4124 Raptor Rd04/21/2014 12:19 Les Jones Roofing, Inc. (FA)g9528817009 P.0091011
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 676-6675
Fax: (651) 675.5694
Use BLUE or BLACK Ink
For Office Dee
Permit#: -7 1�(,0t
Permit Fee: /1
34 `;
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION 5279
Date: 'tl«//! Site Addreee: 020- C/2-41.- 42Z-01. -4456 RAPThB- E.419 _Unit if:
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Name: 9a BeD✓die7Y CA -P-4-1 //t/... Phone: �- Oil"' ?'?''9
Address / City 1 Zip: _ �.__ l k 2 / ZS- hi ON- £ 20� X lrrva5. AIN' 6-5217 (
Applicant Is: Owner Contractor
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Description of work: 9,GtO!/E` d4iVD le—e .S ',4'* S
Construction Cost: $ Z6..78(. ‘7 Multi -Family Building: (Yes / No )
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Company: • LQ -s 33 N 6Ta'Rc�Ftn)C. 1 N'G Contact: COQ. 1..S, A.1C:e-R-- l11
Address: ` it W. W nt ,T12E T City: AA/_nlCs�rb/v
State: NI.fJ Zip: S--- S +10 Phone: 9S2 -$$1 2.2-*
License #: t:75G8 _ Lead Certificate 8: - NA—a— 40372---I
If the project
Is exempt from lead certification, please explain why; (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan leeued a penult 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:
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CALL BEFORE YOU DIG, Cali Gopher State One CaII at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to recelve locates of underground utilities. www.aooherstateonecell.orq
I hereby acknowledge that this Information Is complete end accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that 1 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 Coda must be completed within 180
days of permit Issuance.
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Applicant's Printed Name
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Ap Ilcant's Signature
Page 1 of 3
01/26/04 12:00 FA% 6128927900 MFF JOHNSON CONSTRUCTION _^ _ _. ?fl UUC/uu's
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1- belie re rhis repott' is adequate for your use in the evalua - C.4 `Q CA ,, .
conlm•:nts. please cail me.
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18' MFG. FLOOR TRUSS
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18' Mf G. FLOQR TRUSS
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1?" CC]NC. BL(JGK
Address: 4124 Raptor Rd
Lot: 13 Block: 2 Subdivision: Greyhawk 2nd
Zip: 55122
4h THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON d,?. 1?t r?"<..' ?
Yes No Comments
Final grade - 6" from sidin
Permanent ste s- ara e
Permanent steps - main entry
Permanent driveway
Permanent as
Sod/Seeded lawn X
Trail/curb dama e ?C!
Porch X
Lower level finish
Deck x
Fire lace k
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential eadsts.
• Call the City's Engineering Department at 651-675-5646 prior to warking in right-of-way or installing
irrigation system.
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? BUILDINGINSPECTOR: ° ;.?.
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CONTRACTOR:
Johnson Construction, MW
17645 Juniper Path #100
Lakeville, MN 55044
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RESIDENTIAL BUILDING
Permit Application ? P --
City Of Eagan
w ?..._ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
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New Construction Requirements RemodeURepair Requirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ali roofed areas 2 copies of plan CeR of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ?-T,?ee Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suroey for additions & decks 'e Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
5 / //
D / 0.51 t 1 4 ? j"'00
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C
ate
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Construct
Site Address Unit/Ste #
Description of Work 0AA) t.;f)n91 YL OO11
Multi-Family Bldg X Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner M • U) . dV h , IJbv- Telephone # W )cv(01470" 7/do
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Contractor .
Address Uc?
per P^
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City Ldn/%d&
State m n Zip ? Telephone #as?) 3% ' / 7OO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber. ?p
Mechanical Contractor \ ll?i u C?" ?p
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Sewer/Water Contractor V?1e024 QLW ?03
Telephone # (-L5?) D roA~ (4-7D
Telephone # ((,pja) L30 " 7qD3
Tele
Al1G i 'L 2033
I hereby apply for a Residential Building Permit and acknowledge that the inf ation is complete'ar1fi accurate;
f
that the work will be in conformance with the ordinances and codes of the C of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, i- -worki?°irot?tti`-g= 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.
amrn Applic 's Printed Te Applicant' S gnat
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
Fd 03 01 of S plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
?I 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation j° z, ?o a> Occupancy MC/ES System
Census Code ?C' ? Zoning I7- l? City Water
SAC Units o? Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length S? Fire Sprinklered
Type of Const Vl/t Width
LQ Footings (new bldg)
_ Footings (deck)
Footings (addition)
?e Foundarion
_ Drain Tile
Roof jC Ice & Water )0 Final
? Framing
Fireplace _ R.I. _ Air Test
_>6 Insulation
REQUIRED INSPECTIONS
? FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
Final Q e4-,a n-ki _ Windows (new/replacement)
_ Retaining Wall
Approved By_ / , Building Inspector
Base Fee
Surcharge
Plan Review 5a'm; log iz-? I,Fr?t
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies .
Other
Total
n : -?-
i .5-C r (,?? (-< --? 9 2 5?. r-+ _ xS-y. e-->
ic-o r.?- 96 7 s9 •Ft- x57 q. a a ?
&A Ra I e. 4(L) X 16 , o?
l 3 86. ? ?
ep /
,
Part B. DEPRESSURIZATION PROTECTION
Check option used: Ll Fuel burning equipment (complete schedules below) ? No fuel buming equipment
INSTRUCTIONS
Step 1. Complete the Combustion Equipment Schedule below. Only equipment
with a Y(Yes) may be selected under the "Category 1" alternate.
Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power
vented or solid fuel atmospheric vent space heating equipment is
selected. , ,::xe ;'bw
Part C1. VENTILATION
j VENTILATION QUANTITY
'(Mechamcal venf1laf??n ii?ust?be pr`autded p?r the'Iaiger qcia?ty,calculated'.below?"`.' ?
cubiC feet x 0.00583 /minnte cfm
. (??x 15 efin/bedrogm? f 15 cfm= ' f-{: cfir?; .
..
volu.nie.of ha?itable=rooms ;
numbez ofb?drooms
Check mefhod(s) proposed 4 " '?'EN
0 Exhau st onl TIL'AT?ON;FAN ?CFIED?J??°
0 Balanced (heat recove ventilator, air exchan er, eta
Fan deseri tion ar iocation E 'r a fiUTE?:S
VENTILATION " Intake ' cfm ` cfm ` cfm cfm ! cfiii '
AS DESIGNED Exhaust• ' cfti cfm ?;cfm : cfiri.'
Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted with-tfi8,, permit a plication. The proposed building has been designed to meet the
requirements of the Ivlinnesota Energy Code.
7
Applicant (print name) Signature Date Telephone number
Part C2. VENTILATION (Submit Part C2 upon completion of system verificationt)
a.
?, ---------------------------------------------------------------------
Job Site Address: Permit Number
Fan descritian or location TOTALS
MEASURED? 1,Intake> cfin, cfin' cfm ; cfin . cfm'`
PERFORMANCE ' Exhaust cfm cfin.' cfin<' Gfrn :': cfiri
j? Ventilation rate mast be.measured and verified'when.ttie..performance option is used'in lieu of the prescrip?ive ,qption for the ,
sealin of 'oints in the liuildin co3iditioned envelo e from` Part A.
Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air
flow.
Applicant (print name) Signature Date Tetephone number
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Permit #
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-14-2003
DATE OF PLANS: 01/02/03
P S2RMA?T I ON-:
Greyhawk Mid Units
Eaga ,
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 497
Your Home = 348
29.9% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 980 44.0 0.0 26
WALLS: Wood Frame, 16" O.C. 2322 19.0 2.0 130
BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 464 10.0 0.0 32
GLAZING: Windows or poors, Above Grade 119 0.480 57
DOORS 38 0.350 13
FLOORS: Over Unconditioned Space 290 30.0 0.0 10
SLAB FLOORS: Unheated, 42.0" insul. 116 10.0 80
HVAC EQUIPMENT: Furnace, 90.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the qui ements he Minnesota Energy Code.
Builder/Designer. Date ?O ? a
Address: 4124 Raptor Road
Lot: 13 Block: 2 Subdivision: Greyhawk 2nd
Zip: 55122
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON
Yes No Comments
Final grade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish /
Deck
Fireplace
• V erify with your builder that roof test caps from the plumbing system have been removed.
• T urn off water supply to the outside lawn faucets before freeze potential exists.
• C all the City's Engineering Deparhnent at 651-675-5646 prior to working in right-of-way or installing
inigation system. °
V BUILDING INSPECTOR:
CONTRACTOR:
Johnson Construction, MW
17645 Juniper Path #100
Lakeville MN 55044
*
Site address: Lot _ Block _ Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
"This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater _vo (`,4 7041 y, or o vcs,/ #i?,4
Fumace rG 9?'{o tou8o S?? ?tr-?,?
Dryer ??.
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen 3 t
Bathroom 1 <d ?
Bathroom 2 Sp
Bathroom 3
Bathroom 4
Other
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS
MAKE-UP AIR ' MODEL TYPE CFM's
?
I hereby acknowledge that the abov i ormation is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signature Date ?
Compa y Name
* This form is the responsibility of the Genera? Contractor.