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4249 Braddock TrParcel Files Cover Sheet Unique ID: 2038 4249 Braddock Tr 105210013001 INSPECTION RECORD Control No. 1120 CITY OF EAGAN PERMIT TYPE: VU111,01*6 3830 Pilot Knob Road Permit Number: #0 1 6 3 9 Eagan, Minnesota 55123 Date Issued: 09/29/9Z (612) 681-4675 SITE ADDRESS: I, t T x 1 4, 4I BRAD DOCK .tR Ic I'11V X'w s : Aoow' PERIII Sp'cPE: 1 are j APPLICANT: 1 AIIM CON I CO I NC, K a 161)) 467-01,13 TYPE OF WORK: Hw P yy?` 7 ?^k Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace '`- Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. FUND - ,9ODB AMOUNT Thank You N 56i so ay white-Payers Copv Yellow-Posting Copy Pink--File Copy 77, - ?? C-1 OF -AGAN 3830 Pilot Knob 6tatad, P.O. Box 21.199, Eagart, MN 50121 '"Gig E•:45 ' 100 r BUILI)11 ERMIT Receipt # To be used for 0_0=0: POW Est.'' alue. $39001, Date Site Address t 13 Bl k OFFICE U SE ONLY. .Lo oc : SeclSub. Parcel No. Occupancy _ e FEES Name Zoning (Actual) Const. Bldg. Permit SAM Address - 9 (Allowable) its surcharge City so= phone 434-3 # of Stories 12' Plan Review length Name Brtl? Depth SAC, City Address S.F..Total SAC,-MCWCC City Phone S.F. Footprints - On Site Sewage Water Conn Name On Site Well - Water Meter Address MWCC system City Phone City Water Aoct.Deposit PRV Required S/W' Permit t hereby acknowlege that I have read this application and state that the Booster Pump - S/W? information is correct and agree. y with all applicable State of a Minnesota Statutes a 100,tro an d i s. P 7 ? Treatment Pa X Signature of Permitee APPROVALS Road Unit A Budding Permit Is issued to: planner -- Park [)ad. on the express condition that all work stied be done in accordance with all li bl S f Mi Council c ca App e tate o nnesota Statutes and City of Eagan Ordinances. Big. Off. opies a Budding Official t f ? :'r Variance TOTAL Permit No. Permit Holder Bale T # WATER SEWER PLtINQ H.V.A.C. ELECTRIC bwpectlan Date hmp. Comet Footings I Foundation Framing Roofing Rough Pig. Rough Htg Isul. Ftrepiace Final Hig. Or tat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Dqck Ftg. S av (Deck Final SS- Wea Pr. Disp. CITY OF ' EAG Ali f i ' I 38 Pilot 30 Knob Road, P.O. Box 21-199, Eagan, 55121 PHONE: 454-$100 ? 8Ul DINGE L Fi!MIT Receipt # .-:. ? To be used for Est. Value $100,00 Date U 24 t . . Site Address Lot 13 Block 1 Sec/Sub. Parcel No. OFFICE USE ONLY Occupancy FEES Zoning (Actual) Const Bldg. Permit I] 17. (Allowable) Surcharge • p-pa # of Stories Plan'Review Length Depth 44' SAC. City T S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC system City Water Acct. Deposit PRV Required - S/w Penriit Booster Pump - SMt Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg. Copies Variance TOTAL Name DTI WDIM ic I Address ADDIM TI ° City RAW Phone Name - Address City - Phone. Name 118M I Address City Phone I hereby acknowlege 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 Permitee '??`?°°°'?•'- A Building Permit is issued to: ' & SPA - ROM 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 j r r Permit No. Permit Motder Date Telephone # WATER SEWER PLUMBING H.VAC. ELECTRIC Inson Date Insp. Comments Footings I 7a S ?? Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Const. Meter Pibg. Inspector- Notify Plumber ErgrJPian Bldg. Final Deck Fig. Deck Final Well Pr. Disp. w I - w FMTV? CITY OF EAGAN Pilot Knob Road, P.O. Box 21.199, Eagtnt, MN 56121 Ir? PERI4IT PHONE: 464.8100 Rec lpt # - She Address 4249 trot__ 13 Block 1 --Sec/Sub. •'4 '•c1.21-MIEN Ml /l.115 Name BLILI& CONS':`k:=^ #'ZQN Address M4 zt?E'E rt: ;: l' City P.G&iv phone p. e 4 a 3 3 Nam Address City Phone Name Addrea ii City Phone Erect IN Occupancy R3 . Repair 13 Tvpe of Const. Addition ? No. stories move ? t eength 42 Demolish ? Depth 46 int impr ? Sq. Ft. install ? Approvals PON Asseesunent Water & Sew. Police Fire Eno. Planner Council i hereby a knowledge that d have read this opplicxdbn and state that Bkb. Off. 9/16/ 5 the Information is correct and agree to comply with all applicable APC State of Minnesota Stott 'awed city Of Va bete Permit 3 .30..UU Surcharge 36, 0, Fun Review 176, 0 . 525.00 WaterCona 500.00 WaterMeter 63.00 Road unit 280.00 Tr. PL 132.00 Parke - coon ) Signature Of Penllittee 2 * 06 Ci 50 Total A BulkSng Permit Is lssued to: BL I L, I r CON aTF: tCTION an the expect oeandills n than all work sfeedi be dares M aooexdaeee with all applpt State of ANrwmpta S±tatadas aed City of Eagan mss; 8ediefing 5 official IN'.t" 10994 Parcel No. ParmD Pond Haider Date T D _ ?cc Mk O Y5 H.V Co ?eaSov Cb„ / °l t?c?t ?t mbewm '/69 /.a Vol sotto Inspection Date Insp. Otbe? Rooib e l Poothgs 11 a P .t on v Ire ftL tneoi. ? td- Pinat Ny. Final Pibe. AWAL water Desa a Location: VAR SNOW PLUMBING PERMIT CITY OF EAGAN Permit III. Fee i f//l h, nwnbered Spaces 8/ i °` Type or Pa* t bey TOt. ?.i...U l w• 1. Date /# r 3 2. insmiiagn Cost 3. Job Address49 Blk. 4. Owner ,,??.? o t'„'?'l• 8. Contractor /`//?H .r/ ?' 4 • /RA01 one rZ " ! 8. Address 7. City /k,. /-A' eX''r`f State 8. Building Type: Residential-6 9. Work Description: New-0 zip 'ygd1 Commercial C7 Institutional 0 Add CJ Alter C] Repair 17 10. Describe 11. s Fi Water doses N2, Fir Cewpooi/Drainfieid Bath tubs Septic Tank Lavatory Softner l Shower Well Kitchen Sink Lkinal/Bidet Other f Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. i hereby certify that the above information Is true and correct. and I agree to z ply with i anoHS d codes rning this type of work. ed :for Find Inspections: Date Insp. Date Insp. This Is your permit when numbered and approved. Approved CITY OF EAGAN 4848100 min MIICHANZCAL PERMIT Petit No. rci CITY OF EAAAN j Fee ..,........_._.__? W y `j Fol hmWtow . : „?.,,;,.....,._.,. 7WW aflt Awbfy Tot.. ? •,? 1. D a t a Installadan Cwt 3. Job Addran Z'T, ,„ 4. Owner C .=c r y 66 13 ?'O e. Address- -76 2,o 7. City ? ,.... = State Zip 8. Building Type: Residential Commercial 0 Institutional 0 9. Work Description: New 0 Add 0 Alter 0 Repair 0 2 ?I' iY't.-?F ata 10. Describe t`` 46gd:?L . Fuel Type .i. LI I it. ftAxmt BTU - At. Ea. Forced Ai No. smiment CFM Aft 'mss,- Air Handling: Bo ilers 1 14 We. Mech. Exhaust Unit Heater Mfg. Oth Air Cond. er On. Piping Outlets 12 I hereby cIfft in the above PiijWon is true and correct, and I agree to comply at nances governing this type of work. Signed : ?X.o"?s' for Rough. FkW lispecdcns:-.Date hat. Date Insix This Is your permit when numbered and approved. Approved CITY OF EAGAN 4545100 i CITY Qf AGAN 3830 - Knob Road SE pp WATER 77 P. -ox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning- owner: Mille CE-is J .;?.Y _. ------------- Address. Befo re n, site wddr ss 4249 Brad'ock r h a iwE Plumber. Bruc anue lei m?6 e Meter No.: D ladai?m g ' .? c< Size: p Account Deposit: Reader No.: Permit Fee: 10.00pd I ogres to comply with the city of Logan Surcharge: Or?aoaaa. Misc. Charges: ?4 Total: 63.Mfa By Dote Paid: Date of Insp.: Insp.: f,- 27- CITY OF EAGAN WATER SERVICE PNT 3830 Piet Knob Road ;773 P. P.O. Box-21199 PERMIT NO.: Eagan 'MN 55121 DATE: `s. Zoning: No. of Units: 1 Owner:t: ?r4Fi#i. Address: ite Address: 44 ldock Ti'. 3 f aart3yi.n sdowti Plumber Bruc uat.3er E1 b mr Meter No.: Connection Charge: 1x a d Size: Account Deposit: 15.OQpd Reader No.: Permit Fee: 10.OOpd II "P" to comply with the Ciy of Egon Surcharge: ` Opd Orrieerrea. Misc. Charges: 7.. 2 OOlpd TP Total: d?ter By Date Paid: Date of Insp.: Insp : . CITY OF EAGAIU SEWER SERVICE T 3M Pik,It'Krrob Road I?Z7 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: iO--8°-$5 Zoning: - 21 No. of Units: Owher. .t e c r. " t . Address- site ,SS Site Address: 424, 'i,Adof>_k Ti' • Lii -.3, North-yIe's VAAC3 s Plumber: D cknueller Pluz biz t earee to comply wills the City OF Eegsn Connection C7: ,.,25 . Ordhsa. es. Account Deposit: 11-0004 Permit fee: ltd Surcharge: . SQPC7 By Misc. Char Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS Lot 13 Blk 1 Parcel '10-52100-130-01 Owner Street 4249 BRADDOCK TRAIL State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. IN 1984 76.75 141 7.68- 10 1 Q /6 7-70 '/ Z - ,2v 4S- STREET RESTOR. GRADING SEWER LAT t-_ 1981 15.89 .79 20 0 /6 770 /a2 - 2-0 - SAN SEW TRUNK 5 1981 138.48 6.92 20 ( , F 4016770 - a -JS~ SEWER LATERAL TRK 1984 275.22 1&34 18. S 15 0,02.10 140 4? -7 -70 42 -2 ? -- SEWER LAT -577 1981 22.28 1.48 -t1 ?6 /3. o O/6 7 0 f?-.zo-eS° WATERMAIN qqj 1984 70.67 4.71 15 40 /G, 770 1-2 - 21 -9-5- WATER LATERAL G-n 1981 18.65 f.24 .9-3 z`ftl //• Z/ o/6' -76) /....2-,a-i5' WATER AREA 1981 138.48 6.92 20 qlo -0 /(7 70 A2 - Za S- WATER LAT 513 1982 29.52 J.¢7 --4'8 20 .20.70 4o16-770 %7-2u F. STORM SEW TRK g50 1984 392.32 .44(. 3 1.85 770 /1-La STORM SEW LAT DRAINAGE 1984 33.97 3Zq 340 10 "' 776) /1- J3 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 55577 9/17/85 WATER CONN. 500.00 it If BUILDING PER. 10994 if SAC n o PARK Thi s request voia5 5 fiagmq Request Date I+? - i F F7 No. !- ough-in Inspection red? ? No "ReadyN o w . - for When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at. Street Addiess Box or to No. rI City f uon No. Township Name or No. Range No. County Occupaf (PRINT) Phone No. Power _$uppIier Address ?4t11 11 1 {j???? ,, 1, 4Q..s.^/- .X,,.y( ( !`31.,,„,4.'t"µ' ! ?'?• Electr" ontra or (Company Name) Contractors License No. Mailing dress Cohtracto?pr Owner Making Installation) } AuthorjzQ Sig ture (Contractor?Iwner lying Installation) Phone Number s - 1 7, MINNESOTA "STATE BOARD OF E-LECTRICIIY I 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) 2972111 ENCLOSED. ?[? REQUEST FOR ELECTRICAL INSPECTION Ewoooc1 a I U See instructions for completing this four on back of yellow copy. B X". - Be/ow Work Co This R?uest 16 46919 .. It Nkm dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial B1dg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other (Specify) Other other nAtn?Av lncnnctinn Fon Rainw S Fee Service EntranceSize If Fee Feeders/Subfeeders If Fee Circuits ,X { _ 0 to 200 Am ps 0 to 30 Amps 0 to 30 Am Above 200--Am - 31 to 100 Amps 31 to 100 Amps Swmmim Pool Above 100_ Amps Above 100_A MIPS Transtonners Irrigation Booms Partial. other Fee Signs Special Inspection $ _ ?E' TOT E Remarks y r Rough-in to 3 I, icaF G ..Inspector. hereby f certify that the above Final 77 Date pection has been olin"le 1 . Tali tequest vow leuonumnom y _- - - F42105/f?_ j T __ c53;V Request Date n ??^ t J Fire No. Rough-in Inspection 7 ,red? Yes ? No ( / Ready Now ? Will Notify Inspector / , When Ready? I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Ro NoJ Ci Section No. Township Name or No. Range No. Cot l Occ t (PRI Phone No. Power Supplier Address El ric Contractor (Comp me' Con § License No. Mali Address Contract or 'rVpkjqg Inst io Autho'ze d SSig a (Contractor/ne Making Installation) C Phone Number ?.. ?.? -. MINNESOT4. TATS BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs Midway Bldg. - R. S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ///g7 REQUEST FOR ELECTRICAL INSPECTION 11 nn ? See instructions for completing this form on back of yellow copy. F 12 i Q 5 Below Work Covered by This Request EB-00001-07 ?'J37/ New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace 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 Above 100 Amps Signs lnspectors Use Only: TOTA Irrigation Booms L Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certif that the ab i ti h Rough-in pat y ove nspec on as been made. Final Dat OFFICE USE ONLY This request void 18 months from CITY OFEAGAN N°_ 10994 .3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `? PHONE: 454-8100 'J// BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $73,000 Date SEPTEMBER 1819 85 Site Address 4249 BRADDOCK TR Lot 13 Bock 1 Sec/Sub. NORTHVIEW MEADS Parcel No. Name BLILIE CONSTRUCTION W z Address 644 SUPERIOR CT City EAGAN Phone 454-1438 Name SAME uU Address ~ City Phone oc W Name ? Address U <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 City of Eagan Ord' nces. Signature of Permittee 1 A Building Permit is issued to: BLILIE CONSTRU( all work shall be done in accordance with a I' bie State of it Building Official Erect IX Occupancy R3 Remodel ? Zoning RI Repair ? Type of Const. V Addition ? No. Stories Move ? Length 42 Demolish ? Depth 48 Int. Impr. ? Sq. Ft. Install ? Approvals Fees Assessment Permit $ 352.00 Water & Sew. Surcharge 36, 0 Police Plan Review 176- 0 0 Fire SAC 525.00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280.00 Bldg. Off. 9/16/8 5 Tr. PI. 13 2 .0 0 APC Parks Var. Date Copies $2,064.50 Total 'ION on the express condition that spt Statutes and City of Eagan Ordinances. CITY OF EAGAN N0 18 961 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ??•? BUILDING PERMIT Receipt # 13o `f To'be used for SCREENED PORCH Est. Value $3,000 Date APR 25 fig' 91 Site Address 4249 BRADDOCK TR Lot 13 Block 1 Sec/Sub.NORTHVIEW MEADOW OFFICE USE ONLY Parcel No. Occupancy R-3 FEES Zoning X w Name RICHARD MADISON (Actual) Const Bldg. Permit 54.00 Address 4249 BRADDOCK TR (Allowable) 1 50 c City EAGAN Phone 454-3796 # of Stories Surcharge . 121 Plan Review Length , Name SAME Depth 10' SAC, City vU Address S.F. Total City Phone S.F. Footprints - SAC, MCWCC t C W On Site Sewage er onn a W W Name On Site Well - Water Meter ,z Address MWCC System - X W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree I w all applicable State of Minnesota Statutes and City o an rdin s. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: RI HARD MADISON Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- 2 50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies . Building Official / f ffNiA R ail, Variance TOTAL 58.00 BUILDING ' E'ER MIT To be used for POOL CITY OF EAGAN N9 16841 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # DWG Est. Value $10,000 Date JULY 24 1989 Site Address 4249 BRADDOCK TR Lot 13 Block 1 Sec/Sub.NORTHVIEW MEADOW Parcel No. W Name DICK MADISON 3 Address 4249 BRADDOCK TR c City EAGAN Phone 454-3796 o Name EAGAN POOL & SPA ;i < Address 2020 SILVER BELL RD, #2C City EAGAN Phone 688-0860 U, WW Name FW Address a z City Phone I hereby acknowlege 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 Permitee A Building Permit is issued to: EAGAN POOL & SPA 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 OFFICE USE ONLY Occupancy FEES Zoning (Actual) Const Bldg. Permit 117.00 (Allowable) Surcharge 5.00 # of Stories - Length - 34v Plan Review Depth .?6 r SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System Acct. Deposit City Water - PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 122.00 This request void Q ) q months (? t r/ ?{ T / L ' U 1' -? ?, .t-J V iT7 ti icensed Electrical Contractor I hereby request inspection of above ooo ?.Owner electrical work installed at: Street Address, Box or Rout o. -.? 9 4 City Section no. ownshi ame or No, Range No. County Occu PRP ? 1 ? PhoneNo. Power PPI' r A ess Elects nt ctor (CglnpapV Na ) Contractor s License No. ST3 Mailing Address (Contr r or wnerMaking Instailati_ oq) - Authoriz Signat e 1 ontractor/Own i I tal lation) t Phone Number ii=q 0 Zs- - 1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS MN 55104 1821 University Ave., St. Paul , phone (612) 297-2111 ENCLOSED. Request..Oat Fire No. Rough-?n Inspection Required? Ready Now W?11 Notify Irtspec- /1 f Dyes UNo r When Ready 5A?) REQUEST FOR ELECTRICAL INSPECTION JIM EB-00001 O4 6 I ' See instructions for completing this form on back of yellow copy. w 1 46917 '-X'- Below Work Covered by This Request r t/ t Add Rep. Type of Building Appliances Nixed Equipment Wired Home Range a Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm er Specify Other(Specify) Other Specify Other LMnnuri incnpc_r/nn fpp rfpinw EA." /r - K - - Fee Service Entrance Size It Fee ceders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 As 0to30Am Above 200 Amps 31 to 100 Amps 31 to 100 A Swimming Pool Above 100 Amps Above 100_AmPs Transformers Irrigation Booms artial%Other Fee Signs Special Inspection $ IIQ v OTAL F Remarks Rough-in Date 1, the lectrical Inspect IN certify that the above Final to inspection has been 1? '7r°D made. Thine request void 18 months from Cp MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 1 1 63 Site Addr y d ac&)ct 1k, # u i / ess n t Property Owner 1 Senr) Telephone #!) T`?` "tp Contractor a?«../ / b S A d L o b l K S : m / treet ress d City , c State Zip SJO Telephone # ( The Applicant is Owner Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement _ air exchanger air conditioner other State Surcharge $ .50 T t l $ o a I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 thew k will be in ac ce with the approved plan in the case of work which re i i es a review and approval ofpk'a' ?Si =0_mn!?v UOVUW?,? - 4 Lzbuia Applicant's Printed Name Applicant's Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) 'Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # The Applicant is Owner Contractor Other Work Type New construction Underground Tank _ Install _ Remove Interior Improvement Call for inspection du ring installation/removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x .01% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature RESIDENTIAL BUIIDING V AA Permit Application c 3 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reouirements Remoda+Reoair Reouiremeri s Office Use OnN 3 registered site surveys showing sq. R of tot sq. ft of house; and $ti rooted area 2 copies of plan _ Cwt of Survey Raw (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plot Recd 2 copies of plan showing beam & window sires; poured found design, elc. I she survey for additions & deco _ Tree Pies Not Regd 1 set of Energy Calculations Addition - lcdicate don,* sepdc system on-si a Septic System 3 copies of Tree Preservation Pian W lot platted after 7/1/93 Rim Joist Derail options selection sheet (tom with 3 or less units Date / 17 / Q Construction Cost I `7 D ?J Site Address L2- 4Q bI LA ODC4 - >r T-z-L- - Unit/Ste # Description of Work S W / vl/ n/ L Multi-Family Bldg _ Y N Fireplace(s) _ 0 - 1 - 2 Property Owner AD) S O t-j Telephone # ((0 ?) L4 Contractor Great Lakes Window & Siding 1111401110 IN11111 ad" Address UN !aft Va ?, MN 55124 City m 0"044W rm 01014M "I State 9 a it " WT:! if Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Code Category nesota Rules 7670 Cateaorv 1 (J submission tyeg) • Residential Ventilation Category I Worksheet Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Minnesota Rules 7672 • New Energy Code Worksheet 77 IF Telephone 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 in the case of work which requires a review and approval of plans. J?tt_IE a Co S Applicant's Printed Name Applican s i ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldc ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage 0 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Dock ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex 0 11 10-plex ? 19 Lower Level 0 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 Bldg. ? 42 Demolish (F(?undation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 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 e ,•. ?rtele' ?; ? Y4f : A REQUIRED INS X8,11 7W.NIt (set) A siJ MKIi _. 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 a 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 PERMIT CITYOF EAGAN 3830 Pi!ot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4249 BRADDOCK LOT: 13 BLOCK: 1. NORTHVIEW MEADOWS DESCRIPTION: Bulldmnq Permit 'Type Buildirng Work Type PERMIT TYPE: Permit Number: Date Issued: T R FIREPLACE NEW Control No. 1120 BUILDING 001539 09/29/92 REMARKS: L,A10-7 FEE SUMMARY: Base Fee $25,00 Surcharge Total Fee $25.50 CONTRACTOR: - Applicant - ST- L I OWNER: DAHM CONST CO INC, K W 14570113 000253 MADISON RICHARD 2217 ROGERS CT 4249 BRADDOCK TR MENDOTA HTS MN 55120 EAGAN MN (612) 457-01.13 (612)454-3796 1 hereby acknowledge that I have, read thin application and t Le that: the information i_n correct and agree to coFn ply ' ith all a. ppIicabI State of Mn. St..i -titer- car J City of Eagari (1rdirlaricoS.. L APPLICANT/PERMI EE SI ATURE AIA114 6'al / V ED B : SIGNATURE SU I INSPECTION RECORD Control No. 1120 CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 001539 Eagan, Minnesota 55123 Date Issued: 09/29/92 (612) 681-4675 SITE ADDRESS: LOT: 13 B L O C K a 1 APPLICANT: 4249 BRADDOCK TR DAHM CONST CO INC, K W NORTHVIEW MEADOWS (612) 457-0113 PERMIT SUBTYPE: FIREPLACE TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FIREPLACE IF PERMIT # CITY OF EAGAN REACTIVATE 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy caics. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot,chang a is re uested once emit is issued. Date / / G! Valuation of work 20 0 o ° Site Address: C_ STREET SUITE Tenant Name: (commercial only) LOT BLOCK SUBD . \f P . I . D . Description of work: f- u The applicant is: O Owner ? Contractor D Other (Describe) Name Sc? A 'j ,' c.. h A fL , Phone e1- 3> 9 Property LAST fIR T Owner Address ?- . r: P0 c, r STREET STE S City ?c 4 G i?lJ State Y YU" Zip 5_ Company L DX h m C i co a t rvC Phone 4/s -0 11 Contractor Address c?Q/D ?_>d C1- -c „ License #a?-53 Exp. City _M e v0®Y_? , t c State _fy? V-' Zip. ---S t Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approve. I hereby acknowledge that I have read this application and state that the Information is correct and agree to comply with,all applicable Statlk of Minnesota Statutes and City of Eagan Ordinances. s j Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging nt Finish ? 02 SF Dwg. ? 07 4-Plea ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 11 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 05 SF Misc. ? 10 Multi. Add'). ? 15 Deck ? 20 Public Facility WORK TYPE ? 31 New ? 33 Alterations 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) Basement sq. ((Allowable) 1st fl. sq. UBC Occupancy 2nd Fl. sq. Zoning Sq. Ft. tota # of Stories Footprint Sq Length On-site well Depth On-site sewa APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS Site ? Footing ? Wallboard ? Fi nal ? 35 Tenant Finish ? 37 Demolish ? 36 Move MWCC System City Water PRV Required Booster Pump Ft. Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee veiuati : 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 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) I) PROPERTY ADDRESS : LEGAL DESCRIPTION: Z. (Lot/B1ock/Su division or Tax Parcel I.D. Number) IF EYIST=i, SI'FUCTLJ;'E, DATE. OF ORIG IAL BUILDING P_, IIT ISSL;rN;CE: PF?SaiT Z^`II;;I;/-PaOPOSED USE: i:__..- :,•°=.`1 R 1 S ;GLE FAMILY Q R-2 DUP1 (TM`'O UNITS) ? R-3 TOA:iNHCUSE (TF-p 1 L'?IITS } ( U'VITS ) ? R-4 APa,RI` +T/CCiDg-MILL I ( UNITS) ? CCiti1"'EFCL-'LL/RE:AIL,/OFFICE, ? LNDUSTP L p LNSTITL•TIONAL/DOVE TME%T Z) APPLI(2.7_..V'T (PLEASE PRINT) NAi IE : ?'?? Y 1` ADDRESS : 4 / ?rr' t ?` r ? . cr.w CITY, S'.7=-, ZIP: PHONE : 3) PLL' IB t PPL SE PRI NAME: FOR CITY USE ONLY ADDRESS: J7 5"elol /Tc PLUMBERS LICEN Ac ' CITY, STATE, ZIP: red PHONE L S I. - t o f /S 7- /'52 PLUMBER LICENSE # 3 2 J o ,? , 4) OCCUPANT/c wrER (PLEASE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: rd 5) INDICATE WHICH PERMIT IS BEING REQUESTED: O CONNECTION TO CITY SEWER Ej? CONNECTION TO CITY WATER C1 OTFIER (PLEASE DESCRIBE) v, 1?VUllt?la. tji ?•.: 7) SIC VItRE: Q PLEASE HOLD APPROVE) PER .IT FOR PICK-UP BY ONE OF ABOVE PLEASE FAIL APPROVED PERMIT TO 1, 2 3, 4 ABOVE (Circa one) DATE: 100 Q_"l_iil!!JO-gum "oft l:.g " -Atma'am •.+ • ' an=i# am as no i:ii i 1R !! 1l- ? f/ on Imam i OJFi7iio F O R C I T Y U S E O N L Y PERMIT '-` ISSUED FEES: SEWER PERMIT (INCLUDE SURCHARGE) $ ?L S WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ i S. rc? 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 $ ?,.=,''ySc 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 Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: •. APPROVED BY: TITLE: DATE: w#alum w-it!mitsme M sw=m n!=I!illEww- -P-w"ppo -- _- pk-ft mmrEsJw.. 0 1991 BUILDING PERM APPLICATION CITY OFEAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. S c. R GCNED POACH To Be Used For: Valuation: Date: Site Address 07 8,P 1,Ode? r/P, Lot f' ' Block C> Parcel/Sub dix)?( vi-e i l A5Ocd-s Owner Rjchpn / / AL Address City/Zip Code Phone `I- 3, 44 Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code OFFICE USE ONLY FEES Occupancy Bldg. Permit 5 e00 Zoning Surcharge ___ Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length ?2 a Water Conn. Depth gyp` Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage Treatment P1. On site well Road Unit MWCC System Park Ded. City water Trail Ded. PRV Copies Booster Pump SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. Variance Phone # agrees that all work shall be done in accordance with (Signature of Contra tor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. i' A Lt A77c? 1 L $/ U' d --1 0 gp a? -I 0 A 54.00+ 1 •5t?+ 2° 50+ 53®00* .ficate for- } ,9ne Blilie 644 superior Court ?.µ Fagan, Mn. 55123 DELMAN H. SCHWANZ LANOSURVEVORS INC Repift. p(t Undw L.wa of The State of Minnesota 14750 SOUTH ROBERT TRAIL ROSWMOUNT. MINNESOTA 55068 PHONE 612 623.1768 SURVEYOR'S CERTIFICATE A g9c.2 b? t a -z. c'? o Drainage & ?nw#ya a ,c 961.3 ;y Gov ?,a?s ; utility easement °° q6 r N \ t hN __ / I v Ib' O SO ?o C ?` Q ( 1 3` 3 N, ? p a? /ZS O 589-f 1,1 Ava ?o??a 969.3 q7o-3 i f ASS ?A/?/W4 SCALE: 1 inch 30 feet Proposed garage floor from Elevations shown are existing development plan - 970.7 ft. I hereby certify that this is a true and correct representation of Lot 13, Block 1, NORTHVIEW M1 D(lS, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of i proposed house as staked thereon. Dated: September 11, 1985 o y 5? fi MINNESOTA REGISTRATION NO. 8625 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I(VIql INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JUL 2 4 1989 To Be Used For: ,! 'fUIT IVX7 5' Valuation: ? t?. ees Date: 7 /S Zf z- Site Address Z ?Le OFFICE USE ONLY Lot 1-D Block __ Occupancy FEES Zoning Parcel/Sub ???Ti-l>/1 Actual Const Bldg. Permit A19•0D Allowable Surcharge 510 Owner / GfL /?, ,? s (/ # of stories Plan Review Length SAC, City Address Depth SAC, MWCC S.F. Total Water Conn City/Zip Code (t Footprint S.F. Water Meter Acct. Deposit Phone s ? 1 ? On site sewage S/W Permit On site well S/W Surcharge Contractor '/ pr(o„?? MWCC System Treatment Pl. City water Road Unit Address G PRV required Park Ded. Booster Pump Copies City/Zip Code TOTAL 2 00 APPROVALS Phone Planner Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. r nki llicate for : ,.,no Billie a44 Superior Court Zeman, Mn. 55123 - _ ?•?5j8 DELMAN H. SCHWANZ LANG SURVEYORS INC Rro..tMpA Unop L1ws M T" State of Minnesota 14750 SOUTH ROBERT TRAIL RONMOUNT. MINNESOTA 55080 PHONE 612 423-1769 UJINVIEVOR'S CERTIFICATE .b, at Drainage & utility easement 30 970.2 bV I ya6 q gb1.?3 ! $ ?12W 00-7 Gov ?,ar? ; 00 1? 1p.?s g ! i i I ?s.;; ' 30.03 0l ( 1 Q, \O \ - ,ir 3 9jat N 4p ?, O *7.7 S/. ZS X 9687 969.3 moo. g 'a ?a ry Awe ?/,vad SCALE: 1 inch ' 30 feet Proposed garage floor from Elevations shown are existing development plan - 970.7 ft. I hereby certify that this is a true and correct representation of Lot 13, Block 1, NORTHVIEii HAMS, according to the recorded plat thereof, Dakota County, Minns bt.a. Also showing the location of a proposed house as staked thereon. Dated: September 11, 1985 MINNESOTA REGISTRATION NO. 8625 1985 BUILDING PERMIT APPLICATION CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1-SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND To Be Used For : eSl rW C._. Valuation: Date : 9 r.? 3 ~ Site Address OFFICE USE ONLY Lot ( Block Erect Occupancy ?-3 IV O Remodel Zoning R-I Parcel/Sub J_(® T-tkQ c eA--L .Z YV?f?"s ex.? S Repair Type of Const SG Addition # of Stories Owner Move Length g 2 Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code ------------------------------- Phone APPROVALS FEES Contractor Assessments Permit 35z-. Water/Sewer Surcharge No. ° Address 1 ? Police Plan Review 1. b, Fire SAC ZS, City/Zip Code F Engr Water Conn Planner Water Meter Phone u; Council Unit 2. Bldg Off Treatment P1 32. Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone 4jx 4 k-> X75 H3 ( ' 4- 1 L? (Z i F !. E E4 .?` Fj + 4 :? ? y 352•CO+ 36.50 + 1C. /'? h 25,:;0 + {;-•i:0+ 63•i-O+ 280i•C0+ 132.00+ `?:064.50 r7 Fes' a: - i 'Certificate for! Wayne Blilie 644 Superior Court Fagan, Mn. 55123 DELMAR H. SCHWANZ LANG SURVEYORS INC Registered Undw Laws of The State of Minnesota 14750 SOUTH ROBERT TRAIL ROU$OUNT. MINNESOTA 55068 PHONE 612 423-1769 SURVEYOR'S CERTIFICATE Drainage & 0 99 utility easement U 96a ? f 9r?H ? ? qb?> ? ! , 111, 12. •--'--' qbq o Z5 ?9 \ IN ar -- iAj ?o da Igo. /3 ?, ??s.b o 3d 33 •.z N? ? N q ?; L---- s g ----- --- a `mil f7.31< si. zc x 96s.7 --? ??PcuaB /Z5 oa ( 589- cz - // q 96? 3 97".3 a1° 3 SCALE: 1 inch 30 feet Proposed garage floor from Elevations shown are existing development plan • 970.7 ft, I hereby certify that this is a true and correct representation of Lot 13, Block 1, MO THVIEW f dWS, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: September 11, 1985 MINNESOTA REGISTRATION NO. 8625 ?i"Y'y a ?.. .. . w pnn t+• ,..a 5"A'?`NN4iG'?y. ?.? w+nt ? i +.N i _ Pin T - sir 3. t r i t?S '!c y t t' y:'o'.a-•re p? r?.,? ? ? t!;. '?" c- _ .. -,?' ? r A EX RIM'i tSl? ?.I)? AV RAG` x '?: Cott 1iT TI ON OWNER SITE' ADDRESS CO NTRACTOa' d417'DATES/,r" PHONE Y'`/f!-3< Determine working square footage of each. 1 Total exposed wall" area sq. ft -x } 2. Total - roof/ceiling, area sq. ft. x = Total exposed wall area above . floor = a. Total wall window area. b. Total door area ., .r 77. 17 c. Total. s1 j.di.o glass door area d Total fireplace Wall area.:.. :.. .. `.? e Total wall framing area (average l0%) .. Total net wall area; above fl.por '.1:.. } g. Total'rim.joist area ..... ., ...., ... •. 12 Total exposed foundation area ?• h. Total foundation window. area..*.. i. Toal net foondati on area 'above grade,.,. ......... Determine''U" value of each will segment. a. /c9 ?7, X "U" e -3 _ y b. 3-.,27 X „u,, flull C.- X 1.20 VP-0 d. X "U" - - - e. 2,V& X "u" Q f• /? f, ?/ X "u'' 49g• /z X "u" X „u i.G X „u,' 3.......... ............. ....Total - If item #3 is the same as, or less than item #1, you have met 'the intent of S8C 6006(c)2. WALL SECTIONS NOTE; Use 15% of opaque wall area for 'frame construction OTh)e?TION UI LL Construction R-Value i. r air'film 4wrmoo 2. re 3. inches soft wood 4 s 5. L?xG 6. Exterior air film n 0.17 ___..." Total 1. 2. 3. 4. 5. 6. 0.17 1. Interior air film 0.68 2. a 3. W rl U 4 • Z./GT 5 • 6. Exterior air film 0.17 Total 1. Interior air film 0.68 2. • ? LPL ?' • 4. v ?rn'l ?2 6 5 • 6. Exterior air film 0.17 Total 7, 71V SLAB ON GRADE """FIG. #3 . oa ll?. FRAME WALL ?_ moo! FIG. #4 1f(r '? o ttf / l NOTE: Indicate type, "_fl" value, depth and placement of insulation. Q}' Paga Three Roor/CEILING al Q V R Construction Interior air film 0.61 ? ? J.. 4. Fxtcrior air film (still 0.6 Total ?1$ 0.2.2 VENT t-<D #! Vented Heat flow ful up FIG. #5 Interior a film 0.61 3' 4. Exterior air filar sti Total ?.` Heat flow up vented FIG. #6 y 3 1. Inside c.r film 0.61 ,1 t1 NON-VCr rED Heat • flow up Fl(. *7 5. Outside air--f lm 0.17 Tot Note: Use additional sheets if more space is needed for details and calculations. 11 FE, Total exposed roof/ceiling area ?. Total skylight area .. .. .. .. • k. Total roof/ceiling framing area.(aver age10%)... 7 1. Total net insulated roof/ceiling area ........... G- Determine "U" value for each roof/c eiling. segment. • A lJ k. ,J/. , C X ""U"" , 02 P.• = 31 l / 1.: 4??6. X ""U" . 0 = .2 3 4.................................. .Total If total of #4 is the same as, or less than #2, you have met the intent of, tBC 6006(c)1, 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. _. 3• ,?.?? +4, ??9 = ! ' 4e i o+ L HEAT LOSS CALCULATION -9-0-0 YEMP. DIFF. Customer Na" Type Oaanotim A City Windows storm sett Dasier Nang . Walk. IM. Street Ceiling Iris. city Floor Winj ows and Doors-Craduse and Ara. No ware W '.e rreyar sr ^e Ne. N t n LMwI N. N erase . !L ti , i ' 1 r? 10 ?1 t.U2.C?tk : 3 I Coat. Btu Infiltration 1 29 - Glass O O Exp. wall 13 a Nat exp. wall AMW LI 3 Int. wall Coiling #0 *C (p O Z 0 to Floor total etu. - I l b?`1!o FI.I Owe?Roottt I Langth'j? Width 10 Haight I a- Windot and Doors-Cradutge and Ass No o, '.i a wi Le . @ ishft Used n. h. Zv v cw. Stu Infiltration / (co Glass t DD Exp. well X y Net exp. wall MD- Int. wall Ceiling Q O ? f lonr Total Btu. FF l oom Width 0 Wwwktws and Doors-Cre0s a and Ass N W -Alf. ' *so .M.r I awl rLre. N LreeN M. Au. o Coof Infiltration Glass Exp. wall Net exp. wall 1 1 ! Int. wall Ceiling jqx 10 IF lour :....v Ili Roost I Lsn¦th f o Width b ~t w indows and Doors and Arne Ne. Mob Nelp?t ee N N Am LIMN N. dam A!" . - - Cool Stu Infiltration Glass CV Exp. well g NO sap, will Int. wall Ceiling O Floor 1 100 12- r z o Total Btu. ?%rl-1 'vi Roam Width IO Nei@ht W indows Dann-Cradcags and Ares Ne. N wo is, No. N Lb"M h. *0 WIL Btu Infiltration 0 Glans Exp. well 2p Nat exp. well Int. wall Coiling 1-6)c UD 3 -700 Floor o0 2,00 Total Btu. J& 701- A-j?jA*k;4MjLsWh Aa- width S1•I I W l ndows Dose and Aral 66 «.IM Nap" ft*. *# Us..I N. N. 3L Z1. Stu Infiltration 1Qqn aim Exp. well No exp. well IM. VAN C iling r?- X Flow 9 Total Btu. I Tow Btu. 14a kyc HEAT LOSS CALCULATIC ,40MW t?l?d ?; kt tee , AV -_ Dealer NORM. Street City N 9o--o 1 EMP. RIFF. Type Carauttbn • 40 Winttlowt Storm Salt Walls._____________________ Int. Ceiling its. Floor Room I Length 5.5 Width 1 to Heleht Winlows and Doors-Crackaga and Ares No *.dfli M M Me.Ms o/ ?i No. of L h t au+I ft. O. Coef. Btu Inf sltration Glass Exp. wall Net exp. wall 04 Int. wall Ceiling ?• Floor H •1 Total Btu. Lot Co F1.I M„f Room I Length Ia- Width t (a Hoot go w indows and Doors-Cradaos and Ares No M dIM f I.i Ne. Lobes `fit n. h. I 2t/ ?- IcDo. Btu Infiltration ;., 1 46 9 to Gas m ISO C? go Exp. wall 07 7-2-4 1 N et exp. well s . -1 Int. wall Culling tzxl(. 3 S76 Flow -3 9w4 Total Btu. + 3 (o t 0 1' FF l oom t Lsnath I Q Width 11 • s HsllStt P W wwktwt and Door-Cv and Area w.. *.At% 940",e "I 0116"s e. er Lobes lwM h. Btu infi tration Glass a xp. wall 29, 5-,K Net exp. wall Int. well Culling ! K 1 . 3 fit 4 Total Btu. f'J width w indows and Doors-CraduM end Arno Ne. N ? meme No. L~ ~ t R. A Btu Infiltration Glass Exp. well Net exp. will int. well Ceiling Floor Total Btu. I FI.I Room Il Width Neisht W indows and Doors-Gadaga and Ares Ne. Width M•lw Ne. of Btu Infiltration Gas Exp. well Net exp. well IM. well Ceiling Flu. Total Btu. I F1.1 Room I Lamth Width w indows and Doors-Crad ipt and Am Ne. M~M elm "own no. of UFAM ft. MIN. Btu Infiltration Gas Exp. well Net exp. well Inn. well Ceiling Floor I Total Btu. ,q,3, ?1 1 Cbov n.e c -fed 104 Are.& C4;v ivl-14-e '7,37 ?v t',1 h ed' IOss      î  þ    íí ÿ þ ÿÿ þ ýüýüü     ûþþÿÿ ïïîþþúð ô÷ â óò ó î   ÿú  ýüûúù  ð ÷õá÷üúù  ø÷úù ð   ÷ ü á üá íü ù Û  ýÝü÷ ï  õ ÷   ÷   ÷÷õþ ÷÷ ü   ÷óæ ÷õû÷è  ÿ ü÷ ÷  û  üõ è á÷û ã   ÷÷ ÷ Ýü÷ ûùó  õ ù  è  ï äàäêêèîêèêî øû  ýü÷ ÷ äèîèî ìüþè  ÷õ ú ôó   ÷õ ÿã ÷÷èð ÷ò êêëê  ÷ú÷ ï÷  òôîîîÿ òôîî çëîåëî  ÷ ûùó    â ÷      õ÷ ÷÷  ÷  ùó  û ý  õò ýü áùõÿ í÷ è  æ ÷  ý ü ùý ü÷