1624 Summit HillSite address: / G ; l SU /N I r LA,-LL, Lot i6 Block -)L- Subd. Si IMi* i r ki 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 14vl MAgj-r? &4 G (,X*,
Furnace ?- p L La Cf ?® O y1hxr 3, vc,
Dryer )4y U 6
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen P T L. 340
Bathroom I ?3.p- s _10
Bathroom 2 ?j .
13 11 6 S?
Bathroom 3 r G?
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
AI ew, ta??iv-&O ITO
MAKE-UP AIR MODEL TYPE CFM'S
-W L- Cgv-y, V601 13(4Z44,t.G? I
acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
1, C?S'-
Date
Company Name
This form is the responsibility of the General Contractor.
Address: 1624 Summit Hill
Zip: 55122
Lot: 26 Block: 1 Subdivision: Summit Hill /
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Z-5/
Yes N Comments
Final grade - 6" from siding
Permanent ste s - 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 ?C?
Fireplace i ?) L
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn 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
V BUILDING INSPECTOR: ?v
CONTRACTOR:
Delta Homes
3902 Cedarvale Dr
NIN 55122
Lo-k- -J a (I 610cL I 5;- 1,v 6(- q? bP- ram((a
2004 RESIDE TIAL BUILDING PERMIT Ar LICATION
S v`VVt V /? I l Tt City Of Eagan ffl 11 ":>
r 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651- 75-5694
New construction Requirements Remodel/Repair Requirements
3 registered site surveys shaving sq. Ill. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addifor s & decks
1 set of Energy calculations AdMon - indicate if onske septic system
3 copies of Tree Preservation Plan if lot platted after 711/93 n..
.. -7 ? f ^ e_
Rim Joist Detail Options selection sheet (bldgs with 3 or less units L
o3(.- 0
rlo.s)
-9-0-20
rifSriiv'isy,Recdrr,
Tree-Pr?isn?eod'
1Pes#;equ etl y Y-
?-`__ ,¢?a:?:c aunt
t#?he,SepticSYstein,..?_? ???tJ
vv? _e?-fie C -? `Y 0?
reA.JV11 c2o? 9-1S-U?
Date 6 / 41-
Site Address Lot 26, Block 1, Summit
1624 Summit Hi Construction Cost
Hill Unit/Ste #
Description of Work New Construction
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2
Property Owner Delta Development, Inc Telephone # (6 5 1 Y,54-1600
Contractor Delta Development Inc
Address 3902 Cedarvale Dr
State MN
Zip 55122 City Faga n
Telephone# (651 )454-1600
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cats Minnesota Rules 7672
Energy Code Category . Residential Ventilation Catego 1?rI*;E U • New Energy Code Worksheet
(J submission type) Submitted D 5s Submitted
Have you previously constructed a building in Eagan wi similar plan? X Y _ N If so, 25% plan review
fee applies. Bye- --
Licensed Plumber Matthew Daniels Telephone #(651) 42-3-3730
Mechanical Contractor Wenzel Heating & Air Telephone #(651) 894-9898
Sewer/Water Contractor Star Plumbing Telephone#(612) 884-4199
I hereby apply for a Residential Building 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 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.
? 7-4 flN 25,
Applicant's Printed Name Applicant's afore
Energy Envelope Calculations
• i ? R Zp04
OFFICE USE ONLY
Sub Types
*
t
? 01 Foundation ? 07 05-plex ? 13 16-plex 11 20 Pool 11 30 Accessory Bldg
??,
,,,CCC
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/Adds. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 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
31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
00
s
Census Code _
SAC Units 0
# of Units
# of Bldgs
Type of Const ?N)
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy S --tf MCES System
Zoning A0 City Water
Stories fi Booster Pump
Sq. Ft. PRV _
Length Fire Sprinklered
Width -/!-
Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
_ Drain Tile
Roof _ Ice & Water Final
Framing
Fireplace -? R.I. X- Air Test X Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
Approved By: 1 , 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
6Y' ;6
r? 175"
P ? X 30 ?1
10611
04/08/02 13t18 FAX 6518949955 _ WENZEL HEATING & AC + DELTA CONSTR
Part S. DEPRESSURIZATION PROTECTION
O No fuel bumin8 equipment
b (complete schedule below)
Check option used U Fuel urning equipment
INSTRUCTIONS
Step 1. Complete the Combustion Equipment Schedule below. Only equipment
with a y (Yes) may be selected under the "Category 1" alternate.
Step 2. Complete &hanWMakeW Air Schedule on the tight if drat or power
vented or solid fuel atmospheric vent space heating equipment is
selected
Space heating - nousolid W
Water heating -- notsolid fuel
to
11?MENT SCHEDUL>;
es rn teed)
Y HeetI - V,030114 fuel
I r= . . - -
N -
Y Space hcaaft-soliditic
Y X y yu -solid fee
N Hearth - solid fuel
ed noasolid fuel spare heating
0002/005
Yi
rep make-up air to match
Part C1. VENTILATION
(Mechanical ventilation must he provided per mt
cubic feet s 0.005$3 /minute = cfm
- mm
atity calculated yclow)
zl5cfm/bedroom)+15clm= E- cfm
Check method(s) proposed 4
Statement of Compliance: The proposed building design represeated in these documents is consistent with the bulkling Plans,
the
specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet
is of the ota Energy Code.
/"' Telephone number
e....S?ene farint tremel $tgnatu[e
Part C2. VENTILATION
------------------------------
Job Site Address:
Veatdatina rate mnst be measured
(Submit past C2 upon eomptettou of system veriPcationt)
----------------
Pemtut Number ??-
cnn --
the petfamnanee option IS used im lieu of the prescriptive option for the
sealin of in the bnsttam eonmrruaa+ .?, - the dcsigoair
Compliance Statement-. lustalled ventilation system is in eompii nice with MN Energy Code and is sited to Provide
flow. T,icpbonc number
Applicant (print name)
Signature
bate
Permit Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release le
Data filename: C:\Program Files\Check\REScheck\broadmoor4.rck
PROJECT TITLE: Broadmoor with 4 Season Porch
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 06/02/04
DATE OF PLANS: 04/25/02
PROJECT DESCRIPTION:
Summit Hill
Eagan,MN 55122
DESIGNER/CONTRACTOR:
Delta Homes
3902 Cedarvale Dr
Eagan, MN 55122
COMPLIANCE: Passes
Maximum UA = 595
Your Home UA = 560
5.9% Better Than Code (UA)
Second Floor Ceiling: Raised or Energy Truss
First Floor Ceiling: Raised or Energy Truss
Ceiling 3: 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:Exterior Insulation
Wall 3: Wood Frame, 16" o.c.
Window 3: Above-Grade: Vinyl Frame:Double Pane with Low-E
Door 2: Glass
Floor over entry: All-Wood Joist/Tmss:Over Outside Air
Basement Window:
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
1175 44.0 0.0 26
44 44.0 0.0 1
280 30.0 0.0 9
1223 19.0 0.0 60
201 0.370 74
1826 19.0 0.0 91
238 0.350 83
38 0.350 13
1550 11.0 0.0 136
414 19.0 0.0 18
94 0.360 34
12 0.360 4
75 30.0 0.0 2
Basement> 5.6 ft2:Vinyl Frame:Double Pane with Low-E 15 0.350
'Window 5:
Basement> 5.6 ft2:Vinyl Frame:Double Pane with Low-E 10 0.350
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.359 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 RES Version 3.5 Release le (formerly MECchecl and to comply with the mandatory
requirements listed in tl JR,ES ch cklnsp ction Checklist.
Builder/Designer_Aa4, ,(/ Date &-/ 7'a
` LOT SURVEY CHECKLIST FOR RESIDENTIAL
I+ ) BUILDING PERMIT APPLICATION 1I
PROPERTY LEGAL: Z?i?(4Gk I sGvmvn ?-?- ?r//
DATE OF SURVEY:
ci
LATEST REVISION:
OZ
,R- 0
'W 0
.d ?
.g ?
p' ?
,a' ?
?'H a
0
00
00
'J2, 0
a+
rn
c
R
r
U
a
a
?
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway (grade & width - in R/W and back of curb, 22' max.)
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existing
g ? ? Sewer service (or Proposed)
AT ? D • Property comers
,PT ? ? • Top of curb at the driveway and property line extensions
,' ? ? • Elevations of any existing adjacent homes
X ? ? • Adequate footing depth of structures due to adjacent utility trenches
0 ,g ? • Waterways (pond, stream, etc.)
Proposed
? ? • Garage floor
? ? • Basement floor
'z ? ? • Lowest exposed elevation (walkoutfWndow)
.el' ? 0 • Property comers
„fd° 0 ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? z( ? • Easement line
? 0 ? • NWL
? g ? • HWL
? 21' ? • Pond # designation
0 Ef ? • Emergency Overflow Elevation
? A ? • Pond/1Netland buffer delineation
DIMENSIONS
? ? • Lot lines/Bearings & dimensions
)ff ? ? • Right-of-way and street width (to back of curb)
;JT ? ? • 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 an deyard setback of adjacent existing structures
? )d ? • Retaining wall requirements, if a
114,
Reviewed: O 14
Name Date
GlFORMSBuilding Permit Application Rev. 12-16-03
Surveyor's Certificate
SURVEY FOR
DESCRIBED AS
3
L
t .-,3
0
n
u_t
93
O
Delta Homes
:Lot 26, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota
and reserving easements of record. V SEWED
I 1
I I
Proposed B}l
2-Story D / __/
12cs.
EAGAN ENGILNEERING DEPT:
N 61 o Garage
the
Exist. Home
TOB = 951.7
960.4
LOT 28
Porch
oo wav.tl 21.00 96 .1 O r------
ti
6.00 Proposed 961.1
C
-71 2-Story
6.9
I
m 12cs. e w Exist. Home
hyj °0 1624 n °o n TOE = 963.
0
o F
567
L
a N
15 .50 N 1961_6
?i
27.17 1617.17 {
60 _
f-----'
INSTALL
SILT FENCE
not built yet
SUMMIT HILL
INSTALL EROSION
BLANKET OR SOD
LOT 20 LOT f 9
LOT SQ. FOOTAGE = 369
HSE SQ. FOOTAGE = 1,_74
LOT COVERAGE = 47%
)L LZING INSPECTIMS 01_{=?
PROPOSED ELEVATIONS
BENCHMARK,
Top of Foundation = 962.0
Garage Floor = 961.6 CP#
9002
u -
Basement Floor =953.9 EL
=953
EL=.41
Aprox. Sewer Service =950.0
Proposed Elev. _ (!r (Alk MIN. SETBACK REQUIREMENTS
Existing Elev.
Drainage Directions = Front - House Side -
Denotes Offset Stake = Rear - Garage Side-
SCALE: 1 Inc h - 30 feet
JOB NO:
HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 04R-223
HEDLUND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY MEIOR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
2005 Pin Oak Drive
r'
6
I
Eagan, MN 55122 DATE _
,
q_4- CAD FILE:
Phone: (651) 405-6600
Fax: (651) 405-6606 R . LIND EN, LAND URVEYOR
MINNESOTA LICENSE NUMBER 14376 Summit Hills
Use BLUE or BLACK Ink
For Office Use
4*'' Permit#: I f &�
City � 1
Permit Fee: I 05?.
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinoinspections(acityofeaoan.com Staff:
V a
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: \�_9 -1 Site Address: Unit#:
I '`�
Name: 30 y\ ctV15Pt1 Phone: 611- 0'-i, —7470
Resident/ , 1
Owner Address/City/Zip: b ..--t+ V�YY1 rM 1 i 1
Applicant is: Owner V Contractor
Type:of Work Description of work: � QQ-r
Construction Cost: 5 JO 0 Multi-Family Building: (Yes /No;V)
I Company: EXCe t Ve-C'S Contact: ! At K.(
contractor Address: b �� o�� 1 • / v t r/-`/ City: Qct����I e
State:�� Zip: SS I2-8 Phone:��� _�-�� - Email: 1(YNt
'1 vveefA cof,cow,
l /'
i License#: C. (( 7 QQ1 7 Lead Certificate#:
I If the project is exempt from lead certification, please explain why:
IS.'vkA-_ 'COl \v<. I y\4 ltV,k
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
tYes No If yes, date and address of master plan:
I
I Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
v OTE:Pians and supporting.documenthat-YOU-submits are considd to bep t in rrrt ati+ n. Por f $
information may be classified as non-public if you provide specific reasons that Would permit the t
are trade secretsy , E,� . _
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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 locates of underground utilities. www.gopherstateonecall.oro
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 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
x C1', .\--k V\ 5 \- t ( x
Applicant's Printed Name-73 Applic is Signature ��4
Page 1 of 3
s
'1
For Office Use ^�__I
i i Permit#: " / ��
E A GAN
Permit Fee:
n
Date Received:
3830 PILOT KNOB ROAD I EAG'N, MN 55122-1810
(651)675-5675 I TDD: (651)454 8535 I FAX:(651)675-5694 Staff:
buildinginspections@cityofeagan corn
2018 RE- IDENTIAL BUILDING PERMIT APPLICATION
Date: Sit: Address: Unit#:
ij'
Name: ..� OA a, �'� G.^ 1►"A n 5 e,A Phone: �/a I - reO -717 a
Resident! { l
Owner Address/ ity/Zip: 1 6 a`f-\ 5,,,,,v,. .,'t 1.} j
Applicant s: Owner `� Contractor
Type of Work Descriptio of work: l 0 W> S /N l'41,0(67 5 �
yConstrucf•n Cost: A 1 c O O Multi-Family Building:(Yes /No 1/)
Company FY CQ,‘ ey}'e/',<o r S Contact: °✓fin 30 l'+/)S4
Address: C'), '3 9 t D n. cis-rec.,: /V City: Oct (C8`I 1 e
Contractor
State: iti aZip: C-5-4-8- Phone:Gie-9 ' Email: ci�'^ ; ).€ dr 0 F (o^-N
License •: 8 C Co 7 0 4) 7 Lead Certificate#: N AFT F1 q s' 3 3 —
If the project is exempt from ead certification, please explain why:
COM•LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting doc,ments that you submit are considered to be public information. Portions of the information may be
classified as non-public if you • vide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an lectronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.com/ ubscribe.
Exterior work authorized by a buil ing permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Go•her State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of ung:erground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this info ation is complete and accurate;that the work will be in conformance wit�he ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta hout a permit; that the work will be in
accordance with the approved plan i the case of work which requires a review and approval of plans. /
xv I I�St.., x _........._
Applicant's Printed Name Applicant's ignature