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4928 Whispering WayCity of Eaftall Address: 4928 Whispering Way Zip: 55122 Permit #: 94015 The following items were / were not completed at the Final Inspection on: Final grade - 6" from siding Permanent steps — Garage Permanent steps — Main Entry Permanent Driveway Permanent Gas v Retaining Wall or 3:1 Max Slope Sod Seeded Law Trail / Curb Damage YL2 Porch tl Lower Level Finish 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 Engineering Department at (651) 675-5646 prior to working in the right-of-way or installing an irrigation system. Building Inspector: /Or te, Le - c4 -- 1\19 e c4' �,cCGcc_ i t�'_ijl G:\Building Inspections\FORMS\Checklists RESIDENT / OWNER Name: ()cam h iS Per& n U 9 % , , 'l Phone: Address I City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: t i ,U2.- 51, 4 0 7 " 3R PI Construction Cost Multi- Family Building: (Yes / No ) CONTRACTOR N Name: V eflnai.. -e/� bibs id t 0/ License #: 9,00(-3(01--1- Address: Elio •tfCji Ca t' r ity: fY 1 State: W (I Zip: `.J ral 1 "I � Phone: - 4O WO Contact V e.. Ill I t Email: i 1 14 e Y e� fl efrIpi) LN" 1 i ► ' COMPLETE In the last 12 months, has Yes 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: _ No Licensed Plumber: �ari� 1940) Plum bi c tint -t o/"e Phone: ' 6I 3 I f� ✓t Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: i t cc to be l�r' tYte inforrrrat be of -ptr c if J on r+aY c lassFt aS non t1 Y i a g(qL 0 /5— -- City of Eatant9twevr- 4-Qa . 3830 Pilot Knob Road // ' (2/ 9 -- Eagan MN 55122 � c, Phone: (651) 675 -5675 Fax: (651) 675-5694 Staff: Ai Lt) 2010 RESIDENTIAL BUILDING PERMIT APPLICATION S - e Date: Site Add i / ►, i[ 11 i ro� Tenant: \I II P A/1/1 • s/ ! � % � 0 / Suite #: 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 Eagan; that I understand this is not a permit, but only an application for a permit, and wo accordance with the approved plan in the case of work which requires a review and approval x f o h 3 Applicant's rinted Name FR)7,©EME APR 2 3 2010 nuance with the ordinances and codes of the City of no o start without a permit; that the work will be in Signature Use BLUE or BLACK Ink Permit #: Permit Fee: ? ( 45 - 3 .,� Date Received: Page 1 of 2 Loh 1- acti SUB TYPES Foundation Fireplace X / Single Family _ Garage _ / Multi _ Deck _ 01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review Reviewed By: Interior Improvement Move Building _ Fire Repair Repair (25 % _ 100 %')( ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final y Framing X' Fireplace: XRough In y Air Test *Final Y Insulation / Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4- Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 2 _ Siding Reroof _ Windows Egress Window `Demolition of entire building - give PGA handout to applicant plaiV 3-0 a _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage 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 /G Tests Final )c Siding: _ Stucco La Stone La _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control y Erosion Control Building Inspector (60 0 X /5° ; Norpv s s x 33, l ie 3 32)6 es `11 7 11 3 o j 6/04-6-‘ 6OT 31 (# _ 2S "7,qf pir‘ 3/21(o I1 d7q, 71/ New Construction Energy Code Compliance Certificate Qz--/N'5 Per N1101.8 Building Certificate. A building certificate shall be posted in a permanently visible location inside the bolding. The certificate shall be completed by the builder and shall list information and values of components listed in Table N1101.8. Melling Address of the DweMng or Dwelling Unit 4928 Whispering Way Name of Residential Contractor Vennehjem Building Corp. Rim Joist (Foundation) R13.4 Ceili , vaulted own over _ rage 2" sprayed foam + R30 blown or Batt InsuL HERMAL ENVELOPE Insulation Location Below Entire Stab Type City Eagan, MN MN License Number : Check Date Certificate Posted All That ((, nnehjem ® ORM CORPORATION we ?,0108,964 RADON SYSTEM Passive (No Fan) Lennox Rheem G61MP- 60C-091 82V62 -2 hint in 88,00 3 . in STUB: Gal ons: Manufacturer Structure's Calculated :e 1 Average U- Factor (excludes skylights and one door) U: Solar Heat Gain Coefficient (SHGC): ver Venti Energy Recover Ventilator (ERV) Capacity in cfms: Continuous exhausting fan(s) rated capacity in cfms: Location of fan(s), describe: Capacity continuous ventilation rate in cfins: Total ventilation (intermittent + continuous) rate in cfins: ng or Cooling Ducts Outside Conditioned Spaces 0.28 ► 1N ot applicable, all ducts located in conditioned space R -value Mechanical Ventilation System Describe any additional or combined heating or cooling systems if installed: (e.g. two furnaces or air is heat pump with gas back -up furnace): Select Type Make -up Air Select a T Not required per mech. code Passive Interlocked with exhaust device. Describe: Other, describe: Location of duct or system: " round duct OR Not required per mech. code Other, describe: Location of duct or system: " round duct OR " metal duct y ISR AI ROOM NAME Area (ft nig load (She) Cig Iced (Stuh) Hte AVF (cftn) CIg A UF (clFrt) 8ASEP ENT 1556 14622 2022 621 309 MAIN LEVEL 1558 25040 8818 1071 131 2ND FLOOR 1778 24290 7251 1039 11 07 Entire House 4888 83852 17889 2730 2130 Otter equip loads 20709 27513 Equip. `0 0.93 RSM 18158 Latent cooling 8809 tf1tAa Imo+ •06b d i Ctl. A"Z 1'66 ATM • Ai. w t 21034 CM HEATING EMINENT Make LENNOX Trade SIGNATURE Model Gel Gd4MA ID 2308281 Efficiency Heating input output Tcmpafature rise Actual air Sy; Air fess factor Sheie pressure Spate therm AVE FAr IINGT$N, MINNA:0 Prow 651.413 - 79 For Htg Outer db (*F) Inside db ( °F) 75 Design TO (°F) 90 Doily range - Inside I*,Irnldity (%) 50 Moisture differer s (yr/Ib) 66 Load Short Form House FARMINGTON PIANO ctg 88 70 18 30 M' 62 88 AFUE 88000 Stub 82000 She 2730 cfm 0.043 cfrrtlBtuh 0 In H2O I AND HEATING INC SOMANI, SUNIL AM) St HETA, VEMIEH. EM BI ILDI 25303 COUNTY ROAD 42, BURNSVILLE, MN Mel sod Construction queiity Fireplaces ficklfisitt Wets 'IMrahow 111w* elf Printout certified by ACCA to meet el mcsanitnentsof Matt .16th Ed. R Oaring 7.t 17RSU10i32 ADM C ADavan ere and ealtitttMedtglatAly DiaturrortieW.191044 WACisonistarup Cal* a 11.I11 orbentsam CORP.. heroi tin Irifort tats n Simplified Average 1 ( ) COOLING EQU Maki LENNOX Trade SIGNATURE Cond XC14 -0344 Cofi C36A34 +TPR ARI ref no. 3273761 Efficiency 12.2 EER. 14 SEER Seise* coefirg 840 Stun Let Codling 9380 titer* Total cooling 31200 Stull Actual air flow 2730 dm Air flow fader 0.153 Stec pressure 0 In H2O Load sensible heat ratio 012 r.w 201 .4 RI heet FARIMPIGTON PLUM it ti 21034 G14PPE coi.E A . FARIM 1. 423-78314 1.08 1 418 418 000 0 .8 11.42 756 t 8 82,27 24 0 87.82 47 0 lAt 84 2 2 10 91 21 10 2Ia 24 0.00 418 418 18 1, 86 88 343 0 .100 1 1775 1778 158E. 0.00 _ 220 220 257 Cool 0 WW2 100#1 Cool 1088 0 0 .r 0 581 416 416 2542 0 102 87 0 " 701 0 0 0 0 1580 0 0 0 0 1 1 0 107 21 21 107 17880 1 Room m 2 Espy wet Ceiling new 4 Room 0118881114818 Room area 11 12 13 C F F 8111202 (inn 5 to 13) 4611441148 Ists2 Lem wines RatiMISMos 14 $88848 15 OW 181874 Tata 8)818 1S8tl Ar MOW (dm) Eras 1401140 05410 ft 8.7 ft 88 .0 4' X1@92' 2120 1710!9 17890 27 ,. Jo 8011ANI Maw ,AF 07, 9400 By FftiONIGTOS 8 0.0 ft 100.0 10 tantfauati 1.0 x ft R wrightsetr Right-JO Worksheet ire House FARM TON PLUMBING AID FAR.. hdtt1- +1614624 Job: SOMAPH 07.201 By: r Apr 6 . Ty Calsaucuan numbar E�aw` 2 cN 1ut. W 1511.10a1o8 1 -0 1100 2 5,001163 wpb 8 005n0111201 4 PCaom tfirrlereiCOS 5 Room area 368 21 0- 21a o o. o 0 o 0 312 1238 o e05 O 1777 O 0 O 0 O 0 301 0 1700 +2041 21 Sat O 0 369` 1 O 731 0 o 0 0 0 O 0 0 1 use Or (510M1F -:F) 0078 e 4 230 e e0 470 a* 0 a a e.1; 214.20 8.12 25.20 42.30 Tom man t*d Ai awned tcfm) Kos true tat Casa 0:00 22.70 1.42 1.16 1100 12 a) Warsaw b) Roan %ettiealon 13 Warn* vim 8t13a41 pose 610 13) Leese :46412 bad Laos wangler Redeatoton 14 St241d1 15 Ouot loads 51A1N LEVEL 1020 ft 90 ft 1e atltX101 1,0 x 1538.0 ft 15550 f 270 FLOOR 126.0 80 h 1 0 x 1776.0 1 1778:0 re Arta Lead a baltrl3r (ft) (05 cress 52P/6 Heat c 0 7811 25010 8618 1071 1315 743 0 0 0 0 25310 0 703 0 24280 103 51 ;tk.k - .. tfi.r. w GMPPE, CALEAvL. F ! iC 17 it formati n Oue db Inside db Demon TD Winton Conditions 4$ •F 75,°7 90 °F Structure Ducts ve tt (110'drn) E ms° Method Construction quaNy Volume (fP) Air chanty EquN A (dm) rc� u�» rnary Entim Howe FARMS4CiTON PL G AND NGT1:114 For SMANI, SU1+9L AND SUCH A, VENNEHJE 2500 COUNTY ROAD 42, BURNSVILLE, MN Stuh 5 08 stigl 15403 Shill t load 84581 itdahration Model G5110-50C-091 GAMA ID 2008 281 Efficiency - input Heating output Temperature rise Actual air floor Air flow ure Space thermostat Hoeft Equipment Summary 1 rede I me Priniput, Si plified 1 4 88 (Average) 34424 34424 0.31 0 181 0.15 95 AFUE 88000 E9� 28 IF 2730 cfm 0,043 ,c uh bean or..wy ward Form -} - Fught Envenom' 7.1.11 A 17U1pp32 C: Srlocul na db $11 SairtataartinVily Doc n.I W II 1tfort HNACSacn*tnn Ctic = Mad CalantabOn INC BUILDING CORP. Outside db Inside db Dego TO Moist difference Sensibb Can Equi Structure C entral verd (110 din) Blow °F 18 82 pie rtg gt 1707 B Use men W A'I Rata`(�i�n Etplipment Latent Cooling Equipment l Structure Structise DOM Central vent ((110 din) Equipment Etpi4ament latent toad Req. t � 0.70 SHR n 19188 Btuh 3507 Stara 1h 4502 Sidi 8003 BM 27188 Bit 2.3 ton Cooling Equips Slartmistv Trade ATTURE C Co ti X 14-)36 - -03 ARI ref no. 3273761 12 EI*R en able COOrmg Latent cooling Actusi air flow Air famr Static Pry Load savable heat ratio zoloAoar 10:013$ Plle w r YfL 4 CMPPENDALEAVE, FA NANO1ON, MN 55024 PROM I - 463.7924 Pro ect Irif Minneapolis/St. Paul, MN, US Elevation: 837 ft Latitude: 45°N Outdoor: 0F) Heat Dry bulb ) Wind speed (mph) 8 ment Entire House FARIINNGTON PLUMBING AND 14iA11NG INC For. SC44ANI, SUNIT API] CHE V�NEH.IEM 25� COUNTY ROAD 42, BtJ S11LLE, MN Indoor: Ind ure (T) Desir , (4F) Reim taintidty (%) CooNng Moisture cifference (grub) 88 Irdibration: 19 (M) 72 7.5 Hourly Glazing Load 9 10 11 12 13 14 15 16 17 18 12 tfoirortkw Phu* At Ammo Maximum hourly glazing load exceeds average by 10.6%. House nes adequate exposum diversity (AED), based on AED limit AED excursion: 0 Stuh Job: $OMA111 Delo Or 01, 21,1 O By: PARIVIGION I 18 50 8 30 Cc:assonant Btuhlft Btuh % of l td WaNs 1.1 24,1 Doors 18.3 8227 39.8 CO Brigs 1.2 2090 10.1 Floors Infiltration 0.4 1635 7.9 Ducts 0 0 Vendletion 1049 5.1 B owe it Adjustments 1707 5. 3 Total 20645 100.0 4 rOtsoft 21084 ChIPPIPONS For. Location: Minneapolis/St � l MN, US Elevation: tatituda. 45'N Outdoor: bulb Daly a °F) Wafbulb( ) Mid *Peed (non) SCOAANAL 2500 couNrY ' R a Building Anal r Entir H ouse FARIMGITON PLUG AND MATING INC ,ec Des i n Coneiitions Hooting Cooling 7.5 Heatin Wails Dan g F s D lit Ven lafon tments Total nt Btu rB h y a d 26.8 20 1.7 4,4 x041 3516 3098 17350 1 54! 53 84581 .2 3.4 3.7 20.5 0 0 18.2 6.3 100.0 lift( Latent Cooling toad . 8009 Stutz Overall U- value:e 0.062'8tuMta - °F aorei4 f9 AN, wrietragrewir UfYversil 7.1.1 951.11 Documents and aatdn stadm'eRMy Doo ano A1440MdmR WACtassent nq Indoor: I •• t anyerature ( T MMo en ( grub) .0 Infiitsation: Combustion q A � Fireplaces 1 (Amato) i►I BUILDING C Mie Ortruson .rob: OCIMAN1 Da ar.=010 By: P~IGTO01 i'1 tur>E31... e46 - 7 w Component Constructions Entire House FARMINGTON PLINADING AND HEATING INC SWAM, SUNIt A,1 EP EKE `BUILDINK3 CORP. 2500 COUNTY ROAD 42, BURNSVILLE, MN Design Conditions Location: AMlnneapoiia/8t I, Latitude: 45 °N Outdoor: Dry bud (°F Drily range (°'F) Wet bub Mnd *pe ( rr h) 15.0 Partitions (name) , US Heating Construct deiscv Walls 121541aw: Frm waft vN ad. yr wood shot, r -19 say ins, 112° gypsran bawd it fnah, 2"nr wood f m 121: -Owe Fan nat antet, la° wood strh, fim 158 -10 fo-1L no net light dry aatl, wall. Cooling 18 ( M' 72 7.5 Ill 9 core in& Ttd" wood n a w ail 0M8 8 "the e a w all Windows 2 glazing, ck oar, sirs aa wdfrrm mat, dr innr 114" gap, 114* thk. 2 awing. et oar. alrgas ad em mad ek Saw, 114 "gap, 114 6* 415 -end: 2 gliens. heat al* Isa-e u, air gas, madame w iyi Inn mat, et trinr, /4 gap, 114 thk Doors 4 100: mar, not per core type, mti atom titan 11G0: Door, wd prd type 1 W0:Door. ms per cote type Indoor Indoor tanitaandure ( °F) 75 Desert TD (T) Relative Ilurl ty (%) `m) Infiltration: Method Construction quay A Firrtirkicee 1 (Averel> s) n a 3 Or Ara U.value re war 773 890 759 707 2959 416 64 36 536 251 415 280 1 0.05+5 0.090 0.058 0.066 0,088 0.058 0.088 0.058 0.063 0.050 0 -060 0.050 0.050 1 - lc sane tsar 7 t 1 7 : RtJ10902 .0oaannti aid SlItinPkBdildrAMY lie ur NVAdlaametnin Card M.$ clmaa.en Jaw's: 81 MAlit » 14r 07.21)10 fly; F P1.tlifl:., Inset R litp MTM lass CIO 141M Gun aniMr aial moor 19.0 19.0 19,0 19.0 19.0 190 194 19.0 19.0 10.0 10.0 10 ;0 10.0 812 6.12 6.12 8,12 6.12 6.12 812 6.12 6.12 4,25 4.60 4.50 4.13 4731 4223 9 , 1 2546 392 343 3280 1007 1872 7 i , 1.42 1.42 1.42 1. 42 0 0 a 0 21 0.170 10.5 - 15.3 321 6.10 42 0.540 0 46 8 204 f ' 162 21 0.290 10.5 28.1 548 8.70 1 8 1i so 82 0' 0 a 0 n 163 0.250 0 262 4108 106 1735 n 87 0.280 0 25 2201 10.8 929 a 24 0.280 0 25.2 905 33.0 791 s 84 0.280 0 25.2 2117 169 1690 w 49 0.280 0 25.2 1235 33.0 815 all 407 0.280 0 252 10 5 164 1 a 42 0.470 0 42.3 1777 37.3 1589 666- g G6 . Attic ceding asphalt shingles roof met. r-44 ci hR, 5/0" gown board ird Math , ROOM 221A Be hoar, lid dry soil 218 -28t gg Mat, light dry soli, orm i* Ins cot r -3 iris, file fir fresh 0.422 44.0 1558 0.020 0 1.80 2801 220 0.015 3,0 1.35 Gregg Hove Thank you! Sheri From: Gregg Hove [mailto:GHove @cityofeagan.com] Sent: Thursday, May 13, 2010 8:00 AM To: 'Sheri Rushlo' Subject: RE: Tree Preservation for 4928 Whispering Way Sheri, tA)111 From: Sheri Rushlo [sheri.rushlo @vennehjem.com] Sent: Thursday, May 13, 2010 11:20 AM To: Gregg Hove Subject: RE: Tree Preservation for 4928 Whispering Way Attachments: image002.gif Gregg The homeowner will be responsible for putting in at least 5 replacement trees on this lot. (11/1 Whispering Woods 11t This will be completed within 90 days of issue of the Certificate of Occupancy on the property. The balance of the trees will be placed on lot 7 and 8 Whispering Woods 11 Addition upon completion of a future home. I need a specific document from you that indicates that City of Eagan tree preservation mitigation will be fulfilled through the installation of 12 Category B trees (minimum size 2.5" caliper deciduous tree or 6 foot tall conifer tree) or an equivalent combination of Category A and /or category C trees. Indicate either in letter form or on the certificate of survey the quantity, size, and location of the required mitigation trees. Gregg Hove I Supervisor of Forestry I City of Eagan Maintenance Facility 1 3501 Coachman Point I Eagan, MN 55122 1 651 -675 -5300 1 651 -675- 5360 (Fax) I ohovee.cityofeacian.com THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND /OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. From: Sheri Rushlo [mailto:sheri.rushlo @vennehjem.com] Sent: Wednesday, May 12, 2010 2:26 PM To: Gregg Hove Subject: RE: Tree Preservation for 4928 Whispering Way Gregg, Attached please find the new survey and the trees marked cis you have them on the mitigation worksheet. Our purchase agreement states the following and has been signed by the Buyer. 1 9(161/5- . GJh _ , n c i (A) ° 1 6 7®7 Ronieowner understands that there m a tree replacement and restoration policy to protect and enhance p p cy p d e ance the natural environment. HO has been informed that the Purchase Agreement does not reflect the cost of the tree replacement policy, and that it will become the HO's responsibility for replacement of trees as required by the City. Let me know if there is anything else that you need, so we can proceed forward. Thank you! Sheri From: Gregg Hove [mailto:GHove ©cityofeagan.com] Sent: Wednesday, May 12, 2010 11:06 AM To: 'Sheri Rushlo' Subject: Tree Preservation for 4928 Whispering Way Sheri, I conducted a site review of 4928 Whispering Way today where I spoke with Joe about tree preservation issues. The following issues were discussed and conclusions were reached: 1. The house placement is currently too close to the critical root zone of trees 1508 and 1489. If the house stays where it is these trees will be counted as "removed "(i.e. considerable encroachment is occurring within the trees critical root zone). 2. To alleviate #1 above the house will be shifted to the northwest using the southwest corner of the house as the pivot point. 3. Trees number 1480 and 1481 will be removed. 4. Tree protection (concrete barriers) will be placed as far away as possible from tree 1508 5. A new Certificate of Survey shall be submitted that shows revised house placement and revised tree preservation /removal. 6. Non - significant trees (1472, 1474, 1475, 1477, 1491, 1496, 1499, 1506, 1507, and 1509) should be indicated as such on your tree inventory and map. Please refer to the attached Tree preservation Calculation Worksheet. Required tree mitigation now calculates to 12 Category B trees (or 6 Category A trees). I need something in writing as to how this mitigation will be fulfilled (it can occur on this lot or on other lots within your development). Your permit will be held until revised plans are submitted and field approved. Call me if you have questions. Gregg Hove !Supervisor of Forestry I City of Eagan Maintenance Facility 1 3501 Coachman Point I Eagan, MN 55122 1 651 -675 -5300 1 651 -675- 5360 (Fax) I ghove{a7cityofeagan.com THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND /OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. 2 of Ea an Development Lot Number Address Builder Replacement Trees: Attachments: X Additional Notes: 1. Copy City Forester Copy Applicant /Builder Copy (BUILDER, PLEASE READ ATTACHMENTS) WHISPERING WOODS 11th 11 Phone Number: 952- 890 -3000 Contact: SHERI RUSHLO Tree Protection Requirements: 4928 WHISPERING WAY VENNEHJEM BUILDING CORP. X Tree Protection Fencing Installed On Site X Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall to Be Installed Other: Yes No Block Number 6 1 4- i 6/ City of BagaIl EAGAN FORESTRY DIVISION REVIEWED SY DATE v - 3 ✓lO 2. Tree Protection fence must remain 7n p ace or e • uration of construction PROPERTY DESCRIPTION' Lot 11, Block 1, WHISPERING WOODS ELEVENTH ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 22nd day of April , 2010. James R. Hill, Inc., Notes: 1. Building dimensions shown are for horizontal & vertical placement of structure only. See architectural plans for building & foundation dimensions. 2. No specific soils investigation has been completed on this lot by James R. Hill, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, Inc. or the surveyor. 3. No specific title search for existence or non— existence of recorded or un— recorded easements has been conducted by the surveyor as a part of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were taken from the grading & /or development plan prepared by N jA D C) m 0 W 0 �T1 0 O co z 0 4928 WHISPERING WAY CERTIFICATE OF SURVEY For: Vennehjem Building Corp. N ° m 0 By Harold C. Peterson, Minnesota L.S. No. 12294 0 x927.6 (930.0) tc Denotes set spike Denotes set iron monument Denotes found iron monument Denotes existing elevation Denotes proposed elevation Denotes proposed drainage Denotes top of curb Bench Mark 984.99 -11\11i-LOTS 6 & 7, BLOCK 1 Proposed Garage Floor @ Front= 991.0 Proposed Garage Top of Block= 991.4 House Top of Block= 991.4 Proposed Lowest Floor= 983.4 Bearings are on assumed datum Scale: f =30' James R. Hill, Inc. jo rf PLANNERS / ENGINEERS / SURVEYORS 2500 W. Cnr. RD. 42, Sum 120, Bu .u~ MN 55337 PHONE: (952)890 -6044 FAX: (952)890-6244 1943 94m I.A,& NE, Sure B, BLAK. MN 55449 PHONE: (763)792 -1136 FAX: (763)792- 1743 159.78 S89°47'10" W ♦ . 9 � 987.6 x-10.00 -\ i P t rte, ,_ ,^.� 50a , 1 .� o f 34.0x - _ �a [■ 0 0 . 7 - -` ` i D C54s7 3.0 4.0 z . °- tY 0 , X 0 0 t A v 1507 18, w 67 h 491 O? 0 �4.Q a x 0 Z z La . - p 0 _1 1506:._ . t7i 8.0 fix' <0 6.5% 0.0-- 14 .�w11 /° / /"�� o W Q �J / • N j Cr 0 w • 1`.• N f CO • � ,y 980 . 3 n a te . cc fx co c7 of o .--.5. 00 t o 0 989'.6 , ..-/ 983 a N 0 o 1475 At .* r - 1 9,96 i . o vs '"� X .. " m a a 474 �3 n ;469 I 0> t` R} 10 0 .. 28.00 X 989.7 0 I / ` f 1 470 _ I f . L _._ 983.4 1 979.7 t ' -- I to A _ LO 50.00 974.8 25 1504 1503 25 1452 CERTIFICATE OF SURVEY For: Vennehjem Building Corp. ( i° 1 '� 0 -- 30.00 --- -- 30,e -- 1469 SAN. SERVICE INVERT ELEV.= TO BE FIELD DETERMINED BY CLIENT Scale: 1 "=30' Page 2 of 3 4928 WHISPERING WAY I /"1 T /"N L_V I I LJ /A (' A NI V nv v I 39.00 — -" 159.78 S89 ° 47'10 "W I nT 1 r) L. ‘,1 i 978.8 974 E- C) 1501 W 0 Lo o t 0 t h n i Co 1 C ) r Ca h - C3 C3 -c G') L.) C3 \ LU Q- v) C. C) I - _j I C _ o PROPOSED HOUSE = 2,223 SQ.FT. n OR 14.6% OF LOT AREA 0 p DRIVFWAY = 815 SQ. FT. LOT 11 = 15,179 SQ. FT. co 0 o James R. Hill, Inc. 4 CERTIFICATE For: Lot 11, Block 1, 4928 Venneh WHISPERING WAY OF SURVEY Bu g °1 Corp. 40 , s. j ;i c .• x 0 t O N. W HISPERING WOODS '_ ELEVENTH ADDITION Tree Preservation plan Pre House Proposed Post House Development Construction Tree Preservation Constructio Built Built POINT NO. ELEV. TYPE DIA SAVS INOISno REMOVE ONLISIX3 .........._....._ .... 3NOO'. JAVS GUSTO 1REMOVE EXISTING JNOO 1 451 9 82.4 .AK 6 X X 1 IIIIIUXZ•MIIIIIEIIIIIIIIIIIIIMEIMIIIII®IIIIIIII®_ 11 ■■ - : JIM • :1' I ;11• s M . •. , . c•�o1111111111111111111M■■ NI 11 ,.. ` ®���IM® ® — ■ ■E� ® ® ®■MKIN® ® ®® X -��� ®ti■® ■ ® ■ ® ®® ®® ®® ® ® ®�= ■ ■■ �� MEC ° M _Ea � 989. MIIMI 986. YXY 4 r�rMrr``r .. �■_■■■ 111111MIIIIIIIIIIIIIIMMIIIIIIIMM 111111P/1111111111111111111111111111111=1 ®� ®a ®® ___ ■ ■ ■ ■ X faxx 111111111111111111•11111111111111110111M ■■■■■ ® ��■1■■ 1111111111111111111MIIMMIIIIIIMIM IIMMIMIIMIIIIMIUMIMIMMIIM ®® ®® ■ ■ ■ I�I�1 ®® ®s IIIIII ®IIIMIll ®® 1496. 843. III 1 97 0.• 1111111111 111111111_ _NKFA AIIIitr1111111111111.1M111111111111111111111©O11111111111111111—_ Preliminary During were The tr By. 1 02 978, AK 1503 979. AK Ii Ii III®11 UR II 1504 979.6 OAK N 1111®H ® ®®® e . 97 • - a`• LA' ` 1507 979.8 -,. _ POPLAR SITE TRE. S III 4O�F 147 990.4 5 rim _1111111111111M11111111111® 11111111111 ® ® 11111111111 ®IIIIIN® ®® 5 OAK IIIIINKT]ii:�IIIIM:111111MMIIIIIIIIIIIIIIIIIIIIIIIII®IIIIIIIIIIIIIIIIIIIIIMIMIMIIIIIIIMIIIIIMMI—IIIIIII i5nt i 1-- ZS? MINEE4 �t iEE3t111111111�.:11101111111t0*M111 a site visit present and house has been • b• saved. 980.• 9 8. IIIIM1IMI5L,TJIIIIIIMIMRIIIIIIIIIMIIIIMIIIIMIIIIIIMIMIMIMOIIIIIIIIIIIIIIIIIIII0IIIIIIIMIIIIIIIMIIIIIIIIIIIIMI NON M tU Tree Certification on Api .t cXYtk 2010 --r all significant trees shown and designated hereon in the table above. to be placed outside the dripline of all significant should not have a negative effect on these trees. r z°14) By. Date• , in good health, except as noted staked. Tree fence will need Future :coding / and construction ! !ate: 4 . Z0, Harold C. Peterson, Minnesota L.S. No. 12294 Signature of Owner o co Scale: 1 " =30' Page 3 of 3 James R. Hill, Inc. PROPERTY J G �L: LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION a) U o < ❑ 0 ❑ ❑ ❑ ❑ ° •ef 0 .' 0 ❑ $ ❑ 0 ,R 0 ❑ 2'❑ 0 ' 4 ❑ ❑ 2 ' 0 0 0 0 ❑ ❑ ❑ - ❑ ❑ ❑ 0 L A 1. 0 ,d ,' 0 ❑ ❑ 0 0 0 / ❑ ❑ ❑ 0 0 0 $ 0 ❑ 0 0 0 0 0 0 0 .� ❑ ❑ q4/6 Li / ,,/Mad-.s DATE OF URVE : 4 /2ZIio LATEST REVISION: S //1 Sit* DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address 4 28 • North arrow and scale • 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 • Driveway (grade & width - in R/W and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existing • Property corners • 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 • Garage floor • Basement floor • Lowest exposed elevation (walkout/window) • Property corners • Front and rear of home at the foundation PONDING AREA (if applicable) • Easement line • NWL 97 .5" - -0 • HWL 975. • Pond # designation 0._?4,3 • Emergency Overflow Elevation • Pond/Wetland buffer delineation • Shoreland Zoning Overlay District • Conservation Easements p 0 ` / DIMENSIONS • 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'(porchet (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: G: /FORMS /Building Permit Application Rev. 11 - 26 -04 Reviewed By: 4/ a11—rr Date 7-0O E We de dir la sh ex Sig 1. hor onl 2. co The hou Jam exis has of plat 4. the N - v C) rn _i 0 w B o: ‘hhil E:AGAN ENGINEERING DEPT. Building dimensions shown are for zontal & vertical placement of structure See architectural plans for building foundation dimensions. No specific soils investigation has been mpleted on this lot by James R. Hill, Inc. suitability of soils to support the specific se proposed is not the responsibility of mes R. Hill, Inc. or the surveyor. No specific title search for existence or non — tence of recorded or un— recorded easements been conducted by the surveyor as a part this survey. Only easements per the recorded are shown. Proposed grades shown were taken from grading & /or development plan prepared by /A N O O 0 O co z 0 o N D m 0 4928 WHIS • ERING WAY CERTIFICATE OF SURVEY For: Vennehjem Building CorpREVIS ROPERTY DESCRIPTION: Lot 11, Block 1, WHISPERING WOODS LEVENTH ADDITION, Dakota County, Minnesota. By: Harold C. Notes: A 0 927.6 (930.0) tc Peterson, Denotes Denotes Denotes Denotes Denotes Denotes Denotes hereby certify that this is a true and correct survey of the above scribed property and that it was performed by me or under my ect supervision and that I am a duly Licensed Surveyor under the ws of the State of Minnesota. That this survey does not purport to ow all improvements, easements or encroachments, to the property cept as shown thereon. ned this 22nd day aff April , 2 0 . A ^ James R. Hill, Inc., S EWED Minnesota L.S. No. 12294 Bench Mark- 984.99 _TNH -LOTS 6 & 7, BLOCK 1 Proposed Garage Floor © Front = Proposed Garage Top of Block= Proposed House Top of Block= Proposed Lowest Floor= set spike set iron monument found iron monument existing elevation proposed elevation proposed drainage top of curb 991.0 991.4 991.4 983.4 Bearings are on assumed datum Scale: r =30' 0 James R. Hill, Inc. PLANNERS / ENGINEERS / SUR 2500 W. Cn RD. 42, SURE 120, BumismuE, MN 55337 PHONE: (952)890 -6044 FAX: (952)890 -6244 1943 941H Uwe NE, Sow B, Btu MN 55449 PHONE: (763)792 -1136 FAX: (763)792 -1743 3:1 Maximum Slopes or Retaining Wall Will Be Required 989.7 — 30.0-- . 1469 17.04 EXISTING HOUSE INSTAL ---- 25.0 -- 15.0 L ig h a a 492k WAY CERTIFICATE OF SURVEY For Vennehjem Building Corp. 2 m s - _ - _ 1479 0.0– 1477 ....___ rip., Na o,Q� o d 0) a_ 0 0) 989 SIO SO -- 30.00— Y Y < 0) =p II 0 > LJOJ OD I- W Y Y p c o rn o II U W O J CO I- W 8.0 / W ,‹ 2.0 0 – 39.00 1473 SAN. SERVICE INVERT ELEV.= TO BE FIELD DETERMINED BY CLIENT Scale: 1 " =30' Page 2 of 3 I n'T' r, L _ L/ I I lJ / A IN A t\ IT I 159.78 S89 °47'10 "W _ 983.9 — 'T 1509 19.96 i, 1489 co co M 0) ▪ 1507 W • C� O 15061_ 1 I F- 0980.3 x-5.00 X o I N. 40 )28.00 I / I 983.4 � l N O Z co 0 O ui 0) I ' 1 ' 979.7 9 47'10" .978.8 974.8 % In / 50.00 I I I r -- Q I- � W .%3 0- W W In 54. x•.,1 6 ^1451 - -' 25 1a GLDI6 i a O 974.8 25 1503 M O_ 0 1502 1504 1501 O N L tri 0) 1500 2 0 10X1499 0 � ; I 0 0 U, IC) F - C) — J (S0 c). — J INSTAIE`1 CONTROL R 1 � L_v I� F- - J 0 C] I- LiJ 974.8 C: ) C ] C) - PROPOSED HOUSE = 2,223 SQ.FT. OR 14.6% OF LOT AREA DRIVEWAY = 815 SQ. FT. LOT 11 = 15,179 SQ. FT. James R. Hill, Inc. 0 4928 WHISPERING WAY CERTIFICATE OF SURVEY For: Vennehjem Building Corp. Lot 11, Block 1, WHISPERING WOODS ELEVENTH ADDITION Tree Preservation plan Pre House Proposed Post House Development uction Tree Preservation Construction Const As-Built Pc t POINT NO. ELEV. TYPE DIA 3AVS wolsno REMOVE EXISTING 3N00 3AVs CUSTO REMOVE EXISTING 3N00 1451 982.4 OAK 6 X X 1452 981.2 ELM 12 X X 1470 988.8 OAK 11 X X 1472 987.0 POPLAR 11 X X 1473 987.8 OAK 8 X X 1474 988.7 OAK 5 X X 1475 989.0 OAK 4 X X 1476 989.4 OAK 23 X X 1477 r 989.0 OAK 4 X X 1479 989.2 OAK 9 X X 1480 989.0 OAK 9 X X 1481 989.0 OAK 7 X X 1486 985.6 OAK 8 X X 1488 982.3 POPLAR 12 X X 1489 984.0 OAK 44 X X 1490 986.5 OAK 26 X X 1491 986.5 OAK 5 X X 1496 980.3 OAK 5 X X 1497 980.9 OAK 6 X X 1498 9 0.6 POPLAR 12 X X 1499 980.7 CHERRY 5 X X 150 978.2 979.5 OAK OAK 13 11 X X X X 1503 1504 979.6 OAK 16 X X 1505 980.0 OAK 26 X X 1506 979.6 POPLAR 11 X X 1507 979.8 POPLAR 7 X X 1508 981.9 OAK 28 X X 1509 982.7 POPLAR 7 X X OFFSITE TREES 1469 990.4 OAK 4 X 1478 990.5 OAK 28 X 1500 980.0 CHERRY 10 X 1501 978.5 ELM 18 X 1517 ' 991.0 CHERRY 4 X Preliminary Tree Certification During a site visit on A IL 2£ 20 to all significant trees shown and designated hereon were present and in goo health, except as noted in the table above. x 0 The house has been staked. Tree fence will need to be placed outside the dripline of all significant tre-- n .e saved. Futur- trading and construction should not have a negative effect on these trees. o By. i � O f late: 4 • Zgf • ZDIa B y Date Harold C. Peterson, Minnesota L.S. No. 12294 Signature of Owner co Scale: i " =30' Page 3 of 3 James R. Hill, Inc. Use BLUE or BLACK Ink ? r - - - - - - - - - - - - - - - - I For Office Use L~ I Permit#: ® 1 City of EaRdi~ Permit Fee: a I 3830 Pilot Knob Road JJ I Eagan MN 55122 Date Received: IJ Z Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: - - - - - - - - - - - - - - - - G 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: _ S`cf k i J-0 ,O, k Phone: 6 RESIDENT / OWNER Address / City / Zip: 4,? 24 W A,,Co$ tt/a G~ eta-•-r A/ X7-12 2 Applicant is: ✓ Owner Contractor TYPE OF WORK Description of work: ~w rIC41 k Z tie tXi C(Q C s~ ) Construction Cost: 6'000.Multi-Family Building: (Yes /No Company: N (L~l/e .d Cou rl~uc~i + GCCContact: t ddiC~ X C 612 _106 303 CONTRACTOR Address: 16 o L AvcA or viod e&C City: mPK/Nf State: IAA/ Zip: ,T,- 3->J- Phone: /2 o ( 96 l' 2 License R, C 0 0 ;Z s y / Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) & 00 LJ `V~ 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: 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. 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.ora 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 01 'c,~- Iee u 42 x Applicant's Printed Name Applic n s Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUBTYPES Foundation Fireplace _ Porch (3-Season) Storm DzImage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool Miscellaneous 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 ,r Valuation Occupancy . - MCES System 1" J Plan Review Code Edition L2 SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: '1E Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 . N 49213 WHISPERING AY CERTIFICATE OF SURVE Y For. Vennehjem Building p 3:1 Maximum slopes or Retaining Wall Will r li j c~ Be Required _..._.l N o I /1 T I d° I F- L_v / YYp \ /Ai~A niT Q _ n rco~ V f-\ \-4 r\1 V 1 ~1 3, uo oW C] INSTAL R SIO u- a so u- 0 w 11 n 0 t-- loll u WOJ ~I 00> Mr- 61 -C z a- oo -j a rnvl mt-W ` W - W dII II 159.78 S89°47'1 0"W o F- o C-30.00- - 39.00 - 98.9 78.8 7 1 a z = ` ELEC. ~rl ~y1 lsos i 1n 50.00 W r -~1 0 10 987. d. f'1 M i ~ r- 974.8 974.8 F - Q 34.0M v 25 t.7 ' vi, ~j W I.~,`1467 / 1486 rn O W 1503 33 ~r N aa.s= 3.0 4.0 ° Z as o ( C] V w W W H W 1480 0 /W W j, /00 v 1507 WJ~ W I Q 1502 Tr CJ 10 C) N o 4.0/0 00oI LS 6 ~ 1504 1501 O 14 79 a ~ p p / ~i lsos!~` = a Imp = d,8. cI~ o w =s w - w o~ 30.0-_ 8.0 d t N!! 1500 1, 491 16- N 6.5% 1476 74 cn/ LLJ / to ` Zf a - ,C) o iT~ 10 wo } V7 N /Q 980.3 G ` 1498498 © O / 490 r- - R . ` q - W o CL C; 2.0 c0 17.04 " LO CL n V) p O 01 0/ 983. x-5100 x 0) o 1497 ~ O 989 N nl~ 153 19.96 EL 0 1475 474 1473 r1 1489 R a x'7451 L~J } 0 0 >,28.00 1 Cl_ Z x89. 14720 25 Gl) 4 400 1470 ~y1452 m 983.4 s7s - 54.00.:./ 30. 3 - '469 159.7 047'10" -J - 98 WM I _ a rn 1.~ u --25.0-- <2 V) ° EXISTING IN5TA CONTROL 15.0 10.0 = o p HOUSE t ,I z a- uj 1 L_lJ I I q M I-- W - z I wow r ~ ~ CJ ~ M PROPOSED HOUSE = 2,223 SQ.FT. OR 14.6% OF LOT AREA 0 DRIVEWAY = 815 SQ. FT. LOT 11 =15,179 SQ. FT. a SAN. SERVICE INVERT C.*) ELEV.= TO BE FIELD DETERMINED BY CLIENT Scale: 1"=30' Page 2 of 3 James R. Hill, Inc. Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I I CiPermit ty Ol EaV I 111!I / `~v~ I Permit Fee: (Q(J I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L --------------I 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite Resident/Owner Name: 414 ! GUl Q Phone: r Andress /City /Zip: God ~f~ Qr m Name: License Contractor Address: City: State: Zip: Phone: Contact: Email: Type of Work `-'flew Replacement -Repair _ Rebuild _ Modify Space Work in R.O.W. - - Description of work: RESIDENTIAL Water Heater Wate Softener Lawn Irrigation RPZ / - PVB) Permit Type Septic System Plumbing Fixtures L- Main / - Lower Level) _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic SVstem New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 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.gopherstateonecall.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; thd.the work will be in accordance with the approved plan in the case of work which requires a review and approval of ans. x SLQ1 - ct ) Ge x Applicant's Print 4d Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: � r Use BLUE or BLACK Ink .. . r------------------� I For Office Use I . I � ���� I Clty of �a��� , Permit#:_ � RECEf VED � Permit Fee: {7�• �� I 3830 Pilot Knob Road � �7 / � Eagan MN 55122 J�� � � � � Date Received: / �// � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION r�,[ ` r� I /�. �. � �I�3 � � . � � t7 � �� Z� ��1S QY11h W l�IM � � Date. 6 / Site Address: �''1� � � Unit#: Name: �V1'Vl^` ��D'W�G1 v�1 Phone:C 6S 1, gq� ^q��� ROWII@P� Address/City/Zip: �'f��..g t�`n1.1 Q�'1 W � 01'N� 9V� 1J ^ ��'1 Z Z, Applicant is; '� Owner ' C:ontractor r ` ��V�g � u 'N�" Description ofwork: ��r'�J��- t '�� 6CVJQ.N�� y" ��.1 . Type of Work " . �,°—�_." "�_- Construction Cost: � �� ��n a � Multi-Family Building:(Yes /No �) Company: Contact: COtltl'aCtOf Address: City: State: Zip: Phone: EmaiL License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � - 1 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 C�ontractor: Phone: NOTE:Plans and supporting�tlocuments that you submit are consideretl to be public information. Portions of the information may be classified as non-public if you provide speci�c reasons that would permit the City to ' , "` : " -,. ; conFlu�le that they are tra�(e secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protectian against underground utility damage. Call 48 hours -' before�you iptend 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. �v�rirl. ��►vIAN, X \ x�����'�"M^1 Applicant's Printed Name Applicant's Signature - Page 1 of 3 �`���� ���r���� ���� ��_ `� DO NOT WRITE BELOW i'HIS LINE ��`�`�� � 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 1� Afteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �Q?� Occupancy �G�1. MCES System ^ Plan Review Code Edition Cri7 SAC Units "' (25%_100% Y ) Zoning �—� City Water -�' Census Code � Stories -- Booster Pump -- #of Units � Square Feet —' PRV �' #of Buildings Length �' Fire Sprinklers --' Type of Construction � Width — REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) �G Final I No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath Brick �L Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES • 1!1 $O '� Base Fee a 7y L/'������' l��K Q���� � � Surcharge �`a� /���'N ��it1 (� ���/� ! D �?r0 •r Plan Review `�_ ✓ MCES SAC ���/' 9f� City SAC ��� Utility Connection Charge S�W Permit 8�Surcharge Treatment Plant Copies Q a.3 TOTAL Page 2 of 3