4229 Braddock TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4229 Braddock Tr
Lot: 8 Block: 1 Addition: Northview Meadows
PID:10- 52100- 080 -01
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431 -4328
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Janet C Sosinske
4229 Braddock Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA091918
11/05/2009
ePermit
Parcel Files Cover Sheet
Unique ID: 2025
4229 Braddock Tr
105210008001
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CASk,?l RECEIPT , r, i&
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C1'TY -C?f ? E?4'?!??4 ?
6 ? 3795?PiLdT?iGNOS:FQOAD
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? .' EAGAN, MINNE.,SOTA 55122
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C1TY t)? EAGA111
. ` ?31330 PUat 1Gnob R04 P.O. Bax 21-199. Eagan, MN 6672"?
PHONE:
a+e p
UIL IT
BDIN!? P?
Te bs uted fo? ? °"???'?,. . . , E?`: Vnlue. , : $
4 V,?>
Site Addres rnei.?.rr;:. *
Lot 8 Block ?- E?' MEP.?.
Parcel No:
Neme j{E3t LAND? HOMES
? Aaaress 3471. ,G,T?: 173F.D ST_
chy dTO,RDM Phone _ 4 9 2 m 6 6 d_l 6.
,°LO Marr,e CLA CO1VS'1'. CO. ZNC e
qddrm 6451 E. 190TT3 S'I°_
cnyPRTOR T.AKE Phane 447m612 a
Name I?E1?tNIS HAT,LQY7YST
Addrm SOUTFi GATE l)P'FZCE ATrAZA- -
City BLOOMIRTGone 831° 1.8 7 5
?t@f ['?`: ="'??? rViS?p* t,?. .
Repoir Q Fite
?.
Enlarge p Type of Const. Vn
Move Stories
perr+ouaF, p ` Lettgeh 40
Grode p Depth 4 2 Sq. .Ft.
Approvals Fees
Assessment
Wcter & Sew.
PoUce
Fire
Eng.
vcnrer
Council
1 hereby ackriowladge thot I have reod this oppliwtion and state that Bidg. Off.
the lnfomwtion is corred artd agree to comply with ali applicoble A?
Stcte of Minnesotc Statutes and Gty of Eogan Ordirwnces.
Stgnature of Permittee
GT.A CnwTcT CO INC
TotSil $1701o 25
/l Building Penmit is issued lo:. an ihe eatptm conditian that
all wark shaH tse done in ith alt p icQ?Js.State of Minneaota Statufes ont! City of Engart Qrdindnces,
??-- c---?=?+' .-?.? .
8uitdi? Offidcl ?
' .: .
... ? _.
P" e?m„r Zooo0
Surctxyrge 22.50
Plan chect? ?
Water Conn. 5 00
1Nater Meter 9 3 ' Q d
Road Unit 255-.-00
Permit Wa Pssmit HoMer Misr- Rermit No. WaldWr
Plumbine 11132- DC ?
H.v.a.c. T,l lhvr? ?. i? VT
Electric
3`? ne h !5 3:• ?
+?erop ? l?. o? Faotings
Foundatlon i
Freming ?
??+ ?. _7 z? G ?
insuhacion
Final Ptbg. _aJ-
' Fkat HVac
Plnat
Yitamtwer Daseribe Location: _
well _
Pr. 0iap.
qT,Raceipt ? ? PWMBING PERMIT yPermit No.
CITY OF EAGAIII
'l Fee L/?
F!// In numbered spaces S/C
Type or Prini leglhly 7ot
7. Date 2. (nstallation Cost
yZ.?? ?,
3. Job Address Lot l Blk. Tract _/Yt
4. Ovvner ? L?.?r
` 5. Conuactar Phone °°!:5-6 C/
6. Address `?U ?G ??•?? /.F?'? ? .
7. City State 8 &. Zip S..? ` .? 7,,
8. Buiiding Type: Residential C1 Commercial 11 Institutional 11
9. Work Description: New $3 Add ? Alter 11 Repair ?
10. Describe
11.
No. - Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_L Bath tubs Septic Tank •
La6atory Softner
_L Shovuer Well
: Kitchen Sink.
_ iJrinatfBidet-- - - ,
OthetF
Laundry Tray ??
/
s
Floor Drains _
v
Qrinking Ftn.
$lop Sink
Gas Piping Outle'ts,
12. 1 Mereby certify that the above information is true and correct, and I agree to
comply wnth all ordinances awd cad go ming this type o# ?nrotk.
?
Signed : ?for
Rough / Final
1ASFsections: : Date Insp. Date Insp.
This is yo,urlxer,mit when.npmbe'ed anti eppravecf; ,
- Apptov ,e,i?-_? CI'1'Y OF EAGAN 464-8100
? ;
? ? ...; _ . ;- , ...: ::;i??-'-°=:u.;?,.,?;%?=.-^-:`:Y?_. .. f` ?.?,.-==r;=?u.=.•-,,- _. - '
Recaiist ;MECHANiCAL PERMIT J Fermit Nm
C17Y OF EAGpW ` Fee
Ffll In aumbered speces S/C •:? ." `
C7? or Prfnr /egtWy
Tot
7. Date 3 m 2. Installation Cost ?700
? r -
3. .iob Address 4W? Lot 6Bik. / Tract
4. Owner 41
fi. .,GOJ14Y8cLOt' Acit'C8 1PP? ? ,?- PI'1tNt@ qLI7 R1d-q.
a. Address o 14 O d Qoo, v%,A pa? O?L
7. - CiE?c ?? 0_C - AA-4
S. Bui#ding Type: Residential K Commercial 13 lnstitutional fl
9. Work Description: New 1;? Add ? Alter ? Repair ?
40 [esa'itie -4 ;JuLi i4.ror Fuei'Fype
97
Na. Eguipment 8TU - M. Ea. No. Equiument CFAA
Forced A[r ? 51000 Air Wendling:
AAfg. C c? t "i LV`
$Qilers
Mech. Exhaust =
Mfg. -
Unit i-eater
Mfg. ' Other .
AJr Cond. -
Mfa.r _
Gas, PiPtng Qutlets - ?' -
; -=_ -?
Receipt PLWNBINQ PERMIT PermR Wo. „;.,
CITY OF EAOAN Fee
.
fi/l in numbered Wwn ,
S/C ?
7ype or Prlnt /eglb/y Tot
1. Date ?-? l'k -??2. Installation Cost
?cf- (
3. Job Addresst , Lot Blk.s,
Tract
4. Dwner
' -
?
b. Contractor -11 fE k°7 Phone
'
'
``_?
?
-
-
-
a^?,
6. Address i? i? D,?; r ?- K - '
T?e ,4 7- ?
7. City State Zip <-
8. Building Type: Residential 51 Commerciai 0 Institutionai 0
9. Work Description: New 0 Add ? Alter El RepaK 0 1 - .
10. Dacxibe
11.
No• Fixtur
Water poset No• Fixtures
Cesspool/Drainfield
Bath tubs Septic Tartk
l.avatory Softner
Shower WeU
Kitchen Sink
UrinallBidet Oiher
Laundry Tray
Floor Drains
Drinking Ftn.
Slop gnk
Gas P'iping Outlets
12. 1 hereby certi that the above informati n is true end correct, and t agree to
compty with ordinap n7oZWwerninq _ e this type of work.
,
Si?ed :
oi
ou? Final
Inspections: Daie Insp. Date Insp.
Tfiis Is Your permit when numbered and approved.
Approvfld CITY OF EAQAN 45"700
`.
c-?A-???_3? _ C/" IV
I
ciTV oF eAGaN WATER SERVICE PERMIT
3830 P'?1,ot*nob Raad 5308
P. Oa,Box 27199 PERMIT NO.:
Eagan, MN -65121
DATE: 2 -2Y-8 4•
Zoning; ` R1 No. of Units:
Ow411: Key Laxi,d 11E)mes
Address:
?te Address: v2z9 ; ra,dct?,ck Trail LS f3:f: :3orthview Meadar??
iumber. llC MeCriaii e:al
4or No.: Conriection Charge: $50 .00 ?
Size: `r ?? •? » Account Deposit:
Reoder Ne_• 4u??' Permit Fee: 10.30 ?d
1 aigree to "W **ltW Cit? of EegotN :- Surcharge: ?S{} ?.?.
Orainanaid_ _t j:
Misc. Chorges; 63.00 ? pd Met er
"Total:
By
? ;.ibate Paid: ,
Dote of Insp.: ?44" / k'tl Insp.:
X
ciTY oF,EaGaN WATER SERVICE PERMIT
3830 Piiot Knob Road 5308
P. G:, Box 21199 PERMIT NO.:
Eagan, MI1b 55121 DATE: ?-23-?x?
Zonirig: Ri No. of Units:
Owner. - K$y f.811d 110me5
Address:
Site Address: 4229 $Tadttock firail L8 81 'Noylthv'iew Meadws'
Plumber: DC A3eCC2tt311Cal
AAeter No.: Connection Chorge: '? ?? • ? ?
Size: ActouM Deposit-
Reader No.: ` Permit Fee: - 10•00 I)d
1 ogros to oa»FlY wllh t6s City of Eayon Surchorge: ' 50
0?dinenca. Misc: CFwrges: 63.00 p in+Ct 6'd'
Totol:
BY Dote Puid:
Dote of Insp.: Irup.:'
C1TY OF fAGAN SEVNER SERVICE PERMIT
3830.hlot Knob Road
P. O. Box 21199 PERMIT NO.: ???Z
Eagan, MN 65721 DATE: ?' Z?-?4..
ZoninW." R 1 NQ. of Units: i`
Owner: KQY Lan,? $Ioasl3?
Address:
Site Address: 4229 BTad Q.C'k.T1" .9.l L3.B.I. Snrt,} mletit lieadr?Ke
Plumber: DC 2«fo 1a7? cal
2-7-84 41363 1Qo. E?O pCll
I egrea to eanpy with t6e City of Eagoa ConnecNon Gho?ye: 4 2.? a QO,P-4
Oedinenea. AtcouM Deposit:
. Pennit Fee 10.04 gd
. . .. . . . . . . $UICF1Gfg@. s $0 gd .
By Misc. Charges:
Date of Insp.: Totcl:
insp.: Dare Paia:
. ? , ..:.-? ,...? ,? , ..? .?.y ;: , ... . , ., . . .
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121 N Q 8795
PHONE:454-8100 ` ?
!BUILDING PERMIT ' Receipt #
To be used ior SF DWG/GAR Est. Volue $ 4 5,0 0 0 Date FEBRUARY 7 , I q_ 8 4
SiteAddress 4229 BRADDOCK TRAIL Erect IN Occuponcy R3
Lot 8 Block l ' sec/Sub. NORTHVIEW MEAD . Alter ? Zoning Rl
Parcel No. Repoir Q Fire Zone N/A
Enlor9e ? Type of Const. Vr1
Name KEY LAND HOMES Move p # Stories
W
Z Address 3471 W 1 73RD $T Demolish Q Length 40
? City JnRDAN Phone 4?.7--6$ a ti 6rode ? Depth 4 2 Sq. Ft.
o Name CLA CONST. CO. INC. Approvols Fees
?? Address 6451 F 9 nTH qT Assessment Permit ` • 0
22 • 50
h
Cityp R TGIA T.auF Phone 447-6128
? - woter & Sew. Surc
ar9e
25
130
Police .
Plan check
WW Name DI?NT HATT,QtTTST Fire SAC 525.00
?? Address SOi1TH ATF nFFTC'F PyAZA Eng. WoterConn. 450.00
<W City BT.OOMTNGTn*one _ R'l1-1 R 7c; Pianner Water Meter 63_? 0
Council Road Unit 250. 0 0'
I hereby ocknowledge that I have reod this applicotion and state that gld9. Off.
the informotion is correct and ogree to comply with oll uppiicable APC Totol ,?]„701.2rJ
State of Minnesoto 5totutes ond City of Eagon Ordinances.
Signoture of Permittee
/1 Building Permit is issued to: CLA CONST. CO.` INC. on the express conditiorr that
oll work shoU be done in or nte with oft p icabl tate of Minnesota Statutes ond Ciry of Eogen Ordinances.
g Officiai
iidi
B
u
n
This request void
78 months from
,o,
34791
3S•?
Request Date ? Fire No. Rough-in Inspection Required? ?Ready Nqw Will Notify, Inspec-
?
°^? ? ?j v ? Yes ? No tor When Ready
icensed Electricat Contractor bk I hereby request inspection of above
? Owner . electrical work installed atStreet Address, Box or Route No. City
jf ii ??/c•,'/'?+G.r .?"? sl , .°`?J4? ?, .?
ection o. Township Name:or No.. Range No. County.
Occupant (PRINT),t' " . Phone No.
?6 f? j J
i?f ? 3
? • 7 Y.
Power S plier Address
r?
Electnqal,Contractor ICompany Nary?e); ?
..?•.
, Contractor's License No.
r,
Mailing Address (Contractor or Owner Making Instailationl',
'
Authorized Signature (Contracior/Owner N}Bking Ins Ilation) Phone,Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
Phone (612) 297.2111 ENCLOSED.
3,. t?? ? REQUEST FOR ELECTRICAL INSPECTION ?E13-00001 -04
' See instructions for completing this form on back of yellow copy. ?
?
? X. Below Work Covered by This Request
Now Add Rep. ? Typeof Buiiding Appliances Wired Equipment Wired
' Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. r Furnace Si(o Unloader
industrial Bidg. 'Air Conditioner Bulk Milk Tanic
Farm Otner Specify ocher (5pecity)
Other Specify Other Oiher ompute lnspection Fee Below
q Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits
G-t7 U to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 260_Amps' 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100_Amps Above 100_Am s
Transformers frrigation Booms Partial.'Other Fee
Signs Special Inspection $t, ,... q FEE
Remarks . ,,`^ , i' (jd
?,
3 r)??
Rough-in Date
lectrical
1??t• ? Inspector, hereby
certi4y thatthe?above Final e? inspection has been
W? made.
This request void 18 montns trom
This request void
18 months from Y T 0
A 0 7 9 6 3 4°-?- U), ? c?a: '
Request Date ° Fire No. ugtrrn te1sV?ltion
t??Yes ired? O? OReady Naw ?MP ior i1I`No whcn T ?l?p@c-
? ticensed Electricai Contractor 1 hereby ?equest iwspectiaw of aipve
MOwner eleetriesf Mark inmoaiNd ax: :
Street Address. Box of Route IVo. ' Cety
r2:"?'Jnc.i<
- ;2-ALL
SWc-t'On . TownshiD Name or No. RarFge No. , C
Dccupant (PRIhT) Ptew?e Nn_
?na T?-L LA-1
Power Supplier Address
t 15? L?Cc 72.y?
Electricat Contractm {CanwartY N Contsaclm?$ 1-icense Mo-
7yt- C.- 't (
iling Address (Contraciar or Owner Maki Inutatlationl /
-4 ? S/2lwe, l:X ( !G /'6-77L
Auth ri Si
Ure o or O ' IrutallationI, Phone Nuaber
g -? /
lYUNNESOTA SHUARD OF ELfG7RlCITY n., IIrSPECTION AEQIESi Mll NOT
Griggs-Midwa' dg. - Room iV-191 6E ACCEPIrED dY iHE SFA'IE YOIMD
1821 University Ave., $t_ Pau4. MA1 55704 UIMLESS PIIOWEB WnPECT10N FEE 15
Phone 1612) 297-2991 ENCLaBEQ_
REauEST FoR.ELEcrRrn?caL inSPEcrioN
, See irostructions fw eompteting 4his forwi an hact d q/boe copy.
.
A =14.X.. Be,av wvrk covgMMdqlLh;s Requesf
hdd Re Type o! Bui9di?+9 A?6iartces IMir? EquiOwentwired
?g
Home Range Temporary Service
Dupiex Water lieater Ligietting fixtures
' Apt. Building Dryer Elecmric Fleati
Commercial Sldg. Furnace Si9o Jtbnloader
# Fee serriceeMra+.cesi:e a Fee Feeaersisubreea?.s +e c? : c.??
U ta 2t? Amp, 0 ta 30 Arnpr. 0 to` 30 Aaws
Above Amps 31 ta 100 Amps 31 to IOC? AnWs
Swimmi Pooi Above tOQ Abore 1Q0_A"ms
Transformers Irrigation Booms Partial-`Offier Tee
Sign.s SpeciaE lnspection S
Remarks
R
h
i
, k
D TAL FEE
? . ?
a?
-
oug
n
atte Ar. the Elechicai
InsvmcEor. hereM
J
Final
0ate wrCJfq t1?st ? above :
ewfOrctim Iys 6aea
industrial Bldg. Air Conditioner 8ulk M`efie Tank
FarFn - Otber Deci . ??USpecvSy{t r Speci y ther Qther
ection Fee Below
Tift mquem vm ,a ownew ,.om
-- - ?, .?
.
:
_ 2005 RESIDENTIAL PLUMBtNG PERMIT APPLlCATlON
'
GAN
EA
CITY QF
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
y i2-7i os
Date
SOSINSKE, JANET
$It@ StPeet Addr@SS 4229 BRADDOCK TRAIL UCIit #
, EAGAN, MN 55123
(651) 683-9276
Property Owner Telephone # ( )
NORBL.OM PLUMBING C4. Te
o
Contractor
leph
ne # ( `
)
Address City ` Siate : Zip
MINNEAPOLtS, M
N ?5540 '
Oth
a
i
A
?
s: Owner ontrac or _
er
The
pplic
nt
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heate r--complete nsxt
section if installing these appliances).-
_Septic System Abandonment
Water Tumaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener X Water Heater $ 15.00
new replacement.
Lawn Irrigation RPZ-` PVB new _repair _rebuifd $ 30.00
State Surcharge $ .50
Total . $15. 50
! hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wilf be- in conformance with the ordinances and codes af the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application far a
ermit, work is not to a permit and work will be in accordance with the approved plan in
start without
p
the event a plan is required to be reviewed and approved,
'Je4 ?)UrbIOYVN Applicant's Printed Narne ApjlriC t's Signature MAY 0 5' 2005
E;,
,
?.......ti.,?
CITY OF EAGAN Remarks 01V
Addition NORTHVIEW MEADOWS Lot 8 eIk,• ' par?l 10-52100-080-01
owner street 4229 $RADDOCK TRIAL ' state AGAN N1N 55123
.
Improvement Date Amount Annual Payment Rec
eipt
Date
STREETSURF. 11 1984 76.75 7.68
STREET RESTOR. 3
GRADI_NG
SEWER LAT 574 1981 15.89, .79 20
11 12.73 013813 5-2-84
SAN SEW TRUNK 5 - 75 1981 138.48 6.92 ' 0 f110.80 013813 5-2-84
SEWERLATERAL TRK M 1984 275.22 18.35 I],5 256.88 013815 5-2-84
SEWER LAT 511 1981 22.28 1.11 20 16.36 013813 5-2-84
WATERMAIN q 1984 70.67 4.71 15 ' i 65.96 A 013815 5-2-84
WATER LATERAL 1981 18.65 .93 20 13.69 4 013813 5-2-84
WATER AREA 5 1981 138.48 6.92 20 ' 110.80 A 013813 5-2-84
WATER I,AT 1981 29.52 1.48 i 20 ' 1 23.64 013813 5-2-84
STORM SEW TRK K C) 1984 392.32 39.23 10 1 313.86 013815 5-2-84
STORM SEW LAT I
DRA.INAGE 1984 33.97 3.40 0 30.58 013813 5-2-84
CURB & GUTTER
SIDEWALK
STREET UGHT ?
? aso a ? 3 s 2-7-8
WATER CONN. 00.00 n n
BUILDING PER.
4795
SAC 1 l i ?? ??
PAR K
? ? I
c? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ?.?
Telephone # 651-675-5675 FAY # 651-675-5694
New Conshuetion Reauirements RemodeUReoair Requirements Office Use Oniv
3 registered site surveys showing sq. ft. of la sq. ft. of house; and all roofed areas 2 copies ot plan - Cert of Survey Recd
(20°/o maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Pian Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calcufations Addkion - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preserva6on Plan if lot platteed after 7/1193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
OG
?
Date b l?? l 03 Construction Cost Z__ _
Site Address yZ 7,2 ZA(44n cIt -f& UnitJSte #
Description of Work M
Multi-Family Bldg _ Y '--N Fireplace(s) `0 1 _ 2
Property Owner Telephone #(6SJ ) 6 P}3 - 572 11 6
Contractor 6jj1,Rr,,4, /NC ?'t?R ?1;[?4 ?O ?cX?{?`ra ? vOU ?/S8 ?
Address j3dX Z yO [$ J City A Efv
State Zip Telephone # (Clu) ) -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calcutations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
,
_._-
I hereby apply for a Residential Building Permit and a vule?'ti'r?" e 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 pl ' the case of wark which requires a review and
approva of plans.
?
Applicant's Printed Name licant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 96-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Ait - 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 Ptbg Y orN?' 25 Misceflaneous
Work Types
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
0 34 Replacement *Demolition (Entire Bldg) • Give PGA 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) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (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)
_ Insularion _ Retaining-Wall
ApprovedBy , Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES 5AC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant .
License Search Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION ir Z 7 3(?-JC
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Now Construction Reauirrnwnb RemodeUReuiir RenuinmeMb
• 3 registered site suroeys showirg sq. ft. of lot, aq. iL of house; and an roofed areas • 2 copies of plan
(2096 maxknum bt coverage allowed) . 1 set of Eneigy Calculatlona for heated addfts
• 2 copres of plan stwwing beam & windov sizes; poured found design, etc.) . 1 site survey for extertor additiuns & decks
• 1 set of Energy CakxAatans . indicate rf home served by septic system for additions
• 3 copiea of Tree Preservation Plan ff lot platted after 7/1193
• Rim Joist DetaA Options gelection slueet (bldgs w8h 3 or less units)
DATE • '9 '0 VAlUATION I(YY\
JOB SITE ADDRESS____
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Tkftj 1505;#4614.2.
TYPE OF WORK ,Gt6iC12 4 dQ FIREPlAGE(S) _0 _ 1.w 2
APPUCANT \kNy l ?I,.MptWMa?1+ kc? ? PHONE#. UlZ, 1673 '$1100
ADDRESS ?bf60i 50`718 7,101 l4Q,vv1eQW ZtPCC3DE?M4c6 ?.._
PAGER # CELL PHONE # FAX # Ul? S0166
NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
Piumbing Contractor.
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
? Water Softener Lawn Sprinkler
_ Water Heater No. of R.I. Baths
_ No. oT Baths
Air Conditioning;
? Heat Recovery System
AH above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Og
Signature cf
__.:.--.-.------?"?°-
is corr c,nnd agree ta compiy
Phone #
Fee; $70.00
Phone #
,
Certificates of Survey Received _ Tree Preservation Plan Received _
Fee: $90.00
Not Required
Updated 1/04
C}FFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16»plex 0 20 Pooi GI 30 Aacessory Bldg
O 02 SF Dwelling ? 08 06-plex 0 16 - Fireplace O 21 Porch {3-sea.} 0 31 Ext. Alt - Mufti
O 03 01 of _ plex CI 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex 0 10 Q&plex ? 1$ Qeck ? 23 Porch (screened) 0- 38 Multi
? 05 03-plex ? 11 10-plsx D 19° Lower Level CI 24 Stqrm Damage
? 06 04-plex ? 12 12-ptex Pibg Y or _ N ? 25 trA(scellaneous
O 31 New ? 35 Int Improvement 0 3$ Demolish (Inter#or) O 44 Siding
0 32 Addition
i ? 36 Move B{dg. 0 42 Dernolish (Foundation) ? 45 Ffire Ptepair
O 33 Alteration •0 37 Demolish (Bldg)`' ? 43 Reroof C] 46 Windowsldoors
? 34 Repfacement *Demalitlon (Entre Bidq ortiy) - t3iva PCA handout to appt(cant '
Valuation Qccupancy MC/ES System
Census Code Zoning City. Water
SAC Units N Stories
---?-
, Booster Pump
-.
Nbr. of Units
Sq. Ft. . ,
pRV -
,
Nbr. of Bidgs _ .
Length Fire !3oritlklered
Tyoe?of Const Width
REQUfRED INSPEGTIONS
_ Foorings (new bldg) T FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
T
Drain Tile
Roof Ice & Water Final Oiher
_ Fracmng Pooi _ Ftgs _ Air/Gas Tests -Final
_ Fireplace _ R.I. _ Air Test Final Siding StuGCO Stone
Insulation ? Windows (new/replacement)
----------- Appraved By , Building Inspector
--
8ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Pfumbing Permit
Mechanical Permit
License Search
Copies .
Other
Total
-
s
???7 ?
CITY OF EAGAN Include 2 sets of plans,
, l site pl.an w/el:evations &
BUILDING PERMIT APPL CATION t?Z i- 3 set of enercfiy cal.culations.
'Ib Be Used For 5#v6 &' Valuation ' --.-• Date 3
Site Address: ::Z20q OFFIGE U5E ONLY _
Lot: Blo,.,k Sec./Sub. ?t; rs Erect
-'?.=- Occupancy
Parcel # : Alter
- Zoning
Repair Fire Zone
awner: CAN D t?OrN?"5 Enlarge ? 'I'ype of' Const.
=y? Nbve # Stories
Address: G.J 4 5v4 . Demalish Front ft-
City/Zip ('..ode: Grade ? Depth ft.
Phone #: FPPROVAL.s FEEs
Cantractor: IV :brr,sr ? ?- Assessments
?
Permit 260
Address : Wat?er/s?er
t-e Sureharge ?.,. ?
Police Plan Check
93 D
CitY/Zip Code: )Od2/dL 4 1? Fire SAC
Phone
#•
/?"W 32Z0
?
• Water Conn.
Eng
Meter L
?
-
Water
Pl
,
--
:
anner
Arch./Eng.. Council Road Unit
Bldg. Off.
Addz'ess: fT??? Al?C
City/Zip Code:
Phorie #: 63) -1 ?5?s : TMAL
SURVEYOR'S' CERTIFICATE KrYLAnD H101"Es
" ('HOUSC TYPE R3256)
M 819ADDOCK S 89°52l!"E "' R_26TRqlt \
c9? '" a= 5 64A6 ?
`r9
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i
W , ; t966.K}
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IQ ,20.0
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P5
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? LOT 19/
'ORAINAGE Q /
UTILITY
EASEMENT
PER PLAT? /
V
jo)
(•-
PROPOSFD ELEVATIONS W!rRE
TF.KEfd FROMI THE DEVELOPMENT
PL.AN FOR NORTHVIEW MEADOWS
BY SU6URBAN ENGINEERINf,, INC.
LAST CATED 9-29-83.
/f/s S
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o ?
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?14 /
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?A? 0,Lfi.. ?962
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?
-we-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SE7 -SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED 6ARAGE FLOOR = 966.8 FEET
X000.0 DEPIOTES EXISTING ELEVATIOP? PROPOSED LOtJEST FLOOR = 963•9 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 967•? FEET
I NEREBY CERTIFY TO ;:EYLAtdD HO"'CS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TNE BOUN6ARIES OF:
Lot E, Block 1, tJORTNVIEi..! t'EAi 0!?JS, accordirq 'Co zhe recorcecl ola.: ?hereof,
Dakota Coun;;y, Flinneso;:a.
AND OF TNE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANC ALL VISIBLE ENCROACHPtENTS,
IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 25TN DAY OF JAflUA°Y, 1984.
APPROVCD FOP, SiENNA SIGNED: JAMES R. HILL, INC. -
CORPORATION
,.
B Y :
ROBERTS ARC;lITECTS BY:
DATEG TNIS DAY OF HA OLD C. PETERSON, LAND SURVEYOR
19 MINPlESOTA LICENSE NO. 12294
PAOJEC7 NO. BOOK / PAGE JAMES R. NILLV INC.
84521
Planners / Engineers?/ Surveyors
• FfLE NO. . 8200 Numboldf Avenu• South
FO L D E R Bbotntngton, Mn. 65431 612-884-3039
, , , . , ..
' . , ` " v`• " ,i'--. . . . , . . ? ' z :;
. _ . ?
_ ,
, ..
?' C--,-2SB4LDtNG "AND INSPECTIOt+I DIYISION QEPRRTMENT OF
iAT LO'.sS CAlCUlAT10NS ROAD, +BLOO MINGTON?Mf Ni3E50fiA 55433 a`D SH?MC10 38 1 ?
_-- ?
weatbentr`:,ps Guick Coo:trocdon Na INSULATjON ebomingt?o?,
?
adown Uoan Rrfereooe Ont. WaD Inw WaU C.ieling Roof Floor Kiad How Applied
,No ? Ye-t--& 19+,. -,
fl.1 ?Gir+i ?u Room I L.eneh.;2 / //Z,. Width
Windows an Dowrr-Zraeks:t aad Aro:
Watn
ot Done H?t=nt
H.
ot pane t+to. et
lfghti L1MY1 rc.
ot cnck wrci
sp.
? 0
l
Caef. Btu
filtration
:sa _ _
p. wal! (e -
x e=p. Weu
L wall '
il;Ag --
oor . /
rral &a `
equired sq. ft. E.D.R. or sq. ins. WA. Leader area
F?.I a Room tength 9 r Vakh ? Height
Windows and Dooss-Crackaffe aod Area
? wwcs
ot Dans HeIffAt
et Osas No. et
ifffDes Unosl n.
ot teaek wew
p. [t
. Y ,
. Clwf
- ?
lilluation
Mf -
oL U?i? ?
it op. walF ' Q G
L a?ali
?40 --
ew
"t Btu. . -
aqpired sq. ft. E.D.R. or sq. ios. ?N.N. Les&s srea
FI. O P . Rom( L,eUg6 :Vdth '/ Eleqt6t
S'mdown and Doom--Cncluffr and Area
? Wldth
et pans fietgAC
ot pans Ne. o
?ISeto Ltneal tt.
et cne4 Ana
sp. tt.
L 7= z.r ?
' Coef. &u
iltration
?ass /
ei exp. Wal 1
at. W.D .
eiling zeg
--
_ *•?..
bor
otsl Btn. Q
equirad W. k. E.D.R. or aq. ias: V.A. taader :rca
kl.c o, Room } l.e+gth / l/'?.-Widt? j v Hei
Wmdows and Doors-Caackage and AreaI -
No. wseee
et ysna x•tiae
et paas a
ttE6W tAa•a tc,
ot eracr wr.a
p. lt
Z.
Cacf. Btu
In6lcracion S' 1/7 t9' 6
Gla,s 'Vi 677.o
Fsp• ws11 x cY
Net eeacp. wal! / .6
Iot. wan
"
Ceiiing
Floor r x ,o
Total Htn. '
Requhvd sq. ft. B.D.R. or sq. im. WA t.eader area
F1.I Rooa+ 11AW6 vV'dth Hei6t
W6idom aed Doo:s-jCru6m aod Area
;l.it-f !`
aad Am~--
Coefj Bcu
Inbltratian
F
.1p. va '
Net cm. walt
Ut. waq
Taal &a.
Requirtd p. h. E.D.R. of sq. iris. WA. L.sader arra
_ ?__
.. _ . ?? .? ...?.___ . ._
@UiLA1NG ANO INSPECTldN DtVI510N OEPA
HEA'? LOSS CALCULATIONS oao;'e? OMINGTON,?MINlSESOTA 55432
u
Weathersttips Catsitrnctipa lVo.
Guide
Wind?ow?i D?oor: Reference Out. WaU Int. Wap Ceaios Roof Flooc
Yea-No , Yts- ig19._.
t Fl-Zd,li ni,,a{ V;+Roam Lxngth a2 ) 1/ZWitkh 16 ttz..NciBht 6 7''F1.1 9E2
Windows and Daors-Csack:ge and Area ?- ? W' dows
Ne. WI dth
of pant HNbht
o[ Dane Mo. of
IighU Lleut [t.
o( Cfack Arca
p[L
.
8 • /
a z -3-- i: ! .
/ . .S
- Coef. -- Bcu
In6ltratioa 239
F.xp. wall -F ?
Net exp. waU
lnt. waU
Cciling
Floor 2 e ^•.
Tcts! Btu.
Required sq. ft. E.D.R. or sq. ia:. W.. Leade: are:
?s ?'fl •??h ?d (??o, Room l.eegt6 l.z Wtdth ?
Wiacbwa and Doors-Crackaae aod Ana
Iia WidtA
o[ pane Hef?et
of p?a. a o[
Ifg6N 1Ja tt.
of eraok Arq
p. !t
!v
CAtE. ?t
Infel?ation
Clsa
E?tp. wall 4
IVet exp. wal)
Int. wall Q?-rl a O p
Ceiling o2 ?' ? (o ,Q
Floor ----
Total Btu.
Required sq. ft. E.D.R. or sq, ini. WA. Leader area
/.?,?`'F(.j M, BK? Roan+ ( L.ensth J)//-?Widch 41
Windows and Doors-?Craclcagt aod Area
No. R Idth
of pen• He1gAt
ot'pane No. ol
Ik6At• Ltnoai tt.
ot craek Ares
p. !t. .
z- a o S
Coef. Bcu
1n?tEtraEioA „2 d 4/7 6
Glau J
?Z ?I
L i /"
E:p. wal{ -
_ - .
Net cxp. waU ?
lnt. vwl!
Coiling
Eloor
I Total Btu. 1?_3
Rcc ._ „ ,? ?.• . ? . .
i
How Applied
tth /s l,,SI' ?%?ei?tht
Ea an? Uoars-4.racts " am wrea
lf0. W1Atb
OL ptN fNiiht
a[ paws lifO. ot
ifetb Lf4u1 4
et erack A»a
q. tQ
? 4
Cocf. Ba
Infiltratioa 6 Q
-Gisn . _ _ _ ? _ SLcf 61 /
E:p wa1) /0.5 -f S
Net sv. wal!
tnL w.u
Cl.i{U1$ w ? /+ • Q`'t?
FIOOL
Total Bta.
Required sq. ft. E.DR or q. ms. WA Leader area
/4? Fl.I Roois [ Lawil J/ ?izVAh 7Heinfit
wunaan" ana Wors-Unca w aoo wres
I?ta et ?a K w?f Ns1b e?eraeete ?¢. tt.
6
In6ttrat? /1
Glaa
Esp..r..n
Net s:p. wafi
Int. wall
Ceiling 241, --5- X
Floor ,6
Total Btu. Required sq. h. E.QJi. a sq. ios. WA Leader area
*,R• G a me-- Rwo t ceiath q 1-&-wW& c?
Windnw. .ed Deerm-•Csaekaae sed Area --
. Z10. IAtA
of pt0ik Hotsbt
Ot pKtw a st
i{eaq mat tt.
of CriCt Ana
sQ. n.
I aa
26
/0
9
Coef. Bta
Infittration ,,,5"'
Glas?
Ex P. waU
Net ezp. wd ?
InL waN
Ctl?lllg r ?J
Fioor 1 N
Tetsi Btn. •
Requiml p. h. E.D.R or aq. ius. WA. l.eader arra
.__ _....???.. ,
ri,?,e?wo+.: ?
,?
!w2-OSQ21
YNSULATION pbexr?r?r,c,r, E,