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4146 Blueberry Knoll Use BLUE or BLACK Ink For Office Use, CA f n U <i+ ~l ~!1 ~ j Permit n`~~~ d j Permit Fee: 3830 Pilot Knob Road 1 I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2010 MECHANICAL PERMIT APPLICATION Date: H~y O. 1 0 Site Address: M,011 Tenant: Suite RESIDENT /OWNER Name: Phone: ggtt n Address / City I Zip:4 b 11C/1 CONTRACTOR Name: Ron's Mechanical License Shakopee Address: 12010 Old Brick Yard Road City: State: MN Zip: 5 5 3 7 9 Phone: 952-445-8585 Contact: Linda Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on psrfrtilted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE ✓ Furnace _ New Construction ! Interior Improvement Air Conditioner _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install ! _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: ~mID $50.50 Minimum Add-on or alteration to an existing unit (includes tate Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 rj~t 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. x t YId0. &Y~~w x Applicant's Printed Name Appli is ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground - Rough In -Air Test Gas Service Test in-floor Heat Final Exterior HVAC Screening Inspection r CITY Of t'A6AN WA` 9P,- SERVICE PERMIT 3795 At at Knob' Rood PERMIT NO.: 2271 00goh, MN 55122 DATE: 9/111 ~ ZoATnA: No. of Units: _ i Owner: Address: ► Site Address w z- x ,'M mom"t' nt Est"es Plumber: w z- - c Meter No.: `4 Connection Charge: 270A pI Size' Account Deposit: Reader No.: Permit Fee: ! agree to camper with the Gty of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: _ Date of ,Insp.: Insp.: _ CITY ~ EAGAN SEWER SERVICE PERMIT 5795, Pilot Knob Road PERMIT NO.: 3607 Eaq#n6-,MN 55122 DATE: f ~ Zoning: p 71 No. of Units: Owner: rtt r 1 o -V as f cn firac l C•'ix Address: Site AddressA.1 4 117 4 111t4x Est tes Plumber 7/7(,-) 1a^,i7.5; 100.00 Pd agree to comply with the City of Eagan Connection Charge: +425. Pd ` Ordinances Account Deposit. Permit fee: 10.00. pd .50 Pd Surcharge: $Y. Misc. Charges: Date of Insp. - Total: Insp.• Date Paid: r This st void 18 months from 71239 Date of this Request _36- 79 I, as ❑ Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Li 3 B -7 Lk_tt__p F4:,t~aJZ, Street Address or Route No. 341$14 E3~~~B~ /Ld City Section Township Range County DW j! Q 7 Which is occupied by D <,kZj P 5;&! ef)A)J (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yesg Ready Now ❑ Will Call Power Supplier Address X! 67/6G7"~z / C; 3s Electrical Contractor Contractor's License No. (Company Name) S„rW Mailing Address Z-1-/0 itAr 0 , S 11A /!7 (Elec is n actor or Owner aking This Installation) Authorized Signature Phone No. - ,?.lnp- leetrical Contractor r er Making This Installation) In WA J% ft OF& This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity .1954 University Ave., St. Paul, Minn; 55104-Phone 645-770 . REQUEST FOR ELftTRICAL INSPECTION R 71239 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired or Check Equipment Wired For Home ❑ ❑ Range Temporary Wiring Duplex ❑ ❑ Water Heater Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader Industrial Bldg. ❑ ❑ ❑ Air t¢h~iitieaer, Bulk Milk Tank ❑ Farm ❑ ❑ ist `z a}7 List Other -O ❑ ei~ s Herers COMPUTE INSPECTION FEE LO ' Service Entraf. a Size: # Fee Feeders&Subfeeders: # Fee Circuits: Fee 0 t 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 160_Amps. Transformers Remote Control Circ. Partial or other fee r Signs Special Inspection Minimum fee $5.00 Remarks OC/ TOTAL FEE I, the Electrical Inspector, hereby cer_ ' hat a vtinspection has been in ~ade., SO (Rough-in) - Date (Final) Date This request void 18 months from ' This request void 18 months from ,~1 R 71240 Date of this Request I, as ❑ Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at : Street Address A 6 N®' Cityii~ OT- or I~oute Ala //.~U 1 Section Township .~Kadgef 40"'6o my Which is occupied by D se W16 AI (Name of Occupant) Is a roughin inspection required on this job? No ❑ Ye§W Ready Now ❑ Will Call Power Supplier (24 6J ST, Address ,QII~?ml A✓N Contractor's License 41 Electrical Contractor. C. 7 No.oD (Company Nam) ` Mailing Address ~ (Electrica Contr to or wner Making This Installation) ,-F Authorized Signature one No. (E ica Contractor or ow Ma g This Installation) This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 195AJJniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 00 ' REQUEST FOR ELECTRICAL INSPECTION 71240 CHUCK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List ethers Others Other ❑ ❑ ❑ Here Here COMPUTE INSPECTION FEE BELOW Servic&" Entrance Size: # Feeders& Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 t 0 to 30 Amperes 101 to 200 Amps. 31 t 31 to 100 Amperes Above 200 Amps. Abo 0 Above 100 Amps. Transformers Rem a Co of C Partial or other fee • .fCj Signs Special Inspection Minimum fee Remarks ` TOTAL F ° rC " I, the Electrical Inspecto ,hereby certify that the above inspection has been made. (Rough4n) Date (Final) Date od This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan. MN 55122 5301 PHONE: 454-8100 `r BUILDING PERMIT Receipt I .19 To be used for iualc? 4 rSYatrP Est. Value'iE w 7-9 Date Site Address 1 -1-4116", s duE';. 1 T.T1 ii Erect ~'Occupancy L~ Lot 61 k ? S lldl ~.t~w TS'a~tes Alter ❑ Zoning 3 Parcel 1-7 Repair ❑ Fire Zane Enlarge Type of Const. 17 kv Name 77-77771(7`777, CAT t-ru (t imn, Inc. we 0 # Stories 2 W z Address X51.5. is C~.Sf' ;'Skit' s l~ Demolish ❑ Front 7 o Lt.~ ~3Z? city 5F1.21 Phone 452-1.104, 4r-- °53eb~. Grade ❑ Cep 24 - ft. rt 11 Name Approvals p ou Address Assessment Permit Water & Sew. Surcharge 40` r city Phone Police Plan cheek ~.w Name .ti,, WW Fire SAC r~r u- Address Eng. Wetter Conn r z QCity Phone _ Planner Water *ter 0» Council ht(I Un, f- hereby acknowledge that I have read this applic9tn and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota SYatSte5 bnt City of E APC Total 0.01 Ordinances. Signature of Permittee 1rx-)-r , C nstri i ti c)n~ Inc. - A Building Permit is issued to: , on the express condit'ion that k all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pernik Date Issued Permittee Plumbing .7 V Mechanical / 9 -.2„s- ~I41 Gt 0 -§-71 9 6-f 3 - T" I I Y) ~7 13-4 a 9 -13-79 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: 1&f Ile 1/0 CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Date: 8-35-79 Receipt No.: 15535 Single Site Address: ~34~ B~ r„ Residential nitatm Lot 14 Block 7 Sub/Sec. _ Multi Res., Comm./Ind. Demlapem }xtactim . Name New/Alter./Repair 3 Address Cost of Installation O x.00 City Phone: Permit Fee a IX"> Name Surcharge E 17405 Je C1e WW CLr Address s v IakP.tAlb 5501 435-5635 20.5f City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i Building Official CITY OF EAGAN COMBUSTION AIR FMTIRFD 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 f 1 , 1551 _ PERMIT No. 9--25«-79 15761 Date: Receipt No.: Single XMI1 Site Address: a~ $ZLl?V _ Residential Lot ill Block 7 Sub/Sec ~""tQP r-'Safi eS Multi Res., Comm./Ind. Name Developers orris m3C'f'ion, Tnc° New/Alter./Repair 4515 Oak se cI Address Cost of Installation O City Fagan TS121 Phone: 4521-190 Permit Fee 20.00 4 at-liV t Al'--, Inc. .50 N e Surcharge Address 40 C 0 47 PF City Phone: Total This Permit is issued 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 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ` 19 RECEIVEp ( { 1~ l FROM AMOUNT' j _ -7 :DOLLARS e Iso HE`CIC . CASH i EE FUND CODE AMOUNT /mil 1607S W19'g-PaetspY ~0liovv--l~ostrr~g Ct~+~Y Pti :File Copy CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 13 Blk 7 Parcel skq,-:z w Owner street 4146 Blueberry Knoll state Eagan, MN 55123 ~e~er~--lJa~e Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1.336-179 - 133.67 10 120S-OS A009064 51113.180 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 111 - 94 A007590 4-3-79 * SEWER LATERAL 1980 314676 4-.7 10 2832-27 A009064 _q/1 -ilgo WATERMAIN * WATER LATERAL 1980 * WATER AREA 1980 * Services 1980 * STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75-00 1507.5 7 79 WATER CONN. 27000 35075 7- -7 BUILDING PER. SAC PARK r v.-Iwftf raft of (Orrupaury tlCitp of Cagan u ~P~t~il'#111Pttf A~ ~1ttl~tlt~ ~2t~~iPtftltli M, This Certificate issued pursuant to the requirements of Section 306 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: J { SF Dwlg/Garage wag ~~No: 5301 u: ca>:fil,aoo oavp.7 Trp. R 3 Tyr Comuucaoo.V_ Fin 7- T TT zon;ag Du wt R1 o..otamaiog Developers Constr. Add, , 4515 Oak Chase Rd. ;Eagan, 414r B L t Ian L6ty L13 R7 R; l 1to= .cwt mw April 30, 1980 % a r - - - •OiT !N A CON, 1I 01j! ..AC. MT- i O60C5 .B1 LITHO IN U.S.A. r I , CITY OF EAGAN 3795' Pilot Knob Re-id Eagan, MN 55122 N°_ 5301 PHONA 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for SF Dwlg & Garage Est. Value 80,000. Date 7-9 , 19 79 Site Address 4146 Blueberry 1 noll Erect 7SC Occupancy R3 Lot 13 Block Sgc(S'07 Hilltop Estates Alter ❑ Zoning Rl Parcel 10 iiU Repair E] Fire Zone 3 Enlarge ❑ Type of Const. V W Name Developers Construction, Inc. Move E] Stories 2 z 4515 Oak Chase Road Address Demolish ❑ Front 72 ft. o Ci Eagan 55123Phone 52-1004, 454-5395 Grade E] Depth 24 ft. o Name Sam Approvals Fees 18550 ~ Assessment Permit Address ddress . - u~ A Phone Water & Sew. Surcharge 40.00 City Police Plan check 92.75 W Name Fire SAC 525.00 uz Address Eng. Water Conn. 270.00 <W Ci Phone Planner Water Meter 60.00 Council ad Unit 75.00 hereby acknowledge that I have read this applic on and state that Bldg. Off. the information is correc d agree to compl with all applicable APC Total 1, 248.25 State of Minnesota Statu an City of E Ordinances; Signature of Permittee A Building Permit is issued to: DevelO nstxUCtion, Inc. on the express condition that all work shall be done in accor all ppli le Stgte of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Inclu a sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION i 1 set of energy calculations. To be used for FS"»FitlC nr a,Valuation Date Site Address ly~ OFFICE USE ONLY Lot Block _ Sec. /Sub. ALCr~ Erect v1 Occupancy 3Q- 3 Alter Zoning a-~ « Parcel # 1(4 07 ~~c 1 L~ ~ Repair Fire Zone Owner : ~ELOoP /A) . Enlarge Type of Const. 1~ s Move # Stories. Address: 01-e CrDemolish Front 7 2_-- ft. Grade Depth y -14 ft. Phone -007'x---°C3``' Approvals Fees Contractor: rte' Assessment ?Permit Address: Water/Sewer Surcharge Police Plan Check 7 Z 00 Fire SAC .5 p Phone Eng. Water Conn. ,)70 Planner Water Meter 6 D s.~ Arch/Eng.: Council - Road Unit Bldg. Off. ' Address: APC Phone TOTAL i; Certificate for:` Developers Const. Inc, 4491 Oak Chase Lane Hk: 32/81 Fagan, Mn 55123 DELMAR H. SCHWAN LAND svfwEY4R Rpi$taW U040t taws of The Veto of Minn"OU U79 - 14M STREET W. - SOX M ROSEMOUNT, MINNESOTA OWN PFKN4 $12423.1"1 SURV.OO t-Sti TIFICATI p1 O aE in N79P 5% 52 \O~ a 111.87 p 'F 106.0. d s 30 `,off ! %g1£ - a0 M ~ PR~p r m p u ►01 .8 Lo 13 Drainage & utility easement ~3aco g9 SCALE: 1 inch 40 feet sCN3 41 07, E Elevations shown are ex sting- I hereby certify that this is a true and correct reprgsentation of Lot 13, Block 7, HILLTOP ESTATES, according to the rep.ord*d gnat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as st d:t.helvon Dated: June 4, 1979 Approved for Dunn k Curry Real Estate Management, Inc. By. ~I MINNESOTA RCO TION Nth. ~4 M EXTERI02 ENVELJPE THERMAL TRAPISMITTANCE PAGE Z STANDARD WORKSHEET Site Address/Blueberry Knoll Owner Developers Const., Inc. Contractor Developers Construction, kn 452-1004 hone Date 7-5-79 Building Type (check one) JXJ one and Two Family Dwelling ~ Other Assembly -(Describe type from Table 3 or Area (A) U-Value U x A snow calculations on Pace ? S Ft) Insulated Area 1022.62 .031 31.70 Framing Area 113.63 .035 3.98 Sk lights Type 0 -0 0 Other describe v Other describe 1 Totals 1136.25 35.68 2 Average U-Value, UxA / A from Line 1 .033 3 Required U-Value from text .05 Insulated Area 2016.59 .059 18.98 Framing Area 224.07 .122 27.34 Windows. Type Wood Csmt ( Insul• Gl 257.56 .55 41.66 Doors Type Wood, Solid-core 77.78 .55 42.78 Rim Joist Area Incl Cantilevers 349.25 .070 24.45 Fire lace Weil 36.00 .469 16.88 a Foundation Wall above rade 138.87 .469 65.13 M Foundation Windows, Tyne Dbl. Glass 14,63 ,55 8,05 ` Otter (describe) Other describe Other describe 4 Totals 3114.75 445.27 5 Average U-Value, UxA / A from Line 4 .143 6 Reouired U-Value from text .17 If Line 2 is greater than Line 3, or Line 5 greater than Line 6, complete tha followin to determine alternative U-Value for total exterior envelope. 7 Area (Line 1) + Area (Line 4), + _ 4251. t ' 8 UxA (Line 1) + UxA(Line 4), + i 480,95 c 9 Area (Line 1) x U-Value. (Line 3) x _ 56.81 10 Area (Line 4) x U-Value (Line 6) x 529.51 W 11 "Budget", Line 9 + Line 10 586.32 0 12 Alternative U-Value, Line ll/Line 7 .138 If Line 8 is greater than Line 11, alrer assemblies as required so Line 8 does not exceed Lino 11. nsse,b v Ceilin Framing Section _ t•'azeriai describe Tnickness R-Value t.av-erial "describe Thickness 5/8 Sheetrock 5/8 .56 Sheetrock 5/8 " .56 r Blown Fibreglas 1411 30.00 Soft Wood 3 4.35 Insulation on wood 10 l " 22.50 - Interior f-Value see Table 2 Interior f-Value see Table 2 ( . Exterior f-Value see Table 2 61 Exterior f-Value see Table 2 Total Assembly Thermal Resistance 31 78 Total Assembly The „a1 Resistance 8.' Assembly U-Value see Table 4 Assembly U-Value see Table 4) Enter on Page 1 .031 Enter on Pace 1 035 Assembly all Insulated ssembl v Wall Framing Material describe Thickness -R-Value. Material describe Thickness R-Value Sheetrock 1/2 .45 Sheetrock 1/2 .45 Fibreglas Batt 3 5/8 13.00 Soft wood 3 1/2 4.35 Biltrite Sheathing 25/32 2.06 Biltrite Sheath 25/32 2.06 Siding or brick 1/2 .50 Siding or brick 112 .50 I Interior f-Vai ue see Table -2 Interior f-Value see Tab? e 2 .68 Exterior f-Value see Table 2 .17 Exterior f-Value see Table 2) .17 Total Assembly Thermal Resistance 16.86 Total Assembly Thermal Resistance 8.2 Assembly U-Value see Table 4 059 Assembly U-Value (see Table 4) 122 Enter on Pace 1 Enter on Pave 1 sseTbl Rim Joist Sent nn ssemblY Foundation Section i Material describe Thickness R-Value ~ Material describe Thickness R-Malt. Fibreglas Batt 3 1/2 11.00 Concrete Block 12" 1.28 Soft Wood 1 1/2 1.88 #15 Felt .025 .06 1 Siding or brick 1/2 .50 Interior f-Value see Table 2) .68 Interior f-Value see Table 2 .68 Exterior f-Value see Table 2 1 Exterior f-Value sae Table 2 17 Total Assembly Thern.Al Resistance 14.2 Total Assembly Thermal Resistance 2.13 Assembly U-Value see Table 4 Assembly U-Value see Taole) 469 Enter on Pace 1 .070 enter on Pace 1 Assembly Assembly Material describe Thickness R-Value Material describe Thickness P,-Value Interior f-Value see;Table 2 Interior f-Value see Table 2) Exterior f-Value see Table 2 Exterior f-Value see Table 2 1 , Total Assemble Thermal Resistance Total Assembly Therrmal Resistance i Assembly U-Value (see Table 4) Assembly U-Value (see Table 41 Enter on Pace 1 Enter on Pace 1 r RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN -i o l 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Consbuctioe Rectuhments Remote eoak tZegair nts • 3 registered site surveys showing sq. ft of lot, sq. ft. of trouser and ad roofed areas • 2 copies of plan (20% maximum lot coverage mowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes: poured found design, etc.) . 1 site survey for exterior additions & decks, • 1 set of Energy Calculations . Indicate if tam served by septic system for adftons • 3 copies of Tree Preservation Plan 4 lot ptatW after 711193 • Rim Joist Deter Options selection sheet (bldgs with 3 or less units) - DATE $ Lo VALUATION 02 SITE ADDRESS &ZeM t4- IC MULTI-FAMILY BLDG _.,,_Y . _ N TYPE OF WORK 00ri FIREPLACE(S) _ 0 1 2 APPLICANT 1'C- STREET ADDRESS J:k&:~ J'9- Cf"~'STATECXZ&ZIP o?D TELEPHONE ~Q CELL PHONE # FAX # ,95_ PROPERTY OWNER TELEPHONE # rah? ...r ....................................•...........r........a....o_......r_w.w............. COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted, Plumbing Contractor: _ Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 r Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: fir Conditioning Fee: $70.00 Heat Recovery System d 1' ( 8 Sewer/Water Contractor. Phone # Lj 'j 0? I hereby acknowledge that I have read this application, state that the information i agree to c mply with all applicable State of Minnesota Statutes and City of Eagan Ordin Signature of Applicant OFFICE USE ONLY j Certificates of Survey Received Tree Preservation Plan Received Not Required, Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex 0 13 16-plex ❑ 20 Pool ❑ 30 y Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ ' 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex 13 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage 0 06 04-plex ❑ 12 12-plex Plbg„_Y or, N ❑ 25 Miscellaneous 0 31 New 0 35 int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding 13 32 Addition 0 36 Move Bldg, ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof © 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - 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 REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. _ Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total A'su\ c~ 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date/ q / 1~p Site Address L y~ &goee Unit # LL A Property Owner Telephone # qv) Contractor BURNSVILLE Street Address 3451 W. Burnsville Parkway city uite 120 State Burnsville, MN 55337 Zip Telephone # 95.) e'914 -0001_ Bond tj L SLJ 51.;) / Expires: O 7 The Applicant is Owner -Y- Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional D New air exchanger D air conditioner p~G p g 2®~ heat pump other State Surcharge $ .50 Total 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 the work will be in accordance with the anJ-IIM19 ved plan in the case of work which requires a review and approval of pl s. &SQJtqt~~ Applicant's Printed Name pplicant's Signature 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 'T'elephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y - N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required - Y - N 1 set of Energy Calculations On-site Septic System Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date 06,. Construction Cost ego a Site Address Unit/Ste # Description of Work Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 - 2 Property Owner Telephone # ((o.S/) 7 7'~ $ Contractor l✓ i s Sd icy sy ej ✓S~ 1 ✓1 C Address /V1 City C;1che 4~, eS State /yJAl Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted 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 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. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Adds. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/perola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) - Sheetrock - Footings (deck) Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath - Stone Lath -Brick - Fireplace _ R.I. -Air Test -Final _ Windows - 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 12/04/2012 TUE 1U:23 FAX *CityofEaall 3830 Pilot Knob Road Eagan MN 61122 Phone: (851) 675-5675 Fax; (851)675.5894 la001/014 Use BLUE or BLACK Ink For Office Use -iC Permit*: I c S 1 ' I Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date; rz/ Bite- Address: 4/4/11Zitii'��f,(('� �(ld� rUnitft; Name: W. rf ( / cs eirrn� \l -kr Phone: v sI- q pal n-q-c(e Address / City./ Zip: 4l0 Q LLPbfAYL 17c) bk t WQ0ir-t Mr) $12� Applicant Is: Owner Contractor GJ Description of work: FA f'QrY1ec\ A- du, GZ-t ear►p,1 Construction Cost: 11 lok3. N•y Multi -Family Building: (Yes _/ No Company: C4'- a Contact: a n!4 -4-e BUPACIA Address: inftalahet 014 F,, n City: i�lnrle/41;Jkt State: fli 11 Zip: �7 I V tI/ Phone: (Of 2- 2469- !kW License d: Zia) 30 Lead Certificate ft: If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional Imation) i?7,-\ U.4 61 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes _No If yea, date and address of matter plan: Licensed Plumber: Phone: Mechanical Contractor: Phone; Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Cell Gopher State one Call at (091) 454-0002 for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utilities. www coohere1oteoneceLorq I hereby acknowledge that thls Information le complete and accurate; Chet the work wIll be In conformance with the ordinances end codes of the City of Eagan; that I understand this Is not a permit, but only en application for e permit, and work 18 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 end approval of plena. Exterior work authorized by e building pormk leeued In accordance with the MI days of permit Issuance. x_On Applicant's Printed Name e Building Code must he completed wllhl 80 Applicant's Signature Pope 1 of 3 12/04/2012 TUE 1U:24 FAX 1x002/014 DO NOT WRITE BELOW THIS LINE SUB TYeES Foundation .44 Single Family Multi 01 of _ Plea Accessory Building WORK TYPES New Addition Alteration Replace • Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation A Plan Review (25%_ 100% �) Census Code ak of Units / g of Buildings 1 Type of Construction A13Q Porch (3 -Season) Porch (4.Seaaon) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final 4_ Framing • Fireplace: _Rough In _Air Test _FInaI Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage "Demolition of entire building — give PCA handout to epplleent MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath ^Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector jtESIDENTIAl, FEES v Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies met 4. TOTAL 1 DD.(cc) . X07' �d�O�L ev Page 2 of 3 eve/I C ea vi TA? .P1c' v-' , 4 a.401/4/ f as J;15 -5- deekdee k ` /e ( d ovea/keted /est A-;5� kA/7/ h e. r!/ LGL /A 6' - e !J' (/ G?S/- 'Ai/ /11 CG,041/4 Si leg> .5"100:. 4774e4,G7 OrZe- it, A`'ti/!' r 1y572/ 24STJL WALKING Sly GREATER THAN '30" ABOVE AREA BB.OW REQUIRE C''' ^^RAILS MINIMUM 36" IN •'"J DESIGNED SUCH THAT SPHERE MAY NOT PH:►;;1 HROUGH_ APPROVED PLANS MUST F7:M :N C N J03 S!T E EAGAN REVIEWED BY: DATE: „1 r+N1c • :IONS DIVISION Deck board option B Deck board option C Phial Phial ii a �E ryg 1 dui �$Rs� alfE t sad .1112 itg0_ il ai..111 sill all c 0 i G y- e • -ate A co td " b S llit m 9 >e Ass O S 5 Deep Grain Available Components and Actual Ste Premium Available Components and Actual Size Bb78BEii6 ciatilpt ''Els n a 8 S S e b 5 Cb 9 c :# a a 8 E $ - b 1 $'49G36 E L� $E =rub ��`e E s a Hca iE a� 1.5 SeIreiczaf 04 pd .1 F 117 ai$ M r E - a5 0 co • og r dsg E ill ✓ 1-t 2 E51 e s ▪ s • I g11sg II ` 4jsbiB MI1111 s13lsa 1 1 ss 1• 111 :4 11 OD 1.11 g lit !i! p )!Viijiihi Atli i S!! s �j � iFS. 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