4798 Red Pine CtCity of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-------
i t?use
i
? Permit #:
? -
I Pertnd Fee: ?
I - `'
I Date Received:
I
I
? Rfaff
L ---------------
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:v, '6 I Site Address:
TPnant'
Suibe #:
Phone: Ll zz
RESIDENT / OWNER Name:
nQ
/ Zi
p:
Address I City
CONTRACTOR Name: License #:
ess:
Add
r
City: State: ZIP
Phone: Contact Person:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild xModify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESlDENTIAL
Water Heater _ Water Softener
Lawn Irrigation ? Add Plumbi?4 Fixtures
_
? RPZ /_ PVB) ? Main /? Lower Level)
T
Septic System _ Water Turnaround
New
Abandonmen[
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 'rf a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
FEES $
rk wiII be in conformance with the ordinances and codes of the Ciry of
I hereby acknowledge that this informahon is complete and accurate, that the wo
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wi hout a permil; that the work will be in
accordance wit the approved plan in the case of work which requires a review and approval of lans
x / /?/'??\,?- V/i?? X r
ApplicanYs Printed Name Appli ant's S
FOR OFFICE USE Reviewed By: Date:
Required Inspections: '_Under Ground _Rough-In _Air Test _Gas Test _Final
6514237202
Mar. 9• 2005 10:50AM 6B1 & ERA MCMENOMY
. •
Basic Bui/ders, /nc. 14450 Soum RobeR Traii • Rosernount; nnnl
No.2261 P. 1
(651) 4233774 • Fax (651) 423-7202
PACSIAfILS TRA1iSZ[ISSION COVBR. PAGL
DATS : -3 -
TO:
EROM: ?.l P
C6& `;e6 /,2 - 978 -- .2 S6 ?
NUMBER OF PAGES TU FOT,IAW:
?? ` 4--7 99, ?G?? vV ' ????0-[.?.
Mar. 9• 200510:51AM BB( & ERA MCMENOMY
TECHNICAL pATA SHEE1'
FE 110-1.81 FE 800
No•2241 p. 2DoE1002
The FE 110.1_8 is a polyurethane rigld sprey {oam sygt0m desigeed for insulatloR of stud-wall caviHes and
oMer applicatlons whele h?gh yleld and low densTly are dedred. Buiiding wdes currontly requlre a 15 minute
thermat berrler system, such as a'k' shoet roek or cerlaln types oF sprayed cementlHous or CeUuiose ,ystems,
ar an Ignltlon 6arrier ba apptled over the spray Insulaffan depending upon the appiiptlon. Creelc w(th yocir
fotat building official for flnai deletminatlnn,
P4tVSMe1 DnnocorIccll)
The.FE 110-1.8 shpuld onEy he applleQ In %" to Z' passes, This applicatfon procedure fs In eempqance wlth
the SPI PFCD foam appUcatlon guteelines,
The FE 110.1.8 is NO-T tecommended far use as an esEeriOr rooF dedc system due to the Ilght darisity oF this
product FE 110.1.8 shoutd N= be used In re[sigeratetl sVUCtuces ar where rapid changa in temperattire
=n oxur. FE 17a1.8 is to be appllec! to surFac08 bebaeen 35°F to 120°F. Foan Entarprises' technioa?
service peraonnei should 6e consuttad in a!1 cases whens applkCetlan cendldons are quesNenabls.
UQIAD CQRRPONENT PROPERTIE3
?7U"?'Q?B?
Mix RBUo volume 1.0 1.0
- s edfic Gra ' ASTM D-1838 1.22 -1 .25 1.is-1.22
?$? Brookfield RVF 150 - 250 3a0 - ?00
' K?f
' '
SY
t
Dans Minimum ooro ASTM D-1922
. V?T..
.t
1.80 -1.9Q ?
Compressive Sheno . ASTM D-1621
Parailel s 28 - 35
Tensfle Stren h (DO ASTM d•1623 (TYPE C 40 - fi0
Water Abso 'on f6J , ft. ASTM D-2842 0.030 - 0,040
Shear Stren th s max ' ASTM C-273 75 - 35
R-value er inch .Q,M. ASTM Cr516 7,0
Percent Volume Change ASTM 0-2126
DrY A9e - 28 Days (158°F. Dry) -125 to +1.75
Freeze -14 pa s -20° -t.55 to -0.55
SurFaee Buming Charadedshm ASTM E•84
Foam Thlclmess 2..
FEame Spreadr4 25?
Smake Devela 350 r
C'
49wU n¢ccnowcr LIiGIC • mmnwpoUS. MN =at1-3785 •(763) 559-3266 •(B00) 888•3342 • FqX (763) 554-0945
1703 Crosspoint • HouRwn, TX 770S43707 •(TI3) 796A743 • FAX (713) 796-l530
. inLemcG awv.fbament:rprises.com • S-mai) Addrass: £onmcn'(&uol.com
`• w
Address: 4798 Red Pine Court Zip: 5512
Lot: 15 Block: 1 Subdivision: Finch Place
THE FOLLOWING ITEMS WGRFJWERF. NOT COMPLETE AT N[NAL INSPECTION ON
Yes No Comments
Final rade - 6" from sidin
Permanent ste s- ara e
Permanent ste s- main entr
Permanent drivewa
Permanent as
Retaining Wall or 3:1 Max
Slo e /
?
Sod/Seeded lawn
Trail/curb dama e
Porch
Lower level finish
Deck
Fire lace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Tum off water supply to the outside :awzi faucets before freeze pofenual esists.
• Call the City's Engineenng Department at 651-675-5646 prior to working in right-of-way or installing
imgation system.
? BUILDING INSPECTOR:
CONTRACTOR:
Basic Builders, Inc.
14450 South Robert Trail, Suite 201
Rosemount, MN 55068
Block f Subd. I/?? !/4eE
Siteaddress: `I L / S ll&.I1NE & Lot 15-
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 sVucture: 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 VENTINGTYPE
WaterHeater K R?f?? A,.??? t??• N?r¢
Fumace Y, SS>nx4-iao-iaa Jaa,aoo DIM`,{--PIlC
Dryer ? $f?,s Ktr/nwr? lIV• 74949360 p2,ooo if.???,)v ,
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
Kitchen kitchen 62( 0X 46 300 K
Bathrooml MA5111Q- q4J+r oN«- V6 9,0 X
8athroom 2 ?ti s'Q X
Bathroom 3 t/? 75 K 07k.
Bathroom 4
Other
FIREPLACE 5
LOCATION
GAS
W00D
MANUFACTURER
MODEL
BTU'S VENTING
DIREC7 ATMOs
4 iv Nc, f m X Yvbut .sk^j 3zo DJ 4134 23mv X
e'AtA;l RM X ?MJNESS0W 3aa Dv4131o c? x
1. 5 qtarv,p?tC C?mo?ka.uc?'b kv Jolu.rm- SY5+'_0n1 uj++t.. P?.r-ra,cEFN?(pok _
MAKE-UP AIR MODEL TYPE CFM's
PR- ' f,
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
I ,_49?,s'ra?'°
9n@?Skc. B?l? ?D?P-S? T?G•
Company Name
d,7_ 22. - 0.67
Date
' This (orm is the responsibility of the General Contractor.
?-?,,j C)
I Xs?133 S7
L-, rS . ?.? Q1__Q 7
' 2005 RESIDENTIAL BUILD G PERMIT APPLICATION/MPOI' 0
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Rewiremenis RemodeUReoair Reauirements d e N
Cerxot5?vey37ecd 1` _
3 registered site surveys showing sq. fl, of lot, sq. ft, of house; and all rooted areas 2 copies of plan
(20% maximum lot cwerage allowed) 7 set of Ener9y Calculations for heated additions Tte2Pres PIBnRecd ? :
2 copies of plan showing beam & window sizes; poured Found design, etc. 1 site survey for addifions 8 decks Tre2 Pres fieq4?red ?.,, N
1 set of Energy Calculations Adddion - mdicate rfon-sRe sephc sysfem Dhsits SeptieSysl3m _N3 copies of Tree Preservation Plan if lot platted after 7!1/93
Rim Joisl Detail Options selection sheet (6uildings wilh 3 or less units) p n ?A-??
Date
Site Address D?? Construcrion Cost ?
? U ? ` Unit/Ste #
ed ?4e C-f
Description of Work
Multi-Family S?dg _ Y? N Fireplace(s) _ 0 2
d
Property Owner
S Telephane # ( CL?
?
r
Contracmr -a?S LL ''S ? r`_j <--('
Address 174,50 Sc? u Yu- /?a ??=t ?K?', .Suk+j °2 0 ? C(ty !'?O.SLriYld ?l. p7?
M /y Zip 55-i) 6 Telephone # ( 65 /
State
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
x Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y ? N If so, 25% plan review
fee applies.
Licensed Plumber 4e-t,? z? Telephone #1[4?57) 49 3
Mechanical Confractor t Telepho 7?VA ?
SeweNWaterConhactor TelephonlI hereby apply
for a Residential Building Permit and acknowledge that the in rmation is_? d accurate;
that the work will be in conformance with the ordinances and codes of the ' y agan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name r Ptppli iture
(/
OFFICE USE ONLY
? Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
?k 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
;91- 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowsiDoors
? 34 Replacem ent `Demolkion (Entire Bldg) -Give PCA handout to applicant
Valuation F-74 0010 Occupancy fi-3 -y---/;- MCES System
Census Code ?0 1 Zoning City Water
SAC Units 61_ Stories ? Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs ? Length Fire Sprinklered
Type of Const Width 1
REQUIIiED INSPECTIONS
?
Footings (new bldg) ? FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundabon _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
? Framing n Siding _ Stucco _ Stone _ Brick
1C Fireplace -Y RI. Y AirTest I Final?l, Windows
? Insulation ?Y Retaining Wall
?
Approved By: ?_
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
6?sk r-vw;%2q-6-*
un,r.q? &?Qn
MV??
: 9-4Vp ?
. rh vAl'f sroo,0
?31 u2?= S7
/n?q x ??= 4, D 3s'
?C,-rj 0 0
1? ot? X Sv? 70 )?Q d3
?(o?d Y16 ;. )311q-?rlr
x 9,0 0_
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3??x?'= l?j N9(
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MRR 03 2005 9:14RM
?I '
HP LRSERJET 3200
Permit Number
REScheck Compltance Certificate cbeckea syin
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release 1
Data fileoame: I:\Energy Ca1cs1RESCHECKVvM04-625.rck
T[TLE; f104-625
COUNTY: Dakota
STAT&: Minnesota
ZONE: 2
CONSTRUCTION T'YPE: Single Family
DATE: 03/03/05 j
i
PROJEGT INFORMATION:
MARTIN & J.4NEL VRIEZE
i
COMPANY INFORMATION:
BASIC BUILDERS I
CO!14PLIANCE: Passes II
Maximwn UA = 638
Your Hoaw UA = 504
21.0% Better Than Code (UA)
Gross Glazmg
Area or Cavity Cont. or Dooe
Perimeter R-Value R-Value U-Fact UA
Ceiling 1: Flat Ceiting or Scissor Tmss
1675
44,0 0.0 j
45 ?
Wall l: Wood Frame, 16" o.c. 3863 19.0 2.0 180
Window 1: Abovo-Gcade:Above Grade, Wood Fruce, Double Pane with Low-E I
503 0.330 166
Door 3: Solid 80 0.330 26
Door 2: Solid 18 0.230 4
Door 3: Solid 40 0350 14
Sasement Watl 2: Solid Concre4 or Masonry 1080 11,0 0.0 60 I
Wall height 8.8' i
Depth below grade: 8.2'
Insulation depth: 8.8'
F7oor 2: All-VJoad JoisbTmss:Ovei pu[side A'v 19 38.0 0.0 0
Floor 2: All-WOOd JoisUTmss:Over Uncoaditioned Spage 351 38.0 0.0 9
Fumace 1: Forced Hot Air, 90 AFUE
Proposed and Maamum U-Factor Averagea
Proposed Maximum
. . Average U-FacWr Allowal U-Factor ,
Above-Cnade Windoivs and Gless Doors 0.330 0.370
. i
i
I
/
p.2
(
MRR 03 2005 9:14RM HP LRSERJET 3200
Includes Fovndatiqn W mdows > 5.6 R2
Floors Over Uncouditioned Space 0.026 0.033
COMPLIANCE STATENEEN'I': 1'he proposed building design descnbed here is cansistent with the buil?g plans; spec
and other calculations submitted with ihe pemut applicatioa The proposed buifding has been designed t meet the 2000
Energy Code *??=.-•m^?e?s in RES checkVersion 3.5 Release 1(forrnerly MECchuk and to comply wi tl?e mand0tory
requirements listed in the RES checkInspection Chycklist
6? ?.?c?? ? ?« •//' ?. 3. 0 3 0.?
Huilder/Designer Date 11
i
p.3
03/03/2005 THII 7:38 FAX 6513226147 GENZ-RYAN ?iy BASIC BIIILDERS
)es:teur?s5 47?8
&C,?_TE ?s??.? , d'? A? ?'?.?R.?.?f?.T.?. ?' OR
9I?? ? ? ?O FA1?ILY ??ELLI? ?S
IM 002/004
ISTRUCTIONS: Tbis altc: aativc-may Sc useJ for onc- and hvo-family divclfings built to mcet qic Catcgory 1 requircmcuts uf
inaasota Rules, Chapcer 7670. Comptete Parts A, B, and C. Clearly mark p(ans with: insulation IC-valucs; window and skylieht U-
lues; size and rype oF zquipmenr ecuipment controls; and iocation of vapor retarder and windwash barriers. More deqiled
Comation can be :ound in the Nliroverota Energ}, Code sununary sheets availaoEe Crom (he 1v(inncsota Deoarnnent o£Commerce.
,art A. B'U'ILDI1?? ???ELORP
?
eck proposed envelopejoint sealing option 3resaipeive (cauiking, gaskets, ete.) ? performance (test per 7670.0470 subp. 7.C.)
eck thermu( eaagy calculation option uscd 4 Q"Cookbook" (compiete worksheet below) ? MnCheck method (attach report)
p Performancc (attach U-value calculatiorts) ? Systems Analysis method (attach analysis)
Looi'sbook99 V'York3heet
Ins?ucrior+s
? I. Check i[cm(s) that design mcc[s on hfminrrun Requrrurrems lisi
to the righc Must meet aU i[ems ro usc "Cookbook" option.
)2. irsdicate proposed wall rype on table beiow.
)3. Indicate Window U-volue and source.
)4. Verif-y total window (including area of all foundarion windows)
and door arca is cqual or less tnan ollowablc percentage,
enuru nuuwuole i oem w inaow ana uoor area ac + --?
_ccntagoofExpased Watl 14% . i6°o I 28% I 20% ? 22% 24% ? 26% 28%
1 Type (Standard Framtng): • . ? tvfax?mum Averago W mdow U-vxlue (e-ceptfoundarion windows)'_
2x4, R. 13 msulahon, R-7 sheathme 0.5,- ? t n ao I n ni . t. nIA r, vq . - n zr, A."
<.H:_;
<
:r6,R-Tl- insulation. R-5 sheathin¢
! 0:58:..
0.50 .
: 0.44 V.?'
' 039... I V.JV
0.35 V.Ltl .
032 • "V.L7
0.29 '' U.U
0.27 U.1L
025
Type (•Advanced Framing): trtazimum.qvcagc Wiadow t}-vaiuc (cxcept foundatioa windows):.s',.,
x6,.R-l:9 insulstioa cR-5 shcathing 0.52 ? OAS ? 0.39 0.35 039 0.28 0.26 . ' 0.24 0.22
xG; R-69: insuiation, - R-5 sheathing 0.58 •? D.50 , 0.:4 039 035 OJ2 ,.: .0.29 017 0.25
xG, R-21 insulation, < R-S sheathing 0.55 . '. 0.47 ` Q41 0.36 0.3" . 030 . 0?7 0.25 023
zG, R-29, insufacion; R-i sneathing 0.60 ? 0S2 ? 0.46 ? 0.4C 036 . 1 - 0.33 0.30 . I 0.28 0.2G •
W"'indow U-value; ?_7 - ' Sourcc: ? NERC ? ASHRAE 1993 Haadbook
1€i3f = ? j_ %
window & door area gross exposed wall area DESIGN A6L0 WABLE (@on table above)
mg?
V9?E-SO TIA ENERG, z°vC-ODE-- F9IVH1:.H ar',ULE.'?? ?WAY S USE°
3PPLICp-BLE
caea;r-s occuear.ry !-and?-Car.xily dweiliags ? 01apicr?672; or i
raxnoles single iazniiv, avin hcmes,cupIc;es ? C:?acrcr ;G70 "Categer; witb s:amrorv dcprama?zaiion and ven;iia!ion rcyuiromrnis
amptes: Oiplex rovmhouses and row icuses ? Cnzpter 7670 wi:h cth^• "C'^tcoery "' o; "Ca:eecrv 2" provirons ?ceuaanc,i bul!d7ng5 0, o stone: or!ess ? CSacter iuid; oi :amcies: condor.ain:ums or aparreac=_ C;aomr 7670 ^:.?...-.,ra^cqDr• : •' o; °^a,egorv %' ^rovision,
Jc_upancycui;dia„over3scor:es;^.igh ?.aan:er?o7o . .. , . --
i
:ama!es: nieh r:se cor.dcs ?r acd:r:.eas .
:a? rvxcvai?iuvutvuvtuMA„Ct1YiUPr1WIIVDOtiVANDDOORAREA --I
03/03/2005 THO 7:39 FAX 6513226147 GENZ-RYAN ?.+ SASIC BUILDERS 003/004
nHY-Iy-UU hK! US:UU rn UIIY Uh hHKldflULl rRX NU. 5U( 339 UI24
'Part B. DEPRESSURIZATION PROTECTYON
'heck option liscd: Q,` Fuel buming cquipmenc (completc scheduIes bclow)
IHSrrcucrioNs
,'-'itep 1. Comp(ere the Combustibn Equipmenr Schertule bclow. Only cquipmrnt
rviih a Y(Yes) may be select;d uiider the "Caugory I" altcmate.
Step ?. Complue EchausdJLtake-up Air Schedule on the right if d'uec[ or pawer
venced or solid Cuel aanospherie vcnc spaee hzariug equipment is selected.
0 No fuel buming equipment
EXHAUST / MAIa-UP :13St SC$EDLZE•
E.6austd 'cesover300cfm Flow
cfm
cfin
cfm
COMSTJSTION EQUIYylE1'T SCECEDiJLE
chetk all types ro osed)
Spacchcating - nonsolidfuel -Sesledcombustion Y Hearth - nonsolidfuel QSealedeombnsrion ? Y
? D'uect or otver vented Y* , . Direct or ower vmrod Y
Atmos hcxitall veated Iv ? Atmos hericall vented N
Waterhoadng - nonsoiidfucl Q Sealzdcombusdon Y 5 acchtadne-solidfucl O Atrnos hericall vented Y.
Q D'vect or owcr vtnted Y Water heatine -solid fuei ? AQnos haricallvented Y
Acmos htn'ea21 vented N Heurh-solidfuet O Atrnos herieall venred I Y
' If apnosph:[ically vented soiid fuel oc d'ucct or power ventrd nonsolid fuel space Lesting is instaUed, then rnake-up air to maccL
flow is re uiced fur each individual exhaust device wluch exceedz 300 cubic feM a minuta.
Part Cx. VENTILATION
VF:NITLATION Q[iAYIIT'Y
(Mechanical veatilaHon must bt provided pcr che lareer quantiry calculaced betow) '
enbic feet s 0.00583 (minute =2,? cfm i 15 efial6edroom) +15 cCm = 25 I e(m
votuute of habitabie iooms number of bedrooms
FAN SCHEDUS,E
-'6cck mcrhnc[(s) proposed 4
O
41 !, 2'L, t' < ,- -,29 r' S.Z %Z t U ttu.a
Fau descn tion oc l0c3doa 4 %L i{ t,
VE:QIILAIION Intake_ _1,5-:5 cfm _ chn _ cfrn c£m cim
cfm
Statemcuk oC Compliancc: The proposed building design reprasenced in
specifications, and othec ealcularions submftted wtith the permit applicarion.
requuemeuLs of dic Minn:sota L•nergy Code.
Apyticant (print namc) ?3wn tur " ?..
` O 03 G? ?GSr/ 9?3-31/¢
Da['-e7? Tzlephone aumber
Pilrt C2< V lENT1.1..+ATlON , (Subm;t Part Cz upon completion of system verificaRon+)
?-----------------------------------'----------------------------___---
Job Si<e
Peimit Num6c7
Faa dcscri lion ot )xarion TOT.4LS
MEAS[TRED Intake cGa cf3n cfm cfm cfm
PERFOR1%"CF.t Exhaust efm cfrn cfm efrn cfm
j Ventiladon cace must be measuced aad verifred whtn the pecfotmaace option is used in Yeu of the prescriptivc oprion for the scaling
of'oints in thc bvffdin eo¢dirianed envelo e fmm Part A.
"-mpGance Statement: Iastalled veutitation system is in compliance with MN Energy Code and is sized to provide the design aix flow,
Ehes: documeuts is consistent with the building plans,
The proposed building has been designed to meet [he
Applicaat (print name) Signature Da[e Telephoae numbrr
Questions? Call 1-800-657-3710 or 651-296-5175
03/03/2005 THU 7:39 FAX 6513226147 GENZ-RYAN ??+ EASIC BUILDERS
/
6 Date: 313/2005 Revision Date: 3/3/2005
Site fnformation
Address 1: 4798 Redpine Ct
Address 2:
City: Eagan County:
Application Information
Business Name: Basic Builders
Confact Person: Jeff N
Offlce Ph: 651-423-3114 Fax:
Address 1: 14450 So Robert Tr
City: Rosemount State: MN
Cell Ph:
Zip Code: 55068
New Construction
Project #:
Lot: 15 Block: 1
Subdivision: Finch Place
MN Contractor License #:
House Details
Square Feet: 4465 sq. ft. Avg. Ceiling Ht: 8.5 ft. Number of Bedrooms: 4
Ventilation : Balanced
Total Ventilation Capacity : 166 cfm.
Minimum Continuous Ventilation :75cfm.
Balanced Ventilation: 76 cfm Exhaust Ventilation: 90 cfm
Combustion Apqliance
Water Heater: NA
Furnace/Boiler: Direct Vent/5ealed Combustion Input BTUs
Other Combustion Appliances
11004/004
100,000 Independently Vented
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Firepiace(s); No Solid Fuel Appliance(s): No
Exhaust Eauipment
Exhaust Ventilation Capacity (cfm): 90 Ciothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 300
ilAake-Up Air
No Make-Up Air Required by Code
Combustion Air
Minimum Combustion Air Requirements Have Been Met.
43?1?3 :i?
Applicant Name (print): l/?SIC (?u? ?a?;E'j'???- Signature/Dat?
Code Official (print): SignatureJDate:
C 2004 CcnterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page ]
It,
Development ( `r"C.a 76 46 e
Lot Number ?jr? Block Num6er ?
Address ?? 1? LZ ?? ?? 1L? C t
Builder IzIQCIL -Eala.N=?R S
PHONE NUMBER:
CONTACT:
Tree Protection Reauirements:
Tree Protection Fencing InsWlled On Site
Oak Tree Pruning (Immediately seal wounds during Aprii 7 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
ReDlaeement Trees:
? Not Required ?
As Follows: "'?
Attachments: ? 04
??
Yes
No
Additional Notes:
H:lghove12004fi1eltreepres\Tree Preservation Plan Summary-2004
(PLEASE READ ATTACHMENTS)
5180 12' BOX ELOER REMOVE 5310 13' Rm OAK savE
5181 14' BOX EIDER REMOVE 5311 10' RED OAK
' SAVE
5162 12' BOX ELDER DAAIaBASE,INLDEC. HA2ARD 3312 13' REO OAK OFF SITE,
5163 15'/14'/14° AMERICAN EW REM01iE 5315 tY WAI(ING ASPEN SAVE
31a4 13' - BOX ELDER REMOYE 5314 r FtED OAK OFF SIhJ
545 15' 80X ELDER I2EMOVE 5315 15'/tb" RED OAK SAVE
5186 12" BOX ELDER REMOVE 5318 13' BOX ELOER REMIOVE
5187 13' BOX ELDER REAIO4E 5317 13' ' BUR OAK SAVE
5188 8' GREEN ASH SAVE 5318 15" RED OAK SAVE
3189 8' CREEN ASH SAVE 5319 15'/12" BOX QDER REAIOVE
5170 10' CREEN ASH SAVE 5320 13' WAKING ASPE11 REMOVE,
5171 12' AMERICAN ElM SAVE 5321 28"/24' COTTONWOOD REMOVE
5172 60 BUR OAK SAVE 3322 18' COn??D REM0VE
.
5173 13": AMERICAN ElM SAVE 5323 13' WAKINC ASPQI REMOVE
3174 177/160/13' GREEN ASH SAVE 5324 18'/14' RED OAK REMOVE
5175 13' AIdERICAN ELM SAVE 5325 14' ftED OAK REMOVE
8178 18' BOX ELDER 800ARK MISSINCaBASE HA2ARD 5326 13' BUR OAK REUOVE
3177 14' 8UR OAK SAVE 5327 13' QUAKINO ASPEN REIAOVE
3178 21' SIBERIAN ElM 10F2 S7EMS TOPPIED HAZARO 5328 tW RED OAK RDAOVE
5179 12' QUAKINO ASPEN SAVE 5329 140hO* BUR OAK RE?IOVE
5180 12' BOX ELDER SAVE 5330 18' RED OAK REM10VE
5181 12' BOX ELDER SAVE 5331 15' BUR OAK ftElAOVE
3182 12'! BOX ELDER SAVE 3332 18' RED OAK SAVE
5183 12' BOX ELDER SAVE 5333 13' REO OAK SAYE
3184 13' BOX ELDER SAVE 5334 14' RED UAK SAYE
5185 73' BOX ELOER SAVE 5= 7' BUR OAK SAVE
3188 13?/13' BLAqC NALL05M SAVE 3338 21' RED OAK SAVE
5187 14' BOX 0.DER SAVE 3337 1e ItED OAK SAVE
5188 13' 80X 0.DER SAVE 5338 180 REO OAK SAVE
3189 14' BOX ELDER SAVE SJ39 14' RED OAK SAVE
519
0 8' EN A
S
H
CRE V
S
A
E 7'
0 1
5
34 DA
K
R
E
D A
V
S
E
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S1D1 13Y ?
p
y
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5192 14' QUAKING ASPEN SAVE 5342 12' RED OAK OFF 9TE
5193 14' SIBERIAN ELMI SAVE 5343 13* RED OAK OFF SITE?
5194 15'fl4' PAPER BIRCH SAVE 5344 tY BUR OAK SAVE
5195 12` BOX ELOER SAVE 5345 13' RED OAK OFF STE
5196 12" BOX 0.DER SAVE 5348 Y RED OAK OFF 9TE
5197 12." BOX ELDER SAVE 5347 1(r RED OAK OFF 97E
8198 72" BOX ELDER SAVE $348 12' RED OAK SAVE i
'5199 15" BIAdC CHEINtY 50%IAI,5) HAZARD 534g 8' 8UR OAK SAVE (
5200 16'/18' BOIf ELDER SAVE SJSO 75'
' BUR OAK SAVE
5201 18? BOX ELDER SAVE 5351 18 BUR OAK SAVE
5202;16L BOX ELOER SAVE 5352 17' 8UR OAK SAVE
5203'72 BOX ELDER SAVE 5333 14"
' RED OAK SAVE
?
8204 14 BOX ELDER SAVE 3354 18
'
0 BUR OAK
CH SAVE
SAYE
F
5205 13? BOX ELDER INT.DEQ HA2ARD /8
5355 14
' PAPER BIR V
5208 15 BOX 0.DER SAVE 5358 15 RED OAK SA
E
.
'
5207 75 BOX pDER SAVE 3357 170 8UR OAK SAw
,
5208'120 ?BOX ELDER DEAD 5358 15' BUR OAK SA4E '
5209 1S' BOX ELOER SAVE 5359 14' BUR OAK SAVE
5210 19' BOX ELDER 107NEAO,INT.DEC. HAZARD 5380 14'
* BUR OAK SAVE ,
5211 15' BOX ELDER ftEMOVE 5381 17
' BUR OAK SAVE
3212 75' BOX ELDER REAIOVE 5362 18 BUR OAK SAVE
5213 12' BOx 0.0ER REMOVE 5363 12' IXJAIqNC ASPEN OFF SIIE
5214 13' BOX ELDER RE110VE 5384 15' OUAKING ASPEN REMOVE
6215 74' BOX ELDER REMOVE 5365 13` WAI(ING ASPEN SAVE
3218 12' BOX ELDER FtEAIOVE 5388 13'
' QUAKING ASPEN SAVE
5217 13' 80% EIDER REAIOVE 5387 13 OUAKINC ASPEN SAVE
5218 23' BOX ELDER INT.DEC. HAZARD 3388 13' WAI(INC ASPEN SAVE
5219 14' BOX 0.DER REMOVE 5389 12' QUAKING ASPEN SAVE
5220 14' BOK ELDER ftEMOVE 5370 tY RED OAK SAVE
5221 14' BOX ELDER REMOVE 5371 14' WAIqNG 115PEN SAVE
5222 15" BOX ELDER REAIOVE 5372 14' WAKING ASPEN SAVE
3223 13' BOX ELDER RQAOVE 3373 13' BLACK CHERRY SAVE
8224 75' BOX ELDER REMOVE 3374 17' RED OAK SAVE
6225 150/130/15 ' BLAdt CHERRY REMOVE 5375 12' BLACK CNERRY SAVE
5228 75' 80X EIDER REMOYE 5378 12' GUAKINO ASPEN SAVE
3227 tY SBERIAN ELAA Fff1A0VE 5377 12' QUAKINO ASPEN SAVE
3228 12' BOX ELDER 60%TU HAZARO 5378 13' WAKINC ASPEN SAVE
3229 12" RED OAK OFF 5TE 5379 12' BI.ACK CHERRY SAVE
gy'!p 8" RED OAK OFF S1E 5380 13' WAKING ASPEN SAVE
3231 Y RED OAK OFF 97E 3381 13' 4UAICING ASPEN SA4E
5232 14' RED OAK ItEMOVE 5382 13' OUAKING ASPEN CANKER SAVE
5233 15-10' BLAqC CHFRRY REMOVE 5383 12' WAICING ASPEN SAVE
5234 13 BOX ELDER SAVE 5384 8' RED CEOAR SAVE
3235 130 BOX ELDER SAVE 5385 12' OUAIqNG ASPEN REUOVE
.
5238 16' BOX ELDER SAVE 5388 12' OUAKINO ASPEN CANKER DEAD
3237 18" BO% ELOER SAVE 5387 13' QUAKINO ASPEN REMOVE
5238 '13` BOX ELDER SAVE 3388 13' QUAKINC ASPEN RDAOVE
5239 13' BOX ELDER SAVE 5389 14' WAKINC ASPEN REMOVE
5240 12' BOX ELDER SAVE 5390 12' QUAKINC ASPEN REMOVE
5241 18" BOX ELOER SAVE 5391 15" BOX 0.0ER DEAD
5242 12:/tY BO% EIDER SAVE 5382 14' BLACK CMERRY REMOVE:
5243 18 BOX ELDER SAVE 5393 14" fXtEEN ASH REMOVE
'
5244 15:/13' BOX ELOER SAVE 3394 12' BOX ELDER REMOVE
5245 18 BOX ELOER SAVE 5395 13' BOX 0.DER SAVE
gZ{g 13' BOX ELDER SAVE 5398 13' BOX 0.DER SAVE
3247 14' BOX ELOER SA4E 3397 14' BOX F1DER SAVE
5248 14" BOX ELDER SAVE 5398 14' BOX ELOER SAVE
3249 14' BOX 0.DER SAVE 5399 23' BLACK 1MLLOW REMOVE
5250 17' BOX ELDER SAVE 5400 13" AMERICAN ELM SAVE
R.ROJECT
FINCH PLACE
SHEET 1 oF 6
SHEETS
I OWNER ED MCMENOMY
E PRESERVATION PLAN Qa,,, A2„ ,,?? o?
SULTING
Il SURVE`(ORS
O17E CPLANNERS ondINLAND,
NGINEERING
COMPANY, INC.
BASIC BUILDERS
? PROJECT N0. 12809.00
1000 EAST 146th SiREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000'L
CERTIFICATE OF SURVEY
Legal Description: LoT 15 BLOCK 1 FINCH PLACE
DAKOTA COUNTY MINNESOTA
I§KLt DENOTES EXISTING ELEVATION
?943,5 DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
4-q 3• ?4 = FINISHED GARAGE FLOOR ELEVATION
9 50 = BASEMENT FLOOR ELEVATION
9 • 17 = TOP OF FOUNDATION ELEVATION
. • 5300 PENOT55 7kE FR?h p¢o?r 79EE PUAN
DRAINAGE AND UTILITY EASEMENT-S"?
SCALE : 1" = 30'
AREAS
LOT = 17,387 SQ.FT.
HOUSE = 2,358 SQ.FT.
(INCLUDING CANT.)
0R1vEWAY qREA = $OS SQPT
L'OVER116E _ /82 ? ` ?`?
ADDRC55: 4798 ReD PIn?E cwar
pWSE -YPE : lwo STO2Y -4F7 FBWO ry4'?
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ywc = 925.4
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I hereby certify that this is a u and correct representation of o troct
hereon. As prepared by me his day of Feap???+e y , 2005.
? Minn.
BOOK
PAGE
as shown and described
Reg. No. /9086
,[`?? _?
?r. '
' • LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROP ERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
m
rn
c
R
L
U
O ?
z Q DOCUMENTSTANDARDS
,W- ? ? . Registered Land Surveyor signature and company
? ? • Building Permit Applicant
? ? p . Legal description
Jd ? ? • Address
? ? . North arrow and scale
? ? ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
.z ? ? . Directional drainage arrows with slopelgradient %
? ? ? • Proposed/existing sewer and water services & invert elevation
.? ? ? • Street name
? ? • Driveway (grade & width - in R(VJ and back of curb, 22' max.)
? ? ? . Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existin
- °,PI` s-.? ? - _ . . • Sewer service (or Proposed) - %
?- ? ? • Property corners
,e( ? ? . Top of curb at the driveway and propeAy line extensions .
O ? • Elevations of any exisfing adjacent homes
? ? . Adequate footing depth of structures due to adjacent utility trenches
,H ? ? • Watenvays (pond, stream, etc.)
Proposed
)11 ? 0 • Garage Floor
X- ? ? . Basement floor
- A' `p ? • Lowest exposed elevation (walkouUwindow) °
? ? • PropeAy corners
? ? ? • Front and rear of home at the foundation
PONDING AREA (if aqqlicable)
/ ? ? • Easement line
?0 ? ? • NWL
X ? 6 • FiWL
z ? ? • Pond # designation
'
iz ? ? . Emergency Overflow Elevation
? ? • PondlWetland buffer delineation
Y N • Shoreland Zoning Overlay District
DIMENSIONS
? /,z ? ? • Lot lines/Bearings & dimensions
?? ,H • Right-of-way and street width (to back of curb)Slvor.d Sfreer cJAI%4., e+' CwI•de-SaC Rpd'k,t fe 4w-4 oFC?6•
??/? ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)5AoW Cr-rd' PePel. ?MN.ns?ons.
?? • Show all easements of record and any City utilities within those easements
?? ? • Setbacks of proposed struc[ure and sideyard setback of adjacent existing structures
.P1 ? ?] • Retaining wall requirements:5ee A'we o„$i,r? A? d +' /'c*,do?? Q-- &tJ 4 en /a.del
Reviewed By. ,L n Date:?1!7
GlFORMSlBuilding Percnit Application Rev. 11-26-04 u
r .
I7 BASIC BUILDERS
n A CONSULTING ENGINEERS,
O17E PLANNERS and LAND SURVEYORS PROJECT N0. 12809.00
VCOMPRNY, NGINEERING BooK
INC. PAGE
l 1000 EAST 146tA STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 .
CERTIFICATE OF SURVEY
Legal Description: LOT 15, BLOCK i, FINCH PLACE
DAKOTA COUNTY MINNESOTA
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDiCATES DIRECTION OF SURFACE DRAINAGE
4'3. 94 = FlNISHED GARAGE FLOOR ELEVATION ?
93F_ . = BASEMENT FLOOR-ELEVATION
• 17 = TOP OF FOUNDATION ELEVATION
c/J
• 53&7 7eNV7E5 71E[{ FRO?h 790JEC! TREE 7U114
DRAINAGE AND UTILITY EASEMENT o
SCALE : 1 = 30
935.9 .S] r IJ
AREAS
LOT = 17,387 SQ.FT.
HOUSE = 2,358 SQ.FT.
(INCLUOING CANT.)
OQIVEWAY AREA = $OS `.xG.FT
COVEnqbE _ l8•2 % `,`^
ADDRE$S: 4798 RED PINE COVHT f?% p'v
;. a
?05E IYPE :'M1^1o 570RY -qFT F8W0
$ENCH /nHQKr 7NH AT 08-81. %%J
Ecev, = 996.74
?
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By '14A
Date ?
EAGAN
???`\ 9g? J
?°) E ? `ya?s ?'i-G
pa
GJ
401\0 (LP_?
DNR #19-53 W
NWL = 922.0
HWz- = 925, ?F
KT;d 0
V?
(I?
?l
I hereby certify that this is a and correct representation of a tract as shown and described
hereon. As prepared by me this "? day of FEaku,aey , 2005.
\j
iVV.PNS?OryS ??Q n n e
Reu. a-ioos. Add???oh41
2PO ? EleuS• Qev CA-Y Review. ? Bo f?y?..??t Minn. Re9. No. 19086
n LC'
aAar.19• 20051 2:14PM BBf & ERA MCMENOMY No•3311 P. 2
Apri119, 2005
a o
o Amer-Can m
EtVGTNEBR.ING SERV7CE5, I.td.
19840 Rad Wing Blvd.
T-Tastings, MN 55093
Phoae:(651)388-9161 or437-7731
Basic $uiiders, Tnc.
14450 S. Robert Trail
Rosemount. MN 55068
Attn: JefPNivala
Re: 4798 Red kine Coert, Esgen, iVN
I3ear Jeff,
GVe were contracted by you to determine the edequacy oF the footings tbat sUppan the
gazage tnus girder at a residence you ara building at 4798 Red Pzne Court, Eagan, MN.
The mus girder supports the floor and the roof in the Bonus room. I field ipspectcd the
foundarian at each cnd of the truss girder aad determined the soil type as clapey gravel on
April 12, 2005. The original footings cvere 8" thick by ib" minimum wide, supporciug aa
8" thick concrete foundation wall. Thc foundation contractor has pinned a 12" wide by
30" long cxtcnsion onto each side of the original footings at the ends of the girder buss,
You provided us with house, site and roof truss ptans.
Our analysis is bascd an the requirements of the 20001RC with 2003 MN Amendments.
Our calculations are based on a ground snow load of SOpsf, a tloor tzve load of 40psf a
roof dcad load of 20psf and a floor dead load of 15psf. The calcu?ations indicate that the
foundations as originally construeted ar,id modified are adequate to saftly support the
Code required combinations of snow, live and dead toad We were not provided floor
truss drawings therefore you shotild verify that the ttuss manufacwrer has accounted for
the roof misses (#132 on their plan) to besr onto them. The house draxwiags indiaate 2x4
garage walls, but it is a requirement for adequate bearuig that the trugs girder bears_an 3-
2x6 studs at each end.
Based on the inforu?ation presented rae, field observations, tecbnical and profcssional
uaining and structural computations T am of the opinion that the modi&ed foundations at
each end of the truss girder are adequate and spvcturally sound.
Please do not hesitate w eflntact the undersigned if questions arise, ftuther ciaxifieation is
required ar if we cazt be of furtb'er servica.
Georg A) Kau1J PE
President
I hnr^.. by afy dhat ft phn. spaci-
Or mm Wes p[WM by me or
?p118t1d lhat i ?n
lyn?.?r my aOCt 8up61Y1 ?
? ?uy P+?
the IaH?" ?10 $?i m ta.
Date:a'I-7 'o "t SiteAddress:
Tenant:
Sultelf:
-?'
RESIDENTIOWNER Name: tALtl7V% ht JG,"2\ Phone:LOJrt L4 a34
Address / Ciry! Zip: Li L % Z] TLLCL r%1'%2 ?GQG+Un YYl'N SI
Applicant is: X_ Owner _ Contractor ,
TYPE OF WORK Description af work:
Construction Cosf?7 l`?tcao Multi-Family Building: (Yes No _Vj
CONTRACTOR Name: License q:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category 1 Worksheel • New Energy Code Worksheet
CatBgOry Submitted Submined
(q submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTEi Pians and supporting documenls that you submtt are eonsidered fo be publ/c informatlon. Portions of
the in/orm8teon may be classified as non-public H yorl proaide spec(1ic reasons that would permit the City to
cooclude ihat the are trade secrets.._
I hereby acknowledge Ihat ihis iniormation is complele and accure[e; that the work will be in contormance wiih the ordinances and codes ot ihe City of
Eagan; that I understand Ihis is not a permit, but only an application for a permil, and work is not to slan without a per it; ihat the work will be in
accordance with e approved plan in the case ot work which requires a review and approval oi plans.
Y
x???? Vr 1 • ? , ??(1 ? X ?
ApplicaM's Printed Name lic Signat
Page t of 3
r cg ;; ; 2009
0
?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation
_ Single Family
_ Multi
_ 01 oT_ Plex
Accessory Building
WORK TYPES
_ New
Addition
? Alteration
_ Replace
_ Flreplace _ Porch(3-Season) _ Storm Damage_ Garege _ Porch (4-Season) _ Exterlor Alteretion (Single Family)
Deck _ Porch (ScreeNGazebolPergola) _ Exterior Alteration (MUlti)
X Lower Level _ Pool _ Miscellaneous
Interior Improvement
Move 8uilding
Fire Repair
Repair
Siding
Reroof
Windows
Egress Window
Demolish Building'
Demolish Interior
Demolish Foundation
Water Damage
`Uemolition of entire 6uilding - give PCA handaut to applicant
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
?
?y 3y
Occupancy tG-
Code Edition {,G¢j 7
Zoning R-!
Stories -
Square Feet -
Length _
Width /
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: -ICe & Water _ Final
? Framing
Fireplace: _Rough In _Air Test _Final
? Insulation
Meter Slze:
Reviewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
? Final / No C.O. Required
? HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
, Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MCE5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
?
"?
Use BLUE or BLACK Ink
r
For Office Use II l
Permit / u
4110~ Ila
City of Ea Permit Fee: a
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t D " k'_> Site Address: ( ~ 0 U_ nA Unit
Name:0(141n )&C-z- Phone: 75CS~- I~Q -fsSs-y
Resident/
Owner Address / City / Zip: L') pt% L t
Applicant is: Owner __2L--Contractor
Type of Work Description of work: `1SL - CLUZ~
Construction Cost: (D, 01o Multi-Family Building: (Yes / No )
Company: C-s,\-5 ir-c-4--A - Contact: ~r..
Contractor Address:lrJ`'1 3 G erg,-,ice ~Il City: ,eei. (k-1
State: /I /Vl Zip: 5ZT72~ 4-t Phone: CAIJ
License /5,f-3 3 /-,-.l 7 Lead Certificate
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 issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 they 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.-gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166272
Date Issued:12/28/2020
Permit Category:ePermit
Site Address: 4798 Red Pine Ct
Lot:15 Block: 1 Addition: Finch Place
PID:10-26475-01-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Martin D & Janel L Vrieze
4798 Redpine Ct
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166649
Date Issued:01/26/2021
Permit Category:ePermit
Site Address: 4798 Red Pine Ct
Lot:15 Block: 1 Addition: Finch Place
PID:10-26475-01-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Martin D & Janel L Vrieze
4798 Redpine Ct
Eagan MN 55122
(612) 413-6171
Paramount Plumbing & Heating
4893 Rutledge St SE
(612) 413-6171
Applicant/Permitee: Signature Issued By: Signature