1046 Briar Creek RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1046 Briar Creek Rd
Lot: 5 Block: 2 Addition: Lexington Square
PID:10- 45075- 050 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Bermitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Philip Herrick
1046 Briar Creek Rd
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA086698
10/07/2008
ePermit
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot If nob Road
' P. Q. Ba40199 PERMiT NO.:
? Eagqn, MN 55121 DATE:
f Zoninp. No. of Units: -?
I Owner, - _ ?•K? t ? ?i132? (:?t i?j"? }
!
Add?eSS:
' sita 14ddreas: 1046 Priar rt°eck; Road' -21:2 I.,a-z$az gt.vn ,`'iq
P1um6e?:
MaMr No.: Connectian Chorge: 5f)(0.
Siu: Attount Deposlt: 15• n043d
Reoder No.: Permit Fee: oapd
I aone to aoM* whir iw Citr ef Eeqaw Surchorge: `'CID fi
! 4r?i?eweM. Misc. Chargs: ; 56. Vopd TP
Totol: ?.> > 50-Dd mQt4r
I BY Date Paid:
Dore of Ir?sp.: Irap.:
CITY OF EAGAN SEWER SERI/iCE PERMIT
3830 Pilot Knob Road
P. O. Boz j7799 PERMIT NO.:
Eagan, MM 55121 pATE: :>--19=?i6
2aninD: - Ri hlo. of Units:
Owner. - -- ""e.ttlvn'4 (;osr.nv. -"'_
Address: ' -
Sita Addreas: 1046 Firir33' !:Le--e:t °`..;DAd LS
Plumbur: Nicke.i' sc7n. PIssvAb''rt?•
C fn
_ - 9--?;F. c;h.S 2. . --:
t pne te osmoly wbb !M Ctey d Eags•
Ordinewop.
By
Dote of Irnp.:
100.+'3+?p4'
Ca?nectton fharpe:
Ac00urtt Deposit:
Psm+it Fea:
Surdharqe: ?T?----.--
Misc. Chorgex
Totcl:
Dote Patd: _
r . . . _._ . .
",ECnlAM FOR MM 5j 15JII7 CITY OF EAGAN
PLAx RET/?:E?' 3830 PilotiCnob Road, P.O. Box 21-199, Eagan, MN 55121
alk?? MAW `??MGU' PHONE: 454-8100
BUILDING PERM17 937-2892 Receipt #
[Ta be used ior • St'- D?`G?GAIR Est. Value s 119 Date l1?`'Y 16
?19 1?3! ?
, 19 66
Site Address 10 46 BR'AR CRLE? RL) Erect CY Ocoupancy R3
Lot -5 Block 2 Sec/Sub. LE,'XINGTUN S{7 Remodel ? Zoning rt 1 ;
Paroel No. Repair ? Type of Cpnst. v
Addition ? No;Stories
I,
''I?iE t?0''TLUCdL'"? Ce'? ? Move ? Length 5?'
W Name
x P.O. ??? 383 Demolish ? pepth I
o Address Int. Impr. ? Sq. Ft.
571--0304
2SSL';C3 P
?
City
none
Instau
¢ SAVE Approvals Fe¢s
o Name
? a Address Assessment Permit ? '? ??•??
~ City Phone Water & Sew. Surcharge 5.9•50
25
240
Police Plan Rsview .
w W Name Fire SAC 575.00
Address Eng. Water Conn.
n 500.00
i W Gity - Phone Planner Water Meter 63•50
Council Road Unit 290+00
Iherebyacknowledgethatihavereadthisapplicationandstatethatthe gldg.Off. 5/14f8 Tr,PI. 156-00
informaiion is correct and agree to comply with all applicable State of
Minnesota Statutes and Clty. of Eagan
Qr.di4;mrC?'`s: "' APC Parks
_
Var. Date Copies
?
i Signature of Permittee
?-•'??- ? -°?-- ?
Tatal ?2
-
, 3 64 . 7 5
{
` A Building Permit is issued to: ?'??? ???TLuND eO on the express condition that
? all wark shall be done in accordance with all applicable Stafe of Minnesota Statutes and City oT Eagan Ordinances.
Building Official
.?.. - .
PermH No. Rsrmtt Ndder Date Telephone #
Plumbing
N.V.A.Q. ?
_
Ekctrlc
? •-
Softener `
Inspectfon Date Insp. Comments
Footings I ?
FooNngsll
Foundatlon
Framin
Roolfng
Plbg.
Rough
Haugh Ntg.
Inaul.
Ffreplace
Final Htg.
Final Pibg. . ?.
&dg. Finsl
Cert.Occ.
deck Fig.
deck Frmg.
Well
Pr. Disp.
4
. • ,' ,
i
CONTRACT PRfCE:
Site Address -'
Lot ? Block
Name
3830 PILOT
.. . . :.-:-. : . _.._ .. . ... .?,._-.z. ":....v . ? .... _ . .
PERMIT # ?L
CHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN ?
40B ROAD, EAGAN, MN 55721 DATE L:? _.
3HONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
?
Res. ? New '
Mult. Add-an
Comm. Repair
Other
' J;-p City Phone _
TYPE OF WORK _
Forced Air M 6TU
Boiler M BTU
Unit Heater M BTU
Air Gond M BTU
Vent CFM
Gas Piping Outlets # ?
Other
FEE:
S/C:
TOTAL•
?FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 8TU
ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 1% OF CONl
MINIMUM - RESIDENTIAL FEE
neitiIRni inA - r.nnAnniitin FFF
I tnvt? y.av ?e v n r "
; i BEYOND $1,000.00)
SIGNATURE OF PERM
,
FOR: CITY OF EAGA
- $24.00
- 6.00
- 12.00
- 6.00
- 1.50 EA.
tACT FEE
- 10.00
- 20.00
T - .50
GaES
. ....
, 1?
-
•
7
PERMIT #
_ . < . PLUMBING PERMIT RECEIPT #
• CITY OF EAGAN /
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ` ., `--'??-'-?- :"? `BLDG. TYPE WORK DESCRIPTION
Lot 5 _ Block ? Sec/ Su
Res. ?` New ''
?
? Name : MuIC Add-on
?a Addr ? ' ? Comm
Repair
.
cn Ciiy -- ^ ? Phone Dther
Name ?? --r`=?t•e
" NO. FIXTURES
Water Closet - $3
00 Tg7
$
.
"
? Address -'Bath Tubs - $3.00
p Cit
Phone Lavatory - $3.00
y -?Shower - $3.00 -5 0
- Kitchen Sink - $3.00
FEES
COMMlIND FEE - 1ao OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10A0
Urinal/Bidet - $3.00
_/ Laundry Tray -$3.00
/ Floor Drains - $1.50
MINIMUM - COMM/IND FEE
STAT
C
ARG - 20.00 tW$ter Heater -$1.50
E SUR
H
E PER PERMIT - .50 Whirlpool -$3.OU
(ADp $,50 S/C IF PERMIT PRICE GOES _ '1+?C-Gas Piping Outlets - $1.50 ? - ~
6EYOND $1.000.00) Saftener - $5_00
Well - $10
00
J ??
/f .
Private Disp. ` ?p
Q10.00
Rough Openings - $1.50
I SIGNATURE OF PERMITTEE FEE:
STATE S/C: \
.._
?
FOR: CITY 4F EAGAN
GRAND 70TAL: ?
.?
'?'-?-
I
CONTRACT PRICE:
Site Address U
Lot Block
, - _ ,v " . -! N' . ,. <. ... .. ?. - ? :;. ..:. • . . . . . . . .. • . . r.
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?-- --??
aWnuF• esa-Aynn
? Name -k ??-? / ' ?
? Address ?? ' ? ,•t ?
c City Phone e,- ` ?-
? Name 't' • T vT t A k S? I-
3 Addrass kl iz Ci -c -t k V2
p City it" Phone `
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 $1,000.00) `
OF
NO.
WORK DESCRIPTION
New
Add-on _..?.._
Repair
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3_00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
_xGas Piping Outlets - $1.50 i
Snftpnwr - %fi Of1
TOTAL
t
?
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL
?
?.
CITY qF EAGAN
Addition LEXINGTON SQUARE
, n
Remarks {?4U}? i},•d? f} ?? 1 L(?,en.?(ti ?
Lot 5 sik Z Parcei la 45075 05Q62
5tree1 1046 Briar Creek Road scate Eagan, MN 5512
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTQR.
GRADING
SAN SEW TRUfVK J 1985 254.53 16.97 15 254•53 C009714 10-12-84
EWERLATERRL 173
6 1]3.(5 C010058 1-2$-85
-
-
WATERMAIN 68.33 C010058 1-2$-85
WATER LATERAL
WATEFiAREA 296.43 19.10 1 286.43 C010058 1-28-85
STORMSEWTRK 501.39 C010058 1-28-85
STQRM 5EW LAT 1986 34.25 1 5 513.81 C010058 1-28-85
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER C4NN.
BUILRING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Kncb Road, P.O: Box 21-199, Eagan, MN 55121 N2 11969
P
HONE. 454-0 Y00 '
BUILDING PERMIT Receipt# {o.
2 (0j--3
' To be used tor ' SF DWG/GAR Est Value $119 ,0 0 0 Date MAY 16 i 9 86
1046 BRIAR CREEK RD ? R3
SiteAddrass Ered L Occupancy
Lot 5 Black Z Sec/Sub. LEXINGTON SQ Remodel ? Zoning Rl
Parcel No Repair ? Type ot Const. U
. Additian ? No. Stories
? Name THE ROTTLUND CO Move ? Lengm 54
; BOX 383
P• O Demolish ? Depth 32
.
Address I ? Ft
S
? OSSEO $']j-Q3Q nt.lmpr. q.
Ciry Phone Install ?
o Name SAW
0e Address
m
" City PhOne
a
?
w Name
Address
a W City Phone
I hereby acknowledge that I have read this application and state ttiat the
information is correct and agree to comply with all aPPlicable State of
Minnesota Statutes and C' of E a ?ces.°
Signature of Permittee ?^ -
A Building Permit Is issued io: THE 2QTTLUND CO
allwork shall be done in acCOrdance with all
Building Official
of
Assessment
Water & Sew.
Police
Fire
Planner_
Council -
eldg. Off.-
APC-
Var. Date_
Sta and
Permit
Surcharge 59.50
Plan Review 240.25
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
RoadUnit 290.00
rr. PI. 156.00
Parks
Copies
Total $2.364.75
on the express condition that
City of Eagan Ordinances.
CITY OF, EAGAN WATER SERVICE PERMIT
3830,,,Fibbt Knob Road 7551
P,,.?Ot V3ox 21199 PERMIT NO.: _ _a
Eagan, MN 55727 o
DATE:
Zonlrp: RI Na of Unirs:
p»,wr. Rottlund Company
Addrese: _
Site Addrest:
Mumber. _
Meter No.: _
Sim: --?
Reader No.:.
Ieam ? ob .ab w. c!E? -"s,?c?i,o1
? -- ?: -
BY DaN Pold:
Dote of Inep,;_
This rep.est wid 7C,/\
i8 months fmm Y? 'V
C-=18062 Request Dal Fire No. Rmgh-in ngpeclion
fteq retl? Neady N Will Nntity InsOec-
'?' ?es ?NO or When Head
0 Licensetl Electncal Contrecror
? Owner
1 hereby mpuast mapaction of abovo
electneel work installed at:
5 5?
Street Address, 9ox or ute No.
V Citv
Cl-? .?/
ecUOn o. Township Name or o. Nange o. Coun?
Occup f (PRINT) Phone No.
Powe Supplrer Atltlresa
Elec[n al Conlractor ICompenY 42-1110
y
, Con[ractor's Lice^Se N.
f /fn/g AdJress (COntractorbr Owner MekinB
V ? Instailation)
)
/ u
Auth rized ignature (Coniracior/Owner Ma i Installat'on) Phon/e Nu Oer
?V z? Q- 0
MINNESOSTATE BOARD O -LCTpIGITY THIS INSPECTION NEQUEST WILI NOT
Gripps• i ey Bltlg. - Roo 197 . , BE ACCEPTEO BY THE STATE BOAND
1821 rtY Ave., St. Paul,MN 55704 UNlESS PqOPEB INSPECTION FEE IS
Pho?al?e?a 1B121287-2111 " ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E?1O1O1-?
Sea insireetmns for comple4m this farm on back ot vellow coDV?
C-"Z 8`O 6 2 "X" Below Work Covered by Ihis Request ?
o_. nw,. ee.. T.._....s e??.u...., n.o?.nn?. Wv.tl' Equ.pmenl Wired
Jte lRS
p Y Fea r5ervicaEnifBnceSiza tl Fee Fexders/Subfeetlers # Fee C?rcu?ls
Uto200qms 0 to30Ams Oto30Am
Above 2 0 qmps 31 to 700 Amps 31 to 700 Amps
Swimmin Pool Above 100-Am s Above 700_AmVs
Transformer5 Irri tion Booms Panial.'Olher Fee
Special I
I, the cV,cal
hRUectoq hereby
Cerbty that the xbove
inspection hBe been
maAe.
This request voiA / _ , ? ?QpZ
18 mpnths from l? ? ?' ? ? ` • ?
e 18 Us
Request Date - '
1
? Fve No. flough-'n Inspect n
R qurted> '
?Rea NuwktTW. ll NnUfy InsDec-
????
?es ?NO ' tor When peady
?
? Licensed Electncal Contractaj :, " I hereby reduest inspection ot ebove
? Owner , elecincal work insWllatl eY '
Svea[ Address, 8oz or Boute No. . C rtV
(--)
ecuon o. Township Name or, No. , ange o. Coun ,
oj
I?
Oc
t (P IN Phone No.
?
Po . Supplier '
n
i , Adtlress
I
I
Elec[nca
l
Co
n
Vactor (Company Na I ConlraytoLicense No, I
1
?
/
/
Maibn Address (Cont ctor or w r Making Insieilation)
Z. AJ 1
M?
A honzed S?pnature (Cmtractor/ wnzr Makmg Insiallation) . ; Phone Number
6oo
MINNE507A STATE BOARD OF ELECTflICITY Y ITHIS INSPECTION REQUEST WILL NOT
Griggs.Midwey Bldg. - Boom N497 ' . ' .OE ACCEPTED BY THE STATE 80AND
1821 Umversity Ave., St Paul, MN 55104 ' ?'UNLESS PHOPER INSPECTION FEE IS
o?.....e tR121 157_2111 ' ' ',ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-OU007-M
?
/ sae ;n,,.uct,ons fo< <om ? 3&a 7
pleb?q this Imm on beek oi Yellow co0v. C 1-$ 1-Q, 8 "'X" Be/ow Work Covered by lhis Requesf
IMMJAddi Reu. Tvoe ul Buildma 4eetmneea W.r.d Equipmenl Wirea 1
ic
Ik
k Fee ServiCeEn[renCeSize H Fee Feeders/SUbteedere # Fee Circu?ts
0 to200Ams 0 to30Ams 0 to30Am
Above 200 qmpti 31 to 100 qmps Co 31 to 100 Amps
Swimming Pool Above 100-Am s ' Above 100_Am s
Transformers Irri ation Boorr;s Pertial-'Other Fee
? ?Signs ? I ISpecialinspection t
emarks . ?? TOTA
i 27.r?T
Finai
cna lec:.ic
eoect aby
rLty that the xbove
sDeetion has bee.
,
- -
; Fu? or?ioe use 5.? ?
j Permit M:
I ?/? ?
? Permit Fee: v ` 5-D ?
I
?{ I
j Date fiecerved:
? C I
? Slafl:
I
2008 MECHANICAL PERMIT APPLICATION
Date: O"I ?" V g Site Address: lCJ yc 13Qg/?e G4e?It:, !, 0/ia
Tenant:
Suite #:
RESIDENTIOWNER Name: /"/1 An-C Z& l2i+//c/< Phone: oJ /^ llas?"Fm
Address / City/ Zip: 0 6 Ar C/1i-PeA AF?? ?>?? SS-IA 3
CONTRACTOR Name: 111To ?y/{??y?y?,I/7q ? .!??C. License #:
Address:7e
Yo wK'Jl-
,
City:SnMdL 64U t/c llC/o7 4f3 StateZip: S5° 7 7
Phone: 65'f-o`ta7-/h'3Z ContactPerson: G/2-3of-J40
TYPE OF WORK -New _ Replacement)(_ Additional Alteration _ Demolition
DescriptionoTwork: lh'`?T /eR^v^ /7"DDZ ~)4 '"/V--
NOTE:'8oth 'roof mounted and ground mounted mechanical equipment is requlred to
be screened by City Code. Please contact the Mechanical Inspector or one ol the
Planners for information on ermitted screenln methods.
RESIDENTfAL COMMERClAL
PERMIT TYPE New Construction _ Interior Improvement
Fumace _
Air Conditioner _ Install Piping _ Processed
Air Exchan9er _ Gas _ EMerior HVAC Unit
' HVAC units must be screened
Heat Pump
? Other
g L Install / _ Remove)
Under / Above round Tank
" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ctor
RESIDENTIAI FEES:
$50.50 Minimum Add-on or afteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIrB repair (replace burned out appliances, ducNrork, etc.) (includes $.50 State Suroharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1% •
$50.50 Mlnlmum (includes State Surcharge)
- $ " Permit Fee
- If Permn Fee is less than $7,000, surcharge is $.50.
- If Permi? Fee is> $7,000, surcharge increases by $.50 tor each =$ State Surcharge
$1,000 Pertnit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknowledge that Ihis information is complele and accurate: that the vrork v+ill be in canfortnance wkh tha ordinances and codes of ihe Gity oi Eagan; lnat
I undersland Ihis is not a permit, but only an applicatlon for a permit, and vrork is no[ ro slart vnthou[ a :permit; tha ihe work will be in awordance wi[h the approved
plan in the case of rk which reqwres a review and approval ot plans.
X ,.v?i/l? :
Applicant's rinted Name ApplicanYs Signature
4
FOR OFFlCE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final
? _- -- _
? ------------------
(?
II-1-?i Permit#: ?
V
, PertnA Fee:
Date Received:
?
' 91 I Staff: C? I
V ?----------------I
2008 RESIDENTIAL BUILbtNG-PtRMIT APPLICATION
oate: ? I- 2S - O (f Site Address: ( IC) 4? n? ??#? L%" `'L- r??
Tenant: Suite#:
RESIDENT! OWNER Name: a ( hone: &n - v4
Address / City / Zip: ??c- ? .
Applicant is: ? Owner ?Contractor c?i/ 6"?'
TYPE OF WORK Description ofwork: ;P?5??l"I= 5 ? U6-X"T pco?'?
Construction Costj.2"??'p• ? Mulh-Family Building: (Yes _I No?
CONTRACTOR y?_ ? ?!J
?e
Name: I 1 LicensD
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Su6mitted Su6mitted
5ubmi55ion type) • Energy Envelope Calculations Submitted
In the last 72 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 Ptumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
;NK)TE Plansands?ppor#iny` qcumeritsGra#=y+q??sub?n'#.re;?co?s?tlet??„dta?'?Ft?ibfic?i?Ydrm`atfar?, nkt'?
?
'
?
"
CttY;?tbIr5?-
reaso7r5 th ?uvqvld Rermihe
s
the informa?rorr maq b e c i ii?Fied a$;?o?p?you provide
peGMi?c
s
'?
ecrets..?
?, ?concfude.fhaE,#he are trade
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 rewew and apprwal of plans.
x!-t r42 LQv2_ H=n-Nl L' L (0• l??
ApplicanYs Printed Name ApplicanYs SignaWre
Page 1 of 3
??
00 ?
, '.b.
, •T
I ?
w
DO NOT WRITE BELOW THIS LINE
sueTrPes
? Foundation ? 05-plez ? 16-plex ? Accessory Building ? Pool
?J Single Family ? 06•plex ? Fireplace ? Porch (3-season) ? ExL Alt - Mul6
? 07 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Eut. Alt - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
$2 Alteration ? Fire Repair ? Windows ? Demolish FoundaGon
? Replacement ? Egress Window ? Water Damage
• Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 3?? •?? k Occupancy
- ,Tp C' ? MCES System
Plan Review Code Edition 7,A-l6"7 SAC Units
(25%_ 100%? Zoning City Water
Census Code y 3? Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
? Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Reviewed By:
Sheetrock Meter Size:
Final/C.O.
?o Final/No C.O.
HVAC
Other:
Pool: _Footings _AidGas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
RES/DENTIAL FEES:
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
U61ity Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
bl???
2005 RESIDENTIAL BUII.DING PEfiRMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
?a 00
New Constnuaion Reauirements ' RenodeUReoair Reauirements Ofiice Use Onlv
3 registe2d sHe surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copfes of plan CeR of Survey Recd _ Y _ N
(20%maximum bt coverege allowed) 1 set of Eneigy Cakulatbns tor healed additions Tree Pres Wan Recd _ Y _ N,
2 copws of plan showing beam 8 windax siaes; poured found design, etc. 1 site survey for additrons & decks Tree Pres Required _ Y _ N
iselofEnergyCalculations , Addfion-irMitatei/on-sResepticsystem OnaiteSepGcSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Delail Options selection sheet (buildings wilh 3 or less unib)
truc
s
t
ion Cost e-'-)
Date I /IA-? / qa- Con \D , y1?
SiteAddress ?
(
?
? UniUSte #
Description of Work W / ? ? -"? n • 5 J „ ?"' \
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
?.? ?? .? . .
Property Owner Telephone #( )
? PELLA WINDOWS & DOORS
Contractor 15300-25TH AVE. N. STE. #100
Address PLYMOUTH, MN 55447 CitY
State I 763-745-1400 Telephone # ( )
LICENSE # 20165884
?
\
- ---
D
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1. Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubm'asiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informarion is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan i e case of work which re uires a review and
. .
7rw of plans
?
L-A pplicanYs Printed ame Applic s ignahue
PelIa tPmduws & Doors - Twin Cities, Inc.
7une 8, 2001
City of Sagan
3836 Pilot Knob Road
Eagan, iblN 55122
Aear 7an:
Wd9E:l •g un? amil paniaaaa
15300 25TH AVE. M. STE. #100
PLYMOVI`fE, MN 55447
763t745-1400
WATS 1-800-462-5359
FAX763/745-1401
Elder Jones Cotparateon is aufhorized to pull building permits for Pella Windows 8c
Doors -Tvin Ciries, Tnc_ Flease a11ow their representative to provide that service for us
in Eagan. This suthorization shall be valid untii such titne as the division manager
expressly revokes it, in writing to the City.
I request that this authorizaiion be accepted expeditiously, so as to not delay the
processing of our building permits any further. Please cail me if there are any questions,
I can be contacted at 763-745-1432.
Your irrunediate attention to this matter is appreciated,
' cerely,
Bryan . May.
Replacement Saies Manager
dEfTE W.
MkVW
WaowwwrAyo.».2oos
c:c: Kara-E2dcrJones
Denna Kzafty - Replacetnent Sales Process Coordinator
Wiadows, I}oors,
& Skylights
7nnl-A cUrrrq ATTlfT?lA.I srxr 051 7ra vV.r i-r'cr rxs rnionion
:
APPLICATION FOR PERMIT
CITY OF EAGAN
SEWER AND/OR WATER CONNECTION
*IOTF': PAYMMTTI' OF FEE AT TIME pF
APPLIcAmoN noEs Nom aorsriff=
APPROVAL OF PERNIIT.
INSPDCTION OF SEWE2 APID/CBt -FRTFR
INSTALSATIONS VJnL NOT BE SCBED--
ULID [R1FIL PERNIIT HAS BEFSI
APPROVID.
P ease Print)
1) PROPERTY ADDRESS: ?Q S!(P f3 R i F?'?„ c y..e -e f ._
LEGAL DESCRIPTION: ? •-
. Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCI[JRE, DATE OF ORIGINAL BL?ILDING PII2MiT ISSC'ANCE: - -
PRESENP ZOD]ING/pROPOSID C?SE: {Mn ear
? C"ERCIAL/Rr,'1'AIL/OFFICE ? R-1 SINGLE FAMILY
rl IPIDL'STRIAL ? R-2 DCPLEX (7wo IInits)
r] INSTITL'TIONAL/GOVERtZENp ? R-3 TOWNiOL?SE (Three + Units) ( Units)
. ? R-4 APAR2T?ffNT/COfIDUMINlTIM ( Units)
2)
NA'E=- tlIiCk.0z
ADDRESS:? n-y 10
Sr .'
CITY. STATE, 2IP:s c a.ua ij- h.. k? ? 0 7 3
PHONE:
3) u i: a•
NAME:
ADDRFSS: ?' {? 1? -e •
CITY, STATE, 2IP: '
PHONE:
MASTER LICgISE#
4) ••?4•_.i ?..FOR
NAh1E:
ADDRESS:
CITY. STATE. 2IP:_ ? S S P O fV? A/ t
PxoNE: _ s 71 ? D cj c?
r?wu?rs i,i.cense;
ACtiVe
FScpired
Not recorded
MOT
St Inltial
-5) ?? vi ? a• • ?• : o • a. - a?
? CONNECTION TO CITY SE'hM [5<1CpNNE(,TION TO CITY 4ATER ? pTEIER '. .
6) u• • r ? PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY 0NE OF ABpVE '-- --
? PLEASE MAIL APPROVID PERhIIT TO 1.(2) 3. 4, ABOVE
7' (Circle one) '
FOR CITY USE ONLY '
PERMIT # ISSCED
Pd w/Bldg. Permit FEES:
$ $ S r' SEWER PERMIT (INCLUDE SCRCHARGE)
$ $ IP? WATER PERMIT (INCLUDE SL'RCHARGE) ..
$ ? 3 S? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ (t z% ACCOLNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ $ WAC
$ .?J 7.S !r ?7 $ SAC
$ $ TRL'NK WATER ASSE`SSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TR[)NK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ $ WATER TREATMENT PLANT SL'RCHARGE
$ $ OTHER:
S ?2 -? 4 SD $ TOTAL
63A4 0 -,3 kin
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PER MIT FOR WORK WITHIN PDBLIC
Q
NO ROADWAY" MUST BE IS
DIVISION
LIST SOED BY THE ENGINEERING
.
AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: S?? , I 117j r-?t„
TITLE:
DATE: _ 4?jlMdo?l
e . i .
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COl4MRCIAI. SINGLE FANILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 7 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS -
$2,000 LANDSCAPE BOND ? ??9??j•
To Be lJsed For:5V ? Valuation? Date: -? 7
Site Address
Lot S Block ?C
Parcel/Sub`3i??,?
Owner !u Dezt? ?.?
AddressfL&? 3?3
City/Zip Code C2!25eQ
Phone _ ?-?j7L62j
Contractor
Address ?
City/Zip Code
Phone
Arch./Engr. _ "„c.Q
Address r-
City/Zip Code
Phone p ,--
Erect ?
Remodel
Repair ^
Addition
Move ,
Demolish
Int.Impr. ^
Install ?
APPROVALS
ONLY
Oceupancy
Zoning
Type of Const
0 of Stories
Length
Depth
Sq Ft
3
FEES
Assessments Permit
Water/Sewer '
^ Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter ,
Council Road Unit
Bldg Off,> Treatment Pl
APC Parks
Variance Copies
TOTAL
7r
S, t x iz - 7V-??7 -Z
Z ? ?C G 7 = ??? ? S-(5 =
.q
i?
?
I ?
a,
.- o.*
480•50}
59•50}
240•25}
575•00+
500•00+
63•50}
290•00+
156•00}
2364•75#
..
ll?
zlwi
? e
K •
.,
IV
,
;? . .?
, I
?¦
Csrtiiicaie ot 8urvey
Y?ryd 6qwnwl qAd Tm W? 4nI YwwrW ? VM Plrwy
YNYRSAM
? NOIM<tRIMO
7.
mt-
i . .'
N?m Oll?o ; 91 appe
N/5 Hy1Mry Na 65 N E '
Mimwpoln IMrwet? 56?y
S0.P0?461a
??L/. .?0
WnwnM. Mnwou SW7
to: fOTTL UND CD.
q55 - ---
- - --
j 1: "E•
88°7'00
? BlelAR C,?EEK h'OAD
'? ?.soo
? 9l0 ¢
45?1 x ?
:----- ---------io
I a o ,
i
,
itd'
- --k= r
-- ---
,
u.7 i. ?
M
?
?-0- - -
, D
-
?v?SEs?
0
R
40
j ; :.
50.0 S?0
i ,
i ?
I i
I I
( 1
?
?
L '_ _'_'_______'____"'__-? . , .
94?? 7Soi ?
,y, g7°5o'z7 E.
,
?
---?----- Otnofes Drainaje ¢ U4di? Eoscmen}
Bearlnys Shown are Assuaed. pqQppSED ELEYATIONS
o Oenotes Iron Mnnument.
: o Denotes 10'm FoundaNon Top of Blotk e ?
Corner Stake. la+est F1oor $ 0•3
qoo.oDenates Ezlsting Elevatton. Garage Floor 07.7
,ar---Denotes Dtroctlon of Surface DrNnaye. •
' 1 bnby tnrily Moi tAb M0 frve ?/ ao•*u Ty.o?eotoUow of • wr.q N fFe YwwM?Ns Hl?? ?w
MNrI?N bwd. aM N rM I"aII?w N?J 1? ?r111?y inony swd o11 rldb •11 sq. IrM M M
w1I Nw1. ?s wrrqel w sm We-??? Q!??q o1 t4A 11.0. 1?? ' .
f YRMA INttRIN 11 C.
7??,
, ,nc ee aM..... K ?
_Scale, ?_,3p?
Not IuWbNwO: All Riphn R~Nd St3?190 F.'/P /SS! . ..
LoT.-5 , BLOCK 2
LEXINGTON SQUARE, oAKOrA CovuTr,M,kN.
-,. Subjecf fo drarncr? ? utrlifi easexnenfs
?A@
.?. w ..y,
,
,.
.
} • , . ? ' .. ., ?, , ,
, • "? ?.?.. ?' ?! (.(' ' " .???.' ,.
? • EXTERIOR? ENVELOPE AVERAGE °U" COMPUTATION, . . +` ?.
?
OWNER
SITE ADDRESS Q`Z.. CQ.EEK' ,_ZCJ.A:D
CONTRACTOR c' DATE PHONE
?.r 1, , i'''. "::r.. " • ?
,
Determine working aquare footage.ot each. v/
1. Total exposed wall area . .. . .. 5?,7 sq. ft. x'
2. Total roof/ceiling area .... //rK9 aq. ft. x 402&
'
Total exposed wall area abwe floor
a. Total wall window area ................................ 2 5
'....
b. Total door area ................................
c. Total sliding glass door area ................
. d. Total fireplace wall area ........... ......... .
e. Total wall framing area (average 10X).......... • ', -
f. Total net wall area above floor ....................
g, Total rim joist area . .... . .........•.•....
••••
?;.
Total exposed foundation area
?
h. Total foundation window area ........................! i. Total net foundation area above grade .,..,••.•••.••?,•' 7
Determine "U" value of each wall segment.'c.
a. 2 5 ?5 X $fU?l L?_?
b. 1T X „U,l. ,07 = .2e6cv
,
c . 462 XflUff , 5/6= Z7> 60, : •.s'
d ?- X liUll
- o e. 21S g liUlt e d'? 7 f. /93U x.efU„ 6 plt Z = "6-1606.
g_ 3,z X„U„ ?os?o =12,'46i
h. -7 X "U" 3e8 5- ? ? g nUn 70 ?' ,
.......Total
3 .. . ..........................
If item Il 3 is the same as, or less than item lI1, you have met the intent
of SBC 6006(c)2. '
• ., ';?? . .'?? a , ; ? ? ' Total eacposed roof Jceiling area
' Total gross roof/ceiling area = v
,. ,
Total skylight area ........................ ?
. .
............
k. Total roof/ceiling framing area 7/
1. Total net insulated roof/ceiling area ...... //4
Detexmine "U" value fox each rooffceiling segment.
A nUu k. X uUn a t.-
)2
g opUll oG2.S = 27 '
, -
4 ..................................... Total = ?• ?If total of Ik4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 113 and Il4 shall not be greater than the swn of items fll and 1i2.
?. 32 oe + z. 03 .
. 3, 240a 71? + 4. 29,65` = 3
, , , , . .
i .
'JTL•'a Uso XOc oL-_ o??aque wall area for
+,ti "rr?mF construction
. , .
. ' 1'uyi: J UL' h ,
Construction , ` ?;'•?-' , R-Value
1. Interior air?film ' 0.68
.2. '1I41,C?-YP 1:5 'R?
- m?tS
----
3.
.zu(' sTc?aS ' -------
61 ofs8?
, 9. 2 5-/32 S NTCr ' 2..0? .
5, ?/GYAi(a UVE/G FELT ' / a 2 C? ,
6: Exterior air film 0.17 ••
Total
aOS Z
1. Interior air film. 0.68
2. ?1"U..rp r3ua D o ?S' .
3. FULe--
n. z 5/3i ?rrrc> 2 .06, ,
' S. S/ G??(iG- o V E,C F_ ELT' J a 1 6
6. Exterior air film 0.17
Total
.. ,
,
l, Interior air film ' 0.68"`
2. /ivSl? L . .'. . / J??6 UO . :
3. 12 )<
_ n1 ?n-
' /a?Ss
9. ! 2 57I3 2 S H't-C? 2 dOG?' .
16. Exterior air film 0.17 '
motal 2 S.o S
O S'- U
l. Interior air film 0.68
rr 2• _2-7x.J.vSv? =-7 2A? 7.oU
3. Fu22iNCl -2?eL
n. i2''co.•?c, 13 «cce- /.LFt `
5. :
6. Exterio: sir film 0,17
` Tota1 / v 9.J 3
:•
, e
.
r
^
?k
. ?
V •
/? ? , +,?•
. . . , ...
_
= '
N
axc. ?tn
' ' .
? ;=:, /,t
• /(l \ ? •.
I o
?? ?/ f ;?
. . • ?'
/ . . - .
.
113
r
ti . c ^
,• . *oor•/cE. zLiNS •
. . . . ? .
. • 'I L???.
• yEIT 1_L'n47111111111,MJ,;jJA .
Vented HeaC £Low '
°p ' •' ' .
. . i ? ?
. FIG. $5
. _' . .
. , ? '. . '
?
Y.enc flow vp • ; •venCed •
• ' i ' ? . .
• • . ' :?..
FIG. #6'..1... . ? !? .
.. '?. ,.. . .
I ` p ? • '_... ^ 'u
.. . . . __ - -i-, .. , ,_. . . _
• 2i0i1-V Iv'TP.D • •
' .. '
, , • ?flow up •
i .., • . .
P.1 r,. @7 ? ? • . • • : t'
, ? , ' ., , . . :,•, „ . ' .
• , , ,' ; ,
?
? Construction ? ,? ' .
12-Value ?
1.? Interior air film ? :0.61.
2. ' Eilk2i" C?Y 1? '13 RO o SS
3. 3S,ao ?
4, Exterior air Eilm (still 0,
/ , .,. moCal ,. 3?fo8o.
, ? • . : ;
S
V =,01
,;: • , , . ..
1. Interior air film 0.61
z- S,. g Y1s M 'w D S g
3. 1,15e.,c oveiz r/eus5 • 3y,q • ?
4., Extcrior aix film st 1 •
• . . TotaL
,. '
. ? . ?, .
.
. ,? . . .;.? • ,•
' ', ? 1 . ? . • -
? •
1. Tnsi.de ais film . ' 0.61
9.
n.
' S. Outside air film 0.17
Total
?.
,?
..
. ' i: ? • .. . • .
NoL•c: Use addzti.onal sheeCS•iP more cpaco is
? ?;eeded £or dat-ails and calculatians.
?. ' . .. .
. HEAT IOSS CALCULATION rtEMP. DIFF. Cuaomm Wm. [R0t 1a nrl r KLD?Tro. Conwru?tbn
?? - Windows Stam Sph
OwlwName._ _ YWlls IM.
Strwt ------- Gilinp IM.
Ciry -- Floor 1` FI.?`;u,?? Roomllxgth_I.q Width/0'(? "Heioht FI.I RoomlLawth Width /`f 1Mid+t
- W inodws arM Daor s-Gatkav and Ar a
No w'em
n? ppy wivm .
o? 00.0 No 0 ; L?nrl r..
l n 01 eneY ?rM
?p. 11
I 4LOOY-l Zv 7.C-)
t 2? 2S' ' !7 IZ
CoN. Btu
Infiltration 3 0 o
Giou U VU
Exp. wall '
Net exP. wail (? y
Int. wsll
Csdin9 x / ' " - 1 d-9
Floo. iy9 y z?
TotalBtu. i y1.2 q
?+^ FI.I Roomllagth WidtHfo(o?? M!iyft
Windows M Ouors-Gaeksee and Mr
Mo winin H.?t
OI M
O1 Na W
L L.iW 11.
01 eM 11w
It.
s ao ss
ca.r. em
Inhltatan O O
Grn 3
E.p.wall
Nel eyo, wsll
Int wall M
i°"' Z L/
.2._
=.i
NO. W?
? M
N?M M
? M NMM 11.
OI IMII bM
.?1. .
L
? CoN. 9tu
Intiltntbn 13 0
Gws '7 S "3 S'5
Exp. vwll F5 k s-
NN HtP. wall S zZS
Int. wNl
c«?irig g i r r z 3
Floor 02- Z
TotalBw.
.I n{]?•? ?' Room I Lwqtb I.ti Mli
Windown and Doon-Gaeko rd Aw
NO. wW M MY?4? Ne. M? L?? N. AM
2 z Z (e ?
3 z Z ?
,
Btu
Infiibatbn 13100
Gw. D 1 t SO
E.a. wal
l
PM exp. vqll T
InL wall
CsUing I
Flow Z
-
I olal ecu. I S(n6 ?- 7otd 8tu. '
LF1.13C??Z RoomlLogtA 1--2. NfidM I.I W?pi-f'?CVRoomlLwqlh /S' (cN W i4dith iYN*
W rniMnws xM Doors-Gadtamp and /um ? Windnwt ond DOOIt-Cwadias Md Arr
-?MM NO OI
n1 p?ti nl p?ne L ? LnW111.
OI ~1 A,r
11, M.
? '/D z z 210 1
CoH. Btu
InIiItranon 2 U 800
G4.s $
Emo.vwll
Not oYP. Wall ?I 7
Inl wall
ceilmg 1 ? . ! ?n
, 3 So
vlont II
ronl etu. 1 3-? S' y
Mn YWnw I?N?t
?M Le. N
b LIfMtl,.. • N.
`2 2 $ Z ?O
Owf. scu
In1iMrat?on Z O e O
Glao /40 50
Sd0
EYp. wall Z (io
NN esP. well ? 7
Int. wall
CNlirq
Flw
Tonl Btu. 13 6' //
}'?C- G' ?. C T' 3
S c
• ` HEAT LOSS CAICULATION TEMP. DIPF.
A ,i.l?t s?l \
cwwm. N.me n • : ?11 ? Trwcooaruetion
Cky _ yy;ndom Sewm SM
Owlw Nama. Walh Inc
Strwt ----
Ciry --
Ceilinq Im.
Floa
Win{bwf and Doors-Gsekags sM Mr
NO Wi4??
nl n? MuyM
01 p?n1 Mo al ; 4wplt.
l b 01 CMr, A,Y
O. 1\
i
CoN. Btu
Intiltraticn
G4n
Exp wall I 5 y k ff 123;1,.
Net exP. wall 122Y 3
lnt. wall '
Ceilin9 L=S
Floor 7 1 Z
rotei em. I '19 sz
1 FL RoomlLenth I I WidM Z H*i t'
Window nd Ouws-Gsclap and Aru
a rw ot ?w L u a sItl M.
2 d'
?
Caf. Btu
Inhltrsuon g' O Is2 D
Gbn 3,? SD ( D
Ett wall 2 c
AIe1 eKp. wall / 10
wall
lnt.
Cmlmg X I I L
?loor r31 a(e
TnulBtu. t( ?
?7FI.I itcl RoomlL h WidthI Z
WmAnws arul Doors-Gxkaqe and Arr
Nn W"??? M??1 HO C?
ni ?un. M nMe l n L?IM?11?.
el aNY NM
. It
z- ( r
CoM. Btu
Inldtra?wn ? O (O p
G?,u U S
-
E.p. w.ll i rx ? s
tm trp. wall ? l O?
Inl wsll
Ceiimg I k 12- t 3 2 2 1P4_
ibnr
Totsl Btu. 1 /1/?16
and Doon-Gsdup wid ArM
Ne. w?wl?
p? N0M? Me a NNwNHMY It. A.«
-- -
,y, i18' 2 2o I (o
' CoM. Btu
Int4ltntion ? 0 2 Z
cw. lo So z o
Exp. wsll A
Not n[P. wall ,?t lp IO
lnt. wvll
c.irne S r x 8'0
Fro? 9v z i go
Tonl eeu. I So gv
?"'FI.I ' Raom I WWtA 8
Wintbm O Doai-CradcpP Md Arr
r`... e uwr h. ?.
? Zg Z?f L 1
?u6 y0 `7?2'
i
Infilnnan ?
316
O
Gim 5b O
Exv. wall S1 X?
Nat axp. vwU _ dy
330
'
13 20
Int. will
Colm9 f $ ' 71 I 2 2-1
? 4:?l
Fwo. z 2 S!
TotalBtu.
Dooet-(:/adcager and Mm
wn MM?
N ?w? Mw?1
N N?. N
L I?IrN ti Aw
• N.
I P -- UwV I
Co?f. ea?
In/ikrnan I O O
Gwn 1? O
Erp. wall D
PNt ocP. rwll L Z
lnt. vwll
Ceiling ? -{ yc ' f
Floa Z (0
1,76
Tow atu. I 2 / °/O
t.? pe 3 o r j
' HEAT LOSS CAICUTATION I TEMP. DIFF.
Cuqomw Nwm Typ Canwuetien
Chv - windowa Stann SM
Drlw Name _ Walh Iro.
St?w1 Giflnq IM.
City -. Floa
and Arr
FI
md Arr
NO Wtl?I
n? auw w?N??
oi nan. NO O, ' 0AMIh
i, ne. e, `nes AIN
q. b
I
i Caf. 8tu
Infihraucn p
Gisa 21? SQ1 QO
Exo wall Z 1 2Z
Net eap. wall
- 1
Int, wNl . -
Cading I !• I 1 1114,1 3
Fioor ? Z
?Tonl B-ta q
' FI.I Roomllm h WidM Haqht?
W indows and Diwr s-Gack sp and Ar a
ryo wnen w?,p?
er al n? we...er
LnM 6? N.
t PM" Arr
. n
CoM. 8tu
Inhhrst?on C? O Ili O
Gua
Eip. wall Za
Nnt exa. wall ?/ rp?
!
In1, wdl
cNii? x( 3
Fl«• 11474 2. 39 z_
Tnul Btu Y L V
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NawConstnwiion Reouiremenls
• 3 registered sife surveys showirig sq. fl. of lat, sq. k. N house; and all roofed areas
(20% masimum lot coverage allowed)
. 2 copies o( plan showirg 6eann & wiMow sizes; poured found desgn, etc)
• 1 set of Energy Cakulations
. 3 copies of Tree Preservation Plan it Io1 platted aXer 711193
. Rim Jolst Detaa Options selecfion sheet (61dgs with 3 or less units)
DATE Z-
FAX #
SITEADDRESS?/J / Z A?w C/eeL RD MULTI-PAMILYBLDG _Y _N
TYPE OF WORK ?c- -&oF FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS
/ 2
TELEPHONE # I /Uy?CELL PHONE #
Phone #
PROPERTY OWNER Zi Y r/ 1, i c IC TELEPHONE #
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNFSOTA RULES 7670 CA'1'EGORY 1 MINNESOTA RUI.N;S 7672
(4 submission qpe) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Corvtractor:
Plum6ing system includes:
Mechanfcal Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
'? I a g, as-
TE 442' ZIP
Fec: $90.00
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the information is co ?rfa?cRrV'? "
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. u_ l?
Signature of ApplicaM M AY 1 5 2002
--
OFFICE USF. ONLY By
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Water Softener
Water Heater
No. of Baths
RamodellReoair Reauirements
• 2 caples W plan ?? I ldz?_
• 1 set of Energy Calculatioris for heated additions
• 1 sitesurveyforextenoradditions8decb
• IiMicate if home served by septic system for additiore
_ Phone #
Iawn Spruikler
No. of R.I. Baths
00
VALUATION ?I9z
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReouiremeNS
3 registered stle surveys showing sq. %. of lol, sq fl of house; and all roofed areas RemodeUReoair Reauiremenis
2 capies of plen Oftiodllseb&
??.?p!' R?ad ?'' ":',
'
='? ?r.?. N
(20%mazimum lot cwerege albwed) 1 set of Energy Calculahons for heated adddions
k
i
8 d T*eP[6 ?PI94 RCCB
;[% _Y _N
2 capies of plan showing beam 8 window s2es; poured found design, elc.
7setofEnergyCalculalions s
ons
ec
1 sde survey for addd
Addition-indicateifonsdesepticsystem
Df3HeSBplicSystedil:
N
3 copies af Tree Presefvation Plan if bt platled afler 711/93
Rim Joist Detail Options seleciion sheet (6uildings with 3 or less unils)
Date?/?/ o? ConstructionCost
Site Address ? d Li b U {Ri ? rt ( Unit/Ste #
Description of Work '`
Multi-Family Bldg _ Y,,ZN Fireplace(s) -V-10_ 1 _ 2
Property Owner Telephone # ( Gj?o
Contractor ??--
,
fl f' 7r2 ?-'
Cit
Address y
? I II I
State Zip Telephone #(, NI j, i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Ntinnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
(J submission type) Submiried Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Confractor
Telephone #(
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 app ved plan in the case of work which requires a review and
approval of plans.
?
A.
Applicant's Printed Name *Applicants ignatur
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125953
Date Issued:08/08/2014
Permit Category:ePermit
Site Address: 1046 Briar Creek Rd
Lot:5 Block: 2 Addition: Lexington Square
PID:10-45075-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Kelly Meyer
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip Hernick
1046 Briar Creek Rd
Eagan MN 55123
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161853
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 1046 Briar Creek Rd
Lot:5 Block: 2 Addition: Lexington Square
PID:10-45075-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip Hernick
1046 Briar Creek Rd
Eagan MN 55123
(651) 341-1778
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161853
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 1046 Briar Creek Rd
Lot:5 Block: 2 Addition: Lexington Square
PID:10-45075-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip Hernick
1046 Briar Creek Rd
Eagan MN 55123
(651) 341-1778
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164976
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 1046 Briar Creek Rd
Lot:5 Block: 2 Addition: Lexington Square
PID:10-45075-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip & Marlene Hernick
1046 Briar Creek Rd
Saint Paul MN 55123--254
(651) 341-1778
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176889
Date Issued:06/06/2022
Permit Category:ePermit
Site Address: 1046 Briar Creek Rd
Lot:5 Block: 2 Addition: Lexington Square
PID:10-45075-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Philip & Marlene Hernick
1046 Briar Creek Rd
Saint Paul MN 55123--254
(651) 341-1778
Shelter Construction Llc
7040 Lakeland Ave N
Brooklyn Park MN 55428
(612) 849-8082
Applicant/Permitee: Signature Issued By: Signature