1612 Summit HilllX s- u PLUMBING (RESIDENTIAL)
Permit Application
City OF Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date // / / y / .e
Site Address leloZ Unit #
Property Owner
FQQ/€ /???Td? Telephone # 45 ?,j
6
-
M
Contractor
?
e0q
Address `
C
State ZipTelephone #
The Applicant is owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eiristing Dwelling Unit, Including $ 50
00
- Adding fixtures to lower levels or room additions, excluding water softener and water heater .
- Abandonment of septic system
- Water turnaround (+ 5/8" meter if needed - $121.00)
_ Other:
n
1
_ RPZ _ new installation _ repair _ rebuil
te
?V
$ 30.00
t,
_ Lawn irrigation system
_ U
J? Water softener _ Water heater $ 15.00
replacement _ additional
State Surcharge $ .50
Total $ L
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the P Bing Codes; that I understand this is not a
t the work will be in accordance with the
permit, but only an application for a permit, and work is not to start ]Yc
th
approved plan in casee of work which requires a review and approva,De
/`1KI?AeL AcSI?'/?'J?a?
Applicant's Printed Name Applicant' ignature
Address: 1612 Summit Hill
Lot: 06 Block: 01 Subdivision: Summit Hill
Zip: 55122
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON , 14(, d 3
Yes No Comments
Final grade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
• V erify with your builder that roof test caps from the plumbing system have been removed.
• T urn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
J BUILDING INSPECTOR:
CONTRACTOR:
Delta Homes
3902 Cedarvale Drive
Eagan MN 55122
Site address: //? 7 i/f1'Ilfl/IJ 1411 Lot G Block Subd. 661M h /7? 1161-4
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This 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 ?• tip 4vly&
Furnace M000 Ordixa" 3"1 vc-
Dryer 4AALP4
_
14:77Z 7A.N 7"2-
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen
kitchen
DiAxaiw?r
S _ ?eo .5419
Bathroom 1
Bathroom 2 A) 457)
Bathroom 3 5,Z)
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
z rv ?? 1 s give 6U -36Y
" -f-,!/S'fz0f1a P6vxo 4er Jsaeol rw
MAKE-UP AIR MODEL TYPE CFM's
i1L o !/?71// - ?Ol//rt2ou2.9.v _ 'Hmrztz'fi1a I . I /& I
I hereby acknowledge that the above information
requirem IS.
?i Ok
Signature
ply ?ir9vS.
Company Name
is correct and agree to comply with the Minnesota Energy Code and City of Eagan
/Z-- / 3 -a
Date
This form is the responsibility of the General Contractor.
l cj"r U d?0 C?
S U.w\ vvN:, + H . 11
RESIDENTIAL BUILDING
(?,P - (U o ag'-t
NJ P- c, C)
Permit Application
r Of Eagan lop-
City 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ` ?5?5?5 aS
New Construction Requirements RemodellReoau Requirements Use On - ( L - 03
3 registered site surveys showing sq. ft. of lot, sq. it of house; and all roofed areas 2 copies of plan d of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ree Pres Plan Recd
2 copies of plan showing beam 8 window saes; poured found design, eta 1 site survey for additions & decks ree Pies Not Reqd
1 set of Energy Calculations AdMon - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units 1
Date Construction Cost
Site Address Lot 6 , Block 1 Summit Hill Unit/Ste #
1612 Summit Hill
Description of Work N ew Home Construc tion
Multi-Family Bldg _ Y _X N Fireplace(s) _ 0 __X 1 _ 2
Property Owner Delta Development, Inc. Telephone#(651 #54-1600
Contractor Delta Development, Inc.
Address 3902 Cedarvale Dr City Eagan
State MN Zip 55122 Telephone #(651) 454-1600
`' `C l- 3 ? 3 - ---I 0
COMPLETE THIS AREA ONLY IF
Energy Code Category -X Minnesota Rules 7670 Category 1_
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Matthew Daniels
Mechanical Contractor Wenzel Heatin2 & Air
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #( 651 423-3730
Telephone#(651) 894-9898
-;. Telephone
i
14 884-4199
I hereby apply for a Residential Building Permit and acknowledge that &,information is complete and accurate;
that the work will be in conformance with the ordinances aLid.codes of=the_CityLAo1 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.
D1=1274 11-11- srLv") 3-F)MAA/V
Applicant's Printed Name
rrt_
Applicant's ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
FD 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
tK 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) - Give PCA handout to applicant
Valuation 1?9,r)OD Occupancy R "3 MC/ES System
Census Code e I Zoning ? City Water
SAC Units I Stories Z Booster Pump
Nbr. of Units I Sq. Ft. Z Q 1 g PRV
Nbr. of Bldgs I Length yy Fire Sprinklered
Type of Const V h Width !"6
t?C Footings (new bldg)
Footings (deck)
_ Footings (addition)
iC Foundation
?C Drain Tile
Roof. 4 Ice & Water K Final
A Framing
Fireplace & R.I. Air Test & Final
0 Insulation
REQUIRED INSPECTIONS
LO Final/C.O.
FinaVNo C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By -7y71 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
0 5rrl I 13 3o xis' = 'I g19D--
r- to
n9 F)"O;z 1? 73 kS ?, ?' 3 3y2,-
?AaA(r& S 2Z x/?,'. 8
?012CFf 166 x 3b = ?Q$o
r
04/08/02 13:20 FAX 8518949955 ATNZEL HEATING & AC. DELTA CONSTH gbon/on
Part B. DEPIZESSIJRIZATION PROTECTION
Check option used: ? Fuel burning equipment (complete schedules below) ? No fuel burning equipment
INSTAuunQNS
Step 1. Complete the Combustion Equipment Schedule below. Only equipment
with a Y (Yes) my be selected under the "Category l" ahemate.
Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power
vented or solid fuel atmospheric vent apace heating equipment
selected
(Mechanical ventilation must be provided
cubic feet x 0.00583 /minute = cfm
x 15 e(mlbedroom) + 15 efm = g;5D efm
Statement of Compliance: The proposed building design represented in these documents is consistent with the building piams.
specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the
reqtusta Energy Code
r B.C
Applicant (print name) Signature re Telephone number
gy a f
Part C2, VENTILATION (Submit Part C2 upon completion of system verifecaflont)
x -----------------------------------
Inh Sire address- Permit Number
Fan 'om or location TOTAIS
efmu
?(7 Iaplte cfin cfm efm dm
PERFORMANCEt Exhatsi cfm efin cfrn cfum e
t Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the
sealin ojoints in the building conditioned envelope (from Part A). '
Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide me (1esmgn arm
flow.
larger quantity calculated below)
Applic2ar (print name) Signature Date Telephone number
Part Ci. VENTILATION
Permit Number
MECcheck Compliance Report
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
Second Floor Ceiling: Raised or Energy Truss
First Floor Ceiling: Raised or Energy Truss
Second Floor Wall: Wood Frame, 16" o.c.
2nd Floor Window:
Above Grade, Vinyl Frame, Double Pane with Low-E
First Floor Wall: Wood Frame, 16" o.c.
1st Floor Window:
Above Grade, Vinyl Frame, Double Pane with Low-E
1st Floor Door: Solid
Basement Wall:
Solid Concrete or Masonry, 8.2' ht/7.7' bg/8.2' insul
Basement Window:
Basement > 5.6 f12, Vinyl Frame, Double Pane with Low-E
Floor over Entry: All-Wood Joist/Truss, Over Outside Air
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
1082 30.0 0.0
169 30.0 0.0
1269 19.0 0.0
79 0.370
1740 19.0 0.0
229 0.350
40 0.350
1208 11.0 0.0
15 0370
75 30.0 0.0
35
5
70
29
87
80
14
68
i
Proposed and Maximum U-Factor Averages Proposed Maximum
Average U-Factor Allowed U-Factor
0.356 0.370
Above-Grade Windows and Glass Doors
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
33 Release lb and to com y wi e mandatory requirements listed in the MECcheck Inspection
Checklist-
Date 7'?-4?
Builder/Designer
•
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 1JI b 6 K (} I S V ?n w y? a Il
DATE OF SURVEY: 7 -2- a 3
LATEST REVISION:
m
rn
c
rs
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Q
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Q
DOCUMENT STANDARDS
v
g? C ? • Registered Land Surveyor signature and company
? ? ? • Building Permit Applicant
L
ld
i
ti
H ? ? • ega
escr
p
on
U/? ? • Address
6/0 ? • North arrow and scale
H
? ? • ouse type (rambler, walkout, split w/o, split entry, lookout, etc.)
t? ? ? • Directional drainage arrows with slopelgradient %
O'D ? • Proposed/existing sewer and water services & invert elevation
lY? ? • Street name
O/? ? • Driveway
G? ? ? • Lot Square Footage
Vo ? • Lot Coverage
ELEVATIONS
Existing
9?? ? • Sewer service (or Proposed)
I'? ? • Property comers
IK ? ? • Top of curb at the driveway and property line extensions
? o? ? • Elevations of any existing adjacent homes
? 0-? ? • Adequate footing depth of structures due to adjacent utility trenches
? i/? • Waterways (pond, stream, etc.)
Proposed
and o home at the PONDING AREA (if applicable)
Easement line
? C7//? • NWL
? 3 ?
A • HWL
P
? C
? •
ond # designation
? f3? ? • Emergency Overflow Elevation
C1 0/0 • Pond/Wetland buffer delineation
DIMENSIONS
e>/? ?
0? ?
? El
• Lot lines/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 requirements, if an 4
Reviewed:
G:/FORMS/Building Permit Application
¢? 7 ? • Garage floor
E3'? ? • Basement floor
B ? ? • Lowest exposed elevation (walkout/window)
C??g C] • Property comers
?? Front rear ffoundation
Surveyor 9s Certificate
SURVEY FOR : Delta Homes
DESCRIBED AS : Lot 6, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota
and reserving easements of record.
a
son main 6
E
SUMMIT HIS 962.2
3
'? 9s 2.1
not built yet 5's/W 9b1
961.9 2
3,
2
F
[ .
O
961.8 -
V)
I 963.8 "? "' N Garage n 964
961.4 467 961.6 23P,3 10.0
storm
CBFL
961.9
s
uti
LOT SQ. FOOTAGE
HSE SQ. FOOTAGE
LOT COVERAGE =
PROPOSED ELEVATIONS
Top of Foundation = 964.5
Garage Floor = 964.1
Basement Floor = 956.4
Aprox. Sewer Service = 952.5
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
HEDLUND
PLANNING ENGINEERING SURVEYING
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax: (651) 405-6606
= 3,696
= 1,568
42%
BENCHMARK,
CP# 9002
EL=953.41
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENC CHMENTS, EXCEPT AS SH
DATE Z//v-' a "
FR . LINDGREN, LAND RVEYOR
MINNESOTA LICENSE NUMBER 14376
JOB No:
03R-385
BOOK: (PAGE:
Summit Hills
SCALE: 1 inch = 30 feet
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118693
Date Issued:11/06/2013
Permit Category:ePermit
Site Address: 1612 Summit Hill
Lot:6 Block: 1 Addition: Summit Hill
PID:10-72970-01-060
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 .
Elizabeth Hess
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 -
Debra L Gillquist
1612 Summit Hill
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147856
Date Issued:02/12/2018
Permit Category:ePermit
Site Address: 1612 Summit Hill
Lot:6 Block: 1 Addition: Summit Hill
PID:10-72970-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Paul G Gutterman
1612 Summit Hill
Eagan MN 55122
(612) 231-4235
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature