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4228 Braddock Tr Parcel Files Cover Sheet Unique ID: 2024 4228 Braddock Tr 105210004002 INSPECTION RECORD CIV OF EAGAN PERMIT TYPE: f~t~~ t r~ 3'~art 3830 Pilot Knob Road Permit Number: 4 6 ~ H Eagan, Minnesota 55123 Date Rued: a + 0 6 1) 4 (612) 681-4675 SITE ADDRESS: 1.0f t Of I APPLICANT: HIIAV110i- l a'ft' H1, 11Y) N "INN PERMIT SUBTYPE. TYPE OF WORK: UP AM 111 €.NSUt-A f t.trit F f t=f: d' I ow ~ RfNARt.':c.K A1 -;l'•VARAFF Pf°RMFT T,'.i 14 i,itf I !4,(s VON ANY 3 t,..4, 1 0 1 cAf W010V (0-00 OWL 00"OL MOW ft* FW Pr. o ps t,., _.p Jtr Iut1T"~ CITY OF EAGAN"~ f 31830 Pilot Knob Road, P.O. Box 21.199, Eagan, MM551 BUILDING PERMIT PHONE: 454.8100 Receipt ZX7,7Te be wed fa SF DWG/GAIL Est, Value $70 s 000 Date JMY 1 7 19 -SiteAddrm 4225 BRADDOCK rfR Erect ® o=pency R3 Lot Block 2 /Sub. NO VIEW DWADS Remodel ❑ Zoning R1 Parcel iYo, Repair ❑ Type of Const V Enlarge ❑ No. Stories Name GRAND OAKS Move ❑ Length 5 Addra 762 UPPER 167TH Demolish ❑ Depth 48 City LAKEVILLE Phone ' 432°6561 Grade ❑ Sq. Ft. SAME Appnwob n ~ Name $ Address Assessment Permit 6 3LI -3-fa_ 0 City Phone Water & Sew. Surcharge 35.00 i Police Plan check 171.50 o~ Name Fire SAC 5251tOQ. 3a Address Eng. Water Conn.. 470, 0 ° City Phone Planner Water Meter 63, Council Rood Unit 260 b( I hereby acknowledge that t have read thlia-pplicotion and state that Bldg. Off. Parks the information is correct and agree to-comply with all applicable APC Total State Of Minnesota Statutes and City of Jq an Ordinances. Var. Date Signature of Permutes A Building Permit is issued to: GRAND OAKS an the eXPess condition thor all work shall be done in accordance ith y applicable State Minnesota Statutes and Oty of Eagan Ordinances. Building Official _ e L-.✓' Permit No. Permit Holder Date RM&kv KVA.C. 6 stoma Softener . Inspection Date Insp. Other Footings Foundation Framing i Rough PI1w .T~ 0111 ~ _ _ Insulation Final Pibg. Finat HVAC Final - Cart/Occ. yr Describe Location: Well Sewer Pr. Dbp. r r Receipt `I y 3 PLUMBIA b PERMIT Permit No.. 9-61 CITY OF EAGAN -Fee Ave 3 Fill In iWmi erred spaces ==SIC Type or Print leglWy TCYL 2.Instalta 9. Date. tion Cost dr~s~ 3.. Job Lot l. _Blk. Trl / - Phaney~~--- 5. Contractor. _ T _ 1 6. Address - 7: citye Zip 8. -BuiidingJy r-Resideritial ~CQartmerciai -Q --institutionai-Q- 9. Work:iption: New Add' ❑ Alter CI Repair D - 10. scribe iI. Fixtures No. Fixtures Water Closet Cesspool/Drainfield _ Bath tins Septic Tank Lavatory - Softner - Shower. Well - KWwn Sink Urinal/Bidet Other Laundry Tray i Floor Drains D tnking Ftn. Slop Sink Sias Piping Outlets I 12. _ 1- henebY certify that the above information is true and cgrrect, and f a to P comply wit a i ordinan %codes governing this type of work. € for Rough - - -inspections: Date Insp. Date fns This is-Your permit when numbered and approved.. Approved CITY OF EAVM III Receipt- MECHANICAL PERMIT Permit No.. / CITY OF EAGAN Fee . Fill in numbered 4=M SIG / Type or Print leoIbly Tot. 1, flats' cR 9 a 2. Installation Cost 4.z 2 c6- ore dde, e k yr✓ 3. Job Address fi1&1r1h yi v-"& Lot~J_Blk. Z Tract 4.0%yner e'V,/d0"5~''~° t'~~Ot~ sr b. Contractor T f A 01PV 4 ~7 P Aga j Phone S&7 ` 3 ?1/ 8. Address a t- Wf f f 5 14 7, Cl ✓1 r ~r/ State ty zip 8. Building Type: Residential 0- Commercial ❑ Institutional ❑ 8. Work Description: New E!r Add ❑ Alter ❑ "Repair ❑ 10. Describe Fuel Type 11. No. Equipn BTU - M. Ea. No. Eau1Pment CFM Forced Air/e-Wi Air Handling: Mfg Boilers Mech. Exhaust Mfg. s Unit Heater t Mfg. Oth$r 1 g Air Cond. Mfg. Gas, Piping Outlets q fi . a 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type bf work. a Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 r, - Receipt L.I e } PLUMBING PERMIT. Permit No. CITY OF EAGAN Fee i fill in numbered spaces SIC Type or Print legibly Tot. _ 1: Date ~ 2. Installation Cost„ 3. Job Addreo Lot_ elk. Tract 4. Owner a r .gJ o C4LI6 5. Contractor Phone 6. Address a°t 7. City ~r State 7 Zip 8. Building Type: Residential ~J Commercial ❑ Institutional ❑ 9. Work Description: New ff Add ❑ Alter ❑ Repair ❑ 10. Describe r/- 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE PHONE 454-8100 17' 7 ex < -Site A ess BLDG. TYPE WORK DESCRIPTION . Lot 4/4 S B /Sub Res. j Neer. - - Mutt Add-66 m Nam G ° Comm. Repair - Add s c w t - Other c City Phone U d l . FEES' r Name RES. HVAC 0-100 M BTU -$24.00 77 'z- ADDITIONAL 50 M BTU - &00 Addy p CiiyPhone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMM - 1.50 EA t TYPE OF WORK" COMMAND FEE -1% OF CONTRACT FEE C; Forced Aire M BTU APT. BLDG& - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RE& RATE APPLIES __Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & kleater , M BTU REMODELS 1200 f plr Comex MINIMUM COMMERCIAL FEE 2000 ►1= Sit _ - - _ ~/enC CFM (ADD $.50 S/C IF PERMIT PRICE GOES. Gas Piping Outlets # . BEYOND $1,000) Other_ , 72- FEES" y C S/C: $IGNA F P, EE TOTAL:* FOR: CITY OF EAGAN ; CASH RECEI CITY OF EAGAN x P. O. BOX 21-199 ' EAGAN, MINNESOTA 55121 DATA f,.r. 19 ' RECEIVED FROM AMOUNT & _ DOLLARS 100 0 CASH [jA+tfCK a ANIL U tiD y C ~ AM OU NT ' FUND- 11 "V S 6', el By White-Payers Copy Yellow-Posti og o*y Pink-File Copy , CITY of EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5659 P. Or$ox 211" PERMIT NO.: Eagan, MN 55321 DATE: 8-21-84 Zoning: No. of Units: Owner: frrStYu Oaks Address: Site Address: Br8 oc Trail car Y_ Plumber: McDonald P1h Meter No Connection' Charge: Size Account Deposit: 15. 10.00 pd Reader No.: Permit Fee: 50 pd 1 agree-to conv* with the City of Eagan Surcharge: Ordinance& Misc. Charges: 63.-00 Mter Total: BY Dote Paid Date of Insp.: Insp.: CtTY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6U P. O. Box 21199 PERMIT NO.: -34 Eagan, MN 55+1'21 DATE: ; Zoning: No. of Units: 1 Owner: Y~'1k, aCrBE Address: . Site Address: 422,7, ^raddc, TR&L~ L i.= fi usr8 Plumbers ,ld F'1' 18--64 4 i opwo,to aonoly v*& the City of 8ogon Connection Charge: fl Account Deposit: 15. UO Permit Fee: Q Surcharge: .50 Pd, BY Misc. Charges: Dote of Insp.: Total: Insp.: Date :Paid: CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS Lot 4 Blk 2 Parcel 10-52100-040-02 Owner Street 4228 BRADDOCK TRAIL State EAGAN MN 55123 Improvement flDate Amount Annual Years Payment Receipt Date STREET SURF. $i 76.75 7.68 10 69.08 0009418 9-13-84 STREET RESTOR. GRADING SEWER L AT 571981 15.89 .79 20 12.73!, 0009418 9-13-84 SAN SEW TRUNK 5-715 1981 138.48 6.92 20 110.80 0009418 9-13-84 SEWER LATERAL TRK 'g`f9 1984 275.22 18.35 15 256.88 0009418 9-13-84 SEWER LAT 517 1981 22.28 1.11 20 16.36 0009418 9-13-84 WATERMAIN tLI 1984 70.67 4.71 15 65.96 0009418 9-13-84 WATER LATERAL 5 T9 1981 18.65 .93 20 13.69 0009418 9-13-84 WATER AREA 1981 138.48 6.92 20 110.80 0009418 9-13-84 WATER LAT 15 1982 29.52 1.48 20 23.64 0009418 9-13-84 STORM SEW TRK 1,50 1984 392.32 39.23 10 313.86 0009418 9-13-84 STORM SEW LAT DRAINAGE 17 1984 33.97 3.40 10 30.58 0009418 9-13-84 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #44791 7-19-8 WATER CONN. 470.00 ii n BUILDING PER. if it SAC 525.00- PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Blax 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Recept WN/ # 7 7 To be used fm SF DWG/GAR Est. Value $70,000 Date JULY 17 19__8.4 Site Address 4228 `BRADDOCK TR Erect 0X Occupancy R3 Lot 4 Block --Z-Sec/Sub. NO VIEW MEADS- Remodel ❑ Zoning R1 Parcel No. " Repair ❑ Type of Const. V Enlarge ❑ No. Stories W Name GRAND OAKS Move ❑ Length 50 z Address 7623 UPPER 167TH Demolish ❑ Depth 48 City LAKEVILLE Phone 432-6561 Grade El Sq. Ft. Approvals Fees Cr Name SAME ~ Assessment Permit -14 -40 0 su Address City Phone Water 8 Sew. Surcharge 35.00 Police Plan check 1_50 2W Name Fire SAC 525.00 X, Address Eng. Water Conn. 0, 0 <W City Phone Planner Water Meter 63, 0 Council Road Unit 260- n 0 hereby acknowledge that I have read this application and state that ' Bldg. Off. Parks ,the information is correct and agree to comply with all applicable AC Total 'State of Minnesota Statutes and City of Eagan Ordinances. r Var. Date Signature of Permittee A Building Permit Is issued to: GRAND OAKS on the express condition that all work shall be done in accordance 'th applicable e f Minnesota Statutes and City of Eagan Ordinances. Building Official " F 24215 Request Date Fir No. Rough-in Inspection Required? ❑ Ready Now Will Notity Inspector 7/13/89 ❑ Yes X No When Ready? I K licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 4228 Braddock Trail Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. 452-9573 Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Hilite Electric Inc 040445 Mailing Address (Contractor or Owner Making Installation) 1953 Shawnee Rd Eagan, Authorized ature (C /Owner Making Installation) Phone Number 452-8886 MINN A ST LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. „REQUEST FOR ELECTRICAL INSPECTION Qrh EB-00001-07 11- See instructions for completing this form on back of yellow copy. F 24215 "X" Below Work Covered by This Request New kdd Rep. ' TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm X Air Conditioner Other (specify) Contractors Remarks: Job # 20836 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps j 0 to 100 Amps 4.00 Transformers Above 200 Amps Above 1 Amps Signs Inspector'; Use Only: TOTAL Irrigation Booms ~,J GJ 15.50 Special Inspection r Alarm/Communication Other Fee . 50 I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date 02 been made. OFFICE USE ONLY This request void 18 months from This request void 5~~'Lg 18 months born J -pa'SI~ A 0 6 8 2 4 9 v 0 r e--cj ° t oast Fire No. Rough-in Inspection o Lady Now i1I Notify Inspec- uA ed? T for es - ONO When Ready Lice sed Electrical -Contractor 1 herebv request inspection of above ❑ Owner electrical work installed at Street A4dFeSS, BOX OF Rouse NO. City ect NO I Township Name or No. f~ Range No. Couiny 41 L w 5 f e14 ✓w,V D / Occupant (PRINT) Phonp No. -04nia'd &Z Power i,pplier Address Elect ZC M (Campo ame) Contractor`s LicAmse No. Mailing Address (Contractor or Owner Maki Instailation) 6 ld~2 Authoriz Signs ttne Contractor Owner king Installation) Phone'Nunber MINNESOTA STATE ND OF ELECTRICF1rV THIS INSPECTION REQUEST MILL NOT Griggs-Midway Bids Room N•197 BE ACCEPTED By THE SILATE`BOARD 1821 University Ave., SL Paul, M 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 257,2111 ENCLOSED- (F +rjr6Y~ 1 W-Q~ FOR ELETMCAL INSPEM E~BfUOOD1~41 see instnictions fm g this farm an back of wibw copy. L ( ~ A "Y' $elow Work Covered by This Request .41 Add Rep. Tye of Building, Appliances Wired Egaiment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fann Other peci ther.(Specify) oths, - M rjFX-Mify) € mar Compute Inspection Fee Below # Fee service EnvanceS e # fee Feeders^ubfeeders # Fee Circuits 0 to 200 Mrs 0 to 30 0 to 30 Anws Above 200 31 to 100 ,gimps p" 31 to 100 AaW Swimni Pool Above 100 Above 100_ Transtorn err, Irrigation Booms PartiaV01her Fee signs Special lrspection $ ~a T Remarks Rough-in V4Q0,ff W--r- Pate .ham 4= 00 1 C Final Date certify tl~et ti~q above pectiarr trsaj been Thfs mp" void 18 MOnes fm01 f N6 4 7 4- ~35s~s ~!D Request Date. - Fire o. Rough-In Inppection R ed Inspection Other.Then ough-In (You mu call inspector when ready) ❑ Ready Now Will Notify Inspector a / Yes ❑ No . Date Ready I ❑ licensed contractor owner hereby request inspection of above electrical work at: Job Address (Stre . B to No.) City clc J r, Section No. Township Name or No. - Range No. County Occupant (PRINT Phone No. ty)i n ) 14 / U to e,n _7 Power Supplier ]Address Electrical 4Z r (Company Name) Contractdr5 License No. Y«Ww/!ec" Mailing Address (Contractor or Owner Making Installation) bl - Authorized Signature (Contractor/Owner Making Installation) Phone Number r r MINNESOTA STATE BOARD OF LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg.- Room S-173 BE ACCEPTED BYTHE-STATE BOARD 1821 University Ave., St. Paul, MN 55104 - UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 - ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION S r" Es-00001-08 See instructions for completingthiS form on back of yellow copy. f~ - No. .mss s H 6 4724 X" Be-low Work Covered by This Request New AUep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps a Amps Sighs Inspector's Use Only: T07 Irrigation Booms Special Inspection, Alarm/Communication THIS INSTALLATION MAY BE OR SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in late, / r certify that the above inspection has Filial a ate t been made. OFFICE USE ONLY - This request void 18 months from CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5659 P. O. Box 21199 PERMIT NO.: 8-21-84 Eagan, MN 55121 DATE: 1 Zoning: R1 No. of Units: Owner: Grand Oaks Tess: it, Address: 4228 Braddock Trail L4 B2 Northview Meadows lumber: McDonald P1bg Meter No.:~/ 2.~ Connection Charge: 4 .00 pd Size: 15.00 p Account Deposit: Reader o.: m !v g !y 2 Lf Permit Fee: 10. 00- p .50 p 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: 63.00 pd met r~ Total: B}r,' °r a-- Date Paid: Date of Insp.: 01_,~ Insp.: 2005 RESIDENTIAL BUILDING PERMIT APPLICATION • City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 'free Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y _N 1 set of Energy Calculations Addition - indicate If on-site septic system On-ste Septic System _Y _N 3 copies of Tree Preservation Plan K lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date E' l 30 Construction Cost r Site Address G/Z17,q Unit/Ste # Description of Work 11Jfr11i& 64 S Multi-Family Bldg _ Y N Fireplace(s) _ 0 !t 1 , 2 Property Owner l/V j /V &y Lj A-) Telephone # ((,v) 0-1-12,014 Contractor / Address /J f ~S 1~ A City State Zip Telephone # (eo) !~ql -S W Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateego1y 11 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) 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 i the case o ork which requires a review and approval of p ans. 1 C V C r Applicant's Printed Name Appli ant's igna e OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 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* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs _ Air/Gas Tests _ Final _ Framing Siding ` Stucco - Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f/j Z Zi RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks - Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date Construction Cost 5 ,`Q14 Site Address y 3D ~C Q.A&C.L Unit/Ste # Description of Work lQ Multi-Family Bldg Y - N Fireplace(s) - 0 - 1 _ 2 Property Owner N Telephone # ((6b Contractor RMA HOME SERVICES INC. Address HOME DEPOT INSTALLED SALES City 3200 COBB GALLERIA PARKWAY State A TLANTA, GA 30339 Telephone # ( ) 763-542-8826 - BC.-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor I T6 0 ho 6e a a~ I hereby apply for a Residential Building Permit and acknowledge fiat the information is ' omplete and accurate; that the work will be in conformance with the ordinances and co is of the `Eity` an 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 requires a review and approva of plans. Applicant's Printed Name Applicant's Signature OFFICE ZSE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 ` 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New 0 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44, Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation), ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Installed = Siding and Windows LIMITED POWER OF ATTORNEY . COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or, any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21 st day of May, 2003 David N. Katz Nili SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. Notary PQXic in for the State of Borgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 9 Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT RESIDENTIAL BUILDING PERMIT APPLICATION 3 , 755 CITY OF EAGAN o `C 3830 PILOT' KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements RemoddRw* Renulrements • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas . 2 copies of plan n (21/. maximum let coverage allowed) . 1 set of Energy Cartions for heal additim • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & 1 set of Energy Calculations • Indicate If home served by septic system for additions • 3 copies of Tree Preservation Plan 'd lot platted after 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units) 41 DATE - j 6 VALUATION~t SITE ADDRESS FT~~DC 7/41L MULTI-FAMILY BLDG -Y _N TYPE OF WORK FIREPLACE(S) _ 0 - 1 - 2 APPLICANT_ ~aJY- STREET ADDRESS L1?~ CITY TATEZIP TELEPHONE # sea-Qr--?) CELL PHONE # °"7?0-~~1 FAX # JM n, i PROPERTY OWNER /y ~yg l'Yio~•1~ TELEPHONES!^O?~~7d~ COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 submission t)pe) • Residential Ventilation Category 1 Worksheet Submitted E ubmitted • Energy Envelope Calculations Submitted MAY 202 Plumbing Contractor: Phone # B Plumbing system includes: Water Softener Lawn Sprinkler ee: Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.40 _ Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information 7crect, an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required updated a/oa OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt-Multi ❑ 03 01 of_ plex ❑ 09 07-piex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck 0 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24. Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg _y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition 0 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation , HVAC Drain Tile Other Roof - Ice & Water Final Pool Ftgs Air/Gas Tests -Final Framing - - Siding stucco stone Fireplace . R.I. Airlest Final Windows (new/replacement) Insulation Retaining Wall Approved By , Building Inspector - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT CITY PF EAGAN 16-- 3830'Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 4 6 7 8 (612) 681-4675 Date Issued: 10/06/94 SITE ADDRESS: 4228 BRADDOCK TR LOT: 4 BLOCK: 2 NORTHVIEW MEADOWS P.I.N.: 10-52100-040--02 DESCRIPTION: (ENTRYWAY) Building Permit Type SF ADDITION BUi lding Work Type NEW REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge 1.50 Total Fee $55.50 CONTRACTOR: OWNER: - Applicant - NEUYEN MINK 4228 BRADDOCK TR EAGAN MN 55123 (612)452-1708 I hereby acknowl.edq(, that. I have read thin application and stag that the information is correct and agree to comply ail applicable State of Mn, Statutes and City of Eagan Ordinances. LICANT/PERMITEE SIGNATURE ISSUED BY: URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 4 6 7 8 Eagan, Minnesota 55123 Date Issued: 10/06/94 (612) 681-4675 SITE ADDRESS: LOT: 4 BLOCK: 2 APPLICANT: 4228 BRADDOCK TR NEUYEN MINH NORTHVIEW MEADOWS (612) 452-1708 PERMIT SUBTYPE: TYPE OF WORK: SF ADDITION NEW DESCRIPTION (ENTRYWAY) INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING INSULATION FIREPLACE FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK L CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. REC1MVED COMMERCIAL 2 sets of architectural & structural plans, '1 set of specifications, 1 copy of energy talcs. OCT 0 4 1994 Penalty applies: 1) when permit is typed, but not picked up by last wor mttt in which request is made, 2) address is changed or .3) lot change,is requested once permit` is issued. Date _j 6, '1 Valuation of work Site Address: ~ll2~b 'ex,aaagoC , 7;e-,Y-7--l STREET SUITE # Tenant Name: (commercial only) LOT ~V BLOCK SUBD.~ P.I.D. # Description of work: E r' The applicant is: 12 Owner ❑ Contractor 0 Other describer Name IA/ Phone 4S-Z - l70,? Property LAST FIRST Owner :Address -STREET s STE City t'- t~/j?t/ State /Y A Zip Company one Contractor Address License xp. Cit State Zip Architect/ Co p Phone Engineer Name egistration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY -s BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dw9. ❑ 07 4-flex ❑ 12 Multi. Misc ❑ 17 Swim Pooh 0 03 SF Addition ❑'08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. 04 SF Porch ❑ 09 12-Plex 0 14 Fireplace ❑ 19 Comm./Ind. Misc. 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck D 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations 0 35 Tenant Finish 0 37 Demolish 32 Addition ❑ 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pumpp # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code viel Depth On-site sewage SAC Code z Census Bldg APPROVALS Census Unit d Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Site Z Footing Framing ❑ Insulation 0 Wallboard 'Final ❑ Draintile ❑ Fireplace Permit fee vatwtia,• 3 Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units . s S~RyEYOR'S, CERTIFICATE ' . GRAND OAKS DEVELOPMENT COMPANY COUNTY a STATE AID H W Y. NO. 30 N --S 89 °52'11 "E 78.49 t96-412 01 o t DRAINAGE& SIrEASEMENT PERIPLAT5 g ; LOT 4 o Cb CY a t0 ty 4s.oo f • % i ROPOSED HOUSE v j IQ 28.00 /d Mlle O Ch 40 ~V M Q) GA/ a O oO 1 ! o ` ,.00 ~h ~ I W rim rge3 j•'"0000'111056.74= g6'~s R=325.00 BRADDOCK; L _ A R L 7/ E w 4 _$i +V DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH = ~o FEET O DENOTES IRON MONUMENT SET • DENOTES'IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 91~~..8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9t04.0 FEET (DOOM DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9b~.Z FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT COMPANY THAT THIS IS A TRUE AND CORRECT orn. ESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 4, Block 2, NORTHVIE4. MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. a AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS,. IF ANY, THEREON. AS SURVEYED BY ME. OR UNDER MY DIRECT SUPERVISION, THIS 8TH DAY OF JUNE 1984. SIGNED: JAMES R. HILL, INC. BY: ,r__ HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84 756 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South _ =nI nco 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 'P'1 2~ g ✓ ^ /-/I 1/ 2 tt.I Cr st G'l ~L'~~ Y C~~~ LEGAL DESCRIPTION : b + V) Q T~J ' V 1 ' ~I (LOt/131OCk/Subdivisi.On or Tax Parcel I.D. Number) IF ~EXIE- STRUCTU??E, DA= CF ORTGi I~~L BUI=ING P=, jT TSSU'ANCE: I lon n/ ear j PRESENT ~^'`lINr,/PROPOSED USE- ~ Rl SINGLE FA~,IILY R--2 DUPLEX (TWO UNITS ) D R-3 TOWNHOUSE (T'HREE + UNITS) ( UNITS) p R-4 APARTP=/CONUQMINIUM ( UNITS) p COMMERCIAL/RETAIL/OFFICE INDUSTRIAL [j INSTITUTIONAL/GGUERNMENT 2) APPLICANT, (PLEASE PRINT) c NAME:. ADDRESS: to ~'r3 CI'T'Y, STATE, ZIP: PHONE/ (~2 1 PLEASE PRI T) NAIVE: 3) PLUMBER FOR CITY USE ONLY f► ADDRESS: 116 P PLUMBERS LICENSE: Active CITY, STATE, ZIP: L, A to \/01" Vyoo) Expired PHONE: 9 rt ^7 *MA~T ] Not. of Record PLUMBER LICENSE # Staff Initial 4) OCCUPANT/OWNER (PLEASE PRINT) NAME ADDRESS: CITY, STATE, ZIP: PHONE 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER C] OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PRASE MAIL APPROVED PERMIT TO 1,# Q4 ABOVE f/ b (Circle O 7) SIGTATURE: nAA DATE: "c CJ FO R C-I TY U S E ONLY PERMIT # ISSUED L FEES: $ ~Q- SEWER PERMIT (INCLUDE SURCHARGE) $ _.5;" U WATER PERMIT (INCLUDE,SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER WAC $ I le, ® SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER ' $ OTHER $ TOTAL AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION'REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A-"PERMIT FOR WORK WITHIN PUBLIC ROADWAY MUST BE ISSUED BY THE i!] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE : `--C~ DATE 1 CITY OF PAGAN Include 2 sets of plans, ! 1 site plan w/elevations% BUILDING PERMIT APPLICATION 1 set of enercfiy calculations. To Be Used For Valuation _ Date Site Address L 2 Z OFFICE USE ONLY Lot Block . . ~ ,h~•Erectr Sec /Sub _ Occupancy Parcel Alter Zoning 1~-l Repair _ fire Zone Owner: (o A A,4. Enlarge Type of Const. Nbve # Stories Address : - Dorrolish Front ft. Font t City/Zip Code: t cz~~ j _ Grade Depth - 4t5 ft. Phone APPROVAT 5 FF f'S Contractor: ALssessm-nts Permit 4 00 Water/Saver Surcharge Address: Police - Plan Check City/Zip Code: Fire SAC Phone D-)g. Water Conn. 4 ~0 . Planner Water Meter Lo- Arch./Eng.: Council Road Unit Bldg. Off. Address : A 13C City/Zip Code: Phone TOTAL S~ ;2, sz 4 SURVEYOR'S'. CERTIFICATE GRAND OAKS DEVELOPMENT COMPANY COUNTY STATE AID HWY. NO. 30 N s~ S89°52'11 "E 78.49964• t96-41 2 if 5 DRAINAGE & UTILITY I EASEMENT PER PLAT 8 LOT 4 N h 46.00 \ ;'rl LU TlF a ROPOSE'D HORSE b I (V 9 r--__„ 28.00 I O a, 40 co l Z I GA/ d o p~ .00 5 (963.5 ' 1 44,1000081111 5674,, 325.00 BRADDOCK! MT Iy - •.,.t_ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = ao FEET • DENOTES-IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 ~V.B F' FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = g[od•o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 ~'t•Z FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT COMPANY THAT THIS IS A TRUE AND CORRECT "`IESENTATION OF A SURVEY OF THE BOUNDARIES OF Lot 4, Block 2, NORTHVIEW MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. • 4 AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS,. IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 8TH DAY OF JUNE 1984• SIGNED: JAMES R. HILL, INC. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 84 75 6 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenu• South FOLDER Bioomtngton, Mn. 55431 812-884-3029 ELIE CARRIER LOAD' INFORMATION CENTER (04 kkov j OPTION 1 OPTION Z OPTION 3 1. Summer design degrees c70 # ~C # # (90, 95, 100, 105, 110 or 115) (If 90, 105, 110 or 115, Item 2 N.A.) 2. Daily range (0°-35°) ] # # F 3. Winter design degrees # rn # # (Precede a minus number with M) 4. Number of windowpanes # # # (1, 2 or 3. If 2 or 3, Item 5 N.A.) 5. Storm windows? (Y or N) # 6. Windowsweatherstripped?(Y orN)..... ~jl # I # # 7. Four window areas starting with or ~r # NE orientation # (Ex: N#25#30#20#25##; Max per side: 999 sq. ft.) 71 N or NE 72 E or SE # # l # 73 S or SW l3„? # 3 # # 74 W or NW 56 ~y 8. Shaded window area C # C # # (0 or sq. ft. Enter 0 if not applicable. Max: 999 sq. ft.) 9. Door area # .c~ # # (0 or sq. ft. Max: 999 sq. ft. If 0, Items 10 & 11 N.A.) 10. Door weatherstripped? (Y or N) # C a # 11. Storm doors? (Y or N) r) f 12. First story perimeter # 8 # # 13. Second story perimeter 0 # C # # 14. Thickness of wall insulation ( # # # (0, 2, 4 or 6" fiberglas. Enter MA for masonry; R values, enter R, then value. Ex: R19) 15. Basement perimeter 4177#] # # (0 or linear ft. If 0, Items 16, 17 & 28 N.A.) 16. Basement heated? (Y or N) # / a (If N, Item 17 N.A.) 17. Percent above grade (Ex: 5%= 5) 18. Area of roof with exposed beams or studioceiling (0 or sq. ft. If zero, Items 19, 20 & 21 N.A.) 19. Woodorfiber # u # (W for wood, Fforfiber. If W, Item 20 N.A., If F, Item 21 N.A.)----~ 20. Thickness of fiber ~ n # (1.5, 2 or 3" or R values) 21. Insulation # 9 p. # (Y, N or R values, Y assumes 1.5") I OPTION 1 OP'T'ION Z OPTION 3 22. Area of ceiling under vented roof or unconditioned space 1 # # (0 or sq. ft. If 0 Item 23 N.A.) 23. Thickness of Insulation # # # (0, 3, 6, 12 or 18" of fiberglas or R values. Ex: R30) 24. Area of floors over unconditioned space C, # C, # # (0 or sq. ft. If 0 Item 25 N.A.) 25. Thickness of insulation # # # (0, 3 or 6" fiberglas, or R values) 26. Area of floors over open or vented space, or garage O (0 or sq. ft. If 0 Item 27 N.A.) 27. Thickness of insulation u # (0, 3 or 6" of fiberglas or R values) 28. Basement area c/ # # # (0 or sq. ft. If Item 15 is 0 skip this entry.) 29. Total heated area 3 # "R 3 y # # (sq. ft.) _ 30. Perimeter of concrete slab C # # # (0 or linear ft.) (If 0, Item 31 N.A.) 31. Thickness of slab insulation # # F # (0, 1 or 2") 32. Desired summer indoor temperature swing (Value between 1 and 6 inclusive.) 33. Desired winter inside temperature rf # 7 r~ # # 34. Duct location # g fr # # (AT = attic, BA = basement, SL = slab, CR = crawl space, CO = conditioned space) (if BA, SL, or CO, Item 35 N.A.) 35. Thickness of insulation # # # (0, 1 or 2". Use 2 for 1" rigid.) "REPEATDATA?.......................... Yor N "CORRECTIONS?" If there are no corrections required enter If there are corrections to the data, enter question number, the new data, and Ex: 19#W## # # # If no further corrections, enter only. COOLING B.T.U.H. E0UALS2, S. ~ (4C AT °F B.T.U.H.3/ -3 ATE°F B.T.U.H. AT °F HEATING B.T.U.H. EOUALS i~4 AT IF B.T.U.H. 7 AT C IF B.T.U.H. AT °F "REPEATTHE ANSWERS" (Y or N) "SAYE YOUR DATA?" Y or N; or YR## will save your data and goes to beginning for new Analysis; or NR## will not save data but goes back to beginning for new Analysis. JOB NUMBER If you want to save your data CLIC assigns Job Number "STRUCTURE CHANGES?" . If there are no changes required enter If there are changes to the data; enter question number, the new data, and # # # Ex:25#R30## If no further changes, enter only. nAN OPPORTUNITY HOME 3-78 Printed in U.S.A. 838-039 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132218 Date Issued:07/30/2015 Permit Category:ePermit Site Address: 4228 Braddock Tr Lot:4 Block: 2 Addition: Northview Meadows PID:10-52100-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Nguyen Minh Ba 4228 Braddock Tr Eagan MN 55123 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142969 Date Issued:05/25/2017 Permit Category:ePermit Site Address: 4228 Braddock Tr Lot:4 Block: 2 Addition: Northview Meadows PID:10-52100-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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 - Nguyen Minh Ba 4228 Braddock Tr Eagan MN 55123 (651) 399-6946 Slim and Trim Construction LLC 1800 Haeg Drive Bloomington MN 55431 (952) 228-0006 Applicant/Permitee: Signature Issued By: Signature