1631 Summit Hill1_o
(3 l Oct I
l ? s sci 6 - 5?g?? 5338-?9
RESIDENTIAL BUILDING _ g - rl 0 .57)
c aFrPermit Application (P - ?JO
City Of Eagan q
3830 Pilot Knob Road, Eagan Mn 55122 qr ??54? I
Telephone # 651-675-5 7?FdAX # 651-675-5674 ?P
New Construction Reawramarn ? 4 to 1 `x- 4
3 Re eoair Rmuiremaxls
registered area nTreys shoring sq. It of lot sq. R of house, and fill roofed area 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy calculators for heated addition
2 copies of plan shaving beam & window sizes; poured found design, etc. t site survey for additions & decks
t set of Energy Cakutedans Addition -vdlcate dw4e septic system
3 copies of Tree Presexvadon Plan I Jot platted after 711193
Rlm Joist Detail Options selection sheet (bldgs with 3 or less units 5 ?V e)
On
rt of Survey Recd
Pres Plan Recd
Prey Not ReW
_ on-site Septic System
Date 3 / 26
Site Address Lot
1631 / 03 Construction Cost
21, Block 1 Summit Hill Unit/Ste #
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
State MN Zip 55122 City Eagan
Telephone#(651 )454-1600
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Category 1
(J submission type) • Residential Ventilation Category I Worksheet
Submitted
• Energy Envelope Calculations Submitted
Ucensed Plumber Matthew Daniels
Mechanical Contractor Wenzel Heating & Air
Sewer/Water Contractor Star Plumbing
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone#(651) 423-3730
Telephone #(651) 894-9898
I hereby apply for a Residential Building Permit and acknowledge that the info ' ation is co pm ete anaccurate;
that the work will be in conformance with the ordinances and codes of the C' an - e 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.
ST-Zyw 3- ae&-'V (to-TP ?*Mrl)
Applicant's Printed Name Applicant's Si e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-piex ? 13 16-plex O 20 Pool
P 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
10
? 30 Accessory BW
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
`g 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 0 Occupancy z? -3 MC/ES System
Census Code Zoning City Water
SAC Units ) Stories Z Booster Pump
Nbr. of Units ( Sq. Ft. 2363 PRV
Nbr. of Bidgs Length 6 0 Fire Sprinklered
Type of Const y A Width L4 6
ZC Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
C ]rain Tile
Roof Ice & Water _ Final
1C Framing
Fireplace 2 R.I. k Air Test I/ Final
Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By
Base Fee
5 T ` 1-f
Surcharge
v2 ^ t' ?°° R
Plan Review
MC/ES SAC i3ASG merlf
City SAC &- ey It l+ 61
Utility Connection Charge t 0r4 (- Fl
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
IS'72 Xf-y _ eYst?s
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3 5 Release lc
Data filename: C:\Program Files\Check\REScheck\Temporary Files\exarnple.rck
TITLE: Ashwood with 4 season porch
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/03/03
DATE OF PLANS: 06/25/02
PROJECT INFORMATION:
Summit Hill
COMPANY INFORMATION:
Delta Homes 3902 Cedarvale D. Eagan, Mn.
COMPLIANCE: Passes
Maximum UA = 501
Your Home UA = 468
6.6% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Raised or Energy Truss 742 44.0 0.0 16
Ceiling 2' Raised or Energy Truss 684 44.0 0.0 15
Ceiling 3. Raised or Energy Truss 280 44.0 0.0 6
Wall 1: Wood Frame, 16" o.c. 1121 19.0 0.0 61
Window 1: Above-Grade: Vinyl Frame:Double Pane with Low-E 88 0.360 32
Wall 2: Wood Frame, 16" o.c. 1835 19.0 0.0 91
Window 2: Above-Grade:Vinyl Frame:Double Pane with Law-E 259 0.360 93
Door 1: Solid 38 0.360 14
Wall 3: Wood Frame, 16" o.c, 414 19.0 0.0 18
Window 3. Above-Grade: Vinyl Frarne:Double Pane with Low-E 94 0360 34
Door 2: Glass 12 0.360 4
Basement Wall 1: Solid Concrete or Masonry 1510 13.0 0.0 80
Wall height. 8.0'
Depth below grade: 75
Insulation depth: 8.0'
Window 4:
Basement > 5.6 ft2: Vinyl Frame:Double Pane with Low-E 10 0360 4
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.360 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 lc (formerly MECcheck and to comply with the mandatory
requirements listed in thp-4ESchecklyepestion Checklist.
Builder/Designer ? Date _ A
04/08/02 15:19 FAX 6518949955 WENZEL HEATING & AC + DELTA CONSTR (M004/005
-RO
Part B. DEPRESSURIZATION PJM%-f TECTION
Check option used.- R Fuel burning equipment (complete schedules below) 0 No fuel burning equipment
1NSTitucuoNs F.I{HAt1Sf l AtAI&UP AIR SC
300 cIm
Step 1. Complete the Comburdon Egulpment Schedule below. Only equipment Exhaust devitxs over
with a Y (Yes) may be selected under the "Category 1" attemate.
Step 2. Complete Sxhautt/Make-up Al, Schedule on the tight if direct or power
vented or solid fuel atmospheric vent space beating equipment is
selected.
wl -%
beating -
or
d fuel
erheating-nonsolidfuei Ja'Sealedcombustioa y space a=g-soli
Y Waterheatia -solid fuel
Ll Director wer vented
_.A eri vented N " Hearth - solid fuel
if attnospheticaily vented solid fuel or direct or power vented aoasol(d fuel space beating
__J. 1M ...t.in &.t ner minute.
vented
make-up air to to
flow is iced for eater toatvtauat cu>ew,..« •••? ---__ __- _
Part Cl. VENTILATION
Statement of Compliance: The proposed building design represented in these documen s cOns been designed to meet the
specifications, and other calculations submitted with the permit application. The propo building has
is of the to Energy Code.
lie to Tetophme number'
Applicant (print nine) Signature
Part C2. VENTILATION (Submit Part C2 upon completion of system veidtcatioat)
----------------
-----------
°d<--------- ---- PermilNumber
Job Site Address
Et Exhaust elm ?•°. --- --
rare must be measured and verified when the performaztee option is used is lieu of the prescriptive 01
Itre Oaaam CV.rV+uwcu w.......- -
sealmt at 0mt5 to
compliance statement Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design a r
flow. ?- --
Si nature Date Telephone number
Applicant (print name) g
(Mechanical ventilation must be provided per the larger quandly calculated below)
z 15 ctmtbedroom) + 15 cfm = ® crm
® cubic feet z 0.00593 /minute Out „
nf bedrooms
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
T 15 ?DG? ? yw w , Nt I I
PROPERTY LEGAL: L&
DATE OF SURVEY: 3- 7-r 3
LATEST REVISION:
m
a
e
w
z
V
O a
Z Q DOCUMENT STANDARDS
M/? ? • Registered Land Surveyor signature and company
tam ? ? • Building Permit Applicant
I, ? ? • Legal description
01/0 ? • Address
C? ? ? • North arrow and scale
e ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
d 0 0 • Directional drainage arrows with slope/gradient %
fi ? ? • Proposed/existing sewer and water services & invert elevation
N? ? ? • Street name
tY ? ? • Driveway
d ? ? • Lot Square Footage
[Y ? ? . Lot Coverage
ELEVATIONS
Exi tin
tP/ ? ? • Sewer service (or Proposed)
Q/0 ? • Property comers
C? ? ? • Top of curb at the driveway and property line extensions
? Q/ ? • Elevations of any existing adjacent homes
?? ? • Adequate footing depth of structures due to adjacent utility trenches
? L ? • Waterways (pond, stream, etc.)
Proposed
V ? ? • Garage floor
W ? 0 • Basement floor
C? 0 0 • Lowest exposed elevation (walkout/window)
?/ a/ ? • Property comers
t6 0 0 0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
? u/ ? • Easement line
? W ? • NWL
? ra' ? • HWL
? & ? • Pond # designation
? Cy 11 • Emergency Overflow Elevation
? ? ? • Pond/Wetland buffer delineation
IV ? ?
d? ?
d? ?
Q 0 ?
w0 ?
?/ ? ?
• 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 an 1---)
Reviewed:
G:/FORMS/Building Permit Application
Surveyor' s Certificate
SURVEY FOR : Delta Homes
DESCRIBED AS : Lot 21, Block 1, SUMMIT H ILL, City of Eagan, Dakota County, Minnesota
and reserving easements of record.
P
h
951.7 g
_ ? - ? o er mam
SUMMIT HILLS
o
957.0
jo 0 95449 Porch -557.8 70_ 958.0
W / 46.00 7.5
AC
q Proposed
2
St $ CFV6
V
ry
X -
ory o
12crs
° c
§ .
1631 P; w
95 7
0
q
X10
0
M 22.67
10.-
57.7 3:1 1181411MUM S
o
or Retaining Mall will
960 n
Garage 959. orch8
= V'
Be Required
$.3.% N 1 ?
953
5
10
?
0
23.33 9 r'
955.9
32.7
957.2
-
L - -
. --
- -- - - -
LOT SQ. FOOTAGE
HSE SQ. FOOTAGE
LOT COVERAGE =
PROPOSED ELEVATIONS
Top of Foundation =960.5
Garage Floor =960.1
Basement Floor =952.4
Aprox. Sewer Service =948.5
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
_ tlJiJ
SCALE: 1 Inch = 30 feet
= 3)696
= 2,223
607
BENCHMARK,
CP# 9002
EL=953.41
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDL UND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION All
OF 7HE BOUNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE , O3 CAD FIPhone: (651) 405-6600 E LINDG N, LA SURVEYOR Summit HIIIS
Fax: (651) 405-6606 N A LICENSE NUMBER 14376
Site address: 1 6 -G0rgm IT' 141 LL Loth Block Subd. 5b/MM 1T aril-
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 G vlu
Furnace Aye -r 00 &6r YL
Dryer m A`f'Ab b -
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES NO
Kitchen kitchen X
LTG ?
Bathroom 1
MAIN
S7J /
/?
Bathroom 2 rh)% E P, b? ?(
Bathroom 3 ENO (j M6cr b U ?(
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
f,1 u- X Gate 3a a?tJ
MCLUS- 10 Alu f. '` TevS?trv7? put[' /sa G,FM 5
MAKE-UP AIR MODEL TYPE CFM's
p)co0- c,r: A/Lrir &U'&-RY 170b
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signature Date
?kZ7I? /'??'lNt:?
Company Name
This form is the responsibility of the General Contractor.
i
Use BLUE or BLACK Ink
I For Office Use 1
' I 1 1 ~1 I
City of Eq,11 I Permit I
I o J ~J I
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: _ I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
' Date: Site Address: C40C'J Unit M
Name: Phone:
Resident/
i Owner I Address / City / Zip:
{
Applicant is: Owner Contractor
Type of Work Description of work:
} Construction Cost: S o Multi-Family Building: (Yes 160- )
Company: ~Q Contact: LJ 5 iJ (49 2$(2.
Contractor Address: ~JOS ( y S~~ 2 ° City: S LY
State: (VLIJ Zip: L4 I, Phone: S 2 2 C~ ~l V3,
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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?
j _Yes _No If yes, date and address of master plan:
i
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
i, NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. I
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.aopherstateonecall.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 the case of work which requires a review and approval of plans.
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.
x C~ ` x~,
Applicant's Printed Name Applicant's Signature
Page 1 of 3