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1626 Summit Hillr ADDRS =?l Al 5?_?APT. -FLOOR OCCUPA -OWNER HEAT LOSS DATE HTG INST Model SOLD BY INSTALLED BY - 6.. vc? mod Electrical Wa.4 By y/ ? = ?G -Gas Line By l2%?h. 2 {L TYPE OF HEAT GA _ FA,_HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE Ir N 1 MAKE OF BURNER _ Model ,cOGJC'/ Model Serial 7 -7 Max. BTU Rating _ INPUT " 9 0 Ly MAKE OF FURNACE CONTROLS THERMOSTAT i1j.(eat Plug Valve ????%iy ?Gt-GG'? ? Limit Limit Setting CITY 6UBURB CONVERSION Vent size S KIND OF LINER ?yL SIZE NONE Draft Hood Filters Size Regulator Fan Setting ?y'? Chimney Location Inside Outside Pilot Type ?L Chimney Construction Pilot Make Pilot Model Smoke Bomb Pilot Timing Draft -_ L.W. Cut Off Door Pressure- Wiring _ Test Tag Lighting Inst. Pressure 41 Percent COZ / ? Data Tested /v - 0 Input CFH 4, J7 Percent 0' V, O.7 Company Testing &LZaKI -7 L Stock Tamp.Per cent CO Name of Tester Form Z3$ HO SE HEAT NG TEST RECORD s /? 1.A- a?-t 13\0CL I S,? V,,, V-V-, ; a- IA-; 1 U' 59,2 cPS - S 5,50 S.1?? RESIDENTIAL BUILDING 7r lX 59 a (-P (e Permit Application ,CI City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauiremene RemodeliReoalrReauirements 3 registered site surveys showing sq. R of lot, sq. ft of house; and pit roofed areas 2 oopies of plan (20% maximum lot coverage aibwed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site surrey for additions B dads t set of Energy Calculations Addison - mdlcato ifon-sde septic syslam 3 copies of Tree Preservation Plan g lct platted after 7M193 Rim Joist Detail Options selecdon sheet (adgs with 3 or less units nn $1 cT0_So (A 5(00(0.17 Use On CA4 t-i? ??CertofSurveyRecd ,5// :14 - Pres Plan Recd l W Pres Not Reqd _ Onske Septic System r- Date Construction Cost Site Address T t P °t--?+ ; r Unit/Ste # 1626 Summit Hill, Eagan Description of Work New Home Construction Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2 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 Minnesota Rules 7670 Cateeorv 1 Energy Code Category . Residential ventilation Category I Worksheet (J submission type) Submitted Energy Envelope Calculations Submitted Licensed Plumber Matthew Daniels Mechanical ContractorWenzel Heating & Air A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted Telephone#(651 423-3730 Telephone # (6 51 894-9898 Sewer/Water Contractor Star Plumbing Telephone#(612, 884-4199 171 I 1) MA I hereby apply for a Residential Building Permit and acknowledge that the inf tion is c?trtplete 'accurate; that the work will be in conformance with the ordinances and codes of the C61 of of Eagan and the' to of MN Statutes; I understand this is not a permit, but only an application for a permit, IjRd work is not to startlwithout a permit; that the work will be in accordance with the approved plan in the case of work which require' Tx--view and approval of plans. Ai 1bwtE2 - S7GVJ S 1 UAW Applicant's Printed Name f _ Applicant's Si lure OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 02 SF Dwel "Ic ling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) t ? 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 Ping_,Y or _ N ? 25 Miscellaneous Work Types 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Replacement Teniolition (Entire Bldg) - Give PCA handout to applicant ? Valuation - Occupancyr MC/ES System _ Census Code /o/- Zoning City Water - SAC Units 0 Stories Booster Pump _ Nbr. of Units / Sq. Ft. /, b 3 to PRV Nbr. of Bldgs Length Fire Sprinklered _ Type of Const Width 1511 69/I Footings (new bldg) Footings (deck) _ Footings (addition) Foundation _ Drain Tile Roof Ice & Water _ Final Framing Fireplace _,'" RI. _?fLir Test :?'1`inal Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I I ? 30 Accessory Bldc ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windowa/Doors REQUIRED INSPECTIONS _ Final/C.O. X Final/No C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone _ Windows (new/replacement) 3K Retaining Wall r Approved By Z- Building Inspector at5 1 ?? ?` p 1 ?? 9S`o ri r 3o XSy = /,?s?o 3`5'?6aw Pvx4' J y V 3b ?,V ),0 Permit Number MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Prograrn 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 1082 30.0 0.0 First Floor Ceiling: Raised or Energy Truss 169 30.0 0.0 Second Floor Wall: Wood Frame, 16' O.C. 1269 19.0 0.0 2nd Floor Window: Vinyl Frame, Double Pane with Low-E Above Grade 79 0.370 , First Floor Wall: Wood Frame, 16" o.c. 1740 19.0 0.0 1st Floor Window: Double Pane with Low-E Vinyl Frame Above Grade 2 0.350 , , 1st Floor Door: Solid 40 0350 Basement Wall: e. Solid Concrete or Masonry, 8.2' ht/7.7' bg/8.2' insul 1208 11.0 0.0 Basement Window: Double Pane with Low-E l Frame Vin 6 f12 t > 5 I S 0.370 , y , . Basemen Floor over Entry: All-Wood Joist/Truss, Over Outside Air 75 30.0 0.0 Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA 35 5 70 29 87 80 14 68 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 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. r Date Builder/Designer 04/08/02 19:20 FAX 8518949955 WENZEL HEATING & AC 4 DELTA CONSTR 1&051005 Part S. DEPRESSURIZATION PROTECTION i taent (complete schedules below) ? No fuel burning equipment Check option used: O Fuel burning equ p ? -- 114MUCMQNS Only Step 1. Complete the Combusooa Equipment Schedule below- with Pmmt a y (Yes) may be selected under the "Category lt power Step 2. Complete ExhaustlMake-up AL, Schedule on the tigLt if direct of is vented or solid fuel allnOVUcric vent space heating equipment selected. •--(check'all 'es m osWl" ".. combustion Y Hearth - no=Ud fuel ar power vented Y' erieal vented N I combustion Y Space heating - solid fue rower vented Y Water vented N' Hearth-solid fuel r direct or Power vented nonsotid fud`pace heating a Scaled comb-, Y:. ja DireU or power vented A 'cal vented N a Atmospherically vented :Y• I p ber*call vented Y. O A heritall vented .•Y is installed, then make-up air to motel Part Ci. VENTILATION (Mechanical ventilation mutst be provided Per th' cubic feet x 0.00583 /minute = crm - ( Check method(s) proposed a larger quantity calculated below) x 15 cfmdbedroom)+ 15 cfm = efm r>, ... ?..... -- consi Statement or Compliance: The proposed building design represented in these documents is rnat with the building pleas speeifics&m. and other calculations submitted with the permit application. The proposed building has been designed to meet the tents of rho Code. / ce Telephone number 01011M MMOMMMMM Applicant (print name) Signature Part C2. VENTYLATION x ---------------------------------- Iob Site Address- ------- _ pennitNumber ------ - is used in r ventilation rate must be measures anti ?a ,,w ....... Scalia ofjoints in the buildin corAdoned [from pan A). is in compliaoce with MN Energy Code and is sized to provide the design air Compliance Statement Installed ventilation system now. ---?.--"? (Submit Part C2 upon completion of system verificationl') c Date Telephone amber Applicant (print name) Signature LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION l PROPERTY LEGAL: e f d sh, 6 k 3 DATE OF SURVEY: S 0-0 LATEST REVISION: m m c m t U 4 O a DOCUMENT STANDARDS ? 0 • Registered Land Surveyor signature and company [3 ? • Building Permit Applicant (3/? ? • Legal description B ? ? • Address ? ? • North arrow and scale -/ K+ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 6 7/? ? ? • Directional drainage arrows with slope/gradient % - V ? ? • Proposed/existing sewer and water services & invert elevation Y 11 0 • Street name 8 O ? ? • Driveway ? 53/ ? • Lot Square Footage 5Y ? ? • Lot Coverage ELEVATIONS / Existing / 0 ? • Sewer service (or Proposed) ;//0 ? • Property comers 5 ? ? • Top of curb at the driveway and property line extensions ? ? 0 • Elevations of any existing adjacent homes ? 70 • Adequate footing depth of structures due to adjacent utility trenches ? I, ? • Waterways (pond, stream, etc.) Proposed CY/ ? ? • Garage floor [3 ? ? • Basement floor ? ? • Lowest exposed elevation (walkout(window) ???/? ? • Property comers I}' ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? [a/ ? • Easement line ? t5` ? • NWL ? E?J ? • HWL ? 1 ? 2, • Pond # designation ? - / IJ ? • Emergency Overflow Elevation 0 [z/ ? • Pond/Wetland buffer delineation D/? ? V ? o ? ? ado n ?? n d ? ? DIMENSIONS • 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 any -4 Reviewed: G:/FORMS/Bullding Permit Application Surveyor's Certificate SURVEY FOR : Delta Homes DESCRIBED AS : Lot 24, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota and reserving easements of record. water main son main MAY l 2 REC'9 -not bu ye - W rJ 0 5' s/w 961.5 f .42 961.1 962.8 n 961.6 16 8 962.3 Porch o 21.00 v p 16.42 ° f 6.5 O O 00 Proposed `o °0 2-Story ro ao 12cs. N ,D 1828 Ld 14.00- 9, 1 959 _00 20.67 10 0 961.3 . - 959 8 a . Porch a 962 8 16.67 n n M M (iafO9e N . 962.8 ? N g 959. .67--- 0_2 23.33 10 961.1 CBFL 959.8 r i ' so ri b 3 -,4 V;9 MWtl N W Vtl or seeaining 5e paquired LOT HSE LOT PROPOSED ELEVATIONS Top of Foundation =963.5 Garage Floor =963.1 Basement Floor =955.4 Aprox. Sewer Service =951.5 Proposed Elev. = 0 Existing Elev. _ Drainage Directions = Denotes Offset Stake = HEDLUND PLANNING ENGINEERING SURYEYING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax: (651) 405-6606 961.3 961.0 961.5 SQ. FOOTAGE = 3,696 SQ. FOOTAGE = 1,568 COVERAGE = 42% BENCHMARK, CP# 9002 EL=953.41 MIN. SETBACK REQUIREMENTS 4 Front - House Side - SCALE: 1 inch = 30 feet 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 IMPROVEEMENNTTSj OR ENCROACHMENTS, EXCEPT AS SHOWN ?. DATE b- A?'?6?4/?^"? 1kdFFfE1 D. LIND EN. LAND URVEYOF LICENSE NUMBM 14376 JOB NO: 03R-274 BOOK: Summit Hills Site address: 6?zG s()Ma !f [LL Lot Block Subd. SO MM /r 1414L On April 15, 2000 the Minnesota "En'rigy Co e, 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 ?• rdIrJ 1&146e41- L- Furnace X E Sa , , ° he- Dryer /1191 TO& _ ?Ot; G©o Mck) EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen A;A ?376V X66 CS BOO `?,40 X. Bathroom 1 Doti ! 6k 5-0 Bathroom2 f3p- w r ' p 5.79 Bathroom 3 1b aok) 13 P- 14AP 6-0 Bathroom 4 Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS 41u b +A,-ad sa TTX s43c a 4t 1g X r'tQrxw) iv5rtAn-D Pat-T- /,50 CFM MAKE-UP AIR MODEL TYPE CFM's 2 &AlekV G.4&37e D , © zv r R zavr y ! -2e I hereby acknowledge that the above information is requirements. Signature t l/ DL-7714 ldaM,63; Company Name correct and agree to comply with the Minnesota Energy Code and City of Eagan Date " This form is the responsibility of the General Contractor. Address: 1626 Summit Hill Zip: 55122 ` J Lot: 24 Block: 1 Subdivision: Summit Hill THE FOLLOWING ITEMS WEREIWERE NOT COMPLETE AT FINAL INSPECTION ON i Q e lb . o 3 Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent as 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 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: AV 4' Lm 4-e-- CONTRACTOR: Delta Development 3902 Cedarvale Dr MN 55122 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170267 Date Issued:06/25/2021 Permit Category:ePermit Site Address: 1626 Summit Hill Lot:24 Block: 1 Addition: Summit Hill PID:10-72970-01-240 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Stephanie A Wright 1626 Summit Hl Eagan MN 55122 Nms Mechanical Corp. 15981 Jordan Ave SE Prior Lake MN 55372 (952) 451-8923 Applicant/Permitee: Signature Issued By: Signature