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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 r _v Q o ? 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