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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