4824 Richard LaneCITY OF EAGAN
Addition 31?I1SToLMnY?ni" Lot 10 Bik
Owner,'j: Street 82 '' '1kS BZYd. 6°Wn c, r':
11 ; :v
i ? i . i,CinF c
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 2,5 2450-15 490-03- 5
STREET RESTOR.
GRADING
SAN SEW TRUNK -)04/ 1976 195.00 13.00 15
*SEWER LATERAL
WATERMAIN
*WATER LATERAL 1985
WATER AREA
*
STORM SEW TRK G
*STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER,
SAC
PARK
S)4Ga I
2007 RESIDENTIAL BUILDING rExn7cT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCfion Reouirements
3 reqistered site surveys shmving sq. ft. of lot, sq. ft of house; and II roofed areas
(20%mazimum lot caverage allowed)
t Soils Report if proposed 6uiiding is to be placed on disWrbed soil
2 copies of plan showinq 6eam 8 window sizes; poured found design, etc
1 setofEnerqyCakulaUons
3 copies of Tree Preserva6on Plan if IM pWtted after 711193
Rim Joisf Oetail Options selecfion sheet (6u0dings with 3 or less uniis)
Minn asco mechanical venGlation form
1 3C?, A
RemodeVReoair ReauiremenLS Ofice Use Onlv
2 copies of plan showing footings, beams, joists Cert of Survey Recd Y_ N
1 set of Energy Calaladons Mr heated addiM1ms Soils RepoM1 _ Y_ N
1 site survey fw additions 8 decks Tree Pr? Plan Recd Y_ N.
Atldifmn - indkafe ll onsife septic system Trea Pres Required Y_ N
OnrsteSepEcSystem _Y _N
e9 ? ??? 1
Plans are considered pubiic information uniess you state the are trade ??r a?d the reasbn.
Date 12- / I Z- /0 7_n
Site Address ?! Q??J 1` ? Cll/b,cQ ?/4i`/2 Construction Cost /r. iyc)U
Unit/Ste N
Descrip[ion of Work
Multi-Family Bldg _ Y_2?, N Fireplace(s) ?L 0 _ 1 _ 2
Property Owner /N ig oAAJaII"t
e Telephone #( )
Contractor I? °v'+c?cQpt /` Conu/?,,..rf c!? Z0Z.3G
Aaaress 3
State MA( , ad s P? s?? c city L,wa* C,4.- i.?az"
Zip .S S-J'( Telephone #(6/Z ) 6?S- 356 q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residentlal Venlilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submiried - Submiried
• Energy Envelope Calculations Submitted In ihe lost 12 monihs, has ihe CiTy of Eagan issued a permif for a similar plan based on a master plan2
_ Y _ N If yes, date and address oF inaster plan:
Licensed Plumber
Mechanical Coniractor
Sewer/Water Contractor
I herebv aonlv for a Residential
Telephone # (
Telephone # ( ?
Telephone # (
that the information is
that the work will be in conformance with the ordinances and codes of the City of Eagan
Statutes; I understand this is not a permit, but only an application for a permit, and work is
permit; that the work will be in accordance with the approved plan in the case of w
approval f plans. T?DEC
A plicanYs Printed Name A ican s Signature
)mplece ana accurate;
and the State of MN
not to start without a
2 2007
and
DO NOT WRITE BELOW THIS LINE
Sub 7vpes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03plex
? 06 04-plex
Work Tvues
? 31 New
? 32 Addition
33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
? 08 06•plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Exl. Alt- SF
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 11 10-plex 11]' 79 Lower Level
\ ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
? 35 Intlmprovement ? 38 Demolishlnterior ? 44 Siding
' ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair.
? 37 Demolish Building" ? 43 Reroof ? 46 . Windows/Doors
'Demolitian (Entire Bldg) - Gl ve PCA handout to applicant DBSCIIptiOfl: WaterDamage_Yes
valuatfon
Plan Review 100% or_ 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy I 4?.^ f1 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
REQUIRED INSPECTIONS
_ SheeVOCk
Final/C.O.
?C FinaUNo C.O.
?C HVAC
Other
_ Pool Ftgs AidGasTests Final
,?G Framing _ Siding _ Stucco Lath ? Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
7"' Insulation _ Re[aining Wall . Approved By: !tnzBuiiding Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W P'ermit 8 Surcharge
TreatmI ent? Plant
License Sear?h '? ' .. .' . '
Copies E
Other i,
Totai
?z 000
7
2007 RESIDENTIAL PLUMBING PeRMiraPPLIcarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside.
nh imhinn nn tho cama annlicatinn- cenaratP annliratinns and oermits afe reauired.
Date / L1 I 07
I I / /
Site Stre res Unit #
Property Owner ,?' f J vl F ?'?? "1 Telephone #(67)) Q s
Contractor ? ???U ?7T?' r ??GJ Telephone # (7?3) qq?_ 6 9
?r?ryt1?"+V City IOL?''?r/hl7/ State Zip ez
Address ???n '
The Applicant is: _ Owner 8 Occupant Ik Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00 '
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.)
This fee a lies when eutensive lumbin re airs are made to a buildin . $ 90.00
Alter7tions to existing dwelling -
j? Add plumbing fxtures to main level lower level. This fee includes
installation of a water softener and/or water he ter at the same time. !f you are $ 50.00
installing onlv a water soTtener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5I8" meter is required)
Other.
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Suroharge $ .50
Total $
I here6y apply for a Residential Plumbing Permit antl acKnovnedge tnac me inrormauon is compiece ana acw[dLG, LIIa< <IIC w.,h •r,11 U_
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permi4, but
only an application for a permit, work is not to start without a permit and work wiil be in accordan with e pproved plan in the event
?2
a plan is required to be reviewed and approved. D
Ja?y ;r;) S'+?
Appli ant's Printed Name Ap ' t Signature
'- 2007 RESIDENTIAL MECHANICAL rExMIT ArrLrcaTtoN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts are required for each unit
6n 16t
Date 0"7
Site Address Y g 2 y 4'ck.,,,_p L-r Unit #
s
Property Owner /h • K ? n1 AQQ ( Telephone #(?,? R90
Contractor Q¢qu,cln i r Cn? Co J.?C
Street Address 7).2o G 8? City
,
State M A 1 Zip 6-S 0 7c Telephone #( 6!4.- ) CipS = 3S-gq
Bond #: $6 -7C Y Y Expires: ?0 ?
The Applicant is _ Owner ? Confractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
_ fumace ?Additional _Repiacement _ New
air exchanger
air conditioner
heat pump L I p
? other !?b-?- c.??vU, l, o-+? d '17"1J? = Or4wQJa.Q- c.tuoo.lw
T", C - oao,qhC. S
$ .50
State Surcharge
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I undeistand Hris is not a
permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work wtrich requires a review and approval of plans.
ApplicanYs Printed Name
ApplicanYs Signature
2007 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industria] buildings .
mul[i-familv buildines when senarate nermits are not reauired for each dwellinq uni[
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Conhactor _ Other
Work Type
New Cons[ruction _Interior Improvement _Install Piping _ Processed _Gas Exterior HVAC Unit**
**HVAC units must be screened
UnderlAbove ground Tank Install Remove
When installing/removing tank(s), call for inspecrion by Fire Mazshal and Plumbing Inspector
Nature ofWork:
P0r[nit FeeS $70.50 Underground tank installation/removal
$50.50 Minnnum (includes Sta[e Surcharge)
or
Contract Value $ x 1% _$ Permit Fee
$ State Surchazge
To calculatesurcharge
, . If Permit Fee is less thau $1,000, surcharge is 50 cents.
If Permit Fee is >$1,OOQ surcharge increasesby $.50
for each $1,000 Pemvt Fee (i.e. a$1,001-$2,000 Pemtit
Fee requires a$ 1.00 surcharge).
$ Total Fee
I hereby acknowledge that this informalion is complete and accurate; that We work will be in confomiance with the ordinances and
codes of the Ciry of Eagan and with the Mechanica] Codes; that I understand tlus is not a pernut, but only an applicarion for a permit,
and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which
requires a review and approval of plans.
Applican['s Printed Name Applicant's Signature
Approved By: , Inspector
Required Inspections: _ U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Fina1
0 ?q,?-
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,f ;2o. °
???//1
New Constructbn Reaui2meMS RemodeVReoair Reauiremenls Office Use Onlv
3 regisle2d sile surveys showiig sq. fl. of lot, sq. R. of house; and all roofed areas 2 copies of plan CeK oF Survey Recd _ Y_ N
(20% maximum lat wverage allowed) 7 set of Energy CakulaCans for healed additions Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam & windax sizes; poured found design, etc. 7 stte survey for add@iore 8 decks Tres Pres Required _ Y_ N
lselofEnergyCalculations AddMfon•indkateffon-snesepficsystem OnaiteSepticSyslem _Y _N
3 cop'ies of Tree Preservatlon Plan if bl platted afler 711193
Run Joist Defail Options seledion sheet (butdings witli 3 or less unils)
Date
Site Address Construction Cost
4 g 34 &jCdwr a Lh UniUSte #
c rwr ssi ?2
Description of Work NeW Q eG1(
Multi-Family Bldg _ Y)!?, N Fireplace(s) Z 0 2
Property Owner R1C1?we` d M q4Q lj?Q 14Mk Telephone #((0) Y0S_ -Qr9 0S_
Contractor M?(StI '!"
Address
State CitY
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
- Minnesota Rules 7670 Cateeorv 1 -
Energy COde Category . Residential Ventilation Category t Worksheet
(Jsubmissionlype) Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code WoAcsheel
Submitted
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the inforruation 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. 1-7
??K l a ?w-?•?r?
Ao' t s Printed Name
Signature
•
----:!
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 78 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. AR - SF
? 04 02-plex ? 10 08-plex X 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
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bidg) - Give PCA handout to appllcant
Valuation oao Occupancy MCES System
Census Code c- ? Zoning City Water
SAC Units Stories Boaster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const v6 Width
Foo[ings (new bldg)
?C Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
I
Approved By: I_
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ FinaUC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
?(J ^ 1--
e & ,
n
4$'+0
41-?
N
00
?
KI?? AR? LN
M1c?..qe? t ? {?Di?L\?C IQ
?i?d24 R,?.?w?p LN
?- ?c? +?L S ?'s?/a•5 y
? p S? q, ? Z V; -cw McLjW51DENTIAL
BUILDING PERMIT APPLICATION -)O' S°
s 3q {? 3 CITY OP EAGAN ?- Sa
?• ?- / ? 3830 PILOT KNOB RD, EACAN MN 55122
5W 651-681-4675 ?r3 73 •5?
NewCOnsWctionReouiremenTS RamodellReoalrReuulrements ?
• 3 registered site surveys showing sq. ft. of lot, sa. ft. o ouse; aM all roofed areas • 2 copies of plan ?
(20Yo maximum lot covarage allowed) . 7 set of Energy Calculatbns for heated additions
• 2 copies, ol plan showing beam 8 window s¢es; poured fouM design, etc.) . i sita survey for eztenor additions & decks
• 1 set of Energy CalcWations ` L • Indicate if iwme sened by sepUc system for additbns
. ?.,._r
3 copies of Tree Preserva6on Plan if bt platted aRer 711l93 a t? (
• Rim Joist DeWd Optians seleclan sheet (hldgs wifh 3 or less unils) ._J ?J (p
DATE 7VI?F- a6 adoa VALUATION a6 0.9 04 0
SITE ADDRESS '?g a7 W(L ??a L:Z-?-" 'P,- MULTI-FAMILY BLDG Y A
NPE OF WORK NF W 96s'DEn47'iAL DWELL/AJG FIREPLACE(S) _ 0 ?1 _ 2
APPLICANT CvL4F_ GG_ 97E?l 1-10MFS
STREETADDRESS _79X0 LAKEVItcr gz.Ip, CITY LALEvr«E STATE 1' N ZIP 550
TELEPHONE # q`'L 4e9- 4O7O° CELL PHONE # (611, 685 "` 3d0? fAX #?GJ52) V69- 69/O
Mar?ol?-
PROPERTY OWNER T?N ? K TF1E1?HONE-#"' ``°"................. m ---------- ---K -? -------.....?. '?, ....??..???? ------.
COMPLETE THIS SECTION fOR NEW RESIDENTIAL B 1d?1?S10`?L?l "
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 91'J
(d submission type) • Residential Ventilation Category t Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calcula6ons Submitted
Plumbing
_ Phone #
?l s: ? Water 5oftener _ Lawn Sprinkler
Water Heater No. oF R.I. Baths
C7 Eni
6s1 ya3- iiyy
Fee: $90.00
C? No. of Baths
6'e .) z a%n
n4rC or: Phone # -F
ical syst includes: _ Air Condiuoning Fee: $70.00
Heat Recovery System
?? ?yy ss6s
Sewer/Water ontraetor: Phone # ?Q7)
°°°-----°°--°-°-°°°'--°-°°-------°---°°--------
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
S(gnature of Applicant
Certificates of Survey Received /
OFFICE USE ONLY
Tree Preservation Plan Received _
-----------°°-°-- - - - -
fion i,sto-rect, bn?,e(qree to co
Not Required ?
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
I/K02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porcn/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi
x 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation L? ,(7Z_9?0 Occupancy 2,?-u? MC/ES System
Census Code IU l Zoning IL City Water
SAC Units Stories cl?, Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length ? Fire Sprinkiered
Type of Const YN Width ?
REQUIRED INSPECTIONS
Footings (new bldg) f{ Final/C.O.
_ Footings (deck) FinaVNo C.O.
Footings (addition) _ plumbing
Foundation _ HVAC
DrainTile
_
Other
Roof _ Ice & Water _ Final Pool
Ftgs
Au/Gas Tests Final
Framing _ _
_
Siding
Stucco
Stone _
?
Fireplace _( R.I. V Au Test =
y Final _
_
Windows (new/replacement)
Insulation ' Retaining Wall
T-
!
Approved By f L
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
a
,
n.- /` V. t? ? r•
i -v '-
?? t29;2-
? y Av - -
`?' ; ?a?° l C? r/ ? ? T
Building Inspector
S T f
r!f_ .?,,
Permit Number
MECcheck Compiiance Report
2000 IECC
MECcheck Softwaze Version 3.2 Release I Checked By/Date
TITLE:02-029
COIJNTY: Dakota
STATE: Minnesota
HDD: 8499
CONSTRUCTION T'YPE: Single Family
DATE: 07/17/02
DATE OF PLANS: 06-05-02
PROJECT INFORMATION:
Home for Michael & Madeline Tahnk
4822 Richazd Lane - Eagan, Mn 55121
Lot 10, Block 5, Twin View Manor
COMPANY INFORMATION:
College Ciry Homes
7920 Lakeville Blvd
Lakeville
WMPLIANCE: Passes
Maximum UA = 494
Your Home = 436
11.7°1o Better Than Code
Gross Glazing
Area or Caviry Cont. or poor
Peri meter R-Value R?y- , la ue -Qr -?LA
Ceiling 1: Flat Ceiling or Scissor Truss 1277 44.0 0.0 34
Rim Space: Wood Frame, 24" o.c. 319 72 0.6 33
Walls-Ist floor: Wood Frame, 16" o.a 1196 19.0 0.6 57
Windows: Vinyl Frame, Double Pane 166 0.440 73
Solid doors: Vinyl Frame, Double Pane 38 0350 13
Glass doors: Glass 40 0.510 20
Walls-2nd floor: Wood Frame, 16" o.c. 1121 19.0 0.6 59
Windows: Vinyl Frame, Double Pane 143 0.440 63
9' concrete walls:
Solid Concrete or Masonry, 9.0' hU8.5' bgl8.5' insul 1413 11.0 0.0 83
Cantilevered space:
All-Wood JoisUTruss, Over Outside Air 45 30.0 0.0 1
Fumace 1: Forced Hot Air, 92 AFUE
Air Conditioner l: Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building design descdbed here is consistent with the building plans,
specificarions, and other c lations submitted with the p' it application. The proposed building has been designed
to meet the 2000 IECC r reme in MB? eck Vers? 32 Release 1.
/r?/
Builder/Designer f? ?/ Date
t
.? _ .
Part B. DEPRESSURIZATION PROTECTION
Check opoon uced: 8 Fuoi6urn{ng cquipment (compiett schedules btlow) ?No fuzl bumiag equipmrnt
INSTRUCi1oN5 BXIi.1TJST / MAICE-UP AIIZ SC$EDL7.E*
ictp I. Comple[t the Combuslion Eguipmenr Sehedule beIotiv. Only equipmant E.¢haust devices over300 cfrn F1av;
wirh a Y(Ya) may be selectcd under the "Cacegory 1" altcmae:. cfrn
Step 2. Compleee FrhaurdMake-up dir Schedule on the right iFd'uecc or powa cfin
vented or sotid fucl atmosphcric aent space hcating equipment is szlected CEM
COLNOUSTION EQITIPLNEM' SCHEAIILE
check all types co s4
Spactheatine-aonsolidfuel t Sealedeombustion Y He1nh-uonsolidfittl Q Sealedcombusdoa I Y
O D'uecT or oc?er vented Y' 0 Direct ot ower vented I Y
Atrno heiicall venced N Atm htricallvented I 3+
Wsterheatias-non;olidfucl ? Staltdcombustion Y S ateheaom¢-soGdfuel O AGno hcrical vcneed ? Y'
? B Director owerventod Y Waterhearine-solidfual ? Atrnos hericall vented I Y
Amios hedcal venkd PI Hee¢th-solid fud ? Abnos horicall vcnted I Y
' If armospharically veated solid fuel or direct or power vented nonsotid fuel space heatiag is iastilled, rhea malce-up air to satch
fIow is te ' td fur eacb individual e:chaust derice which esceeds 300 eubic feet er mmute.
]'art C1. VENTiLATZON
VENTn,.4,TTOrr QuaNMn
(Mechxnicalveah'Iation mvst bt piovided pcr the largcr qu3ndry calcula[ed below)
2,? ! cubicCeet z 0.00583lminute efm (; 5; slSefmlDedroom)+]Sefm= cCm
volume ofhabitabIc rooms number oFbedroo:ns
VEiVTiL?.TION FAPi SCHEDiJLE
ti__..__.?_?.-` -, , , r, ... . . .. .. , .. -^-- • . .
u?c?du+cuaw?a?pavpwcu ? I u cznaus?unry ? na?anwu ?LLO'SIIRUVL[YYL4WLWi?a¢cacw?nKCr.ncJ 1
Fan des ' do¢ or locntion 4 TOTALS
VENTfI.A'tTON IntaSce cfru c6m e6n e6n c?
AS DESIGi?IF.D Exhausc c5n cfrn cfm ofm cfm
Statemeat of Complimacr. The proposcd butldiag design represented in these documena is consistent with the building pLws: .
specificauons, and othec ealcu]ations submitced with the petmii applieadon. 'ihe proposed building has been designed eo meec t6e
requucments of the `finnesota Energy Code.
1? O Z q s}44.S-lo9o0
Applicant (pcinc name) Signatu¢e Date Telcphone number
Part Ca. VENTIY.,ATZON (Submit Part Cl upon completion of system verificafionT)
x _-------------------------------------------------------------------------
Job Si[e Address: \ Pecsait Number
c
Fan descti uon or locauon TOTAI.S
MEASI]RED inlalce cEm c cfin cfm ?+
PTiLFORiVfANCEt Exhause cfin e dm cfin
j Vqdilatiou mte mnct be measuce ed when the perfomiantt optio "
of'oiaesinthebuN' tionedrnvclo e fromPartA. ed'm lien of the ptrscriptivc option foc thesealmg
' ^'m G atemenr Inshlled venoladon system is in complianee with MN Enugy Code and'u s provido thc dcsign air flow.
Applicant (pcint narnc) Signature Date Telephone numb-tf
Questious? Call 1-800-657-3710 or 651-296-5175
. LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
/ r
PROPERTYLEGAL: cf
-7-2- ?2
DATE OF SURVEY:
LATEST REVISION:
m
?
m '
v DOCUMENTSTANDARDS
Y ¢ a
o z a
u/. ^ ? • Registered Land Surveyor signature and company
+l/7 ? • Building Permit Appiicant
?Y G ? • Legal description
?/? ? • Address
? u G • North arrow and scale
L? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? 0 ? • Directional drainage arrows with slope/gradient %
?? G • Proposed/existing sewer and water services & invert elevation
? ? ? . Street name
L./ ? ? • Dnveway
? ? p • Lot Square Footage
?? ? ? • Lot Coverage
ELEVATIONS
Existin
? C C • Sewer service (or Proposed)
? 7 ? • Property corners
?-? -• Top of curb at the driveway and property line eMensions
?-C • Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
r;? n . Waterways (pond, sVeam, etcJ
Prooosed
?? - • Garagefloor
V C C • Basement Floor 'VI ? " • Lowest exposed elevaUon (walkoutlwindow)
• Property comers
?y E. • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? iz/ ? • Easement line
? V ? . NWL
G rZ ? • HWL
? g/ ? • Pond # designation
• Emergency Overflow Elevation
??
?.`
d:
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DIMENSIONS
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
. Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirementc if anv
Reviewed:
OK
t? Surveyor's Certificate
,RVEY FOR : colleye city
,tSCRlBED AS : Lot 10 Block 5, TWIN VIEW MANOR, City of Eogan, Dakota County, Minnesota
and reserving easements of record.
A4M 0 1 REC'D
i Exist HotAe i
j TOB 76.1821 ,?% p??z?.
1013
3:1 Maximum Slopes ?o ;
or Retaining Wall VMAt
Be Required
T
t5a n :?.?''' ? " "a J?''?Z?I?.Yi?6.i:.C'eA'ay.L\VfL,••• A.
? J6.3
26.6 9.67 . . ._- ?
m12.5 r IoIB.o y.? i9.o .
?0013 ro?5.8 14 o xcrwn ? i5.o'
„
, - - ?0 00 00"E 182.00
i rc25.0 ,o ,o
1o1z.o za.s7 - - - - -
- --1oibo 1 13.ap39„e. x io2o.l
N 9.67 O
iQ? O I .? ioi5.2 ? O
0.07 o? 8.00 -0 ? lG ? o
? Lseav°e? I 101 2.2 1015,t ? o„-. ?7 I
1L4 0;-- w
O I ,? P r o p o s e d 6 ? I
O 1 II?0?5. M 2-Story ? I p
` ??I n 13crs. ?
O
?TY O ?
I p
I? 0
I O I ?SJ ? aO
,Z 28.33 X 1016.8 ? O
I? i I ? ioi34 0 ? ?l I
?c?2.8 ? ?L3 I d - - - - - - - - - - - -
T K x ?ote L_ _ n
? L---------- -------- --------------------?
I ?
1002.2 ioo'I.q 182.00
_^ loo7.q ? ., -r e .
1dtNG?
LOT SQ. FOOTAGE = 11,424
HSE. SQ. FOOTAGE = 2,028
LOT COVERAGE = 17%
PROPOSED ELEVATIONS
Top of Foundation = 101s.9
Garage Floor =1013.9
Basement Floor =ioc7.i
Aprox. Sewer Service =ve??Py
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
HEDLUIIID
I PLANNING SNGINBERlNC SURVSYING
2005 Pin Ook Orive
Eogon, MN 55122
Phone: (651) 405-6600
Fax: (651) 405-6606
SCALE: 1 Inch = 30 feet
BENCHMARK, rNH@ RQ????p g
P lot Krob
Ele?= IOq???
MIN.,SETBACK REQUIREMENTS
Front - 30 House Side - 10
Rear - 40 Garage Side- 10
1 HEREBY CER7IFY THAT THIS IS A TRUE AND CORRECT REPRESENTATON
OF TNE BWNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYEO
8Y ME OR UNOER MY DIRECT SUPERVISION AND OOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS S OWN.
DATE ? / a /pa '
REY LINDGRE , LAND S?IkVEYDR
MINNES A UCENSE NUMBER 14376
N0:
02R-421
BOOK:
CC-D2
Surveyor's Certificate
SURVEY FOR : colle9e city
DESCRIBED AS ; Lot 10 Block 5, TWIN VIEW MANOR, City of Eagan, Dakota County. Minnesota
and reserving easements of record.
AIJG 0 1 REC'D ::
y
1 i Exist. Hoiiie i
W ?} ? .
= 8 ? I' ?
TOB i .2 ?I?I\?
3:1 Meximum 3{op?
r? 3U '?1? U ?
Io1T-
or O?e4aining Watt W?1
? Requi? ?3?p ?)r?GA?.T FNGIdEEELIYPdG DEP'?'.
26.66---i g.67 F-- ?. I
ioo"f.3
?
1 33
I
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i
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i?
Goroge
OroD 3cs.
I~ O ? g?? n'
I
?1
?
^ 0 . 8.00
^l I
•?( i? NGPvOY
LSE0.irE -I O? IOI?
I 1012. I
? 1n4 p ? I 1015
o .
I
?
I? 0 M
I I I a?
I? Z IN I
I
? iol3:
I ?033 1005o
to
x
x ? L -
I
? L ----------
1 002.2 1001.9
_, ,
? oo) 9
?
PROPOSED ELEVATIONS
Top of Foundation = 1015.9
Propoaed
2-Story
13crs.
I
i
I
?
I
x IoIB.B ?
I
Z--? I
I
- - - - - - - - - - - - - - - -I-
-------------------------------?
?
s/[.T
,P'-Z0NG9'
LOT SQ. FOOTAGE = 11,424
HSE. SQ. FOOTAGE = 2,028
LOT COVERAGE = 17%
Garage Floor =1013.9
Basement Floor =?oc7.i
Aprox. Sewer 5ervice =ve.?fl,IS
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
BENCHMARK, TNIq @Re6eccr??,?ez
PAac 1<rob
Eleo: 1o9aP
SCALE: 1 inch = 30 feet
MIN. SETBACK REQUIREMENTS
Front - 30 House Side - to
Rear - 40 Garage Side- 10
FOx: (651) 405-6606 MINNES A LICENSE NUMBER 14376 L-e_____
JOB N0:
HEDL UND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTAiION 02R-421
OF THE BOUNDARIES OF TNE ABOVE DESCRIBEO PROPERTY AS SURVEYED
BY ME OR UNOER MY OIRECT SUPERVISION AND DOES NOT PURPORT 70 BOOK: PAGE:
PLANNING 6NGINBSRIN6! SURV6YlNG SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS 5 OWN,
2005 Pin Ook Drive Eagan, MN 55122 DATE CAD FILE:
Phone: (651) 405-6600 REY LINDGRE , LAND vEYOR CC-02
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