4128 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
Address: 4128 Raptor Road Zip: 55122
Lot: 12 Block: 2 Subdivision: Greyhawk 2nd
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON 4 1?,'li D
I I Yes I No I Comments I
Final grade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas •
Sod/Seeded lawn
TraiUcurb damaRe
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 Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
? BUILDING INSPECTOR: v v" /"-
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 ?C Rk-Lft" 7-*//
Furnace I-A#tj
Dryer ? 4.
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen SVy S S S - x
Bathroom 1 1)
-.?
? SU
Bathroom 2 U 6*.. S •
Bathroom 3
V
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 above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
S, fi y
?i ure A? Date
?-?
Company Name
* This form is the responsibility of the General Contractor.
I . __•i z- ?'?--b-? Z ,? P --
?? RESIDENTIAL BUILDING
? Permit Application
? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
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New Construction Reauirements RemodeUReqair Repuirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions e Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks T e Pres Not Reqd
1 set of Energy Calculations Add'?tion - indicate if on-site sepfic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date P2 f /03 Construction Cost Q Qo
Site Address &4y- Rto(•t/ Unit/Ste #
Description of Work New h(}mQ, O
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ? . ?f'10 • ?.?J I 1??, l Telephone # ? 20Q? --nw
Contractor ? • ? . ? ON&M
Address I-7LQ115 ?m?r City 14MAII"e--
State ?n Zip Telephone # (IC -) 9"7,9 ' /PO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
?Minnesota Rules 7670 Catego rv 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 e)-TIP Telephone #?) U ll?? `(y??g
Mechanical Contractor 3(IaTelephone #(tj/))3uCJJ '74103
Sewer/Water Contractor Telephon"*ft-??,,„
AJG 1 1 2303
I hereby apply for a Residential Building Permit and acknowledge that the inf ylyiation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the Ctyy of Eagan ?t?e?te of MN
Statutes; I understand this is not a permit, but only an application for a permit, "and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
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Applicant' rinted a e .-kpplicant's ignatur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of 5 plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
jtP 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation - / ? 2r o
Census Code /0 'Z
SAC Units C.:) (
Nbr. of Units E I
Nbr. of Bldgs D f
Type of Const
? Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
?G Foundarion
_ Drain Tile
Roof X Ice & Water
_10 Framing
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy 12`3 MC/ES System
Zoning PJ? CityWater
Stories '2- Booster Pump
Sq. Ft. 2- PRV
Length Fire Sprinklered
Width Z 6
e F'
Fireplace _ R.I. _ Air Test
?Q Insularion
REQUIRED INSPECTIONS
? Final/C.O.
FinaUNo C.O.
_ Plumbing'
HVAC
Other
uial _ Pool _ Ftgs Air/Gas Tests
Siding Stucco Stone
Final o A I_ Windows (new/replacement)
_ Retaining Wall
Final
Approved By :?2? , Building Inspector
Base Fee
Surcharge
Plan Reviewslw.? I?-) K G ''J
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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115?e ic,- ?-c q Z )e 5-4. a o
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6-*?j e- V,.)o X
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Part B. DEPRESSURIZATION PROTECTION
Check option used: 14 Fuel burning equipment (complete schedules below) ? No fuel burning equipment
INSTRUCTIONS
Step L Complete the Combustion Equipment Schedule below. Only equipment
with a Y(Yes) may be selected under the "Category 1" alternate.
Step 2. Complete Lxhuust/Make-up Air Schedule on the right if direct or power
vented or solid fuel atmospheric vent space heating equipment is
selected.
Part C1. VENTILATION
TION,-QUA?TTITY :
VENT"
M
e ,chanical ven`t'ilafion mus?b? jir"avideiirper-t?ieasger`qua?hty.catctilated;below? ".
cubWfeet :x 0.00583 /minute = ? cfm ( ?„x 15 cfm/bedroom) ?.1$ cfm = ,.cfm:;, ,
-volunie'ofhabitatiTe•zo.oms.-' ?nusnber.ofbedzapms >'
CHeck rnethod(s) px6posed. .; ..YEN'I'IT,ATION,FAN SCHEDULE
_ . ,.
Exhaust onl ? Balanced heat recove ventilator, air exchan er, eta
Fan.descritian r lacatiQn -?? ?: . . -:. ? : ; _ - - - _- , TC)TATS ,
VENTILATION ' Itttake' cfm cfm cfm !' cfm`: c`fin
AS DESIGNED !Exhaust cfm cfm ?-;- cfm. cfin"
Statement of Complianee: The proposed building design represented in these documents is consistent with the building plans,
specifications, and other calculations submitted Jwith-ttie,, permit?application. The proposed building has been designed to meet the
requirements of the Nlinnesota Energy Code. "-}
s
Applicant (print name) Signat?r `- ' Date ' Telephone number Part C2. VENTILATION (Submit Part Ca upon completion of system verificationt)
a
a<---------------------------------------------------------------------
Job Site Address: Permit Number
Fan; descri tidrin,r` loc..ation TOTALS
MEASURED ;;Intake : cfm.i: cfm < cfm -cfin
PERFORMANCE , °. l3xhaust`: cfm > cfin cfin
t Veneilafion raYe masv be' measuced and .verifed`'when the.performance option is used'in lieu of the prescri priYe option for tbe;.
sealin of 'oints in the buildin conditioned envelo e from' Part A. ' *
Complia?ice Statement: Installed ventilation system is in compliance with NIN Energy Code and is sized to provide the design air
flow.
Applicant (print name) Signature
Date Telephone 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
PRQ.TF.C'T TNFnRMATT0N ?
?eyhawk Mid Unit?
E?
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 requii-ements a-f-the Minnesota Energy Code.
Builder/Designer Date
??
01/26/04 12:00 FAX 6128927900 MW JOHNSON CONSTRUCTION
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Ref: 2000 Intemational Residential Code .
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?-1 h?ave revievved the des by igti ?2 and inch field bea _rin$ . Coi.l ?? ?nnected wit??l-inch staple this case.
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have reviewed the design or midd .
.." mASOnry black faundstion wall. The kern (.
learin • , on the t7 wa ltowin ths v?alt forces to be canee
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o the •foundation ?*?? - The course ?+f ?ail ushall be ?cho? l?v t}ie .
.. trar?sfE rTed t ? and th aod &med
vith minimum {l-inimum 1ch diameter ar?chor boltby b inches embedment
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len?,?tla ar?d not more than- 6 f+eet? ?e evaluat?on waU..1f you fve any q?tions ar
1, bel e ie this repott? is adectuas? for your use in d
comrn•.nts. please call me.
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