4828 Redpoll CtR SIDEN IAL?
. ?i v?c,fn Q I BUILDING PERMIT APPLICATION
CITY OF EAGAN ?'P
3830 PILOT KNOB RD - 55122
651-6814675 P V ?- {
?Iqy.a9
'10.SC?
ao
New ConaW ction Reaufrements RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 cropies of plan ?
(20°h maxlmum bt coverage allowed) • 1 set of Energy Calculations far heated additiom
• 2 copies of plan showing beam & w(indow sizes; poured found design, etc.) c? . 1 site survey for ezterior additions & decks
• 1 sel of Eneyy Calculalbns 0?? • Indicate if home served by septic system for additions
• 3 copies of Trea Preserva6on Plan d lot plaHed aker 7/1193 ? ? ? I
• Rim Joisl Detail Options selecfion sheet (bldgs with 3 or less units) ??C J C???JCx.01
DATE
VALUATION -
JOB SITE ADDRESS 4 91Z
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER F-JftslG BalG']
TYPE OF WORK A1E1hJ 57iL6I -?km? FIREPLACE(5) _ 0 ?_ 2
APPUCANT A1C1 18ull..VC°.Z5. :Q1-JL • PHONE#&S%1¢V3'.
ADDRESS ?144v?P ?e, 46io_t- ZIPCODE 5S0466
PAGER # 619 ?IB-o2ty?? CELL PHONE # FAX # 3--7?6Z
NEIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category X MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
PlumbingContractor: le;6vz XV.&?, ]ZNC'i. Phone#:6?
Plumbing System Includcs: Water Softener Lawn Sprinkler P'ee: $90.00
Water Heater No. of R.I. ]3aths
No. of Baths
Mechanical Contractor.
Mechanical System Includes: Air Conditioning
Heat Recovery System
Sewer/WaterContractor: fJ?(?/'l5 ?'Ui?ES
Phone#
Fce: $70.00
Phone # -- IObr, 457"0?W_?
r .-
in ? , LAr
tin auuvc uuV inmuuu uiwL uc auuuuucU Nnvi w yIvwoaniy U i ayy11..o.1..I "
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina es., ,-- ?.
, ;?qsi
Signature of Applicanf
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required V
Updated 1101
NO TQf.t.S o.U Zo'Y'
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
N6r. of Units
Nbr: of Bldgs
Type of Const
X
?
?
?
165 G0o 21-
1OI
0/
?-
?
Footings (new bldg)
Footings(deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace A R.I. X Air Test )(Final
Insulation
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco ? Stone
_ Windows (new/replacement)
Approved By
Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Stortn Damage
Pibg_Y or _ N ? 25 Miscellaneous
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)", ? 43 Reroof ? 46 Windows/Doors
?
"Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy R-3eLu- 1 MC/ES System
Zoning Gity Water
Stories Booster Pump
Sq. Ft. W//t'ae.40 PRV
Length Fire Sprinklered
Width 'o,
REQUIRED INSPECTIONS
? FinaUC.O.
FinaUNo C.O.
_ Plumbing
_ HVAC
6Asrm&„r
1??' ?
1I 121
l?"°= ?
16690
? ST ? Lvv /L
3
Uez'o
(D j
,, 1
0
Z N o FC aarl
3? x 664,36
y 6 yn' X 3cs_oc, = 7 3&G
6u ?
7 6SrO X
00
y
Address 4S a g R 2cl pU 1 I Ci' Zip 5512_
Lot _10_ Blk i_ Sub Fi nch Place-
THESE TTEMS WERE ! WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ?-. I , 02 Yes No Inspector.
iar?
Final grade (6" from siding) ? v
Permanent steps (gazage)
Permanent steps (main entry) X-
Permanent driveway
Permanent gas X
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck
Please verify with We builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet 6efore freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
,Ilk Clty Of ?apIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 675-5675
Fax:(657)675-5694
LEG ?nUE ?IfI?
JUN 2 2009 LUJ
----------,
i Fop o;iise ?
? Permd #:
i Permit Fee:
? Date Received: I
i ?
I ?
? StaB:
L______________
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: &2-10 Site Address:
7
cA 0
Tenant:
Suite #:
M6<S''4?
RESIDENT/OWNER Name: Pnone: G?-/.
Address / City / Zip: `l d z? XeOiI0OL( ef%
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK XNew _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descrition of work: iWCvtJT &FT11004-
PERMIT TYPE RESIDENTlAL
Water Heater _ Water Softener
Lawn Irrigation ?Add Plumbing FiMures
? RPZ 1_ PVB) (_ Main X Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:.
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inciudes $.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 if 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 hurned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ,r
?
sO
TOTAL FEES $ 7
?
I here6y acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gity ot
Eagan; that I understand this is not a permd, but only an application for a permit, and work is not to start without a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr val of plans.
x 304) P. &/Zl!/I)KLE? x ?
ApplicanCs Printed Name A icanYs Signature
FOROFFICE USE Reviewed By: Date;
Required Inspections: `_Under Ground _ROUgh-In _Air Test Gas Test _Final
? ?CIEOuEbD ----- I
JUN 2 2009 1 For Ofiice Use
? Permit Jk: _l? ? ? ?? I
40? /
City of Eapfl
Permit Fee: .
I
3830 Pilot Knob Road j i
E3gan MN 55122 ? Date Received: ?
Phone: (657) 675-5675
I Sta11: ?
Fax: (651) 675-5694 i i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION C''/}l? 6?? QGJ
Date???-? y ? Site Address: -! g;4 RkbpOu,
Tenant:
Suite #:
RESIDENTlOWNER Name: SDA) (74"KILC-E Phone: GS/1
Address ! City / Zip: TJ02y Q?f7POL?- C( `
t.
- Applicant is: ? Owner _ toqtractor
TYPE OF WORK Description of work: r1.05-N gAiE'n1&Jr ?+• ?
Construclion CosY. k )-DI DOD Multi-Famiiy Building: (Yes NoXj
CONTRACTOR Name: License #:
Address:
Ciry: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
EnBf9y COd6 . Residentlal VeMilation Category 7 Worksheet • New Energy Code Worksheel
Category Submitted Submitted
(4 SUbRlisslon type) • Energy Envelope Calculations Submitted
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:
MechanicalConirector: Phone:,.
Sewer & Water Confractor: Phone:
NOTE: PJans and supporting documents that you submit are considered to be public information. Portions of
the iniormation may be classified as non-pubiic if you provide specific reasons that would permit the City to
conclude that the are trede secrets.
I hereby acknowledge Ihat this information is complete and accurate; that the work will be in confortnance with the ordinances and codes ot ihe Ciry of
Eagan; that I unders[and this is not a permit, but only an application for a permit, and work is not to start without a permiC that the work will be in
accordance with the approved plan in the case of work which requires a review and appnroval ot plans. n'
x fW p. (I,Qd/1)KLE[
Applicant's Printed Name Apoicant's Signature Pa9e 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
_ Multi
_ 01 of _ Plex
Accessory Building
WORK TYPES
New
dition
_ Alteration
_ Replace
_ Fireplace _ Porch (3-Season) _ Storm Damage
_ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
k - Porch (Screen/GazebolPergola) - Exterior Alteration (Multi)
Lower Level Pool Miscellaneous
Inierior Improvement
_ Move Building
_ Fire Repair
_ Repair
'Demoli[ion of entire building - give PCA handout to applicant
Valuation
Plan Review
(25%_ 100%?
Census Code
# oT Units
# ot Buildings
Type of Construction
-3Oao
:YteV
?
Siding _ Demolish Building`
Reroof Demolish Interior
Windows _ Demolish Foundation
Egress Window Water Damage
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
r
Occupancy .7 4G'1.
Code Edition %tv7
Zoning fl-/
Stories
Square Feet
Length ?
Width ?
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
_ Foundation
Drain Tile
Roof: Ice & Water Final
V Framing
V Fireplace:XRough In _Y AirTest XFinal
? Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connectfon Charge
S&W Permit & Surcharge
Treatment Plant
Copies
_ 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
TOTAL
-7-3-aqr-
?
??7 ?, 0
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
2 2005
L: _- - - - _
Date?/?/? j'
Site Street Address 61 Unit #
Propeity Owner Tefephone # (,?qz
Contractor ?Pu`???f ? Telephone # ?)
Address--??? State%? Zip.????-
The Applicant is: _ Owner ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add piumbing fixtures (exciudes water softener and/or water heater--complete next
section if instaliing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
awn Irrigation _RPZ _PVB 4new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the ent a plan is required to be reviewed and app o
z"fAIA eUV l,l,/
Applic nYs Printed ame A p ants Signatur
Job Address
Heating Contractor ?rtn ?L ^ (?, yRi?
Name of Tester 6A
Date 7' S/- c?
Percent Oz -7. D "7
Percent CO
Percent C02 9. U7,
StackTemp. /:70
? _
Combustion air is adequately supplied per
UMC Sec. 606
Input
_j
Site address: - r U Z' 6 "Opt' * Lot _4 Block I Suhd. I ? -!N 6? F W--
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.
?i 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 MOUEL BTU'S VENTING TYPE
WaterHeater 09&? t,L TAR10S s N 4..
Furnace CAU-ki? JgMKk ?o -IAO 400,ld9D PV°(,
Dryer DC h;rf GFFZ & T 14 "CWv .
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
vES No
Kitchen kitchen ";r? ov( ( 8 '?j,? x
Bathroom 1 m?? WP(5DMz L jKV6 q0 x
Bathroom 2 Mikl ?? 66 ' SO ?
Bathroom3
qa.
Bathroom 4
Other - S'p y4
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
I ??? ?m x N s? 36910 ov¢1NO asooo
?/"u.vRESre?orer? ?om?syia?v ?f?•? ?,vraKE
/. ,`?saiMae uv/,..xc SY<rs.,an. .NR.v wl?u ?wsnrwr[
_ ._._. _.•_ '_.____ _ _._-._ " _. ... __ _ _'?..'
MAKE- PAIR MODEL TYPE CFM's
I hereby acknowledge ihat the above information is correct and agree to compiy with the Minnesola Energy Code and City of Eagan
requirements.
*re Date
•-?G.
CompanyName
occ -lI -aZ
This form is the responsibility of the General ConUactor.
Site address* ??"?l1 i7 ? LoE? Block ? Subd. rtas? ? . ----
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation profection :i ?
tighOness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information h,
submitted prior to issuance of a Certificate of Occupancy.
? This strucfure: IS construcled to meet minimum requirements of trie Mn Energy Code, Chapter 7570
OR
_ This structUre: wSlt be consWded to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINf,TYGF
Water Heater ?,A -AAR 015S A
Fumace
°rye`
FJOiAUSf SYSTEM LOCA710N TYPE MODEL CFM's veNrEe
Y5S H'-'
FGtchen kitchen (OV'A 360MA x
aathroom t
e?am?_
•?p.5on?i ?.
?
9 o
Y. _
8athraom 2 "t
Bamroom 3 SD X
Bathroom 4
oa,er
fIREPLAC S
LOCATION
GAS
1NOOD
MANUFACTURER
MODEL
6N5 VENTING
DIRECT Rr+nQs
! ??+. ? x s 3ao Dv?t3? aSoba
I hereby ackn9wledge fhaf Me above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eag,?n
requirements.
.
? Date
Stl? 6u,??.?i9Sr . 'S?•?G. •
CompanyName
' This form +s Ihe responsibility of ihe General Contractw.
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MNChECk COMPLIANCE REPORT
Minnesota Energy code
MNcheck Software version 3.0
CouNrY: Dakota
STATE: MinnESOta
ZONE: 2
CONSTRUCTION TYPE:
DATE: 12-3-2001
TITLE: #01-552
Single Family
PRO]ECT INFORMATION:
FINCH PLACE MODEL
COMPANY INFORMATION:
BASIC BUILDERS
COMPLIANCE: PASSES
Permit #
checked by/Date
Required uA = 496
Your Home = 451
9.2% Better rhan Code
nrea or Cavity Cont. Glazing/DOOr
Perimeter
------------------------------------- rt-value rt-value u-value uA
-
CEILINGS: RdiSed TrU55 ------
1246 -----------------
44.0 0.0 ------------- -----
27
wALLS: wood Frame, 16" o.C. 2750 19.0 2.0 154
Bsnrr: Conc. 8.8' ht/8.3' bg/8.8' insul 1552 11.0 0.0 gg
BSMT: Conc. 3.5' ht/3.0' bg/3.5' insul 161 11.0 0.0 12
GLazrNG: windows or ooors, Above Grade 407 0.330 134
Doorts 18 0.230 4
Do0R5 40 0.330 13
DOORS 40 0.350 14
FLOORS: over outside Air 28 38.0 0.0 1
FLOOrts: over unconditioned space
------------------------------------ 140 38.0 0.0 4
---------
COMPLIANCE sTATEMeNr: The proposed building -----------------
design described ------------
here i5 -----
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet th
e
requir
e
men
tsof th e Minnesota Energy Code .
Q
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F
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,
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7 2_ 7.
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9i..g. . ,.L ?i?'.... <.
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Job Sice AUares;: ? F;2- 8,
r'
p,
"C.A.TEGOR'Y 1" ALT'ERNATE FOR
1&: 2 FAMXLY DWELI.ZNGS OPTION A:
INST.R'JCTICINS: This alternalive may be used far oae- aud hvo-famil}' dccellipgs built to meei t6e Category ] requirecuents ,
Minnesota I2uEes, Chap[er 7670. Compfete Parts A, B, and G Clearly mark ptans with: insu;ation A-values; wipdow and skylight [
values;, siz? and type of equipment; equipment controls, and locatwn of tiapor retarder &nd windwash barriers_ Tviore detaiie
inforcnation can be found in xhe Mrnnesora Energy Code summary sheets availa6le &om the Mincesota Dcparrment of Commerce.
Part A. SUILD?IG ENN? ELOPE -
CheQ i? seU ? eTAp?-join?t`Se? iiig d'' p?o` s? Przscriptr: e(ezullang. gaeke'[s, z:c.) ?? ? pcrf??mancc (test per 7670.0470 subp ?.C
S J4.... _
chec.enc . . '•,'?s ' a. -:... .;r
?[gy..?c,Ytlati?? Op??' o?' ? "Cnokbeek" (complete wor!-shcct b<Imv) [) ?(nCacck method (avach report)
;'s''s,",,?V ,.-` ??„t'?•,r,,.?„ _ ?, ? Perfprmsce (attach U-value cstculations) p Systems Malysis meihod (attach analysis)
`4Cookbook" Worksheet
IT!$IRUCffONS
Step 1. Check item(3) that design mects on :4firrimuni Requir€merrs fict
to the righL Must meet all items to usL "Cookbook" optiei
Step 2 Indicaze proposcd wa11 type on table below.
Step 3_ tndicate Window U-value aud source-
Step 4. Verify total windoK• (includmg area of all foundation ?icdows)
arad door arza is equal or less than eilowable percentage
hIINLMU;11 kEQU1[iEMFar'1' '
- .;(!or"CaokGaok"o
O Ceilu:a inulat?.<..inimum R-38 wtth TA" energy heet; ar
Dlinimum R-41 with i?k, uuCa hccl; or
hfi.oimum R.-3& w31h R-S 3hcathirtg when no alhc,
? Eotry Cioors_ M:oc, G-valuc af 030 or 1'/." solid wood with stnm
Q RimFoistlnsulation: \finimumR-19
O Fioors ovcr uncondirio=cd spsccs: Minimum R-TA
-p Poundaciun Insalarioii: bLinsnum A-10 .
? Founda[ion %vindows: z° in1;(ated glass, wood or vit1y16ame
.?tia,'??'?ss.i.?...?si,7'AI3LxE?EORDkkTiERMINIhGIVU?kZ4R1MwIIPBOwaNmnonu eaFa
„
ti l .14% 16% IS°/6..: ,.ZO% 22°!e
.'. iP '.. ` "i vn Average Window T3-value (ez cept foun,3ii oo windox??
? 2x4, R-33msulation, k-7 sh ;?s55b K 0 d7 0.41 U36 033 ._ 0 30 ,
1x4, R-15 msulazion, R-5 s ,f'?0.°??,r?; 0.45 039 035 7 0 2S
? 2x6, R-19 iasulazio:i> <R-5 sh
_
u >?'0,`+?Ig
l (1,41 0.36 0.32 029 0.26
ff 2x6, EL-19insulatiot4 R-S s ?q'' p.4g 0.42 0.37 0.34 0.31
2x6, I?-21 insuiatioq < R-5 sh •? 0_43 ?G38 034 0.2$ •
2x6,:R-21 insulation, R-5 sh ,"?, '? 0.50 0.44 039 : e 035 032
?*2.
?M
Wat_l,? .
? "
:4?vcisge Wiadotr[7 ?a1u8'.(e:ec ept foundation winAO
? 2X6, :?-19 insufation, ? R-5 shrathing
??_
- '045
0.35
?.:031
Q.23
A
? 2e6, Z-19 insulation, R-5 sheathing U.50 0.41 039 =:; .0.35 032
MSE
3
2x6, i2-2i insulation, < R-5 sheathing S?0 ??' 0.47 -0.41 C3b - 'i 033 630 ,
??p?27
2x6,i2-21 insulatioq R-Ssheaihin? 0:52 „0,46 OA1 . ..036 0.33 0•^ ?S ?
" ?Source: Q NFRC
..... .,....; % <
DESICN
MIN,NES07'A ENERGY e4DE - WHicH RuLES MaY I UsE ?
• IJ, - ?:-=GEN? RV?,N ip ?, a;r Nr,.??50?P 3;'4
Part 13. D.EYRESSURIZATION PROTECTION
Check opuon vsed: >11- Fuel bumiag zqalpmcnt (comp3ete schedules below)
INSTRUC'ttONS
Step i_ ramplete tne Combvatlon Equipmenl Schedule 6elUw Onty eyuipmeni
wiih a X(Yes) may be selecteci under the "Category I"alcemate
Step 2 Complete F.xhuusdbfake-up.4tr Schedule on the righe if direct or power
veuted or solid fuel 3[mo5pheric vent space heating equipmeni is selected.
? No fuel burning equipment
9?:1A,U.$T /,MAIWTJ?;?t1t.SGHED(T?`?s
Ei.haust' evices dver'8tl0 pSli ,-:'Flo'ws
7 ? ?
e
;- COMBUSTIOr1 TQ?nXhFEFI?aSCHEDCTF,E.
?
qypes proposed) • . . :... ,. , i ,.
: ?+: , ,,1
Space'heTtirt; - nunsolid ti2e1 Sealed combustion Y''` Heertlx r nonsolid fuel .. ? Sealed combustion
'
? Direct or power vented
' Y'.'
Direct or power vented
'JZL
Ahnospherically?vznted?.' N= Atmospher,ic'allyvehfed
Wateclieating-nonsolid fuel O Saaled combustior, Y? Spaczheating-solid fuet ? Amtosphencally vented ?Y?;
Airect or poiver venced Y, :• WateYlieatma-solid fuel ? Atrnosphericalty vented A
.
Atinospherically vent?d3;
N..:' HeaO?soGd Cue1- i] qpnospherically veated
#If tntp's;:ibencauy venfed solid fuEl or dueU :ot pawer ve nted irionsolAd £uel spatc fieating 1;i lnstali4 411 et1,? , e up ldw m ?
, 'c_r
"?
x:vsY?:quired foreaCb mdrvidua?;?? Ust dey?cc}qhf?
, iis 300 c `?ic'feet r mi".ate 4'
xcee,. ii,_,pe
Part C;i. VENTILATION 7-
0,r,,,4?u
.'
-: ..:
VEN1IIJr}'?ION FAN SCHEDU].E
.
v
'
:
..-. .
:
:;.
getbod(s) proposed 3
Check
,
..
_:. ... ?_
,
?..,
. _..
? E.ehausi only Balanced (heat recoverv ventilaWr, air exchanger, etc }
,
Fao?esFription ox locahan;-4
T10N
t ED Eztiaust cfr7?„ .;cfzn - ?y 'cfm ,?c_ ' Z U ?
Statemeut of Compliance: 1'he proposed building design cep2sented in thzse documents is consistent wiUa the building ptans,
speciFcation>, and other calculattions submitted with the permit application. Tha proposed buildins has been designed to meec the
requ? of the Minnesora Ener Code. ?
4,
Applicant (pi-im name) bate Telephoue number
Part Cz. VENTILATION (Submit Part C2 upon completion o[system veri Gcationt)
I x -------------------------------------..___---------------------------
Job Sste Address:
Pertnit Nainber
;;Paq.?e?cnption or location_:
„,",Jntake c&u_; cfm cfm c:,.'.
? . _ O?v1ANCEt `Ezhaust cfin , c£m cim
Y, ??Ve¢tilation rate muscbe measna-ed:arid verifred when:thr;peifoimance opfion is used in lieu of the presrnpnve.?? pGoa for ae.? ?
bf?oints in Uie building canditioued envelope (from Part, A}. L5??'".,..?s .
Compliance Statemen[: InStailtd vCntilation systzrti is in compliance with MN Energ}• Codz and is sized to provide the dcsign ait floH'-
Applicant (piint name.;
Signature
Datc
Telephane number
e
aC,_ ' -? 1-111 i,.. , , H==ii"Va
DATk.:
BUILUER:
C'ONST. SITE: ?? UU I2teJ Po? I C-
it
to
„
a
.
.
•
.
0
•
s
EQUIPMENT:
l Fumace 90,0' sealed cotnbustion
I
Air Conditioner 10 SEE.R (_ ,t•s ?sr ?gC;.x'L_?3 ?°
Watez• Heater (czrcle ane
Eleetric eer nt > Sealed Conibustion
FAreplace- direct vente -tiatura gas {if selected) .
Batli Faxis: )M.?,7GlGrd-? iKi>crS
Kitchen Hood:??;a•_ -7???z?
ComUustion aiz• ?K '
Ventilation 17,3 CpM
Exkaaustzng devises over 300 CFM
HRV (czrcle oxze)• No
HRV- V .5 2.0 2.6 SOLO Constz-uctu HE
,
14745 SbL'ih S?cbCfi TrAil ?p;?,?;CUn? tv1!?ne5::?a S?QfiY, Af@2 651 422--i1-.i0
Fan recycler
Other
j-
HPA;
llryer- 1?)U ChM (Defau]t)
TOTAL SQ. FT. X (Avg. Ceiling,Ht.) `?•5 X.35 ACH
Divided by 60 zninutes = Total VentiJation Requi;ed L2
11
, • LOT SURVEY CHECKLIST FOR RESIDENTIAL
` BUILDING PERMIT APPLICATION
PROPERTY LEGAL: , F'/N !i?14/7(Pi
DATE OF SURVEY:
LATEST REVISION:
m
rn
c
?
v DOCUMENTSTANDARDS
Y ¢ a
O Z 6
d ? ? • Registered Land Sunreyor signature and company
ny' / ? o • Building PermitApplicant
[4?/ 0 0 ? • Legal description
? ? • Address
[a" ? ? • North artow and scale
??
V ? • House type (rambler, walkout, split w/o, split entry, bokout, etc.)
/ ? ? • Directionaldrainagearrowswithsbpelgradient°k
LV ? ? • Proposed/exi5ting sewer and water serviCes & invert elevatlon
? ? • Street name
? ?
V ? . Driveway
? ? • Lot Square Footsge
tV ? ? • Lot Coverage
V ? ? • Benchmark
ELEVATIONS
s Existina
? ? • Sewer service (or Proposed)
6}`0 ? • Property comers
?? /? • 7op of curb at the driveway and property tine extensions
? ? • Elevations of any existing adjacent homes
? L?? ? • Adequate footing depth of sWCturcs due to adjacent utility trenches
? w? • Waterways (pond, stream, etc.)
Prooosed
1/ / ? ? • Garage floor
[3', ? ? • Firstfloar
[a' ? ? • Lowest exposed elevation (walkout/window)
? ? • Propertycorners
V1 ? • Front and rear of home at the foundation
PONDING AREA (ff auoBcable)
? d ? • Easement line
? C4/ ? • NWL
? [V ? • HWl
? d ? • Pond # designation
? [/ ? • Emergency Overibw Elevation
DIMENSIONS
[6)??CI ? • Lot IineslBearings & dimensions
¢'p ? • Rightof-way and sNeet width (to back of cur6)
G1/ ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent footings)
q? y] ? • Show all easements of record and any City utilities within those easements
? • Setbacks of proposed structu2 and sideyard selbadc of adjacent exassting sVuctures
?? • Retaining wall requirements, if any
Reviewed:
Name Date
1;2
-? B-o ?
,
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
- ' " City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
CC." 4, a c)
New Construction Reauiremants RemodellReoair Reauirements Otfice Use Onlv
3 regislered sile surveys showing sq. fl. of lol, sq. tt. of hause; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y _ N
(20°h mazimum lol coverage allowed) i set of Energy Calculations for healed additions Tree Pres Plan Recd Y
.
_N
2 copies of plan showing beam & window sizes; poured found desgn, etc. t sfle survey for add'Aians 8 decks Tree Pres Required Y N
ise[o(EnergyCalculations Addifion -indicateilonsftesepticsystem On-siteSepticSys(em _Y _N
3 copies of Tree P2servation Plan if lot platted after 111/93
Rim Joist Detail OpUons selection Sheet (bldgs with 3 or less units
?
Date / /` xx x x
Construc[ion Cost
Site Address ? ?j l
ap O Tl?4pO(i CT Unit/Ste #
Description of Work 44 SQ.?.SCf n Y' (,, C?e C. 2 S?? n S TO U C
Multi-Faemily Bldg _]' _,.-'N Fireplace(s) 0 V 1 _ 2
F'cec S d` S
Property Owner _:YO !J GZU N kLE E Telephone #( q Sja
i- ?-- z ?
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a
fee applies. '40.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
with a similar plan2 _ Y
Telephone # (
Telephone #(
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan 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.
.SG,$J P. C?AuNKU=G B7?1
Applicant's Printed Name A licanYs Signature
OFFICE USE ONLY
Sub Types
.,
? 01 Founda6on ? 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
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage A 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
WorkTypes TriCl-pGS veC?, ) 314,x /(p
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
)K 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ?• 46 Windows/Doors
? 34 Replacement *OemoliUon (Entire Bldg) - Give PCA handout to applieant
Valuation ?? D Q'd ." Occupancy iz -3 MCES System
Census Code q3_ Zoning ? -) City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width A4
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
? Footings (deck) O FinaUNo C.O.
? Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof x Ice & Water ?C Fi nal Pool Ftgs Air/Gas Tests Final
Framing Siding
Stucco
Stone
Bri ck
Fireplace x R.I. _?AirTest *inal _
_
_
Windows
? Insulation
?r _ Retaining Wall
?
Approved By: ? ??I""ef , Bui lding Inspector
Base Fee j-S 1. 2`S
Surcharge SO 2z,.( o96
Plan Review
2?0 OD.OO
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total 4 aa - ? ?
Permit Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
Generated by REScheck-Web Software
PROJEC'T T1TLE: Grunklee 3 Season Porch
COIJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTTON 71'PE: Single Family
DAT'E: 04/09/04
DATE OF PLANS: 4/9/04
COMPLIANCE: Passes
Maximum UA = 83
Your Home UA = 82
1.2%Better Than Code (LJA)
Ceiling 1: Cathedral
Floorl: Alt-Wood JoisVTruss over Oukside Air
Wall 1: Wood Frame, 16" o.c.
Sliding Glass Door: Glass
Window l: Above-Cnade, Vinyl, 2 Pane w! Low-E
Window 2: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 3: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 4: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 5: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 6: Above-Grade, Vinyl, 2 Pane w/ Low E
Window 7: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 8: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 9: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 10: Above-Grade, Vinyl, 2 Pane w/ Low-E
Window 11: Above-Grade, Vinyl, 2 Pane w/ Low E
Fumace 1: Forced Hot Air (Non-Electric), 93.1 AF[IE
Air Condi[ioner 1: Electric Central Air, 15 SEER
Proposed and Maximum U-Fac[or Averages
Above-Grade Windows and Glass Doors
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U Fac[or UA
256 44.0 0.0
200 38.0 7.0
520 19.0 0.0
36 0.330
11 0310
ll 0310
11 0.310
11 0310
11 0.310
11 0310
27 0310
22 0.310
3 0.310
3 0.310
13 0310
Proposed
Average U-Factor
0.314
MaYimum
Allowed U-Factor
0370
6
4
21
12
3
3
3
3
3
3
8
7
1
Includes Foundation Windows> 5.6 112
COMPLIANCE STAT'EMENT: The proposed building design described here is consistent with the
bwlding plans, specifications, and other calculations submitted wi[h the permit application. The proposed
building has been designed [o meet t}te 2000 Minnesota Energy Code requirements in REScheck-R'eb and
to comply with the m dato reqi irements listed in the REScheck Inspection Checklist.
Builder/Designer ez, Da[e d7
/
??
REScheck Inspection Checklist
2000 Minnesota Energy Code
REScheck Software Version 1.0
DATE: 04/09/04
PROJEC'T TTI'LE: Grunklee 3 Season Porch
PLAN REVIEW AND INSPECTION ISSUES
This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for
enforcing the Minnesota Energy Cale. The items apply to Group R, Division 3 Occupancies,
one- and two-family residential dwellings. The items mazked with * apply only to detached one-
and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATIONINSPECTION
[] foundation wall insulation R-5 murimum
[] foundation insulation extends from top of wall down to top of the footing
[] exteriar foundation insulaUOn is covered by a protective coadng finish
CONCRETE SLAB OR UNDER-SLAB INSPECTION
[) slab on gade perime[er insulation R-5 min'vnum
[] slab insulation extends from top of slab to design frost line or top of footing
[] floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
[] average U-value is 037 ma7cimum for windows and glass doors (excludes foundation
windows)
[] window U-values consisterK with building plan and REScheck Certificate
[] window and door areas consisten[ with building plan and REScheck Certificate
MECHr1NICAL VENTILATION ISSUES
[] residential mechanical ventilation system provides adequate ventilation per code
requirements*
[] furnace efficiency is consistent with REScheck Certificate or building plan
[] protection against excessive depressurization is installed per code requiremerts*
ENVELOPE INSULATION FOR PLAN REVIEW
[] interior basemen[ insulation R-5 minimum (if no exterior insulation)
[] ceilings with attics R-38 minimum or consistent with building plan and REScheck
Certificate
[] wall framing and insulation level is consistent with building design and REScheck
Certificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing arrd Sheathing
[] wind wash barrier installed at attic edge
[] exterior wall corners framed so that insulation can be installed after exterior sheathing is
installed
[] imersections of interior partition walls and exterior walls framed so that insulation can be
icistalled between the partition and eaterior sheathing after exterior sheathing is installed
[] gaps between framing less than one-half inch aze eliminaYed by securing framing together or
aze insulated at the time of assembly *
[] all penetrations between conditioned and unconditioned spaces made prior to framing
inspection aze sealed •
Interior Arr Barrier
[] all fue stops are air sealed
[] pipes, ducts, wires, equipment and flues and chimneys through the irnerior air barrier are
sealed
[] a sealed corninuous interior air barrier is installed on the warm side of the building envelope
at ceilings, walls, and floor rim joist areas *
[] air barrier behind tub and shower is sealed and protected
[] recessed light fixtures aze sealed
Emefope Insulation
[ ] basement insulation R-5 minimum
[] wind wash harrier on wafl separating house and garage is sealed
[] loose fill insulation is prevented from entering the eaves
[] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned
side
Attic Insulalion
[] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel
[] attic card attached to framing near access opening
[] notification of attic R-value and date of installation posted near building pernilt
inspection card
This is a summary only. Other requiremems may apply. See the Minnesota Energy Code.
Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-500-
657-3710.
?NGROSE
NEERING
CONSULIING ENqNEERS,
PLANNERS and LAND SURVEYORS
COMPANY, INC. PAGE
?- 1000 EAST 146th STREET, BURNSNLLE, MINNESOTA 55357 PH 432-3000.
CERTIFICATE OF SURVEY
Legal Description: LOT 6, BLOCK 1, FINCH PLACE,
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BASIC BUILDERS, INC.
PROJECT N0. 10779.00
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I hereby certify that this is o true a?d correct representation of a tract as shown and described
hereon. As prepared by me this ZS day of iUaffM ? , 2001.
Reg. No. 19056
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ENGINEERING
cOrisuLnNC ENaNEERs.
PLANNERS and LAND SURVEYORS
PROJECT N0. 10779.00
BOOK
COMPANY, INC. PAGE
?1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-300
CERTIFICATE OF SURVEY
Legal Description: LOT 6. BLOCK 1. FINCH PLACE
C3Ei? 5 REC'D
SCALE : 1" = 30'
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60. = TOP OF FOUNDATION ELEVATION
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EAGAN EP7GIIdEER.?G DEPT.
;
1 hereby certify that this is o true ?d correct representation of a tract as shown and described
hereon. As prepared by me this ZS day of N0u9ns 6,l- , 2001.
j{E?. /Q-g-O/ : D,Qap 6~ /,oFT. cH9Ndr ? ?
To ?, w.voartis. inn. Reg. No. /9a96
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4828 Redpoll Ct
Lot: 6 Block: 1 Addition: Finch Place
PID:10- 26475- 060 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Jon Grunklee
4828 Redpoll Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA092117
11/20/2009
ePermit
410°°
City o[EaRan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use I
Permit #: D 7 3co
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
10 5 I tZ- Site Address:
'IS 20 f �i 1 c E Q. 41.
Unit #:
RESIDENTI:'
OWNER
Name: �`M. (o ,tunli.let, Phone: (O i L— 9 (..)--6r74,4.
Address / City / Zip: 5 ti Vr.k__
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 2e.— >rafl C-
Construction Cost: IT7.57)•6o Multi -Family Building: (Yes / Ng.X )
CONTRACTOR
Company: -.7;v.'1h CI+5 tit wigew°'YI" ('1.CContact: JaL4te
I ►h
Address: \ 1%‘1 2.eaa.-0a- 4'-'' City: C in a kin
State: MO r v Zip: 55- (e Phone: 1 CO-.) 7 T (.. b S4).
License #: le..09 s-21.2._ Lead Certificate #: N$\1 d 3107S- 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 permitathe 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.qopherstateonecall.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 m t /completed within 180
days of permit issuance.
t �
x �1CJ� `e 5 x
Applidant's Printed Name
Apcant's Signature
Page 1 of 3