967 Stony Point Rd
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Address ~67 STONY °OINT :RCAD Zip 5512~
I.Ot ~ BI~C ~ SUb ~:artlamm~nri DORdS drS}!
THESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: "a, ~ Yes No Inspector:
Final grade (6" from siding) ~jy~ p G
Permanent steps (garage) ~C.
Permanent steps (main entry)
Permanent driveway x
Per[nanent gas ~
Sod/Seeded grass
Ttail/curb da[nage ~
Porch ~
Basement finish
Deck
Please verify wit6 the buildet the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet befo[e freeze potential exists.
Contad engineering division at 681-4645 before working in right-af-way or installing underground sptinkler system. ~
Whitc - City Copy Yellow - Resident Capy Pink - Contractar Copy
.L~ ~h C -fi- t~J ~U3'`7 ~ a.~
, Caa,Ydenwvoc{ Ponds 5 ~ RESIDENTIAL BP- ~6~3
_ , g -
BUILDINC PERMIT APPLICATION~qp 5
5830 PIL10T KNOB RDN 55122 ~ Y I r~ I~ I~q l 7a r O
g~~y ~~a o/ 651-681•4875 ~D ~ q ~ 5~
r
NewConstructionReauiremenh ~RemodeVReoairRaauirements`I.--~ ~ ~O'
• 3 registered sile surveys sAowirg sq. ft M lot, sq. fl ot lause: aM611 moted areas ' . 2 copies M plan
(20% m~imum bt coverage albwed) . t aet ol Ene~gy Calalations tor heated addNons
• 2 mpies of plan shaMag beam & wiMuw sizaz; poured found design, etc.) h • 7 site survey fa exleria additions & decks .
. t set of Eicergy Calculations K~' I~Z~~ krd'kafe if lame served by septic system lor addiUons _
• 3 apies of Tree Preservation Plan H bt pWtted afler 7l7RJ3
• Rim Joist Detail Optiore SNeqion sheet (bldgs with 3 w less units) ~ 1+~ ' ~~~j -j a g~
H .
151~ ~~.s.s~~ f~-d i _ <
DATE ~ Q~ VALU/~ION Y~~
l S V U~YJ?
JOB SITE ADDRESS ~(U~'x ~
IF MULTI-FAMILY BUILDING( ~H~OW MANY UNITS?
PROPERTY OWNER lKkGnv~ c~
TYPE OF WORK ~S~G FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~ 1~'! ~C PHONE# ~ ~~~1--7ID-9d6%
ADDRESS I(~t1C/ Gf~ ~'I~r ,~JI (.v 3 ZIPCODE J~~~
PAGER # CELL PHONE # FAX #
yS~2- b' - ~/ZI
NEW RESIDENTIAL BUILDING ONLY- COMPLETELY~
1~~`°2
Energy r~ C1i _ MINNESOTA RULES 7670 CA1'EGORY 1 ~
(chec ~ ~ - Residential Ventilation Category 1 Worksheet Submitted pA ~
Energy Envebpe Calculations Submitted
~ MINNESOTA RULES 7672 1'
~ New Energy Code Worksheet Submi
BY
~~fiaR ~S~l- ~svq l~~lq
Plumbin ontractor: Phon
Plumbing System Includes: _ r Softener _ Lawn Sp ' er Fee: $90.00
Water Heater No. of B
No. of Baths
~CMechanical Contractor. MI
~d~ ~/Jl y~ 2 277~ Phone # ~~~5
Mechanical System Includes: _ Air Conditioning Fee: ~70.00
s eak ecov
~5ewer/Water Conhaet • ~ ~S~- - ~1 S~ ~ a`~~
All above infortnatlon must be subrrMted prior to processing of application.
I hereby acknowledge that I have read this application, state that the inf tj is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or '
Slgnature of Applieant~
`'Certificates of Survey Received~ Tree Preservation Plan i _ Not Required
- . h Updated t/01
~
f
OFFICE USE ONLY , ,
j
? 01 Foundation ~ 07 05-plex 0 13 16-plex ? 20 Pool O 30 Accessory Bldg
~ 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 D1 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 11 10-plex ? 19 Lower Leve1 ? 24 Storm Damage
O O6 D4-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscelianeous
I~ 31 New ? 35 Int Improvement 0 38 Demolish (Interior) O 44 Siding
O 32 Addition ? 36 . Move Bldg. ? 42 Dertrolish (Foundatfon) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors,
? 34 Replacement `DemoliUon (EnUre Bldg only} - Give PCA handou! to applicant
Valuation ~1.~~~ a0~~'~ Occupancy MC/ES System
Census Code /d / Zoning City Water
SAC Units Stories ~ Booster Pump
Nbr. of Units ~ Sq. Ft. ~ PRV
Nbr. of Bldgs ~ Length ~ Fire Sprinklered
Type of Const J~(/V W idth _
REQUIRED INSPECTIONS
~ Footings (new bldg) ~ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addirion) _ Plumbing
~ Foundarion HVAC
~ Drain Tile
Roof _ Ice & Water _ Final _ Other
Franilng Pool Ftgs Air/Gas Tests Final
Fireplace R.I. # Air Test ~ Final Siding Stucco Stone
_ Insularion _ Windows (new/replacement)
Approved By , Building Inspector
BaseFee ~--------------------------~W~~~_._. S~iZ'
Surcharge I C~ d~~C 1 S z l~~ a U
Plan Review
MC/ES SAC ~g~'~ L'~~~~'
City SAC l0lJ o'~~= 'P ~i d.~
VYater Supply 8 Storage
S&W Permit & Surcharge a~~ ~ v~L ~ C9~
G!J o~~ S~" S~~ F.~ ,t .
Treatment Plant ~
Plumbing Permit
Mechanical Permit ~
LicenseSearch ~~Q K G(~ z 7 ~YG
Copies ` ~ ~ ~ a ~ ~ h
Other ~ft5~.~e,Gi ,
Total
l:.
KAREN E. MARTY ~
Attorney at Law
3601 Minnesota Drive Telephone: (952) 921-5859
Suite 880 e-mail: kxnarry@ix.netcomcom
Bloomingron, MN 55435 Fax: (952) 830-8211 .
December 12, 2001
Pam Goiffon -
Enforcement Division
Department of Commerce ~g
85 Seventh Place East, Suite 500 ~r~ ~to„y
St. Paul, MN 55101 ~
Dear Ms. Goiffon:
Thank you for sending me the packet regarding filing far the Contractor's Recovery
Fund. This letter is to fill you in regarding the Contractor involved.
Michael J. Zurbrigen, doing business as Affardable Construction & Development, LLC,
entered into a contract to construct a new home for a client of mine. His business address is 1600
W. 143rd St., Suite 211, Bumsville, MN 55306. He gave my client a copy of a Residential
Building Contractor License in his name, with a License Number.of BG 20269578. The license
represents that it does not expire unti] 3/31/2002.
Mr. Zurbrigen hired subcontractors and began construction of my clienYs house, then
ceased work and disappeazed. At the time he disappeared, he had received funds in a sum
exceeding $40,000. Much of this was owed to subcontractors and suppliers, whom I have been
advised have not been paid. My client has been forced to make some of the payxnents, to keep
work going on the house or to avoid losing the supplies.
If you have any questions about this, do not hesitate to call me.
Smcerely
--~Ej?
Karen E. M ' '
Attorney at_Law
cc: Sale Raza ` ' ~
7' of EaBan ' ' .
~ ' ` ,
Date: Tuesday, December 11, 2001
To: Jan Severson
Community Planning Department
3830 Pilot Knob Rd
Eagan, MN 55122
Deaz Severson,
It was pleasure talking to you on the phone this morning.
As you know that fraud has been committed against me by the builder by taking
$48,000.00 plus and disappeared. My very reason for this letter is to ask Ciry for the
refund of the building permit amount because builder did not pay this amount to city. I
made the check payable to the city and I am attaching the photocopy of this check with
this letter.
Please call me at 952-484-4213 if you have any question or concem.
T ~
~ aleem Raza
~ Owner of the property
Property address
967 Stoney Point Rd
Eagan,MN 55123
Mailing address
902 Hyland Ct r
Eagan, MN 55123 r~o~ ~ - .~N-o . `~.t,u7 ~
,~q;~,~, _ $ ~ S a s c~~
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CERIIFlCATE OF SURVEY R 44-1- 01
for
Sateem Raza AUG 2 2 REC'D
Dakoto Electric Cooperative Eosement
per poc. No. 520556 and troil
easement per poc. No. 856253 ~ ~ 62.50 ~~~NSP .Easement per
NSP Eosement per poc. No. 572735--~ ~ ~ I I II IDoc. No. 535598
Dokoto Electric Cooperative Eosement ~ ~ I
per Book 71 of MR, Poge 432.- I \ I I 50.00 ~ II I NSP Easement per Book 34
~ ~ ~ ~ ~ ~of MR. Poge 236
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BY ~ Top curb to Gar slab =_31~6_
DATE _ / - 2'i-o9 Top block = '~9'1•a~
Lowest bsmt flr = ~~~I'~
BUILDING IMSPECTIONS DEPT.
Scale: 1 " = 40'
967 Stony Point Road
DESCRIPTION
I hereby certify that this survey, plan, or Lot 2, Block 1,
report wos prepared by me or under my direct GAROENW00~ PONDS FIFTH
supervision and that I om o duly Registered Dokoto County, Minnesota
Land Surveyor under the lows of the Stote p~at beorings shown
of esota.
o Denotes iron monument
` Existing j Proposed
Dote U~ ZOCI Reg. No. 8140
~EV IS F~o~
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114 ,
Burnsville, MN 55337 _
(952) 435-1966 R44=1-01 ~
Siteaddress: ~I~7 -STONY ~orNr-R.~. ~o~ 7- sio~ ~ Subd. GH,2AEN U-loob /ONDSS~
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tighiness, 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.
~C , This sWcture: is constructed ro meet minimum requirements af ihe Mn Energy Code, Chapter 7670
OR
_ This sWclure: will be constnicted to meet more restricGve requirements of Chapters 7672 or 7674
APPLL4NCE GAS ELEC MANUFACTURER tA00EL BTU'S VENTINGTYPE
Water Heater ~ ~QyEEM 2l U{~40 4~ ~ao Paw~ t/ENr
Fumace )C LUXAIRE C 9Tb 012 ~ 8!3 8~ aob 3°PVC ~owg o,tt
Dryer
VENTE~
EXHAUSTSYSTEM LQCA710N TYPE MODEL CFM's ~5 No
Kitchen kitchen ~N LiuE Fy TEC Li 19d
Balhroomlm,qlu /Y1RiN i.1L/ME FR~q.p
Bathroom 2 p~A5TE2 N L iNE
Bathroom 3 /.~~F 1N L~n/E
Bathroom4 ~Sm~" I~I LiNE
Other LAvnroft /N L~N6
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOOEL BTU'S ~~T A~OS
N~Hr N-C~LO Fi9rAr~ ~ ~EAT A1 O ra0oo1~2
MAKE•UP AIR MODEL TYPE CFM's
I herehy acknowledge ihat the above informaHon is wrrect and agree to comply with tl~e Minnesota Energy Code and City of Eagan
requirements.
~ ` 2 ~ 0 2
Signature Oate
A La nl I-I-UVV~ Itil G,
Company Narne
" This fortn is the responsibility af the General Contractor.
!~~P.~s~R@v E4FATI~G ~ A9R rOE~?f~~0~'!~~G, ~~~c. HVAC
' RAM E~Y M55 03 SERVICE ORDER
INVOICE
(763) 4~27-~970 Faz (76~) 32~-7535
40g3
BILLTO
^ THISWOPNISTOBE
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' ? C.O.D. ? CHARGE ? NO CHARGE
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HNVIRONMENTAL CHECK LIST ~ ~ WORK PERFORME~
GN PPD?11 D WOftKPERK'A9MED QT'I~, TYfE~RIBPOSITt(3N CON~F.NSINGUNIT CONp'SATEORHINS
> c~nHeo
PHONE CALLBEFOFE ? AECOVEFEO LEVEtE~] MRIrvORA~.rv
? A.M. PEPAIFE~
~ ~ IJ P.M. ? RECYCIC~ CLEANEOCOIL MAiuORqiN
TECH IAN A HORIZED BY J qECLAIFIEO CHCCKE~ CLE~N~~
~ ~ LHRNGE PANOflAIN
- REiUPNED LEAKINOOh PpN~PAIN
WOPHTO BEPERFORMEO
~ ? UiSposn~ ~E~~A`~ FURN. OR FAN C01~
LEAK IN COiPE9
1 C~ISMAMLELI ;~EF IiEPLTCEOBELT
~ {~'7~ ?cNa.~.cEOOU~raEV~acEO TOTAL S
cnec~eo n»us~ose~~
. . R10TOP
Q7Y: ~ HIATERIALS 8 SERV(CES UNIT PRICE AMOUNT DESGRIPTION OF WOflK PERFORME~ cnauc=_o aea~nceo
~ MOiUF PuLLEY
1 REFRIGERANTR~ LBS / ~ Gy~ ~ AE'aceo au~usreo
~ +y~ ~ P ee~r v~.:uev
. ~ [.rb":......_ ~~~°A_P;.i:.C' + _ nodusTVO c~'c~Neo
. I . . ~ BELT B~OWEP
I ~ 6r REPlACEO REPLACEO
I • ~ ACtOR BEAPINGS
~ . .
I qEP~9TAAT' OILEOMO'NR
I O/ ~ L C\~ . REGt STPPT OILEO BEARINGS
I CAPALITpq
,.~n REP'l~CEO RUN C~cAN[D
_ . I C}~ ~"'~q(A'~'.:~ CPPPCITOF HEATE%CH.
i ~ i / y{~.. . . . CLEiNE00P PEPLACEO
~ ~ ~j lr no~.coN~nc~oa nenr exr,H
_ ~ •F-JS. V . wiPiN~cE~ a~nueooe
/ A~JAILOT
I \ /f'~ AEVLnCE~FVSE AEPLACEO
, ~,5 ~__~~b _ THEPMOCOLIPLE
REPtACEO PEPAIFEO
. I COl~PflE530fl Vn~VE
1 ' . F.VPPOflHTORC0IL H¢PInCEt~
I I vxvE
I I ~Q.y~, E%PVnir BuRNeR9
- ~ ~ ~ ~ nmusTeo DUCT
I I -%P VALVE
. ?EPIACF.~ SEPAIPEO
I I ~~Y /~I~ CAPPJ9E
~ CLEARE~
~ FlLTERS x x I I ~AP7VpE a~uusTeo
. ~ .
eeanweo THEi1MOSTAT
> FlLTEFS x x I I coa~e4a
aEPn~REo
_ . . . . COPiEP CONN aEPLACE~
B[LTS ~ ~ RECOMMENDAT~ONS ~eameocoi~ ndiusreu
TOTAL MATERIALS ~ _eve~socea
. . . . . . - . . E~ECT HTR. CLGTOWER
HRS. . LAS:QR~ RATE. ~ AMOVN7 eea~acea ~mx c~enueo
' aea~nceurcux.
~ ~
~ .I . . _ _ aeaniaeovnA[ PUMP(S)
. .
' ~ ~ qEPLPGED CONT. OFEA9E~
. { I _
I I qEpaiPEll
~ " FILTERS ? ~~E^~EO = aeriaceo
.~,<,~F~A~s.~+mA.~>vaE I LIMITE~ WARRANTY.~~AII materials, parts ~ ~
mimvuro:worHeasmE TOTAL LABOR ~ ~ ' ~ ~ ~
and equipment ~ are' warranted by the TO7ALSUMMARY. .
TERMS manufacturers' or supplieB' written warranty ~ ~
only. All labor performed by the above named TOTAL
company is warrantetl for 30 days or as MATERIALS ~
~ otherwise indicated in writing. The above named TOTAL
company makes no other warranties, ezpress LABOR
~ i na~e a~momr ~a omr~ me wo~k owmea aeo~ wmm~ na: e~~ :~m~a~oniy ~omoie~E~. i~~ee mai or implied, and its agents or technicians are I
seue~ mcam: ~ne m aq~~pme~vmare~~~is m~msnea ~ou rmai ~ymem is maae. n paymem oo~ maee not authorized to make any such warran[ies
as a~~eea, :eue< <a~ ,amo~re ~a ey~rome~u~,aie~~ais ~ sana:s a.~„~. a~y aamaya ~eswmy i~om on behalt of a6ove named company.
sa'~d remo.ai enen noi ee ~ne ~esponsleuliy m senec TRAVEL ~
? REGULAR ~ WARRANTY CHARGE I
IJ SERVICE CONTRACT ' TAX ~
~1;~ -~~~s~~~~~Ar ~ ~,E ~l ~w,n~~frw TOTAL ~
I
~ ~ ~ ~
ADDITIONAL MATERIALS, SERVICES AND LABOR
MATERIALS & SEP,VIC6S _ UNIT PPICE A1dOUNT_I HRS. LA`3GR- _ RATF AMOIINT
. _ _i" ' 7-'
- _ _ ~ ~ I _ ' i _
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- - - - ----1-- ~ i _ ~ . 1 _ ~ -
TOTAL 7i,ATERIALS i ~ TOTAL IABOq
ouR
POLICY
' We try sincerely ro hantlle
ali service work honestly, efFicientiy
~ and at a fair price.
Should you ever have a questio~
regartling our work, please feel free
to bring it to us.
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~ ~Z 72AG:t }FJfi rY::p^:.~~ ~:Ii;t O: ~.r.'![':~ nY
cU.rec: s::,~~,:v;fic~ a~d ,fa! I,:::~ a r::~'y
Ee~i:;te~ru I'fc~.ze,.:iOnaI El~,ri~:nn: t~iidet :k;e
ia~.vs o: tt:a-;;tcte uI I'f73)3Y~3a~4, ~
. ~ '~~+•r~l~ ~~'T'/Y
Daio ~ 12 Peg. Pio." y Y~
PHVStCAL PNOPER77HS LIMITATIONS
Average Ultimate Pullout at 4 hours Transport and Storag~
' 3" 4" 5° 8" Anehofiond should be transported and stored in a low
Bar Hole Depth Depth Depth Depth humidity, dry area at temperatures between 50°F to 70°F
Dia. Dia. Lb.. Lb.. L6.. L6.. (10°C to 21 °C) under cover in the original, unopened,
3~8" 7/2" 7,721 7,834"' 7,981" - undamaged containers.
- 1/2" 5/8" 9,880 71,797 72145' - Shalf-I7fs
` 5/8 3/4" 11,364 73,360 16,656' - One year when transport and storage procedures are
3/4" 7/9" 17 ,798 18,044 21 167 23 078' foilowed. Storing at higher temperature or high humidity will
•Denotes bar fallure on f00% 01 samples reduce shelf life.
"Danotes bar failure on 75% of eamplea PACKAQING AND COV6qpQ6
Note: All tests conducted in accordance with ASTM E-488 2 mixing shafts and extension tubes packed per case
at 66°F using an A307 threaded bar in 5,000 psi concrete 1 S oz. resin compound per tube - 12 tubes per case
unreinforced in dry holes. Edge effect, concrete strength Yield: 15 cubic inches per tube average
and rebar locado~ pf any) will affect anchorage Total Total
performance. All application and performance values are 8olt Hole CalculaYed Equivalent
typical for the material but may vary because of variations in Dia. Dia. Grouted Inches• Giass Capsules
test methods, conditlons and configuretions. 3/8" 7/2" 174" per tube 49.7 (3/8" X 3-1/2") _
1/2" 5/B" 135" per tube 31.8 (1/2" X 4-1/4h
SET TIMe 5/8" 3/4" 111" pertube 22,2 (5/S' X 5')
Substrate Set Time 3/4" 7/8" 94" per tube 142 (3/4" X&5/8'j
Temp. °F (Minutes) Actuaf resulis may vary. Calcu/ated yie/ds do not fndude
50°F (10°C) 150 any aJlowence for waste w oversize ha/es. Flgures are
60°F (15°C) 75 infended for esUmadng and comparative eva(uation only.
70°F (21 °C) 35-40 pRECAUTIONS
80°F (27°C) 20-30 Rubber gloves and/or barrier creams, protective clothing
100°F (38°C) 10-15 and goggles, a NIOSH/MSHA approved resplretor (if TLV Is
Minimum working strength (80 percent strength) achieved in exceedecij should be wom. Prov(de sufficient mechanical
eight times set time. Composition: Polyester resin and/or local exhauat ventilation to maintain exposure below
compound with organic peroxfde catalyst. TLV's.
Flw ~
8TaNDaRDS 4ND C6RT1F7CA7~ON8 COMBUSTIBLEI Flash point above 700°F (38°C).
U.S. Patent No. 4,735,508 Foreign Patents Pending otapasal
In case of spillage, absorb and dlspose oi in accordance
with Ixal, sWte and federal applicable regulations.
Spea{al Prooautlons
Fosroo inc. Since emptied contalners retain product residues (vapor,
't, ~_J' conanucuon oo-neion liquid and/or solic~ extreme caution should still be exerclsed
in their handling. Keep out of reach of children. Not for
iso ceriey court internal consumption. For industrial use only. Prior to use,
t3eorgetown, KY 40324
Tel 502-883-8800 consult MSDS and read wamings noted on product
Fax soz-ee3-aoto package for more information. Mixed product will generate
800.845-3954/ 800-845-1258 heat upon curing. ~ ~
Warrenty
Foeroc N+c. wrrena ~u o~4 m a h.. a aNCa h met«w ena wa'wneneWp ta. v«iotl d ana (1) rw Uom v» aat. w menutacWre. widar mis w•rtanb. Foaoc wm pnvd., N notuww. viaaauct n
eoMabwn b nP~ e^V P~~ W%'b b W MNOtlv~ wl~en W Wb M~oooetlenes vrill~ Foeroe wilpen imWCtions uW N~VGGaetiom rewnxn~ntlW Ey Foerao u to E~ eWteOM la M4 P~uet. Fw~oes
o0liqatqn ~enuMx Mall M FmHW soMiy to wch iaplaummt ~n0 ~hNIOS wWitioned upon nceipl py Faaroc o( writW~ nalica af vry allepM tlNacb pomO~N ~d~~"°1Y ~°of wiNln fM wenenry
perbG. ACswic~ of WCI~ e1elTt H'arlGrq tluMG Nk DM~ wi9 eonMilN~ ~ wMV~r of W clalm~ wiN neV~ to auc~ pnEUC~ TIJ~ WemnlY Ews rwt McIW~ AISwIWaUan N dwqe N~ lM vbWl aPPSVanca 01
iM Pmdu~t Ow m 1M ~cunwl~tbn o! or sbwkeq o} Gkt watMr ~tr0arm mstriale tlaGqX~d an 1M aunaw from ths a6nwPhara Fo~mc tlecs not wem~l tM mb fatrras el vH' P~~t unlw sP~uuy
eta1W oRxrMr.1M lapdnp h 1M ~xcN+W~ ~~My eflMCUyr W 7HERE ME NO OTHER WMMNf1E5 eY FOSROC OF ANY N4NRE W~UTSOEVER.IX~~.40R IMPL1m.INCLU01NOM1'/
WMPANfV OF MEACHANTABILffV OR FffNESS FOR A GARrICULM PUHPOSE Foxce Mall not M 1eDU for demaG~ of alry wn~ hckKliiq ramb ar wnssq~e~~a~ dame0aa. mullinD 1rom any alaimed
6eaeeh oi enY warta^b~ wMdr apau u YnWkd~ kicWdin9 M' wsrtenN of ms~clwn4bilify w F1~w~ br a Wbev4r WNOw ar han anY oUwww wMhaevx.
Mchorbond 5/21/96
. ~
r
Anchorbond ~ ~ ~
~
Fast aetdng, high atrength, resln and
anchoring compound In a caulking cartridge
ug~ M(xing
For anchoring small rebar, bolts, threaded 5ar, railing, pipe, Anchorbond requires no special measuring or mixing
etc. into horizontal, vertical and overhead concrete equipment - Anchorbond is mixed and dispensed with
structures. tools ordinarily loceted on the Job site. A 1/2" or 3/8"
hand-held elechic drill (approximatety 1,000 RPM) is the
AovANTA0~8 oNy tool required to mix the resln compound. A 3-pass
¦ Fast Setting - working strength is gained in 1/2 hour ~ mixing action (drill down, pull up, drill down) is
70°F (21 °C) recommended for optimum mixfng of the catalyst and resin
¦ Easy to mix - ready to use in 25 seconds mastic. A minimum of 25 seconds should he expended for
¦ Convenient - no speclal measuring, mixing or pumping this 3-pass mixing method.
equipment needed
¦ Nigh Strength - exceptional pul{-out strengths
¦ Economical - compared to epoxy systems
DESCRIPTION ~ " ~~a~
Mchorbond differs from other two component anchoring ~ ~
products in that k is a wholty self-contained product /
packaged in a conventional caulking tube container, mixed
and applied using on-site tools. The user simply mixes ~
Mchorbond wkh an ordinary hand-held drill (approximately
1000 RPA~ using the mixing shaft provided. After 25
seconds mixing time the tube is ready for use, and applied
with a standard caulking gun. No clean-up is required, and
the empty tu6e is then dlscarded.
YPPLIC4TION INSTRYCTIONS Secure the mixing shaft into the drili chuck. Cut oH the tip of
Hol~ Prsparetion the tube and insert the shaft to engage the intemal mixing
Imporlant: As with all other types of anchorages, holes element. "Drill" into the tube until the mixing element
should be clean and free of debris. Air or water flushed reaches the bottom. With the drill still on, slowly pull tha
rotary-hammer drilling is recommended. Holes should be element back to the top. Then once again, "drill" back to
brushed with a nylon brush to dislodge drilting debris. Use the bottom. Stop tbe drilU Remove the mixing shaft.
compressed air to clean out the hole.
Diamond drilled holes are nat recommended as they do not ol~psnsing
provfde a rough hole profile which establishes the polyester Anchorbond dlspenses easily from any standard caulking
anchorage.Concrete should be 28 days old or older when gun. For maximum anchorage, pump Anchorbond to the
used with a polyester resin anchor. bottom of the hole using the extension tubes (included) to
When anchorages are to be cartied out underwater (marine prevent trapped air from reducing bond. Use the plastic
environment) expect anchorage values to be reduced by up noale extension provided to place grout in deeper holes.
to 50%. Consult Foaroc when considering this application
for altemate chemical anchorfng systems. soR Plaosms~t ~
Maximum economy of the anchor grout can be obtained by After placing Mchorbond in the hole, insert the bolt or bar.
drilling holes 1/8' larger in diameter than the anchor Mchorbond is designed for use with defortned anchors -
hardware. For maximum anchorege, the hole diameter rehar, bolts, threaded bar or simflar hardware. Insert the
should not be more than 1/2" larger than the anchor hardware with a twisting actlon for msximum contact
diameter, between typical resin compound and anchor.
~ a~
:1~~ ~ s , RESIDENTIAL ~~57
' ~ BUILDING PERMIT APPLICATION
CITY OF EAGAN ~Q,`1~ ~,~p_Q~
3830 PILOT KNOB RD - 55122
651-681-4675 l _ ~
New Construction R~ufremeab RamadeUReoair Reaulremanla
• 3 regisMred site swveys showing sq, ft of lot, sq. R of hause; end all mofed aieas • 2 wples af plan
(20% mauimum lot coverage allowed) . 1 set of Eire~gy Calculations for heated addiUore
. 2 mpics o} plan shorring beam 8 window saes; poured lound design, e1c.) . t sile survey for exterior add'Aions 8 decks
• 1 set of Ene~gy Calalatbns . Indicate if Irome served by septic system for additions
• 3 copies ol Tree Preserva0on Plan il lot plat[~ after 7/1193
. Rim Joist Deta~ Options selection sheet (bldgs wHh 3 or less unils)
DATE ~ - ~8 -02 VALUATION 155, 200
JOBSITEADDRESS ~I~~7 STeaE.~ 'Poir~-r Rn.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
?i20PECcTY Oifii~1ER v ~o,a o C_ .
TYPE OF WORK NEw S F H-n me.. Sae g•?'• ~~,~~d FIREPLACE(S) _ 0~ 1_ 2
APPLICANT /~va~r~ Nnr~~S lNC, PHONE# lnS(-4fo4-~l0~0 ~
ADDRESS~-3 I/./. ,~iRDADWA~/ 5c~~rc A Fo(tE5TL,4KE ZIPCODESSO25
PAGER # CELL PHONE # FAX # la5!- 9~2- ~32<0
r~w RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category NIINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- 'Energy Envelope Calculations Submitted
_ MINNESOTA RULES 76~2 ~
- New Energy Code Worksheet Submitted
d z~'
Plumbing Contractor. I~~-v?-~f3 ~n~Cr SE~UICE CE1-rfE2 ~ Phone 78~ - 9091
Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00
~ Water Heater 1 No. of R.I. Baths
_ No. of Baths
MechanicalConhactor. Nn2T~ERN ~EA~ri.r.~C~ Phone# "7~3-A-2"7-49~0
Mechanical System Includes: ~c Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/WaterContractor. 1Zni..1-Son3 CohttRAGTlr.1Cr f hone#' 7~'3-4zz -Qi~~
All above information must be submitted prior to processing of application. i
~a~w a~, 2-oU 2--
I hereby acknowledge that I have read ihis application, state that the information is correc , and a re o comph/
with all applicable State ot Minnesota Statutes and City of Eagarn O,~rdinances.
Signature ot Applican} ~ ~ 1 ~
~
Certificates of Survey Received ~ Tree Preservation Plan Received _ Not Required _
SOwl `~Oqe ( I~~2'~~ - Updated2002
OFFICE USE ONLY ~ ~
; .
? 01 Faundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessary Bldg
~ 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 EM. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ~y~~~ Occupancy j"3 MGES System
Census Code ol Zoning P~ lJ City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units O/ Sq. Ft. N PRV
Nbr. of Bidgs dl Length Fire Sprinklered
Type of Const l~ ,~J Width 3~
REQUIRED INSPECTIONS
~ Footings(new bldg) x FinallC.O.
_ Footings (deck) ' _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
~ Drain Tile
Roof Ice & Water Final Other
~ Framing _ Pool _ Ftgs _ AidGas Tests _ Final
~ Fireplace _ R.L _ Air Test _ Final _ Siding Stucco Stone
~ Insulation _ Windows (new/replacement)
Approved By Building Inspector
Base Fee ~ . C~Cb 1~ r•air,~g ~snvY ~ ~5 ~ 5~ l
Gd ~
Surcharge G ~ ~p~~'j va/..u,y~ ~any'~ /S ~ ~
~~i
Plan Review 75~ ?O~/0~
MClESSAC 200 - ff~fo/~ yqhAfii @
City SAC Oa I~~ ~Do~ /~7l % S'~t~,n C 5'~= ,~yy 3~ =
Water Supply & Storage ~~~l ~ fpo$ j~J ~q, r~ GJo Jry= sJ-t~ c~ 3~
58W Permit & Surcharge Oo,
~ ~y
Treatment Plant o~~ !/~id/ D~ y
~ ~o
Plumbing Permit 1 g 33 ' ~
~ L~rs / 3Z o00
Mechanicai Permit ` fi .22y
License Search ~1 '~S /~Gar:qnl' PRrb
Copies ' , :~l rJ 7 J .~n~, o.v ?k~•rir
Other J 1 ~ ~i`6 93 ~'l
Total ~9 ` ~ pcG ~
,
~ 13~JSr~c~ /53 -
~ r~
I
MNcheck COMPLIANCE REPORT ~
Minnesota Energy Code ~ Permit #
MNcheck Software Version 3.0 ~
i
I Checked by/Date
I
COUNTY: Dakota
STATE: Minnesota
20NE: 2
CONSTRUCTION TYPE: Sirigle Family
DATE: 1-17-2002
DATE OF PLANS: 1/17/02
TITLE: JOB #02002
PROJECT TNFORMATION;
LOT 2 BLOCK 1 GARDENWOOD PONDS 5TH
COMPANY INFORMATION:
AVALON HOMES INC.
843 W. BROADWAY SUTTE A
FOREST LAKE, MN, 55025
COMPLIANCE: PASSES
Required UA = 350
Your Home = 255
27.2`s Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
CEILINGS 1008 44.0 0.0
WALLS: Wood Frame, 16" O.C. 1766 19.0 2.0
WALLS; Wood Frame, 16" O.C. 212 5.0 2.0
BSMT: Conc. 8.0' ht/7.0' bq/8.0' insul 128 11.0 0.0
GLAZING: Windows or poors, Above Grade 241 0.330
DOORS 52 0.350
FLOORS: Over Outside Air 4 30.0 0.0
HVAC EQUIPMENT: Furnace, 93.0 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer~~~a~~~!~~,.~C / ~w~~_/ Date /~~,~~~,'2
~e
r •
ADDRESS : LOT 2 BLOCK 1 GARpENWOOP PONDS 5TH
WINDOW ,DOOR AND SKYLIGHT SCHEDULE CRESTLINE WINDOWS
I. Above Grade Windows and Glazed Doors
Windows and Glazed Doors Style Quanity Sq.Ft. Total Sq.Ft. U-value UA
6'-0 X 6-8 PATIO DR 1 40 40 0.33 132
2'-6 X 3'-8 CSMT 2 8.75 77.5 0.30 5.25
2'-0 X 3'-0 CSMT 1 6 6 0.30 1.8
'I'-6 X 4'-0 SINGLE HUNG 2 B 12 0.34 4.08
3'-0X5'-0 SINGLEHUNG B 95 120 0.34 40.8
2'-0 X 4'-D SINGLE HUNG 1 8 8 0.34 2.72
5'-0 X 4'-0 SLBY 1 20 20 0.34 6.8
5'-D X 3'-G SLBY 1 17.5 17.5 D.34 5.95
17 Totals 241 80.60
Average U-value 80.60 equals 0.33 (must not exceed .37)
241
II. Foundation ~ndows LESS Than 5.8 Square Feet
Foundation Windows Style Quanity Sq. Ft. Toql Sq. ft. U-value UA
0 0
0 0
D 0
Totals 0 0
Average U-value 0 equals #DIV/01 (must not eacceed .51)
0
III. Skylights
SkY~~9hts Style puanity Sq. Ft. 7otal Sq. Ft. U-value UA
0 0
0 0
0 0
roa~s o 0
Averege U-value 0 equals #~IVlO! (must not exceed .55)
0
r ~
BUILDING AREA TAKE OFF FORM
ADDRESS: LOT 2 BLOCK 1 GARDENWOOD PONDS 5TH
CEILINGS
FLAT 1008
S~OPED 0
SKYLIGHTS
w/01LL$
WALLS ABOVE GRADE 2335
EXTERIOR
ATTIC KNEE WALLS
GARAGE
R!M lO/ST LF 212
FOlINDATlON WALLS ASOVE QR4DE 64
FOUNDRTION WALLS BELOW GRADE
0-3 FEET DEEP LF 0
MORE THAN 3 FEET DEEP 128
WINDOWS AND DOOR5
WINDOWS
A80VE GR.4DE W1NOqWS 201
FOUNDATION WINDOWS 0
SW1NG DDORS
NO GLAZING 0
WITH GLAZING 52
SLID/MG DOORS W1TH GLAZING 40
FLOORS
EXPOSED FLOORS
CANTILEVERED 4
CRAWL SPACE 0 LF
OVER GARAGE 0
FLOOR - SL49
PERIMETER - OUTSIDE 3' 0
CENTER
GROSS WALL AREA ABOVE GRADE 2335
LESS TO7AL WINDOW AREA 201
LESS TOTAL DOOft AREA 92
LESS TOtAL RIM JOIST AREA 212
LESS FOUNDATION WALL ABOVE GRADE AREA B4
NET WALL AREA ABOVE GRADE ttss
t
~ Building lnspecfions
Jab Site Address:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
INSTRUCTIONS: This alternative may be used tor one- and rivo-family dwellings built to meet the Category 1 requirements of
Minnesotn Rules, Chapter 7670. Complete Parts A, B, and C. Cleatly mark plans with: insulation R-values; window and skylight U-
values; size and rype of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed
inforsnation can be found in the Minnesata Energy Code summary. sheets available from the Minnesota Department of Commerce.
Part A. BUILDING ENVELOPE
, ~ -
Check pioposed envelope~mnt seaLng ophon Prescnphve (caulking, gaskets, etc.) ? Pedovnance (rest per 7670.0470 subp. 7.C.)
. , _ , r : _ . . . . _ . . .
s
Check thecmal energy calculahon'ophon used ?"Cookbook" (complete worksheet below) ~ MnCheck method (anach reporc)
- Pedormance (anach U-value calculations) ? Systems Malysis method (attach analysis)
"COOkbOOk" Worksheet = ""`""`m"~Q°'~„E"rs
~ (tor~"Cookbook" o tion onl
? Ceilino Insulatian: blinimum R•78 with 7'h" enerey heel; or
[:ISfAUL7ION5 Minimum R-0d with low truss heei; or
Srep I. Check item(s) that design meets on b7inimum Reqo~i~emenrs list hlinimum R-33 wiih R-5 she~ihin¢ wfien no attic.
to the right. Must meet all items to use "Cookbook" option. ? Entrv Doors: Max. U-value of 0.30 or I'/." solid wood with srorm
Step 2. Indicate proposed wall type on table below. ? Rim Joist Insu~ation: M1linimum R-I9
Step 3. Indicate Window U-value and source. ~ Floors over unconditioned soaces: ~tinimum R-24
. Step 4. Verify toul window (including area of all (ound.ition windou~s) ? Foundation Insulmion: blinimum R-10
~ and door area is equal or less than allou~able percenWge. ? Foundation windows: Y:" insulated el~ss, wood or ~invl fr~mc
.
- ~ ~ ~ 7'ABLE FOR DETER~II`iINC DIAXI~IlJ~1 ~YINDOIV AND DOOR AREA
_ .
`]acimum e~llowable Total Window and Door Area as - ~ . . ~
. . . , . • ~ • 72% 14°/a .16% 13% 20% 22°'0 2J% ' 23°/
a Percentaee of Ex ~osed Wall . 23%<
~ Wall T e~ (Standard Framine ~ Micimum Aver~ee 1Vindow U-v~lue (este t foundmion µindowsl: ~
' ? 2:c4, R•13 insulation, R-7 sheathine 0.55 ~ 0.47 ~0.41 . 0.36 ~ 033 030 0.27 0.25 0.?i
? 2x3, R-IS insulation, R-5 sheathing ~ 0.52 0.45 039 0.3~ 031 0.23 026 024 02?
~ 2x6. R-l9 insulation, < R-5 sheathin¢ 0.45 0.4I 036 032 019 0.26 I 0.24 0.22 011
? 2r6, R-19 insulation, R-5 sheathinc 0.56 0.43 0.42 037 034 0.31 ~ 0.23 0.26 0.?4
? 2s6. R-21 insuladon. <R•5 sheathine 0.51 ~ 0.43 0.33 034 030 0.23 I 015 0.23 012
? 2x6, R41 insulation, R-5 sheathine 0.53 0.50 0.44 - 039 0.35 ~ 032 ~ 019 ~ 027 02i
Wall T e(Advanced Ftamin2): ~ ~ hta~cimum Averaee Window U-value (exre t foundation window's): ~
? 2x6. R-19 insulation, <R-5 sheathin~ 0.52 0.45 0.39 0.35 ~ 0.3I 0.23 026 0.24 0.22
O 2x6, R•19 insulation, R-5 she~thine ~ 0.53 0.50 0.4d 039 035 03? 0.29 0.27 0.25
? 2x6. R-2I insulation, <R-5 sheathine 0.55 0.37 0.4] 036 033 030 I 0.27 0.2i 0.23
? 2r6, R-2l insulation, R•5 sheathine 0.60 0.5? 0.46 0.41 D.36 033 ~ 0.30 0.23 D.?6
Window U-value: Source: ? NFRC ? ASHR4E 1993 Handboak ~
100x0-~=~< %I
window & door area gross exposed wall area DESIGY ALL05Ve+,BLE (from table above)
MINNESOTA ENERGY CODE - WNicH RutES MaYI UsF ?
TYPE OF RESIDENTIAL BUILDL~G APPLICABLE RULES
Detached R3 occupancy 1- and 2-Camily dwellings I Chapter 7672; or
Ex~m les: single fami] , hvin homes, du lexa Ch~ ter 76 i0 "Careeory I" with scatutory de ressurizstion and ventilation m uimmrn¢
Attached R-3 occupaney dwellings Chapter 7673; or
Examples: M lex townhouses and row houses Chaoter 7670 with eithcr "C~teeorv i" or "Catecon~ ero~~isions
R-1 occupancy buildings of 3 stories or less Chapter 7674; ar
Esam les: candominiumsora amnents Chaprer76i0 ~citheither"Cateeorv I" or "Catecorv?" erocisions
R-1 occupancy buildings o~~cr 3 stories hieh Chaprer 76i6
Examoles~ hieh rise condos or aoartnents ~
~?E.~.1"Z~CZ _5:15 7e3?2? i'.g:.. ISOZTrF:Rtc 33A=I:(~: 4 P.C k25G' ~~:i ~C-_ ~
. '
?art D~PRFSSYJRIZA.TYUN PRU'T~CTIUl'~G~~~j
'heck upaoa osed: O Fue1 born~ng equipmens (aompkte aehKdufes below) O No fttel hiauu~Y aqoiPti7~ft r^l~Zf~
fNSTRt~TlONS EXHkfJST / UY .AIR SCBEDI~Y.E~
;~ep I. Compte~e rhe arnbusdoR Equfprnenc Schad~rl¢ below. Only squipment Eahatsst QevSat Over 300 ctlst Flow
with a Y(Yes} may be sefecud under the "t:eragory t" alceraete. cfm
rTtp 2. Camplete F•zAauatlMake-uy Air Schedula on t~e ri~c ff dusCC oz powec ~
renncd or soli4 fucl afmoepheTic vent spase heating equipmsttt is x~c:ed. C6n
COMausT[olv E ~v'r SCa~D
Chec)c U1
>Patt hraring- rwasoiid fnet Saled combustion Y Heatli - aua+et# fuet Q Scakd combvsrion Y
Q Direcro~ awervented Y~ Directar erventeA 1'
~ AkaosPheci ~~nwJ N A~asP~a11 aeuad
Wa:ee hearing - ooneoli4 tve Suled combuscon Y ~1e - eal~ Catl p pfiios bericell vea Y`
~ DirKCt Or WU vttfphd X w~ra -~at~a . ane~~ eenau~ Yeated Y
a .~,rea -oo~;ar~i Q A,cnvspharicall Y~a Y
• tr.eu~ayrKrecalty ,~ared sottv lLe1 or •,ecc ~ yoa~ee' veatca nan.ona qaa~e iuscale 1S immnRd, a~en m~ .ir tn ,p~ '
flow ie [equired fin eieh fadividltfl exluus[ dcrlce v+6iet, s~ceeod~ ~q eubic fcet mfpytt.
Part C~. 'V'EN'~'ILATIC}N
VEN'CILATLON QUAN7Ti'K
(MetfinniCal vrna'farinn mu.v be p[orided per she lar5~ 9'~n~Y Ctkaieted bElow)
~ euMe feet x 6.OQSB3lmlaate e~' dm x IS efm~bebreain)+t5 cfm ~`7.a ~
votwne oEhabatabie moms wa~ber pFbk~[seoms '
yF~l't'E'E[.ATiON FAN JGE .
Checxmefiod(s) P4vnasea F.xbause ont ? Balanaed (heat reca~ veatiletar, air eachaa , aec.
Fm 'aA or Toca~as i I'zl ld TQTALS
vSnfirLa x Iuraxe cfm sftn c~ ~
AS DESi~A F.xhaust ctm cfm cfin e6o O ~fm
SRaiement of Comptiance: The prr~ased bw7d'up8 dessgu npzraeated in dtese doeuraenn is ronsisteqt wilb the bvild{ng plans,
s9eaiflcadans, aftd adra caieulaciorte euhmined wfcit rLe pexmit sppliratioa. Tha pmpeasd buitding has been desf,g»eG to mer. t~e
requfremepts of The Mimtesasa Energy Code. ~
Ne~,~l~e-~w~ ~.r-,~~ 7~3-~ta~-~I~i~ra
Ayplicasz(pdnt namey sagnacvrc au Tetep6oae numtxr
p~.L'~ G2. VENTI.LATI~Q~T (5ubmt! Part Cs ¢pon completfon of syrtem ~eriScatMn~7
°dC..__-------^----------------^-----------`---------------------^°---~--~-
Job SitO Addrese: PC[c%iit Numi~cr
Faa dese~jp[ien or lowtioA TU"['AE.S
MEAStJA~A Cctake cLm cfm ofn7 cfm
PF•RFOR3vfAN~t ~xhaust cfm cfm c&n cfra
? veat!larirn raro mun be measrared end verEfied wAma t~e per!'ornxeaxc op[iea is used ia: lieu ef zha piescr~tive aprlon for rJx sealasg
Of jOi~is ~n the btfiidin qppditiona} Cnret (freqf ~ar! A.
Complisnce $tatemeot: InstaAed+renNxslon sy6~cm ia in complieme with M,
7 Energy Code nnd ia s'reeQ ro provjdc the desigG. mir klow,
Aypli¢arir{prinCnasne} SiQnawrc . Date 'CekphaneMimbec
,
' LOT SURVEY CHECKLIST FOR RESIDENTUIL
• BUILDING PERMR APPLICATION
PROPERTYLEGAL: Lot a /~/ocK I ~v,~ r, . ~~~c S
tG,
m DATE OF SURVEY: 6= Ir- D/
~
~ LATESTREVISION: B-/S~~ !
r
U
Y a ° DOCUMENT STANDARDS
O z ¢
r~/ • Registered Land Surveyor signature and company ,
~ 0 • BuildingPermitAppGcant
C~ ? ? • Legal description
C~ 0 ? • Address
Cd~? ? • North arrow and scale
C? • House type (rambler, walkout, splR w/o, splR enVy, bokaut, etc.)
5~0 ? • Directional drainage artows wilh sbpe/gradient %
fd~~ ? • Proposed/ebsting sewer and water services 8 invert eievation
~ ? ? • Street name
fY 0 ~ • Driveway
r,7~/ ? ? • Lot Square Footage
? ? . Lot Coverage
ELEVATIONS
E~astina
r?o ? . Sewer service (ar Proposed)
G7~/ ? ? • Property comers
? 0 • Top of curb at the drlveway and property Ilne extensions
? ? .
Elevations of any e~assting adjacent homes
5~ ~ O • Adequate footing depfh of structures due to adjacent ut~ity trenches Sr~ h o fe o h C a~ 1 r 7~ ~ c a f p~
? &Y ? • Waterways (pond, stream, eta)
Prooosed
5a~ ? ? . Garage floor
GT~ ? ? . First floor
d? O • Lowest e~osed elevetion (wa9couVwindow)
o O • Property comers
? • Front and rear oi home at the foundation
PONDING AREA (if aoo6cablel
? d ? • Easement 6ne
? l~ ? • NWL
? L9~ ? • H W L
0 [9~ ? • P.ond # designation
? G? ? • Emergency Overibw Elevatlon
/ DIMENSIONS
[9' ? ? . Lol Iines/8earings 8 dfinensions
? 0 • Rightci
way and atreet wWth (to back of curb)
? . Proposed home dimensions including any proposed dedc& a~efiangs greater than 2', porches, etc.
~ (i.e. aU structures requiring permanent footlnga)
• Show all easements of record and any City u~ wifhin those easements
~ ? • Setbacks of proposed struclure and sideyarcJ setback of adjacent e~dstfng structures
• Retaining wall requirements, If any
Reviewed: ~6, i / L ~a ~~~/J~[
Name / Date
.
CERTIFICATE OF SURVEY R 4 4-1 - ~ 1
for
. Saleem Raza AUG 2 2 REC'D
Dakota Electric Cooperotive Easement
per poc. No. 520556 ond trail
eosement per Ooc. No. 856253 ~ ~ 62.50 ~ NSP Eosement per
NSP Easement per poc. No. 572735-~ ~ I~ Doc. No. 535598
Dokota Electric Cooperative Easement I I
per Book 77 of MR, Page 432.- I ~ 50.00 ~ II ~
~ NSP Easement per Book 34
1 I ~ ~~~of MR, Page 236
\ ~ 1~ ~ ~~10.00
; ~.4, .w..:, ~ ~ , I I II I
~b
~ ~ ~~i~ I ~ ,I
~ `'l S 8 'S9'SP" W ~89~(pjl I
~
~ \ ~
~
o~
~ q Qe*/~`oqt ef 'F.Sf/~~ \ a~° ~ ~ ~ - I ~ - 12.so
~ ~ s~w1J 6• etev• r~T -r ~I~ - ~.oo
~ ~79. ~ ~89I.9~ oe eq ~ sxn _I 92•~ ~I I
r ~y cw~ :iou 9/.~
~ a ~To~'°$8 `Iq~~ ~ Z I II I~ Not~: Au S~.v,e`1
~y ~ u B~k&99.81 a
~^a ~ ~ ~ ~ * ,p ~roJi I ' ~o $ ~ ~I ~ ~ ~akas skad 6~
' ~ ~ ti~'O e9~~ .~ozee v,~' ` 8 • ' m I II I S~Gd f~ i~rli~
~ ~ ~ "~~y~ -1/ " P05~` ~ '°.-~-I II I ~r~K~q//Q/j (f/0//~,
~ ~ \ 89c' 8'$'~ ~ ` - 842,1~~
a~~ st tT ` 8 ~ e9~.2~ ~y, ~ a9i ; i T II I
~
~ e
~1 ~ FEtVLE ~,S ' ~ec,~ _ _ _ o ~ II I
~ ~'s, a....: _.=-~.:S:.ttt / / . ~o°'~;
~ e°yi ~ / ~ 9 V ~ 89`7=Li~l ~
~ ~d o i , 'L}' ^ I
~,D ~ O / i i ~ ~ ~ .
~~B y ~ / if~ . ~B 2 ~ ~ e
. ~
~ / ~ ` ~ \ \I~ I
T~. ~w~+, \~~ti9' ~ 78~3 ~ ~
s~ s8 r s6RV ()NV z~«~i ~ a d i ~
4 ~~90:
,~P ; ~ t i R° i~i i
0
\s o~y ~ ~ ~ ~ ~
na~r ow.(, a., d 6: twN,~a o~1' ~ I I ~ I
s~0/I ~ Gd.,t't/7L~-/~G~ ~ I I I I
'~e Cify S`1~'4w/o,?d1' I ~ ~ ~ ~
~ ~ ~ ~
~.07 f~QE~ _)2,a`.~~i 5~~: ~ I i I I
};l1~JSE = I ~~i~tc 5'.~ .
Top curb to Gor slob =_~.~6_
Top block = ~94,~~
Lowest bsmt fir = ~~ZI'~
Scole: 1" = 40'
967 Stony Point Road
DESCRIPTION
I hereby certify thot this survey, plon, or Lot 2, Block 1,
report was prepored by me or under my direct GARDENWOOD PONDS FIFTH
supervision ond that I am o duly Registered Dakota County, Minnesoto
Lond Surveyor under the Lows of the State plat bearings shown
of esoto. o Denotes iron monument
Da ~-U~ Z,DC11 ~ Req. No. 8140 ~ Existing j Proposed
~EV IS ~YJGo~
BRANDT ENGINEERING & SURVf YING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337 ,
(952) 435-1966 R44=1-01
i ----------------i
i
City of Ea~aIl ; Pe~~~ ~ l"~;
~ Pertnit Fee:
3630 Pilot Knob Road ~ i
Eagan MN 55122 i Date Receive~~~ ~
Phone: (651) 675-5675
Fex: (651) 875-5694 ~ Staff: j
2008 MECHANICAL PERMIT APPLICATION
Date: ~~~r~~ SlteAddress: 967 Stony Point Road
Tenant: Neal & Michelle Jensen Suire#:
RESIDENT/OWNER Name: Neal & Michelle Jensen Phoneb5l-797-3125
Address/City/Zip: 967 Stony Point Road
CONTRACTOR Name: Rons Mechancial Inc Licensea:
Address: 12010 Old Brick Yard Rd
City: Shakopee State: MNZip, 55379
Phone: 952-445-8585 ContactPerson: Linda
TYPEOFWORK -New ~Replacement _Additional _Alteration _Demofition
Description of work:
_ `
.K
:
PERMIT TVPE RES/DENT/AL COMMERC/AL
V urnace = New Conshuction =lnterior Improvement
?Air Conditioner Install Piping Processed
_ Air Exchanger - C'~ _ Exterior HVAC Unit
' HVAC ~nits musl be screened
. _ Heat Pump Under / Above ground Tank Install I Remove)
Olher " When Insta111ngyremoving tank(s), call for inspection by Fire
Mershal and Plumdn In a
RES/DENT/AL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifB f8p81~ (raplace bumed out appliances, tluctwork, etc.) (includeS $.50 State SUrCharge)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (inciudes State Surcharge)
_ $ Permit Fee
- If Pertnit ~ is less than 51,000, 6urcharge is $.50. ~
• It Percnit ~ is > S1,OD0, surcharpa increasas by $.50 for each State SurCharge
$1,000 Permit Fee (I.e. a 51,001$2,000 PermR Fea requires a$t.00 surchatge).
$ TOTAL FEE
I hereby acknovAedge thaf this inlormazion is complele and eccurate; that the wurk xdll be in coMOrmanee wRh the ordinances arid codes of the Ciry of Eagan; that
I understand this ia rwt a permit, bul only an applicatlon lor e permi6 and wotk i6 not lo s1aA witho a parmil; that the work will be in accordance wilb Ihe approved
plan in the case ol work which requires a revlew antl approvel ol plar~s.
x 1 Y~.1u ~2~ YlO~Y`d~ x v~-~
Applicant's Printed Name App canYs Signetu
Fp~i r ~
'w
n"~5~~ , ~ r
.
~9 .+bj/':.:,,,.,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 967 Stony Point Rd
Lot: 2 Block: 1 Addition: Gardenwood Ponds 5th
PID:10- 28804 - 020 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
PERMIT
City of Eaan
Permit closed without required inspection(s). Letter sent to applicant on 2/13/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Neal T Jensen
967 Stony Point Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA080875
11/05/2007
ePermit
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165872
Date Issued:11/24/2020
Permit Category:ePermit
Site Address: 967 Stony Point Rd
Lot:2 Block: 1 Addition: Gardenwood Ponds 5th
PID:10-28804-01-020
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 -
Neal T & Michelle M Jensen
967 Stonypoint Rd
Eagan MN 55123
(651) 315-2187
Peterson Plumbing
4209 Diamond Dr
Eagan MN 55122
(612) 655-4022
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172057
Date Issued:09/14/2021
Permit Category:ePermit
Site Address: 967 Stony Point Rd
Lot:2 Block: 1 Addition: Gardenwood Ponds 5th
PID:10-28804-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Neal T & Michelle M Jensen
967 Stonypoint Rd
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172311
Date Issued:09/24/2021
Permit Category:ePermit
Site Address: 967 Stony Point Rd
Lot:2 Block: 1 Addition: Gardenwood Ponds 5th
PID:10-28804-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Neal T & Michelle M Jensen
967 Stonypoint Rd
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature