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511 Brooklyn CtFIELDSTONE FAMILV 1764 JUN/PES LAkEVILLE, SS -5 da ckt7teRocemw (570645.7151 '051)40,4014 FOR II*OCI toil 5 w96 z/—/a--e) cja,tCA'i IAA LO\- C\APtizzi City of kap Address: Yes Zip 55123 Lot: 10 Block: 1 Subdivision: Homestead Village The following items were / were not complete at final in section on: • 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. Building Inspector: ihtke.l pw� c -e Contractor: Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry V Permanent driveway ✓` Permanent gas V' Retaining Wall or 3:1 Max Slope V. Sod/Seeded lawn V. Trail/curb damage t/ Porch Lower level finish V 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. Building Inspector: ihtke.l pw� c -e Contractor: iroPectiPn-PePt.c9PY City Forester Copy Applicant/Builder Copy Development Lot Number Address Builder (BUILDER, PLEASE READ ATTACHMENTS) (i2,06- tCfES 2'1 3 Block Number SI% BRUDkt Vit) Cd uPT �l c, f roiv6 °gym/C y 0«,i Phone Number: Contact: Tree Protection Requirements: Tree Protection Fencing Installed On Site Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be Installed Other: Replacement Trees: Attachments: Not Required As Follows: Two �1 f Et &fit •T/ Yes No Additional Notes: H:\ghove\2006fiIe\treepres\Tree Preservation Pian Summary -2006 41' clitipHe b�C(1(Tr'I 77/?E OA) &11-P lruI Trit& ( '5 4-6-7-9/um s`)c-cic✓J EAGAN FORESTRY DWVISIOIV REVIEWED BY DATE 3-z3`'Lc [PRINT ON 8.5" X 14" SHEET] CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com Certificate of Survey for: FIELDSTONE FAMILY BUILDERS LOT AREA =18,033 SF HOUSE AREA =1,582 SF PORCH =168 SF PATIO =196 SF DRIVEWAY AREA =626 S COVERAGE =14.3% Lt 0 to tr5 Loa - lo LN MH F 84 Top C'y M \F _l< SF Spi��. \ 9,51o �F ADDRESS: 511 BROOKLYN COURT,EAGAN, MN. BUYER: PHILLIPS MODEL: LEGACY ELEVATION: 042, 01„E C1(6\.{OVS 957.0 TOB 956.2 956.1 1453° 963.2 964.8 965.7 rn 965.8 43.3: 952.9 954.9 (954.9) I cr N lO3 WIN 11 954.1 `}`1;17/ Q jCC , 4r' o 1 2. 33 954.1 , p Lu �; 954.1 • b----1 (71:15 t/l ,,/ 35 oV• 0.95,4:1 a p � ° Do X4.00 / �Q .34 N/, i 35.83/ BENCH MARK: TOP OF SPIKE ELEV.=955.23 Cojc BENCH MARK: TOP NUT HYDRANT L2-3 81 ELEV.=954.74 HOUSE ELEVATIONS LOWEST FLOOR ELEVATION TOP OF FOUNDATION ELEV. 956.3 956.1 (9s, .oJ 955.9 (21 90 Ss (kr Affirte4/ f/A.4 :(PROPOSED)/ASBUILT (949.2) (957.2) GARAGE SLAB ELEV. O DOOR : (956.8) X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION - - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION DENOTES SPIKE NOTE NOTE NOTE NOTE ADD BRICK LEDGE AS REQUIRED 962.9 Imo' 968.4 �- 7 964.1 965.1 0) N •0) LTJ 963.3 CO (70 m GRADING PLAN BY PIONEER LAST DATED 8-20-04 WAS USED 1 v TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. 0 O O 01 66ZZb 1°N'asuao13 uosui)IMoH .V.cd 101\112:MNION3 2j331 01d r ( :a3NOIS 310N :03SIA321 i0Z .H3LIVIA1 JO AVO H101 SIH! 1332110 J W 2i3aNn 3NV1S of/9t/c M1w/cif N CC 0000170011 L8Sc' 1]ij = HON L 11VOS Z -J0 31/ ,l8 03,13AafS SV 'NMOHS SV 1d3OX3 'SIN3wHOV0Zf3N3 SLN3w3A0adwl MORS 01 1N0delnd 10N 5300 11 V10S11 NNNiw ')\1N003 VIONVG N01110ad ONZ SalOV 0N01 `L >10019 `' 101 :JO S3I Iv0Nn08 OHI JO ,13ANflS V JO NOI1V1N1S1Nd32i 10323N100 ONV 302:11 V SI SIH1 1VH1 SN3011n8 J,IIwVJ 3N01SO131J 01 ,1J112fl0 J.812j3H 3M W01V0 03Wf1SSV NV NO 03SV8 321V NMONS.,SONINV38 310N NOIS30 AVM3A1210 ,13813\ iSn LIO10VN1N00 710N. '1Vld 03021033d 3H1 NO NMOHS 3SOH1 NVH1 NIH10 S1N31N3SV3 MORS 01 1N0d210d ION 5300 31V01311N30 SIHI :310N MOl3N3A0 AON3083N3 S310N30 NO N011VA313 S310N30 «� 1 s1!eMea-a..W/'7 ' -r 0-44- . \\lye rkimilmT /40 1 &L _, ,r, v.- bil..-niOMMIIIIIIEWTAIMIOASVIRIIIIMIKIIMMICUMMIRI VVI; '� ` ��__ at aE,Ee'L 4,1 ' _ I-��S'� .18.11 II//// / (�//i �� ! I I l I/ I I l / 1 �\ 1 1 1 1 1 1 1 i 1/ s -NN- iI I \ \ 1 1 .. \\�_J) 1_-.�� 4., 1 P Al 1 I 3A �i;•1�� ``,_�� /�/ j �' _c >�`�\ \\ III 1 � � � �q 4 1 � SCC\'"\`\'7 i 1�\\ \))1111C \' \I II 1I' 1 1 1 1111\1\\' 11111 1 \--==E--2-‘--,<------.<.- j ►�w,-v �:� ' �.��%�f' /� 1 1 111 11 1 I ii 111 X1 1 - 11 14\k>_,--- 1 H.....,\._-_____- Cite of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 9.90 v346// q3.716-7. Use BLUE or BLACK Ink rt Permit #: �+ Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION l -/1 t Date: �✓ /G is Site Address: Tenant: Sl1 (v,e4,0 T L01 CU.res 2rd LD -f 3 .3/. J 9 Suite #: RESIDENT / OWNER Name: %o,j't Address / City / Zip: Phone: Applicant is: Owner 1 Contractor TYPE OF WORK Description of work: fv e LJ l 6,1-A6 N.A.( Construction Cost: 7.0 01 6ck6 Multi -Family Building: (Yes / Nog ) CONTRACTOR Name: f'i�(L/S i FAm\ir %ics ..�& License #: Z 31116 y Address: 176 �%� vi'3 1��47F% �j . % 3� City: tA-kerl r) v_. State: (PM) Zip: STS -0 II Phone: PS" 2- IA ?' BBc'o Contact: &IN/ Arki cx A%) Email: 177,40,./& hews (e /mss C 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 i( No If yes, date and address of master plan: P/gid. Pho lLe Licensed Plumber: Mechanical Contractor: V yvu(hMac.erL-_ Sewer & Water Contractor S 7 t e - p1 )TE: Plans and supporting docuet ments #fret you submit are considered to E he information may be. classified as non-public if you provide spew reaso conclude thatthey are trade: seer G s. I_1s z- C a, - Phone: 76 317 7 - 3 7s 3 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.gopherstateonecali.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 • art without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and T c.Ai Applicant's Printed Name approval of pl- Ap cant's ^ignature np:Eg-E1W.172:7 Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% X) Census Code #of Units # of Buildings Type of Construction vis Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy MCES System Code Edition i Q SAC Units ZoningCity Water Stories ,„ Booster Pump Square Feet i f is l(( PRV Length 5)-1 Fire Sprinklers Width il 51 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile *.� Roof: Ice & Water / Final Framing Fireplace: \j Rough In _yAir Test _Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Sheetrock x 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 67? -5/i //lig Ls, d-wo 13 ,14 7 /214 001)(kcy L ,-��, m 01.4 17,4g 97,77zo 15;5757;4y 7/qv° 2 y 5W", 32 rPage2of2 A) 9114x46 o z Q DOCUMENT STANDARDS % 0 0 • Registered Land Surveyor signature and company .el 0 ❑ • Building Permit Applicant ❑ ❑ • Legal description J� .0 ❑ ❑ • Address '� )2 0 ❑ • North arrow and scale ��• O _2' ❑ 0 • House type (rambler, walkout, split w /o, split entry, lookout, etc.) s ,Ef ❑ ❑ • Directional drainage arrows with slope /gradient X 0 0 • Proposed /existing sewer and water services & invert elevation ...2f* ❑ 0 • Street name 0 ❑ ❑ • Driveway (grade & width - in RAN and back of curb, 22' max.) M' ❑ ❑ • Lot Square Footage ,' 0 ❑ • Lot Coverage ELEVATIONS Existing p• ❑ ❑ • Property corners „IF 0 ❑ • Top of curb at the driveway and property line extensions ,4 ❑ ❑ • Elevations of any existing adjacent homes 2 ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ ❑ • Waterways (pond, stream, etc.) Proposed 4 ❑ ❑ • Garage floor )Q ❑ 0 • Basement floor g ❑ 0 • Lowest exposed elevation (walkout/window) ,2' ❑ 0 • Property corners la ❑ ❑ • Front and rear of home at the foundation PROPERTY LEGAL: LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION Lcri' 3, R)oe.K 1 k1 his Znd DATE OF SURVEY: 3/ iC)l l0 LATEST REVISION: 1") q f iO Reviewed By: G: /FORMS/Building Permit Application Rev. 11 -26 -04 PONDING AREA (if applicable) ❑ % 0 • Easement line ❑ j2' ❑ • NWL ❑ X 0 • HWL ❑ ,E1' ❑ • Pond # designation ❑ z ❑ • Emergency Overflow Elevation ❑ p q, • Pond/Wetland buffer delineation Y 61/ • Shoreland Zoning Overlay District Y 6 • Conservation Easements DIMENSIONS ,2( 0 ❑ • Lot lines /Bearings & dimensions Jd ❑ ❑ • Right -of -way and street width (to back of curb) X 0 0 • 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 4 ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures $ 0 0 • Retaining wall requirements: 4 Date .s'��' -syjt) 1-i>3 //0 x 0l r (4 1 6 Certificate of Survey for: FIELDSTONE FAMILY 6-1-0-N6A_LEIS ADDRESS: 511 BROOKLYN COUR T,EAGAN, MN. P.11 LOT AREA =18,033 SF HOUSE AREA =1,855 SF PORCH =168 SF 0 PATIO =196 SF DRIVEWAY AREA =878 SF COVERAGE =17.2% CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.eorn ELEV.= BENCH MARK: TOP NUT HYDRANT L2-3 51 ELEV.= 954.74 X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION DENOTES SPIKE [000.0 I DENOTES ELEVATION ON (xxx.x) C.O.F. DENOTES EMERGENCY OVERFLOW SCALE : 1 INCH 30 FEET 3587 110040000 3D NJK/MTW mtampostottattmer Plel\EFRengineering Itr TOP OF SPIKE \ logo4,2 BENCH MARK: ELEV.= \ \ kAk•-'` 95 9 \ TOB,--- :. 956.2 ....--- .., --- 1 .._ (954.9 47.36 , ..... 41 . 92 9 'COB rodel 956.1 1EWED z; 41/3/10 EAGAN ENGINEERING DEPT. HOUSE ELEVATIONS ilPROPOSED ASBUILT LOWEST FLOOR ELEVATION (949.2) TOP OE FOUNDATION ELEV. (957.2) GARAGE SLAB ELEV. © DOOR : (956.8) NOTE: NOTE: NOTE: x x 79 0 0 •6k, (sa to 962.9 PROW E AT4I - 5 - MAINTAI INLET PROTECTION UNTIL FINAL 'SURF IS ESTABLISHED ADD BRICK LEDGE AS REQUIRED ON: 63.2 r" IJ GRADING PLAN BY PIONEER LAST DATED 8-20-04 WAS USED I TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONS TRUC HON FOR APPROVED CONSTRUCTION PLANS, NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR, THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOF PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 3:1 Maximum Slopes or Retaining Wall WIN Be Required to 964.8 965.7 /,/ WE HEREBY CERTIFY TO FIELDSTONE FAMILY BUILDERS THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 3, BLOCK 1, LONG ACRES 2ND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF MARCH, 2010. REVISED: NOTE: 322 io STAKE 4 CITY REVISIONS-IMPERVIOUS SUR. 2t2RX/XX RESTAKE ADD 3RD STALL 965.8 964.1 0) 0) 965.1 L1J 963.3 0 0 7'0 0 0 to 0 SIGNED: /410NE,ER ENGINEERING, P.A. 1 to BY / Peter J. H'Cwkinson License No. 42299 JI - 17 . 1.11 , 4 • $ APR -14-2010 10:38 FROM:AIR MECHANICAL EAGAN 6514526925 TO:6516755694 New Construction Energy Code Compliance Certificate Per NI 1,01 Thnilding Certificate. A building certificate shall be postod in a pernianontly visib k?r.ationinside Date CertiritatePactxt the Itu.ilding. The cenificote shall be cxnopictcd by the builder and shall list information and v, Ines of nom oncnts Ilatod in Table N1101.8, Martina Addr. i. of rhe nwel]i.a ar bwrnidx Unit 511 BROOKLYN CT. Nam. r*f R,nal nttat ramp -actor i Imo/ THERMAL ENVELOPE IneulntIon Location Below Entire Slab Foundation Wall perimeter of Slab on Grade Rim doiet (Foundation Rim Joist 14Floor+) wait Ccilin flat Ceiling, vaulted Bay Windows or cantilevered areas Bonne roam over garage Describe other Insulated areas Affil City EAGAN MN License Number o6?)/Czi Type: Check All That Apply WindOwo & Doors Average U -Factor (cxchrder ekylig°rrs and one door) U: Solar Flcat Cmitt Coef-ticient (SIPOC); MECHANICAL SYSTEMS Appllancas Fuel Manufacturer ■i■Faiiii1•r Heating System NATURAL BRYANT Placeyour logo here P:5'5 RADON SYSTEM ,�f'r<'i4 erifai) Active (Wrrh f®t arrd monomcit3r or other aystemmprtttar3ng Moviee) Other P1eaac Describe Here ype in iocation:'interior exterior or Integra? Type in feeati0n: interior exterior or integral Type h vocation: interior exterior or Integral Heating or Cooling Ducts Outside Condition Spaces Not applicable. all ducts located in conditioned soace R -value Domestic Water Heater Model 340RAV038080 Tnput in Ratio: or Size BTUS: Structure's Calculated 80,000 Capacity in Gallons: Heat Lass: 66,566 Efticicnre rill.111111111111d1111111116,. Cooling System ELECTRIC BRYANT '413ANA036 Outpat in 3 TON Iona: fleet Gain: Mechanical Ventilation System 13 Make-up Air &lecci a Type Not require_per mech. code Passive Powered Interlocked with exhaust device Describe: Other, describe; Location of duct or system: Calculated 32,288 cooling load: Describe any additional or combined heating or cooling systems if installed: (e.e„ two furnaces or air source heat pump with gas back-up furnace): Select 2»'?, X ?Heat Rccovtr Ventilator (}IR V Capacity in elms: Low: Energy, Recover Ventilator (ERV) Capacity hi elms: Low: Continuous exhausting f n() rated capacity in cfi s: Locution of fan(s), describe: Co,pnally Continuous ventilation rate in cions; Toga vvNtilation (intermittent + continuous) rate in cenS: High: Cfm's '•'round duet OR n metal dtict Combustion Air Select u 71e �4 Not required per well. ll. azide • x Passive Other, describe; Location of duct or systcrrt: 6" FLEX MECH ROOM. Cfm's FLEX " n7etal duct Created by BAM version 052009 APR -14-2010 10:38 FROM:AIR MECHANICAL EAGAN 6514526925 TO:5516755694 P:4/5 Date: 4/14/2010 Revision Date: 4/14/2010 New Construction Site Information Address 1: 511 BROOKLYN COURT Address 2: City: Eagan County: Application information Business Name: Air Mechanical Inc. Contact Person: Brian Ebert Office Ph: 763-746-3753 Fax: 763-434-1699 Cell Ph: Address 1: 16411 Aberdeen St. N. E. City: Ham Lake State: Mn. Zip Code: 55304 House Details Square Feet: 3640 sq. ft. Avg. Ceiling Ht: 8 ft. Number of Bedrooms: 3 Ventilation : Balanced Total Ventilation Capacity : 127 cfm. Minimum Continuous Ventilation :60cfm. Intermittent Ventilation: 67 cfm. Combustion Appliance Water Heater: Power Vent Input BTUs: 50,000 Independently Vented Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 80,000 Independently Vented tither Gombustiort Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Natural Draft Fireplace(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Exhaust Fan Rating (cfm): 300 Make -Lip Air No Make -Up Air Required by Code Project #: Lot Bibck: Subdivision: MN Contractor License #:. Gas Fired Power Vent Fireplace(s): No Solid Fuel Appliance(s): No Clothes Dryer. (cfm): 135 Combustion Air Round Rigid Required: 4 inches or Insulated Flex: 5 inches Applicant Name (print): Code Official (print): kApc- Signature/Date: Signature/Date: © 2004 C ntcrPoint Energy Minnegasco_ 2004 Mechanical Code Guidelines. Page 1 MAR -17-2010 13:29 FROM:AIR MECHANICAL EAGAN 6514526925 TO:9524698803 • Part B. DEPRESSURIZATION PROTECTION Check option used: Cl Fuel burning equipment (complete scherkles below) 6 No fuel binning equipment P:4/9 LisisTRUCTiozszs Step 1. Complete the Combustion Egra:pmern. Schedule below. Only equipment with a Y (Yes) may be selected under the "Category alternate. Step 2. Complete Exhausil/idake-Lp Air Schedule on the right if direct or power vented or solid fuel atmospheric vent space heating equipment is selected. .ss--) q44,21=j1,424411-- te. ; qk'M 6111 '444 - - ,2,Fra tuggooiliAggagtoatc,, ,.,,,:rydrza-11;. ''''•.•MiNgglUERVer 1 . gaily .i. — • • ir. 4 • ..: . Part Ci. VENTILATION 14M 4KT 4& .1-1C1 11-0.04-1,% A —..•°?Pe gri$1124 ERWOriatt 30 grit- s--0 grisi t) ,ETiM! 14 1.0 (.0•, -)4Y..... -c..41.) L1e(4.1...,t Ck,„; F„,....A.......p....c...._ stntement of Compliance: The proposed building design represented in these documents is consistent with the building plans, speciflcations, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. I3 ( . „6h0 --' Applicant (print name) Signature • -.Fario Part C2. VENTILATION ?7c/C `3 >4-2 Date Telephone number (Submit Part C2 upon completion of system verificationt) Job Site Address: Permit Number. NAM eave.- ...kirtsw0:4;h., Compliance Statement: flow Applicant (print name) Installed ventilation system is e design air li in compance with MN Energy Code and is sized to rovide th Signature Date Telephone number þ ÿ ÿþýüüýüü ûÿÿ þóò ñ ïñ ú þýüû úùþø ùû ú÷ö ùþø õþôõû úõýøýþ÷ýóüòó÷ýóüþô ä ñ í þþýä ù ÿõ÷ïîñå ñ ï ïï óíìùþëêùéèçïïææå ùû þýä íãçïæðæ ðï ø÷ö úõô úú öþ ó þàýáä æâæã ï ù õ÷ïîñå õ÷ïï ñ ìñ è ï ïï äü ö äää úú ääøó óú öäúúüþ øõ þý ø â æ úúê óþ ý ý þ ý For Office Use ,�� :::: :_ - 00 Date Received: G)'2 O 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C IVE (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675 94 ? Staff: buildinginsoections@cityofeagan.com FED 2 8 7Q19 L 2019 RESIDENTIAL - '. .' MIT APPLICATION Date: Site Address:`, Unit#: Name: G' `cue\ "4 U+r,e \\ Phone: O/�—� � q�e Resident/ II Owner Address/City/Zip: I1 t3r O o ` n C2X 4 Applicant is: IC Owner Contractor I ZGt�47 4c/z--5 Type of Work Description of work: �h��h VJ e►men Pct-t;c \ Construction Cost: ,.p 00 u. 00 Multi-Family Building:(Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: I3c ) 4 l et- 26/6 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 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. 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.citvofeaoan.com/subscribe. Exterior work authorized by y 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.goaherstateonecall.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 ithout a permit; that the work will be in accordan a with the approved plan in the case of work which requires a review and approval of pla c��e� X11 &/7( Applicant's Printed Name Applican 's Signature DO NOT WRITE BELOW THIS LINE 511 ie ( ik el , / s v� -e' 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 ` Lower Level Pool _ Accessory Building — WORK TYPES New — Interior Improvement _ Siding — Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior '`,, Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuationtak10_ Occupancy MCES System Plan Review Code Edition > SAC Units (25% 100%)() _ Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \( 'J, 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 HVAC_Service Test Gas Line Air Test_Hood Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing )C 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS 1,,; 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: \ P✓` , Building Inspector RESIDENTIAL FEES . Base Fee N � " Surcharge Plan Review `,/ MCES SAC L/ 0 - o9 i I- City SAC t E' -- 3 o Utility Connection Charge II t S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I