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1625 Summit HillCity of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: ✓EJ•0 (1)0` Date Received: Staff: q 3 L 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 0 6f it e, Site Address: 426- 540044t -el" Tenant: Suite #: RESIDENT / OWNER Name: 101:1%14, Phone: L i '• 24- Z" tt2- i Address / City / Zip: A 2-6-51. ..1- k„ -ft ra.r.JLD CONTRACTOR Name: 6 .r. &4+ License #: Address: IN 0414I ( 6Zte (UAW_ City: State: r Al Zip: 3I ZZ' Phone: b5( 15S ((I o( Contact: 9t4A't(Email: TYPE OF WORK ew Replacement Repair Rebuild Modify Space Work in R.O.W. — Description of work: 604-41"4.144" +b;(4,41- f SI coC.- 5 e.r - PERMIT TYPE RESIDENTIAL Softener Water Heater y /Water / t Add Plumbing Fixtures (— Main / /Lower Level) Lawn Irrigation ( RPZ / PVB) Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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.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 application for a permit, and work is not to start without a permit; that the work will be in accordance withapproved plan in the case of work which requires a review and approval •f%ans. Gr tic J Applicant'- P d e r ` Applicant's Sign 46. City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit#: 39/3 Permit Fee: -5U Date Received: Staff: L 2010 MECHANICAL PERMIT A PLICATION Date: S- f off- / D Site Address:/ 22 J �l•�'! /T Tenant: Suite #: RESIDENT / OWNER Name: 45G,,15H, p..E) Phone: Address / City / Zip: SA ''''/'e_ CONTRACTOR Name: 2'VL I --/c)A j /2 2 Z License #: 14)/ Address., ?RS---) �i / � :,1X1,9 ��City: 046%4 a' State: I/VW Zip: 2 Z // Phone: ( / 4 F 394/9 Conta • / r!eli r.5 1----..4.0 r-- Email:' ' ,a?/ ../.00 uq .,_,i .i - ! t_ 1A TYPE OF WORK New Replacement X Additional Alteration Demolition Description of work j k 4. rN (R Fc r jSF1'A-1 NOTE Roof mounted and ground mounted mechanical equipmentii. arequired to be scre ed by Ciitiy Code Please contact the Mechanical Inspector for information on permitted scree n ethods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pu p Under / Above ground Tank ( Install / Remove) /1 Other f Cr (A/ 012 -K When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ^ $.50 State Surcharge) $ 4....S.6 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ TOTAL FEE 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.qopherstateonecall.org 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 jhe case of work which requires a review and approval of plans. Applicant's Printed Name Site address: / S t!M IN !T t LL L Lot j,? Block Subd. 50)1#7 IT 11I L 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. r! 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 N 4?1 POtY/d 3"F&Pik-r' Dryer 11.C A - f3 `ui, rwiAim EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen turuAA#PT ?XASYe60 Bathroom l mity f??N a 13a e) Bathroom 2 .2Na k? ? Va 15-0 Bathroom 3 ?3 A7LJ ?? Bathroom 4 Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS L t 4Imo- N-ki) S)- 7So '7720 3 W 00 1 "V L BILL- Y)e / 6 • s;5vc- l? -lv?- /sb ctmj MAKE-UP AIR MODEL TYPE CFM's vtv CCIVs ,v - - I hereby acknowledge that the above information requirements. Signature " 066. TA ovmes- . Company Name is correct and agree to comply with the Minnesota Energy Code and City of Eagan //' /P'OS? Date This form is the responsibility of the General Contractor. '1--6i- k-S 1?) 1OCL-1 6fly- (o5199 gctol.t`t 4?y- 5uvv?, w6 -'r- V16 1, (off 1?0 rA0 ?s-soo , -1 C) 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan jq P - G `7 iSb 4 O. 3830 Pilot Knob Road, Eagan MN 55122 ( t Telephone # 651-675-5675 FAX # 651-675-5694 New 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 711193 Rim Joist Detail Options seleebon sheet (bldgs with 3 or less units Remodel/Repair Requirements Office Use Only 2 copies of plan Cart of Survey Recd -Y -N 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -N . 1 site survey for additions & decks Tree Pres Required _Y _N Addition - indicate if on-site septic system On-site Septic System _Y _N 9.3 ? `74?sa- Date 7 / q / 44 Construction Cost Site Address Lot 18, Block 1, Summit Hill ?qay iq ? 1625 Summit Hill ll ?J ll JUL 3 0 2004 Description of Work new construction Multi-Family Bldg - Y X_ N Fireplace(s) _ 0 X_ 1 ci? Property Owner Delta Development, Inc Telephone#(651 )454-1600 Contractor Delta Development, Inc Address 3902 Cedarvale Dr City Eagan State MN Zip 55122 Telephone #(651) 454-1600 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING X Minnesota Rules 7670 Catesorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? X Y _ N If so, 25% plan review fee applies. Licensed Plumber Matthew Daniels Telephone#(651) 423-3730 Mechanical Contractor Wenzel Heating & Air Telephone #(65y 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. AL=A 111rQU l.l?5 Applicant's Printed Name JA4 Q4, Applicant's ignature OFFICE USE ONLY Sub Types , t ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg t1 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 (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 { it /tC ?J D ef /24)1ZCi4 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant 950 Valuation to Occupancy MCES System l Census Code 0 ( City Water Zoning r D SAC Units / Stories Z Booster Pump #ofUnits n , Sq. Ft. Z°7 9 PRV V/5Y? °°-- # of Bldgs Length y 7 Fire Sprinklered TT TT Type of Const Width S b 0 Y REQUIRED INSPECTIONS 3 Footings (new bldg) ?p Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC p Drain Tile Other Roof ?LO Ice & Water ?O F inal - Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding -Stucco -Stone _ Brick !o Fireplace X R.1. )or Air Test )C Final - Windows Insulation _ Retaining Wall Approved By: / , Building Inspector Base Fee Surcharge Plan Reviev?5, ?• lA tZ, MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Q?ts?me?lt t3?iv x ?S. - 1945,0 ..o ^a ('la?rz r t 73 x s? 6 3 3 yz. Gt1i?a 6 5_72 A 16. = 83 SZ . 04/08/02 19:20 FAX 8518949955 ING & AC + DELTA CONSTR Q005/005 Part B. ]DEPktESSURIZATION PROTECTION Check option rued O Fuel burning equipment (complete schedules below) O No Wet burning equipment INSTRucrtoNs Step 1. Complete the Combustion Equipment Schedule below. Only equipmant with a Y (Yes) may be selected under the "Category l" aRematt. Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power vented or solid fuel atmospheric vent apace heating equipment is Selected EXSA /MAKFrUP AIt S IILE°. Etibaust devices over 300 dm - :.Flow °at ,efift cLf n •'ri,t r VENTILATION QUANMY (Mechanical ventilation must be provided per the larger quantity calculated below) ® cubic feet x 0.00583 /minute = FFID am ( x 15 efn*edroom)+ 15 elm = ® elm volume of habitable towns ' . number of bedrooms v) NTILATION FAN SCHEDULE Check method(s) proposed O Exhaust only J rTalanced eat recovery ventdaror, air exchan er, etc. Fan description or location * 1 40 1 - TOTALS . VENT1f.ATION Intake / cfm cfin cfm cfm -e5n AS DESIGNED Exhaust 1 471 elm cfm chin cfm elm Statement of Compllance: The proposed building design represented in these documents Is consistent with the building pleas. specifications, and other calculations submitted with the permit application. The proposed building has been desineend two meet tthhe req rm nts of th ?? Energy Code. 0` '_ -?? Applicant (print [tame) Signature to Telephone number Part C2. VENTILATION (Submit Part C2 upon completion of system verificationt) x-- - ------------------------------------------------------------------ Iob Site Address: Permit Number Fan desert ' n or location TOTALS MEASURED Intake if m cfm elm elm elm PERFORMANCEt Exhaust cfm elm cfm e5n elm t Venti ation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for the seam of tats 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 the destllr wr flow. Applicant (print name) Signature Date Telephone number Part C1. VENTILATION Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\woodbridge4.rck PROJECT TITLE: Woodbridge with 4 Season Porch COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 12/01/03 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 = 580 Your Home UA = 522 10.0% 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:Wood Frame:Double Pane with Low-E First Floor Wall: Wood Frame, 16" o.c. 1 st Floor Window: Above-Grade:Vinyl Frame:Double Pane with Low-E 1st Floor Door: Solid Basement Wall: Solid Concrete or Masomy:Exterior Insulation Wall 3: Wood Frame, 16" o.c. Window 3: Above-Grade:Vmyl Frame:Double Pane with Low-E Door 2: Glass Floor over entry: All-Wood Joist/Tmss:Over Outside Air Basement Window: Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA 1082 30.0 0.0 35 169 30.0 0.0 5 280 30.0 0.0 9 1269 19.0 0.0 70 79 0.350 28 1740 19.0 0.0 87 229 0.350 80 40 0.350 14 1456 11.0 0.0 128 414 19.0 0.0 18 94 0.350 33 12 0.350 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 0.350 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 REScheckVersion 3.5 Release 1 e (formerly MECchec4 and to comply with the mandatory requirements listed in the IBS chiQ11rpection Checklist. Builder/Designer Date 7-.2'9 - LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: l ,,s4 Jg 0 8k S- ,u,.,;4 u'f/ DATE OF SURVEY: J/ 2744 m LATEST REVISION: c m r U Y Q v O Z a DOCUMENT STANDARDS ,2f 0 ? . Registered Land Surveyor signature and company Z ? ? • Building Permit Applicant .z ? 0 . Legal description D X1 • Address ? ? • North arrow and scale 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) Ja ? 0 0 ? . • Directional drainage arrows with slope/gradient %- tAtd fc See Proposed/existing sewer and water services & invert elevation do ny info me r °nfeCl,f?k 9 ?das. ,B ? 0 • Street name ? ? • Driveway (grade & width - in RAN and back of curb 22' max ) 0 'Ef ? • , . Lot Square Footage X ? ? • Lot Coverage ELEVATIONS Existing 0 ? • Sewer service (or Proposed) ? • Property comers 19 ? 0 • Top of curb at the driveway and property line extensions-$e?kkrk- or S 4ei c 0 D ? • Elevations of any existing adjacent homes ? ? • Adequate footing depth of structures due to adjacent utility trenches ? ? • Waterways (pond, stream, etc.) Proposed Rf ? 0 • Garage floor ,1 ? ? • Basement floor yE'J 0 ? . Lowest exposed elevation (walkout/window) ? R1 • Property comers 0 ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? 0 • Easement line ? 0 • NWL ? ? • HWL D Jd ? • Pond # designation ? ? • Emergency Overflow Elevation ? 'z ? • Pond/Wetland buffer delineation DIMENSIONS X 0 'W • Lot lines/Bearings & dimensions ,H ? ? • Right-of-way and street width (to back of curb) ,0 ? ? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) ,a 0 ? • Show all easements of record and any City utilities within those easements f1 ? ? • Setbacks of proposed structure and yard setback of adjacent existing structures ? ? • Retaining wall requirements, if a Reviewed: ame Date G:/FORMS/Building Permit Application Rev. 12-16.03 Surveyor's Certificate SURVEY FOR : Delta Homes DESCRIBED AS :Lot 18, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota and reserving easements of record. 12. O L( a E" 1. "?y?, LL" Imo/ LOT 25 I 1 LOT 29 son main SUMMIT HILL ?- ?IIL EROSION --<- KI nD 61.2 J61.4 961.6 L?jj D r0 ? C I i I Exist. Home of 1 TOB = 962.3 FI 0 1 V1 LOT HSE LOT PROPOSED ELEVATIONS Top of Foundation = 963.5 Garage Floor = 963.1 Basement Floor = 955.4 Aprox. Sewer Service = 951.0 Proposed Elev. = Existing Elev. _ Drainage Directions = Denotes Offset Stake = a POich 0121.00 N f58D_ r-------- 9.00 16.42 `a o 'y 1625 6Exist. Home o Proposed TOB = N/A 0 2-Story N 12cs. 't11? L-- Porch Garage 64 i2.B N N 9 .0 o aao 0 1 .., - 962.1 I V FENCE 956.8 958.6 SQ. FOOTAGE - 3,828 SQ. FOOTAGE - 1,850 COVERAGE - 48% e BENCHMARK, CP# 9002 EL=953.41 SCALE: 1 Inch - 30 feet MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- JOB HEREBY CERTIFY THAT THIS IS A TRUE Ail D CORRECT REPRESENTATION N 04R-450 HEDLUND 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 ENCROACHMENTS, EXCEPT AS SHOWN. 2005 E gan,l MN Oak Drive DATE D, LINOGREN, LA SURVEYOR CAD FILE: Phone: (651) 405-6600 aNINNIR7 Fax: (651) 405-6606 O TA LICENSE NUMBER 14376 Summit Hills Address: 1625 Summit Hill Lot: 18 Block: 1 Subdivision: Summit Hill Zip: 55122 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON -o 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 • 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 e7dsts. • Call the City's Engineering Department at 651-6675-5646 prior to working in right-of-way or installing irrigation system. J BUILDING INSPECTOR: Cd/Bldg Insp1Formsl2004/Checklists/Master Checklist For C.O. CONTRACTOR: Delta Homes 3902 Cedarvale Dr Eagan, MN 55122 C!tyofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: q 3 7 Permit Fee: --c7-7-7 0 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION (L Date: Site Address: /6/Zc Tenant: Suite #: RESIDENT / OWNER Name: A s A;.t_;5 `` PA t Phone: Address / City / Zip: / 70 Z 5 c(A...yYt yVL "' ik )) Applicant is: Owner X Contractor TYPE OF WORK/� Description of work: i :�✓t�5�tr,'�j 4�1�� Ge.v� l_�fiSrz✓h,c�� N / Construction Cost: 9C/0499- • Multi -Family Building: (Yes / NoX ) CONTRACTOR Name: -5---ttG/ Ctr-O A C n+i{I-%tet i L t- License #: 70011 3 2053 3 Cz/e Address: f'/ C PAI� t' (.) City: C_ A 6,5-44_, State: Or kt It Zip: s-5-30 Phone: Z9/ Z- 30 / "2/4 s - Contact: "S 'QM) (/Z-30 4 53' Email: i)(44),S b //•✓ kAA 7Nlc/-/'L I -C31'YL COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE:00'41d supporting,documents that you submit are considered to bep, blfc informat on Portions of the informatiiomaybe classified as non-pu dic if you provide specific reasons that would permit the City o < 1, (. 14 n. :.. = conclude that they are trade.secrets� 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.gooherstateonecall.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 application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved •lan in the case of work which requires a review and approval of plans. Ap c•nt' ame 13 FE x Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE (iS-7Eci SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition it Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%, Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair 9cte g/( 4136 la REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final f Framing Fireplace: Rough In Air Test y�C Insulation Meter Size: Reviewed By: Occupancy Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Code Edition ,20 07 Zoning Stories Square Feet Length Width Final P/) 404 t MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL -27 Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA107176 Date Issued:09/28/2012 Permit Category:ePermit Site Address: 1625 Summit Hill Lot:18 Block: 1 Addition: Summit Hill PID:10-72970-01-180 Use: Description: Sub Type:e-Siding Work Type:Siding Description:House & Garage Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Ashish Pagey 1625 Summit Hill Eagan MN 55122 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117285 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1625 Summit Hill Lot:18 Block: 1 Addition: Summit Hill PID:10-72970-01-180 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 - Ashish Pagey 1625 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