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1600 Summit HillHOUSE HEATING TEST RECORD ADDRESS (J J i'' r APT. FLOOR CITY SUBURB OCCUPANT -OWNER HEAT LOSS DATE HTG. INST. / - SOLD BY INSTALLED BY Electrical Work By Gas Line By f. TYPE OF HEAT GA FA S HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial' ' Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting _ Pilot Type . Pilot Make - Pilot Model _ Pilot Timing L.W. Cut Off Pressure Percent C02 Input CFH Percent 02 `y Stack Temp. Percent CO Form 235 Vent Size KIND OF LINER Y UC SIZE NONE Draft Hood Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring Draft _ Test 1 Door Pressure Lighting Inst. Dote Tested / `, /C Company Testing J ^ ' 1 f Name of Tester Address: 1600 Summit Hill Zip: 55122 Lot: 1 Block: 1 Subdivision: Summit Hill THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON I "L , 15 , a3 Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Retaining Wall or 3:1 Max Sloe ? Sod/Seeded lawn Trail/curb damage Porch Lower level finish Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Tom off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 65!-675-5646 prior to working in right-of-way or installing irrigation system. ?l BUILDING INSPECTOR: ro I,,, CONTRACTOR: Delta Development 3902 Cedarvale Dr Eagan, MN 55122 Site address: 5031114iti' JiL L Lot L Block Subd. 5611my it /d / LL 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. v This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater Furnace 44 y?U Dryer &. 1A 0 G- " EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen ?? °3LR? R SE?BvU Bathroom 1 42D?tn ?' f3 ?? S v Bathroom 2 IJ 13 P- 6! c j S-0 Bathroom 3 i'W v 13 Bathroom 4 Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS iv 1" '-u-6to 757DiAle "S1 ,6" v a - V/ rr po 0'/D -T-" UZ. ov 4r 3m0 MAKE-UP AIR MODEL TYPE CFM's I hereby Onowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan a - /s o 3: Date Company Name This form is the responsibility of the General Contractor. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN I Q r? 3830 PILOT KNOB RD, EAGAN MN 55122 l U f 651-681-4675 Now construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window, sizes, poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Jost Detail Options selection sheet (bldgs with 3 or less units) DATE 7- /d - 0.1 _ c_?_?fZ9?R ?? Remodel/Repair Requirements • 2 copies of plan - 1 ?--- • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions .o VALUATION '7r 70d SITE ADDRESS l 6CO SO M t-7-1 Ht I-.L MULTI-FAMILY BLDG _ Is TYPE OF WORK 3- 56ASM) POR C-A • FIREPLACE(S) 0 1 -2 APPLICANT 1764-M 14ywO?5 A r C al 60 3SW O STREET ADDRESS 390a C1--M#Q (J)4L n/2. CITY !9Yg74&/ STATE MAC j ZIP -r-r/ 2Z TELEPHONE #CS746-4-hkV CELL PHONE # Co/al- 363- 7s-E0 FAX # I; /-45 4- X943 PROPERTYOWNER 1. alW D&7/E2,*0W1,W7- TM(, TELEPHONE /Sod ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: -- Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # 1. ttll_ 1 0 2002 {'__ 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 Or n nce . Signature of Applicant_ - 6f OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Phone # Pee: $90.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 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 /1 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg+ ? 31 Ext. Alt - Multi ? 33 Ext. 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 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant X0 6 ?9 - ? Valuation 4 0 Occupancy 1, MC/ES System P? Census Code 443 Ll Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test -Final _ Windows (new/replacement) Insulation - Retaining Wall 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 3-s, 5 JUL-10-2002(WED) 11:50 P. 001/001 r surveyor's Certificate SURVEY FOR :Delta Homes DESCRIBED AS : Lot 1, Slock 1, SUMMIT HIU. City of Eagan, Dakota County, Mlnneaoto and reserving easements of record. 1600 IT' 14ILLS q 0 V r? v 5p PROPOSED ELEVATIONS Top of Foundation = al,2.0 Geroge Floor =4bt.t• Basement Floor =4SBA Aprox. Sewer Service ='15ETC Proposed Elev. = Q Existing Elev. Drainage Directions =- Denotes Offset Stake - O m g 18.42 O p ui w 6.56 pr staed z-slay 8 / w 12n w Y, 0 0 rv 1 00 2a6] t0. 9613 f P Z ? e T R. CM i1 O 4 N ,v ,67 --? LOT SQ. FOOTAGE = 3,696 HSE SQ. FOOTAGE = 1,850 LOT COVERAGE = 507 `T.AIE. I Mai - 50 lest BENCHMARK, MIN. SETBACK REQUIREMENTS Front- House Side - Rear - Garage Side- I E /'fEDLUII /D F THE HEREBY IFFY WAY OF UM S OF E A TRUE AND CORRECT R 6@RE E"R?6W THE 5 ABOVE ED D PROPERTY TAM SURVEYED By ME aR URCER MT DIRECT SUPERVISION AND DOES MOT 1`111i 10 PZ,Aq C ZNCr ZZROVO SUR?S] INO $Raw awaowralTS OR ENCROACHMENTS. VICE" AS re"" 2005 Pin aa1 Del" GATE / 19 j3 _ Eagan, MN x9122 RaEYW PNU1e'. (651) 405-6600 Revs 1/10%Z Y A UCENSE MMeER tg16 Nx, (651) 405-6606 02R-241 Summit Hill9 / v Brie. SUB 'S' C) g L7 ]--t 1 6c- 1 ? -Vw S14 8-C 5,,,v%,(4 t RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq, fl. of house, and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) i set copies Effigy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet(bldgs with 3 or less units) ^ °l N^ cD DATE 4/2S/n? IWJ_FW4 A VALUATI N JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER DELTA DEVELOPMENT, INC. TYPE OF WORK NEW HOME CONSTRUCTION FIREPLACE(S) _0X 1 -2 APPLICANVELTA DEVELOPMENT, INC.-LICENSE 20035020 PHONE# 651 454 1600 ADDRESS 3902 CEDARVALE DRIVE, EAGAN MN ZIPCODE 55122 PAGER # CELL PHONE # 612 363 7560 _5701? FAX # 651 454 8943 NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP Energy Code Category X MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Sut Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: MATTHEW DANIELS Phone *b_51 Plumbing System Includes: L_ Water Softener Lawn Sprinkler I Water Heater L _ No. of R.I. Baths 2'- z No. of Baths Mechanical Contractor: _WENZEL HEATING & AIR Mechanical System Includes: _X Air Conditioning _X Heat Recovery System Sewer/Water Contractor: STAR PLUMBING Fee: $90.00 Phone# 651 894 9898 Fee: $70.00 Phone# 612 884 4199 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informatio is ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or 'nq Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required S ?? ? ? ti"UVL Updated 2002 -2q sno r?s3b?, a Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • i site survey for exterior additions & decks • Indicate if home served by septic system for additions TOTTD 2920$ /? N 423 3730 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 71-02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 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 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant r - 0 Valuation . t70 Occupancy MC/ES System Census Code Zoning City Water SAC Units -?L Stories _ Booster Pump Nbr. of Units Sq. Ft. . C: Eb PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const G(- ,d Width @ t'r" REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _3(. Foundation HVAC ' Drain Tile _ Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests Final Framing _ Stucco Siding Stone Fireplace R.I. 'Air Test 7 V _ Final _ _ _ Windows (new/replacement) Insulation Retaining Wall Approved By T Z 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 ?q-s'e 13 3v I S 3 30 k r ?73 s 00, S• Ir 179 ?' Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Program Files\Check\MECcheck\Woodbridge.cck TITLE: Summit Hill - Woodbridge COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 04/25/02 PROJECT INFORMATION: Delta Homes 3902 Cedarvale Dr. Eagan, MN 55122 COMPANY INFORMATION: ESG Architects, Inc 700 Third St. S. Minneapolis, MN 55415 COMPLIANCE: Passes Maximum UA = 435 Your Home = 396 9.0% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Second Floor Ceiling: Raised or Energy Truss 1082 30.0 0.0 35 First Floor Ceiling: Raised or Energy Truss 169 30.0 0.0 5 Second Floor Wall: Wood Frame, 16" o.c. 1269 19.0 0.0 70 2nd Floor Window: Above Grade, Vinyl Frame, Double Pane with Low-E 79 0.370 29 First Floor Wall: Wood Frame, 16" o.c. 1740 19.0 0.0 87 1 st Floor Window: Above Grade, Vinyl Frame, Double Pane with Low-E 229 0.350 80 1st Floor Door: Solid 40 0.350 14 Basement Wall: Solid Concrete or Masonry, 8.2' ht/7.7' bg/8.2' msul 1208 11.0 0.0 68 Basement Window: Basement> 5.6 t12, Vinyl Frame, Double Pane with Low-E 15 0.370 6 Floor over Entry: All-Wood Joist/Truss, Over Outside Air 75 30.0 0.0 2 Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0356 0.370 Includes Foundation Windows > 5.6 ft2 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 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. / / -? ?\ Builder/Designer Date` ?-d? OQ/08/02 13:20 FAX 6518949955 t9ENZEL HEATING & AC -? DELTA CONSTR ZOOS/005 - -- Part B. DEPRESSUx,%-& I®Na?2?®To CT?®equipment Check option used O Fuel burning equip P AIRSCHED= INST0.UCrtONS EIf6A IIVIAKE-UP* Step 1. Complete the Combustion Equipmear Schedule below. Only equipment Exhaust devices over ?? M& with a Y (Yes) may be selected under the "Category i" alternate. ?dh Step 2. Complete Ezhmut/Make-up Air Schedule on the right if direct or power dh vented or solid fuel atmospheric vent apace beating equipment is selected. COMBUSTION EQUIPMENT SCHEDULE y -nansalidfual Lff $ealedeombusnoa y . Itatth - nppsouasueu +------- - ,@'17itect ar power vented = Y.. ? Dtrect or power vented _ ericall vent= 11 berieatl vemted • . Waterbeatiag-motuolidfuel Scaledcombusdon y Space heating -soliidfuel O Atttwsp Y NO O Direct or wer vented Y Water beado - solid Ertel Q haieaH vented Y: ? I vented -.Y vented N Hearth - Solid fuel air to tnateh moosolid fuel space heating is imstallcd thenmake-up • [f atmospherically vented solid fuel ar direct or, power vented . flow is uired for each individual eirba ist device which exceeds 3UO cubic feet u minute MMM? Part C1. VENLATION T?AT1oitQVANTITY (Mechanical ventilation must be provided per the larger quantity calculated below) cfm r crot (© x 13 efm/bedroom)+ 15 elm = ® cubic tact x O.OOSg3 /minute number of bedrooms Check method(s) proposed a : The proposed building denim represented in these documents is consistent with the building plans. Statement of ComPHance /Q/ylbu?ildi-ng-has been designed to inert the Specifiettions, and other calculations submitted with the Permit application. The proposed req ' terns of th . worm Energy Code. Teiephone number e Applicant (print name) Signature Part C2. T'ENTILA110N (Submit Part o upon completion of system veritcnti°ni)- - x --------------------------------------------------------- Job Permit Number Site Address: TOTAI,$ _ FERFOR,MANCEr ranausr f -Ventilation rate must be measured and verified when the perfomnsace option is used in lieu 01 Me Pr=mF"" of " ' tsis the buildin conditioned emrel (from Pat A). Code and is sized to provide the denim air Compliance statement: Installed ventilation system is in compliance with MN Energy flow. Date Telephone number Applicant (print name) Signature LOT SURVEY CHECKLIST FOR RESIDENTIAL " BUILDING PERMIT APPLICATION PROPERTY LEGAL: Let I 86,K / JL'vV mli 4/1 2 DATE OF SURVEY: °f'0-2Q LATEST REVISION: 9 t m i? (DOCUMENT STANDARDS Y < O Z °o Q // d n ? • Registered Land Surveyor signature and company Y ? ? • Building Permit Applicant ? ? • Legal description r 1:1 ? Address ? ? • North arrow and scale l /? ? • House type (rambler, walkout, split w/o, split entry, lookout etc.) L ? ? • , Directional drainage arrows with slope/gradient % W? ? • Proposed/existing sewer and water services & invert elevation 15/ ? ? • Street name ? ? • Driveway ? ? n • Lot Square Footage / ? ? • Lot Coverage a/ ? ? • Benchmark ELEVATIONS Existing / ?I ? ? • Sewer service (or Proposed) N / ? ? • Property corners tY ? ? • Top of curb at the driveway and property line extensions t? n • Elevations of any existing adjacent homes ? till/ ? • Adequate footing depth of structures due to adjacent utility trenches ? GY ? • Waterways (pond, stream, etc.) Proposed ? ? • Garage floor of/ ? ? • First floor ® ?/ ? • Lowest exposed elevation (wa&out/window) ? /g g ? • Property comers ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? ? Easement line ? ? • NWL ? ? • HWL ? e( n • Pond # designation ? ? • Emergency Overflow Elevation / DIMENSIONS r1/ ? ? • Lot lines/Bearings & dimensions 1- ? ? Right-of-way and street width (to back of curb) IY ? ? • 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 7/t7 n Setbacks of proposed structure and sideyard setback of adjacent existing structures L /? ? • Retaining wall requirements, if any Reviewed: 2 F-. Name *I Surveyor's Certificate SURVEY FOR :Delta Homes DESCRIBED AS : Lot 1, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota and reserving easements of record. REVEIM"c and r ? S I iGAN EP7GMERING DFPM `r t.? I /a 00 ?) ------ !-- EW & WATER MAkM GB, s r"I-r HILLS q O 954.5 X6.95 W 56.28 O r l V QD q W w q qw r E f? mo.b Z 95q tr `` V oen- o 6.5 8 26. 2 q1 j q Q v 21.00 960. ° 16.42 ^ 6,58 Proposed 2-Story o ? 12cs. cd y1 N Go qf0 20 67 10. 9 9 91013 ' 19 M NGarage N 00 %%333 Q%A 30.67 - 9r0o.o '896I.$ O O U) W O O 0961.2 O O In +461_1, &1 A&VdMum Soper of ReWnft WWI WN Be Fl"UUed LOT SQ. FOOTAGE HSE SQ. FOOTAGE LOT COVERAGE = PROPOSED ELEVATIONS Top of Foundation = ge2.0 Garage Floor =gbl•(D Basement Floor =g53•q Aprox. Sewer Service = 951.7t Proposed Elev. _ Existing Elev. _ Drainage Directions = Denotes Offset Stoke = SCALE: 1 inch = 30 feet 3, 6 96 1,850 507o BENCHMARK, MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- JOB NO: I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-241 HEDLUND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO BOOK: PAGE: PLANNING BNGINBBRING SURVEYING SHOW IMPROVEMENTS OR E;;MI;NN;TA XCEPT AS HOWN. 2005 Pin Oak Drive 4 1902 CAD FILE: Eagan, MN 55122 DATE _-/_/ LIND LANdURVEYOR Phone: (651) 405-6600 LICENSE NUMBER 14376 4376 Summit Hills Fax: (651) 405-6606 PERMIT City of Eagan Permit Type:Building Permit Number:EA116457 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 1600 Summit Hill Lot:1 Block: 1 Addition: Summit Hill PID:10-72970-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jim Mcevoy Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - David Hauge 1600 Summit Hill Eagan MN 55122 Norwest Contractors 8469 Zanzibar Ln N Maple Grove MN 55311 (612) 859-8517 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ---------, � For Office Uae � � I Clt of �a a� ; Pe�,�t#: ,13 � � � � Y � ,^ � � Permit Fee: lV� ' �O j 3830 Pilot Knob Road � i Eagan MN 55122 I Date Received: '�" � I � Phone: (�51j 675-5675 � -� �; I Fax: (651)675-5694 ' '- �' � staff:U� � �������_����__�__J 20�RESIDENTIAL PLUMBING �PER IT APPLI�ATION Date: �1 "� ��� Site Address: � �' ''" �C/� Tenant: Suite#: � � � £ ��� �� � Name: 1- 4 Phone: � ��J '°�Resrden Ow -��� � 4�� � ��� � � ��, Address/City/Zip: ,� . ��" �� � �� rvame: M�bert Corr�pany�Inc dba Culligan Water� License#: WC6413 76 ���t � � � �� Aad�eSs: 18Qr 50`� St East � ��ty: Inver Grove Hgts. ��� ontra+�to�;� � ` � � ��� �� �' �� � 55077 651-451-224r� �. State: Mn Zip: Phone: � � `�'� William R Milbert � � � � ;� � � ����� Contact Email: � � -� -� �:,� � . _New �Replacement _Repair _Rebuild _Modify Space _Woric in R.O.W.� � � � , Description of work: RESIDENTIAL � �� � �,�° ' Water Heater ' �,Water Softener �, Lawn Irrigation(_RPZ/_PVB) ' ���� ����� Add Plumbing Fi�ures�Main/_Lower Level) �� , Septic System .�� — New Water Tumaround ;�� � �;�' Abandonment � RESIDENTIAL FEES: '+ $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) � I $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) �, $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) *Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �q O O TOTAL FEES$ �J 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 Iocates of underground utitities. www.aopherstateonecali.orq 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 appiication for a permit, and work is not to start without a permit; that the work wiil be in r accordance with the approved plan in the case of work which requires a review and approval of plans. i� X w, ��a�, 1��� 1'I�l���.��e� � Applicant's Printed Name pp icanYs Signa ure �. . ;__._ .._ � �F-,O,R�C�FFI �, U • �� '� `� � � �Re uired�° .s�e , ' � . : , 4 r �� r ��. � � ���� '=Me��er�Rel�ted ;e �- e�_,� �; �, a . �.. . � ; r,, � � � ��z,.,a�� ���._e � ;�� � ; .. � PERMIT City of Eagan Permit Type:Building Permit Number:EA145388 Date Issued:09/07/2017 Permit Category:ePermit Site Address: 1600 Summit Hill Lot:1 Block: 1 Addition: Summit Hill PID:10-72970-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Julie Morgan 1600 Summit Hill Eagan MN 55122 (651) 283-9438 Window World Twin Cities 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163616 Date Issued:09/08/2020 Permit Category:ePermit Site Address: 1600 Summit Hill Lot:1 Block: 1 Addition: Summit Hill PID:10-72970-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Julie Morgan 1600 Summit Hill Eagan MN 55122 (651) 283-9438 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature