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871 Betty Lane2 3 3-0 15 F71 is request void 18 monffis fmm validation date Qrinted in this boz ?Th PLEASE PRINT OR TYPE Request Date . Rough-in inspection requi es ? No Inspedion Other Than Rough-1n: 0 Ready Now Wil{ Call (You must call the inspector when ready) Date Ready: I, 02licensed contractor ? owner hereby request inspection of the above electrical work at: Job Addreu (Sireef, Box, or Roufe No.) l .1-T ?.rV City i?__ /4 GftA/ Zip Code , //0 Sedion No. Township Name or No. Range No. Fire No. Coun 7 i ?GJ 6 ? Occupant A'aC'1e?rJ?cL Phone No. Power Supplier /V,:5i Address Eledricol Coniroclor (Company Name) ` -- L'^- - I Contrador License No. CA Masfer Lic. No. (Plant Eled. Only) cz o A l L Mailing Address (Conirador oir Owner Perf ortning I stallafion) / /-6 "1.- -Sr ' ??Vti.L,. Authorized SignaTure (COwner Performinnstall ?n)_... J'4 c Phone No. y - /1.? 7 E6=00001A-? 6/5 1 ? STATEBOARDCOrY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY 1I II IIIliI{!1 I`REOUEST FOR ELECTRICAL INSPECTION 1 II?f II IIl II III I? Ill ?? 111 II ?!? 1? III Il?II (I 1?5 I i?l 18innesota Unive siat A earRmf S1e 28 cSt. Paul, MN 55104 L tY , * 0 2 3 3 0 1 5 7* Phone (612) 642-0800 ?? f Home Duplex Apt.Bfdg. Other: ew Addn Commerciai Industrial Farm Remod Re air Air Cond. Hig. Equip. Water Ntr. Load Mgmt. Other: Dryer Ran e Elec. Heat Tem . Service X" above the work covered by this request, Enier remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Reques? will nof be accepted without the correct fee: Olher Fee # Service Enirance Size Fee # CircuiislFeeders Fee Mobile Home Park Stall 0 to 200 Amps ?J Q to 100 Amps Street Ltg./Traffic $ig. Above 200 Above 100 Amps TransformerjGenerator INSPECTOR' T TAL ?-` Sign/Outline Ltg. Xfmr. ?../?.,,.7 .t Alarm/Remote C ontrol :ig2 Swimming Poo) herein on the dates stated jhq allatio i t rrigation Boom Roug - n Date 4 ecial Inspedion E ' v esti gati ve Fee ln Ftnal Dare ? 7HIS INSTALLAT{ON MAY BE OR )ER DIS N P&fD iF NOT COMPLETED WITHIN 18 ONTHS. CllyofEaaail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#O Tom. Permit Fee: /0 ` cs Date Received: Staff: L 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / /7 //LP Site Address: )7( !Fs -6- 6, Unit #: Residtartt/ Owner Name: 6`T A/ i 414- Wee_ e e_ A e. --L---- Phone: Address i city i zip: 67( ,--e6 i---ti/---ti/ gni ��. �.r �� Applicant is: Owner X Contractor Type of Work Description of work: ,9 ?72(AtC- ( A 4CP' V 7&5 ` Construction Cost:'( t' 7 3 5 - d0 Multi -Family Building: (Yes / No (() Contractor Company: 7—Ca;/Lf el, & 4, ? 4-c& Contact tEt%E S.-1742,617144101rei Address: 9-40/ (, ,4t)& City: Is State:'&Zp:sSY PhoneQ.Srh e1119;gri ai{: License #: --1-R-6-5-71-05 Lead Certificate #: /114' 7 Z-, 73 -( the project is exempt from lead certification, please explain why: A/© i-0?4,1) In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber. Mechanical Contractor. Sewer & Water Contractor. Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-publ% if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground uIi ty damage. Call 48 hours before you intend to dig to receive locates of underground unties. 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 nwst be completed within 180 days of permit issuance. x 5t coc 5177'0 � Applicant's Printed Name Applicants Signature Page 1 of 3 ?w ?1', . . . . .. ? . . ? F?? . . CtrdftCQte Of CCCIipQnCv wit? of Cfagan ?artmeat o? ?aiibiag ?n?pection ? This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ? ordinances of the City regulating building construction or use. For the following: \ 4 UuClassification: SF DWG/GAR Bldg. Permit No. 27933 o«-pa-v Type R-3 U- 1 Zoning District R-1 Type Const. VII Owner of Building C A JOHNSON ^•ONST Adercss 1111 VALLI?Y Hi Gx nR _, RLMTN MN ewwing naaress 871 BETTY LANE t.oc?ity L3, Bi, RED OAKS nace: /% l,a` `? ,f1 r! k???iC Bui ' Otticial POST IN A CONSPICUOUS PLACE r Address 871 BETTY LANE Zip 5512 ? Lot f `' Blk 1 Sub RED OAKS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish x Deck A Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy QD . , CITY OF EAGAN 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 ? (612) 681-4675 SITE ADDRESS: 'i P.I.N.: 10-63100-030--01 I I DESCRIPTION: REMARKS: S & W PL.BR - FEE SUMMARY; Base Fee Pldtl R2V.L@W 5urcharge 5AC 5AC % SAC lJnits Lic. Search Fee Subtntal PERMIT 871 BETTY LANE Lq`f: 3 BLQCK: 1 RED pAKS PERMIT TYPE: Permit Number: Date Issued: Perrrtit 1"ype SF pWG W,,D,rk 7ype NEW a??`? , R-3 U-1 pe V-- N R -1 L.0iigt'h 95 W'i d t h 27 ? W,. `"•?? 2,088 ,:,.:. 101 1 - FAM< C1E7ACH UALUAT"IqN $157,000 $1,172.25 MTSGELLANEqUS $586.13 1'otal Fee $7'8.50 $900.00 100 1 5.00 $29741..88 GP- 0.5'9lo "I ?"O BUZLDING @27533 e6/26/96 1 923.50 .$"f y 665• JO Ic CITY OF EAGAN , 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 68 1-4675 CA, ts RemodeUReoair Reauiremen ? 3 registered site surveys ? 2 eopies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy caiculations ? 1 energy calculations for heated additions ? 3 copies. of tree preservation plen if lot platted aRer 711/93 required: _ Yes _ No DATE: _ ? ?? ? iukz CONSTRUCTION COST: 2 ? ?a ? ? DESCRIPTION OF WORK: Op k-a 'bl ,,?U tq- STREET ADDRESS: 'T:?N IZ -VV `? U %A\ _Aj 'C- LOT ' BLOCK . . ? SUBD./P.i.D. #: PROPERTY Name: Tot, -- i\ ti ,, Phone #: ?? o - OWNER ' uST cxtsr Street Address: `'3 00 X ?'? (-'r-% ^"V';- City: State: M ? Zip: ...?-5 2- 3 3 CONTRACTOR Company: CP,- ^SoN..no O C m?S ? Phone #: g°g' c't °`? Street Address: t i.l 1 aa. License #: 0+3 LAI.A- City:7::?, ( 0 o *A.?-j (--M ,J State: Nl Q Zip: 5 y 3 1 ARCHITECT/ Company: Phone #: ENGINEER Name: 7Z J? ?-? ? C e-r ? a Registration #; Street Address: 42) M-. ?La?g-q-; I Trf- City: State: Zip: Sewer 8 water licensed plumber: v)., me? i-t- tl- ,RO4-) .., r-?b l Zt%L-x-r, e-?. Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have rsad this application and state #hat the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received ee Preservation Plan Received 61171?40 I =E%/' _., Yes ; No _ Yes No ?•?. ? b 1QG? tplt I?it kl... rlq ?? w,= f N?. ?lPt?w+? ? C ? ?? b 44 N c?'?: OFFICE USE ONLY r t1? %17 , ,,, , BUILDING PERMIT TYPE *?-.. ,.. s . ...A a 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ?,4'02 SF Dwelling ? 07 4-plex a 12 Multi Repair/Rem. a 17 Swim Pooi ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility o 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 _ plex ? 15 Deck WORK TYPE ?'31 New o 33 Alterations . 0 36 Move , 0 32 Addition ? 34 Repair o 37 Demolition ' GENERAL INFORMATION Const. (Actual) (Allowable) U8C Occupancy Zoning # of Stories Length Depth I APPROVALS Basement sq. ft. Al Main level sq. ft. ? 3 - ' sq. ft. sq. ft. ? sq. ft. ? sq. ft. Z ? Footprint sq. ft. Planning Building 008 MC1WS System ?- 2 z City Water ?T Fire Sprinklered PRV Booster Pump Census Code. Z,eee SAC Code Census Bldg Census Unit Engineering Variance i Permit Fee Valuation: $ ?S7 U"o ? Surcharge Plan Review License MCNVS SAC 7 Z ?x City SAC Water Conn . Water Meter 2. s' Z Acct. Deposit 3 2 yx SIW Permit . SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. -- Other X 30 / Copies Total: % SAC SAC Units zs-= LZ/Ztr. zyx3? = ??v?x`? ° ?3, ?zy G4, ?ncN -, G fna,? c £ ? _ __---- ?%ZY0 /Z -700 • ? ?DEV ENG PA/CARDARELLE Fdx : 941-3030 ?a r - FRANK R. CARDARELLE Land Surveyor (612) 941-3031 Eden Prairie, MN 55344 cUrtitirstle IDI Survey For_Tom Rockwell Book 348 Page 7 Fiie ? o? .o ?.? ? ?. 9 00. Scale: 1"=30' o Denotea Iron Mon. Found /Y892 s " W / so, v'?D ? ? _ -- - ???-%-? ?,n•-a.;??qe ? I ? .?_ ?? ; •-% i Prop. Elev. '?X Prop. lst F1.81'.v. `3_ oT,2 8rcp. (3mr. F1. Elev. o, o Prop. Has.Fl.Elev. O Drminaqe Arrows 30 - - 43 ?-- Jun 12 '96 16:08 P01 p0 5 e d j ?A?SB ? ? a?' ? z1. ' Po r4 1-1 I-L6•J ? ? ns?D ? I I I ? 00 I ?_. ..._ . , o . 940z4"Z9N??• Dy, A .- ?,9a? 6 - . ,p st wC 894, a s.8 !7?'; v6 .\ q- ? , Ell I r ?/ ?7T^y . .._ ? ?? ?,.....?._...... _ *..? ;AATE ..._..?w 1 henhy wvd/y tHW IM* IS a CY* Wb OOrteCt rprM?tntlon da wurwy d 1M bound/bs of Lot 3, H 10?'r k 1, R e d Oa DdkOt m w....,i+co„ntY. nu,,,,..a..,,e me at.ao? 8urmyed ?y rne on tM, 3 rd dq ol June Tw, 19 96 , L. ? ? ?j"e ?? ? ?. ? ? , ? ????' No J ZN 2 6 • 84 I \1\ ? o o? b? au '0 x? !f " on aWM Irfd. Frank R. Cardsrsfle State Reg. No. 6508 F ? a °z ??? ? ??o ? a ? ? g-o" ? ? 17-, ? ? 4Y o 0 ca? a ? [9' / 0 0 ?o a LOT SURVEY CHECKLIST FOR RESIDENTIAL SUILDING PERMIT APPLI TION PROPERTY LEGAL: ?3, J?,G?( ? DATE OF SURVEY: 6ZT/ ?'9 G LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/exdsting sewer and water services & invert elevation • Street name • Driveway ELEVATIONS Existina ?? ? • Sewer service (or Proposed) 0000'? ? • Properiy comers [9' ? o • Top of curb at the driveway 0 0'0'? 0 • Elevations of any exossting adjacent homes Prooosed Er""0 ? • Garage floor g.-,? ? 0 First floor 2"? ? 0 Lowest exposed elevation (walkoutiwindow) ? o • Property comers ? ? • Front and rear of home at the foundation PONDING AREA fif aaalicable) ? gr,/? • Easement line ? 0" ? • NWL ? m-o' ? • HWL o Er,' / -o • Pond # designation o ?/ O • Emergency Overflow Elevation DIMENSIONS ? ? ? 0 Lot IinesBearings 8 dimensions 2--'? o • Right-of-way and street width (to back of curb) M"" ? O • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) ITol ? • Show ali easements of record and any City utiifies within those easements ?? ? • Setbacks of proposed structure and sideyard setback of adjacent exdsting structures ? 91/" ? • Retaining wall requirements, if any Reviewed: N e / Date January 1996 CRA1f31 DB6IBLDGPRMT. FM POD • 0 gE? 6 0.5 INV = 896.0 1 63.0 C0. ? ` ? F? 47. INV = 895.0 on, 33.5 C 0. 41. LEC.TV. `?TP ? CONSTRUCT 611 CI 52 WATERIviPai 190? CONSTRUCT HYDRANT ? 41 INV = 894.0 G? 26.0 20.0 . ' 67.Q 1. SEWER SERVICES TO BE 4" PVC SDR 26 INV = 894.0 45 81•0 ? 2. WATER SERVICES TO BE 1" TYPE K COPPER INV - 894.0 3. CURB 80XES TO BE PLACED ON PROPERTY LWES i ` 4. EXTEND SERVICES 15' INTO PROPERTY 5. VERIFY LOCATION OF SERVICES IN . THE FIELD PRIOR TO CONSTRUCTION `I 6. SANITARY SE'JVER SERVICE INVERT ;---- ELEVATION IS AT THE END OF STUB ? . . .. ..... . ................................. .. .. . . .. ............... . . ... .... . BETTY : LANE : . . ... .. . .. . .. .. , ....... ... .. ......... .. .... ..... ...... . ,? . . ..- .... . _ _ . . . ? . . , . o:C%4 : . r on : ? ? ,. i ?: ?? cr . . . _ ? ... ' . ..... ... ..... . ..... . . . _. ... ........ .. .............. ........... . ...... .?:. . . . .................. ................. .......... _.... ; . ; . . ? . . i / ... _ .. . . .. . . . ; : . 1= - .....? ............. ` ... . ...-- ---. - _ :. ? ./ .......... - ..... . ... ................................. . ; Lj ? . . . . . . . . . . . . _ : . .?_,-.__ o l' J . . . . . - - - --_._ . . I " . . . -?- - - - - - -- ? . . ' . ...... i ...... .. . . ...;- ?.} ; ....___. _ _ ; . ., . ...1 ; -Ex:..18"..RCP . . ....... _ ? . : ._ ? ?`.. ,. ..... .............. ............. .........• ? . ? I _ - - - - - - - ? ? - ? : i ? . . . 6" ;DIP C1 ? ? . 5 .r X., : . : ......... .. ........... ............................................. ............. .. ..:. ... . . . ... ... .. . ..... 86' -8,, ...... ..... ...: . PVC 5DR 35 @ 0.4% . . ? r---- ' ..... ? .... .. ... . ........ .. ......... ....... ......_.. . ....... ' . . .. ....... . ................ ....................... ........... . . . , . EX.. I.E. 891.76 • . . . . . . .. . . . . . . . • .. . . - " . . . . , . . . . . .. . ,.. ................... .................. ................... .................. ..• . . . . ' . :.. ; ., .....: . d.. - 6 F . . . ; 1 . .... . . . . . . .. -. . . . . . . . ... - 2.? ? , . ... ... .... . . _.... .. ? • . ... . . ....' _. .. . . ._. .... ... . . ... . . . . . . . . . . ... ... .. ... . . .. 3±00 2+?5 0 . . .... . . . 2+ Q0 .....? .. ......... ... :.. .. . .. . ? ? : • ... . . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION - COOK BOOK METHOD OWNER: Anita & Tom Rockwell SITE ADDRESS: 871 Betty Lane Eagan, MN 55118 CONTRACTOR: Craig Johnson DATE: 5/28/96 PHONE: 888-9104 #i::::???aL: V?pos?o i?.?Ci?i??:??ko?u?i:? :::?;.: ?: ? ?,::::o?a =::::??s:os #2: ; :???T??: ?Qc??)C ?iLiNG :i1?:4?Li?o1N?i.i?? . . : .;2s: =: #3: : . :TO?f?L. ??GP4S?? F??OR 1J? .(l??l• U1ARA8?q: : : : : : : : : : : : . y:7fi.50: sq ?; X:i? : : . :o:o4a =: A. Total exposed wall area above the floor a. Total wall window area (frame size) b. Total solid door area c. Total glass door area (frame size) d. Total fireplace wall area e. Total wall framing area f. Total net insulated wall area above floor 3043.00 sq. ft. 562.00 sq. ft. x U 0.340 = 191.08 49.00 sq. ft. x U 0.350 = 17.15 43.00 sq. ft. x U 0.350 = 15.05 0.00 sq. ft. x U = 0.00 358.35 sq. ft. x U 0.116 = 41.56 2030.65 sq. ft. x U 0.048 = 98.46 B. Total rim joist area C. Total exposed foundation area a. Total foundation window area (frame size) 285.00 sq. ft. x U 0.044 = 12.54 0.00 sq. ft. 0.00 sq. ft. x U = 0.00 b. Total net insulated exposed foundation area 0.00 sq. ft. x U = 0.00 04: : : :TO'Tf?L. ??POS?? 1NAL? i7?1:(1aC:T(JA?): ; : ? : : : ; : ? : : : : : : : ? : ? : : : : : : : : : : : : : : : : : : : : : : : : : . : : : : : : : : ; If item #4 is the same as or less than item #1, you have met the intent of the 1994 Minnesota Energy Code. D. Total exposed roof ceiling area 2126.00 sq. ft. a. Total skylight area 0.00 sq. ft. x U = 0.00 b. Total roof framing area 216.45 sq. ft. x U 0.026 = 5.58 c. Total net insulated roof/ceiling area 1909.55 sq. ft. x U 0.020 = 38.19 #5::;:TO:T1?L_??PUS?k?R00?'?CE?I?I?I?:t?lkrfiQ??JA?? ::::.:.:;:.:::.:.:;:::;:.:::::;:: If item #5 is the same as or less than item #2, you have met the intent of the 1994 Minnesota Energy Code. E. Total exposed floor area 176.50 sq.ft. a. Total floor framing area (average15% at 16" O.C.) 26.48 sq.ft. x U 0.020 = 0.53 b. Total net insulated floor area 150.03 sq. ft. x U 0.026 = 3.87 #6:;:;??TA?:??CP???O:FLIIQF?Uf?:(AC7?/?L? ::::::::::::::::. :::;:.:;:;:;:::.:;:;:;:;:::.:;::4,4Q If item #6 is the same as or less than item #3, you have met the intent of the 1994 Minnesota Energy Code. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items #4, #5 and #6 shall not be greater than the sum of items #1, #2 and #3. #1 366.08 + #2 55.28 + #3 7.06 = 428.42 #4 375.84 + #5 43.78 + #6 4.40 = 424.01 Check One: ?x Category 1 Construction F-? Category 2 Construction Check One or Both: ? Foundation wall insulated full height, R=10 min. F-1 Slab on grade foundation insulated R=10 min. to frost line or under slab equal distance as to frost line CERTIFICATION I hereby certify that I have calculated the "U" factors and "R" values herein and that the building herein described meets or exceeds the 1994 State of Minnesota Energy Conservation Act. MULFIIVGER, SUSANKA & MAHAaY ARCHITECTS, IIVC. ?`'?'•' ?' 1?t ? \? l t i? (Date) CEILING TYPES WORKSHEET TOTAL EXPOSED ROOF/CEILING AREA type 1 Trusses 24" O.C. insulated area (average 90°l0) framed area (average 10%) type 2 Hand Framed 24" O.C. insulated area (average 90%) framed area (average 10%) type 3 Hand Framed 16" O.C. insulated area (average 85%) framed area (average 15%) TOTAL UA Average insulated area of roof Average framed area of roof WALL TYPES WORKSHEET TOTAL EXPOSED WALL AREA type 1 2 X 6 STUDS AT 16" O.C. insulated area (average 85%) framed area (average 15%) type 2 2 X 6 STUDS AT 24" O.C. insulated area (average 90%) framed area (average 10%) type 3 2 X 4 STUDS AT 16" O.C. insulated area (average 85%) framed area (average 15%) TOTAL UA Average insulated area of wall Average framed area of wall 2126.00 s.f. 2049.00 s.f. 1844.10 s.f. x U 0.020 = 36.88 204.90 s.f. x U 0.026 = 5.29 0.00 s.f. 0.00 s.f. x U = 0.00 0.00 s.f. x U = 0.00 77.00 s.f. 65.45 s.f. x U 0.020 = 1.31 11.55 s.f. x U 0.026 = 0.30 43.78 1909.55 s.f. x U 0.020 = 38.19 216.45 s.f. x U 0.026 = 5.58 3043.00 s.f. 2867.00 s.f. 2436.95 s.f. x U 0.047 = 114.54 430.05 s.f. x U 0.114 = 48.85 0.00 s.f. 0.00 s.f. x U = 0.00 0.00 s.f. x U = 0.00 176.00 s.f. 149.60 s.f. x U 0.073 = 10.88 26.40 s.f. x U 0.155 = 4.08 178.35 2586.55 s.f. x U 0.048 = 125.41 456.45 s.f. x U 0.116 = 52.93 !. BL CRY USE ONLY SUBD L4::: - ?Z/ta7V RECElPT M / DATE?Z-9(e- 1896 MECHANICAL PERMIT (RESIDENTlAL) CITY OF EAGAN 3830 Pl107 KN08 RD EAGAN, IYIN 35722 (612) 681-4675 Please complete for: ? single family dweltings ? townhomes and condos.when ponnits are r+equired fbreach unk ? New construcUon Add-on furrace Add-on air c;onditaoning ? Add-on air excltanger, i,e. Vanee system, etc. oate: ? /?- -?'l? E:S ? Minimum Fee: Add-oNRemodel (exis#ing tesidente Qnly) $ 28.00 .?.----_ ,----?:?. ? HVAC: 0-100 M t3TU ?...?. __ Additaonal 50 M 6TU 6.00 ? Gas Outlets (minimum of 1 required C $3.00 each) ? Sta#e Surcharge .50 ? TOTAL d ? SITE ADDRESS• ' _ 92/-_-7 OWNER NAME: ?- E M .?----- iNSTALLER NAME• STREET ADDRESS: , CITY: STATE: ZIP: PHONE #: ((??a ) -1791-610v cmr usE oMLv - L _,,,,.,,._ BL RF-oErPr a: SUBD. DATE: ? 1896 #AECHANICAL P'ERMIT (COMMFRCiAI) • CITY OF EAGAN 3830 P1LCiT KNOB RQ EAGAN, MN 55123 (612) 681-4675 Pleas+e compleft ior. ? alt commerasUmdtrgknal buitdinps. ? multi-#amity buitdings wMen separate ponmb a+e IIgi required #or each dwelliny unit. DATE: CQNTRV?GT PRICE: 1MQRK TYPE: _ NEW CONSTRUCTION _ iNTER14R 1MPRt?1/EMEN'F' DESCRIPTlON 0?F W4RK: FEES: ? $25.00 minimum fiee Qt 196 of contrad price, whkhever is gmter. ? Pmtesed piping - $25.00 ?State sunharge of $.50 per $1,000 of mant Tee due at ait peffmb. COIWTRAC1 PRltiE X 1 Wr0 PR4CESSED PtPING STATE SURCHARGE TaTAL SiTE AflDRESS: {)V1NER NAME: 7EL.EPMtJNE t. TENANT NAME: (i11lPROVEMEhRS 4NLY). 1NSTAll.ER: tA WAB#U#UZ ADdRESS: CtTY: STATE: . ZtP: PHQNE 51GNATURE: SIGNATURE t7F PERMII?EE ClTY lNaPECT'QR CTTY OF EAGAN I CASHIER: JS TERMINAL NO: 014 DATE: 04/12/00 TIME: 10:08:02 ID: NAME: FIRESIDE CORNER 3210 9001 871 BETTY LANE 2155 9001 871 BETTY LANE r Total Receipt Amount: CR125984 USER ID: JAN 60.01 0.5 60.501 *************************************?*? *****?r*********************************? CITY OF EAGAN CASHIER: JS TERMINAL NO: 014 DATE: 04/12/00 TTME: 10;08:07 1L: Lgp,iv1E : FIRESIDE CORNER 3210 9001 871 BETTY LANE 60.00 2155 9001 871 BETTY LANE 0.50 3 Total Receipt Amount: 60.50! CR125984 USER ID: JAN *??************************************ /,..`C (.? "?? H () 2000 FIREPLACE PERMIT APPLICATION C1TY OF EAGAN 3830 PfLOT KNOB ROAD - 55122 651 681-4675 Date: Description of Work: 7y- Construct new fireplace Gas _Masonry Install grrs insert on[Y Other ? Job address: Lot: Block: I } C'?' U ,- -?(-) -Ud Alterations to existing Install g,as line onlv Subdivision/P.I.D. Applicant (circle one only): Owner ??racto Per»rit Fee: $60.50 ? Name: A/i;.??'_? Phone #: PROPERT'Y Last First OWNER Street Address: City State: Zip: Company: -e1-.;_ ' Phone #: Maw ? ? ? (azea code) FIREPLACE ?? #MW11 INSTALLER Street Address:j= WglipAw y,. Raiarr* ?NO i1 City U1.016M State: Zip: MbdFnft Company: dho AAmsWe Phone #: tiCertsll i2009f1911 (area code) GAS LINE 2700 M. Fairview Ave. INSTRLLER Street Address:_ Rosevlfl6, MN_ 55113 ? 651/633-2561 City State: Zip: . 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 Minneso#a Statutes and City af Eagan Ordinances. S gnature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before conceating. ? 39 Gas Line ? 40 Gas Insert dktA fot"A IM63 w?,O'ti? A-A ll????s** lm;qj UtU 0.44t"?fi? 1RS•uavaa w:!"n W#A l';4y •?` ? ?r 0 41 Wood Stove i CITY USE ONLY ? L ? BL RECEIPT #: SUBD. 6G? DATE: / 1996 PIUMBING PERMIT (RESIDENT{AL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos whon permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Claset 3.00 x ? Bath Tub 3.00 Lavatory 3.00 x 3 = f` Kitchen Sink 3.00 Laundry Tray 3.00 Hot Tub/Spa 3.00 ;c = Water Heater 3.00 ? Floor Drain 3.00 :< ? Gas Piping Outlet minimum -1 3.00 :< _ Rough Openings 1.50 ;< _ Water Softener 5.00 x = Private Disposal " Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL S{TE ADDRES%c OWNER NAME INSTALLER NA STREET ADDRESS:_SZS" Sd • ?ci ? ? r• CITY: 1 STATE: ZtP: SJ/ .. I h?t PHONE #: ( L BL SUBD. OFFICE USE ONLY RECEIPT #: DATE: 1996 PLUMBING PERMIT (CAMMERCtAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? a!l commercial/industrial buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER;i TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATtON WtLL RESULl' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? ` YES _ NO. IF SO, YOU MUST APPLY FOR A 5EPARATE U.G. SPRINr(LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of er i fee due on a!1 permits. CONTRACT PR1CE x 1 % STATE SURCHARGE TOTAL StTE ADDRESS: TENANT NAME: STE. # OWNER NAME: I NSTAILER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: INSPECTION RECORD CI1"i'Y-QyF EAGAN - PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS: tT _ ,; z . #; g ,f$ t . ? APPLICANT: Itrf?t?d`?t1t4 ? PERMIT SUBTYPE: TYPE OF WORK: N 1* ' I J kttt i i [I J h3o INSPECTION .. O „ l?V, A Hit_C4r; '. I:" c" N ti lr ? '?. I ,11 tl t"';.'rtk, Permit No. Permit Hoider Date Telephone # ELECTRIC ?„? PLUMBIN o??i'?f?jsC7 ' HVAC j#-6/0 0 Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 6 ?J ROOFING ROUGH PLUMBING PLBG AIR TEST - ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE A-3 FIREPLACE AIR TEST FINAL PLBG ? ? . 42 FINAL HTG q O'L ORSAT TEST BLDG FINAL 112 ? 6SMT R.I. BSMT F!NAL DECK FTG DFCK FINAL _. ' I ?I ,?