4234 Braddock TrParcel Files Cover Sheet
Unique ID: 2028
4234 Braddock Tr
105210006002
C
1
+..???.e.. -,e+i?Ma? :? ... w ,? ae-.,. w..."TTd`s s?."•?::"r, .-.;7h3isr-,.-:.-ie3Ea`.1!;8°,!SZ? .'6?PwG? :tartwiphd°? °"`?i:Ra=,xa"°v?e..?--`T-vwr^..,°"--.
CITY OF EAGAN
\ T. 3830 pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE 484-8100
BUILDING RERMIT Receipt #
{ o bd tit tot Sly" DUG/GAR Est Value $69,000 Date JUNE 4 .19 961. d
Site Address d BRAD=K Erect 13 Occupancy -?.3
-NOR IEW . odel ?
t t t: 6 Block 2
Sec/Sub Zoning .
-
.
Parcel No. Repair ? Type of Gant VZ1
Addition ? No. Stories
N Move ?
SX.EY CO B"T']C$UCT O
} dme
Length
A
Demolish 11
9401 x ON AVE SO Depth
Add
ress Int. Impr. ?
944--709
?
Ci Sq. Ft
ty Phone
Install
Approvals Fan
Name B
Address Assessment Permit 340.00
City Phone Water & Sew.
34.50,
... Surcharge
00
€
Police
N a
Platt Review.
ame Fire SAC
Address
Eng.
Water Conn.
City Phone . Planner water meter 6 +50
Council
' Road Unit . 290.00'
I hereby acknowledge thatihave read
this application and state that the Bldg. Off. 86 Tr. PI. 15 004
Information Is correct and agree to comply with all applicable State of
Ordi APC
MnnesotaStatutes and C f Eagan nces. Parks
Var. Date
f P
Si
t
itt Cop
412
129
ure o
gna
erm
ee 0,
.
Total
AB . uIlding Permit Is issued to. WESLEY C STRU .'ION. on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Perm@iio. Pemilt Holder Ode Ted P
Plug 3 25
.
.y .c.
l
FooffrW 1
FobMW H
Framing d RAr
Rod?*
Rough Plbg.
OA
Roth #?. i
Ineul. q
Fireplace
Final Htg " ?j d
Final Pegg. 1:4 BWg. Final cert.om ,
Dock
DeckFrmg.
Describe Locatioixx
Pr. Diep.
CONTRACT PR
Slte Add
Lot-
Name
Addre
City o
Name
Addre
O City
fey #
r T, 7T." 'lo?
< A Phone 5'rO!'. ?? <
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,00000)
SIGNATURE OF I
FOR CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE: 454-8100
:k See/Syb'_
Phone "XS 7
BLDG. TYPE WORK DESCRIPTION
Res. New
Mutt Add-on
Comm. Repair
Other
NO. FIXTURES TOTIL
Water Closet - $3.00 -,
Bath Tubs - $3.00
-Lavatory - $3.00
-Shower - $3.00
Kitchen Sink - $3.00 o
Urinal/Bidet - $3.00
-Laundry Tray - $3.00
'f
-Floor Drains - $1.50 1
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEB
C9
STATE S/C:
GRAND TOTAL:-
t "' '
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: -9 86
Zoning: RI - No. of Units: I
Owner: Wesley Cant
Address:
Site Address +234 Bra dock Tr t .5 ',i r t.v f ew M av c
Plumber: Br'u b asel.l.er Ahmbg -
Meter No.: Connection Charge: t'010 ? OO
Size:
Account Deposit: , f, nnu
Reader No.: Permit Fee: ) °??)gr?_
I agree to eomply with The City of Began Surcharge:
Ordinances. Misc. Charges: 1156-00 t p
Total: 63 . 0 ra- r er
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN
MWER'SMVXX
?
Pilot Knob Road 8821
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: -
Zoning: T 1 No. of Units:
Owner: W 6811M Coast
Address:
Site Address4.234 hrsutdoek 'Tr L , 11 ; -thyfew ss i nscrc'z
plumber _ Bruchriat ±2lar P'7 bg
6-4-86 63328
tC: , s?sr d
I agree to *am* Whit the City of Iowa Connection Charge: .4L5
L ?s ? rf;
e .ae ... Account Deposit. A S',1 pd
Permit Fee: 1 Q . 14 p-i
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date paid:
If ,
k
CITY O N
3830 Pi If" Dad
P. 0. Box 21199
Eagan, MN. 55121
Zoning: Rl
Owner: Wesley Const: WATER SERVICE PERMIT
7669
PERMIT NO.: 6696
DATE:
No. of Units: 1
Address
Site Address: 234-. Bra deck Tr L6 B2 Ifor khview Meadows
Plumber. Bruchnuuel3.er P,lrb
Meter No.: 72 / z00.00pd
Connection Charge:
Size: ocK Deposit: 15, OOpd
Readew No.: ,6 .sW .SO 7 , 10 , 00 d
c?hAA a 5la d
' .?.. to ?,? ,rb the
... in
56
00 tp
0 inaaas.
.. .
r
BY id
Date of Insp.: Insp.:
This re4_ ?/? 1? ?,//'/?
t8 month i N"
0
Request Dat
A Q?" Fire No. Rough-in Inspection
Required?
?Ready Now 11 Notify Inspeo-
Wh
R
i es ? No en
eady
r
flcensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at.
Street Address, Box or Rou Nyo.? CI
t
L
Section No. Township Name or No. Range No. COULLLV/
Occupy I (P. INT) Phone No
Power u plier I
4
? Address
p
to is / + ? S G
Electr
ontrat r (C
pa?ty Na e) Contr
il License No.
j a
-
Mailing Addre ((Contiactoror Owner Maki Q9 Iastailaii " )
JAW
Author' d Signatur Con ctor/ ne " a )Installation) Ph( Number
MINNESOTA STATE B A R DO FE L E C T R I C I T Y THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
REQUE
ST FOR ELECTRICAL INSPECTIO III, See instructions for completing this form on back of yellow copy. &q&
x0`0)
1 ""X"" Be/ow Work Covered by This Request A Rep. Type of Building Appliances Wired Equipment Wired
Hojxi Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pec.fy Other (Spar--.fy)
Other Specify Other Other
Compute Inspection Fee Below
# Fee Service Entrance Size
h
Fee Feeders/Subfeeders H Fee Circuits
0 to 200 AMPS 0 to 30 Amps _L to 30 Amps
Above 200_Amps 31 to 100 Amps 31 to 100 AMPS
Swimming Pool Above 100_ Amps Above 100-Amps
Transformers Irrigation Booms Partial. 0 Fee
Signs Special Inspection S q
OTA F
Remarks / . v/?,11
ill rp I r
Rough-in D I, the icaI
Inspector, hereby
certif
that the ab
v
Final D to y
o
e
inspection has been
made
.
This request void 18 months from
CITY OF EAGAN
3830 Pil
t Kn
121N2
b R
d
P
O
21
199
E
a
MN
B
12056
o
,
.
.
-
,
ag
o
oa
ox n, 55
PHONE: 454-8100 '
BUILDING PERMIT
Rece ipt # ?
$69,000
SF DWG/GAR JUNE 4 86
To be used for
Date
Value
Est 79
.
Site Address 4234 BRADDOCK TR Erect ® Occupancy R3
Lot 6 Block 2 Sec/Sub. NORTHVIEW MEADOWnodel ? Zoning R1
Repair ? Type of Const
Parcel No . Vill
.
Addition ? No. Stories
Name WESLEY CONSTRUCTION Move ? Length 40
z 9401 XYLON AVE SO Demolish ? Depth 49
Address I
t
I ? Ft
S
o .
mpr.
n
BLMTN
944-7092
Ci
l
0 .
q.
ty
Phone
Instal
i o Name SAME App
0 < Address Assessment _
' City Phone Water & Sew.
F w Name
x a Address
w City Phone
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 Ci ffEagpn O antes.
Signature of Permittee 4 l
WESLEY CONSTRUCTION
Police
Fire
Eng.
Planner
Council
Bldg. Off. 6/4/86
APC
Permit $ 340.00
Surcharge 34.50
Plan Review 1-70.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Var. Date Copies
Total 129.00
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minn§yota Statutes
on the express condition that
an Ordinances.
Building Official-
66, RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Requirements RemodeWRgoair Requirements
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks
1 set of Energy Calculations Addition - indicate if on 40 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
Office Use Only
_- Cert of Survey Recd
- Tree Pros Plan Recd
- Tree Pres Not Reqd
- On-site Septic System
Date I
. 07 Construction Cost 5 9 c /
Site Address %va ,6docx. I t co% i Unit/Ste #
Description of Work t w3a. U. U t a,JitlC?OW?j (!?fi't ?'t 1, \kmtS- \ 0?.4.1Y'?tf
Multi-Family Bldg _ Y - N Fireplace(s) _ 0 _ 1 - 2
Property Owner 745?- `?` f 2Q nC,af' Telephone # (151 iQ Cl / (Q 0
RMA HOME SERVICES INC.
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. #200 City
Atlanta, GA 30339
State 763-542-8826 one # ( )
BC-20268257
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 i Minnesota Rules 7672
(? submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber _ Tol phone # ( )
Mechanical Contractor TP1 hone # ( )
Sewer/Water Contractor T61e hone #
Intl
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 requires a review and
approval of plans.
1C\o c ci,. I4 }e t\So ty (// T%. j
Applicant's Printed Name Applicant's Signature
O1`ICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
[] . 36 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ?, 42 ;Demolish (Foundation) ? 45 ; Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
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 -
-
Stucco Stone
- Siding
Fireplace _ R.L - 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
., z
Installed
Siding andW&QJJOWER OF ATTORNEY
OUNTY 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 30th
day of May, 2003, 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
3& day of M A - j , 2002.
David z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
301h day of May,
Notary blic in for the Stat of Borgia
My Commission Expires: January 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
L-i-- L RESIDENTIAL
rt> ` BUILDING PERMIT APPLICATION
"Y?pf441 CITY OF EAGAN 3--70,C)
(? m 3830 PILOT KNOB RD - 55122
vl 1 651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
RemodellReoair Requirements
• 2 copies of plan 4 -?.o C l
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
DATE -P1 I L 13 ) 2O° I VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS 42.3 2. (3RH JIIo G (r_ r TR L.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? 6 if? I2 -Pam;/L? iO?nF-
PROPERTY OWNER 1? µ l a X I o N&
TYPE OF WORK F-C- k. CUaJSYrW ()GTI o ,iJ FIREPLACE(S) ? -1 2 -.__3
APPLICANT "Pl 1 X 10 -PHONE # (6501691 -9/6C)
ADDRESS /42314 60?"DOCk TQZ(„ ,, b-4G- ll ZIPCODE 55123
PAGER # CELL PHONE # (6 61) Z3/ - 5 75 3 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitt- Energy Envelope Calculations Submitted D l?7 (? '-
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbi,,g Contractor: Phone #:
Plumbing System Includes: _ Water Softener - Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: _
Mechanical System Includes
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Fee:
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordin nces
Signature of Applican
Certificates of Survey Received Tree Preservation PI ceived _ Not Require
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex of 18 Deck
? 11 10-plex 0 19 Lower Level
? 12 12-plex Ptbg__Y or __ N
? 35
? 36
? 37
ammo
0
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Aft - Multi
? 33 Ext. Alt - SF
? 36 Mufti
Int Improvement ? 38 Demolish (interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give RCA handout to applicant
Occupancy ?-- 3 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
Footings (deck) ? Final/No C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final _ Other
Framing Pool Ftgs _ Air/Gas Tests Final
Fireplace - R.I. - Air Test Final Siding - Stucco Stone -
Insulation - Windows (new/replacement)
Approved By 4. , 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
-icense Search
..opies
ether
Total 0
BURNET TITLE
I. No' 20706
Property Address: 4234 BRADDOCK TRAIL, EAGAN
Buyer: SPENCER/XIONG
Legal: LOT 6, BLOCK 2, NORTHVIEW MEADOWS
PLAT DRAWING
Insp. Date: 8/16/00 Insp. By: PCT
This Plat Drawing is not intended to be used as a survey and should not be relied upon as such.
The lot dimensions are taken from the recorded plat or the county records and are
assumed to be accurate. The location of the improvements shown on this drawing are
approximate and are based upon a visual inspection of the premises. A licensed
surveyor should be contacted it an accurate survey is desired. This plat drawing
does riot constitute a liability at the company and is intended for use by the company only.
DIFFLEY ROAD
94.96'
?$q
O
Ch-
r??'qk
1" = 30'
DrainaQ?
and
utility
t Eanmsats
}
CITY OF EA AN. Remarks
Addition ORTHfl W MEADOWS
Lot
6
8ik 2
Parcel 10=522100-0 -02
0 34- BRAD IOCC iTIMIL EAGAN MN 55 1123
Owner Street S
,
Improvement
pate
moun
Annual
s
Year
P
n
t t
Racal Date
STREET SU F. 1984 6.' 767 __ 1 1
STREET RE TOR.
GRADING
SEWER T
1981
15.1
-?O
20
SAN SEW " T UNK
1981
138
8
6.
?
2
SEWER LA ERAL TRK 1984 12.75 2 .34 15
SEWER T 911 1981 ,' 22.1" 8
WATERMAI Lj 1984 70 .' 7 4.7
X 1
WATER LA tERAL 198.1 18.11 S 1.24 I'
WATER AR A 51 198'1 138. 8 6.0 20
WATER T 5-73 1982 29. -
2 **? 20
STORM SE TRK 1984 392. 2 8.46
STORM SE LAT
DRAINA E J?jj 1984 33.1 07
CURB & GU ER
SIDEWALK
I
f I'.
STREET LIG HT
?.', ,
it
WATER CO N.
SUILDIN"G ER.
SAC'
PARK
CITY OF E A G A N Nom: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT OONSTfm
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
*
,
f INSPECTION OF SEWER AMID/OR. WAM
SEWER AND/OR WATER CONNECTION ,*f INSTALLATIONS WILL NOT BE SCHE-
ULED UNTIL PERMIT HAS BEEN
APPROVED-
*
(Please Print)
1) PROPERTY ADDRESS: _
/
LEGAL DESCRIPTION: - C 9-1)
Lot Block Subdivision or Tax Parcel ID #)
IF EXISTING STRUCIURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Nbn Year) .
CONYMCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDUSTRIAL R-2 DUPLEX (Two Units)
Q INSTITUTIONAL/GOVERNMENT o R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2)
NAME:
?° 3 l mil/ < cs73'
ADDRESS:V 2 /
6) CITY, STATE, ZIP:
PHONE: C, - 7' 9 2
3) i:?• NAME: ADDRESS:- 7y - - 7 j¢?'(2
CITY, STATE, ZIP:
PHONE :- 4' 5 / / ? MASTER LICENSE # 1 C
Plumbers License:
Active
Expired
Not recorded
staff Initial
4) •• • NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
-5) a: • a?• : a - as - ??
CONNECTION TO CITY SEWER U' CONNECTION TO CITY WATER 0 OTHER
6) I • E PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 2, () 4, ABOVE
?, ,, (Circle one)
Lz_z
7) rr• 4az
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
c $ /A
c
$
$ boa, 02)
$
$
$ / y 5U
RECEIPT
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
ACCOUNT DEPOSIT SEWER
$ /S, ® U ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
C'4f5/?
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 ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULAT ONS
To Be Used For: Valuation: _ C)00 Date:
Site Address: l 2 OFFICE USE ONLY
Lot: Block Sect/Sub
;jgA Erect Occupancy
7yj Remodel Zoning
Parcel # 'Repair Type of Const
Addition # of Stories
Owner -e .y Move Length
Demolish Depth
Address 11/0 x ?1?ri?, /wc Int. Impr Sq Ft
Install
City/Zip Code ... '?? - -----------------------------------
Phone 70 - APPROVALS FEES
Contractor Assessments Permit ' tp
Water/Sewer - Surcharge ,050
Address Police Plan Review 1'70
Fire .._..._....._.r SAC W7 5
City/Zip Code Engr Water Conn S0 o
Planners Water Meter '.5O
Phone Councils Road Unit
Bldg Off b Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone
I
4
-zo
-zo
EXTERIOR ENVELOPE AVERAGE "U" COMPUTArroN
51
OWNER
SITE ADDRESS
CONTRACTOR I. t.k DATE - 2 - P€ NE 7e €i
Determine working square footage of each.
1. Total exposed wall area ..... . I .... sq. ft. x ,
2. Total roof/ceiling area ..... _ ,??,? sq. ft. X
Total exposed wall area above floor
g
a. Total wall window area ...........................
b. Total door area ..................... .. .
c. Total sliding glass door area ...................._.N
d. Total fireplace wall area ..................
e. Total wall framing area (average 10%) ............ _
2
f. Total net wall area above floor ............. ..
g. Total rim joist area ............................ Total exposed foundation area = ?,"
h. Total foundation window area ..
i. Toal net foundation area above grade ............
rs Determine "U" value of each wall segment.
a . X 11 U u 1,19 _ l 7` T./
<rt
b. X /1U11
}{R. ?`/
u
4t ?w1.,JV 1111
C
d• X l1UIl
e X hull _ ?. ;'?
X IOUI
g. X IIUII 06
h. X "Ull _ m -
X IIU1) /-
3...................................... Total -
ti
If item #3 is the same as, or less than item #1, you have met'the intent
of SBC 6006(c)2.
-44
Use 15% o opaque wall. bron for
frame construction Construction R-Value
'
1 Prior air film
z 2. '' cyo.A rowr 7.3
3, inches soft wood
4. , ?.
DA 91C
6.
Exterior
air
film
0.17
WALL Total
FIG. #1 TOPVILW OF
FRAME WALL 1. Interior air film 0.68-
2 -' ss9 '
3.
4. 2 , o
5.
! 6. Exterior air film 0.,i7
FIG. #2 Total- ,
i
1. interior air film 0.68
2
_,..,..._...,.( 3.
"
t
s
-
4
,
`t• ?? ~? 6.
Exterior
air
film
0.17
S
-..r = Total
7
d ,•' V i
% 1. Interior air film O. GS
37
3. 24-
4.
V"? - ..`c1C 5
I :
6.
Exterior
air
film
0.17
Total 39
SLAB ON GRADE
FIG. #4 /1l
:PIG. #3
7/1
?t t l/1
o _ • u.. NOTE: Indicate type, "R" value, depth and
placement or insulation.
RoOI•/CEILING
' R-Value
Coti strucLion
Intc.r..i r air film 0.61
2. -tea ._SG
l
V 3. /0
4. F.xt,-.rior air film l:,ttl1) 0.61
^ Total
,?-
Vii
D
,y 1`•
Vented Up-at flow
k up
p%r FIG. #5
1. Interior ai film 0.61
` ,,,;,r•?e., ??,?,?•, ,?'>??:??^. e. •a 2.
4. Exterior airy m st.i
Total
.1 ? 3 ¢
? e r f low up 'vented
;w. FIG. *6
5 1. Inside air film 0.61
??.? 1• '---i S. Outsid ir. film 0. l7
Tots
1 Z
N041-VENTED Note: Use additional sheets if more space is
needed for details and calculations.
Haac
flow up
PT(. 07,
"T P- -,. -='-?.p'.?..?'?....t,.?. .:.. Y'jlr?'»;.?^-../"ra'.•1?-.- .'tYyle.r.-,.:,?....L.., r.... . i• ?'....: " S
L .. . P.(, . v r'..P .:^1„ r• r' • ::ti^ "+ I Ir . n igyn?:,T_f!^i i C~k I?. ` F' }' >dY
Total exposed roof/ceiling area
J. Total skylight area . •..... ......•..
k. Total roof/ceiling framing area (average 10%)... //`
#_. 1. Total net insulated roof/ceiling area........... ?4
Determine "U" value for each roof/ceiling segment.
t x "u" s F
• w
X "
k•_ U"
4• ... .... .........
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
+ 2.
A 1w MlNNO Ottke 5714011
i_ k -_ i1 MIe GmWsou $6432
JW Z:! 77:= 7
Civil, Mwroxtpa/ A Fnvlrortmtgta/ FarXlneerm 11 South Office • 040-83Y0
Engineering 12350 River Ridge Bind.
land Su?vei ing • Land Planning • Sutl Ttxtir?X Burnsvi4i .Minnesota 55337
` 'rf? c fe ,( silrVe h /
57
C eINry ,-€,Q'D A116#W..vy A4 30
?s Y se9.54 ?/ f 94.w' 2
o ?o
-7
i /
ll tl/? //
l 1 /
/
1V / ?raJ / ??? _1
/..-30 ,
Lcr
OAAWrA C04AV7'V,, UNA14,17A
Go, a
,- Date
I hereby certify that this survey. plan or report was prepared by me or under my direct Supervision
sad that I as a duly Registered Land Surveyor under the laws of t}ae State f-r'ita a.
Hated this day of Igo by
Gary A. H rr s. Registered Csud Surveyor
Minn. Aeg?.Mo. 10!43
1
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
' � Permit#: ����� j
Clty of ����� � �
� Permit Fee: ����� I
3830 Pilot Knob Road ���-
I
Eagan MN 55122 � Date Received: � � ��°'Y� I
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:�C --�� � �� Site Address: Unit#:
� � J�
� Name: ��L1�Yi� C �C��I�V(CL�Z-- Phone: GS� y_�`�—7.�3 S
Residen#1 { / /
�f?W17�1',: �� + Address/City/Zip: �1 �2, `� �'Y��t ci,ct.c:� Cl-�C ��'�i( �0.�C.��t k�1L=/ SS l�"�,
' �'� � Applicant is: wne�` Contractor
Description of work:�_�__D��(,
Type Of WOrk
! Construction Cost: Multi-Family Building: (Yes /No�
;F ����. Company: Contact:
r
�� -a ��.°.-..
COt�'kC�CtOP 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)
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:
M4FE,Plans�nd�su�p,+�rfm�r da��rimen#s th��l'�yb�'�ubmit,are!consid'ered ta�e perblrc�infarmation. �p�r#ians of
the�hfdrmatt#i�may�.`4e�l�ss�fie�f as no"n=Aubli�.�f;yp'u-pravide spec►fic�rea�ons t�at.would permit-th���i#y#o=
:��c�nclu,ple that#he ��are tr.ade 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.qopherstateonecall.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.
--t`,
x - ti'-�C��`t '; S��C�1 C%2, x �C.c2,.�('�f.�� �Q�L��
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3