3553 Lemieux Cir' Site address: a Lot _ Block _ Subd.
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On April 15, 2000 the Minnesota Energy Cotle, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER ' MODEL BTU'S VENTING NPE
Water Heater
Fumace
y,
-e-f'`
.7-
Dryer lxaz k ?''?
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CfM'S VENTED
YES No
Kitchen kitchen
._?
Bathroom 1
Bathroom 2
Bathroom 3 _
Bathroom 4
Other
/
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
MAKE-UP AIR . MODEL TYPE CFM's
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and Ciry of Eagan
requirements.
Signatu?
Company Na e
Date
' This fortn is the responsibility of the General Contractor.
Address: 3553 Lemieux Cir
Lot: 2 Block: 1 Subdivision: Pearlmont Heights
Zip: 55122
THE FOLLOW[NG ITEMS WERElWERE NOT COMPLETE AT FINAL INSPECTION ON 6.- ,2'?-06
Yes No Comments
Final grade - 6" from siding
Permanent ste s - arage
Permanent steps - main entry
Perxnanent driveway
Permanent gas
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
TraiUcurb dama e
Porch
Lower level finish
Deck
Fire lace
• Verify with your builder that rooftest 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 Departmsnt at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
? BUILDING INSPECTOR:
CdBldg Insp/Forms/2004/Checklists/Master Checklist For C.O.
CONTRACTOR:
Ron Clark Construction
7500 West 78`h Street
MN 55439
• ' , , LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?d'??? ?2 ? I r Z d3l?c K I ?r?ll'?'l ?"{"
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DATE OF SURVEY: 3I l?? `
LATEST REVISION:
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DOCUMENT STANDARDS
. Registered Land Surveyor signature and company
. Building Permit Applicant
. Legal description
. AddressLf s 3SS/ 3S531E+n;euxG'r.
. North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
. Directionai drainage arrows with slope/gradient %
. Proposed/existing sewer and water services 8 invert elevation-$/,ot,J PfopcL561:i /oCa,*Ns, Q./So s/.oW c$
. Street name l??i &1s C9 %rrlei'Seet%?n.
. Driveway (grade & width - in RNV and back of curb, 22' max.)
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
? ,? ? . PropeRy corners
line e
ert
o
d
xtensions- Skc+J -70C EIE.to?ionS d.lon5 UiDle 4?'ne.
? ? y1 y
p
pr
. Top of curb at the driveway an
? g ? . Elevations of any existing adjacent homes
,a ,
? ? • Adequate footing depth of structures due to adjacent utility trenches
? ? ? • Waterways (pond, stream, ete.)
Prooosed
? ? p • Garage floor xke,?d yr1olp, ; ??rmGi?? w?? }?lea?te ?ro?; c1Q ?+fapose d
?
? ,?
?' . Basement floor
. Lowest exposed elevation (walkouUwind
i
EIeJ4?io.?S ?or (3o-H?. S;Ae t?ardsj ?k tjard
?
? je • Property corners
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• Front and rear of home at the foundat 1ow,p-.
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u I 01_
PONDING AREA (if applicable)
p' A ? • Easement line
? Pf ? • NWL
? );( ? • HWL
? J3 ? . Pond # designation
? z ? . Emergency Overflow Elevation
? A . PondlWetland buffer delineation
y . Shoreland Zoning Overlay District
y • Conservation Easements
DIMENSIONS
yJ ? ? . Lot lineslBearings & dimensions
?,?/? ?? . Right-of-way and reet widt (to back of curb)-? ????•
,? ?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
?,z . Show all easements of record and any City utilities within those easements- 5?ow I.o?Z`/
?. Setbacks of proposed structure and sideyard setback of adjacent existing structures Sho?J
z ?? . Retaining wall requirements:Ir1..:Si or lNa:-4 '11 Le- ' c?•
J
ii..f' 2Z `
Reviewed By 11 Date
?A-.`^
G:IFORMSIBuilding Permit Application Rev. 11-26-04
- Y °
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MNCheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
Permit #
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 2-15-2005
DATE OF PLANS: 2-20-05
TITLE: DIFFLEY MODEL k?,?? P0 JOAU*?-
PROJECT INFORMATION:
LOT 1-2, BLK 1
PEARLMONT
COMPANY INFORMATION:
PEARLMONT HEIGHTS, INC.
7500 WEST 78TH ST.
EDINA, MN 55439
COMPLIANCE: PASSES
Required UA = 961
Your Rome = 360
21.9% Better Than Code
----------------
CEILINGS: Raised
WALLS: Wood Frami
BSMT: Conc. 9.0'
BSMT: Conc. 4.5'
GLAZING: Windows
DOORS
Area or
Perimeter
----------------------------
Truss 1306
_, 16" O.C. 2945
ht/8.3' bg/8.3' insul 1052
ht/4.0' bg/4.0' insul 10
or poors, Above Grade 391
39
HVAC EQUIPMENT: Furnace, 92.0 AFUE
Cavity Cont. Glazing/Door
R-Value R-Value U-Value C7A
----------
38.0 ------
0.0
19.0 6.0
5.0 0.0
5.0 0.0
33
115
88
1
0.320 109
0.350 14
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the perm. t application. The proposed building has been
designed to meet th quiremen of the Minnesota Energy Code.
?
Builder/Designer ? Date? Z. -O?J
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1
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5 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan -9 P (? `?)
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
r RemodellRepair Reauirements
3/06--PLAN REVIEW OVERCHARGE 2coPiesofplan
'lsetofEnergyCalculationsforheatetladditions
REFUNDED - $426.88 1 site survey for additions & decks
Addition - indicate if on-sfte sepGc system
3 copies 6f Tree Preservation Plan if lot pla'tted aRer 711193
Rim Joist Detail Options selection sheet (buildings wdh 3 or less units)
90.?
Office Use Qnlr
Cert of Suniey Recd N
Tree Pres P-Ian ReW N.
Tree Pres Required Y- N
0n-site Septic Sysfem -Y _ N
Date . 7? / Z? I D J Construction Cost
Site Address ci(*d.,-± lJ
? X `i12GGL? Unit/Ste #
.?- ,b1 ..5s?zZ
Description of Wark ?t` 1,/ ? ???,,[_,
Multi-Famity Bldg _ Y?N Fireplacg(s) _ 0 1_ 2
Property Owner /64-iy 1-ita4d.u T G. Telephone #(A5-Z) ??-S:GdQ
Contractor Ae"?? 4fz0r.0"L ?,SL/lyG?jdn?
Address 076-4e3 S/-- City
State Zip e5'?57$0'31 Telephone #(%SZ) S?7- 3G!!d'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
-elolMinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentia! Ventilation Category 1 Worksheet , • New Energy Code Worksheet
(J submission type) Submitted ? Submitted
• Energy Envelope Calculalions Submitled
Have you previously consfructed a building in Eagan with a similar plan? _ Y ?V If so, 25% plan review
fee applies.
Licensed Plumber A-?4, g4,4z Telephone #?y'6'2?
Mechanical Contractor 1644-A1.)L41 Telephone #(05-4- O?5'
Sewer/WaterContractor IA.VGf- Telephone#(9.5?-) 012-2-516
412- z'?b ,.-
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which.requiFes-a-re._' and
approval of plans.
Applicant's Printed Name
A
2 5 2005 il
FEB
Sub Types
OFFICE USE ONLY
?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 OG-p{ex ? 16 Firepface ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
II( 04 02-plex O 90 08-plex 0 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 PAisceilaneous
Work 'fypes
7? 37 New ? 35
? 32 Addition 0 36
? 33 Alteration ? 37
? 34` Replacement
Valuation j ) 00-p
Census Code r ??..
SAC Units ?
# of Units ?
# of Bldgs
Type of Gonst
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - 5F
? 36 Multi Misc.
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Demolish Building* ? 43 Reroaf ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy - U:Y MCES System
Zoning City Water
Staries ? Booster Pump
Sq. Ft. 34PRV
Length ?{j 11 Fire Sprinklered
Width .7 L I
Footings (new bldg)
_ Footings (deck)
Footings (addition)
?. Foundation
Drain Tile
AooF Ice & Water Final
? Framing
Fireplace 4, R.I. ?( Air Test -) Final
?C insulation
REQUIRED INSPECTIONS
?t FinaUC.O.
Final/No C.O.
Plumbing
, HVAC
Other
, Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
?" ?1
Approved By: .? 1j , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
01!?6
611r 73
fC/5y IL/2-
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K16 y ?o y
c ))17jr
Use BLUE or BLACK Ink
F-----------------
! For Office [fie 2 a q 1
411b~ j Permit CIV
Eap I Permit Fee: I O l
3830 Pilot Knob Road
Eagan MN 55122 ! Date Received: 1
Phone: (657) 675-5675 l Staff !
Fax: (657) 675-5694 1 !
`----.------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION Cp
~ s~ \ 7) - _tv~LR__
Date: Site Address: SS 1 SJ L cm. k C Unit #
Name: -l f&C ~ 0"q,tii Vkg_z%. r.~ oc.~.-mss A)J Phone: 9 SZ - 9 `41 - 3O
Resident/
Owner Address / City ! Zip.-
Applicant is: Owner Contractor
Type of Work Description of wort(: f ~ O C E - X-C. - eTEJ On A r,- ~
Construction Cost: A r0 Multi-Family Building: (Yes / NO
Company: O Contact I^. r _
Contractor ' Address: zo O S T=~ l~r •-tt r fv , City: LcLk t- 1
State: Zip: ' 5'6,4 Z Phone: 6S-) - -77 7 - 7 ,3 ILA
License Lead Certificate l (b~~ /
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: 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.gooherstateonecall.ora
1 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 1 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 Mlinnesota State Building Code must be completed within 180
days of permit issuance. r _ - -
Applicanrs Printed Name Applicants Signature
Page 1 of 3