1627 Summit Hill?2t00tt rSIDENTIAL BU ]LDING PERMIT APPLICATION
VN N/?' City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122,0 (? 3 I
Telephone # 651-675-5675 FAX # 651-675-5694
I-A,9 L9-I9
,-y 10.E
New Construction Requirements RemodelrReoair Requirements ce'Use.(fn-
3 registered site surveys showing sq. ft of bt. sq. ft of house; and gll roofed areas 2 espies of plan "6 ffSG:r3 'vRe' li " 1 "li" f)
(2D% maximum lot coverage allowed) l set of Energy Calculations for heated additions PmsPlan Recd-
'P
ie
? Y:?'` N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
i g9lred
7i
reBl
fl
Oi A ' G
Y 'i!
`
' ,
I set of Energy Calculations
stem
tion - indicate if on-site septic sY
Add
'.:,
.S
_.pl?
aii.
3 copies of Tree Preservation Plan I lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units 9- "a +
Date
Site Address Lot 19, Block 1, S
1627 Summit Hill Construction Cost
ummit Hill Unit/Ste #
Eagan
Description of Work New Home Const ruction
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
State MN City Fagan
zip 55122 Telephone # (651 )454-1600
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
R Minnesota Rules 7670 Cateeorv 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 Da
Mechanical Contractor Wenzel Heating & Air
Sewer/Water Contractor Star Plumbing
Telephone #(651) 423-3730
Telephone#?51) 894-9898
Telephone # (61
M
I hereby apply for a Residential Building Permit and acknowledge that the informati n is coiilWe and acc rate;
that the work will be in conformance with the ordinances and codes of the City of If 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.
Sy'c-yrr? 7 tpl?ovqslv ago /0,W7-_5
Applicant's Printed Name Applicant's ature
OFFICE USE ONLY
.
Sub Types f
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
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
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
/? C all MCES S
O st
m
Valuation ccupancy y
e
Census Code /o/
/ Zoning City Water
?
SAC Units 1 / 1 Stories Booster Pump
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Spri nklered
Type of Const Width J
REQUIRE INSPECTIONS
Footings (new bldg) Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
_
Roof _ Ice & Water _ Ftgs
Final Pool Air/Gas Tests _ Final
Framing =
= Siding Stucco =
Stone Brick
Fireplace R.I. )? Air Test Y Final - Windows
Insulation
? Retaining Wall
77
Approved By: !i Building Inspector
-------------
-----------------------------------------------
Base Fee
S
h -----------------------------------------------------------
, 2
'" r? ??° -------------------
ls.%.
X ------------
3 o
I/
urc
arge
•
Plan Review
MC/ES SAC
Y cs
7,/ ?y
City SAC
Utility Connection Charge
1l /? 7L?? ?/
y 7 = -/
S&W Permit & Surcharge
Treatment Plant
5)4
License Search r .? x
1 n V av+ -300 2
X ?1? `
110
Copies
Other
?f1YLC.6f
? ?
/
T
t
l
-Y14°?t1YS ' 6 V _
X J (
?
o
a suV/nuu? ' I, q19
04/08/02 13:19 FAX 6518048655 WENZEL HEATING & AC DELTA CONSTR 16004/005
- --- a iii
Part S. (DEPRESSURIZATION PROTECTION
e ui menu complete schedules below) O No fuel burning equipment
Check option used O fuel homing .. P
F1cSAUSt r MAID AIR SMMM
1NSTAUCTtONS ?v?es ova3W dm - =flow'
Step 1. Complete the Combustion Equipment Schedule below. Only equipment Exhaust
with a Y (Yes) may be selected under the "Category I" alternate.
Step 2. Complete Exhausr/Make•up A;r Schedule on the right if direct or power
vented or solid fuel atmospheric Yarn space heating equipment is
selected.
"COM9IISTfONEQUUmer?aoc+a=.• ••?
t1) r:
(check all
noasotid fuel Sealed combustion Y ' Hearth - aoosolid fuel
ace heating -
S O Sealed combustion
O'baect or pawn reared Y
l':
p
O Director power vented
Ann heriuall vented N
Amos hctiwll vested -N h solid furl
eating-
Y Spate
i D AtrambericallY vented
Y' '
on
WaterbeatinB-nonsolidfuel Jd'Swledwmbttst all versed Y.
Y Waterit -soGdfitel
O Direct or r vented
th-solid fuel
a
" H O A t
O A hedcall vented Y
e
r
_.A erical vented N
er vented nonsolid fuel space beating is installed, then make-up air to match
• If atmospherically vented solid fuel or direct orpow
which exceeds 360 cubic feet minute-
i
s
ce
t dev
flow is fired for each individual exhau
Part C1. VENTILATION
VENTILATION QUANTITY
(Mechanical ventilation must be provided per the larger quantity calculated below)
V??p a 15 cfntibedroom)+15cfm= tfm
00583 /minute ef°r
0
t
f
.
ee
s
® cubic
number rns
vrtume of habitable rooms ..
Check method(s) proposed 4
As ueslurYtsv ??• -
Statement of Compliance: The proposed building design represented in these proposed building sthasn been designed to meet The
specifications, and other calculations submitted with the permit applic31i0o- The p p Code.
reauirLOt s of pre to Energy - / - (L?--
?? LL /J?i/ Diu: Telephone number
Applicant (print name) Signature
Part C2. VENTILATION (Submit Part C2 upon completion of system verifncatioat)
-----
---------------------'------- PetroitNtunber
lob Site Address: TOTALS
m K. _?._ eSn cut
Flzo hfANCEt Bxhatst vr. the perftnmance option i5 used in lieu of the prescriptive option r
f Vemilarion rate must be measured and verified
online of'olots in the buildin conditioned eavel (from Matt A). Code and is sized to provide the design all
Compliance Statement: installed ventilation system is in compliance with MN Energy
flow. Dare '- Telephone nurnber
Applicmt (print namc) Sienatu e
a 1 SUMVYlI ? 141H
LOT SURVEY CHECKLIST FOR RESIDENTIAL
f y
APPLICATION
BUILDING
PERMIT
PROP I i}
hbT J9 !]?y k
i
ERTY LEGAL: #,,//
DATE OF SURVEY:
LATEST REVISION: 4 ?I C ?0`f
m
rn
c
s
U
O
z ¢ DOCUMENT STANDARDS
T ? ? • Registered Land Surveyor signature and company
? ? • Building Permit Applicant
,tf ? ? • Legal description
? ? • Address
? ? • North arrow and scale
Jd' ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?" ? ? • Directional drainage arrows with slope/gradient %
? ? • Proposed/existing sewer and water services & invert elevation
? ? • Street name
fd' D ? • Driveway (grade & width - in R/W and back of curb, 22' max.)
? ? • Lot Square Footage
? V ? • Lot Coverage
ELEVATIONS
Existing
? ? • Sewer service (or Proposed)
? ? . Property corners
JO D ? • Top of curb at the driveway and property line extensions
? ? • Elevations of any existing adjacent homes
? ? . Adequate footing depth of structures due to adjacent utility trenches
? ? • Waterways (pond, stream, etc.)
Proposed
m ? ? • Garage floor
0 ? . Basement floor
? ? • Lowest exposed elevation (walkout/window)
Z ? ? • Property corners
? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? W 0 • Easement line
? '
fa ? • NWL
? D • HWL
? jZ ? • Pond # designation
? Jz ? • Emergency Overflow Elevation
? tS ? * Pond/Wetland buffer delineation
DIMENSIONS
r ? ? . 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)
J3" ? ? • Show all easements of record and an ty utilities within those easements
'z ? ? • Setbacks of proposed structure a sid and setback of adjacent existing structures
El l" ry? ? . Retaining wall requirements, if arty
Reviewed: z
a
me te
G:/FORMS/Building Permit Application Rev, 12-16-03
Surveyor's Certificate
SURVEY FOR :Delta Homes
DESCRIBED AS ; Lot 19, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota
and reserving easements of record.
-71
SUMMIT HILL
960.1
LOT 20 6.
_________ _7,
959__ 960
.2
I
Exist. Home 961'
TOB = 961.7 E.4 I
N
_______-__1
960
7
I
I .
I
1
I
960.0 r---
-
60.7
---__--
--
99. 960.3
t
Rat Wall
T-958.1 14
B 2,§,46 1952.5 953.1 953.8
` 91• LOT 18
161.6 Porc 10 965.0-----------------
46.00 62 -------
Proposed o
2-Story o Proposed
12cs. .? 2-Story
1627 f W i 12cs.
0
22.67 10 960.
61.6
1 I
g 31
Garage "M1. 1 P4aah
N ii1 800-
23.33 58.3 961.8 }959.6
_--?-_ I1__________i
-J ?6" pvc drain tile
954.8 I --955,7 956.4
N89'40'59
LOT
HSE
LOT
PROPOSED ELEVATIONS
Top of Foundation =962.3
Garage Floor = 961.9
Basement Floor = 954.1
Aprox. Sewer Service = 950.0
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
SQ. FOOTAGE = 3,828
SQ. FOOTAGE = 2,223
COVERAGE = 58%
- a .
APR
FGISTEREOF
LAND BENCHMARK,
SURVEYOR a?a?? CP# 9002
14376 ?a EL=953.41
r MIN. SETBACK REQUIREMENTS
Front - House Side -
SCALE: 1 inch - 30 feet Rear - Garage Side-
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 04R-139
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 OWN.
2005 Pin Oak Drive Q. j?
Eagan, MN 55122 ,
DATE 4- ?-4. ?• CAD FILE:
Phone: (651) 405-6600 R Y LINDGR , LAND U VEYOR Summit Hills
Fox: (651) 405-6606 NESOTA LICENSE NUMBER 14376
Address: 1627 Summit Hill Zip: 55122
Lot: 19 Block: 1 Subdivision: Summit Hill
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON
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.
• Tom 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-cf--way or installing
irrigation system.
V BUILDING INSPECTOR:
CONTRACTOR:
Delta Homes
3902 Cedarvale or
Eagan MN 55122
Site address: 4pZ7 $JYVIM 17 ILL Loth BlockL Subd. SvWVKIr 14ILt
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 iAVV gat- AIp?VL'
Furnace _ xuslb Q5 p ti?zr 3"Iw
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen ) L-)L) ,S TL5
Bathroom 1 UC &od 5?-( 66(P S7? ?(
Bathroom 2 13244, IV 5 Q 6 cp SD
Bathroom 3 ?pj¢hJ d 5v
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
/ CI'v -FM WkWiVA0 ,Sa St~ 36
sk ldrC/lty? r SvL. &W AjGy lS %
MAKE-UP AIR MODEL TYPE CFM's
,4 UJv . CoN5T9Jc P a -O 13 4k,4 .f 4W
I hereby acknowledge that the above information
requi ants. ?, •'
ign C.L r'•bria(?3.
Company Name
is correct and agree to comply with the Minnesota Energy Code and City of Eagan
g_" -;lei(
Date
` This form is the responsibility of the General Contractor.
-----------------
I €ai ()Ifice Use
"
I
Permit#:
M
7
I Permit Fee: y¢, I
Date Received: O:J r" I b y
, I
I Staff: I
---------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATIO14
C?llc-? ? ? s
Date: '3/24")()< I Site Address: ?Pn I? l Fib 4l
Tenant: <5wSAK ??1PAVV4A Suite #:
RESIDENT/OWNER c
Name: JIk<,;ek Vle°yy"A& Phone: 1,6 t-,I?,d-4(4
Address/ City/Zip: kX121, suryW"l ? CC), Il/( V? SS1?i2
Applicant is: X Owner Contractor
TYPE OF WORK Description of work:i n l c?Yt ?^
Construction Cost: Multi-Family Building. (Yes No 2L)
CONTRACTOR Name: fie l License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1
Minnesota Rules 7672
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans, and supporting documents that you:submit are considered to be public information. Portions of
the information may be classWed as non- s
public':if you proyrde`pecific reasons`that would permit the City to =4,
conclude that the are trade'secrefs l
??.
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 5y%A 5V1{?iVW?QM x SIA01 ZSfAwA??
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex Lower Level ? Storm Damage
? 04-Plea ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Bui lding ? Reroof ? Demolish Interior
Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: (J _?
D
?
'
t
MCES S
Valuation i Occupancy em
ys
Plan Review ,
-?
Code Edition !?o-OKO SAC Units
(25%_ 100% Zoning City Water
Census Code 'll ?A Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
Footings (new bldg) Sheetrock
_ Footings (deck) Final/C.O.
Footings (addition) )e Final/No C.O.
Foundation Y HVAC
- Drain Tile Other:
t
Roof: -Ice & Water -Final _
Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Final
AirTest
Fireplace:
R.I. Windows
_
-
-
Insulation Retaining Wall
2
Reviewed By: 1 , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
?/O',
Page 2 of 3
Ab?Cflyflayn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL PLUMBING PERMIT
---------
I ForOffce?U?s_e // // I
?c7 S7? i
I Permit #.
I
I Permit Pee: ?O.
I Q I
Date Received:inJ 2i/' oa
I Staff. i
L-------------- -I
APPLICATION
Date: ?5 I24IOg Site Address: ?(.i97-q y ml? ??? 1r ?Ir M(kj 1?SIZ7-Tenant: Swc aA her(yw-yl Suite#:
RESIDENTIOWNER Name: Sy'a-'\ SheV A Phone. I/iSl - ?R. 41v
Address/ City/Zip: I t',11
CONTRACTOR Name: -?e l F License #:
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK -New _Replacement _Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: 1We-V Lev-d ?u-'?hNOOw?
PERMIT TYPE RESIDENTIAL
Water Heater -Water Softener
-Lawn Irrigation -Add Plumbing Fixtures
(__ RPZ / _ PVB) Main _ Lower Level)
_ Septic System _ Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes or 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. n uw
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE - Reviewed By Date:
Required Inspections: un'de'r Ground .Rough In ' _AIrTest Gas'Test' Final.`
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117690
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 1627 Summit Hill
Lot:19 Block: 1 Addition: Summit Hill
PID:10-72970-01-190
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 .
William Krech
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 -
Susan K Sherman
1627 Summit Hill
Eagan MN 55122
(612) 387-0808
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature