliranYS responsibility fo notl(y fhe property owner that the Gty of Eapan assumes no liability for any damages raused by ihe City tlunng ds normal
operational and maintenance activities to the facilities wnsWCtetl under this permit within Ciry property/right-of-wayleasement.
)++C) 0
SITE ADDRESS: 3 D ao?
OWNER NAME: :
Q
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: 7?70
(AREA CO?E)
STREETADDRESS: 9/7C/ ? ??•
CITY: ????
STATE: ZIP:
??-
SIGNATURE OF PERMITTEE
REBOLUTION OF CITY OF SAGAN
ADOPTIN(i SETTLEMENT AGREEMENT
WIiEREAS, on July 2, 1991, the City of Eagan assessed various
parcels for strtet area improvement as part of Public Improvement
Project No. 543R; and
WHEREAS, the following is a partial list of persons assessed with
a street area charge pursuant to Project 543R who have brought an
action in District Court appealing the street area assessments:
Subiect
PID
Court File No.
Frances E. Bader et al. 10-58500-040-00 C9-91-7937
Donald Hill Sr. et al. 10-56500-020-00 C4-91-7943
Carl W. Glewwe et al. 10-58501-050-00 C6-91-7944
Joseph Kurhajetz et al. 10-58500-050-00 C5-91-7935
Norman Lindman et al. 10-58501-030-00 C2-91-7942
Marvin W. Post et al. 10-58501-040-00 C9-91-7940
Elenor E. Weber 10-58500-030-00 C8-91-7945
WHEREAS, the parties to the above-listed court cases have agreed
to settle these disputes according to the terms described in the
attached Stipulations.
NOW, THEREFORE, be it resolved, the Eagan City Council hereby
adopts the attached Stipulations resolving these assessment appeals
and authorizes the Mayor and City Clerk to execute the Stipulations
on the City's behalf.
CIT Y Oi EAGAN
Dated: 1992 ST M?Yo
?
ATTEST:
By: . J. VanOverbeke
its: ity Clerk
?----------------i i
? Pennit #: I
I
i PertnitFee:
Z?
I ?
I Date Received: I
I ?
I
j Staff
I
L - - - - - - - - - - - - - - - - - I
?20 8 COMMERCIAL UILDING PERMIT APPLICATION
Date: Site Address: / D,ez<<-°y` L-Q-?/?--Tenant Name: [/2kvi4az- 0,91stot d^?fGS (Tenant is: _ New I_?C Existing) Suite #:
PROPERTYOWNER Name: D4k4c? CF.?.4(RLf9,tJi?r25 Phone: (P-?/ ?88 40$68
Address / City I Zip; 44V (D?NeJ1 PYrSS/af
Applicant is: _ Owner ? Contractor
TYPE OF WORK
,,A SLJS???-
Description ofwork: _ZrVS`fa,/( CB;hil/9 7`?'ack s? /
Construction Cost:Y/, 300• OD
CONTRACTOR Name: ACcE,SS License#: eEO9ID1
Address: .D/`r?L
city: 2 a state: /&A/ ziP:
Phone: 6-44&- 9Z-2-2- Contact Person: .?7?IlGM4P"S?0-dl
ARCHITECT/ Name: -ZroS'VhL f CCU-/KC-.?OVARegistration#: ya.3 yv2-
ENGINEER ???
Address aeec?
y
City: State: 00114Zip: .7?M36
Phone: ??Q - Olp7 -?lp Tai Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
; ?srrfions:bf `
on submit are consrderea{Yo be,pubtic information
'NOTE• Flans
'antl sup
or#rrig riocuments thaf
.
,
p
y
y}" C b r ?
ermif Yhe Cifjr to '`'
the inidrmatron may
d
ctassfhed as non
ede s
ec
c'
easans thaf would
abhcif
ou
ro
,
e,
v
p
?
r
p
p
y
p
? _ ... ?
coriofir?etk'atYhe`?aretraa[es`e6reis.?
I here6y acknowledge lhat this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Cdy 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 permd; 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 /nars??/; .a-?
ApplicanYs Printed Name . D? F ??/ Signature
JUN 1 7 Z001114ant's
Page 1 of 3
k
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments ? Commercial / Industrial ? Ext Alteration-Apartmenhs
? Lodging ? Careenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
Type of Const. ?T ,8 Width ?
REQUIRED INSPECTIONS
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building ? Reroof ? Demolish fnterior
g Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
• Demolitlon (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation //A ocv? Occupancy R-y (94" MCES System
Plan Review ? Code Edition 6vc. SAC Units -
(25%_ 100%? Zoning /2-/ City Water -
Census Code Stories ? Booster Pump -
# of Units / 3quare Feet PRV -
# of Buildings / Length Fire Sprinklers
"r
_ Footings (new bldg) Sheetrock MeterSi e:
Footings (deck) FinallC.O.
_ Footings (addition) ? Final/No C.O.
Foundation HVAC -
Drain Tile Other:
Roof: _, Decking _ Insulation _ Final _ IceNVater Pool: _Footings _Air/Gas Tests _Final
Fireplace:_R.I. AirTest _Final s
? Framing Zp-
Reviewed Stucco Lath Stone Lath Bridc
Insulation g Wall
Final C/O Inspection: Schedule Fire Marshal to be No
By: Building Inspector Reviewed By___ Planning
--?------------??'7 -I/--_-"__---------------------------- - -
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SIW Permit
S!W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
3 ?-7 -
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Sfreet
Water Lateral
Other
Sewer Trunk
Water Trunk
Total
Page2of3
AccBSs
LiFrs
INc.
March 13; 2009
1195 Tawn Centre Drive
Eagan, Minnesota55123 `
(651)688-9222 • Fax:(651)688-2536
, To1lFree:1-800-557-9228
www.accessiifts.net
City of Eagan _
Suilding Inspection Department
3830 Pilot Knob Road
Eagan, MN 55122 .
Re: Pernut # EA 083889 This letter is to verify that after a11 construction work was completed at 3020 Poppler
Lane and the lift track system was installed, the entire track system was load tested with
certified test weights. The capacity of each lift is 440 LBS and we tested tlris track system
with 125% of its capacity (550 LBS) per the manufacturer's zecommendadon on 10-28-
08. ,
fhis test was witnessed by Access Lift employees and myself.
If you have any qnestions regarding this verifica6on, please call me.
Steve Marstad "
CITY OF EAGAN Remarks
Addition Popplers Hamestead Lot 2 R,k 1 Parcel =10
owne,_2L,•?, 2 <!' 1' ' ?L'- screet_ 3020 Poppler Lane state EaganNN_55121
" = > _ ?; •- .J. .a:-c..J ?. /
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1
WATERMAIN
WATER LATERAL 1972 20
WATER AREA 1977 60-00 10-66 15 0 DO _ G _
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161877
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 3020 Poppler Lane
Lot:2 Block: 0 Addition: Poppler Homesteads
PID:10-58400-00-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Living Well Disability Services
1168 Northland Dr
Mendota Heights MN 55120
(651) 497-4180
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161877
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 3020 Poppler Lane
Lot:2 Block: 0 Addition: Poppler Homesteads
PID:10-58400-00-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Living Well Disability Services
1168 Northland Dr
Mendota Heights MN 55120
(651) 497-4180
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature