4615 Sweet StDate:
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
AUG 11 RECD
r
Use BLUE or BLACK Ink
Permit #: Q. c.
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION cpi 1/1)
it, /0 Site Address: ‘11,15 - ee t
,Zrictal .t 'iS -7 wcci
Suite #:
RESIDENT / OWNER
Name: i ccn (:)- (krt'S %_,a,tc (- 'cl Phone:60-' 7CJ -011g?
Address / City / Zip: 46 l S, er f Si-. a,-1 SS 1) 3
Applicant is: Owner K Contractor
TYPE OF WORK
Description of work: Y'79w 2 io
Construction Cost: eS CO,. Multi -Family Building: (Yes / No )
CONTRACTOR
Name: (,< , Lir License #: 46C1
�
Address: 13J3 r I Gt 1✓o 14---< City: /CaS-E'v' c-1/`
State: 1(1-/\ Zip: 7� OZo Phone: 6/2 532 1/ J
Contact: 0,67 Email:
COMPLETE
In the last 12 months, has
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:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supp`orting documents that you submit are considered to be pub/rc information, Portions of
the information,may be classi> ed as non-public rf younprovia a specific reasons that would permit the City.to
.,.. " conclude` at they are tradesecrets.
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 with the approved plan in the case of work which requires a review and approv 'f plans.
x i . M(A 'gat e
Applicant' Printed Name
x
App
Signature
Page 1 of 2
t/6/ C.,t).6.e-.(-- .C4
DO NOT WRITE BELOW THIS LINE
0.3
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi )t Deck
01 of _ Plex Lower Level
_ Accessory Building
Porch (3 -Season)
Porch (4 -Season)
T Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
_ New Interior Improvement
Addition Move Building
Alteration Fire Repair
— Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
r^!3y
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
vie Footings (Deck)
Footings (Addition)
Foundation=
Drain Tile
Roof: Ice &, Water _Final
Framing
Fireplace: Rough In _Air Test Final
Insulation
Meter Size:
Reviewed By:
Siding
Reroof
Windows
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
c-2
7
346
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 ,4Cfa
TOTAL
// F
? G ?m
je Oc
302‘ Piten/c32.
'e -S
1
Page 2 of 2
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PERIMETER
P
�� Nie
920/
2/-9°/0Q,Doze
(1)42,r Proposed
q4a, (5 Proposed
garage
-41,
fl ore1evat
top ofA)1.
--1
el
vation
924-092,6.6
Proposed lowest floor elevation
(i ; L1\n10GCAVE vi4G C.,t\ *- Diaf\to\-GE.
Mtvoll 4 0-24\-4)(E. FOR. dip' .0 cE .
T Ran) O� C�.ti tt,7, is /D
928
93..1\ 1 I- T°U Po tEARI:OF�S PER. R� ►ag
G, 011s& P -V)D
4/ Bearings are assumed
.'TSubject to easements of record if any
`pR-
/<Denotes set or found iron pipe monuments
9260
-[a Denotes set wood hub and tack
la4 Denotes existing elevatiom,
g.p Denotes proposed finish grade elevation
Denotes direction of surface drainage
kAD
I hereby certify that this is a
1,SVEET
of Lot 4, Block
true and correct representation of a survey of the boundaries
DR-4',,OT►-. County, Minnesota as.on file and of record
F-
in the Office of the (;ounty Recorder in and for said County,
of a house as staked thereon.
BY:
DATE
That I am a duly Registered Land Surveyor under the L§rte.,7537st
alse-
roposed'location
Dated:
gEUtSFt):VANE
O(o
Db
BY: 4hJ)/ditiJ_ ); f A .
DATE: /i/12-3 / 0 0.
r 3UILD G INSP TIONS DIYMSIO
V'L P \nD) lARMItqlit 10
hl1E
?- /8` - /o
Allan R. Hastings
Minnesota Registration No. 17009
212 First Avenue E. .
Suite No. C
Shakopee, Minnesota 55379
Phone 952 445 4027
Cly pie (' — Js`I'GA - Ck,`))-,',pct 1Joined
Address: 4615 Sweet St. Zip: 55122 Permit: 75650
THE FOLLOWING ITE~iS WERE/WERE NOT WMPLETF, AT FINAL INSPECf10N ON
Yes No Comments
Final grade - 6" from siding ~~N~ ~ c~ S~n o u~ - C /17 Se ~
Permanent ste s- gara e a°
Permanent ste s- main entr
Permanent driveway J4
Permanent gas ~
Retaining Wall or 3:1 Ma~c Slo e /~F F o.-~ J; ~ E
Sod/Seeded lawn
Trail/curb damage
Porch '1a
Lower level finish 7~
Deck
Fireplace ~LI•"-? /=J!~lZ
• 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 eacists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
~ 607LDING INSPECTOR:
, , .
INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL
BUILDING PERMITS
PROPERTYLEGAL:
PROPERTY ADDRESS: Lj i~ ~_5 S(~~eeT S1"Yee'f
INSPECTOR: 1C'~fN C.1~~~4~L1N~}
INSPECTION DATE: I~ - l 7` D~a
d o Q
} Z Z SITE GRADING
? p? All slopes 3:1 or flatter?
0 Slopes steeper than 3:1 require retaining wall. Are retaining walls present?
Does grading conform to As-Built Grading Plan 1 foot approximately)?
8?? Does perimeter grading tie in well with adjacent properties/undisturbed land?
Is there proper grading and/or drainage around Lookout or Egress Windows?
EROSION CONTROL
Is Silt Fence (or approved equal) installed and in good working order?
~9 Is Sod/Fiber Blanket installed behind curb?
Is the Rock Construction Entrance/Driveway installed and in good working order (proper
typelsize of aggregate, clean-not covered with soil, etc.)?
Is temporary vegetative cover w/ mulch present?
p?? Is permanent vegetative wve~or w/o mulch present?
rcle one)
CITY EASEMENTS AND UTILITIES
Are all easements clear-no part of any building/deck/porch/retaining wallfetc.
encroaching in easement?
Are catch basins present within the property or in the street in front of the property, if so
are they clean, do they have the proper erosion control in and/or around them?
? Does the property have an Emeryency Over Flow (EOF)? This can be found on the
Certificate of Survey. If so, is it present and has it been graded properly?
MISCELLANEOUS ITEMS
Is there tracking present on Public Right-of-Way/Street from construction site?
~ Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line)
Is the site clean, no trash and/or construction de6ris lying around?
Was the proper type of building constructed according to the approved grading plans?
(LO, WO, FB, R; etc.) ~
.
FOR ALL ITEMS REQUIRING ADDITIONAL FOLLOW-UP:
NAME OF PERSON CONTACTED FOR FOLLOW-UP:
COMPANYNAME: 1= P~C',^OeuP In~!we.uT
COMPANYADDRESS: qR~d 5'KV ~4Ne, E eN ~Y'nr~E
COMPANY TELEPHONE NUMBER:
DATE CONTACTED:
DATE OF FOLLOW-UP INSPECTION:
INSPECTOR:
COMMENTS:
G:lFOrmslINSULATION INSPECTION CHECKLIST FOR RESIDENTIAL.doc Revised 2-06
, ~5~3~ ~9~q i7
zoo6 RESIDENTIAL BUILDING rE~rr nrrLicaTioN
, City Of Eagan QL. "75U3,~ ~d ' ~
3830 Pilot Knob Road, Eagan MN 55122 3~ '7b, Sb
Telephone # 651-675-5675 FAX # 651-675-5694
5~w - ~`I ''~~Sy 6 / ~ o, ~
NewConsWClionReouirements ~ RemodeVRe iFR ui2~mels Dffice On ~
~ registe2d site surveys showing sq. ft of lot, sg. k. of house; and II roofed areas 2 copies of plan showing footings, beams, joisis Cer~ of Su~rvey;Recd ~.~~=t~
(20% maximum lolcoverage allowed) -FC~ L~~W[~~w ~~'J 1 set of Energy Calculations for heated additions Sais F~~port+ ~Y~~"N
t Soils RepoA'rf proposed building is to be placed on disturbed soil t sile survey for addNons & decks 7ree P~
P,lart Recd Y YR
y/~ copies of plan showing beam & window sizes; poured found design, etc. Adddion - irrdkate if ar~rle septic sysfem iiee P~eS~d~eqlllre,~~: ~j,.~ ~ y~Nw„~
.,i1 set of Energy Calculalions 0~-site'
Septic Syste~ ~_YF_ N
~ 3 copies of Trce Preservation Plan if lot platted after 717/93 ~l~T~
~/Rim Joist Detail Opfions selecbon sheet (buiWings with 3 dr less uniLs)
Minnegasco mechanipl ven6lation foim
Date (~C 7/~_ l zo4 ~ Construction Cost 2,~ O[~ G S~e
Site Address ~G i i- j S,-/l r= j-' UniUSte #
J ~ ~ ~
Description of Work Si...~ c~ ~i~~z-r J) v`«~
Multi-Family Bldg _ Y~N Fireplace(s) _ 0 2_
~~i
PropertyOwner ~(t73t7~G 4~SSac ~i~ c Telephooetf( C~z) ~2 ~-Z~9Z
L~ a .
Contractor ~ :'~5a"~r`~'~'~ _ , _ .
Address ~ ' z 6'~--~~~> > ~cf„~_._~, City -
State 1`~ ~ Zili , Telephone # )
~ r'c j
Sl~ ~3Z ~fC
~aK - rSz -yv~-~J197 .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 ~"~~es~dta 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy de Worksheet
(J submission type) Submined O C T 1~~~~
• Energy Envelope Calculations Submitted /
1.~~ •
In the last 12 months, has The City of Eagan issued a permit for a similar plan ~ased on a master plan?
_ Y ~ N If yes, date and address of master plan:
p fs~l7~~-
Licensed Plumber l~~r ~ ~~b i 2~~ Tele hone # ~DO Q
0
Mechanical Contractor ~[..r * ~~c ~~C Telephone # (~i ~ ~ `f 9- ~ z ~ ~
Sewer/Water Contracto ~bG ~S C.i(L~/F ~d < Telephon # ( p5~ yL ~-2 / 2 ~
_ ed ~ ~ L G 'Yh ~ I
a a~~~ ~rGl~ ~~D y.~f
I hereby apply for a Residenrial Building Perm~t and aclrnow] dge at the mformation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work i n to start without a
permit; that the work will be in accordance with the approved plan in the case work w' h equires a review and
approval of plans. , ~
%l/(r.CJ?K ~~~72 i vG'
Applicant's Pnnted Name ApplicanYs Signahue
DO NOT WRITE BELOW THIS LINE ~
Sub Tvpes i
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~1 02 SF Dweliing ? 08 06-piex ? 16 Fireplace O 21 Porch (3-sea.) O 31 EM. AIt - Multi
? 03 01 of _ plex ? 09 07-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolperola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work T es
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` 0 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bidg) • Give PCA handout to applicant
De5Cfip4i011: WaterDamage_Yes
Valuation E 7 7 a~~ ~ Occupancy ~"3 MCES System
Plan Review 1D0°/a or 25%
Census Code ~ 8 ~ Zoning 2'+ City Water
SAC Units D~ Stories Z Booster Pump
# of Units c~ / Sq. Ft. 3 PRV
# of Bldgs o 1 Length ~l Z~ Fire Sprinklered
Type of Const v~3 Width ~
REQUIRED INSPECTIONS
~ Footings(new bldg) Sheea~ock
_ Footings (deck) p FinaUC.O.
Footings (addition) FinaUNo C.O.
~ Foundation _ HVAC
_ Drain Tile Other
Roof '(0 Ice & Water ~ Final Poo( Ftgs Air/Gas Tests Final
~ Framing Siding _ Stucco I.ath ~ Stone Lath _Brick
~ Fireplace ~ R.I. ~4 Air Test ~ Final _ Windows
~ Insulation Retaining Wall
Approved By: ~ ~ ,~9oilding Inspector
BaseFee I ST ~~QGI~ ~3v`f KSH °p• '~U6$~,-
Surcharge ~
f/fl~R. l3ayX~~l.oo: 7oN~1~~'
Plan Review
MC/ES SAC G`b9 (Z b-F_ 7C~ 3 X/6 , e c~ ~ F"
City SAC U!1 ~r; n~SN D ~ 9 f'O O~
Utility Connection Charge ~ ASe N'~ ``'~N ~ 1~ n o X °
S8W Permit & Surcharge CaV ~R~A ,5
~~'~p 12.a n 3v~ = 3~ ~9~ P
Treatment Plant l-
~icense search ( 7~ y~ p~-
Copies
Other
Total
~ ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
, BIJILDING PERMIT APPLICATION
PROPERTYLEGAL: J~s}4 L~Id(~C I Slc~-~ f'I()..L'2-
DATE OF SURVEY: 16 JgJOb
LATEST REVISION:
m
rn
c
m
t
U
a ~ ~ ~
O z' ¢ DOCUMENT STANDARDS
0? • Registered Land Surveyor signature and company roli8/o 6 M,
~ 0? • Building Permit Applicant P
? 0 • Legal description
~ ? 0 • Address
~ ~ ? • North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
? 0 • Diredional drainage arrows with slope/gradient %
0 • Proposed/existing sewer and water services & invert elevation
~ ? ? • Street name
. Driveway (grade & width - in R/W and back of curb, 22' max.)
,B ? ? • Lot Square Footage
~ ? ~ • Lot Covsrage ZS% /~Ltd; _
ELEVATIONS
Existin
~ ? ? . Property comers
fd' ? 0 • Top of curb at the driveway and property line e#ensions
? • Elevations of any existing adjacent homes
y7 . Adequate footing depth of structures due to adjacent utility trenches
? ? • Watenvays (pond, stream, etc.)
Prooosed
~r" ? ? • Garagefloor
}y ? ~ • Basement floor
Jd' ? 0 • Lowest exposed elevation (walkouVwindow)
~ ? ? • Property corners
• Front and rear of home at the foundation
PONDING AREA (if applicable)
? f~' ? • Easement line
? ~ ? • NWL
? ,0' ? • HWL
? ~ ? • Pond # designation
? ~d ? • Emergency Overflow Eievation
0.,~ ? • Pond/Wetland buffer delineation
N • Shoreland Zoning Overlay District
Y Q • Conservation Easements
DIMENSIONS
~H' ? ? . Lot IinesBearings 8 dimensions
?,d • 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)
~H' • Show all easements of record and any City utilities within those easements
• Set6acks of proposed structure and sid rd setback of adjacent existing structures
f~ ? ? • Retaining wall requirements:
Reviewed By: Date JO~~/$~ O 6
G:/FORMS/BUilding Permit Application Rev. 11-26-04
- • ~ -
I~R ~~o~ ~ _ ~-~~r~~
~ ~
l ~~~b.3Z\ F,~~ = q'~~.°10 ''ia~p w
~
934.4~ S(00 Sg.`03~~ C~ ~ ~ ~ 2 ~07 ~~V;- - T~oo2~~a I~i ~~xSTReEs
- ~ J i ~ `a r ~
. 933. - - ~ .`Y~^~~-~~340~Z,~i / ~ .
~ 3 ~ ~ ~ 4 gP' ~c/
o~o o~°~°~ 'Q~~~i ~ = ~ ~ ; ti~' ~
1 ~ - ' ^ ~o,e ~ _ v? ~
3:9 A Imum Slopes tiA°' ~,q,33 r ~ - ~ ~ .
~ ~ or Re ~ 5ing UNaIi dUil~ 1-- o ' 9~°i \ / cr~~ ~G~~II'1~+fl ~ ~,!~r f?~ .
~a C~e u red 1 ' ~ ~ z.~ ~ ~ ~Q~°~~/ o~ ,i~ ~~6~;~S~.a - de
d: ~ g ~ /
~ ~ / q~a;~ _,1 . ~ ~ ~ ~ g~s, ~~?~Yeg
Q ~ `3~. / \ o P O~s 94{j.b~
1` ~kd ~ _ ~~q 1 ~?2 ~~10 ~ ~i~~ 1J ;g S`
~~p~ 1 ~ ~
I'~~I a - .i~" ",~iJ , F 'p„ ~ .
. g.0. ~ ~ J . ~ ` c'ilJ
o - M.. ^ a ,A, d 1a \ ~ O .
ii
~ ''~''10~~ ~ ~ ~ ' 1~ ~ 4 ~
~ ~ ° ~ ~ A ~ Dt
. 111', f~~1 O tr9 1 - . ~ ~ . ~ .
T ~ ~ ~ ti `
. fA ~ , 1-L N 4 ~ \Z~I ~'?1 .
° ~ a;33 ~ ~ ~ M , M ER CO
~~6 ~u.~e. . ` ~a"~` , ~
E 3, 4?D ~ , ~ ' ~Q ~u~
, w -
~cx4~~~A4. ~ p \ /S 9~90~
` , ~ ~
1
~
0~~ I ~ ~ ~ 1\ 'I
~tz~1- ; I 2 ~S ~ ~ 1 ~ 93Z n~: ~a a~u25 Ruo~SeA0~5 ~eR R`i~ ~a(,
t:2`,OE~a.~~:~t~ ~~2~~ ~ ~ ~ Q3~ CatzorDtu(x Pu~u-~Jr~v~4--~4-?AO5
~
-
W~I,K-- J~4s~-~~ ~ .,-4~, ` / ~ gis
~ 3g S5l°p~,•~„E F C/~~~arings are aesumed
h/1(~~ ~ ~ .
Gr4'~ l~ ~,OV~e ~ S~ ~~'~SubJect to eaeementa of record iP any
~ a~(1 ~S
~~O Denotes set or #ound iron pipe monumenta .
~ ~
7 Danotes aet wood hub and tack
` Proposed garage f 1 or a evat n~
~ '78¢p_Danotes existing elevation~
~,~j) ~
Propoaed top oY~bl c el vation ~.p Denotee proposed Yinish grade elevation
I .
~~YD 9.D / Denotes direction of s~rPace drainage
Propoaed lowest.Yloor elevation
~o~~; l.Rn10~C1t~E~n1G C,knl CtM-uGE p~?R~~~6~- ~ '~J I ~C~ ~ `J - ~
I~t~~,'M~~wfm~ww~ G-~~ 6=0~. ~rrn~~~~G~. a
Zb ~U.n~ C9rJ . Cs.QRSs tis 2.,.0°!p ~
I hereby certify t;hat thie is a true snd correct representation of a aurvey of the boundai'iea
oP Lot C4-, Block 1, ~VVEF,T ~~C~,~ '~F}K01~A County, Minnesote es on file and of record
in the Ottice oP the County Recorder in and for eaid County~ also sltowing the propoaed'.location
oP a houae as staked thereon,
That I am a duly AAgiatered Land Survayor under the lisws of the Stete of Minnesote.
nscea: ~Ci`ia8k~q ~Q~~D J
REv~s~o; ~ 0~ _
~r~: ~ ra
Allan R. Heatinge
6 Minneeota Registration No. 17009
2i2 First .Avenue E.
~,I~-}~ ~8~~ ~ 0~~~ C+~~~~ suite No. c
1~9~ ICi; ~~~4TlE ~~~~yrQn~ ~~R(~~~E~'~.~i ~ Shakopee~ Minneaota 55379
. . . _ _ . . Phone 452 445 4U27 .
.
, . . -
I .
I
INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL
BUILDING PERMITS
PROPERTY LEGAL: _ ~ bT ~l L[-~ L
PROPERTY ADDRESS: ~E I S 5~P1~~ ~"1~ ~1^~~
INSPECTOR: LP~y v l l ` qj~
INSPECTION DATE: - „S- .~~rj j
m o a
> Z Z SITE GRADING
All slopes 3:1 or flatteR
A o? Slopes steeper than 3:1 require retaining wall. Are retaining walls present7
Does grading conform to As-Built Grading Pfan 1 foot approximately)?
Does perimeter grading tie in well with adjacent properties/undisturbed land?
Is there proper grading and/or drainage around Lookout or Egress Windows?
EROSION CONTROL
Is Silt Fence (or approved equal) installed and in good working order?
Is Sod/Fiber Blanket installed behind curb?
Is the Rock Construction Entrance/Driveway installed and in good working order (proper
type/size of aggregate, clean-not covered with soil, etc.)?
W?? Is temporary vegetative cover w/ mulch present?
Is permanent vegetative cover~ or w/o mulch present?
circle one)
CITY EASEMENTS AND UTILITIES
Are all easements clear-no part of any building/deck/porch/retaining wall/etc.
encroaching in easement?
Are catch basins present within the property or in the street in front of the property, if so
are they clean, do they have the proper erosion control in and/or around them?
?@? Does the property have an Emergency Over Flow (EOF)? This can be found on the
Certificate of Survey. If so, is it present and has it been graded properly?
MISCELLANEOUS ITEMS
Is there tracking present on Public Right-of-Way/Street from construction site?
Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line)
Is the site clean, no trash and/or construction debris lying around?
OP Was the proper type of building constructed according to the approved grading plans?
. (LO, WO, F6, R, etc.)
~7 ~ sa
200~ RESIDENTIAL PLUMBING PeRaniT aPPUCarioN
cmr oF ~?aaN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-56~5
Please com lete for modifications to existin residerrtial dwellin s.
Date~_/~^'1 ! v~
sne streec naare~ _ M LL l~ ~~nre~~r uon ~
Properly Owner lJ ~-x c~~nSl~ Telaphone o~(p~ ~
CorKractor V~~,S 1~~UJVl~1 ~TIO'1 r~apho~.a,~,a~LaH~t~oa
Address S. ~ e~is~n ~ i 1[{L City C'S'!"C1Cl.L? State V1A.Af ZIP r~s~
The Applicant is: _ Owner 8 Occupant Licensed Plumbing Confractor
SepUc System _ New _ Refurbished Submit 2 sets of plans and MPC Iicense Includes CouMy fee
i 100.00
Per as-built $ 10.00
Fire Repalr (roplace bum~ out flxtures, etc.) $ 90.00
This fee lies when pactensive umbin irs are made to a buiidin .
AlteraUons to exlstlng dwelling $ 50.00
_ Add plumbing flxtures to main ievel lower levei. This tee indudes
installatiai of a water softener and/w water heater at the same time. !f you are
instalBng n~
y! a water softener and~or water heater, do nat complete this section;
move to the next sedion and place a checkmark next to the appiiance(s) you are
installing.
_Septlc System AbendonmeM
_Water Tumaround (add $138.00 if a 5/6" meter is required)
Other:
Wffier Softener _ Water Heater $ 75.00
_ new _ replacemeM ,
Lawn Irtigffilon _RPZ PVB _new _repalr _rebuild $ 30.00
State Surcharge ~ ~ ~ ~ ~l ~ $ .50
Tora~ JUN 2 5 91~n7 - s~>Y ~
I hereby apply for a Residential Plumbing Permit and ackrrowrledge that the infwmation ia complete and axurate; that the
work will be in confortnance with the ordinances and codee of the Cit~r of Eagan and the plumbing codes; that 1
understand this is not a pemiit, but only an application for a permit work is not to ffiart without a permit and wortc will be in
acxordance with the approved plan in tha everrt a plan is requi t be revi d'and approved.
~ ~h l-u ,'fo1
ApPlicaM's PriMed Name pliceM's Signature
-~b
Date:
City otBatau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use VA L (tg'
Permit #:
Permit Fee_ [05? -5 -
Date
05?' -5 -
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit #:
Name I,p W(5131)
Address / City / Zip:
4 1 f sWWI" 4r. VctikA 35123
plicant is: Owner Contractor
Description of work:
Construction Cost: 4 f Tab Multi -Family Building: (Yes / No )
Company: — vl�-
`t � � — Contact; t..3r We
Address: ` A:37 Scieivin, l 2—( city:
stated/Zip: C5-67 I Phone: j'// " 774 -21 -
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 • " of Eagan issued a permit for a similar plan on a master plan?
_Yes _No If yes, date and = *dress of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pr ction 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 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 8 :1 • , g C
days of permit issuance.
x J 4*-F-Tuiti
Applicant's Printed Name
Page 1 of 3
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 119-713
Permit Fee: (V 5 --DJ
Date Received: 13- P / L3
Staff: J3
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-1 4 ' /3
Site Address: 4/6i r _Slaw/ 57< q , ;/Vl 401 Unit #:
Name: Be 6 pan
w ooc
Phone:
Address / City / Zip: �`6/$' Sc.) SIS. �a� fk/ 41 5' s—/ Z,
Applicant is: Owner /Contractor
Description of work:
Construction Cost:
ao
Multi -Family Building: (Yes / No V"---1" )
Company: CtrWP44e- ,gee//',k,.., Contact: —7`dccl / cord'
Address: 6 3 75— & ').€ /361< City: r,JcPO ,/`
State: 7n A/ Zip: 5-57 cc Phone: 672 — 6 .2.---/ ?I/6
License #: p- 63 > b< d 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
TE Plans anal supporting" documents
e informations may tie classified as non j
-. condi
Phone:
Phone:
Phone:
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 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 779 Y-- ,i/;,mss'
Applicant's Printed Name
Applican ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146232
Date Issued:10/16/2017
Permit Category:ePermit
Site Address: 4615 Sweet St
Lot:4 Block: 1 Addition: Sweet Place
PID:10-73500-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Brian O Wood
4615 Sweet St
Eagan MN 55123
Benson Property Llc
6989 Washington Ave S
Minneapolis MN 55439
(612) 669-9000
Applicant/Permitee: Signature Issued By: Signature
t
For Office Use
•��•� -P1
, Permit#:E AG A N
Permit Fee: 5qq.60
•
J,
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 flECiI , Date Received:
*If(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsaectionsacitvofeaaan.com JUL 0 5 2019 L
J
2019 RESIDENTIAL BUIE * - = ►4 APPLICATION
Date: Site Address: Unit#:
Name: &,--,•Q (4/47 Phone:� "Il Phone: /02-
Resident/
ownir Address/City/Zip: 4/o/r.
Applicant is: Owner X Contractor
Type of work Description of work: &c,..l'ez-,ro., j cl41 W E-64 P14 C
Construction Cost: )()
Multi-Family Building:(Yes /No
Company:sS .T rowsTN %.SCr4'ert -�'aC- Contact: ���,,,��• ..tG
U / �
ntractor Address:�y0� ��i"�i �Q.a% City: f/
State:/%/ /Zip:.SYOss Phone• �,.ZZ G Omail: ,sic; Co/.7
�B�a e'vr
License#: Lead Certificate#: /
If the project is exempt from lead certification, please explain why:
Z &rr 4 c r 14,i, € £/fir J/2
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?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: �pPlans ands F uwnr !fit r submit a i be Pub*t+ rirult r►. O tt the fit ►Aa a ni06 Abe
classi rd: :no -e reasons that would the C to conclude that -
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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 t the rk will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name pplic nt's ign
DO NOT WRITE BELOW THIS LINESti066_1_ SI— , /-' " 6/
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex 4- Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
g- Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation A/GM' Occupancy 17/4.i MCES System
Plan Review Code Edition .1.0,r SAC Units
(25% 100% Imo ) Zoning JZ,--/ City Water
Census Code y 361 Stories Booster Pump
#of Units I Square Feet — PRV
#of Buildings / Length Fire Suppression Required
Type of Construction �,8 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation _ Foundation Before Backfill ,e- HVAC Service Test Gas Line Air Test Hood
Roof: Iced&Water Final Pool: Footings Air/Gas Tests Final
4 Framing Y 30 Minutes 1 Hour Drain Tile .
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
. -
Reviewed By: j 1 , Building Inspector
4
RESIDENTIAL FEE /G/x '& 0/4 `i
JT9 Jote A.*
Base Fee 35'9
Surcharge
Plan Review g-
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Gly sit i>' s r
/---'66,/
Directions-The Minnesota Fuel Gas Code method to calculate to size of a required combustion air opening,is called the Known Air
• infiltration Rate Method. For new construction,4b of step 4 is required to be filled out.
IFGC Appendix E,Worksheet E-i,1346.6012
Residential Combustion Air Calculation Method
(for Furnace,Boiler,and/or Water Heater in the Same Space)
Step 1:Complete vented combustion appliance information.
�nace/Boiler:
-ft Hoodr an Assisted @)irectVent Input: / Btu/hr
Power Vent
er Heater:
t : ��
raft Hood (x Fan Assisted ()Direct Vent Input: Al�f Btu/hr
r Power Vent
Step 2:Calculate the volume of the Combustion Appliance Space(CAS)containing combustion appliances.
The CAS includes all spaces connected to one another by code compliant openings. CAS volume: /6G ft3
LxWxH L W H /3*. .X 71''f Gifr44
Step 3:Determine Air Changes per Hour(ACH)1 �T
Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR Method).
If the year of construction or ACH is not known,use method 4a(Standard Method).
Step 4:Determine Required Volume for Combustion Air.(DO NOT COUNT DIRECT VENT APPLIANCES)
4a.Standard Method
Total Btu/hr input of all combustion appliances Input: Btu/hr
Use Standard Method column in Table E-1 to find Total Required TRV: ft3
Volume(TRV)
If CAS Volume(from Step 2)15 greater than TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)/s less than TRV then go to STEP 5.
4b.Known Air Infiltration Rate(KAIR)Method(DO NOT COUNT DIRECT VENT APPLIANCES)
Total Btu/hr input of all fan-assisted and power vent appliances Input: ‘1,6t 020 Btu/hr
Use Fan-Assisted Appliances column in Table E-1 to find RVFA: 33 ?7 ft3
Required Volume Fan Assisted(RVFA) ,A,//
Total Btu/hr input of all Natural draft appliances Input: /v � Btu/hr
Use Natural draft Appliances column in Table E-1 to find RVNFA: ft3
Required Volume Natural draft appliances(RVNDA)
Total Required Volume(TRV)=RVFA+RVNDA TRV= + = ,3 3 70 TRV ft3
If CAS Volume(from Step 2)is greater than TRV then no outdoor openings are needed.
If CAS Volume(from Step 2)is less than TRV then go to STEP 5.
Step 5:Calculate the ratio of available interior volume to the total required volume.
Ratio=CAS Volume(from Step 2)divided by TRV(from Step 4a or Step 4b)
Ratio= l/Gt / 337r _ C . 34'55
Step 6:Calculate Reduction Factor(RF).
RF=1 minus Ratio RF=1-0.3'I53" = 0, G 3
Step 7:Calculate single outdoor opening as if all combustion air is from outside. ,/
Total Btu/hr input of all Combustion Appliances in the same CAS Input: 4 Ce/a Btu/hr
(EXCEPT DIRECT VENT)
Combustion Air Opening Area(CAOA):
Total Btu/hr divided by 3000 Btu/hr per in2 CAOA= 4140 /3000 Btu/hr per in'= /y int
Step 8:Calculate Minimum CAOA.
Minimum CAOA=CAOA multiplied by RF Minimum CAOA= /if x0'46/11-' = `•f!G in2
Step 9:Calculate Combustion Air Opening Diameter(CAOD)
CAOD=1.13 multiplied by the square root of Minimum CAOA CAOD=1.13 tl Minimum CAOA= 3•"1 in.diameter
go up one inch in size if using flex duct �/��
1 If desired,ACH can be determined using ASHRAE calculation or blower door test.Follow procedures in Section G304. ei 1 -9A AX
Page 5 of 6
. 0..,.. •
'/,_ 66/
_.,
IFGC Appendix E,Table E-1 •
Residential Combustion air(Required Interior Volume Based on Input Rating of Applianoe) ' •
Input Rating Standard Method Known Air Infiltration Rate(KAIR)Method(Cu ft)
(btu/hr)
Fan Assisted or Power Vent Natural Draft
1994 to present Pre-1994 1994 to present Pre-1994
5,000 250 375 188 525 263
10,000 500 750 375 _ 1,050 525
15,000 750 1,125 563 1,575 788
20,000 1,000 1,500 750 i 2,100 1,050
25,000 1,250 1,875 '938 _ 2,625 1,313
30,000 1,500 2,250 1,125 3,150 ` 1,575
35,000 _1,750 2,625 1,313 3,675 1,838
40,000 2,000 . • , 3 0 1,500 4,200 2,100
45,000 2,250 3,375 1,688 4,725 2,363
50,000 2,500 3,750 1,675 5,250 2,625
55,000 2,750 4,125 2,063 5,775 2,888
60,000 3,000 , 4,500 2,250 6,300 3,150 _ l
65,000 3,250 4,875 2,438 6,825 3,413
70,000 3,500 5,250 2,625 7,350 3,675
75,000 3,750 5,625 2,813 7,875 3,938
80,000 4,000 6,000 3,000 8,400 4,200
85,000 4,250 6,375 3,188 8,925 4,463
90,000 4,500 _ 6,750 3,375 9,450 4,725
95,000 4,750 7,125 3,563 9,975 y 4,988
100,000 5,000 7,500 , , 3,750 10,500 5,250
105,000 5,250 7,875 3,938 11,025 5,513
110,000 5,500 8,250 4,125 11,550 5,775
115,000 5,750 8.625 4,313 12,075 6,038
120,000 6,000 9,000 4,500 12,600 6,300
125,000 6,250 9,375 4,688 13,125 6,563
130,000 6,500 9,750 4,875 13,650 _ 6,825
135,000 6,750 10,125 5,063 14,175 7,088
140,000 7,000 10,500 , 5,250 14,700 7,350
145,000 7,250 10,875 i 5,438 15,225 7,613
150,000 7,500 11,250 5,625 15,750 7,875
155,000 7,750 11,625 5,813 16,275 8,138
160,000 8,000 12,000 6,000 16,800 8,400
165,000 8,250 12,375 6,188 17,3258,663
170,000 8,500 12,750 6,375 17,850 8,925
175,000 8,750 13,125 6,563 18,375 9,188
180,000 9,000 13,500 . 6,750 18,900 , 9,450
_ 185,000 9,250 13,875 6,938 19,425 t 9,713
190,000 9,500 , 14,250 ' . 7,125 19,950 + 9,975
195,000 9,750 14,625 7,313 20,475 10,238
200,000 10,000 15,000 7,500 21,000 10,500
205,000 10,250 15,375 7,688 21,525 10,783
210,000 10,500 15,750 7,875 22,050 11,025
215,000 10,750 _ 16,125 8,063 22,575 11,288
220,000 11,000 16,500 .. 8,250 23,100 11,550
225,000 11,250 16,875 8,438 -23,625 11,813
230,000 11,500 _ 17,250 8,625 24,150 1 12,075
1. The 1994 date refers to dwellings constructed under the 1994 Minnesota Energy Code.The default KAIR used in this sectio i of the table is
0.20 ACH.
2. This section of the table is to be used for dwellings constructed prior to 1994.The default KAIR used in this section of the itablie is 0.40 ACH.
1
Page 6 of
o
1
r, • For Office Useec
�,i � �� Permit#:
L ! I+ -• h 0 . 0 o
Permit Fee:
�1
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections a@citvofeagan.com J
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date.. ae7L Site Address: (Q/�
0
Tenant: Suite#:
Resident/Owner Name: Phone:
Address/City/Zip:
Name: A( 1 I P4tui6 , License#:
12-
Address:) 3 O 16k 96c Dr'/V W City: ��I
Contractor `
State: �5Zip: t� Phone: 0 1d klac-ceip
Contact:0V-- Email: CAt CL(f WdWf/'1( C(iep4tr-otelk-j--
T e of Work ( New Replacement Repair Rebuild Modify Space Work in R.O.W.
yp
Description of work:
Tankless Water Heater Lawn Irrigation( RPZ/ PVB)
Standard Water Heater
Add Plumbing Fixtures( Main/_.q Lower Level)
Description Water Softener —
Description:...Viki S) /ae. 'II kefi-j,G4
zi
lSeptic System
New Abandonment Connection to City Water from Well
—
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.00pherstateonecall.org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will •= 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, a •rk i of to sta without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app , plans.
x A- by x
A ica Cs P inted Name Applicant's Signature
PP
Page 1 of 2
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163982
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 4615 Sweet St
Lot:4 Block: 1 Addition: Sweet Place
PID:10-73500-01-040
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, Mark Anderson at (952)
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 -
Brian O Wood
4615 Sweet St
Eagan MN 55123
(612) 916-6809
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature