1616 Summit Hillr-A O-Y, 3
Site address: f 6/ 6 S un m/ J /fit L L Lot 2-0' Block I Subd. SaMAl 1 r' 14 r z L
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 ?1-
Furnace r7 ?? EZ '
Dryer tNl Fi PA71 _ 1,cf 4-P k
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen Dj2A l cm-f4,P $ d7?
Bathroom 1 P,- AK) 12- 114 ly
S p
Bathroom 2 Uo4nl Q. i 6 S U
Bathroom 3 13Rc94A? Be I r1a S-?
Bathroom 4
Other
FIREPLACE(S)
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
is N-Gco 4.0 N643
/S v C,FAl
MAKE-UP AIR MODEL TYPE CFM's
r//-NMAZ- catisnaiel-a a,v I3A,, 1axl czrV,
I hereby aonowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
_ tL ddt•?t S .
Company Name
s- ?,- aAI
Date
This form is the responsibility of the General Contractor.
Address: 1616 Summit Hill
Lot: 28 Block:
1 Subdivision: Summit Hill
Zip: 55122
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON 5 - C1
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 Slope
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 Departmcrt at 65 1-675 5646 prior to working in right-of-way or installing
irrigation system-
4
BUILDING INSPECTOR:
CONTRACTOR:
Delta Homes
3902 Cedarvale Drive
Eagan MN 55122
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Site Street Address Su M,4'1I7--? / Unit #
Property Owner
???ly ?/ ?y?/F??Z17
Telephone# (
)
?h
Contractor /.714, 79''
Address /iv/ S? G Ciy??JL? Telephornee# (
ol/? 4rrssate )
Zip
The Applicant is: _ Owner _ Contractor -Other
Alterations to existing dwelling
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
vv
?4Water Softener Water Heater
- replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00
State Surcharge $ .50
Total $/i'
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and apppvW.,,
Applicants Printed Name li ,ants nature 110 MAY 2 4 2004 11
?1 a (310 ck ( { l?J (, aL?(, t f 131P
RESIDENTIAL BUILDING ,
Permit Application P
City Of Eagan P P " (aa 4 ??
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelR2eoair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and All roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 7 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate if onshe septic system
3 espies of Tree Preservation Plan it lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
1?s2a-?(, 99
"b - t?U
90.E
t• ?1
Yort of Survey Recdi
Office Use
ree Peres Plan Recd
--S42 Pres Not Reqd
_ On-site Septic System
Date// l 07 1 (7-'3 Construction Cost d a S. 0 0 0
Site Address Lot 28. Block 1 Summit Hill Unit/Ste #
1616 Summit Hill
Description of Work New Home Construction
Multi-Family Bldg _ Y$ N Fireplace(s) _ 0 X_ 1 _ 2
Property Owner Delta Development, Inc. Telephone#651 X54-1600
Contractor Delt a Development, Inc.
Address 3902 Cedarvale Dr City Eagan
State MN Zip55122 Telephone#(651 )454-1600
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Matthew Daniels Telephone #(651) 423-3730
Mechanical Contractor Wenzel Heating and Air Telephone #(651) 894-9898
Sewer/WaterControctor Star Plumbing Telephoneffj7F?V8-84,r?,IC (1L_
NOV 0,-7,2003 U
I hereby apply for a Residential Building Permit and acknowledge that the info ation is mplete an( accurate;
that the work will be in conformance with the ordinances and codes of the Ci y to 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 th of work which requires a review and
approval of plans.
/JfZE?? 4LM ?:-5, /l
Ad4mg
pplicant's Printed Name Applicant's S ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
91 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
I
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
9 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 6 Zi oo u Occupancy R'3 MC/ES System
Census Code c 1 Zoning A . City Water
SAC Units I Stories Z Booster Pump _
Nbr. of Units l Sq. Ft. Z y? Pi? PRV
Nbr. of Bldgs ! Length ?s Y' Fire Sprinklered ?-
Type of Const y N Width y y
REQUIRED INSPECTIONS
t< Footings (new bldg) Final/C.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
A Foundation _ HVAC
A Drain Tile Other
Roof [X Ice & Water X Final _ Pool _ Ftgs _ Air/Gas Tests -Final
X Framing Stone
Siding
Stucco
_
_
_
6 Fireplace A R.I. X Air Test X Final _ Windows (new/replacement)
K Insulation _ Retaining Wall
Approved By '/-M , Building Inspector
Base Fee
Surcharge
Plan Reviews,•m, 144 phdy,%
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?'C 1nPNf IZ18 X 15% 16Z?J,-
33S,.a 15T r1oo? IZI% XSy.?o
Zh?F/oafs 11 7S'- X5,H, o o =
yy? Szq X X(6,oo =
2e? t?l? ZflO" 3 a iJC7 .
Cvel loS,772.?
34S? °
6
l/V
Ufl17 t1e
13,Z0tocr) nrng>o P,
Permit Number
MECcheck Compliance Report Checked By/Date
2000 Minnesota Energy Code
MECcheck Software Version 33 Release lb
Data filename: C:\Program Files\Check\MECcheck\Broadmoor.cck
TITLE: Summit Hill - Broadmoor
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 05/02/02
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 = 442
Your Home = 427
3.4% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
2nd Floor Ceiling: Raised or Energy Truss 1175 44.0 0.0 26
1 st Floor Ceiling: Raised or Energy Truss 44 44,0 0.0 1
2nd Floor Wall: Wood Frame, 16" o.c. 1223 19.0 0.0 60
2nd Floor Windows:
Above Grade, Vinyl Frame, Double Pane with Low-E 201 0.370 74
1st Floor Wall: Wood Frame, 16" o.c. 1826 19.0 0.0 91
1st Floor Windows:
Above Grade, Vinyl Frame, Double Pane with Low-E 238 0.350 83
1st Floor Doors: Solid 38 0.350 13
Basement Wall: Masonry Block with Empty Cells, 8.2' ht 7.7' bg/8.2' insul
1302 11.0 0.0 73
Egress Window:
Basement> 5.6 ft2, Vinyl Frame, Double Pane with Low-E 15 0.370 6
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U -Factor
Above-Grade Windows and Glass Doors 0.360 0.370
Includes Foundation Windows > 5.6 fr2
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 En Cod, e utr tyients in MECcheck Version 3.3 Release lb and to comply with the
mandatory requirements it ted' the E chec 1Inspe tion Checklist.
Builder/Designer z LeG Date ??
04/08/02 13:18 FAX 6518949955 WENZEL HEATING & AC + DELTA CONSTR
Part D. DEPRESSURIZATION PROTECTION
Check option used: O Fuel burning equipment (complete schedules below) ? No fuel burning equipment
INSTRUCTIONS
Sap I- Complete the Combustion Equipment Schedule below. only equipment
with a y (Yes) maybe selected under the "Category 1" ancmate.
Sap 2_ Complete ExhausWake-up Air Schedate on the right if direct or power
vented or solid fuel atmospheric vent Space heating equipment Is
selected.
spy
or power
MMULE I
d) "
nowoud fuel O
heating-solid fuel 0
space heating is
is
1&02/005
or pourer vented 1 -. T.
then make up w to In
Part C1. VENTILATION
(Mechaaical ventilation must be provided per the
cubic feet x 0.90583 /minute = efm
_ mutt
Check method(s) ptopmid 4 ? Exha
Statement of Compliance; The proposed building design represented in these documents is coast been designed to the building plans,
specifications, and Other calculations submhned with the permit application. The proposed building t
req ' eau of =beta Energy Code.
Telephone number
is
Applicant (print name) Signature
Part Cz. VENT'MA 1 AOl? (Submit Part Cz upon completion of system veriPcationt)P
--------------
--' PettnitNumbec
Job Site Address ,-'vrer c
rate must be
option is
the
seal Of towts; mthe tnulUln CULLWww+???w~•?•? -
; Installed ventilation system is in eompliaace with MN Energy Code and is sized to provide the design air
Compliance Statement
flow.
Applicant (print name)
Sigmturc
ntity calculated below>
zl5cfmlbedroom)+15clm= E?? clnt
number
pate Telephone
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
m
m
c
m
L
U
` Q
0z
X ? ?
X0 ?
? ?
K?-*
JR ? ?
? ? 0
DATE OF SURVEY: &- t4 -d 3
LATEST REVISION: 11-7-1-63
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Proposedlexisting sewer and water services & invert elevation C-*4ado S ?ii-ce
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existing
? ? • Sewer service (or Proposed)
?.I • Property comers (A/6¢ti6tJ MiSSri?J)
X ? ? • Top of curb at the driveway and property line extensions
J; ? ? • Elevations of any existing adjacent homes
? ? ? • Adequate footing depth of structures due to adjacent utility trenches
? ? ? • Waterways (pond, stream, etc.)
Proposed
? ? • Garage floor
D7 ? ? • Basement floor
j? ? ? • Lowest exposed elevation (walkoutfwindow) (99rA14)
? 06w. • Property comers 4K
? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? J< ? • Easement line
? $ ? • NWL
? JK ? • HWL
? ? • Pond # designation
? ? • Emergency Overflow Elevation
? ? • Pond/Wetland buffer delineation
DIMENSIONS
`fQ ? ? • Lot lines/Bearings & dimensions
? i} i ht-of-wa and street width (to back of curb)
? 4iin_ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? 00? • Show all easements of record and any City utilities within those easements**
? Oft • Setbacks of proposed structure and sidevard setback of adjacent existing structures
? X ? • Retaining wall requirements, if any
Reviewed:
Name ° Date
G:/FORMS/Building Permit Application
Surveyor's Certificate
SURVEY FOR : Delta Homes
DESCRIBED AS :Lot 28, Block 1, SUMMIT HILL,
and reserving ease^ a Q
x?
Cyi n ^ I;_-;? s
V r l 1,
qdi
5' s/w /not built/
ee'of Eagan, Dakota County, Minnesota
5I?T'
»ul
m
m
0
d
W
W Proposed
n 2-Story
12crs.
f616
Garage
11&
31.00
ai I I
I 1
I I
I 1
1 _..r, Exst. 1
.,.,.
Tob=964.4
LOT SQ. FOOTAGE'
r
a
i
Slopes
HSE SQ
FOOTAGE
o
ai
Retaining et
ning ng Wall Will
or
ill .
Be Required
LOT COVERAGE _
?
PROPOSED ELEVATIONS
Top of Foundation = 965.0 `
Garage Floor =964.6
Basement Floor =956.9
Aprox. Sewer Service = 953.0
-
Proposed Elev. = <Z
::) `
-
Existing Elev.
Drainage Directions =
Denotes Offset Stake = .
SCALE: 1 inch 30 feet
c°
LOZ?
R;?ED
rag
In
= 3,696
1, 747
47%
BENCHMARK,
CP# 9002
EL=953.41 NOV 21 RECT
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB NO:
HEDLUN® I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 03R-675
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR CROACHMENTS, EXCEPT A SHOWN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE Lf y
.? CAD FILE:
Phone: (651) 405-6600 R D. UND REN, LAND VEYOR Summit Hills
Fax: (651) 405-6606 NNESOTA LICENSE NUMBER 14376
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121831
Date Issued:04/15/2014
Permit Category:ePermit
Site Address: 1616 Summit Hill
Lot:28 Block: 1 Addition: Summit Hill
PID:10-72970-01-280
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 .
Ashley Harrington
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 V Canfield
1616 Summit Hill
Eagan MN 55122
Cedar Creek Construction
23383 Redwood Ct NW
St Francis MN 55070
(612) 564-6888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129933
Date Issued:03/25/2015
Permit Category:ePermit
Site Address: 1616 Summit Hill
Lot:28 Block: 1 Addition: Summit Hill
PID:10-72970-01-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Wade Sedgwick
7588 Washington Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Gregory Lawler
1616 Summit Hill
Eagan MN 55122
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature